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Urology Division in Top 50 - Surgery - University of Cincinnati

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Wolf M<strong>in</strong>iMaze Procedure<br />

To Be Broadcast on Internet<br />

A taped broadcast <strong>of</strong> the Wolf M<strong>in</strong>iMaze procedure for atrial<br />

fibrillation will be available on the Internet <strong>in</strong> the com<strong>in</strong>g weeks<br />

at www.or-live.com/healthalliance/. The broadcast, which<br />

lasts approximately one hour, is free for all viewers around the<br />

world with Internet access.<br />

Drs. Bill Schneeberger (foreground) and Randall Wolf prepare<br />

Internet broadcast concern<strong>in</strong>g the M<strong>in</strong>iMaze Procedure<br />

More CSI <strong>in</strong> the News<br />

Mr. Charles Doarn, Executive Director <strong>of</strong> the CSI, participated<br />

as a member <strong>of</strong> NASA’s Space Station Utilization Advisory<br />

Subcommittee dur<strong>in</strong>g a recent meet<strong>in</strong>g at the NASA Johnson<br />

Space Center. This meet<strong>in</strong>g focused primarily on resumption <strong>of</strong><br />

the Space Shuttle flights and the science plans for use <strong>of</strong> the<br />

International Space Station (ISS) over the next decade. Mr.<br />

Doarn also wrote several commendations for both astronauts<br />

on the current <strong>in</strong>crement mission as well as ground-based<br />

researchers <strong>in</strong>volved <strong>in</strong> the ISS program.<br />

The CSI has received approval <strong>of</strong> its unique identify<strong>in</strong>g elements.<br />

These elements appear on both a cloth patch and the CSI<br />

brochure. Copies <strong>of</strong> this brochure will be available <strong>in</strong> the com<strong>in</strong>g<br />

weeks. The CSI web site (http://surgery.uc.edu/csi.html)<br />

will also be updated to reflect the use <strong>of</strong> these elements.<br />

CSI was well represented at the recent Telemedic<strong>in</strong>e and<br />

Advanced Technology Research Center (TATRC) Integrated<br />

Research Team “Surgical Robotics – the Next Step” <strong>in</strong> Mar<strong>in</strong>a<br />

Del Ray, CA, on September 9-10, 2004. Dr. Timothy<br />

Broderick, who serves TATRC through an Intergovernmental<br />

Personnel Agreement (IPA), was jo<strong>in</strong>ed by Mr. Doarn, Mr.<br />

Brett Harnett, and Biomedical Eng<strong>in</strong>eer<strong>in</strong>g’s Ms. Mary Beth<br />

Privitera. Ms. Privitera presented a poster entitled “Robotic<br />

<strong>Surgery</strong>: Results from Ethnographic and Design Research<br />

Project.” In addition, they each participated <strong>in</strong> separate breakout<br />

groups with a focus on key issues <strong>of</strong> the future <strong>of</strong> robotics<br />

<strong>in</strong> surgery. The result <strong>of</strong> this workshop will lead to a research<br />

agenda and roadmap <strong>of</strong> how TATRC and the US Army move<br />

forward <strong>in</strong> research endeavors <strong>in</strong> robotic surgery.<br />

UC Surgeons Celebrate First<br />

Anniversary <strong>of</strong> Wolf M<strong>in</strong>iMaze<br />

Procedure for Atrial Fibrillation<br />

UC Surgeons work<strong>in</strong>g <strong>in</strong> the Center for Surgical Innovation<br />

(CSI) recently observed the one-year anniversary <strong>of</strong> the world<br />

debut <strong>of</strong> the Wolf M<strong>in</strong>iMaze procedure for atrial fibrillation.<br />

This highly successful m<strong>in</strong>imally <strong>in</strong>vasive treatment for the<br />

cure <strong>of</strong> atrial fibrillation was developed by Randall K. Wolf,<br />

M.D., Pr<strong>of</strong>essor <strong>of</strong> <strong>Surgery</strong> <strong>in</strong> the <strong>Division</strong> <strong>of</strong> Cardiac<br />

<strong>Surgery</strong> and Director <strong>of</strong> the CSI, <strong>in</strong> conjunction with<br />

AtriCure® (a local medical device company) to treat atrial<br />

fibrillation without a sternal (breastbone) <strong>in</strong>cision or use <strong>of</strong><br />

the heart-lung mach<strong>in</strong>e.<br />

Dr. Wolf and two other faculty <strong>in</strong> the <strong>Division</strong> <strong>of</strong> Cardiac<br />

<strong>Surgery</strong> and the UC Heart & Vascular Center, John Flege,<br />

Jr., M.D., and Bill Schneeberger, M.D., have completed<br />

over 60 procedures. The average age <strong>of</strong> patients undergo<strong>in</strong>g<br />

the procedure is 59 years old, with the youngest be<strong>in</strong>g 23 and<br />

the oldest 83. Many <strong>of</strong> the patients suffer from atrial fibrillation<br />

for more than 10 years. More than six months after the<br />

new procedure, 14 <strong>of</strong> 15 patients have been re-evaluated. All<br />

have a regular heart rhythm, have had no further episodes <strong>of</strong><br />

atrial fibrillation, and many discont<strong>in</strong>ued their medications.<br />

Drs. Randall Wolf and John Flege (far right) perform the<br />

M<strong>in</strong>iMaze procedure for atrial fibrillation<br />

With this technique, the work is performed on the beat<strong>in</strong>g<br />

heart without standard heart surgery <strong>in</strong>cisions. The hospital<br />

stay is 2-3 days, and Medicare, Medicaid and private <strong>in</strong>surers<br />

cover the procedure. In addition to reliev<strong>in</strong>g atrial fibrillation,<br />

the procedure <strong>in</strong>cludes remov<strong>in</strong>g a small appendage <strong>of</strong> the<br />

heart where blood clots can form. Remov<strong>in</strong>g this appendage<br />

decreases the risk <strong>of</strong> stroke by more than 90%. Many patients<br />

can also stop tak<strong>in</strong>g a blood th<strong>in</strong>ner that has associated side<br />

effects and risks.<br />

For more <strong>in</strong>formation, call the CSI at 513.558.MAZE (6213)<br />

or log onto www.wolfm<strong>in</strong>imaze.com. Emails should be<br />

directed to m<strong>in</strong>imaze@uc.edu.

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