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March 2022 Newsletter

Meeting Highlights:

Spring Quarterly Meeting


On March 17, 2022 over 60 participants attended the Spring Quarterly Meeting, which focused on the Heart Team Approach to transcatheter valve therapies.

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Board Updates

Dr. Robert Shor (Virginia Heart, Inova) welcomed participants to the group.

The board discussed topics for the next Quarterly Meeting on June 2nd, with the goal of ensuring that topics are of value and are relevant to current practice.  Upcoming topics include coronary revascularization guidelines, STEMI data from our combined registry with VHAC, and angiogram film reviews.

Dr. Mohammad Quader was announced as the upcoming Board Chair who will succeed Dr. Robert Shor in 2023.

VCSQI continues to work to expand the collaborative in its recruitment efforts.  Discussion for adding new member sites is underway.

Dr. Shor also thanked the presenters for taking the time to deliver quality presentations and represent the Heart Team Approach throughout the Commonwealth.





Quarterly Quality Meeting 

STS Data from Qtr. 4 2021 was reviewed during the Quarterly Quality Meeting.     

The Society of Thoracic Surgeons (STS) Quality Measurement Task Force has developed a new, risk-adjusted Failure To Rescue (FTR) quality metric for adult cardiac surgery. FTR focuses on the ability to prevent death among patients who have postoperative complications.   VCSQI’s FTR rates were shared with the group and discussed in detail. 

Eddie Fonner also shared preliminary STS data evaluating risk factors of patient who contracted COVID against those who were not exposed.  This data also analyzed the demographic information of both populations.  A special thank you to Judy Smith (UVA) and Beth Hart (Mary Washington) for helping to develop these reports. 

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A Special Thank you…

On behalf of VCSQI, thank you to Drs. Robert Lancey (Sentara) and Matthew Cauchi (Sentara) for their help in planning an exquisite meeting agenda representing the entire Heart Team.


Transcatheter Valve Therapies: A Multidisciplinary Perspective 

Case Study #1: The Heart Team Approach

Due to an unforeseen circumstance, Dr. Robert Lancey (Sentara) was not able to present at the Spring meeting.  In his stead, Dr. Eric Sarin (Inova) filled in to present a case study that demonstrated a multidisciplinary heart team approach to TAVR care.  This interactive session used survey questions to assess the audience’s approach to care.

The Valve Clinic Coordinator: Creating the Recipe for Success

Jenny Hamby, NP (UVA) gave a compelling presentation highlighting the importance of the Valve Coordinator role and its impact in the Heart Team Approach. When creating the recipe for success, the Valve Coordinator serves as the chef!  

Case Study #2: Low Risk and Life-time Management 

Dr. Matthew Sherwood (Inova) presented a second case study that also tested the audience’s approach to care.  The group also discussed preexisting conditions in determining the best approach to valve therapies.  

TAVR in Lower Risk Patients: Lifetime Management for Younger Patients Receiving TAVR

Dr. Paul Mahoney (Sentara) presented a few case studies to help the audience to evaluate impact for younger patients recieving TAVR.   

The Surgeon’s Heart Team Role in an Evolving Catheter-Based Universe

Dr. Kenan Yount (UVA) presented case studies and engaged the audience in conversation regarding the surgeon’s perspective in catheter-based therapies.   

Future Prospective Transcatheter Therapies Dr. Eric Sarin presented in

Dr. Paul Mahoney (Sentara) returned to deliver a second presentation highlighting a plethora of advances in mitral and tricuspid valve repair.  



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