2020 UAB Cardiovascular Institute Annual Report CVI Annual Report 2019-2020 6

PREVENTIVE CARDIOLOGY ELECTROMAGNETIC NAVIGATIONAL BRONCHOSCOPY The UAB Division of Preventive Cardiology offers inpatient and outpatient primary and secondary prevention services, with an emphasis on lipid-lowering therapy and cardiac rehabilitation. Faculty members are nationally and internationally recognized for their contributions to this field. Electromagnetic navigational bronchoscopy (ENB) is a minimally invasive procedure that allows physicians to navigate small airway passages of the lung to assist in earlier diagnosis and treatment of lung lesions. It allows physicians to biopsy or extract tissue samples that are not accessible with traditional bronchoscopy. UAB Medicine has extensive experience with ENB, being the first in Alabama to perform it and having completed more than 700 of the procedures over the last 5 years. COMPLEX AIRWAY DISORDERS UAB Medicine thoracic surgeons, in collaboration with colleagues in interventional pulmonology, perform a complete array of diagnostic, therapeutic, and palliative procedures for the management of malignant airway obstruction and benign tracheal stenosis. Procedures include rigid bronchoscopy, PDT, laser therapy, cryotherapy, and stenting. In addition, our thoracic surgeons are experienced in complex airway surgical techniques, such as tracheal resection and reconstruction for tracheal stenosis and tracheoplasty for patients with tracheomalacia. CHEST WALL SURGERY UAB Medicine thoracic surgeons specialize in the management of chest wall abnormalities, including benign and malignant tumors of the ribs and sternum and congenital problems such as pectus excavatum and carinatum. At present, UAB Medicine is the only hospital in Alabama that performs repair of pectus excavatum and carinatum in adults. Unlike at many other centers, we use a titanium plate for pectus repair that stays in place, which prevents recurrence and does not require a second operation to remove it. SELECTED PUBLICATIONS • Kumar R, Donahue JM. Editorial for economic impact of an enhanced recovery pathway for lung resection. J Thorac Dis 2018 Jan;10(1):7-9. DOI: 10.21037/jtd.2017.12.73 PMID: 29600009 • Towe CW, Gulack BC, Kim S, Ho VP, Perry Y, Donahue JM, Linden PA. Restrictive transfusion practices after esophagectomy are associated with improved outcome: A review of the Society of Thoracic Surgeons General Thoracic Database. Ann Surg 2018 May;267(5):886-891 PMID: 28338513 DOI: 10.1097/SLA.2231 • Vyfhuis MAL, Burrows WM, Bhooshan N, Suntharalingam M, Donahue JM, Feliciano J, Badiyan S, Nichols EM, Edelman MJ, Carr SR, Friedberg J, Henry G, Stewart S, Sachdeva A, Pickering EM, Simone CB, Feigenberg SJ, Mohindra P. Implications of Pathologic Complete Response Beyond Mediastinal Nodal Clearance With High-Dose Neoadjuvant Chemoradiation Therapy in Locally Advanced, Non-Small Cell Lung Cancer. Int J Radiat Oncol Biol Phys 2018 Jun 1;101(2):445-452. PMID: 9559292 DOI: 10.1016/j.ijrobp.2018.02.003 • Phatak P, Burrows WM, Chesnick IE, Tulapurkar ME, Rao JN, Turner DJ, Hamburger AW, Wang JY, Donahue JM. MiR-199a-3p decreases esophageal cancer cell proliferation by targeting p21 activated kinase 4. Oncotarget 2018 June 19;9(47): 28391–28407. • Rice SR, Molitoris JK, Vyfhuis MAL, Edelman MJ, Burrows WM, Feliciano J, Nichols EM, Suntharalingam M, Donahue J, Carr SR, Friedberg J, Badiyan S, Simone CB2nd, Feigenberg SJ, Mohindra P. Lymph node size predicts for asymptomatic brain metastases in patients with non-small-cell lung cancer at diagnosis. Clin Lung Cancer 2018 Sept 24, S1525-7304(18): 30259-6. • Towe CW, Carr SR, Donahue JM, Burrows WM, Perry Y, Kim S, Kosinski A, Linden PA. Morbidity and 30-day mortality after decortication for parapneumonic empyema and pleural effusion among patients in the Society of Thoracic Surgeons’ General Thoracic Surgery Database. J Thor Cardiovasc Surg 2019; 157: 1288-1297. • Smood B, Ghanim A, Wei B, Cerfolio RJ. Technical and operational modifications required for evolving robotic programs performing anatomic pulmonary resection. J Robotic Surg 2018 Sep; 12(3); 529-34. Epub 2018 Jan23. PMID: 29363007 • Wahl TS, Wei B. Certification for minimally invasive thoracic surgery: is your surgeon ready? J Thorac Dis. 2019 May;11(Suppl9):S1145-S1146. PMID 31245067 • Hirji SA, Wei B. Sternotomy for esophagectomy? Is it worth the risk? J Thoracic Cardiovasc Surg 2018 Sep 15. Pii S0022 5223(18) PMID: 30318359 • Kumar R, Wei B. The difficult esophageal conduit. Surg Clin North Am. 2019 Jun;99(3):471-478. PMID 31047036 • Wei B, Abraham P. Comementary: Will it go platinum? Microcoil localization as an adjunct to thoracoscopic wedge resection. J Thorac Cardiovasc Surg. 2019 Aug;158(2):603. PMID: 31320037 28 UAB Cardiovascular Institute Annual Report NATIONAL HONORS • Todd M. Brown, MD, associate professor of medicine and co-medical director of the Cardiac Rehabilitation Program at UAB, recently served as president of the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR). • Vera Bittner, MD, professor of medicine and medical director of the Cardiac Rehabilitation Program, was named master of AACVPR and received the W. Virgil Brown Distinguished Achievement Award and Lectureship from the National Lipid Association in 2019. THORACIC SURGERY CARDIAC REHABILITATION PROGRAM HIGHLIGHTS • National certification through the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) • Program staff manage over 3,000 inpatient consults annually and conduct over 5,400 Phase II visits and over 1,368 Phase III visits. • Comprehensive Phase II program provides medically supervised exercise training, treatment of cardiovascular risk factors, lifestyle modification, and stress management • Multidisciplinary staff includes cardiologists, nurses, ACSM-certified clinical exercise physiologists, dietitians, psychologists, pharmacists, and a certified yoga teacher PERCENT CHANGE BASELINE TO PROGRAM COMPLETION (N=306) • 6 min walk – 6-minute walk test to assess functional capacity • DASI – Duke Activity Status Index to estimate physical activity • Non-HDL-C – Non-high-density lipoprotein cholesterol as a measure of atherogenic lipoproteins • Rate Your Plate – Diet assessment • PRFS – Psychosocial Risk Factors Survey uabmedicine.org 29

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