Cutting-edge dialogues with Drs Tim Gardner and Mat Williams

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Sapien TAVR, CV surgeon report cards, and ethical responsibilities of cardiologists

Jun 18, 2012 10:15 EDT


The FDA advisory panel's vote in favor of the Sapien TAVR system for high-risk operable patients is a big step forward toward better options for the elderly with aortic stenosis.

Also in the news, an intriguing commentary published in JACC—which argues that cardiologists should be ethically bound to refer to surgeons based on individual risk-adjusted cardiac surgery mortality data—calls into question the relationship between cardiologists and cardiac surgeons and simplifies the referral process.

See:

Approve Sapien TAVR for high-risk operable patients, FDA advisors say

Brown DL, Clarke S, Oakley J. Cardiac surgeon report cards, referral for cardiac surgery, and the ethical responsibilities of cardiologists. J Am Coll Cardiol 2012; 59:2378-2382. Abstract.

Shahian DM, Normand ST. Autonomy, beneficence, justice, and the limits of provider profiling. J Am Coll Cardiol 2012; 59:2383-2386. Abstract.









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About Tim Gardner MD
Timothy Gardner, a senior heart surgeon and leader in cardiovascular medicine, is medical director of Christiana Care's Center for Heart & Vascular Health and clinical professor of surgery at the University of Pennsylvania.

Dr Gardner is past president of both the American Heart Association and the American Association for Thoracic Surgery and former chair of the American Board of Thoracic Surgery. Prior to his current position at Christiana Care, he was chief of cardiothoracic surgery at the University of Pennsylvania.

Dr Gardner has no relevant financial relationships.
About Mat Williams MD
Mathew Williams is assistant professor of surgery and medicine at Columbia University College of Physicians and Surgeons. Dr Williams is also surgical director of Cardiovascular Transcatheter Therapies and associate director of the Cardiothoracic Fellowship at New York-Presbyterian Hospital/Columbia University Medical Center, where he is attending surgeon and interventional cardiologist.

Dr Williams has served as an advisor or consultant for Edwards Lifesciences, Medtronic, and St Jude Medical.
About this blog
The aims of this exchange are to offer insight into the ever-evolving world of cardiovascular surgery and provide a forum for debate for surgeons, interventional cardiologists, and the wider cardiovascular community. Join Drs Gardner and Williams for their thoughts on practice, research, news, and events from the cutting edge.