The STS National Database recently expanded to include a registry for clinical outcomes of patients who receive a mechanical circulatory support device to treat advanced heart failure. The STS Intermacs Database adds important longitudinal data to an already comprehensive, highly respected clinical outcomes database. David Shahian, Frank Pagani, and Robert Kormos discuss how Intermacs will complement the STS National Database and how the data can be used for research and performance improvement.
Four leading experts discuss how catheter-based techniques will re-emulate the gold standard for mitral valve surgery, the important role of 3D Echo technology, the need for transseptal puncture skills, and navigating the local politics.
For surgeons beginning academic careers, developing a research portfolio is frequently a key metric of success. Yet many have significant concerns about finding adequate funding in an era where National Institutes of Health (NIH) funding is at an all-time low. However, early career investigators have a number of advantages, even in a competitive research climate.