We believe that our clinical volume and complexity are one of the greatest strengths of our program. Reflecting this volume are our anesthetizing locations, which include:
- 4 cardiovascular operating rooms
- 3 cardiac catheterization labs
- 1 electrophysiology lab
- A procedure room suite
- CT
- MRI
- Interventional radiology
At all of these sites, our fellows are paired 1:1 with an attending anesthesiologist, thereby increasing the fellows’ procedural experience as well as fellow-level directed learning. In our operating rooms, fellows routinely place the necessary central and arterial lines.
Below are data demonstrating our case volume as a system as well as fellows’ case numbers over recent years. The end-result of our clinical experience is that our fellows are well-prepared to manage any patient presenting for any procedure.
Case Type | Total |
---|---|
Stage 1 Palliation (Norwood) | 19 |
Bidirectional Cavopulmonary Anastomosis (BDG) | 36 |
Fontan | 26 |
Arterial switch (dTGA and dTGA/VSD) | 14 |
Truncus arteriosus | 9 |
Tetralogy of Fallot | 27 |
Complete atrioventricular septal defect | 18 |
Coarctation of the aorta | 21 |
Heart transplant | 24 |
Lung transplant | 5 |
VAD | 26 |
ECMO as primary procedure (not post-cardiotomy) | 62 |
Adult congenital | 55 |
Procedure | Average (range) |
---|---|
Fellow as sole trainee, total bypass cases | 113 (101-136) |
Stage 1 Palliation (Norwood) | 8 (6-10) |
Bidirectional Cavopulmonary Anastomosis (BDG) | 8 (6-10) |
Fontan | 7 (5-10) |
Arterial switch | 6 (5-9) |
Other neonatal procedures | 15 (7-23) |
Coarctation of the aorta | 6 (4-13) |
Cardiac or lung transplant | 6 (6-7) |
Placement of circulatory assist device | 13 (6-19) |
Diagnostic catheterization procedures | 38 (25-55) |
Interventional catheterization procedures | 41 (39-45) |
Central venous catheterization | 104 (85-136) |
Arterial line placement | 117 (104-143) |