EACTA Fellowship

Here at Derriford Hospital we are able to offer the “Basic” EACTA 12 month training fellowship which can lead on to an “advanced” fellowship at one of the other EACTA fellowship sites upon completion. (See link below):

https://www.eactaic.org/education-research/fellowship-in-ctva/

EACTA 2019 Fellowship Curriculum

Fellowship Program

During your 12 months at Derriford Cardiothoracic Unit you will gain exposure to a broad range of cardiothoracic procedures. A selection of some of the cases we currently manage are detailed below:

Cardiac (100 cases) [7 months]

1. CABG, AVR, MVR, TVR
2. Mini-mitral repair
3. Type A Aortic dissection repair including DHCA
4. Aortic reconstruction including frozen elephant trunk (FET)
5. TEVAR (in interventional radiology suite)
6. MAZE procedure and left atrial appendage clip

Thoracics (25 cases) [6 weeks]

1. Open and VATS lobectomy, wedge resection and segmentectomy
2. Robotically assisted thoracoscopic surgery for thymectomy and lung resection
3. Shared airway rigid and flexible bronchoscopy
4. Rib fixation
5. Lung isolation techniques, fibreoptic bronchoscopy, nasendoscopy etc…

Vascular (25 cases) [4 weeks]

1. Open AAA repair including aortobifemoral
2. Axillobifemoral bypass grafting
3. EVAR in interventional radiology suite
4. Awake carotid endarterectomy

Echocardiography [2 weeks incorporated into 12 month program]

1. Fortnightly TOE and TTE teaching provided by our faculty
2. Ability to discuss difficult TOE and TTE scans at weekly echo meeting

Interventional cardiology [2 weeks]

1. Transaortic valve implantation (TAVI) via transfemoral, apical and subclavian routes
2. Transcatheter “edge to edge” repair of mitral valve (PASCAL)
3. Permanent pacemaker insertion
4. Complex lead extraction
5. Electrophysiology procedures including AF and atrial flutter ablations

Intensive Care [4 weeks]

1. Post operative care for all cardiac surgical cases listed above
2. Advanced haemodynamic monitoring including swan-ganz catheter and PICCO
3. Bedside TOE for haemodynamic assessment on ICU
4. Interventional procedures (central venous access, arterial access, bronchoscopy etc…)
5. Percutaenous tracheostomy

Perfusion [2 weeks integrated into 12 month rotation]

1. Allocated time on the rota to be on a list with perfusionist
2. Dedicated teaching sessions as part of our teaching rota on perfusion topics
3. Teaching on VA and VV ECMO