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Marc A. Rozner, PhD, MD

Present Title & Affiliation

Primary Appointment

Professor, Department of Anesthesiology and Perioperative Medicine, Division of Anesthesiology and Critical Care, The University of Texas MD Anderson Cancer Center, Houston, TX

Dual/Joint/Adjunct Appointment

Professor, Department of Cardiology, Division of Internal Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX

Bio Statement

Marc A. Rozner, PhD, MD, is Professor of Anesthesiology and Perioperative Medicine in the Division of Anesthesiology and Critical Care and Professor of Cardiology at the University of Texas M. D. Anderson Cancer Center in Houston, TX

Dr. Rozner started his professional career as a computer programmer in 1968, designing operating systems, application software, and battery-powered hardware throughout the 1970s and 80s.   He earned his PhD in toxicology and pharmacology in 1980 at the University of Rochester School of Medicine and Dentistry in Rochester, New YorkHis work involved free radical production and lipid peroxidation caused by perfluorocarbon (an environmental contaminant) interaction with hepatic microsomes, and he completed a (PhD) fellowship in microbiology and immunology at the Medical College of Virginia in Richmond. He completed his MD in 1990, followed by internship in internal medicine, at the Medical College of Virginia.  He trained in anesthesiology at the University of Virginia School of Medicine in Charlottesville.

Dr. Rozner focuses on patients with cardiovascular disease, principally those patients who have a cardiac pacemaker or an implanted cardioverter defibrillator. He has served on two national panels developing practice parameters for the perioperative care of these patients. In addition to delivering anesthetic care, he practices in the pacemaker / defibrillator clinic.  He provides support to the Palliative Care and ICU groups for end-of life care for these patients, and he cares for pacemaker / ICD patients undergoing radiotherapy, MRI scans, and other invasive procedures throughout the hospital. 

Office Address

The University of Texas MD Anderson Cancer Center
1400 Holcombe Blvd
Unit Number: 0409
Houston, TX 77030
Room Number: FC 13.3000
Phone: 713-792-6911
Fax: 713-794-1309

Education & Training

Degree-Granting Education

1990 Medical College of Virginia, Richmond, VA, MD, Medicine
1980 University of Rochester School of Medicine and Dentistry, Rochester, NY, PHD, Toxicology and Pharmacology
1974 Case Western Reserve University, Cleveland, OH, BA, Chemistry

Postgraduate Training

7/1991-12/1993 Clinical Residency, Anesthesiology and Pain Medicine, University of Virginia, Charlottesville, VA, CA-3 Subspecialty Training in Pain Management
7/1990-6/1991 Clinical Internship, Internal Medicine, Medical College of Virginia, Richmond, VA
8/1980-7/1981 Research Fellowship, Microbiology and Immunology, Medical College of Virginia, Richmond, VA, Page Morahan, PhD

Board Certifications

10/2011 International Board of Heart Rhythm Examiners (formerly North American Society for Pacing and Electrophysiology), Examination of Special Competency in Cardiac Pacing and Defibrillation
8/2009 American Board of Anesthesiology

Honors and Awards

2013-2014 Best Doctors in America

Professional Memberships

American Society of Anesthesiologists
Member, Task Force on Pacemakers and Implanted Defibrillators (update), 2010-2011
Member, Task Force on Perioperative Transesophageal Echocardiography, 2006-2009
Member, Task Force on Pacemakers and Implanted Defibrillators, 2003-2005
Association of University Anesthesiologists
Association Member, 7/2006-present
The Heart Rhythm Society (formerly North American Society of Pacing and Electrophysiology)
Member, Writing Group, Perioperative Management of Patients with CIEDs (cardiovascular implantable electronic devices), 7/2009-7/2011

Selected Publications

Peer-Reviewed Original Research Articles

1. Koay EJ, Truty MJ, Cristini V, Thomas RM, Chen R, Chatterjee D, Kang Y, Bhosale PR, Tamm EP, Crane CH, Javle M, Katz MH, Gottumukkala VN, Rozner MA, Shen H, Lee JE, Wang H, Chen Y, Plunkett W, Abbruzzese JL, Wolff RA, Varadhachary GR, Ferrari M, Fleming JB. Transport properties of pancreatic cancer describe gemcitabine delivery and response. J Clin Invest 124(4):1525-36, 4/2014. e-Pub 3/2014. PMCID: PMC3973100.
2. Gomez DR. Poenisch F. Pinnix CC. Sheu T. Chang JY. Memon N. Mohan R. Rozner MA. Dougherty AH. Malfunctions of implantable cardiac devices in patients receiving proton beam therapy: incidence and predictors. International Journal of Radiation Oncology Biology Physics 87(3):570-5, 11/2013. PMCID: PMC3931127.
3. Schulman PM, Rozner MA. Use Caution When Applying Magnets to Pacemakers or Defibrillators for Surgery. Anesthesia and Analgesia 117(2):422-427, 8/2013.
4. Fuchshuber P, Jones S, Jones D, Feldman LS, Schwaitzberg S, Rozner MA. Ensuring safety in the operating room: the "fundamental use of surgical energy" (FUSE) program. Int Anesthesiol Clin 51(4):65-80, 2013. PMCID: PMC4009377.
5. Schulman PM, Merkel MJ, Rozner MA. Accidental, unitentional reprogramming of a temporary external pacemaker leading to R-on-T and cardiac arrest. J Cardiothorac Vasc Anesth. e-Pub 9/2012. PMID: 22959843.
6. Schulman PM, Stecker E, Rozner MA. R-on-T and cardiac arrest from dual-chamber pacing without an atrial lead. Heart Rhythm 9(6):970-973, 2012. e-Pub 2012.
7. Costelloe CM, Murphy WA, Gladish GW, Rozner MA. Radiography of pacemakers and implantable cardioverter defibrillators. AJR American Journal of Roentgenology 199(6):1252-1258, 2012. PMID: 23169716.
8. Berri RN, Sahai SK, Durand JB, Lin HY, Folloder J, Rozner MA, Gottumukkala V, Katz MH, Lee JE, Fleming JB. Serum brain naturietic peptide measurements reflect fluid balance after pancreatectomy. J Am Coll Surg 214(5):778-787, 2012. e-Pub 3/2012. PMID: 22440057.
9. Crossley GH, Poole JE, Rozner MA, Asirvatham SJ, Cheng A, Chung MK, Ferguson TB, Gallagher JD, Gold MR, Hoyt RH, Irefin S, Kusumoto FM, Moorman LP, Thompson A. The Heart Rhythm Society (HRS)/American Society of Anesthesiologists (ASA) Expert Consensus Statement on the Perioperative Management of Patients with Implantable Defibrillators, Pacemakers and Arrhythmia Monitors: Facilities and Patient Management: Executive Summary This document was developed as a joint project with the American Society of Anesthesiologists (ASA), and in collaboration with the American Heart Association (AHA), and the Society of Thoracic Surgeons (STS). Heart Rhythm 8(7):1114-54, 7/2011. PMID: 21722852.
10. Zaidan JR, Belott P, Connis RT, Nickinovich DG, Apfelbaum JL, Rozner MA. Practice Advisory for the Perioperative Management of Patients with Cardiac Implantable Electronic Devices: Pacemakers and Implantable Cardioverter-Defibrillators: An Updated Report by the American Society of Anesthesiologists Task Force on Perioperative Management of Patients with Cardiac Implantable Electronic Devices. Anesthesiology 114(2):248-261, 2011. PMID: doi: 10.1097/ALN.0b013e3181fbe7f6.
11. Thys DM, Abel MD, Brooker RF, Cahalan MK, Connis RT, Duke PG, Nickinovich DG, Reeves ST, Rozner MA, Russel IA, Streckenbach SC, Sears-Rogan P, Stewart WJ. Practice guidelines for perioperative transesophageal echocardiography. Anesthesiology 112:1084-1096, 2010.
12. Zalpour A, Hanzelka K, Patlan JT, Rozner MA, Yusuf SW. Saddle pulmonary embolism in a cancer patient with thrombocytopenia: a treatment dilemma. Cardiol Res Pract 2011:835750, 2010. e-Pub 12/2010. PMCID: PMC3014716.
13. Tong AT, Rozner MA. The role of nesiritide in heart failure. Expert Opinion in Drug Metabolism and Toxicology 5(7):823-34, 2009.
14. Nigam R, de Villalobos D, Rice D, Rozner MA, Nates JL. Acute postoperative superior vena cava syndrome. J Cardiothor Vasc Anesth 22(4):584-586, 2008.
15. Rozner MA. The patient with a cardiac pacemaker or implanted defibrillator and management during anaesthesia. Curr Opin Anaesthesiol 20(3):261-8, 2007. PMID: 17479032.
16. Truong AT, Truong DT, Gillenwater AM, Rozner MA. Gastric aspiration in patients with a laryngectomy stoma: is it possible? J Clin Anesth 18(7):557-8, 2006. PMID: 17126793.
17. Narvios AB, Rozner MA, Lichtiger B. Thirty-day typing and screening for patients undergoing elective surgery: experience at a large cancer center. Transfusion 46(3):348-51, 2006. PMID: 16533275.
18. Rozner MA, Burton AW, Kumar AJ. Pacemaker complication during magnetic resonance imaging. J Am Coll Cardiol 45(1):161-2, 2005. PMID: 15629394.
19. Ahrar K, Matin S, Wood CG, Wallace MJ, Gupta S, Madoff DC, Rao S, Tannir NM, Jonasch E, Pisters LL, Rozner MA, Kennamer DL, Hicks ME. Percutaneous radiofrequency ablation of renal tumors: technique, complications, and outcomes. J Vasc Interv Radiol 16(5):679-88, 2005. PMID: 15872323.
20. Rozner MA. Peripheral nerve stimulators can inhibit monitor display of pacemaker pulses. J Clin Anesth 16(2):117-20, 2004. PMID: 15110373.

Editorials

1. Rozner MA, McKay RE. Components of safe propofol sedation: defining the formula. Heart Rhythm 9(3):347-8, 3/2012. e-Pub 11/11/2011. PMID: 22080111.
2. McKay RE, Rozner MA. Negotiating the unanticipated costs of success. Anesth Analg 113(4):984-986, 2011.
3. Leibowitz AW, Rozner MA. PRO: Manometry should routinely be used during central venous cannulation. Anesth Analg 109(1):3-5, 2009.
4. Rozner MA. Preoperative evaluations: the very last chance to identify a problem with a pacemaker or implanted cardioverter defibrillator. J Cardiothorac Vasc Anes 22(3):341-346, 2008.
5. Rozner MA. Pacemaker misinformation in the perioperative period: programming around the problem. Anesth Analg 99(6):1582-1584, 2004. PMID: 15562035.

Abstracts

1. Schulman PM, Kohl E, Rozner MA. Inappropriate implantable cardioverter-defibrillator therapy during surgery: an important and preventable complication. International Anesthesia Research Society Annual Scientific Program, Montreal, Quebec, Canada, 5/2014.
2. Engle MP, Bruel BM, Rozner MA. Management of cardiovascular implantable devices in patients with neurostimulating devices. 14th Asian Australian Congress of Anaesthesiologists / 4th Australasian Symposium of Ultrasound and Regional Anaesthesia, Auckland, Australia, 2/2014.
3. Pan T, Rozner MA. Impact of CT radiation on implantable cardioverter-defibrillator in 82-Rb cardiac PET/CT imaging. Society of Nuclear Medicine and Molecular Imaging Annual Scientific Program, Vancouver, British Columbia, Canada, 6/2013.

Book Chapters

1. Jones SB, Rozner MA. Integration of energy systems with other medical devices. In: The SAGES Manual on the Fundamental Use of Surgical Energy. Ed(s) Feldman LS, Fuchshuber PR, Jones DB. Springer: New York, Chapter 12; pages 181-194, 2012. ISBN: 978-1-4614-2073-6.
2. Sahai SK, Rozner MA. The patient with cancer. In: Perioperative Medicine: Medical Consultation and Co-management. Ed(s) Jaffer AK, Grant PJ. Wiley-Blackwell: New Jersey, Chapter 19: pages 267-284, 2012. ISBN: 978-0-470-62751-8.
3. Rozner MA. Cardiac pacing and defibrillation. In: Kaplan's Cardiac Anesthesia: The Echo Era, 6th. Ed(s) Kaplan JA, Reich DL, Savino JS. Elsevier: New York, Chapter 25; pages 790-806, 2011. ISBN: 978-1-4377-1617-7.
4. Rozner MA. Pacemakers. In: Essence of Anesthesia Practice, 3rd Edition. Ed(s) Fleisher LA, Roizen MF. Elsevier Saunders: Philadelphia, 275-277, 2010. ISBN: 978-1-4377-1720-4.
5. Rozner MA. How should we prepare the patient with a pacemaker/ICD? In: Evidence-Based Practice of Anesthesiology, 2nd Edition. Ed(s) Fleischer LA. Saunders Elsevier: Philadelphia, Chapter 15; pages 87-94, 2009.
6. Rozner MA. Pacemakers and implanted cardioverter-defibrillators. In: Miller's Anesthesia, 7th Edition. Ed(s) Miller RD, Eriksson LI, Fleisher LA, Wiener-Kronish JP, Young WL. Churchill Livingstone / Elsevier: Philadelphia, Chapter 43; pages 1387-1409, 2009.
7. Truong AT, Tong AT, Truong DT, Rozner MA. Cardiac dysrhythmias. In: Complications in Anesthesiology. Ed(s) Lobato EB, Gravenstein N, Kirby RR. Wolters Kluwer Health: Philadelphia, Chapter 18; pages 255-271, 2008.
8. Rozner MA, Trankina MF. Cardiac pacing and defibrillation. In: Essentials of Cardiac Anesthesia. Ed(s) Kaplan JA. Sauders / Elsevier: Philadelphia, Chapter 19; pages 445-462, 2008.
9. Tong AT, Rozner MA. Nonischemic heart disease and vascular disease. In: Preoperative Assessment and Management, 2nd Edition. Ed(s) Sweitzer BJ. Lippincott Williams & Wilkins: Philadelphia, Chapter 4; pages 79-123, 2008.
10. Rozner MA, Trankina MF. Cardiac pacing and electroversion. In: Kaplan's Cardiac Anesthesia, 5th Edition. Ed(s) Kaplan J, Reich DL, Lake CL, Konstadt SN. Saunders: New York, Chapter 25; pages 827-843, 2006.
11. Rozner MA. Preoperative assessment of the cancer patient for noncardiovascular surgery. In: Cancer and the Heart. Ed(s) Ewer MS, Yeh ETH. BC Decker: Hamilton, Ontario, Canada, Chapter 14; pages 211-223, 2006.
12. Andrabi TR, Rozner MA. Preoperative anesthesia evaluation. In: Acute Care of the Cancer Patient. Ed(s) Shaw AD, Riedel BJ, Burton A, Fields A, Feeley TW. Taylor and Francis: Boca Raton, FL, Chapter 17; pages 243-258, 2005.

Letters to the Editor

1. Cheng A, Mahajan A, Rozner M. Caution when applying "lessons" from Suresh et al. Anesth Analg 114(2):480-1, 2/2012. PMID: 22266702.
2. Rozner MA. Management of implanted cardiac defibrillators during eye surgery. Anesth Analg 106(2):671-672, 2008.
3. Gimbel JR, Wilkoff BL, Kanal E, Rozner MA. Safe, sensible, sagacious: responsible MRI scanning of pacemaker patients. Eur Heart J 26(16):1683-1864, 2005. PMID: 15946956.

Last updated: 5/14/2014