Volume-outcomes relationships for operative mortality were first identified more than a decade ago. This study updated the data using Medicare claims for more than 3 million patients. The inverse relationship between volume and outcomes was confirmed for all 8 procedures studied. The inverse ratio actually increased for 5 of 8 procedures despite o
ALERT!
This site is not optimized for Internet Explorer 8 (or older).
Please upgrade to a newer version of Internet Explorer or use an alternate browser such as Chrome or Firefox.
Coronary disease
Endoscopic Harvesting Device Type and Outcomes in Patients Undergoing Coronary Artery Bypass Surgery
July 12, 2014
This prospective multiinstitutional study evaluated outcomes of different devices used for endoscopic vein harvesting classified as open or closed tunnel devices. There was no difference in the incidence of early graft failure or late clinical outcomes. The poorer graft outcomes related to endoscopic vein harvesting are not attributable to device
July 9, 2014
This video is part of a series demonstrating cardiothoracic surgery performed by left-handed surgeons. This video demonstrates left-handed placement of pericardial stays.
July 4, 2014
The PARTNER trial reported reduced mortality in pts with prior CABG who underwent surgical AVR compared to TAVR. This study further explores the 288 pts in these two groups. The groups were similar in their clinical presentation and had similar instances of procedure-related mortality, stroke, and MI. The TAVR pts had more paravalvular leak, at 2
June 30, 2014
The incidence of coronary artery disease among patients with severe aortic stenosis and candidates for TAVI ranges from 40 to 75%. In the absence of randomized trials, the management of these patients remains to be established. In this paper, the authors offer a good overview of the subject and propose an algorithm for treatment.
June 29, 2014
A great use for google glasses is demonstrated here. The glasses can be used to film the operative field and communicate with others online in real time.
Thus real time expert opinions from around the world would potentially be possible with their use. They are used here for the first time.
June 23, 2014
This video is part of a series demonstrating cardiothoracic surgery performed by left-handed surgeons. This video shows a left-handed obtuse marginal distal anastomosis.
June 20, 2014
This registry study which links Society of Thoracic Surgeons (STS) data with Medicare data examined the rates and predictors of readmission within 30-days of coronary artery surgery. The median readmission rate across 846 hospitals was 16.8%.
June 18, 2014
Coronary artery bypass grafting versus drug-eluting stents in patients with severe coronary artery disease and diabetes mellitus: a systematic review and meta-analysis Journal of Diabetes, 06/11/2014 Evidence Based Medicine Review Article
June 11, 2014
This video demonstrates an ITA harvest for CABG. It was designed specifically for cardiothoracic surgery residents, and includes a step-by-step approach to enhance safety and reproducibility.