The Challenge of Achieving 1% Operative Mortality for Coronary Artery Bypass Grafting: A Multi-Institution Society of Thoracic Surgeons Database Analysis
Cardiothoracic surgical leadership recently challenged the surgical community to achieve an operative mortality rate of 1.0% for the performance of isolated coronary artery bypass grafting (CABG). The purpose of our study was to identify a patient population in which this operative mortality goal is achievable relative to the estimated operative risk.
Pre-procedural Statin Use in Patients Undergoing Percutaneous Coronary Intervention
We evaluated the incidence and in-hospital outcomes associated with statin pretreatment among patients undergoing PCI and enrolled in the Blue Cross Blue Shield of Michigan Cardiovascular Consortium PCI registry at 44 hospitals in Michigan between January 2010 and December 2012.
Geographic Variability in Potentially Discretionary Red Blood Cell Transfusions After Coronary Artery Bypass Graft Surgery
A number of established regional quality improvement collaboratives have partnered to assess and improve care across their regions under the umbrella of the Cardiac Surgery Quality Improvement (IMPROVE) Network. The first effort of the IMPROVE Network has been to assess regional differences in potentially discretionary transfusions (<3 units red blood cells [RBCs]).
Cardiac Catheter Procedures During Extracorporeal Life Support: A Risk-Benefit Analysis
Extracorporeal life support (ECLS) is a valuable tool for situations in which cardiac disease acutely threatens the life of a child. Residual anatomic lesions have a strong negative influence on survival when ECLS is used after cardiac operations.
Surgeon and Center Volume Influence on Outcomes After Arterial Switch Operation: Analysis of the STS Congenital Heart Surgery Database
Multivariable logistic regression with adjustment for patient factors and ventricular septal defect closure was used to evaluate relationships between annual center and surgeon volume and a composite end point (in-hospital mortality or major complications).
Extracorporeal Life Support Devices and Strategies for Management of Acute Cardiorespiratory Failure in Adult Patients: A Comprehensive Review
Evolution of extracorporeal life support (ECLS) technology has added a new dimension to the intensive care management of acute cardiac and/or respiratory failure in adult patients who fail conventional treatment.
Extracorporeal Life Support in Critically Ill Adults
Major advances in technology and the severe acute respiratory distress syndrome that characterized the 2009 influenza A(H1N1) pandemic have stimulated renewed interest in the use of venovenous extracorporeal membrane oxygenation (ECMO) and extracorporeal carbon dioxide removal to support the respiratory system.
A Comparison Study of Hemolysis Production in Three Contemporary Centrifugal Pumps
To determine if the recent generation constrained vortex pumps with their inherent design improvements would lead to reduced red cell trauma, we undertook a study comparing three devices.
Venovenous Extracorporeal Life Support Improves Survival in Adult Trauma Patients with Acute Hypoxemic Respiratory Failure: A Multicenter Retrospective Cohort Study
Venovenous extracorporeal life support (VV ECLS) has been reported in adult trauma patients with severe respiratory failure; however, ECLS is not available in many trauma centers. Few trauma surgeons have experience initiating ECLS and managing ECLS patients, and there is currently little evidence supporting its use in severely injured patients. This study seeks to determine if VV ECLS improves survival in such patients.
The Cost Impact of Short-Term Ventricular Assist Devices and Extracorporeal Life Support Systems Therapies on the National Health Service in the UK
The objective of the study was to assess the cost of using different blood pumps for short-term ventricular assist device (VAD) andextracorporeal life support (ECLS) systems for cardiac and cardiorespiratory failure in the UK.
Obstructive Sleep Apnea-Hypopnea and Arrhythmias: New Updates
The purpose of this review is to systematically analyze what has been recently published about the relationship between obstructive sleep apnea-hypopnea (OSAH) and every cardiac arrhythmia separately.
Saudi Guidelines on the Diagnosis and Treatment of Pulmonary Hypertension: 2014 Updates
This Guideline was designed to provide recommendations for problems frequently encountered by practicing clinicians involved in management of pulmonary hypertension (PH). This publication targets mainly adult and pediatric PH-treating physicians, but can also be used by other physicians interested in PH.