Global surgical experience with the Acorn cardiac support device

Slides:

Advertisements

Similar presentations

Ali Ahmed, MD, MPH, Gilbert J. Perry, MD, Jerome L. Fleg, MD, Thomas E

Advertisements

Society of Thoracic Surgeons 2008 cardiac risk models predict in-hospital mortality of heart valve surgery in a Chinese population: A multicenter study

Kashish Goel, MBBS, Hartzell V. Schaff, MD, Rick A. Nishimura, MD

Mitral stenosis with pulmonary hypertension: We should operate early

Sergey Leontyev, MD, Michael A

Local recurrence after surgery for non–small cell lung cancer: A recursive partitioning analysis of multi-institutional data Chris R. Kelsey, MD, Kristin.

Cardiac support device, restrictive mitral valve annuloplasty, and optimized medical treatment: A multimodality approach to nonischemic cardiomyopathy

Outcomes of cardiac surgery in chronic kidney disease

Vascular adaptation of the internal thoracic artery graft early and late after bypass surgery Beat H. Walpoth, MD, Markus Schmid, MD, Anna Schwab, MD,

Serial multidetector computed tomography assessment of left ventricular reverse remodeling, mass, and regional wall stress after restrictive mitral annuloplasty.

Sustained Benefits of the CorCap Cardiac Support Device on Left Ventricular Remodeling: Three Year Follow-up Results From the Acorn Clinical Trial Randall.

Determinants of postinfarction remodeling affect outcome and left ventricular geometry after surgical treatment of ischemic cardiomyopathy Marco Cirillo,

Douglas L. Mann, MD, Spencer H. Kubo, MD, Hani N

Surgical treatment is decisive for outcome in chondrosarcoma of the chest wall: A population-based Scandinavian Sarcoma Group study of 106 patients Björn.

Surgical Ventricular Restoration: Is There Any Difference in Outcome Between Anterior and Posterior Remodeling? Andrea Garatti, MD, Serenella Castelvecchio,

Continuous Flow Left Ventricular Assist Device Outcomes in Commercial Use Compared With the Prior Clinical Trial Ranjit John, MD, Yoshifumi Naka, MD,

Patient and Graft Survival Following Kidney Transplantation in Recipients With Cystinosis: A Cohort Study Rebecca A. Spicer, MBChB, Philip A. Clayton,

Douglas L. Mann, MD, Michael A. Acker, MD, Mariell Jessup, MD, Hani N

Pulmonary hypertension in valve disease: A beast of the past?

Surgical Implantation of the Acorn Cardiac Support Device

Radial artery patency and clinical outcomes: five-year interim results of a randomized trial Brian F. Buxton, MB, BS, FRACS, FRCS, FACS, FRCS(C), Jai.

Impact of long-axis function on cardiac surgical outcomes in patients with radiation- associated heart disease Srisakul Chirakarnjanakorn, MD, Zoran B.

It is still mostly about the mitral valve

Outcomes in lung transplantation after previous lung volume reduction surgery in a contemporary cohort Leah Backhus, MD, Jonathon Sargent, BS, Aaron.

A Combined Prognostic Serum Interleukin-8 and Interleukin-6 Classifier for Stage 1 Lung Cancer in the Prostate, Lung, Colorectal, and Ovarian Cancer Screening.

Perioperative atrial tachycardia is associated with increased mortality in infants undergoing cardiac surgery Pirouz Shamszad, MD, Antonio G. Cabrera,

Chordae Replacement Versus Resection for Repair of Isolated Posterior Mitral Leaflet Prolapse: À Ègalité Joerg Seeburger, MD, Volkmar Falk, MD, PhD,

Recurrence of mitral regurgitation after partial versus complete mitral valve ring annuloplasty for functional mitral regurgitation Michael H. Kwon,

Ventricular constraint in severe heart failure halts decline in cardiovascular function associated with experimental dilated cardiomyopathy Jai S Raman,

The Acorn Procedure Vinay Badhwar, Steven F. Bolling

Survival status and functional outcome of children who required prolonged intensive care after cardiac surgery Siva P. Namachivayam, MBBS, MEpi, Yves.

Management of dilated ascending aorta during aortic valve replacement: Valve replacement alone versus aorta wrapping versus aorta replacement Seung Hyun.

Nicholas G. Smedira, MD, Katherine J. Hoercher, RN, Dustin Y

Is subvalvular repair worthwhile in severe ischemic mitral regurgitation? Subanalysis of the Papillary Muscle Approximation trial Francesco Nappi, MD,

Factors affecting late survival after surgical remodeling of left ventricular aneurysms Hooshang Bolooki, MD, Eduardo DeMarchena, MD, Stephen M Mallon,

Support Your Specialty

A new concept for correction of systolic anterior motion and mitral valve regurgitation in patients with hypertrophic obstructive cardiomyopathy Joerg.

Clinical utility of CHADS2 and CHA2DS2-VASc scoring systems for predicting postoperative atrial fibrillation after cardiac surgery Su-Kiat Chua, MD,

The assessment of cost effectiveness and the effectiveness of cost assessment in cardiothoracic surgery Vinay Badhwar, MD The Journal of Thoracic and.

Baseline Left Ventricular Volume and Shape as Determinants of Reverse Remodeling Induced by Surgical Ventricular Reconstruction Marisa Di Donato, MD,

Mitral valve repair in heart failure: Five-year follow-up from the mitral valve replacement stratum of the Acorn randomized trial Michael A. Acker, MD,

Intermediate-Term Outcome Of Mitral Reconstruction In Cardiomyopathy

Changes in right ventricular dimensions and performance after passive cardiac containment Alexander Lembcke, MD, Simon Dushe, MD, Steffen Sonntag, MD,

Sitaram M. Emani, MD, Breanna L

Determination of the minimum number of lymph nodes to examine to maximize survival in patients with esophageal carcinoma: Data from the Surveillance Epidemiology.

Apical myectomy: A new surgical technique for management of severely symptomatic patients with apical hypertrophic cardiomyopathy Hartzell V. Schaff,

Surgery for aortic and mitral valve disease in the United States: A trend of change in surgical practice between 1998 and 2005 Scott D. Barnett, PhD,

Joseph A. Dearani, MD, Michael J. Ackerman, MD, PhD

Impact of low donor to recipient weight ratios on cardiac transplantation Senthil Nathan Jayarajan, MD, Sharven Taghavi, MD, Eugene Komaroff, PhD, Abeel.

Chin L. Poh, BMedSci, Mary Xu, BMedSci, John C

Cardiac surgery in patients with a porcelain aorta

Manuel J. Antunes, MD, PhD, DSc

James O. O’Neill, MB, Randall C

Passive ventricular constraint to improve left ventricular function and mechanics in an ovine model of heart failure secondary to acute myocardial infarction

Dynamic cardiomyoplasty: at the crossroads

Michael Mack, MD The Journal of Thoracic and Cardiovascular Surgery

James D Luketich, Michael E Burt The Annals of Thoracic Surgery

Evan Loh, MD, Edward B. Lankford, MD, PhD, David J

Insertion of a left ventricular assist device in patients without thorough transplant evaluations: a worthwhile risk? Mathew Williams, MD, Jennifer Casher,

Prolonged Intensive Care Unit Stay in Cardiac Surgery: Risk Factors and Long-Term- Survival Ortrud Vargas Hein, MD, Jürgen Birnbaum, MD, Klaus Wernecke,

The future of cardiac surgery training: A survival guide

Surgical outcomes after cardiac surgery in liver transplant recipients

Symptom assessment and exercise impairment in surgical decision making in hypertrophic obstructive cardiomyopathy: Relationship to outcomes Milind Y.

Reliability of risk algorithms in predicting early and late operative outcomes in high-risk patients undergoing aortic valve replacement Todd M. Dewey,

Should it stay or should it go?

Surveillance Epidemiology and End Results Evaluation of the Role of Surgery for Stage I Small Cell Lung Cancer James B. Yu, MD, Roy H. Decker, MD, PhD,

Noninvasive assessment of filling pressure and left atrial pressure overload in severe aortic valve stenosis: Relation to ventricular remodeling and clinical.

Kalpaj Parekh, MD, Bryan F. Meyers, MD, G

Left Ventricular End-Diastolic Pressure Predicts Survival in Coronary Artery Bypass Graft Surgery Patients Jeevan Nagendran, MD, PhD, Colleen M. Norris,

Impact of neoadjuvant chemoradiotherapy followed by surgical resection on node- negative T3 and T4 non–small cell lung cancer Benedict D.T. Daly, MD,

Presentation transcript:

Global surgical experience with the Acorn cardiac support device Mehmet C Oz, MD, Wolfgang F Konertz, MD, PhD, Franz X Kleber, MD, PhD, Friedrich W Mohr, MD, PhD, Jan F Gummert, MD, Jorg Ostermeyer, MD, Michael Lass, MD, Jai Raman, MBBS, MMed, Michael A Acker, MD, Nicholas Smedira, MD The Journal of Thoracic and Cardiovascular Surgery Volume 126, Issue 4, Pages 983-991 (October 2003) DOI: 10.1016/S0022-5223(03)00049-7

Figure 1 CSD structure. The CSD is a polyester knit construction with compliance characteristics designed to encourage beneficial reverse remodeling in dilated cardiomyopathy: A, photograph of an isolated area of open-weave construction (original magnification approximately 2.5×); B, scanning electron microscopy photograph showing node (knot; original magnification approximately 70×). The Journal of Thoracic and Cardiovascular Surgery 2003 126, 983-991DOI: (10.1016/S0022-5223(03)00049-7)

Figure 2 Positioning and securing the CSD. The CSD hemline is attached near the atrioventricular groove through a series of interrupted sutures, starting with the posterior aspect. An anterior seam is used to create the proper device fit. The Journal of Thoracic and Cardiovascular Surgery 2003 126, 983-991DOI: (10.1016/S0022-5223(03)00049-7)

Figure 3 Kaplan-Meier survival curves for all patients in the series (n = 48) and a subgroup (n = 40) in which patients at high surgical risk are screened out according to revised selection criteria. The Journal of Thoracic and Cardiovascular Surgery 2003 126, 983-991DOI: (10.1016/S0022-5223(03)00049-7)

Figure 4 Changes in LVEDD and LVEF at follow-up. The mean ± SEM changes in LVEDD (in millimeters) and LVEF (percentage) during follow-up are shown, along with the numbers of patients at each time point for whom baseline and follow-up values were available. The final follow-up (18-24 months) represents combined data for patients with latest follow-up at 18 months (n = 4) or 2 years (n = 9). The Journal of Thoracic and Cardiovascular Surgery 2003 126, 983-991DOI: (10.1016/S0022-5223(03)00049-7)

Figure 5 Pressure-volume loop analysis. Cardiac catheterization and biplane contrast ventriculography were used to capture simultaneous pressure-volume data at baseline and follow-up through 12 months. Representative results for a device-only patient are plotted as pressure-volume loops, demonstrating decreases in end-systolic and end-diastolic volumes and a trend toward lower end-diastolic pressure at follow-up. The Journal of Thoracic and Cardiovascular Surgery 2003 126, 983-991DOI: (10.1016/S0022-5223(03)00049-7)