Randomized, multicenter trial comparing sternotomy closure with rigid plate fixation to wire cerclage Keith B. Allen, MD, Vinod H. Thourani, MD, Yoshifumi.

Slides:

Advertisements

Similar presentations

Transcatheter aortic valve replacement in patients with severe aortic stenosis who are at high risk for surgical complications: Summary assessment of.

Advertisements

Of mice and men and surgical transcatheter aortic valve insertion

Lost in translation The Journal of Thoracic and Cardiovascular Surgery

Manuel J. Antunes, MD, PhD, DSc

Stephen R. Broderick, MD, MPHS

The role of methylene blue in serotonin syndrome following cardiac transplantation: A case report and review of the literature Kendra J. Grubb, MD, Jamie.

Amiodarone after surgical ablation for atrial fibrillation: Is it really necessary? A prospective randomized controlled trial Niv Ad, MD, Sari D. Holmes,

Aortic root remodeling leads to good valve stability in acute aortic dissection and preexistent root dilatation Takashi Kunihara, MD, PhD, Niklas Neumann,

Incidental discovery of an ascending aortic thrombus: Should this patient undergo surgical intervention? Subhasis Chatterjee, MD, Susan S. Eagle, MD,

Abracadabra I, II…HeartMate 3?

Victor van Berkel, MD, PhD

William M. DeCampli, MD, PhD

How should we treat air leaks?

Go on-pump or off-pump in diabetic patients?

Harold L. Lazar, MD The Journal of Thoracic and Cardiovascular Surgery

Left ventricular apical papillary fibroelastoma

Commentary: Pursuit of the green jacket: Mastery of the long and short games Daniel P. Raymond, MD The Journal of Thoracic and Cardiovascular Surgery

One-year results of thoracic endovascular aortic repair for blunt thoracic aortic injury (RESCUE trial) Ali Khoynezhad, MD, PhD, FACS, Carlos E. Donayre,

The lord of the rings Antonio Miceli, MD, PhD

Rigid Plate Fixation Versus Wire Cerclage: Patient-Reported and Economic Outcomes From a Randomized Trial Keith B. Allen, MD, Vinod H. Thourani, MD,

Successful recovery from respiratory failure by external distraction sternoplasty in a patient with Jeune syndrome Samina Park, MD, Chang Hyun Kang,

Transcatheter aortic valve replacement in intermediate-risk patients

Innovation and science: The future of valve design

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

It's not “just a shunt” but sometimes it should be…

Military surgeons just want to have fun

A first start for lung transplantation?

Stephen R. Broderick, MD, MPHS

Transcatheter aortic valve replacement and surgical aortic valve replacement: Both excellent therapies J. James Edelman, MBBS(Hons), PhD, Vinod H. Thourani,

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

Sternal Closure With Rigid Plate Fixation Versus Wire Closure: A Randomized Controlled Multicenter Trial Jaishankar Raman, MD, PhD, Sven Lehmann, MD,

Jeevanantham Rajeswaran, PhD, Eugene H. Blackstone, MD

Niv Ad, MD, Lawrence M. Wei, MD

Frozen elephant trunk technique: Ready to get back to the future?

Attachment disorder in thoracoabdominal surgery

Marc Licker, MD, John Diaper, RA

Video-assisted resection for lung cancer results in fewer complications Lunxu Liu, PhD, MD, FRCS The Journal of Thoracic and Cardiovascular Surgery

Commentary: Do the right thing! Ethical versus legal

Passing the torch The Journal of Thoracic and Cardiovascular Surgery

Bernard J. Park, MD, Raja M. Flores, MD, Valerie W. Rusch, MD

James I. Fann, MD, John E. Connolly, MD

Innovation in cardiothoracic surgical training

Constantine L. Athanasuleas, MD, FACC

Todd L. Demmy, MD The Journal of Thoracic and Cardiovascular Surgery

Jeffrey H. Shuhaiber, MD, Jeff Moore, MS, David B. Dyke, MD

The Journal of Thoracic and Cardiovascular Surgery

Discussion The Journal of Thoracic and Cardiovascular Surgery

The future of cardiac surgery training: A survival guide

Commentary: “Isn't cardiac surgery a team sport?”

Ventricular assistant in restrictive cardiomyopathy: Making the right connection Robert D.B. Jaquiss, MD The Journal of Thoracic and Cardiovascular Surgery

The continuing challenge of congenital heart disease in China

Gorav Ailawadi, MD, Marc W. Gerdisch, MD, Richard L

Bicuspid aortopathy: Seeing the forest for the trees

The Journal of Thoracic and Cardiovascular Surgery

Vinay Badhwar, MD, John S. Ikonomidis, MD, PhD, Jeffrey P. Jacobs, MD

“The more things change…”: The challenges ahead

Commentary: Judgment day: Should you add atrial fibrillation ablation?

Why arch curvature affects arch resistance

Managing conflicts of interest

More than vital: Who bears the burden?

Apples remain apples NO matter what

Lung cancer randomized controlled trials should compare stereotactic body radiation therapy with observation, NOT surgery Raja M. Flores, MD The Journal.

Preoperative PFTs: The answer is blowing in the wind

Did you like Terminator 3 better than Terminator 2

Marc P. Pelletier, MD, MSc, Tsuyoshi Kaneko, MD, Mark D

Journal changes and initiatives

Zone zero thoracic endovascular aortic repair is all about “location, location, location” Kevin L. Greason, MD The Journal of Thoracic and Cardiovascular.

Zipping up after a median sternotomy: Are we at the end of the wire?

Deciding how much to pay for effective care

Presentation transcript:

Randomized, multicenter trial comparing sternotomy closure with rigid plate fixation to wire cerclage Keith B. Allen, MD, Vinod H. Thourani, MD, Yoshifumi Naka, MD, PhD, Kendra J. Grubb, MD, John Grehan, MD, PhD, Nirav Patel, MD, T. Sloane Guy, MD, Kevin Landolfo, MD, Marc Gerdisch, MD, Mark Bonnell, MD, David J. Cohen, MD The Journal of Thoracic and Cardiovascular Surgery Volume 153, Issue 4, Pages 888-896.e1 (April 2017) DOI: 10.1016/j.jtcvs.2016.10.093 Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 CONSORT (Consolidated Standards of Reporting Trials) diagram of patient enrollment and follow-up. ICF, Informed consent form; RPF, rigid plate fixation; WC, wire cerclage. The Journal of Thoracic and Cardiovascular Surgery 2017 153, 888-896.e1DOI: (10.1016/j.jtcvs.2016.10.093) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Computed tomography methodology for evaluating the primary endpoint, sternal healing. Axial sections were selected from 5 a priori–defined locations and then scored independently by 2 radiologists via a 6-point scale. The Journal of Thoracic and Cardiovascular Surgery 2017 153, 888-896.e1DOI: (10.1016/j.jtcvs.2016.10.093) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Six-month sternal complication rates. RPF, Rigid plate fixation; WC, wire cerclage. The Journal of Thoracic and Cardiovascular Surgery 2017 153, 888-896.e1DOI: (10.1016/j.jtcvs.2016.10.093) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Intraoperative photograph of rigid plate fixation (A) and wire cerclage (B) patient. The Journal of Thoracic and Cardiovascular Surgery 2017 153, 888-896.e1DOI: (10.1016/j.jtcvs.2016.10.093) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Video 1 Surgical technique of sternotomy closure via the use of rigid plate fixation. Video available at: http://www.jtcvsonline.org/article/S0022-5223(16)31503-3/addons. The Journal of Thoracic and Cardiovascular Surgery 2017 153, 888-896.e1DOI: (10.1016/j.jtcvs.2016.10.093) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions