An open randomized controlled trial of median sternotomy versus anterolateral left thoracotomy on morbidity and health care resource use in patients having.

Slides:



Advertisements
Similar presentations
Chris A. Rogers, PhD, Alan J
Advertisements

Postoperative stroke after off-pump versus on-pump coronary artery bypass surgery  Fausto Biancari, MD, PhD, Martti Mosorin, MD, Elsi Rasinaho, MS, Jarmo.
Graft patency after off-pump coronary artery bypass surgery is inferior even with identical heparinization protocols: Results from the Danish On-pump.
Total arterial revascularization of triple vessel coronary disease based on combined internal thoracic and radial artery grafts  Robert H. Habib, PhD,
Off-pump coronary artery bypass grafting does not preserve renal function better than on-pump coronary artery bypass grafting: Results of a case-matched.
Damien J. LaPar, MD, MSc, Carlos M. Mery, MD, MPH, Benjamin D
Does the method of lung preservation influence outcome after transplantation? An analysis of 681 consecutive procedures  J. Saravana Ganesh, FRCS, Chris.
Stenting versus coronary artery bypass grafting for unprotected left main coronary artery disease: A meta-analysis of comparative studies  Hisato Takagi,
Improving health care by embracing Systems Theory
Transapical transcatheter aortic valve implantation and off-pump left internal thoracic artery–left anterior descending anastomosis: Back to the future? 
Effect of adding postoperative noninvasive ventilation to usual care to prevent pulmonary complications in patients undergoing coronary artery bypass.
Long-term outcomes of coronary artery bypass grafting patients supported preoperatively with an intra-aortic balloon pump  Eli Hemo, MD, Benjamin Medalion,
Chris A. Rogers, PhD, Alan J
Postoperative stroke after off-pump versus on-pump coronary artery bypass surgery  Fausto Biancari, MD, PhD, Martti Mosorin, MD, Elsi Rasinaho, MS, Jarmo.
Neurologic complications after off-pump coronary artery bypass grafting with and without aortic manipulation: Meta-analysis of 11,398 cases from 8 studies 
Juan A. Crestanello, MD, Richard C. Daly, MD 
Lower graft patency after off-pump than on-pump coronary artery bypass grafting: An updated meta-analysis of randomized trials  Hisato Takagi, MD, PhD,
Progressive improvement of myocardial perfusion after off-pump revascularization with bilateral internal thoracic arteries: Comparison of early versus.
Robotic-Assisted Coronary Artery Bypass on a Beating Heart: Initial Experience and Implications for the Future  William F. Turner, MD, John H. Sloan,
Victor van Berkel, MD, PhD 
Multilevel data analysis: What? Why? How?
Go on-pump or off-pump in diabetic patients?
Harold L. Lazar, MD  The Journal of Thoracic and Cardiovascular Surgery 
Risk-corrected impact of mechanical versus bioprosthetic valves on long-term mortality after aortic valve replacement  Ole Lund, MD, PhD, Martin Bland,
The lord of the rings  Antonio Miceli, MD, PhD 
Graft patency after off-pump coronary artery bypass surgery is inferior even with identical heparinization protocols: Results from the Danish On-pump.
In type A aortic dissection repair, an effective team approach and relational coordination are more important for patients' outcomes than surgeon volume 
Surgical economics: MACRA, MIPS, and bundles—Lessons learned in the first 3 years of a coronary artery bypass grafting alternative payment model  Daniel.
The effect of coronary angiography timing and use of cardiopulmonary bypass on acute kidney injury after coronary artery bypass graft surgery  Kyungmi.
Performance of the European System for Cardiac Operative Risk Evaluation II: A meta- analysis of 22 studies involving 145,592 cardiac surgery procedures 
Oh, father, where art we? Left internal mammary artery with greater saphenous vein grafts still rules surgical coronary revascularization after 30 years 
The assessment of cost effectiveness and the effectiveness of cost assessment in cardiothoracic surgery  Vinay Badhwar, MD  The Journal of Thoracic and.
For everything there is a season
Experience from an American Association for Thoracic Surgery Foundation for Thoracic Surgery Training Fellowship: Lung transplantation in Toronto General.
Niv Ad, MD, Sari D. Holmes, PhD, Paul S. Massimiano, MD, Anthony J
A randomized comparison of different ventilator strategies during thoracotomy for pulmonary resection  Andrew D. Maslow, MD, Todd S. Stafford, MD, Kristopher.
Chronic obstructive pulmonary disease severity influences outcomes after off-pump coronary artery bypass  Benjamin Medalion, MD, Michael G. Katz, MD,
The effects of normoxic versus hyperoxic cardiopulmonary bypass on oxidative stress and inflammatory response in cyanotic pediatric patients undergoing.
Christopher M. Feindel, MD, MSc, Maral Ouzounian, MD, PhD 
Jeevanantham Rajeswaran, PhD, Eugene H. Blackstone, MD 
Derrick Y. Tam, MD, Stephen E. Fremes, MD, MSc 
Niv Ad, MD, Lawrence M. Wei, MD 
Hisato Takagi, MD, PhD, Takuya Umemoto, MD, PhD 
Gianni D. Angelini, MD, MCh, FRCS, FMed Sci 
Video-assisted resection for lung cancer results in fewer complications  Lunxu Liu, PhD, MD, FRCS  The Journal of Thoracic and Cardiovascular Surgery 
Shengshou Hu, MD, Xin Yuan, MD, PhD 
Passing the torch The Journal of Thoracic and Cardiovascular Surgery
Sutureless valve implantation: Every detail counts
Impact of multiple arterial grafts in off-pump and on-pump coronary artery bypass surgery  Umberto Benedetto, MD, PhD, Massimo Caputo, MD, Giovanni Mariscalco,
Shunt right or left? Decision 2016
Ralph S. Mosca, MD  The Journal of Thoracic and Cardiovascular Surgery 
Occult renal dysfunction: a mortality and morbidity risk factor in coronary artery bypass grafting surgery  Antonio Miceli, MD, Vito D. Bruno, MD, Radek.
The origins of open heart surgery at the University of Minnesota 1951 to 1956  Richard A. DeWall, MD  The Journal of Thoracic and Cardiovascular Surgery 
The Journal of Thoracic and Cardiovascular Surgery
Discussion The Journal of Thoracic and Cardiovascular Surgery
Effect of one-stop hybrid coronary revascularization on postoperative renal function and bleeding: A comparison study with off-pump coronary artery bypass.
The future of cardiac surgery training: A survival guide
The Robin Hood principle in the treatment of congenital heart disease: Taking technologic developments intended for adults and using it in kids  Paul.
One-stop hybrid coronary revascularization versus off-pump coronary artery bypass in patients with diabetes mellitus  Zhizhao Song, MD, Liuzhong Shen,
“The more things change…”: The challenges ahead
Appropriate Use Criteria for coronary revascularization in patients with stable ischemic heart disease: What the surgeon needs to know  Harold L. Lazar,
Apples remain apples NO matter what
Preoperative PFTs: The answer is blowing in the wind
National trends in utilization and in-hospital outcomes of mechanical versus bioprosthetic aortic valve replacements  Abby J. Isaacs, MS, Jeffrey Shuhaiber,
The relationship between perioperative temperature and adverse outcomes after off- pump coronary artery bypass graft surgery  Edward L. Hannan, PhD, Zaza.
The evolution of cardiothoracic critical care
How do we follow up our patients
Edward Y. Chan, MD, Michael J. Reardon, MD 
Zipping up after a median sternotomy: Are we at the end of the wire?
Deciding how much to pay for effective care
Presentation transcript:

An open randomized controlled trial of median sternotomy versus anterolateral left thoracotomy on morbidity and health care resource use in patients having off-pump coronary artery bypass surgery: The Sternotomy Versus Thoracotomy (STET) trial  Chris A. Rogers, PhD, Katie Pike, MSc, Gianni D. Angelini, FRCS, Barnaby C. Reeves, DPhil, Mattia Glauber, MD, Matteo Ferrarini, MD, Gavin J. Murphy, FRCS  The Journal of Thoracic and Cardiovascular Surgery  Volume 146, Issue 2, Pages 306-316.e9 (August 2013) DOI: 10.1016/j.jtcvs.2012.04.020 Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Flow diagram of the progress through the phases of the trial. Notes: (1) Some patients were ineligible for more than 1 reason. (2) The 2 patients who received on-pump surgery also did not receive their treatment allocation. (3) Only patients from the United Kingdom (UK) are included in these cohorts. ThoraCAB, Off-pump coronary artery bypass surgery via a left anterolateral thoracotomy; OPCAB, off-pump coronary artery bypass surgery via a median sternotomy; PFT, pulmonary function test; CROQ, Coronary Revascularization Outcome Questionnaire The Journal of Thoracic and Cardiovascular Surgery 2013 146, 306-316.e9DOI: (10.1016/j.jtcvs.2012.04.020) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Time from surgery to (A) fitness for discharge, (B) discharge from intensive treatment unit (ITU), and (C) discharge from hospital. ThoraCAB, Off-pump coronary artery bypass surgery via a left anterolateral thoracotomy; OPCAB, off-pump coronary artery bypass surgery via a median sternotomy. The Journal of Thoracic and Cardiovascular Surgery 2013 146, 306-316.e9DOI: (10.1016/j.jtcvs.2012.04.020) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions