Do we increase the operative risk by adding the Cox Maze III procedure to aortic valve replacement and coronary artery bypass surgery?  Niv Ad, MD, Linda.

Slides:



Advertisements
Similar presentations
Tubular heart valves: A new tissue prosthesis design—Preclinical evaluation of the 3F aortic bioprosthesis James L. Cox, MD, Niv Ad, MD, Keith Myers, BS,
Advertisements

Previous coronary stents do not increase early and long-term adverse outcomes in patients undergoing off-pump coronary artery bypass grafting: A propensity-matched.
Lindsay A. Caldarone, Christopher A. Caldarone, MD, Luca A
Max B. Mitchell, MD  The Journal of Thoracic and Cardiovascular Surgery 
Aortic valve replacement in low-flow, low-gradient aortic stenosis: Left ventricular ejection fraction matters  Victor Dayan, MD, PhD, Philippe Pibarot,
Niv Ad, MD, Linda Henry, PhD, RN, Deborah J. Shuman, BS, Sari D
Endoscopic Robotic Mitral Valve Surgery
Niv Ad, MD, Rakesh M. Suri, MD, DPhil, James S
The Outcome of the Cox Maze Procedure in Patients With Previous Percutaneous Catheter Ablation to Treat Atrial Fibrillation  Niv Ad, MD, Linda Henry,
Should asymptomatic patients discharged with lower hemoglobin expect worse outcomes after valve surgery?  Niv Ad, MD, Sari D. Holmes, PhD, Deborah J.
Lindsay A. Caldarone, Christopher A. Caldarone, MD, Luca A
Valve repair improves the outcome of surgery for chronic severe aortic regurgitation: A propensity score analysis  Christophe de Meester, MS, Agnès Pasquet,
Puja Gaur, MD, Tsuyoshi Kaneko, MD, Siobhan McGurk, BS, James D
Right internal thoracic artery or saphenous vein grafting
Linda Henry, PhD, RN, Linda Halpin, MSN, RN, Sharon Hunt, MBA, Sari D
Form ever follows function
Strict versus liberal target range for perioperative glucose in patients undergoing coronary artery bypass grafting: A prospective randomized controlled.
Silvana Molossi, MD, PhD, Carlos M. Mery, MD, MPH 
Outcome of Concomitant Cox-Maze III Procedure Using an Argon-Based Cryosurgical System: A Single-Center Experience With 250 Patients  Bobby Yanagawa,
Multilevel data analysis: What? Why? How?
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 
Direct visualization of the aortic cusp from the left ventricle during aortic root reimplantation  Yutaka Okita, PhD, MD, Takanori Oka, MD, Shunsuke Miyahara,
Curative treatment of atrial fibrillation with intraoperative radiofrequency ablation: Short- term and midterm results  Friedrich W. Mohr, MD, PhDa, Alexander.
Surgical economics: MACRA, MIPS, and bundles—Lessons learned in the first 3 years of a coronary artery bypass grafting alternative payment model  Daniel.
Left-Sided Surgical Ablation for Patients With Atrial Fibrillation Who Are Undergoing Concomitant Cardiac Surgical Procedures  Niv Ad, MD, Sari D. Holmes,
Does the degree of preoperative mitral regurgitation predict survival or the need for mitral valve repair or replacement in patients with anomalous origin.
Surgical ablation for atrial fibrillation for two decades: Are the results of new techniques equivalent to the Cox maze III procedure?  John M. Stulak,
Transcatheter aortic valve replacement in intermediate-risk patients
Fixing the supply problem
Michele Gallo, MD, Gino Gerosa, MD 
The effect of ablation technology on surgical outcomes after the Cox-maze procedure: A propensity analysis  Shelly C. Lall, MD, Spencer J. Melby, MD,
Minimally Invasive Stand-Alone Cox-Maze Procedure for Patients With Nonparoxysmal Atrial Fibrillation  Niv Ad, MD, Linda Henry, PhD, Ted Friehling, MD,
Impact of pulmonary hypertension on outcomes after aortic valve replacement for aortic valve stenosis  Spencer J. Melby, MD, Marc R. Moon, MD, Brian R.
The Cox maze IV procedure: Predictors of late recurrence
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,
Chronic obstructive pulmonary disease severity influences outcomes after off-pump coronary artery bypass  Benjamin Medalion, MD, Michael G. Katz, MD,
Derrick Y. Tam, MD, Stephen E. Fremes, MD, MSc 
Fenton H. McCarthy, MD, MS, Nimesh D. Desai, MD, PhD 
Niv Ad, MD, Lawrence M. Wei, MD 
Minimally invasive tricuspid valve surgery in patients at high risk
Replicating the success of mitral valve repair in the aortic valve
The Ross procedure: Time to reevaluate the guidelines
Influence of experience and the surgical learning curve on long-term patient outcomes in cardiac surgery  Bryan M. Burt, MD, Andrew W. ElBardissi, MD,
The Bentall procedure: Is it the gold standard
The multi–purse string maze procedure: A new surgical technique to perform the full maze procedure without atriotomies  Niv Ad, MD  The Journal of Thoracic.
Shunt right or left? Decision 2016
Hans-Joachim Schäfers, MD 
Ralph S. Mosca, MD  The Journal of Thoracic and Cardiovascular Surgery 
Concomitant replacement of the ascending aorta is free—for some
Quality of life after aortic valve surgery: Replacement versus reconstruction  Diana Aicher, MD, Annika Holz, Susanne Feldner, MD, Volker Köllner, 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
Permanent pacemaker insertion following transcatheter aortic valve replacement: Not infrequent, not benign, and becoming predictable  Craig M. Jarrett,
Reliability of risk algorithms in predicting early and late operative outcomes in high-risk patients undergoing aortic valve replacement  Todd M. Dewey,
After neoadjuvant chemoradiation therapy, predicted pulmonary function may be reduced by 10%  Benny Weksler, MD, MBA  The Journal of Thoracic and Cardiovascular.
Commentary: Judgment day: Should you add atrial fibrillation ablation?
The impact of a multidisciplinary blood conservation protocol on patient outcomes and cost after cardiac surgery  Niv Ad, MD, Sari D. Holmes, PhD, Jay.
Evaluating the best approach to treatment of aortic stenosis: The jury is still out  Glen B. Taksler, PhD  The Journal of Thoracic and Cardiovascular Surgery 
More than vital: Who bears the burden?
Apples remain apples NO matter what
A large international single-center case-series of coronary artery fistulas in children: When high clinical research standards adopted globally create.
Preoperative PFTs: The answer is blowing in the wind
Time-related mortality for women after coronary artery bypass graft surgery: a population-based study  Veena Guru, MD, Stephen E Fremes, MD, MSc, Jack.
Zone zero thoracic endovascular aortic repair is all about “location, location, location”  Kevin L. Greason, MD  The Journal of Thoracic and Cardiovascular.
T. K. Susheel Kumar, MD, Pranava Sinha, MD, Mary T
Paul Philipp Heinisch, MD, Thierry Carrel, MD 
Presentation transcript:

Do we increase the operative risk by adding the Cox Maze III procedure to aortic valve replacement and coronary artery bypass surgery?  Niv Ad, MD, Linda Henry, PhD, Sharon Hunt, MBA, Sari D. Holmes, PhD  The Journal of Thoracic and Cardiovascular Surgery  Volume 143, Issue 4, Pages 936-944 (April 2012) DOI: 10.1016/j.jtcvs.2011.12.018 Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Cox Maze III lesion set. SPV, Superior pulmonary vein; LAA, left atrial appendage; LUPV, left upper pulmonary vein; LLPV, left lower pulmonary vein; RUPV, right upper pulmonary vein; RLPV, right lower pulmonary vein. The Journal of Thoracic and Cardiovascular Surgery 2012 143, 936-944DOI: (10.1016/j.jtcvs.2011.12.018) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Jitter plot indicating the distribution of propensity scores for patients who underwent the Cox Maze III (treatment units) and the matched patients who did not undergo the Cox Maze III (control units). The Journal of Thoracic and Cardiovascular Surgery 2012 143, 936-944DOI: (10.1016/j.jtcvs.2011.12.018) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Kaplan–Meier survival curves comparing cumulative survival between patients with and without the Cox Maze III procedure. The Journal of Thoracic and Cardiovascular Surgery 2012 143, 936-944DOI: (10.1016/j.jtcvs.2011.12.018) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 HRQL improvement from pre-surgery to 6 months post-surgery. HRQL, Health-related quality of life. The Journal of Thoracic and Cardiovascular Surgery 2012 143, 936-944DOI: (10.1016/j.jtcvs.2011.12.018) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions