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Improved outcomes in coronary artery bypass grafting with beating-heart techniques  Michael Mack, MD, Donna Bachand, RN, PhD, Tea Acuff, MD, James Edgerton,

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Presentation on theme: "Improved outcomes in coronary artery bypass grafting with beating-heart techniques  Michael Mack, MD, Donna Bachand, RN, PhD, Tea Acuff, MD, James Edgerton,"— Presentation transcript:

1 Improved outcomes in coronary artery bypass grafting with beating-heart techniques 
Michael Mack, MD, Donna Bachand, RN, PhD, Tea Acuff, MD, James Edgerton, MD, Syma Prince, RN, Todd Dewey, MD, Mitchell Magee, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 124, Issue 3, Pages (September 2002) DOI: /mtc Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions

2 CRSTI Research Staff The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /mtc ) Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions

3 Fig. 1 Adoption rate of beating-heart surgery. Shaded area represents percentages of all isolated CABG procedures performed off-pump from 1995 through 2000. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /mtc ) Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions

4 Fig. 2 Percentages of beating-heart procedures performed as single-vessel (MIDCAB) rather than multivessel bypass. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /mtc ) Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions

5 Fig. 3 Trends in observed mortality for off-pump (heavy rule) and on-pump (light rule) groups from 1995 through 2000. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /mtc ) Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions

6 Fig. 4 Trends in predicted risk according to STS risk algorithm for off-pump (heavy rule) and on-pump (light rule) groups from 1996 through Series P =.004; 1999 P =.023; P not significant in other years. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /mtc ) Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions

7 Fig. 5 Trends in risk adjusted mortality for off-pump (heavy rule) and on-pump (light rule) groups from 1996 through P <.01 for all years. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /mtc ) Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions

8 Fig. 6 CABG-associated mortalities among patients of high adopters (light rule) and low adopters (heavy rule) of beating-heart surgery from 1990 through 2000. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /mtc ) Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions

9 Fig. 7 Adoption rates of beating-heart surgery among 3 surgeons with highest mortality (light rule) and 3 surgeons with lowest mortality (heavy rule) from 1995 through 2000. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /mtc ) Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions

10 Fig. 8 Annual trend in observed operative mortality from 1990 through Arrow indicates introduction of beating-heart surgery. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /mtc ) Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions


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