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Failure to Rescue Rates After Coronary Artery Bypass Grafting: An Analysis From The Society of Thoracic Surgeons Adult Cardiac Surgery Database.
CONCLUSIONS: CABG mortality rates vary directly with FTR, but complication rates have little relation to death. FTR rates derived from The Society of Thoracic Surgeons data can serve as national benchmarks. Predicted FTR rates may facilitate patient counseling, and FTR O/E ratios have promise as valuable quality metrics. PMID: 27344280 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - June 21, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Edwards FH, Ferraris VA, Kurlansky PA, Lobdell KW, He X, O'Brien SM, Furnary AP, Rankin JS, Vassileva CM, Fazzalari FL, Magee MJ, Badhwar V, Xian Y, Jacobs JP, Wyler von Ballmoos MC, Shahian DM Tags: Ann Thorac Surg Source Type: research

Aortic Valve Replacement in the Moderately Elevated Risk Patient: A Population-Based Analysis of Outcomes.
CONCLUSIONS: This population-based contemporary assessment suggests moderate-risk patients undergoing AVR experience favorable outcomes. Although increasing PROM is important in preoperative evaluation of risk, preexisting pulmonary hypertension and indication for operation are among other factors that should be considered as TAVR expands into this group of patients. PMID: 27324524 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - June 17, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Patel HJ, Likosky DS, Pruitt AL, Murphy ET, Theurer PF, Prager RL Tags: Ann Thorac Surg Source Type: research

Current Results of Surgical Aortic Valve Replacement: Insights From the German Aortic Valve Registry.
CONCLUSIONS: Contemporary surgical AVR yields excellent outcomes with low in-hospital mortality, a low overall complication rate, and good 1-year outcome for all risk groups. Accordingly, conventional AVR remains an important therapeutic option for many patients. PMID: 26576751 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - November 11, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Holzhey D, Mohr FW, Walther T, Möllmann H, Beckmann A, Kötting J, Figulla HR, Cremer J, Kuck KH, Lange R, Sack S, Schuler G, Beyersdorf F, Böhm M, Heusch G, Meinertz T, Neumann T, Papoutsis K, Schneider S, Welz A, Hamm CW Tags: Ann Thorac Surg Source Type: research

Mitral Valve Surgery in Patients With Severe Mitral Annular Calcification.
CONCLUSIONS: In patients with severe mitral annular calcification undergoing mitral valve surgery, complete annular decalcification and reconstruction yields favorable outcomes. PMID: 26545623 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - November 3, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Uchimuro T, Fukui T, Shimizu A, Takanashi S Tags: Ann Thorac Surg Source Type: research

Transcatheter or Surgical Aortic Valve Replacement in Patients With Prior Coronary Artery Bypass Grafting.
CONCLUSIONS: For patients with prior coronary artery bypass graft surgery and aortic stenosis, TAVR offers a significant morbidity advantage and a strong trend toward improved survival over SAVR at 1 year. PMID: 26433523 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - September 30, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Conte JV, Gleason TG, Resar JR, Adams DH, Deeb GM, Popma JJ, Hughes GC, Zorn GL, Reardon MJ Tags: Ann Thorac Surg Source Type: research

Contemporary Outcomes of Coronary Artery Bypass Grafting Among Patients With Insulin-Treated and Non-Insulin-Treated Diabetes.
CONCLUSIONS: Patients with diabetes undergoing CABG have substantially increased risk of major adverse events. Patients with ITDM represent an especially high-risk group. PMID: 26319487 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - August 25, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Li Z, Amsterdam EA, Young JN, Hoegh H, Armstrong EJ Tags: Ann Thorac Surg Source Type: research

Comparison of 3-Year Outcomes for Coronary Artery Bypass Graft Surgery and Drug-Eluting Stents: Does Sex Matter?
CONCLUSIONS: For women, the advantage of CABG surgery over DES is very similar to what was found for men, and this advantage persisted for patients with and without high-risk characteristics. PMID: 26294345 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - August 18, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Hannan EL, Zhong Y, Wu C, Jacobs AK, Stamato NJ, Sharma S, Gold JP, Wechsler AS Tags: Ann Thorac Surg Source Type: research

Midterm Outcome of Coronary Artery Bypass Grafting in Young Patients: A Multicenter Italian Study.
CONCLUSIONS: Patients less than 50 years of age undergoing CABG have an excellent outcome compared with elderly patients. These data indicate that despite its premature onset, coronary artery disease in young patients does not have a more aggressive course than that in older patients. PMID: 26271584 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - August 11, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Rosato S, Biancari F, D'Errigo P, Fusco D, Seccareccia F Tags: Ann Thorac Surg Source Type: research

Impact of Ultrafiltration on Kidney Injury After Cardiac Surgery: The Michigan Experience.
CONCLUSIONS: Patients exposed to CUF had a higher adjusted risk of AKI. Clinical teams should consider lower volumes of CUF among patients with low creatinine clearance to minimize the risk of AKI. PMID: 26209495 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - July 22, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Paugh TA, Dickinson TA, Martin JR, Hanson EC, Fuller J, Heung M, Zhang M, Shann KG, Prager RL, Likosky DS, Michigan Society of Thoracic and Cardiovascular Surgeons and the Perfusion Measures and Outcomes (PERForm) Registry Tags: Ann Thorac Surg Source Type: research

Robotic Total Arterial Off-Pump Coronary Artery Bypass Grafting: Seven-Year Single-Center Experience and Long-Term Follow-Up of Graft Patency.
CONCLUSIONS: Robotic off-pump CABG using IMA grafts is a safe and effective procedure in selected patients. The long-term outcome and patency of IMA grafts are excellent. PMID: 26190391 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - July 16, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Yang M, Wu Y, Wang G, Xiao C, Zhang H, Gao C Tags: Ann Thorac Surg Source Type: research

Institutional Variation in Mortality After Stroke After Cardiac Surgery: An Opportunity for Improvement.
CONCLUSIONS: Institutional variation, more so than individual patient risk factors, is highly associated with postoperative stroke and FTR rates after stroke after cardiac surgery. Postoperative stroke remains significantly associated with mortality and morbidity. Institutional practice patterns may confer a disproportionate influence on postoperative stroke independent of case mix. Understanding differences between high and low performing centers is essential to improving outcomes, costs, and hospital quality. PMID: 26188969 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - July 15, 2015 Category: Cardiovascular & Thoracic Surgery Authors: LaPar DJ, Quader M, Rich JB, Kron IL, Crosby IK, Kern JA, Tribble CG, Speir AM, Ailawadi G Tags: Ann Thorac Surg Source Type: research

Off-Pump Coronary Artery Bypass Reduces Early Stroke in Octogenarians: A Meta-Analysis of 18,000 Patients.
CONCLUSIONS: Coronary artery bypass in octogenarians can be performed safely with low early mortality. Although off-pump operations reduce the risk of early stroke, all other adverse events are comparable in on- and off-pump coronary artery bypass operations. Data regarding late mortality is at present limited; however, both on- and off-pump procedures appear to produce comparable survival. PMID: 25791924 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - March 17, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Altarabsheh SE, Deo SV, Rababa'h AM, Lim JY, Cho YH, Sharma V, Jung SH, Shin E, Markowitz AH, Park SJ Tags: Ann Thorac Surg Source Type: research

Optimal Conduit for Diabetic Patients: Propensity Analysis of Radial and Right Internal Thoracic Arteries.
CONCLUSIONS: In diabetic patients undergoing multivessel revascularization with either RA or RITA grafts to the circumflex coronary, long-term survival is similar. However, RA patients experienced significantly fewer respiratory or sternal wound adverse events. The RA is the preferred conduit to extend to more diabetic patients the recognized survival benefit of a multiple arterial graft strategy. PMID: 24878172 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - May 28, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Hoffman DM, Dimitrova KR, Lucido DJ, Dincheva GR, Geller CM, Balaram SK, Ko W, Swistel DG, Tranbaugh RF Tags: Ann Thorac Surg Source Type: research

Incidence of Postoperative Stroke Using the Heartstring Device in 1,380 Coronary Artery Bypass Graft Patients With Mild to Severe Atherosclerosis of the Ascending Aorta.
CONCLUSIONS: Compared with the Society of Thoracic Surgeons predicted risk for stroke, the Heartstring proximal anastomotic device can be safely used with all aortic grades. The most prominent benefit appears to be for patients with grade II disease and greater. PMID: 24726605 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - April 11, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Thourani VH, Razavi SA, Nguyen TC, Kilgo PD, Puskas JD, Guyton RA, Lattouf OM, Leshnower BG, Chen EP, Sarin EL, Halkos ME Tags: Ann Thorac Surg Source Type: research

Ascending-to-Descending Aoritc Bypass: A Simple Solution to a Complex Problem.
CONCLUSIONS: The ascending-to-descending aortic bypass can be performed with low morbidity and mortality. It is an effective solution to complex aortic coarctation and represents a safe single-stage approach for patients with concomitant cardiac pathology. PMID: 24725830 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - April 8, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Said SM, Burkhart HM, Dearani JA, Connolly HM, Schaff HV Tags: Ann Thorac Surg Source Type: research

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