Early Discharge After Minimally Invasive Aortic and Mitral Valve Surgery

Sabatino, Marlena E.; Okoh, Alexis K.; Chao, Joshua; Soto, Cassandra; Baxi, Jigesh; Salgueiro, Lauren; Olds, Anna; Ikegami, Hirohisa; Lemaire, Anthony; Russo, Mark J.; Lee, Leonard Y.

doi:10.1016/j.athoracsur.2021.07.047

Cited by 13 publications

(7 citation statements)

References 16 publications

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“…[6][7][8][9] However, previous studies have demonstrated inconsistent trends in clinical and financial outcomes associated with expedited discharge in cardiac surgery. [10][11][12] Although expedited discharge may reduce overall healthcare costs and improve recovery pathways, concerns regarding readmission and late complications remain. 13 The impact of expedited discharge on healthcare expenditures could be particularly significant in the context of isolated CABG, considering that >300,000 procedures are performed each year in the United States.…”

mentioning

confidence: 99%

Outcomes of Expedited Discharge After Isolated Coronary Artery Bypass Grafting

Williamson

Ebrahimian

Benharash

et al. 2022

Journal of Cardiothoracic and Vascular Anesthesia

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mentioning

confidence: 99%

Outcomes of Expedited Discharge After Isolated Coronary Artery Bypass Grafting

Williamson

Ebrahimian

Benharash

et al. 2022

Journal of Cardiothoracic and Vascular Anesthesia

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“…Rapid discharge after CABG can contribute to increased institutional capacity and reduced surgical wait-times [27,28 ▪▪ ]. This is achievable by normalizing the concept of an early discharge, at the outset and by implementing postoperative care as an individualized, not protocolized, progression through usual recovery milestones after CABG [28 ▪▪ ].…”

Section: ‘High Impact’ Areas For Preoperative Optimization Of Patient...mentioning

confidence: 99%

Preoperative optimization and rapid discharge after coronary artery bypass grafting

Ponnambalam,

Alex

2023

Current Opinion in Cardiology

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Purpose of review This review discusses current guidelines and evidence-based care for the preoperative optimization of patients who are undergoing coronary artery bypass grafting (CABG) and for enabling rapid discharge after surgery. Recent findings Since the Enhanced Recovery After Cardiac Surgery Society (ERAS Cardiac) issued guidelines for perioperative care, in 2019, there has been a significant body of research that has added to and provided further guidance regarding preoperative optimization and accelerated recovery after CABG. Summary A review of the current literature provides a framework for a pragmatic approach to preoperative optimization, utilizing the time from referral to surgery to mitigate multiple aspects of the patient condition, leading to improved patient outcomes and reduced length of stay and cost to the healthcare system.

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“…In general, the advances in mitral valve surgery have been tremendous. Selected patients can now routinely go home 3 days after surgery, a resource that may be exploited more broadly as suggested by Sabatino et al 52 Current surgical techniques, with 53 or without using PTFE (polytetrafluoroethylene) neochords 54 provide durable repairs for more than 10 years in structural MR. A growing majority of patients is operated upon without sternotomy, although even using robotic assistance does not reduce the pain perceived by the patients. 55 Concomitant procedures can be performed routinely in practically all patients if indicated (e.g., cryoablation for AF 56 ) and continuous CO 2 flooding of the operative field in minimal-access cases reduces postoperative duration of intubation and the incidence of delirium.…”

Section: Surgical Treatment Of Valve Diseasementioning

confidence: 99%

Cardiac Surgery 2022 Reviewed

Doenst,

Schneider,

Caldonazo

et al. 2023

Thorac Cardiovasc Surg

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PubMed displayed almost 37,000 hits for the search term “cardiac surgery AND 2022.” As before, we used the PRISMA approach and selected relevant publications for a results-oriented summary. We focused on coronary and conventional valve surgery, their overlap with interventional alternatives, and briefly assessed surgery for aorta or terminal heart failure. In the field of coronary artery disease (CAD), key manuscripts addressed prognostic implications of invasive treatment options, classically compared modern interventions (percutaneous coronary intervention [PCI]) with surgery (coronary artery bypass grafting [CABG]), and addressed technical aspects of CABG. The general direction in 2022 confirms the superiority of CABG over PCI in patients with anatomically complex chronic CAD and supports an infarct-preventative effect as underlying mechanism. In addition, the relevance of proper surgical technique to achieve durable graft patency and the need for optimal medical treatment in CABG patients was impressively illustrated. In structural heart disease, the comparisons of interventional and surgical techniques have been characterized by prognostic and mechanistic investigations underscoring the need for durable treatment effects and reductions of valve-related complications. Early surgery for most valve pathologies appears to provide significant survival advantages, and two publications on the Ross operation prototypically illustrate an inverse association between long-term survival and valve-related complications. For surgical treatment of heart failure, the first xenotransplantation was certainly dominant, and in the aortic surgery field, innovations in arch surgery prevailed. This article summarizes publications perceived as important by us. It cannot be complete nor free of individual interpretation, but provides up-to-date information for decision-making and patient information.

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Early Discharge After Minimally Invasive Aortic and Mitral Valve Surgery

Cited by 13 publications

References 16 publications

Outcomes of Expedited Discharge After Isolated Coronary Artery Bypass Grafting

Outcomes of Expedited Discharge After Isolated Coronary Artery Bypass Grafting

Preoperative optimization and rapid discharge after coronary artery bypass grafting

Cardiac Surgery 2022 Reviewed

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