Multivariable prediction of in-hospital mortality associated with aortic and mitral valve surgery in Northern New England

Nowicki, Edward R.; Birkmeyer, Nancy J. O.; Weintraub, Ronald M.; Leavitt, Bruce J.; Sanders, John H.; Dacey, Lawrence J.; Clough, Robert A.; Quinn, Reed D.; Charlesworth, D.; Sisto, Donato; Uhlig, Paul N.; Olmstead, Elaine M.; O’Connor, Gerald T.

doi:10.1016/j.athoracsur.2003.12.035

Cited by 184 publications

(90 citation statements)

References 17 publications

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“…These findings are supported by previous studies. 3,4,6,[11][12][13] Our risk model contains relatively few preoperative predictors, 13 all of which are routinely collected in most institu- Some approaches could be adopted even if these predictors were missing for some patients. One would be to calculate a range containing the minimum and maximum risks for a patient by assuming the 2 extreme possibilities for a missing predictor value.…”

Section: Discussionmentioning

confidence: 99%

Generic, Simple Risk Stratification Model for Heart Valve Surgery

Ambler¹,

Omar²,

Royston³

et al. 2005

ACC Current Journal Review

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Section: Discussionmentioning

confidence: 99%

Generic, Simple Risk Stratification Model for Heart Valve Surgery

Ambler¹,

Omar²,

Royston³

et al. 2005

ACC Current Journal Review

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“…In patients requiring aortic valve surgery, the addition of CABG to aortic valve replacement increases the operative mortality risk from 2.1 to 3.9%, and significantly prolongs the hospital length of stay (19,20). For individuals undergoing re-operative valve surgery, sternal re-entry via a median sternotomy more than doubles the risk of peri-operative morbidity, due to thoracic adhesions, injury to patent coronary bypass grafts, and challenging surgical field exposure, amongst other factors (21,22).…”

Section: Discussionmentioning

confidence: 99%

Outcomes of a hybrid approach of percutaneous coronary intervention followed by minimally invasive aortic valve replacement

et al. 2017

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Background: In patients requiring coronary revascularization and aortic valve replacement, a combined approach of percutaneous coronary intervention followed by minimally invasive aortic valve replacement may be a viable treatment strategy.Methods: The outcomes of 123 consecutive patients with significant coronary artery and aortic valve disease, who underwent percutaneous coronary intervention followed by elective minimally invasive aortic valve replacement between February 2009 and April 2014, were retrospectively evaluated. Results:The cohort consisted of 80 males and 43 females, with a mean age of 75.7±8.1 years. Drug-eluting stents were used in 69.9% of the patients, and 64.2% were on dual anti-platelet therapy at the time of aortic valve replacement. Within a median of 39 days (IQR 21-64), 83.7% of the patients underwent primary and 16.3% underwent re-operative minimally invasive aortic valve replacement. Post-operatively, there was 1 (0.8%) cerebrovascular accident, 1 patient (0.8%) required a re-operation due to bleeding, and 2 (1.6%) developed acute kidney injury. Thirty-day mortality occurred in 2 (1.6%) patients. Follow-up was available for all of the patients, and at a mean follow-up period of 14.3±12.5 months, 4 (3.3%) had an acute coronary syndrome, and 1 (0.8%) required a repeat target vessel revascularization. The actuarial survival rate at 1-and 3-year was 92.7% and 89.4%, respectively. Conclusions:In a select group of patients with coronary artery and aortic valve disease, a combined approach of percutaneous coronary intervention followed by minimally invasive aortic valve replacement can be safely performed with excellent short-term and midterm outcomes.

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“…Рекомендации Европейского общества кардиологов также говорят в пользу полной рева-скуляризации пациентов с тяжелым АоСт, подвер-гающихся хирургическому протезированию АоК, для улучшения отдаленных результатов [10]. Од-нако анализ ряда хирургических баз данных по-казал, что сопутствующее АКШ приводит к росту периоперационной и краткосрочной смертности в случаях ПАК [14][15][16]. Так, данные, включающие 10 тыс.…”

Section: влияние ибс на результаты хирургического протезирования аортunclassified

Choice of Surgical Strategy in Patients With Severe Aortic Stenosis and Concomitant Coronary Artery Disease

Зубарев¹,

Khelimskii²,

Крестьянинов³

et al. 2016

Kompleks. probl. serdečno-sosud. zabol.

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Multivariable prediction of in-hospital mortality associated with aortic and mitral valve surgery in Northern New England

Cited by 184 publications

References 17 publications

Generic, Simple Risk Stratification Model for Heart Valve Surgery

Generic, Simple Risk Stratification Model for Heart Valve Surgery

Outcomes of a hybrid approach of percutaneous coronary intervention followed by minimally invasive aortic valve replacement

Choice of Surgical Strategy in Patients With Severe Aortic Stenosis and Concomitant Coronary Artery Disease

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