Showing papers in "The Annals of Thoracic Surgery in 2014"

TL;DR: Although ECMO can improve survival of patients with advanced heart disease, there is significant associated morbidity with performance of this intervention.

TL;DR: Case volume for robotic pulmonary resection has increased significantly during the study period, and thoracic surgeons have been able to adopt the robotic approach safely, and robotic resection appears to be an appropriate alternative to VATS and is associated with improved outcomes compared with open thoracotomy.

TL;DR: New onset POAF is associated with increased risk-adjusted mortality, hospital costs, and readmission rates, and Protocols to reduce the incidence have the potential to significantly impact patient outcomes and the delivery of high-quality, cost-effective patient care.

TL;DR: Transfusion of as little as 1 or 2 units of RBCs is common and is significantly associated with increased morbidity and mortality after on-pump CABG and the relationship persists after adjustment for preoperative risk factors.

TL;DR: A meta-analysis demonstrated that minimally invasive AVR is associated with reduced transfusion incidence, intensive care stay, hospitalization, and renal failure, and has a mortality rate that is comparable to conventional AVR.

TL;DR: Patients managed with digital drainage systems experienced a shorter duration of chest tube placement, shorter hospital stays, and higher satisfaction scores compared with those managed with traditional devices.

TL;DR: The use of ECMO in lung transplant is safe and in the authors' experience was associated with decreased rates of pulmonary and renal complications, as compared with CPB.

TL;DR: This is the first-in-human demonstration of identifying pulmonary nodules during thoracic surgery with NIR imaging without a priori knowledge of their location or existence.

TL;DR: V VATS is the least expensive surgical approach but Robotic cases must be shorter in operative time or reduce supply costs, or both, to be competitive and decrease direct hospital costs.

TL;DR: The rate of nodal upstaging for robotic resection appears to be superior to VATS and similar to thoracotomy data when analyzed by clinical T stage, and both disease-free and overall survival were comparable to recent VATS

TL;DR: Use of the TransMedics Organ Care System is associated with markedly improved short-term outcomes and transplant activity by allowing use of organs previously not considered suitable for transplantation or selection of higher risk recipients, or both.

TL;DR: Decellularized lung matrix supports the culture and lineage commitment of human iPSC-derived lung progenitor cells and may enable further in vivo graft maturation and enhance early lung fate.

TL;DR: Interfacility transport on ECMO is feasible and can be accomplished safely in the critically ill, and survival of transported patients is comparable to age-matched and treatment-matched ECMO patients at large.

TL;DR: It was determined that crimping does measurable damage to the leaflet tissue that persists with time, and a damage index that quantifies the level of leaflet structural changes as a result of crimping was defined.

TL;DR: Lymph node evaluation falls far short of optimal in patients with resected pN0 NSCLC, raising the odds of underestimation of long-term mortality risk and failure to identify candidates for postoperative adjuvant therapy.

TL;DR: The outcomes showed improved results compared with historical data, and myocardial recovery was accomplished in most patients, and the 30-day mortality and complication rate was acceptable in these critical patients.

TL;DR: Robotic lobectomy for cancer offers outstanding results, with excellent lymph node removal and minimal morbidity, mortality, and pain, and despite its costs, it is profitable for the hospital system.

TL;DR: A technique for subclavian artery cannulation is presented to provide a safe and durable means of venoarterial extracorporeal membrane oxygenation support for patients with refractory cardiopulmonary failure.

TL;DR: A shorter procedural time in the sutureless group is associated with better clinical outcomes and reduced hospital costs, with a total cost saving of approximately 25%.

TL;DR: The pRIFLE system was the most sensitive test in detecting AKI, and this was especially so in the infant age group and also in the early identification of AKI in low-risk patients.

TL;DR: Patient-reported physical component summary and pain scores after VATS and thoracotomy were similar during the first 12 months after surgical resection.

TL;DR: The first successful use of a total artificial heart as a bridge to transplant in a patient who had previously undergone a Fontan operation is reported.

TL;DR: Patients supported with an HM II LVAD as BTT therapy were older with increased comorbidities; they demonstrated an improved survival while listed for heart transplantation.

TL;DR: This new adenocarcinoma classification is a very useful predictive marker to plan and determine a therapeutic strategy for lung adenOCarcinomas.

TL;DR: Adverse events after the surgical treatment of NSCLC in the NCDB occur with a similar frequency and are predicted by similar patient, procedural, and facility variables as have been identified by more restricted data resources.

TL;DR: General surgery trainees today have the same volume of thoracic surgery exposure as their counterparts over the last 2 decades, however, general surgery graduates have a different thorACic surgery skill set at the end of their training, due to the predominance of minimally invasive techniques.

TL;DR: In type A acute aortic dissection patients more-extensive RR interventions are not associated with increased hospital mortality, and excellent midterm survival and freedom from root reintervention in both groups suggest stable behavior of the nonreplaced aorti sinuses at 3 years.

TL;DR: This is the largest reported single-center experience with the surgical management of KD in adults, verifying its safety and efficacy and suggests asymptomatic patients with an enlarged KD also may benefit from resection.

TL;DR: Nearly 1 of 5 patients who undergo cardiac operations require readmission, an outcome with significant health and economic implications, and management practices to avert in-hospital infections, reduce postoperative arrhythmias, and avoid volume overload offer important targets for quality improvement.

TL;DR: Data suggest that the Ross procedure is associated with greater perioperative morbidity and mortality risks compared with conventional aortic valve replacement, which has resulted in a dramatic decline in the number of Ross procedures performed in North America in the last decade.