The learning curve effect on outcomes with frozen elephant trunk technique for extensive thoracic aorta disease

Página do item simplificado
dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorDINATO, Fabricio Jose
dc.contributor.authorDIAS, Ricardo Ribeiro
dc.contributor.authorDUNCAN, Jose Augusto
dc.contributor.authorFERNANDES, Fabio
dc.contributor.authorRAMIRES, Felix Jose Alvares
dc.contributor.authorMADY, Charles
dc.contributor.authorJATENE, Fabio Biscegli
dc.date.accessioned2019-11-06T18:46:08Z
dc.date.available2019-11-06T18:46:08Z
dc.date.issued2019
dc.description.abstractObjective The purpose of this study was to analyze the learning curve effect on hospital mortality, postoperative outcomes, freedom from reintervention in the aorta and long-term survival after frozen elephant trunk (FET) operation. Methods From July 2009 to June 2018, 79 patients underwent surgery with the FET technique. They had type A aortic dissection (acute 7.6%, chronic 33%), type B aortic dissection (acute 1.26%, chronic 34.2%), and complex thoracic aortic aneurysm (24%). 27.8% were reoperations and 43% received concomitant cardiac procedures. To compare the results, the sample was divided into group 1 (G1) (first half of the sample - operations from 2009 to 2014) and group 2 (G2) (first half of the sample - operations from 2015 to 2018). Results The in-hospital mortality was 20.25%, 30.7% for G1 and 10% for G2 (P = .02). The mean cardiopulmonary bypass time, myocardial ischemia time, and selective cerebral perfusion at 25 degrees C time were 154 +/- 31, 118 +/- 32, and 59 +/- 12 minutes, respectively, similar for both groups. Stroke and spinal cord injury occurred in four and two patients, with no difference between groups (P = .61 and P = .24). The necessity for secondary intervention on the downstream aorta for both groups was also similar (P = .136). Five of sixty-three surviving patients died during the follow-up period and the estimated survival rate was different between groups 49% vs 88% (P = .007). Conclusion The learning curve with the FET procedure had a significant impact on hospital mortality and midterm survival over the follow-up period, albeit did not influence the freedom from reintervention on the downstream aorta.eng
dc.description.indexMEDLINEeng
dc.identifier.citationJOURNAL OF CARDIAC SURGERY, v.34, n.9, p.796-802, 2019
dc.identifier.doi10.1111/jocs.14139
dc.identifier.eissn1540-8191
dc.identifier.issn0886-0440
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/33957
dc.language.isoeng
dc.publisherWILEYeng
dc.relation.ispartofJournal of Cardiac Surgery
dc.rightsrestrictedAccesseng
dc.rights.holderCopyright WILEYeng
dc.subjectAortic diseaseseng
dc.subjectaortaeng
dc.subjectaortaeng
dc.subjectthoraciceng
dc.subjectlearning curveeng
dc.subject.otherarch replacementeng
dc.subject.otherdissectioneng
dc.subject.othersurgeryeng
dc.subject.wosCardiac & Cardiovascular Systemseng
dc.subject.wosSurgeryeng
dc.titleThe learning curve effect on outcomes with frozen elephant trunk technique for extensive thoracic aorta diseaseeng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.citation.scopus10
hcfmusp.contributor.author-fmusphcFABRICIO JOSE DE SOUZA DINATO
hcfmusp.contributor.author-fmusphcRICARDO RIBEIRO DIAS
hcfmusp.contributor.author-fmusphcJOSE AUGUSTO DUNCAN SANTIAGO
hcfmusp.contributor.author-fmusphcFABIO FERNANDES
hcfmusp.contributor.author-fmusphcFELIX JOSE ALVAREZ RAMIRES
hcfmusp.contributor.author-fmusphcCHARLES MADY
hcfmusp.contributor.author-fmusphcFABIO BISCEGLI JATENE
hcfmusp.description.beginpage796
hcfmusp.description.endpage802
hcfmusp.description.issue9
hcfmusp.description.volume34
hcfmusp.origemWOS
hcfmusp.origem.pubmed31269267
hcfmusp.origem.scopus2-s2.0-85071735483
hcfmusp.origem.wosWOS:000485310500008
hcfmusp.publisher.cityHOBOKENeng
hcfmusp.publisher.countryUSAeng
hcfmusp.relation.referenceBORST HG, 1983, THORAC CARDIOV SURG, V31, P37, DOI 10.1055/s-2007-1020290eng
hcfmusp.relation.referenceDi Bartolomeo R, 2015, J THORAC CARDIOV SUR, V149, pS105, DOI 10.1016/j.jtcvs.2014.07.098eng
hcfmusp.relation.referenceDi Eusanio M, 2013, ANN CARDIOTHORAC SUR, V2, P597, DOI 10.3978/j.issn.2225-319X.2013.08.01eng
hcfmusp.relation.referenceDias RR, 2015, REV BRAS CIR CARDIOV, V30, P205, DOI 10.5935/1678-9741.20140119eng
hcfmusp.relation.referenceIus F, 2013, EUR J CARDIO-THORAC, V44, P949, DOI 10.1093/ejcts/ezt229eng
hcfmusp.relation.referenceJakob H, 2017, EUR J CARDIO-THORAC, V51, P329, DOI 10.1093/ejcts/ezw340eng
hcfmusp.relation.referenceKatayama A, 2015, EUR J CARDIO-THORAC, V47, P355, DOI 10.1093/ejcts/ezu173eng
hcfmusp.relation.referenceKato M, 1996, CIRCULATION, V94, P188eng
hcfmusp.relation.referenceLeontyev S, 2016, EUR J CARDIO-THORAC, V49, P660, DOI 10.1093/ejcts/ezv150eng
hcfmusp.relation.referenceMa WG, 2017, J THORAC CARDIOV SUR, V154, P1175, DOI 10.1016/j.jtcvs.2017.04.088eng
hcfmusp.relation.referencePacini D, 2011, ANN THORAC SURG, V92, P1663, DOI 10.1016/j.athoracsur.2011.06.027eng
hcfmusp.relation.referenceShrestha M, 2017, EUR J CARDIO-THORAC, V52, P858, DOI 10.1093/ejcts/ezx218eng
hcfmusp.relation.referenceSong SW, 2010, J THORAC CARDIOV SUR, V139, P841, DOI 10.1016/j.jtcvs.2009.12.007eng
hcfmusp.relation.referenceTakagi H, 2016, VASC ENDOVASC SURG, V50, P33, DOI 10.1177/1538574415624767eng
hcfmusp.relation.referenceWeiss G, 2016, EUR J CARDIO-THORAC, V49, P118, DOI 10.1093/ejcts/ezv044eng
hcfmusp.scopus.lastupdate2024-05-10
relation.isAuthorOfPublication20c81e54-cc7b-4302-b42d-23fb1619ad02
relation.isAuthorOfPublication4ee91ba7-884e-4c20-8845-cb736483f27a
relation.isAuthorOfPublication4b35c4c4-013b-4a8a-9b21-ba713238669c
relation.isAuthorOfPublication955a013c-ecfc-44c1-94f2-972929ebdcfd
relation.isAuthorOfPublication190fafba-3090-4752-b818-93ffd356941a
relation.isAuthorOfPublicationed3e630e-476e-42c6-bfc6-3c89a5f4eb67
relation.isAuthorOfPublication8af24ebc-578b-4192-8ea4-643cb9cd2377
relation.isAuthorOfPublication.latestForDiscovery20c81e54-cc7b-4302-b42d-23fb1619ad02
Arquivos
Pacote Original
Agora exibindo 1 - 1 de 1
Nenhuma Miniatura disponível
Nome:
art_DINATO_The_learning_curve_effect_on_outcomes_with_frozen_2019.PDF
Tamanho:
514.2 KB
Formato:
Adobe Portable Document Format
Descrição:
publishedVersion (English)
Baixar
Coleções
Artigos e Materiais de Revistas Científicas - FM/MCP
Artigos e Materiais de Revistas Científicas - HC/InCor
Artigos e Materiais de Revistas Científicas - LIM/11
Artigos e Materiais de Revistas Científicas - ODS/03