Abstract
This chapter discusses three things that characterize the modern hospital and cardiac services: the incorporation of enabling technologies, the adoption of databases, and the coalescence of institutions into networks. Each of these has impacted current cardiac surgical programs, as they matured from coronary bypass franchises to “full service stations.” Technological advances have given rise to entirely new treatment modalities, such as mechanical assist devices for heart failure, minimally invasive cardiac surgery, and endovascular approaches to structural heart disease. Internal and national cardiac surgical databases have been adopted that monitor, analyze, and disperse outcome data, to provide transparency and improve results. The coalescence of institutions into networks has given rise to efficiencies, allowing more support for primary care physicians in the community and the centralization of high-risk, resource-intense services, such as cardiac surgery.
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- ECMO:
-
Extracorporeal membrane oxygenation
- VAD:
-
Ventricular assist device
References
Vetrovec GW, Anderson M, Schreiber T, et al. The cVAD registry for percutaneous temporary hemodynamic support: a prospective registry of Impella mechanical circulatory support use in high-risk PCI, cardiogenic shock, and decompensated heart failure. Am Heart J. 2018;199:115–21. https://doi.org/10.1016/j.ahj.2017.09.007.
Tang GHL, Malekan R, Kai M, et al. Peripheral venoarterial extracorporeal membrane oxygenation improves survival in myocardial infarction with cardiogenic shock. J Thorac Cardiovasc Surg. 2013;145:e32–3. https://doi.org/10.1016/j.jtcvs.2012.12.038.
Mehra MR, Goldstein DJ, Uriel N, et al. Two-year outcomes with a magnetically levitated cardiac pump in heart failure. N Engl J Med. 2018;378:1386. https://doi.org/10.1056/NEJMoa1800866.
Wahlers TCW, Haverich A, Borger MA, et al. Early outcomes after isolated aortic valve replacement with rapid deployment aortic valve. J Thorac Cardiovasc Surg. 2016;151:1639–47. https://doi.org/10.1016/j.jtcvs.2015.12.058.
Meuris B, Flameng WJ, Laborde F, et al. Five-year results of the pilot trial of a sutureless valve. J Thorac Cardiovasc Surg. 2015;150:84–8. https://doi.org/10.1016/j.jtcvs.2015.03.040.
Smith CR, Leon MB, Mack MJ, et al. Transcatheter versus surgical aortic-valve replacement in high-risk patients. N Engl J Med. 2011;364:2187–98. https://doi.org/10.1056/NEJMoa1103510.
Leon MB, Smith CR, Mack MJ, et al. Transcatheter or surgical aortic-valve replacement in intermediate-risk patients. N Engl J Med. 2016;374:1609–20. https://doi.org/10.1056/NEJMoa1514616.
Hannan EL, Cozzens K, King SB 3rd, et al. The New York State cardiac registries: history, contributions, limitations, and lessons for future efforts to assess and publicly report healthcare outcomes. J Am Coll Cardiol. 2012;59:2309–16. 2012/06/16. https://doi.org/10.1016/j.jacc.2011.12.051.
Ferguson TB Jr, Dziuban SW Jr, Edwards FH, et al. The STS National Database: current changes and challenges for the new millennium. Ann Thorac Surg. 2000;69:680–91. https://doi.org/10.1016/S0003-4975(99)01538-6.
Vassileva CM, Aranki S, Brennan JM, et al. Evaluation of the Society of Thoracic Surgeons online risk calculator for assessment of risk in patients presenting for aortic valve replacement after prior coronary artery bypass graft: an analysis using the STS adult cardiac surgery database. Ann Thorac Surg. 2015;100:2109–16. https://doi.org/10.1016/j.athoracsur.2015.04.149.
Latifi R, Olldashi F, Dogjani A, et al. Telemedicine for Neurotrauma in Albania: initial results from case series of 146 patients. World Neurosurg. 2018;112:e747–53.
Health NYSDo. Adult Cardiac Surgery in New York State Reports. Source: New York State Department of Health Website
Griffith BP, Anderson MB, Samuels LE, et al. The RECOVER I: a multicenter prospective study of Impella 5.0/LD for postcardiotomy circulatory support. J Thorac Cardiovasc Surg. 2013;145:548–54.
Baughman KL, Jarcho JA. Bridge to life — cardiac mechanical support. N Engl J Med. 2007;357:846–9.
Mehra MR, Naka Y, Uriel N, et al. A fully magnetically levitated circulatory pump for advanced heart failure. N Eng J Med. 2017;376:440–50.
Eudailey KW, Borger MA. Intuity Elite Valve Implantation Technique. Oper Tech Thorac Cardiovasc Surg. 2016;21:306–21.
Popma JJ, Adams DH, Reardon MJ, et al. Transcatheter aortic valve replacement using a self-expanding bioprosthesis in patients with severe aortic stenosis at extreme risk for surgery. J Am Coll Cardiol. 2014;63:1972–81.
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Lansman, S.L., Goldberg, J.B., Kai, M., Malekan, R., Spielvogel, D. (2019). Cardiac Surgery in the Modern Hospital. In: Latifi, R. (eds) The Modern Hospital. Springer, Cham. https://doi.org/10.1007/978-3-030-01394-3_25
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DOI: https://doi.org/10.1007/978-3-030-01394-3_25
Publisher Name: Springer, Cham
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