Predictors of outcome in a multicenter port-access valve registry
Background. The aim of this study was to examine the predictors of outcome in patients undergoing isolated valve operation using port-access techniques. Methods. Logistic regression analysis was performed in a prospective, multi-institutional registry of patients undergoing isolated aortic valve rep...
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| Veröffentlicht in: | The Annals of thoracic surgery 2000-09, Vol.70 (3), p.1054-1059 |
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| container_title | The Annals of thoracic surgery |
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| creator | Glower, Donald D Siegel, Lawrence C Frischmeyer, Karen J Galloway, Aubrey C Ribakove, Greg H Grossi, Eugene A Robinson, Newell B Ryan, William H Colvin, Stephen B |
| description | Background. The aim of this study was to examine the predictors of outcome in patients undergoing isolated valve operation using port-access techniques.
Methods. Logistic regression analysis was performed in a prospective, multi-institutional registry of patients undergoing isolated aortic valve replacement (AVR, n = 252), mitral repair (MVP, n = 491), or mitral replacement (MVR, n = 568) using port-access techniques from 1997 to 1999.
Results. Endoaortic balloon occlusion was used in 2% (AVR), 93% (MVP), and 90% (MVR) of cases. Conversion to full sternotomy occurred in 3.8% of all cases. For all patients, early mortality was 50 of 1,311 (3.8%) and onset of new atrial fibrillation occurred in 140 of 1,311 (11%) patients. The determinants of 30-day mortality were redo, age, and MVR or AVR. The determinants of reoperation for bleeding were age, reoperation, and MVR. Age was a predictor for stroke, and age and low or medium volume center were predictors of new atrial fibrillation.
Conclusions. Excellent short-term results can be obtained using port-access techniques in isolated mitral or aortic valve operations. Patient outcome is not related to institutional case volume, and the primary determinants of outcome after port-access valve procedures are generally patient-related factors. |
| doi_str_mv | 10.1016/S0003-4975(00)01748-3 |
| format | Article |
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Methods. Logistic regression analysis was performed in a prospective, multi-institutional registry of patients undergoing isolated aortic valve replacement (AVR, n = 252), mitral repair (MVP, n = 491), or mitral replacement (MVR, n = 568) using port-access techniques from 1997 to 1999.
Results. Endoaortic balloon occlusion was used in 2% (AVR), 93% (MVP), and 90% (MVR) of cases. Conversion to full sternotomy occurred in 3.8% of all cases. For all patients, early mortality was 50 of 1,311 (3.8%) and onset of new atrial fibrillation occurred in 140 of 1,311 (11%) patients. The determinants of 30-day mortality were redo, age, and MVR or AVR. The determinants of reoperation for bleeding were age, reoperation, and MVR. Age was a predictor for stroke, and age and low or medium volume center were predictors of new atrial fibrillation.
Conclusions. Excellent short-term results can be obtained using port-access techniques in isolated mitral or aortic valve operations. Patient outcome is not related to institutional case volume, and the primary determinants of outcome after port-access valve procedures are generally patient-related factors.</description><identifier>ISSN: 0003-4975</identifier><identifier>EISSN: 1552-6259</identifier><identifier>DOI: 10.1016/S0003-4975(00)01748-3</identifier><identifier>PMID: 11016374</identifier><identifier>CODEN: ATHSAK</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Age Factors ; Aged ; Aortic Valve - surgery ; Atrial Fibrillation - etiology ; Biological and medical sciences ; Female ; Heart Valve Prosthesis Implantation - methods ; Humans ; Male ; Medical sciences ; Middle Aged ; Minimally Invasive Surgical Procedures ; Mitral Valve - surgery ; Prospective Studies ; Registries ; Regression Analysis ; Reoperation ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the heart ; Treatment Outcome</subject><ispartof>The Annals of thoracic surgery, 2000-09, Vol.70 (3), p.1054-1059</ispartof><rights>2000 The Society of Thoracic Surgeons</rights><rights>2000 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c492t-4e2fa82154a90628a9a0031def55002cbb0a83b4ff47634f6f1b31e080e063fe3</citedby><cites>FETCH-LOGICAL-c492t-4e2fa82154a90628a9a0031def55002cbb0a83b4ff47634f6f1b31e080e063fe3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0003-4975(00)01748-3$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>309,310,314,780,784,789,790,3550,23930,23931,25140,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1518073$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11016374$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Glower, Donald D</creatorcontrib><creatorcontrib>Siegel, Lawrence C</creatorcontrib><creatorcontrib>Frischmeyer, Karen J</creatorcontrib><creatorcontrib>Galloway, Aubrey C</creatorcontrib><creatorcontrib>Ribakove, Greg H</creatorcontrib><creatorcontrib>Grossi, Eugene A</creatorcontrib><creatorcontrib>Robinson, Newell B</creatorcontrib><creatorcontrib>Ryan, William H</creatorcontrib><creatorcontrib>Colvin, Stephen B</creatorcontrib><title>Predictors of outcome in a multicenter port-access valve registry</title><title>The Annals of thoracic surgery</title><addtitle>Ann Thorac Surg</addtitle><description>Background. The aim of this study was to examine the predictors of outcome in patients undergoing isolated valve operation using port-access techniques.
Methods. Logistic regression analysis was performed in a prospective, multi-institutional registry of patients undergoing isolated aortic valve replacement (AVR, n = 252), mitral repair (MVP, n = 491), or mitral replacement (MVR, n = 568) using port-access techniques from 1997 to 1999.
Results. Endoaortic balloon occlusion was used in 2% (AVR), 93% (MVP), and 90% (MVR) of cases. Conversion to full sternotomy occurred in 3.8% of all cases. For all patients, early mortality was 50 of 1,311 (3.8%) and onset of new atrial fibrillation occurred in 140 of 1,311 (11%) patients. The determinants of 30-day mortality were redo, age, and MVR or AVR. The determinants of reoperation for bleeding were age, reoperation, and MVR. Age was a predictor for stroke, and age and low or medium volume center were predictors of new atrial fibrillation.
Conclusions. Excellent short-term results can be obtained using port-access techniques in isolated mitral or aortic valve operations. Patient outcome is not related to institutional case volume, and the primary determinants of outcome after port-access valve procedures are generally patient-related factors.</description><subject>Age Factors</subject><subject>Aged</subject><subject>Aortic Valve - surgery</subject><subject>Atrial Fibrillation - etiology</subject><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Heart Valve Prosthesis Implantation - methods</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Minimally Invasive Surgical Procedures</subject><subject>Mitral Valve - surgery</subject><subject>Prospective Studies</subject><subject>Registries</subject><subject>Regression Analysis</subject><subject>Reoperation</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the heart</subject><subject>Treatment Outcome</subject><issn>0003-4975</issn><issn>1552-6259</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMtKxDAUhoMoOl4eQelCRBfVkybpZSUi3mBAQV2HNHMikbYZk3TAtzdzQZeuQsh3_vPnI-SYwiUFWl69AgDLeVOJc4ALoBWvc7ZFJlSIIi8L0WyTyS-yR_ZD-EzXIj3vkj26jGAVn5CbF48zq6PzIXMmc2PUrsfMDpnK-rGLVuMQ0Wdz52OutMYQsoXqFph5_LAh-u9DsmNUF_Bocx6Q9_u7t9vHfPr88HR7M801b4qYcyyMqtN-rhooi1o1KrWjMzRCpF66bUHVrOXG8Kpk3JSGtowi1IBQMoPsgJytc-fefY0Youxt0Nh1akA3BlkVDKgoiwSKNai9C8GjkXNve-W_JQW5_LhcuZNLMRJArtxJluZONgvGtsfZ39RGVgJON4AKWnXGq0Hb8McJWkO1zLleY5hsLCx6GbTFQSfPHnWUM2f_afIDzAyKHw</recordid><startdate>20000901</startdate><enddate>20000901</enddate><creator>Glower, Donald D</creator><creator>Siegel, Lawrence C</creator><creator>Frischmeyer, Karen J</creator><creator>Galloway, Aubrey C</creator><creator>Ribakove, Greg H</creator><creator>Grossi, Eugene A</creator><creator>Robinson, Newell B</creator><creator>Ryan, William H</creator><creator>Colvin, Stephen B</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20000901</creationdate><title>Predictors of outcome in a multicenter port-access valve registry</title><author>Glower, Donald D ; Siegel, Lawrence C ; Frischmeyer, Karen J ; Galloway, Aubrey C ; Ribakove, Greg H ; Grossi, Eugene A ; Robinson, Newell B ; Ryan, William H ; Colvin, Stephen B</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c492t-4e2fa82154a90628a9a0031def55002cbb0a83b4ff47634f6f1b31e080e063fe3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Age Factors</topic><topic>Aged</topic><topic>Aortic Valve - surgery</topic><topic>Atrial Fibrillation - etiology</topic><topic>Biological and medical sciences</topic><topic>Female</topic><topic>Heart Valve Prosthesis Implantation - methods</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Minimally Invasive Surgical Procedures</topic><topic>Mitral Valve - surgery</topic><topic>Prospective Studies</topic><topic>Registries</topic><topic>Regression Analysis</topic><topic>Reoperation</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the heart</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Glower, Donald D</creatorcontrib><creatorcontrib>Siegel, Lawrence C</creatorcontrib><creatorcontrib>Frischmeyer, Karen J</creatorcontrib><creatorcontrib>Galloway, Aubrey C</creatorcontrib><creatorcontrib>Ribakove, Greg H</creatorcontrib><creatorcontrib>Grossi, Eugene A</creatorcontrib><creatorcontrib>Robinson, Newell B</creatorcontrib><creatorcontrib>Ryan, William H</creatorcontrib><creatorcontrib>Colvin, Stephen B</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Annals of thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Glower, Donald D</au><au>Siegel, Lawrence C</au><au>Frischmeyer, Karen J</au><au>Galloway, Aubrey C</au><au>Ribakove, Greg H</au><au>Grossi, Eugene A</au><au>Robinson, Newell B</au><au>Ryan, William H</au><au>Colvin, Stephen B</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Predictors of outcome in a multicenter port-access valve registry</atitle><jtitle>The Annals of thoracic surgery</jtitle><addtitle>Ann Thorac Surg</addtitle><date>2000-09-01</date><risdate>2000</risdate><volume>70</volume><issue>3</issue><spage>1054</spage><epage>1059</epage><pages>1054-1059</pages><issn>0003-4975</issn><eissn>1552-6259</eissn><coden>ATHSAK</coden><abstract>Background. The aim of this study was to examine the predictors of outcome in patients undergoing isolated valve operation using port-access techniques.
Methods. Logistic regression analysis was performed in a prospective, multi-institutional registry of patients undergoing isolated aortic valve replacement (AVR, n = 252), mitral repair (MVP, n = 491), or mitral replacement (MVR, n = 568) using port-access techniques from 1997 to 1999.
Results. Endoaortic balloon occlusion was used in 2% (AVR), 93% (MVP), and 90% (MVR) of cases. Conversion to full sternotomy occurred in 3.8% of all cases. For all patients, early mortality was 50 of 1,311 (3.8%) and onset of new atrial fibrillation occurred in 140 of 1,311 (11%) patients. The determinants of 30-day mortality were redo, age, and MVR or AVR. The determinants of reoperation for bleeding were age, reoperation, and MVR. Age was a predictor for stroke, and age and low or medium volume center were predictors of new atrial fibrillation.
Conclusions. Excellent short-term results can be obtained using port-access techniques in isolated mitral or aortic valve operations. Patient outcome is not related to institutional case volume, and the primary determinants of outcome after port-access valve procedures are generally patient-related factors.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>11016374</pmid><doi>10.1016/S0003-4975(00)01748-3</doi><tpages>6</tpages></addata></record> |
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| subjects | Age Factors Aged Aortic Valve - surgery Atrial Fibrillation - etiology Biological and medical sciences Female Heart Valve Prosthesis Implantation - methods Humans Male Medical sciences Middle Aged Minimally Invasive Surgical Procedures Mitral Valve - surgery Prospective Studies Registries Regression Analysis Reoperation Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the heart Treatment Outcome |
| title | Predictors of outcome in a multicenter port-access valve registry |
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