Minimally invasive aortic valve replacement provides equivalent outcomes at reduced cost compared with conventional aortic valve replacement: A real-world multi-institutional analysis

Journal of Thoracic and Cardiovascular Surgery

Volumn 149, Issue 4, 2015, Pages 1060-1065

  Ghanta, Ravi K ^a   Lapar, Damien J ^a   Kern, John A ^a   Kron, Irving L ^a   Speir, Alan M ^b   Fonner, Edwin ^c   Quader, Mohammed ^d   Ailawadi, Gorav ^a  

^a UNIVERSITY OF VIRGINIA   (United States)

^b Cardiovascular and Thoracic Assoc Innova Heart and Vascular Institute   (United States)

^c Virginia Cardiac Surgery Quality Initiative   (United States)

^d VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AGE; AGED; AORTA VALVE REPLACEMENT; ARTICLE; ARTIFICIAL VENTILATION; BLOOD TRANSFUSION; CARDIAC SURGEON; CARDIOPULMONARY BYPASS; CARDIOVASCULAR MORTALITY; CEREBROVASCULAR ACCIDENT; CONTROLLED STUDY; FEMALE; HEART ATRIUM FIBRILLATION; HOSPITAL COST; HUMAN; KIDNEY FAILURE; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MINIMALLY INVASIVE SURGERY; MORBIDITY; OPERATION DURATION; OUTCOME ASSESSMENT; POSTOPERATIVE COMPLICATION; POSTOPERATIVE HEMORRHAGE; PRIORITY JOURNAL; REOPERATION; RESPIRATORY FAILURE; SCORING SYSTEM; SOCIETY OF THORACIC SURGEONS RISK SCORE; STERNOTOMY; SURGICAL APPROACH; SURGICAL MORTALITY; SURGICAL RISK; THORACOTOMY; ADVERSE EFFECTS; AORTA VALVE; AORTIC VALVE INSUFFICIENCY; CLINICAL TRIAL; COMPARATIVE STUDY; COST CONTROL; ECONOMICS; FACTUAL DATABASE; HEART VALVE REPLACEMENT; MIDDLE AGED; MORTALITY; MULTICENTER STUDY; PATHOPHYSIOLOGY; PROCEDURES; PROPENSITY SCORE; REGISTER; RETROSPECTIVE STUDY; RISK ASSESSMENT; RISK FACTOR; TIME FACTOR; TREATMENT OUTCOME; VERY ELDERLY; VIRGINIA;

AGED; AGED, 80 AND OVER; AORTIC VALVE; AORTIC VALVE INSUFFICIENCY; BLOOD TRANSFUSION; COST SAVINGS; DATABASES, FACTUAL; FEMALE; HEART VALVE PROSTHESIS IMPLANTATION; HOSPITAL COSTS; HUMANS; LENGTH OF STAY; MALE; MIDDLE AGED; PROPENSITY SCORE; REGISTRIES; RESPIRATION, ARTIFICIAL; RETROSPECTIVE STUDIES; RISK ASSESSMENT; RISK FACTORS; STERNOTOMY; THORACOTOMY; TIME FACTORS; TREATMENT OUTCOME; VIRGINIA;

EID: 84928211685     PISSN: 00225223     EISSN: 1097685X     Source Type: Journal    
DOI: 10.1016/j.jtcvs.2015.01.014     Document Type: Article

References (24)

1. J.M. Brown, S.M. O'Brien, C. Wu, J.A. Sikora, B.P. Griffith, and J.S. Gammie Isolated aortic valve replacement in North America comprising 108,687 patients in 10 years: changes in risks, valve types, and outcomes in the Society of Thoracic Surgeons National Database J Thoracic Cardiovasc Surg 137 2009 82 90
2. D.M. Cosgrove III, and J.F. Sabik Minimally invasive approach for aortic valve operations Ann Thorac Surg 62 1996 596 597
3. T. Mihaljevic, L.H. Cohn, D. Unic, S.F. Aranki, G.S. Couper, and J.G. Byrne One thousand minimally invasive valve operations: early and late results Ann Surg 240 2004 529 534 discussion 34
4. M. Tabata, R. Umakanthan, L.H. Cohn, R.M. Bolman III, P.S. Shekar, and F.Y. Chen Early and late outcomes of 1000 minimally invasive aortic valve operations Eur J Cardiothorac Surg 33 2008 537 541
5. D.R. Johnston, F.A. Atik, J. Rajeswaran, E.H. Blackstone, E.R. Nowicki, and J.F. Sabik III Outcomes of less invasive J-incision approach to aortic valve surgery J Thorac Cardiovasc Surg 144 2012 852 858.e3
6. J. Liu, A. Sidiropoulos, and W. Konertz Minimally invasive aortic valve replacement (AVR) compared to standard AVR Eur J Cardiothorac Surg 16 Suppl 2 1999 S80 S83
7. M. Bonacchi, E. Prifti, G. Giunti, G. Frati, and G. Sani Does ministernotomy improve postoperative outcome in aortic valve operation? A prospective randomized study Ann Thorac Surg 73 2002 460 465 discussion 5-6
8. D.A. Cooley Antagonist's view of minimally invasive heart valve surgery J Cardiac Surg 15 2000 3 5
9. M.J. Cunningham, C.E. Berberian, and V.A. Starnes Is transthoracic minimally invasive aortic valve replacement too time-consuming for the busy cardiac surgeon? Innovations 6 2011 10 14
10. M. Tabata, R. Umakanthan, Z. Khalpey, S.F. Aranki, G.S. Couper, and L.H. Cohn Conversion to full sternotomy during minimal-access cardiac surgery: reasons and results during a 9.5-year experience J Thorac Cardiovasc Surg 134 2007 165 169
11. D.J. LaPar, I.K. Crosby, G. Ailawadi, N. Ad, E. Choi, and B.D. Spiess Blood product conservation is associated with improved outcomes and reduced costs after cardiac surgery J Thorac Cardiovasc Surg 145 2013 796 803 discussion 804
12. A.M. Speir, V. Kasirajan, S.D. Barnett, and E. Fonner Jr. Additive costs of postoperative complications for isolated coronary artery bypass grafting patients in Virginia Ann Thorac Surg 88 2009 40 45 discussion 805-6
13. A.W. ElBardissi, P. Shekar, G.S. Couper, and L.H. Cohn Minimally invasive aortic valve replacement in octogenarian, high-risk, transcatheter aortic valve implantation candidates J Thorac Cardiovasc Surg 141 2011 328 335
14. M.L. Brown, S.H. McKellar, T.M. Sundt, and H.V. Schaff Ministernotomy versus conventional sternotomy for aortic valve replacement: a systematic review and meta-analysis J Thorac Cardiovasc Surg 137 2009 670 679.e5
15. W.T. Brinkman, W. Hoffman, T.M. Dewey, D. Culica, S.L. Prince, and M.A. Herbert Aortic valve replacement surgery: comparison of outcomes in matched sternotomy and PORT ACCESS groups Ann Thorac Surg 90 2010 131 135
16. F. Zhu, A. Lee, and Y.E. Chee Fast-track cardiac care for adult cardiac surgical patients Cochrane Database Syst Rev 10 2012 CD003587
17. I. Bakir, F.P. Casselman, F. Wellens, H. Jeanmart, R. De Geest, and I. Degrieck Minimally invasive versus standard approach aortic valve replacement: a study in 506 patients Ann Thorac Surg 81 2006 1599 1604
18. S. Dogan, O. Dzemali, G. Wimmer-Greinecker, P. Derra, M. Doss, and M.F. Khan Minimally invasive versus conventional aortic valve replacement: a prospective randomized trial J Heart Valve Dis 12 2003 76 80
19. H.E. Machler, P. Bergmann, M. Anelli-Monti, D. Dacar, P. Rehak, and I. Knez Minimally invasive versus conventional aortic valve operations: a prospective study in 120 patients Ann Thorac Surg 67 1999 1001 1005
20. G.J. Murphy, B.C. Reeves, C.A. Rogers, S.I. Rizvi, L. Culliford, and G.D. Angelini Increased mortality, postoperative morbidity, and cost after red blood cell transfusion in patients having cardiac surgery Circulation 116 2007 2544 2552
21. L.A. Hajjar, J.L. Vincent, F.R. Galas, R.E. Nakamura, C.M. Silva, and M.H. Santos Transfusion requirements after cardiac surgery: the TRACS randomized controlled trial JAMA 304 2010 1559 1567
22. L.H. Cohn, D.H. Adams, G.S. Couper, D.P. Bichell, D.M. Rosborough, and S.P. Sears Minimally invasive cardiac valve surgery improves patient satisfaction while reducing costs of cardiac valve replacement and repair Ann Surgery 226 1997 421 426 discussion 7-8
23. D.M. Cosgrove III, J.F. Sabik, and J.L. Navia Minimally invasive valve operations Ann Thorac Surg 65 1998 1535 1538 discussion 8-9
24. S. Candaele, P. Herijgers, R. Demeyere, W. Flameng, and G. Evers Chest pain after partial upper versus complete sternotomy for aortic valve surgery Acta Cardiologica 58 2003 17 21