Jan L.Svennevig, MD,PhD j.l.svennevig@medisin.uio.no Heart surgery in Norway 2009 Norwegian Association for Cardiothoracic Surgery Jan L.Svennevig, MD,PhD.

Slides:

Advertisements

Similar presentations

Division of Cardiovascular Surgery Xijing Hospital, Xi’an, China

Advertisements

SURGICAL ABLATION OF ATRIAL FIBRILLATION DURING MITRAL VALVE SURGERY THE CARDIOTHORACIC SURGICAL TRIALS NETWORK Marc Gillinov, M.D. For the CTSN Investigators.

Department of Cardiothoracic Surgery St. George’s Healthcare NHS Trust St. George’s University of London.

Joe Tartakoff RIT Mechanical Engineering. Paravalvular Leakage in TAVI Problem: Severity of valve calcification linked to degree of paravalvular aortic.

Open Heart Surgery. Most Common Types Coronary Artery Bypass Graft (CABG) Heart Valve Procedures Heart Transplant Thoracic Aortic Aorta Procedures.

Structures of the Heart. Valves Valves are structures that allow blood to flow through only one way (in one direction) when the heart contracts. They.

M Ruel, V Chan, M Boodhwani, B McDonald, X Ni, G Gill, K Lam, F Rubens, P Hendry, R Masters, T Mesana Ottawa, Canada How Detrimental is Re-Exploration.

A shifting paradigm of care: Advances in transcatheter heart valve procedures Sandra Lauck MSN, RN, CCN(C) Clinical Nurse Specialist, Arrhythmia Management.

KING ABDULAZIZ UNIVERSITY HOSPITAL CARDIAC SURGERY UNIT Dr. Khalid Al-Ibrahim Dr. Hussein Jabbad Dr. Khalid Medhat Dr. Ragab Shehata.

Adult Perfusion, Present and Future Emad Kashmiri KFNGH.

© 2012 EuroIntervention. All rights reserved. EuroIntervention 2009;5: A comparison of patient characteristics and 30-day mortality outcomes after.

Cardiothoracic Surgery. Topics Valvotomy and valve replacement Open heart surgery and cardiac bypass surgery Correction of congenital heart diseases Heart.

Pacemaker following adult cardiac surgery DR M HASANZADEH MUMS NOV 2014.

Issued in 2014 – SWEDISH HEART SURGERY REGISTRY. SWEDISH HEART SURGERY REGISTRY Annual report 2013.

Affordable Heart Surgery Available in India. Different Heart Surgeries  Angiography  Angioplasty with one medicated stent  Coronary Angioplasty (Including.

1 Heart surgery in Norway 2008 Norwegian Association of Cardiothoracic Surgeons Jan L.Svennevig, MD,PhD

Greater New York Geriatric Cardiology Consortium: Valve Disease in Older Adults Allan Schwartz, MD Columbia University Medical Center New York Presbyterian.

From: Incidence, Predictive Factors, and Prognostic Value of New-Onset Atrial Fibrillation Following Transcatheter Aortic Valve Implantation J Am Coll.

Norwegian register for general thoracic surgery.

Disclosure Statement of Financial Interest

Norwegian register for general thoracic surgery.

Patients at intermediate surgical risk undergoing isolated interventional or surgical aortic valve replacement for severe symptomatic aortic valve stenosis.

Copyright © 2012 American Medical Association. All rights reserved.

Ruyun Jin, MD, Gary L. Grunkemeier, PhD, Albert Starr, MD

Jan L.Svennevig, MD,PhD Heart surgery in Norway 2005 Norwegian Association of Cardiothoracic Surgeons Jan L.Svennevig, MD,PhD.

Jan L.Svennevig, MD,PhD Heart surgery in Norway 2006 Norwegian Association of Cardiothoracic Surgeons Jan L.Svennevig, MD,PhD.

Fig. 1 Log-rank test comparing survival in patients undergoing surgical repair with those treated with TEVAR. Black line: TEVAR; grey line: surgical repair.

The Novadaq, “Spy Device” The Blackpool Experience

Jan L.Svennevig, MD,PhD Heart surgery in Norway 2007 Norwegian Association of Cardiothoracic Surgeons Jan L.Svennevig, MD,PhD.

Fig. 3 Summary estimates of the relative risks for the different surgical techniques for late mortality. Comparing the two main techniques, EVR showed.

Chronic Cardiac Diseases To Drive Canada’s Prosthetic Heart Valves Market-Ken Research.

Is Open Heart Surgery Too Risky For You? Opt for a Minimally Invasive Procedure.

Richard S. D’Agostino, MD, Jeffrey P

Richard S. D’Agostino, MD, Jeffrey P

Update in Cardiac and Thoracic Surgery

Advising complex patients who require complex heart operations

Reply The Annals of Thoracic Surgery

The American Association for Thoracic Surgery 2016 Ethics Forum: Cost-effectiveness and the ethics of left ventricular assist device therapy John W.C.

Niv Ad, MD, Rakesh M. Suri, MD, DPhil, James S

The persistent problem of new-onset postoperative atrial fibrillation: A single-institution experience over two decades Jeanne Shen, BS, Shelly Lall,

Surgical Ablation of Atrial Fibrillation in the United States: Trends and Propensity Matched Outcomes Vinay Badhwar, MD, J. Scott Rankin, MD, Niv Ad,

Predicting In-Hospital Mortality After Redo Cardiac Operations: Development of a Preoperative Scorecard Sebastian Launcelott, BA, BComm, Maral Ouzounian,

Jan L.Svennevig, MD,PhD Heart surgery in Norway 2004 Norwegian Association of Cardiothoracic Surgeons Jan L.Svennevig, MD,PhD.

Aspects to be considered by the Heart Team for the decision between TAVR and SAVR in patients at increased surgical risk. Aspects to be considered by the.

John-Peder Escobar Kvitting, MD, PhD, Christian L. Olin, MD, PhD

Eleven-Year Single-Center Experience with the ATS Open Pivot Bileaflet Heart Valve Doan Baykut, MD, Leticia Grize, PhD, Christian Schindler, PhD, Angelika.

G. James Avery, MD, S. Jill Ley, RN, J

Stroke after cardiac surgery: a risk factor analysis of 16,184 consecutive adult patients Jan Bucerius, MD, Jan F Gummert, MD, PhD, Michael A Borger,

Ruyun Jin, MD, Gary L. Grunkemeier, PhD, Albert Starr, MD

New-Onset Postoperative Atrial Fibrillation and Long-Term Survival After Aortic Valve Replacement Surgery Giovanni Filardo, PhD, MPH, Cody Hamilton,

Chronic Atrial Fibrillation Is Associated With Reduced Survival After Aortic and Double Valve Replacement Richard Schulenberg, MD, Polychronis Antonitsis,

Richard S. D’Agostino, MD, Jeffrey P

Patrick T. O'Gara, MD, MACC, FAHA, Thoralf M. Sundt, MD, Michael A

Predictors of Low Cardiac Output Syndrome After Isolated Coronary Artery Bypass Surgery: Trends Over 20 Years Khaled D. Algarni, MD, MHS, Manjula Maganti,

Impact of Intraoperative Transesophageal Echocardiography on Surgical Decisions in 12,566 Patients Undergoing Cardiac Surgery Holger K. Eltzschig, MD,

Graduate Subspecialty and Perceptions of Cardiothoracic Surgery Training: A 60-Year Retrospective Study Mara B. Antonoff, MD, Jessica G.Y. Luc, MD, G.

Minimally Invasive Fibrillating Heart Surgery: A Safe and Effective Approach for Mitral Valve and Surgical Ablation for Atrial Fibrillation Paul S. Massimiano,

Twenty-Year Experience With the CarboMedics Mechanical Valve Prosthesis Denis Bouchard, MD, Amine Mazine, MD, Louis-Mathieu Stevens, MD, Michel Pellerin,

Paraplegia after coronary artery bypass surgery: An uncommon complication in a patient with history of thoracic endovascular aortic repair Aurélien Vallée,

Figure 1 Selection algorithm of patients being included in the German Aortic Valve Registry in 2014 and Figure 1 Selection algorithm of patients.

Postoperative Outcome of Isolated Tricuspid Valve Operation Using Arrested-Heart or Beating-Heart Technique Bettina Pfannmüller, MD, Piroze Davierwala,

Conventional redo biological valve replacement over 20 years: Surgical benchmarks should guide patient selection for transcatheter valve-in-valve therapy

Increased risk of dehiscence after tricuspid valve repair with rigid annuloplasty rings Bettina Pfannmüller, MD, Torsten Doenst, MD, PHD, Katja Eberhardt,

Cox regression of proportion mortality in the first 8 years for patients with three-vessel disease with a significant difference between the treatment.

Tricuspid valve replacement: UK heart valve registry mid-term results comparing mechanical and biological prostheses Chandana P Ratnatunga, Maria-Benedicta.

Joseph M. Arcidi, MD, Evelio Rodriguez, MD, Joseph R. Elbeery, MD, L

Summary of STICH trial patients included in the analysis of 6 min walk distance. Reasons for non-inclusion at each follow-up time are given. CABG, coronary.

Kaplan-Meier estimate of mortality in the two treatment strategies with significant difference between the two groups (log-rank test

Norwegian Association for Cardiothoracic Surgery

National trends in utilization and in-hospital outcomes of mechanical versus bioprosthetic aortic valve replacements Abby J. Isaacs, MS, Jeffrey Shuhaiber,

Presentation transcript:

Jan L.Svennevig, MD,PhD j.l.svennevig@medisin.uio.no Heart surgery in Norway 2009 Norwegian Association for Cardiothoracic Surgery Jan L.Svennevig, MD,PhD j.l.svennevig@medisin.uio.no 15.10.2010

Heart surgery in Norway 2009 All operations Incl. open and closed heart surgery, ECMO, VAD and surgery on the thoracic aorta. ICDs and pacemakers are not included

Heart surgery in Norway 2009 Heart lung machines, excl Heart surgery in Norway 2009 Heart lung machines, excl. 22 ECMO 15 and VAD

Heart surgery in Norway No. of operations per 100.000 inh.

HEART SURGERY IN NORWAY No. of operations /Hospital

HEART SURGERY IN NORWAY Coronary artery bypass surgery

HEART SURGERY IN NORWAY Valve surgery, adults No.

HEART SURGERY IN NORWAY Congenital No.

HEART SURGERY IN NORWAY Thoracic aorta excl. valves

HEART SURGERY IN NORWAY Thoracic transplants No. 2009: Hearts 27, lungs 24

HEART SURGERY IN NORWAY 2009 Surgical ablation for atrial fibrillation

Elective and emergency surgery, 2009 HEART SURGERY IN NORWAY 2009 Elective and emergency surgery, 2009 Elective n= 3,834 Emergency n= 818 (17.6%)‏ Female gender n= 1291 (27.7%) Redo operation n= 329 (7.1%) ‏

Interventional coronary treatment in Norway vs CABG HEART SURGERY IN NORWAY 2009 Interventional coronary treatment in Norway vs CABG No of patients Source: The Norwegian Association of Cardiothoracic surg. The Norwegian Society of Cardiology and NPR

HEART SURGERY IN NORWAY 2009 Age distribution No. of patients AGE GROUPS

HEART SURGERY IN NORWAY 2009 Mean age(adults) and oldest patient‏ Yrs.

Valve operations 2003-2009, all patients HEART SURGERY IN NORWAY 2009 Valve operations 2003-2009, all patients No. of patients: Aortic valve surgery 992 1099 1179 1206 1171 1254 1108 Mitral valve surgery 202 209 261 262 298 283 239 Tricuspid valve surgery 9 27 27 38 59 61 75 No. of prostheses or repairs: Mechanical prostheses 619 595 542 499 421 375 334 Biological prostheses 406 573 755 835 815 947 793 Valve repair 112 133 184 198 297 285 247

HEART SURGERY IN NORWAY 2009 Mechanical vs. Bioprostheses, trends 1995-2009 %

HEART SURGERY IN NORWAY 2009 Preop HEART SURGERY IN NORWAY 2009 Preop.risk factors (%), all patients (Euroscore only for open heart surgery in adults) %

HEART SURGERY IN NORWAY 2009 30-day mortality (%), all patients

HEART SURGERY IN NORWAY 009 Morbidity (%), all patients

HEART SURGERY IN NORWAY 2009 %

Transcatheter aortic valve implantation TAVI 2009 (included in the registry) Tromsø 22 Trondheim 1 Rikshospitalet 3 N= 30 day mortality All 26 3 (11,5%) Age 83.9 (76-95) Females: 20 25.10.2010

Thoracic endovascular aortic repair (TEVAR) 2009 (not included in the registry) Haukeland 9 Rikshospitalet 28 Trondheim 9 Tromsø 12 Ullevål 16 25.10.2010