Analysis of a cluster of surgical failures: Application to a series of neonatal arterial switch operations Marc R. de Leval, MD, FRCS, Katrien François,

Slides:

Advertisements

Similar presentations

The additional hospital costs generated in the management of complications of pacemaker and defibrillator implantations T.Bruce Ferguson, MD, Candice Lilley.

Advertisements

Preoperative risk-of-death prediction model in heart surgery with deep hypothermic circulatory arrest in the neonate Robert R. Clancy, MD, Susan A. McGaurn,

Influence of normothermic systemic perfusion during coronary artery bypass operations: A randomized prospective study Inderpaul Birdi, FRCS, Idris Regragui,

Manuel J. Antunes, MD, PhD, DSc

Preoperative risk-of-death prediction model in heart surgery with deep hypothermic circulatory arrest in the neonate Robert R. Clancy, MD, Susan A. McGaurn,

Thrombosis of the pulmonary artery stump after distal ligation

Ian Adatia, FRCP(C), Andrew M. Atz, MD, Richard A. Jonas, MD, David L

Factors influencing early and late outcome of the arterial switch operation for transposition of the great arteries Gil Wernovsky, MD* (by invitation),

Surgical treatment of thoracoabdominal aortic aneurysms by simple crossclamping: Risk factors and late results Marc A.A.M. Schepens, MD, Jo J.A.M. Defauw,

Right internal thoracic artery or saphenous vein grafting

Steven R. Gundry, MD, Matthew A. Romano, MD, O

William M. DeCampli, MD, PhD

Shigeyuki Sasaki, MD, PhD (by invitation), James D

Multilevel data analysis: What? Why? How?

Go on-pump or off-pump in diabetic patients?

Harold L. Lazar, MD The Journal of Thoracic and Cardiovascular Surgery

Transannular patch repair of double-outlet right ventricle, {s,d,l}, and single right coronary artery Yukihiro Kaneko, MD, Arata Murakami, MD, Kazuhito.

Coronary transfer during arterial switch—the heart of the matter?

Timing of surgery for pulmonary embolism: An evolving paradigm

The lord of the rings Antonio Miceli, MD, PhD

Surgical economics: MACRA, MIPS, and bundles—Lessons learned in the first 3 years of a coronary artery bypass grafting alternative payment model Daniel.

Editorial: The core of leadership

Anomalous left coronary artery from the pulmonary artery with an intramural course within the aortic wall: Report of 3 surgical cases Steven P. Goldberg,

Phillip S. Naimo, MD, Edward Buratto, MBBS, Igor E

P. Ponraj, MS, FRCS, Paolo Masiello, MD, Alun Rees, FRCS

Primary repair of rupture of a main and lobar bronchus

Transvenous versus transthoracic cardioverter-defibrillator implantation: A comparative analysis of morbidity, mortality, and survival David M. Shahian,

Subclavian artery involvement by apical chest tumors: A specific indication for the transmanubrial approach Lorenzo Spaggiari, MD, PhD, Ugo Pastorino,

Support Your Specialty

Michael Mack, MD, David Taggart, MD

Extended aortic replacement for acute type a dissection with the tear in the descending aorta Terushisa Kazui, MD, Yukihiko Tamiya, MD, Toshiaki Tanaka,

The assessment of cost effectiveness and the effectiveness of cost assessment in cardiothoracic surgery Vinay Badhwar, MD The Journal of Thoracic and.

It's not “just a shunt” but sometimes it should be…

A first start for lung transplantation?

Reversal of refractory hypotension with single-dose methylene blue after coronary artery bypass surgery P. Yiu, FRCSa, J. Robin, MRCPb, C.W. Pattison,

Intermediate-Term Outcome Of Mitral Reconstruction In Cardiomyopathy

Surgery for aortic and mitral valve disease in the United States: A trend of change in surgical practice between 1998 and 2005 Scott D. Barnett, PhD,

Aortic root and valve relationships: Impact on surgical repair

Derrick Y. Tam, MD, Stephen E. Fremes, MD, MSc

A fate worse than death Jennifer S. Lawton, MD

Attachment disorder in thoracoabdominal surgery

Patient recovery after intermittent disc escape and spontaneous recession of a mechanical heart valve Francis Robicsek, MD, PhD, Joseph W. Cook, MD

Increase in size of the pulmonary autograft after the ross operation in children: Growth or dilation? Laszlo Solymar, MD, PhD, Göran Südow, MD, Daniel.

Concurrent vascular ring and occult left pulmonary artery associated with ventricular septal defect: A report of an uncommon constellation Kulbhushan.

Video-assisted resection for lung cancer results in fewer complications Lunxu Liu, PhD, MD, FRCS The Journal of Thoracic and Cardiovascular Surgery

Elspeth M. Brown, MRCP, Anthony P. Salmon, FRCP, Robert K. Lamb, FRCS

Descending necrotizing mediastinitis: An analysis of the effects of serial surgical debridement on patient mortality Richard K. Freeman, MD, Eric Vallières,

Functional tricuspid pathology: To treat or not to treat

Ralph S. Mosca, MD The Journal of Thoracic and Cardiovascular Surgery

Jason J. Han, MD, Pavan Atluri, MD

Michael A. Coady, MD, John A. Rizzo, PhD, Graeme L

Human factors and cardiac surgery: A multicenter study

Simultaneous Antegrade And Retrograde Delivery Of Continuous Warm Blood Cardioplegia After Global Ischemia Anders B. Ericsson, MD, Shigeto Takeshima,

The Journal of Thoracic and Cardiovascular Surgery

Discussion The Journal of Thoracic and Cardiovascular Surgery

Tai Ji: The law of inflammatory response

The future of cardiac surgery training: A survival guide

Hope should not spring eternal

Thirty years of cardiac transplantation at stanford university

Building a clinical program in a single institution

“The more things change…”: The challenges ahead

Ryan R. Davies, MD The Journal of Thoracic and Cardiovascular Surgery

A large international single-center case-series of coronary artery fistulas in children: When high clinical research standards adopted globally create.

Minimally invasive direct coronary artery bypass, percutaneous transluminal coronary angioplasty, and stent placement for left main stenosis William.

Direct comparison of risk-adjusted and non–risk-adjusted CUSUM analyses of coronary artery bypass surgery outcomes Richard J. Novick, MD, Stephanie A.

Did you like Terminator 3 better than Terminator 2

Masao Takahashi, MD, Shinichiro Yamamoto, MD, Shigeki Tabata, MD

Y.John Gu, MD, PhD, Piet W. Boonstra, MD, PhD, Willem van Oeveren, PhD

Contribution of hyperoxia to lipid peroxidation in coronary artery operations: Should we keep a low oxygen tension? Leonidas Hadjinikolaou, MD, Andrew.

Edward Y. Chan, MD, Michael J. Reardon, MD

Presentation transcript:

Analysis of a cluster of surgical failures: Application to a series of neonatal arterial switch operations Marc R. de Leval, MD, FRCS, Katrien François, MD (by invitation), Catherine Bull, MRCP (by invitation), William Brawn, FRCS (by invitation), David Spiegelhalter, PhD (by invitation) The Journal of Thoracic and Cardiovascular Surgery Volume 107, Issue 3, Pages 914-924 (March 1994) DOI: 10.5555/uri:pii:S0022522394703507 Copyright © 1994 Mosby, Inc. Terms and Conditions

Fig. 1 Illustrations of coronary arterial transfer removing large button of aorta and tucking it into centrally hinged trap door with minimal mobilization. The Journal of Thoracic and Cardiovascular Surgery 1994 107, 914-924DOI: (10.5555/uri:pii:S0022522394703507) Copyright © 1994 Mosby, Inc. Terms and Conditions

Fig. 2 Cumulative failure. "Failure" as death or death/near miss. R, Peritoneal dialysis; N, near miss; D,death. The Journal of Thoracic and Cardiovascular Surgery 1994 107, 914-924DOI: (10.5555/uri:pii:S0022522394703507) Copyright © 1994 Mosby, Inc. Terms and Conditions

Fig. 3 Cumulative failure rate with CUSUM boundaries. Alert lines correspond to 80% confidence; alarm lines to 95% confidence (see text). A, Death: targets 2% and 5%. B, Death or near miss:targets 5% and 10%. The Journal of Thoracic and Cardiovascular Surgery 1994 107, 914-924DOI: (10.5555/uri:pii:S0022522394703507) Copyright © 1994 Mosby, Inc. Terms and Conditions

Fig. 3 Cumulative failure rate with CUSUM boundaries. Alert lines correspond to 80% confidence; alarm lines to 95% confidence (see text). A, Death: targets 2% and 5%. B, Death or near miss:targets 5% and 10%. The Journal of Thoracic and Cardiovascular Surgery 1994 107, 914-924DOI: (10.5555/uri:pii:S0022522394703507) Copyright © 1994 Mosby, Inc. Terms and Conditions

Fig. 4 Cumulative failure rate: comparison of actual and predicted (from CHSS equation) number of deaths. GOS, Great Ormond Street. The Journal of Thoracic and Cardiovascular Surgery 1994 107, 914-924DOI: (10.5555/uri:pii:S0022522394703507) Copyright © 1994 Mosby, Inc. Terms and Conditions

Fig. 5 Serial estimates of failure rate with 95% confidence limits. A, With no "memory loss." B, With down-weighting at 7% per case. The Journal of Thoracic and Cardiovascular Surgery 1994 107, 914-924DOI: (10.5555/uri:pii:S0022522394703507) Copyright © 1994 Mosby, Inc. Terms and Conditions

Fig. 5 Serial estimates of failure rate with 95% confidence limits. A, With no "memory loss." B, With down-weighting at 7% per case. The Journal of Thoracic and Cardiovascular Surgery 1994 107, 914-924DOI: (10.5555/uri:pii:S0022522394703507) Copyright © 1994 Mosby, Inc. Terms and Conditions