Heart Surgery
FDA: Class I recall of certain Medtronic ICDs, CRT-Ds
Editor's Note The Food & Drug Administration (FDA) on February 27 classified the recall by Medtronic of certain Implantable Cardiovert Defibrillators (ICDs) and Cardiac Resynchronization Therapy Defibrillators (CRT-Ds) as Class I, the most serious. The recall was initiated because of a defect in the manufacturing process. The defect causes an…
CMS releases final update to coverage for ICDs
Editor's Note The Centers for Medicare & Medicaid Services (CMS) has finalized an update to its coverage policy for implantable cardiac devices (ICDs), the February 16 Modern Healthcare reports. The update expedites patient access by eliminating the waiting period for patients with an existing ICD to obtain a replacement device…
Family care program helps cut readmissions after cardiac surgery
Editor's Note Intermountain Healthcare’s (Salt Lake City, Utah) Partners in Healing program, which involves family members in in-patient care, helped reduce 30-day readmissions after cardiac surgery by 65%, the February 13 Healthcare Finance reports. The program enables family members to help with basic care, which in turn prepares them for…
ACS NSQIP study defines cardiac risk factors of common surgical procedures
Editor's Note This analysis of 3 million elective surgical procedures in the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) found a broad range of procedure-specific intrinsic cardiac adverse event risks associated with 200 commonly performed procedures. A total of 66 low, 30 intermediate, and 106 high…
Vanderbilt heart transplant program reaches new record
Editor's Note Nashville's Vanderbilt University Medical Center (VUMC) performed a record number of heart transplants in 2017, making it the second-busiest heart transplant program in the country. VUMC performed a record 97 heart transplantations, including pediatric cases, which surpassed the 2016 milestone of 92. Vanderbilt is building a program that…
New clinical practice guidelines address anticoagulation during cardiopulmonary bypass
Editor's Note The Society of Thoracic Surgeons, Society of Cardiovascular Anesthesiologists, and the American Society of ExtraCorporeal Technology on January 19 announced the release of new clinical practice guidelines on the use of anticoagulants during cardiopulmonary bypass (CPB). Among the guideline recommendations are: optimal heparin dosing for initiation and maintenance…
FDA: Class I recall of Certitude Delivery System
Editor's Note The Food and Drug Administration (FDA) on January 11 classified the recall by Edwards LifeSciences (Irvine, California) of its Certitude Delivery System as Class I, the most serious. The system is used for delivery of the Edwards SAPIEN 3 transcatheter aortic heart valve. The recall was issued because…
Perioperative myocardial injury common after noncardiac surgery
Editor's Note Perioperative myocardial injury (PMI) is a common complication after noncardiac surgery (occurring in 1 of 7 patients), and it is associated with substantial short- and long-term mortality (9% and 22%), this study finds. This analysis included 2,018 patients having 2,546 surgical procedures. PMI occurred after 397 of the…
Postop outcomes in OSA patients having cardiac surgery
Editor's Note Obstructive sleep apnea (OSA) is an important risk factor for postoperative complications in cardiac surgery patients, finds this meta-analysis led by Frances Chung, MD, a noted expert on OSA. After cardiac surgery, major adverse cardiac or cerebrovascular events and newly documented postoperative atrial fibrillation were 33.3% and 18.1%…
CMS finalizes changes to bundled-payment models
Editor's Note The Centers for Medicare & Medicaid Services (CMS) on November 30 announced a final rule that cancels the mandatory hip fracture and cardiac bundled-payment models, which were to begin on January 1, 2018, and implements changes to the Comprehensive Care for Joint Replacement (CJR) Model. In the final…
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