Thoralf M. Sundt
Harvard University
Publications 781
#1Andrea L. Axtell (Harvard University)H-Index: 4
#2Masaki Funamoto (Harvard University)H-Index: 4
Last.Gaston A. Cudemus (Harvard University)H-Index: 1
view all 9 authors...
Objective The use of Extracorporeal Membrane Oxygenation as a rescue strategy during cardiopulmonary resuscitation (ECPR) is increasingly being used for non-responders to conventional CPR. To identify patients most likely to benefit from ECPR, we investigated predictors of hospital discharge with good neurologic function. Design Retrospective cohort analysis Setting Single institution academic medical center Participants Patients Interventions Venoarterial-ECMO initiation for refractory witnesse...
1 CitationsSource
#1Andrea L. Axtell (Harvard University)H-Index: 4
#2Philicia Moonsamy (Harvard University)H-Index: 3
Last.Serguei Melnitchouk (Harvard University)H-Index: 11
view all 6 authors...
Abstract Background To review the efficacy of a minimally invasive surgical technique for mitral valve (MV) repair, we analyze a non-resectional technique for degenerative mitral regurgitation (DMR). Methods A retrospective analysis was performed on 101 consecutive patients who underwent a minimally invasive MV repair for severe DMR between 2014–2017. All patients underwent a right lateral mini-thoracotomy and femoral cannulation and were repaired via a non-resectional technique using neochord l...
Abstract Background The strategy for intervention remains controversial for patients presenting with type A aortic dissection (TAAAD) and cerebral malperfusion with neurologic deficit. Methods Surgically managed patients with TAAAD enrolled in the International Registry of Acute Aortic Dissection (IRAD) were evaluated to determine the incidence and prognosis of patients with cerebral malperfusion. Results A total of 2402 patients underwent surgical repair of TAAAD. Of these, 362 (15.1%) presente...
2 CitationsSource
#1Edward L. Hannan (SUNY: State University of New York System)H-Index: 64
#2Zaza Samadashvili (SUNY: State University of New York System)H-Index: 16
Last.Paul Kurlansky (NewYork–Presbyterian Hospital)H-Index: 20
view all 14 authors...
Abstract Background Operative mortality (in-hospital during the index admission or within 30 days of the procedure after discharge) is commonly used as a quality of care measure for public reporting of cardiac surgery outcomes, but the ability to accurately capture out-of-hospital deaths remains undetermined. The objective of the study is to estimate the impact of incomplete reporting of out-of-hospital deaths on hospital risk-adjusted mortality and outlier status. Methods New York State’s 2014-...
#1Jordan P. Bloom (Harvard University)H-Index: 4
#2Philicia Moonsamy (Harvard University)H-Index: 3
Last.David A. D'Alessandro (Harvard University)H-Index: 19
view all 10 authors...
Abstract Objective The impact of staff turnover during cardiac procedures is unknown. Accurate inventory of sharps (needles/blades) requires attention by surgical teams and sharp count errors (SCEs) result in delays, can lead to retained foreign objects and may signify communication breakdown. We hypothesized that increased team turnover raises the likelihood of SCEs and may negatively affect patient outcomes. Methods All cardiac operations performed at our institution from May 2011 to March 201...
1 CitationsSource
#1Andrea BallottaH-Index: 18
#2Hassan KandilH-Index: 6
Last.Himanshu J. Patel (UM: University of Michigan)H-Index: 32
view all 15 authors...
#1Joseph A. Anaya (Harvard University)H-Index: 1
#2Philicia Moonsamy (Harvard University)H-Index: 3
Last.Thoralf M. Sundt (Harvard University)H-Index: 95
view all 8 authors...
Background Objective superiority of tissue vs mechanical prostheses in surgical aortic valve replacement remains controversial, placing a greater emphasis on patients to consider personal lifestyle and risk preferences, including the burden of lifelong anticoagulation and the possible need for reoperation. A shared decision-making tool may therefore be of value in making this important choice. Methods A patient decision aid (PtDA) was developed using the International Patient Decision Aids Stand...
#1Zaza Samadashvili (University at Albany, SUNY)H-Index: 16
#2Thoralf M. Sundt (Harvard University)H-Index: 95
Last.Edward L. Hannan (University at Albany, SUNY)H-Index: 64
view all 12 authors...
Abstract Background Despite recent guideline statements, there is still wide practice variation in the use of multiple arterial grafts (MAGs) versus single arterial grafts (SAGs) for patients with multivessel disease undergoing coronary artery bypass graft surgery. This may be related to differences in findings between observational and randomized controlled studies. Objectives This study sought to compare intermediate-term MAG and SAG outcomes with enhanced matching to reduce selection bias. Me...
5 CitationsSource