2016
DOI: 10.1055/s-0036-1592124 View full text |Buy / Rent full text
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Abstract: On the basis of a long-standing voluntary registry, which was founded by the German Society for Thoracic and Cardiovascular Surgery (GSTCVS), well-defined data of all heart, thoracic, and vascular surgery procedures performed in 78 German heart surgery departments during 2015 are analyzed. In 2015, a total of 103,967 heart surgery procedures (implantable cardioverter defibrillator, pacemaker, and extracardiac procedures without ECC excluded) were submitted to the database. Approximately 14.8% of the patients w… Show more

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“…If the USA figures are considered extravagant and apparently more logical rate of Germany is taken into consideration, that is also much higher compared to South Asian figures. The number of cardiac surgical procedures entered into the register of German Society of Cardiovascular & Thoracic Surgery in 2015 was 103967 18 and that in 2014 was 100398. 19 With population of 80 million, 17 the annual number of registered operations per million populations comes around 1299, far better figures than any of the South Asian nations.…”
Section: Resultsmentioning
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“…If the USA figures are considered extravagant and apparently more logical rate of Germany is taken into consideration, that is also much higher compared to South Asian figures. The number of cardiac surgical procedures entered into the register of German Society of Cardiovascular & Thoracic Surgery in 2015 was 103967 18 and that in 2014 was 100398. 19 With population of 80 million, 17 the annual number of registered operations per million populations comes around 1299, far better figures than any of the South Asian nations.…”
Section: Resultsmentioning
“…Although the number of patients undergoing coronary artery bypass grafting decreases every year, the percentage of patients operated on with off-pump techniques, which result in significantly lower in-hospital mortality rates compared to conventional coronary artery bypass techniques, has increased gradually [ 1 ]. Similar to other surgical fields, there is an increasing trend in cardiovascular surgery to minimize the trauma caused by surgical intervention itself in order to reduce perioperative mortality after cardiovascular interventions [ 12 ].…”
Section: Discussionmentioning
“…Coronary artery bypass grafting is usually applied with median sternotomy and cardiopulmonary bypass. In order to avoid complications related to cardiopulmonary bypass, off-pump coronary artery bypass (OPCAB) grafting was developed to vascularize coronary arteries through a full sternotomy on a beating heart without performing a cardiopulmonary bypass [ 1 3 ]. In recent years, however, the use of minimally invasive direct coronary bypass (MIDCAB), which does not include either cardiopulmonary bypass or full sternotomy, has been initiated in selected cases to minimize the complications associated with full sternotomy, cardiopulmonary bypass, and manipulation of the aorta [ 4 6 ].…”
Section: Introductionmentioning
“…In the meanwhile, implantation of left ventricular assist devices (LVADs), originally developed as bridge to transplantation, has become destination therapy for most patients. In Germany, LVAD implantation numbers per year increased to 915, whilst heart transplantation was below 300 in 2015 [ 7 ]. Results of LVAD therapy have improved significantly with regard to quality of life and survival, as 1- and 2-year survival rates have been reported to be 80 and 70%, respectively [ 38 ].…”
Section: Introductionmentioning