2024
Randomized study of temporary diaphragm pacing for enhanced recovery after surgery in cardiac surgery patients at risk of prolonged mechanical ventilation
Hungate J, Onders R, Diasty M, Abu-Omar Y, Arora R, Baeza C, Elgudin Y, Gray K, Markowitz A, Pelletier M, Ribeiro I, Vega P, Rushing G, Sabik J. Randomized study of temporary diaphragm pacing for enhanced recovery after surgery in cardiac surgery patients at risk of prolonged mechanical ventilation. JTCVS Open 2024, 22: 76-84. PMID: 39780786, PMCID: PMC11704535, DOI: 10.1016/j.xjon.2024.09.031.Peer-Reviewed Original ResearchProlonged mechanical ventilationStandard of care groupRisk of prolonged mechanical ventilationMechanical ventilationCardiac surgeryDiaphragmatic pacingDiaphragm pacingTreatment groupsRandomized trialsHistory of chronic obstructive pulmonary diseaseLeft ventricular ejection fractionIntra-aortic balloon pumpDecrease mechanical ventilationCardiac surgery patientsVentricular ejection fractionHigh-risk patientsMulticenter randomized trialCare groupEnhanced recoveryChronic obstructive pulmonary diseaseRelative risk reductionIntensive care unitStandard of carePredictive enrichment strategiesObstructive pulmonary diseaseThe prognostic utility of galectin-3 in patients undergoing cardiac surgery: a scoping review
Shah A, Ding Y, Walji D, Rabinovich G, Pelletier M, El-Diasty M. The prognostic utility of galectin-3 in patients undergoing cardiac surgery: a scoping review. Biomarkers 2024, 29: 485-493. PMID: 39422445, DOI: 10.1080/1354750x.2024.2415073.Peer-Reviewed Original ResearchConceptsAssociated with acute kidney injuryPostoperative atrial fibrillationGal-3 levelsLeft ventricular reverse remodelingCardiac surgeryAdverse outcomesGal-3Clinical risk prediction scorePreoperative plasma levelsVentricular reverse remodelingEuroSCORE II modelPlasma Gal-3 levelsPostoperative adverse outcomesAcute kidney injuryGalectin-3Group of patientsPredicting adverse outcomesRisk prediction scorePostoperative morbidityReverse remodelingPostoperative mortalityElectronic database searchPrognostic utilityAdult patientsKidney injuryPericardial fluid troponin in cardiac surgery
Fatehi Hassanabad A, El-Sherbini A, Cherif I, Ahmad B, Gonzalez A, Pelletier M, Fedak P, El-Diasty M. Pericardial fluid troponin in cardiac surgery. Clinica Chimica Acta 2024, 559: 119722. PMID: 38734224, DOI: 10.1016/j.cca.2024.119722.Peer-Reviewed Original ResearchConceptsCardiac surgeryPericardial fluidTroponin levelsLevels of cardiac troponinPF levelsCardiac troponin levelsTroponin changesGoogle Scholar databasesTroponin concentrationsCardiac troponinProcedure typeClinical significancePrimary outcomeSurgerySecondary outcomesBiologically active factorsBlinded reviewersPreferred Reporting ItemsFull-text reviewTroponinInclusion criteriaPatientsPathological changesScholar databasesSystematic review
2023
Cor-Knot Use in SAVR Facilitates Coplanar Angle Adjustment During TAVR.
Hibino M, Palma Dallan L, Yoon S, Pelletier M, Ukaigwe A, Baeza C. Cor-Knot Use in SAVR Facilitates Coplanar Angle Adjustment During TAVR. Journal Of Invasive Cardiology 2023, 35: e108-e109. PMID: 36735874, DOI: 10.25270/jic/22.00156.Peer-Reviewed Original ResearchConceptsCOR-KNOTMinimally invasive cardiac surgeryPreoperative computed tomography scansInvasive cardiac surgeryAortic pressure gradientTrifecta valveCardiac surgeryAortic annulusConduction abnormalitiesParavalvular leakageRenal injuryTomography scanMm HgTAVR proceduresSurgical anatomyOperative timeTAVR valvesTAVRNext dayControl pacing
2022
COMPARISON OF RATES AND OUTCOMES OF READMISSIONS TO INDEX VERSUS NON-INDEX HOSPITALS AFTER CARDIAC SURGERY: A NATIONWIDE ANALYSIS
Jarrett C, Rushing G, Gray K, Hussian O, Abu-Omar Y, Baeza C, Elgudin Y, Markowitz A, Vega P, Sabik J, Pelletier M. COMPARISON OF RATES AND OUTCOMES OF READMISSIONS TO INDEX VERSUS NON-INDEX HOSPITALS AFTER CARDIAC SURGERY: A NATIONWIDE ANALYSIS. Canadian Journal Of Cardiology 2022, 38: s185-s186. DOI: 10.1016/j.cjca.2022.08.148.Peer-Reviewed Original ResearchCardiac surgery
2021
Postdischarge Pain and Opioid Use After Cardiac Surgery: A Prospective Cohort Study
Percy E, Hirji S, Leung N, Harloff M, Newell P, Cherkasky O, McGurk S, Yazdchi F, Cook R, Pelletier M, Kaneko T. Postdischarge Pain and Opioid Use After Cardiac Surgery: A Prospective Cohort Study. The Annals Of Thoracic Surgery 2021, 115: 1526-1532. PMID: 34979139, DOI: 10.1016/j.athoracsur.2021.12.007.Peer-Reviewed Original ResearchConceptsOpioid useCardiac surgeryOpioid consumptionRate of chronic opioid useOxycodone 5-mg tabletsPredictive of opioid useMedian total consumptionChronic opioid useMorphine milligram equivalentsPatterns of opioid consumptionMonths of surgeryProspective cohort studyConsecutive patientsMilligram equivalentsCardiac operationsHistory of substance useNonhome facilityPostdischarge painPill countDays of dischargePain managementCohort studyOpioidSurgeryPatient diariesPILOT STUDY OF PERCUTANEOUS TEMPORARY DIAPHRAGM PACING WIRES IN CARDIAC SURGERY PATIENTS AT RISK OF PROLONGED MECHANICAL VENTILATION DURING THE COVID-19 PANDEMIC
Jarrett C, Onders R, Pelletier M, Abu-Omar Y, Baeza C, Elgudin Y, Markowitz A, Vega P, Sabik J. PILOT STUDY OF PERCUTANEOUS TEMPORARY DIAPHRAGM PACING WIRES IN CARDIAC SURGERY PATIENTS AT RISK OF PROLONGED MECHANICAL VENTILATION DURING THE COVID-19 PANDEMIC. Canadian Journal Of Cardiology 2021, 37: s112-s113. PMCID: PMC8523110, DOI: 10.1016/j.cjca.2021.07.213.Peer-Reviewed Original ResearchProlonged mechanical ventilationCardiac surgery patientsCardiac surgeryDiaphragm pacingMechanical ventilationDiaphragm functionSurgery patientsHigh-risk cardiac surgery patientsVentilator induced diaphragm dysfunctionRisk of prolonged mechanical ventilationDecreased ventilation timeLikelihood of extubationPrevent diaphragm atrophyHistory of TIAOpen heart surgeryProlonged mechanical ventilation patientsRelated adverse eventsOutcomes of DPDevice related adverse eventsRandomized controlled trialsDiaphragm atrophyDiaphragm dysfunctionProspective trialsMedian timeVentilation timeMinimally invasive mitral valve surgery
Abu-Omar Y, Fazmin I, Ali J, Pelletier M. Minimally invasive mitral valve surgery. Journal Of Thoracic Disease 2021, 13: 1960-1970. PMID: 33841982, PMCID: PMC8024816, DOI: 10.21037/jtd-20-2114.Peer-Reviewed Original ResearchMinimally invasive mitral valve surgeryMitral valve surgeryValve surgerySternotomy approachCardiopulmonary bypassMinimally invasive mitral valve surgery programmeApplication of minimally invasive techniquesRedo mitral valve surgeryInvasive mitral valve surgeryReduction of surgical traumaStandard sternotomy approachSubgroup of patientsMinimally invasive approachMinimally invasive techniquesDevelopment of specialized instrumentsPatient selection criteriaPost-operative recoveryPatient cosmesisCardiac surgeryCosmetic resultsPatient selectionClinical outcomesInvasive approachExcellent outcomesSurgical trauma
2020
Acute kidney injury in renal transplant recipients undergoing cardiac surgery
Hundemer G, Srivastava A, Jacob K, Krishnasamudram N, Ahmed S, Boerger E, Sharma S, Pokharel K, Hirji S, Pelletier M, Safa K, Kulvichit W, Kellum J, Riella L, Leaf D. Acute kidney injury in renal transplant recipients undergoing cardiac surgery. Nephrology Dialysis Transplantation 2020, 36: 185-196. PMID: 32892219, PMCID: PMC7771983, DOI: 10.1093/ndt/gfaa063.Peer-Reviewed Original ResearchConceptsRenal transplant recipientsAcute kidney injuryNon-RTRsCardiac surgeryCalcineurin inhibitorsRisk factorsTransplant recipientsKidney injuryType of cardiac surgeryKidney diseaseRates of acute kidney injuryRisk of acute kidney injuryDeceased donorsGlobal Outcomes criteriaLiving donorsRetrospective cohort studyAssociated with higher ratesChronic kidney diseaseTrough levelsClinical characteristicsAcademic medical centerCohort studySurgeryHigh riskMedical CenterVariability in opioid prescribing practices among cardiac surgeons and trainees
Percy E, Hirji S, Cote C, Laurin C, Atkinson L, Kiehm S, Malarczyk A, Harloff M, Bozso S, Buyting R, Hassanabad A, Guo M, Jaffer I, Lodewyks C, Tam D, Tremblay P, Légaré J, Cook R, Kaneko T, Pelletier M. Variability in opioid prescribing practices among cardiac surgeons and trainees. Journal Of Cardiac Surgery 2020, 35: 2657-2662. PMID: 32720337, DOI: 10.1111/jocs.14885.Peer-Reviewed Original ResearchConceptsDischarge opioid prescriptionsOpioid prescriptionsCardiac surgeonsCardiac surgeryCanadian Society of Cardiac SurgeonsOpioid epidemicMedian total doseMorphine milligram equivalentsOpioid prescribing practicesAssociated with opioid use disorderDose of medicationOpioid use disorderMilligram equivalentsPrescribed opioidsOpioid medicationsTotal doseOpioidPrescription practicesPrescribing habitsUse disorderInterquartile rangeLack of formal educationPrescribing practicesSurgerySurgeonsThirty-Day Nonindex Readmissions and Clinical Outcomes After Cardiac Surgery
Hirji SA, Percy ED, Zogg CK, Vaduganathan M, Kiehm S, Pelletier M, Kaneko T. Thirty-Day Nonindex Readmissions and Clinical Outcomes After Cardiac Surgery. The Annals Of Thoracic Surgery 2020, 110: 484-491. PMID: 31972128, PMCID: PMC7382395, DOI: 10.1016/j.athoracsur.2019.11.042.Peer-Reviewed Original ResearchConceptsSurgical aortic valve replacementNonindex readmissionsCardiac surgeryNonindex hospitalNonindex hospital readmissionsCoronary artery bypassNational Readmission DatabaseAortic valve replacementCardiac surgery patientsMajor cardiac surgeryPatient risk profileHigh-volume centersUS adult patientsRegionalization of careFragmentation of careComorbidity burdenHospital mortalityIndex readmissionArtery bypassInitial hospitalizationAdult patientsSurgery patientsValve replacementHospital readmissionIndependent predictors
2019
Initial Experience with Enhanced Recovery after Cardiac Surgery at a North American Academic Cardiac Surgery Center: A Comparative Analysis
Yazdchi F, Hirji S, Choi J, Percy E, Pelletier M, McGurk S, Loberman D, Aranki S, Shekar P, Kaneko T. Initial Experience with Enhanced Recovery after Cardiac Surgery at a North American Academic Cardiac Surgery Center: A Comparative Analysis. Journal Of The American College Of Surgeons 2019, 229: s45-s46. DOI: 10.1016/j.jamcollsurg.2019.08.114.Peer-Reviewed Original ResearchThe influence of enhanced recovery after cardiac surgery on 30-day readmission rate, hospital and ICU length of stay
Zammert M, Buric D, Yazdchi F, Madou I, Manca C, Woo S, Morth K, Bentain-Melanson M, Aranki S, Rawn J, Pelletier M, Shekar P, Kaneko T, Swanson J, Shook D, Varelmann D. The influence of enhanced recovery after cardiac surgery on 30-day readmission rate, hospital and ICU length of stay. Journal Of Cardiothoracic And Vascular Anesthesia 2019, 33: s102. DOI: 10.1053/j.jvca.2019.07.113.Peer-Reviewed Original ResearchHospital length of stayIntensive care unitLength of stayStandard care groupERAS groupCardiac surgeryERAS pathwayReadmission ratesSociety of Thoracic Surgery databaseOutcome data of patientsShorter intensive care unitDuration of mechanical ventilationIntensive care unit length of stayCare groupIntensive care unit lengthChest tube removalMultimodal pain managementThoracic Surgery DatabaseData of patientsClinically important outcomesWilcoxon rank sum testStudent's t-testEffect of ERASPre-operative patient educationImplementation of ERASEnhanced recovery after cardiac surgery: fluid balance and incidence of acute kidney injury
Varelmann D, Shook D, Buric D, Yadzchi F, Madou I, Morth K, Bentain-Melanson M, Woo S, Manca C, Aranki S, Rawn J, Pelletier M, Shekar P, Kaneko T, Swanson J, Zammert M. Enhanced recovery after cardiac surgery: fluid balance and incidence of acute kidney injury. Journal Of Cardiothoracic And Vascular Anesthesia 2019, 33: s141-s142. DOI: 10.1053/j.jvca.2019.07.015.Peer-Reviewed Original ResearchIncidence of acute kidney injuryAcute kidney injuryStandard care groupCardiac surgeryAlbumin 5%Cardiopulmonary bypassKidney injuryHospital stayERAS pathwayFluid balanceOutcome data of patientsCare unitOccurrence of acute kidney injuryLength of hospital stayTotal fluid balanceChest tube removalKDIGO stage 1Care groupMultimodal pain managementWorsening metabolic acidosisSigns of hypovolemiaRestrictive fluid managementData of patientsEnhanced recoveryWilcoxon rank sum testCardiac Surgery in Patients With Opioid Use Disorder: An Analysis of 1.7 Million Surgeries
Shah R, Hirji S, Percy E, Landino S, Yazdchi F, Bellavia A, Pelletier M, Shekar P, Kaneko T. Cardiac Surgery in Patients With Opioid Use Disorder: An Analysis of 1.7 Million Surgeries. The Annals Of Thoracic Surgery 2019, 109: 1194-1201. PMID: 31479643, DOI: 10.1016/j.athoracsur.2019.07.041.Peer-Reviewed Original ResearchConceptsOpioid use disorderCardiac surgeryIncreased risk of postoperative morbidityImpact of opioid use disorderRisk of postoperative morbidityOpioid epidemicAssociated with prolonged hospitalizationRisk factorsUse disorderOpioid use disorder statusCoronary artery bypass graftingNon-opioid usersPreoperative risk factorsCardiac surgery patientsPatient's preoperative risk factorsAcute kidney injuryArtery bypass graftingCardiac surgery outcomesIn-hospital mortalityCurrent opioid epidemicLonger hospital lengthImprove overall outcomesHigher hospital costsNational Inpatient SampleValve repairDebunking the July Effect in Cardiac Surgery: A National Analysis of More Than 470,000 Procedures
Shah RM, Hirji SA, Kiehm S, Goel S, Yazdchi F, Bellavia A, Zogg CK, Pelletier MP, Shekar P, Kaneko T. Debunking the July Effect in Cardiac Surgery: A National Analysis of More Than 470,000 Procedures. The Annals Of Thoracic Surgery 2019, 108: 929-934. PMID: 31353035, DOI: 10.1016/j.athoracsur.2019.06.015.Peer-Reviewed Original ResearchMeSH KeywordsAcademic Medical CentersAdultAgedCardiac Surgical ProceduresClinical CompetenceCohort StudiesDatabases, FactualEducation, Medical, GraduateFemaleHospital MortalityHospitals, TeachingHumansInpatientsInternship and ResidencyMaleMedical Staff, HospitalMiddle AgedPostoperative ComplicationsQuality of Health CareRisk AdjustmentSeasonsUnited StatesConceptsAortic valve replacementCardiac surgeryJuly effectHospital mortalityPatient outcomesTeaching hospitalMajor cardiac surgery proceduresSurgical aortic valve replacementCoronary artery bypassCardiac surgery proceduresNational Inpatient SampleRisk-adjusted mortalityMitral valve repairCardiac surgery outcomesHospital complicationsArtery bypassMV surgeryNoncardiac surgeryValve replacementAdjusted mortalityValve repairSurgery outcomesInpatient SampleWorse outcomesHospital support systemsSignificance of Interstitial Lung Disease on Outcomes Following Cardiac Surgery
Hirji S, Ramirez-Del Val F, Ejiofor J, Lee J, Norman A, McGurk S, Pelletier M, Aranki S, Rawn J, Shekar P, Hunninghake G, Kaneko T. Significance of Interstitial Lung Disease on Outcomes Following Cardiac Surgery. The American Journal Of Cardiology 2019, 124: 1133-1139. PMID: 31405546, DOI: 10.1016/j.amjcard.2019.06.031.Peer-Reviewed Original ResearchConceptsInterstitial lung diseaseInterstitial lung disease patientsIdiopathic pulmonary fibrosisLong-term survivalLonger intensive care unitCardiac surgeryNon-ILD patientsIntensive care unitReintubation rateAssociated with shorter long-term survivalLung diseaseComparison cohortSeverity of interstitial lung diseaseShorter long-term survivalCare unitKaplan-Meier estimates of survivalIdiopathic pulmonary fibrosis cohortsRisk factorsInterstitial lung disease diagnosisSurvival analysisAcute pulmonary exacerbationsIncreased operative mortalityMedian follow-upCardiac surgery patientsRisk-adjusted survival analysis
2017
Outcomes of surgical and transcatheter aortic valve replacement in the octogenarians-surgery still the gold standard?
Hirji S, Ramirez-Del Val F, Kolkailah A, Ejiofor J, McGurk S, Chowdhury R, Lee J, Shah P, Sobieszczyk P, Aranki S, Pelletier M, Shekar P, Kaneko T. Outcomes of surgical and transcatheter aortic valve replacement in the octogenarians-surgery still the gold standard? Annals Of Cardiothoracic Surgery 2017, 6: 453-462. PMID: 29062740, PMCID: PMC5639227, DOI: 10.21037/acs.2017.08.01.Peer-Reviewed Original ResearchMinimally invasive AVRAortic valve replacementNew York Heart AssociationMid-term survivalOperative mortalityChronic kidney diseaseSAVR groupValve replacementDiabetes mellitusIsolated aortic valve replacementPredictors of decreased survivalMyocardial infarctionSevere chronic lung diseaseTranscatheter aortic valve replacementMedian follow-upIntermediate risk patientsOverall operative mortalityIn-hospital LOSMulti-disciplinary heart teamCerebrovascular diseaseChronic lung diseaseCox proportional hazards modelsProportional hazards modelPreoperative creatinineCardiac surgery
2016
Efficacy of intraoperative cell salvage in decreasing perioperative blood transfusion rates in first-time cardiac surgery patients: a retrospective study
Côté C, Yip A, MacLeod J, O'Reilly B, Murray J, Ouzounian M, Brown C, Forgie R, Pelletier M, Hassan A. Efficacy of intraoperative cell salvage in decreasing perioperative blood transfusion rates in first-time cardiac surgery patients: a retrospective study. Canadian Journal Of Surgery 2016, 59: 330-336. PMID: 27668331, PMCID: PMC5042720, DOI: 10.1503/cjs.002216.Peer-Reviewed Original ResearchConceptsIntraoperative cell salvagePerioperative transfusion ratesCardiac surgeryTransfusion rateCell salvageTransfusion rates of packed red blood cellsRates of packed red blood cellsBlood productsFirst-time cardiac surgeryRetrospective analysis of patientsEffectiveness of intraoperative cell salvagePerioperative blood transfusion ratePacked red blood cellsBlood transfusion rateCardiac surgery patientsAnalysis of patientsReduce transfusion ratesRisk-adjusted effectCoagulation productsMultivariate logistic regressionPerioperative transfusionMediastinal drainagePostoperative bleedingPostoperative hemoglobinHematologic outcomes
2014
Variation in transfusion rates within a single institution: Exploring the effect of differing practice patterns on the likelihood of blood product transfusion in patients undergoing cardiac surgery
Cote C, MacLeod J, Yip A, Ouzounian M, Brown C, Forgie R, Pelletier M, Hassan A. Variation in transfusion rates within a single institution: Exploring the effect of differing practice patterns on the likelihood of blood product transfusion in patients undergoing cardiac surgery. Journal Of Thoracic And Cardiovascular Surgery 2014, 149: 297-302. PMID: 25300883, DOI: 10.1016/j.jtcvs.2014.09.004.Peer-Reviewed Original ResearchConceptsRate of perioperative transfusionPerioperative transfusion ratesPerioperative transfusionTransfusion rateCardiac surgeryPractice patternsIntraoperative variablesPredictors of perioperative transfusionPredictors of blood transfusionOverall transfusion rateBlood product transfusionRisk-adjusted effectYear of procedureProduct transfusionBlood transfusionClinical predictorsIndependent predictorsClinical characteristicsClinical factorsTransfusionPatientsStudy populationSurgeryMultivariable regression modeling techniquesNonclinical factors
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