Learn More
  • Luc Noyez
  • Interactive cardiovascular and thoracic surgery
  • 2009
Quality control in medicine is generating more and more interest. Industrial concepts of quality control have been refined and transformed to be useful in healthcare monitoring. Whereas medical practitioners first reaction to this new concept of quality control was negative 'we're treating patients, we're not a part of an industrial process', some dramatic(More)
OBJECTIVE The patient population undergoing myocardial revascularization has changed during the last few years. Knowledge of these changes, and of the subsequent influence on morbidity and/or mortality is important, not only for up-dating quality control, but also to support decision-making in financial and economical aspects, and in further research(More)
OBJECTIVES To construct a predictive model for a prolonged stay in the intensive care unit (ICU) for coronary artery bypass graft surgery (CABG). METHODS Eight hundred and eighty-eight patients undergoing CABG were studied by univariate and multivariate analysis. Prolonged stay in the ICU was defined as >/=3 days stay. Stepwise selective procedure(More)
PURPOSE Troponin is a specific marker of myocardial damage. Increased troponins, however, are observed after almost all cardiac surgery. The clinical significance of this elevation is controversial. The aim of this study was to evaluate if troponin I (cTnI) measured 1 h after cardiac surgery provides additional information to identify patients at risk for(More)
Using transthoracic B-mode imaging and Doppler spectrum analysis it was found that the luminal diameter of the internal mammary artery and its hemodynamics were not significantly different among 15 preoperative patients (64 +/- 10 years) who underwent myocardial revascularization using the left internal mammary artery and young and older control groups (25(More)
OBJECTIVE Obese patients are thought to have an increased risk for complications in coronary artery bypass surgery. Several risk stratification systems do not identify obesity as a variable for risk adjustment. The aim of this study is to evaluate the in-hospital and early (one year) mortality and morbidity in obese and non-obese patients after a CABG in(More)
OBJECTIVE A scoring system to predict early mortality and morbidity in CABG, distinguishing low and high risk patients. METHODS 563 patients (1998) served as development dataset, 969 patients as validation set. Univariate and logistic regression analysis was used to identify risk factors. RESULTS Gender, hypertension, pulmonary disease, reoperation,(More)
Case-report of a "spontaneous" rupture of intercostale muscles between the 7th and 8th ribs on the right side is presented. The case was combined with a herniation of the lung in the defect of the thoracic wall. Surgical treatment consisted of closure of the defect utilizing tissues in the immediate vicinity. Review of frequency, signs and therapy of(More)