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Our data has been recognized as consistently outstanding
by prominent state and national review agencies charged with
quality control.
This has occurred while at the same time being referred many
of the higher risk cases in the area.
Comprehensive Coronary Artery Surgery (CABG)
In 1998, Sacramento Cardiovascular Surgeons had a CABG operative mortality* rate of 1.78% regardless of risk or urgency. Comparing our 1998 results with results from the Society of Thoracic Surgeons National Cardiac Surgery Database, published for the same time period, shows we reduced the mortality rate by almost half.
* Operative
mortality is defined as at the time of surgery up to 30 days
post surgery.
All Types of Coronary Operations-Primary, Redo, Elective, Emergency
This
graph represents all types of coronary operations using the latest
published statistics for operative mortality. Sacramento Cardiovascular
Surgeons operative mortality statistics were well below national
and state levels. The comparative studies originated from:
* California Office of Statewide Healthcare Planning and Development-1996
data for all California hospitals
* Society of Thoracic Surgeons (STS) National Cardiac Surgery
Database-1997 data for all coronary operations
* Sacramento Cardiovascular Surgeons-coronary operation statistics
consistent 1996, 1997, 1998
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Valve
Procedures With and Without Coronary Bypass Grafting
The results for valve procedures with and without coronary bypass grafting for the years 1990 to 1997 for Sacramento Cardiovascular Surgeons were equally impressive and well below the STS national statistics.
Transmyocardial Laser Revascularization
Sacramento Cardiovascular Surgeons were one of the largest contributors in the nation to the FDA Clinical National Research Trial for use of the holmium laser for patients with inoperable coronary arteries. Our study of 132 patients who underwent Coronary Artery Bypass (CABG) with Transmyocardial Laser Revascularization (TMR) vs. 131 patients who underwent only CABG in the randomized study opened the eyes of both the FDA and the researchers. In the national study the operative mortality of the CABG + TMR group was one-fifth (1/5) that of the CABG alone group despite the predicted equal mortalities.
In a second national study, patients with inoperable coronary disease and angina showed a remarkable improvement in angina symptoms as defined by improvement of two or more classes.
Comparing hospitalizations on an annualized basis before and after TMR revealed a marked decrease.
Carotid Surgery
Carotid surgery operative mortality performed by Sacramento Cardiovascular Surgeons from 1990 to 1998 was 0.5%. A residual neurologic deficit was present in 1.96% of all risk patients.
Abdominal Aortic Aneurysm
Abdominal aortic aneurysm (elective) operative mortality performed by Sacramento Cardiovascular Surgeons from 1990 to 1998 was 1.8 for all risk patients.
Cardiac Transplantation
