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  1. Book ; Conference proceedings: International Symposium on Computer Modelling in Fruit Research and Orchard Management

    Habib, Robert

    Avignon, France, 4 - 8 September 1995

    (Acta horticulturae ; 416)

    1996  

    Institution Institut national de la recherche agronomique
    Event/congress International Symposium on Computer Modelling in Fruit Research and Orchard Management (4, 1995, Avignon)
    Author's details INRA ... Ed.: R. Habib
    Series title Acta horticulturae ; 416
    Collection
    Keywords Obstbau ; Forschung ; Computerunterstütztes Verfahren
    Subject Wissenschaftliche Forschung ; Forschungen ; Obstanbau ; Obstkultur ; Obst ; Computergestütztes Verfahren ; Computerunterstützte Methode ; Rechnerunterstütztes Verfahren ; Rechnergestütztes Verfahren ; Computer aided method ; Computer assisted method ; Computer based method ; Computerbasiertes Verfahren ; Rechnerunterstützte Methode ; Rechnerunterstützung ; Computerunterstützung ; Computer aid ; Computer assistance
    Size 296 S. : Ill., graph. Darst.
    Publisher ISHS
    Publishing place Leiden
    Publishing country Netherlands
    Document type Book ; Conference proceedings
    HBZ-ID HT007327272
    ISBN 90-6605-778-5 ; 978-90-6605-778-4
    Database Catalogue ZB MED Nutrition, Environment, Agriculture

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  2. Article ; Online: REPLY: Risk of Surgical Mitral Valve Repair for Primary Mitral Regurgitation.

    Badhwar, Vinay / Mehaffey, J Hunter / Habib, Robert H

    Journal of the American College of Cardiology

    2023  Volume 82, Issue 6, Page(s) e47–e48

    MeSH term(s) Humans ; Mitral Valve Insufficiency/surgery ; Mitral Valve/diagnostic imaging ; Mitral Valve/surgery ; Cardiac Surgical Procedures ; Treatment Outcome ; Heart Valve Prosthesis Implantation/adverse effects
    Language English
    Publishing date 2023-08-02
    Publishing country United States
    Document type Letter ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't ; Comment
    ZDB-ID 605507-2
    ISSN 1558-3597 ; 0735-1097
    ISSN (online) 1558-3597
    ISSN 0735-1097
    DOI 10.1016/j.jacc.2023.06.004
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Cardiac Surgery after Transcatheter Aortic Valve Replacement: Trends and Outcomes.

    Bowdish, Michael E / Habib, Robert H / Kaneko, Tsuyoshi / Thourani, Vinod H / Badhwar, Vinay

    The Annals of thoracic surgery

    2024  

    Abstract: Background: Reports of cardiac operations after transcatheter aortic valve replacement (TAVR) and early TAVR explantation are increasing. The purpose of this report is to document trends and outcomes of cardiac surgery following initial TAVR.: Methods! ...

    Abstract Background: Reports of cardiac operations after transcatheter aortic valve replacement (TAVR) and early TAVR explantation are increasing. The purpose of this report is to document trends and outcomes of cardiac surgery following initial TAVR.
    Methods: The Society of Thoracic Surgeons Adult Cardiac Surgery Database was queried for all adult patients undergoing cardiac surgery after a previously placed TAVR between January 2012 and March 2023. This identified an overall cohort, as well as two subcohorts: non aortic valve surgeries, and surgical aortic valve replacement (SAVR) after previous TAVR. Cohorts were examined with descriptive statistics, trend analyses, and 30-day outcomes.
    Results: A total of 5,457 patients were identified of which 2,485 (45.5%) underwent non-SAVR cardiac surgery, and 2,972 (54.5%) underwent SAVR. The frequency of cardiac surgery after TAVR increased 4,235.3% overall, and 144.6% per year throughout the study period. The incidence of operative mortality and stroke were 15.5 and 4.5%, respectively. Existing Society of Thoracic Surgeons risk models performed poorly as observed to expected mortality ratios were significantly >1.0. Among those undergoing SAVR after TAVR, increasing preoperative surgical urgency, age, dialysis, need for SAVR, and concomitant procedures were associated with increased mortality, while type of TAVR explant was not.
    Conclusions: The need for cardiac surgery including redo SAVR after TAVR is increasing rapidly. Risks are higher and outcomes are worse than predicted. These data should closely inform heart-team decisions if TAVR is considered at lowering age and risk profiles in the absence of longitudinal evidence.
    Language English
    Publishing date 2024-04-03
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 211007-6
    ISSN 1552-6259 ; 0003-4975
    ISSN (online) 1552-6259
    ISSN 0003-4975
    DOI 10.1016/j.athoracsur.2024.03.024
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Association Between Interstitial Lung Disease and Outcomes After Lung Cancer Resection.

    Axtell, Andrea L / David, Elizabeth A / Block, Mark I / Parsons, Niharika / Habib, Robert / Muniappan, Ashok

    The Annals of thoracic surgery

    2023  Volume 116, Issue 3, Page(s) 533–541

    Abstract: Background: Prior studies have noted that patients with interstitial lung disease (ILD) possess an increased incidence of lung cancer and risk of postoperative respiratory failure and death. We sought to understand the impact of ILD on national-scale ... ...

    Abstract Background: Prior studies have noted that patients with interstitial lung disease (ILD) possess an increased incidence of lung cancer and risk of postoperative respiratory failure and death. We sought to understand the impact of ILD on national-scale outcomes of lung resection.
    Methods: A retrospective cohort analysis using The Society of Thoracic Surgeons General Thoracic Surgery Database was conducted of patients who underwent a pulmonary resection for non-small cell lung cancer between 2009 and 2019. Baseline characteristics and postoperative outcomes were compared between patients with and without ILD (defined as interstitial fibrosis based on clinical, radiographic, or pathologic evidence). Multivariable logistic regression models identified risk factors associated with postoperative mortality, acute respiratory distress syndrome, and composite morbidity and mortality.
    Results: ILD was documented in 1.5% (1873 of 128,723) of patients who underwent a pulmonary resection for non-small cell lung cancer. Patients with ILD were more likely to smoke (90% vs 85%, P < .001), have pulmonary hypertension (6% vs 1.7%, P < .001), impaired diffusing capacity of lung for carbon monoxide (diffusing capacity of lung for carbon monoxide 40%-75%: 64% vs 51%; diffusing capacity of lung for carbon monoxide <40%: 11% vs 4%, P < .001), and undergo more sublobar resections (34% vs 23%, P < .001) compared with patients without ILD. Patients with ILD had increased postoperative mortality (5.1% vs 1.2%, P < .001), acute respiratory distress syndrome (1.9% vs 0.5%, P < .001), and composite morbidity and mortality (13.2% vs 7.4%, P < .001). ILD remained a strong predictor of mortality (odds ratio, 3.94; 95% CI, 3.09-5.01; P < .001), even when adjusted for patient comorbidities, pulmonary function, extent of resection, and center volume effects.
    Conclusions: ILD is a risk factor for operative mortality and morbidity after lung cancer resection, even in patients with normal pulmonary function.
    MeSH term(s) Humans ; Lung Neoplasms/complications ; Lung Neoplasms/surgery ; Carcinoma, Non-Small-Cell Lung/complications ; Carcinoma, Non-Small-Cell Lung/surgery ; Retrospective Studies ; Carbon Monoxide ; Lung/pathology ; Lung Diseases, Interstitial/complications ; Lung Diseases, Interstitial/surgery ; Respiratory Distress Syndrome/epidemiology ; Respiratory Distress Syndrome/etiology
    Chemical Substances Carbon Monoxide (7U1EE4V452)
    Language English
    Publishing date 2023-06-02
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 211007-6
    ISSN 1552-6259 ; 0003-4975
    ISSN (online) 1552-6259
    ISSN 0003-4975
    DOI 10.1016/j.athoracsur.2023.04.042
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Longitudinal Follow-up After Pediatric and Congenital Cardiac Surgery: Highly Valuable But Very Challenging.

    Jacobs, Jeffrey P / Bleiweis, Mark S / Kumar, S Ram / Jacobs, Marshall L / Habib, Robert H

    The Annals of thoracic surgery

    2023  Volume 117, Issue 1, Page(s) 161–162

    MeSH term(s) Child ; Humans ; Follow-Up Studies ; Cardiac Surgical Procedures ; Heart Defects, Congenital/surgery
    Language English
    Publishing date 2023-07-29
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 211007-6
    ISSN 1552-6259 ; 0003-4975
    ISSN (online) 1552-6259
    ISSN 0003-4975
    DOI 10.1016/j.athoracsur.2023.07.024
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Trends in the Management of Anterior Mitral Leaflet Regurgitation.

    Khairallah, Sherif / Rahouma, Mohamed / Gambardella, Ivancarmine / Habib, Robert / Gaudino, Mario / Girardi, Leonard / Mick, Stephanie L

    JAMA network open

    2024  Volume 7, Issue 4, Page(s) e246726

    Abstract: Importance: The overall prevalence of mitral valve replacement (MVR) or MV repair at the time of cardiac surgery in the setting of isolated anterior mitral leaflet degenerative pathologic status in the US population is unknown.: Objective: To ... ...

    Abstract Importance: The overall prevalence of mitral valve replacement (MVR) or MV repair at the time of cardiac surgery in the setting of isolated anterior mitral leaflet degenerative pathologic status in the US population is unknown.
    Objective: To investigate the prevalence of MVR and MV repair using the Society of Thoracic Surgeons' Adult Cardiac Surgery Database.
    Design, setting, and participants: In a cross-sectional study, all patients diagnosed with isolated anterior mitral leaflet degenerative regurgitation who underwent either surgical MVR or MV repair between July 1, 2011, and June 30, 2022, were identified. Linear regression analysis was used to assess trends over time.
    Main outcomes and measures: Assessment of the trends in MV repair and MVR over time.
    Results: A total of 16 259 patients (9624 [59.2%] men) were identified, and the median age was 68 (IQR, 58-74) years. A total of 7214 patients (44.4%) had MVR, and 9045 (55.6%) had MV repair. There was a declining trend of MV repair from 58.0% in 2011 to 51.6% in 2022 (P = .05). The MVR group was older (median [IQR] age, 70 [62-77] vs 67 [58-74] years; P < .001) and had more comorbidities. A total of 85.1% of all patients underwent concomitant procedures. In 81.7% of MVR cases, no attempt at MV repair was made. The median (IQR) annual hospital volume was lower with MVR vs MV repair (2.50 [1.50-5.00] vs 4.00 [2.00-7.00]; P < .001). Conventional surgical approaches were most common (91.5%) but with a declining trend (P < .001). Minimally invasive approaches were used in 13.1% (robotic, 4.6%), and with an inclining trend from 5.0% in 2011 to 12.0% in 2022 (P < .001). Annuloplasty was performed in 88.8% of MV repair cases. Its use as a sole mean of MV repair decreased from 48.0% in 2011 to 13.9% in 2022 (P < .001). Repair maneuvers in addition to annuloplasty were neochordae (overall 40.1%, increasing from 22.5% in 2011 to 62.3% in 2022; P < .001), leaflet resection (overall 10.2%, decreasing from 13.1% in 2011 to 7.9% in 2022, P = .002), edge-to-edge MV repair (overall 5.3%, decreasing from 6.9% in 2011 to 4.5% in 2022; P = 0.04), and chordal transfer (overall 2.4%, decreasing from 2.7% in 2011 to 0.7% in 2022; P = .004).
    Conclusions and relevance: In this cross-sectional study, MV repair was the preferred option for degenerative mitral valve disease but was only slightly more commonly performed than MVR for isolated anterior leaflet pathologic status. A large proportion of MVR was performed without an MV repair attempt, suggesting reluctance to repair this pathologic condition.
    MeSH term(s) Adult ; Male ; Humans ; Aged ; Female ; Cross-Sectional Studies ; Mitral Valve/surgery ; Vomiting ; Databases, Factual ; Emotions
    Language English
    Publishing date 2024-04-01
    Publishing country United States
    Document type Journal Article
    ISSN 2574-3805
    ISSN (online) 2574-3805
    DOI 10.1001/jamanetworkopen.2024.6726
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Robotic Mitral Valve Repair for Degenerative Mitral Regurgitation.

    Mori, Makoto / Parsons, Niharika / Krane, Markus / Guy, T Sloane / Grossi, Eugene A / Dearani, Joseph A / Habib, Robert H / Badhwar, Vinay / Geirsson, Arnar

    The Annals of thoracic surgery

    2023  Volume 117, Issue 1, Page(s) 96–104

    Abstract: Background: Contemporary national utilization and comparative safety data of robotic mitral valve repair for degenerative mitral regurgitation compared with nonrobotic approaches are lacking. The study aimed to characterize national trends of ... ...

    Abstract Background: Contemporary national utilization and comparative safety data of robotic mitral valve repair for degenerative mitral regurgitation compared with nonrobotic approaches are lacking. The study aimed to characterize national trends of utilization and outcomes of robotic mitral repair of degenerative mitral regurgitation compared with sternotomy and thoracotomy approaches.
    Methods: Patients undergoing intended mitral repair of degenerative mitral regurgitation in The Society of Thoracic Surgeons Adult Cardiac Surgery Database between 2015 and 2021 were examined. Mitral repair was performed in 61,322 patients. Descriptive analyses characterized center-level volumes and outcomes. Propensity score matching separately identified 5540 pairs of robotic vs thoracotomy approaches and 6962 pairs of robotic vs sternotomy approaches. Outcomes were operative mortality, composite mortality and major morbidity, postoperative length of stay, and conversion to mitral replacement.
    Results: Through the 7-year study period, 116 surgeons across 103 hospitals performed mitral repair robotically. The proportion of robotic cases increased from 10.9% (949 of 8712) in 2015 to 14.6% (1274 of 8730) in 2021. In both robotic-thoracotomy and robotic-sternotomy matched pairs, mortality and morbidity were not significantly different, whereas the robotic approach had lower conversion (1.2% vs 3.1% for robotic-thoracotomy and 1.0% vs 3.7% for robotic-sternotomy), shorter length of stay, and fewer 30-day readmissions. Mortality and morbidity were lower at higher-volume centers, crossing the national mean mortality and morbidity at a cumulative robotic mitral repair case of 40.
    Conclusions: Robotic mitral repair is a safe and effective approach and is associated with comparable mortality and morbidity, a lower conversion rate, a shorter length of stay, and fewer 30-day readmissions than thoracotomy or sternotomy approaches.
    MeSH term(s) Adult ; Humans ; Mitral Valve Insufficiency/surgery ; Mitral Valve/surgery ; Robotic Surgical Procedures ; Treatment Outcome ; Cardiac Surgical Procedures ; Sternotomy ; Minimally Invasive Surgical Procedures ; Retrospective Studies
    Language English
    Publishing date 2023-08-16
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 211007-6
    ISSN 1552-6259 ; 0003-4975
    ISSN (online) 1552-6259
    ISSN 0003-4975
    DOI 10.1016/j.athoracsur.2023.07.047
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Survival After Surgical Aortic Valve Replacement in Low-Risk Patients: A Contemporary Trial Benchmark.

    Thourani, Vinod H / Habib, Robert / Szeto, Wilson Y / Sabik, Joseph F / Romano, Jennifer C / MacGillivray, Thomas E / Badhwar, Vinay

    The Annals of thoracic surgery

    2023  Volume 117, Issue 1, Page(s) 106–112

    Abstract: Background: The use of transcatheter aortic valve replacement for severe aortic stenosis in low-risk patients necessitates an evaluation of contemporary long-term, real-world outcomes of similar patients undergoing surgical aortic valve replacement ( ... ...

    Abstract Background: The use of transcatheter aortic valve replacement for severe aortic stenosis in low-risk patients necessitates an evaluation of contemporary long-term, real-world outcomes of similar patients undergoing surgical aortic valve replacement (SAVR) in a national cohort.
    Methods: All patients undergoing primary, isolated SAVR in The Society of Thoracic Surgeons (STS) database between 2011 and 2019 were examined. The study population of 42,586 adhered to the inclusion/exclusion criteria of the Placement of Aortic Transcatheter Valves (PARTNER) 3 and Evolut Low Risk randomized trials. Patients were further stratified by STS predicted risk of mortality (PROM), age, and left ventricular ejection fraction. The primary end-point was all-cause National Death Index mortality. Unadjusted survival to 8 years was estimated using the Kaplan-Meier method.
    Results: Mean age was 74.3 ± 5.7 years and mean STS PROM was 1.9% ± 0.8%. The overall Kaplan-Meier time to event analysis for all-cause mortality at 1, 3, 5, and 8 years was 2.6%, 4.5%, 7.1%, and 12.4%, respectively. In subset analyses, survival was significantly better for (1) lower STS PROM (P < .001), (2) younger vs older age (P < .001), and (3) higher vs lower left ventricular ejection fraction (P < .001). When STS PROM was below 1% or the patient age was below age 75 years, the 8-year survival after SAVR was 95%.
    Conclusions: The results of this national study confirm that long-term survival after SAVR remains excellent, at 92.9% at 5 years. These contemporary longitudinal data serve to aid in the balanced interpretation of current and future trials comparing SAVR and transcatheter aortic valve replacement and may assist in the clinical decision-making process for patients of lower surgical risk.
    MeSH term(s) Aged ; Aged, 80 and over ; Humans ; Aortic Valve/surgery ; Aortic Valve Stenosis ; Benchmarking ; Heart Valve Prosthesis Implantation/methods ; Risk Factors ; Stroke Volume ; Transcatheter Aortic Valve Replacement/adverse effects ; Treatment Outcome ; Ventricular Function, Left ; Clinical Trials as Topic
    Language English
    Publishing date 2023-10-17
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 211007-6
    ISSN 1552-6259 ; 0003-4975
    ISSN (online) 1552-6259
    ISSN 0003-4975
    DOI 10.1016/j.athoracsur.2023.10.006
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: The Society of Thoracic Surgeons Adult Cardiac Surgery Database: 2022 Update on Outcomes and Research.

    Kim, Karen M / Arghami, Arman / Habib, Robert / Daneshmand, Mani A / Parsons, Niharika / Elhalabi, Zouheir / Krohn, Carole / Thourani, Vinod / Bowdish, Michael E

    The Annals of thoracic surgery

    2023  Volume 115, Issue 3, Page(s) 566–574

    Abstract: The Society of Thoracic Surgeons Adult Cardiac Surgery Database is the most mature and comprehensive cardiac surgery database. It is one of the most respected clinical data registries in health care, providing accurate risk-adjusted benchmarks, a ... ...

    Abstract The Society of Thoracic Surgeons Adult Cardiac Surgery Database is the most mature and comprehensive cardiac surgery database. It is one of the most respected clinical data registries in health care, providing accurate risk-adjusted benchmarks, a foundation for quality measurement and improvement activities, and the ability to perform novel research. This report encompasses data from the years 2020 and 2021 and is the seventh in a series of reports that provide updated volumes, outcomes, database-related developments, and research summaries using the Adult Cardiac Surgery Database.
    MeSH term(s) Adult ; Humans ; Outcome Assessment, Health Care ; Societies, Medical ; Cardiac Surgical Procedures ; Thoracic Surgery ; Databases, Factual ; Surgeons
    Language English
    Publishing date 2023-01-06
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 211007-6
    ISSN 1552-6259 ; 0003-4975
    ISSN (online) 1552-6259
    ISSN 0003-4975
    DOI 10.1016/j.athoracsur.2022.12.033
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Multiarterial vs Single-Arterial Coronary Surgery: 10-Year Follow-up of 1 Million Patients.

    Sabik, Joseph F / Mehaffey, J Hunter / Badhwar, Vinay / Ruel, Marc / Myers, Patrick O / Sandner, Sigrid / Bakaeen, Faisal / Puskas, John / Taggart, David / Schwann, Thomas / Chikwe, Joanna / MacGillivray, Thomas E / Kho, Abel / Habib, Robert H

    The Annals of thoracic surgery

    2024  Volume 117, Issue 4, Page(s) 780–788

    Abstract: Background: Although many options exist for multivessel coronary revascularization, controversy persists over whether multiarterial grafting (MAG) confers a survival advantage over single-arterial grafting (SAG) with saphenous vein in coronary artery ... ...

    Abstract Background: Although many options exist for multivessel coronary revascularization, controversy persists over whether multiarterial grafting (MAG) confers a survival advantage over single-arterial grafting (SAG) with saphenous vein in coronary artery bypass grafting (CABG). This study sought to compare longitudinal survival between patients undergoing MAG and those undergoing SAG.
    Methods: All patients undergoing isolated CABG with ≥2 bypass grafts in The Society of Thoracic Surgeons Adult Cardiac Surgery Database (2008-2019) were linked to the National Death Index. Risk adjustment was performed using inverse probability weighting and multivariable modeling. The primary end point was longitudinal survival. Subpopulation analyses were performed and volume thresholds were analyzed to determine optimal benefit.
    Results: A total of 1,021,632 patients underwent isolated CABG at 1108 programs (100,419 MAG [9.83%]; 920,943 SAG [90.17%]). Median follow-up was 5.30 years (range, 0-12 years). After risk adjustment, all characteristics were well balanced. At 10 years, MAG was associated with improved unadjusted (hazard ratio, 0.59; 95% CI 0.58-0.61) and adjusted (hazard ratio, 0.86; 95% CI, 0.85-0.88) 10-year survival. Center volume of ≥10 MAG cases/year was associated with benefit. MAG was associated with an overall survival advantage over SAG in all subgroups, including stable coronary disease, acute coronary syndrome, and acute infarction. Survival was equivalent to that with SAG for patients age ≥80 years and those with severe heart failure, renal failure, peripheral vascular disease, or obesity. Only patients with a body mass index ≥40 kg/m
    Conclusions: Multiarterial CABG is associated with superior long-term survival and should be the surgical multivessel revascularization strategy of choice for patients with a body mass index of less than 40 kg/m
    MeSH term(s) Humans ; Aged, 80 and over ; Follow-Up Studies ; Retrospective Studies ; Treatment Outcome ; Coronary Artery Disease ; Coronary Artery Bypass ; Coronary Vessels/surgery
    Language English
    Publishing date 2024-01-27
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 211007-6
    ISSN 1552-6259 ; 0003-4975
    ISSN (online) 1552-6259
    ISSN 0003-4975
    DOI 10.1016/j.athoracsur.2024.01.008
    Database MEDical Literature Analysis and Retrieval System OnLINE

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