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Ann Thorac Surg 2000;69:414
© 2000 The Society of Thoracic Surgeons

Discussions

Discussion

DR RANDALL B. GRIEPP (New York, NY): I would like to thank the Society for the opportunity to discuss this paper, and Dr Coselli for sending me his manuscript. This is an important paper. It is by far the largest contemporary series of surgical treatment at thoracoabdominal aneurysms. The careful tabulation of the results by Coselli and associates, plus modern statistical techniques, allow one, as they have pointed out, to now calculate risk factors for individual patients facing operation.

This is our equation for risk of rupture of thoracic and thoracoabdominal aneurysms that Dr. Coselli has alluded to, and this is the way we utilize this equation. It is very easy to put it into a PC so you can just plug in patient data and read out a risk of rupture. Dr Coselli’s formulae, which are contained in the body of the manuscript, allow one to do exactly the same thing for operative risk. Thus, one can calculate rupture risk and operative risk for an individual patient.

It should be pointed out, however, though that those are Coselli and associates’ results. It is probably not quite fair for all of us to tell our patients . . . [Full Text of this Article]


Related Article

Mortality and paraplegia after thoracoabdominal aortic aneurysm repair: a risk factor analysis
Joseph S. Coselli, Scott A. LeMaire, Charles C. Miller, III, Zachary C. Schmittling, Cüneyt Köksoy, José Pagan, and Patrick E. Curling
Ann. Thorac. Surg. 2000 69: 409-414. [Abstract] [Full Text] [PDF]



This article has been cited by other articles:


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S. A. LeMaire, C. C. Miller III, L. D. Conklin, Z. C. Schmittling, C. Koksoy, and J. S. Coselli
A new predictive model for adverse outcomes after elective thoracoabdominal aortic aneurysm repair
Ann. Thorac. Surg., April 1, 2001; 71(4): 1233 - 1238.
[Abstract] [Full Text] [PDF]


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