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The Society of Thoracic Surgeons Frequently Asked Questions: Adult
Cardiac Surgery Database Version 2.52.1 August, 2006 How to use the interactive FAQ Document: 1. To
review all clinical questions in an individual section, click on the section
title below. |
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Section J:
seq# 1520-1620 |
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2.
To review an individual Seq# clinical question, click on the Seq# title
below. 1280 OpCAB
3090-3180 Section R. 3. CC/TM: Corrections/Clarifications to Training
Manual |
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NEW |
Date |
SeqNo |
FieldName |
Definition |
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1520 |
Dist Anast - Art # |
Indicate the total number of distal anastomoses with arterial conduits,
whether IMA, GEPA, radial artery, etc. |
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9/04 |
When considering sequenced grafts, one of our surgeons is counting
only the most distal graft.. Our other surgeons are counting each anastomosis
in the sequence. Which is correct? For example, Is this two distal anastamoses or just one? |
Please capture each distal anastomoses. Your example would = two distal
anastomoses. |
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1530 |
Dist Anast - Vein # |
Indicate the total number of distal anastomoses with venous conduits,
e.g. saphenous veins. |
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1540 |
Anastomatic Device Used |
Indicate whether an anastomotic
device/material was used for proximal or distal anastomoses
such as glue, magnets, clips, stapler,
etc. Exclude sutures. |
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1550 |
Anastomotic Device |
Indicate which type of anastomotic
device was used. If more than one
device used, indicate device used on Distal Anastomosis. |
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8/04 |
We use a device called "Symmetry Aortic Connectors" or
"struts" as an anastomotic device.
How would I code this anastomotic device for the STS? Either "clips" or
"staples"; however, it really is neither. Would I just place under
"other"? |
Please code as "other". |
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1560 |
IMA Artery Used |
Indicate which, if any, Internal Mammary Artery(ies) were used for
grafts. |
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1570 |
IMA Harvest Technique |
Indicate the technique of IMA harvest. |
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1580 |
IMA Dist Anast # |
Indicate the total number of distal anastomoses done using IMA grafts. |
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1590 |
Radial Artery Used |
Indicate which radial artery(ies) was/were used for grafts: No Radial artery. Left Radial artery. Right Radial artery. Both Radial arteries. |
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1600 |
Radial Dist Anast # |
Indicate the total number of distal anastomoses done using radial
artery grafts. |
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1610 |
GEPA Dist Anast # |
Indicate the total number of distal anastomoses done using
gastro-epiploic artery grafts. |
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1620 |
Other Arterial Distal Anastomoses # |
Indicate the number of arterial distal
anastomoses that were used, other than radial, GEPA or IMA. |
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2/05 |
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Section K: seq# 1630-1880 |
Could you help me correctly identify the correct valve implant from a
pt that had a Ross Procedure? This is the information on the sticker from the
patient implant. Cryolife, Inc. Pulmonary Valve+Conduit Is this an H7 or an H4? What is the difference? |
A Ross procedures should be captured as follows: 1. seq# 1680 should be coded as
A = Autograft 2. seq# 1690 should be coded as
A1 = Pulmonary Autograft to aortic root (Ross Procedure) 3. Seq# 1700 should be left
blank 4. seq# 1860 should be coded as
H = Homograft 5. Seq# 1870 should be coded as
H7 = CryoLife Pulmonary Homograft 6. Seq# 1880 should indicate
the size of the device placed. H4 = non-native pulmonary root only H7 = non-native pulmonary valve and root together. To be placed in pulmonic valve place. A1 = native pulmonary valve and root.
Tto be placed in the aortic valve place. |
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