Background <p>Excellence in aortic surgery is frequently invoked but remains poorly defined.</p> Objective <p>To identify the key determinants of excellence in aortic surgery.</p> Methods <p>Conceptual analysis of potential factors influencing aortic treatment.</p> Results <p>Excellence represents a&#xa0;multidimensional system characterized by the consistent ability to achieve optimal patient-specific outcomes despite high procedural complexity and complication burden. Key determinants include risk-adjusted outcomes, well-structured interdisciplinary processes, institutional experience and access to the full therapeutic armamentarium. Case volume serves as a&#xa0;surrogate marker of collective expertise.</p> Conclusion <p>Excellence in aortic surgery is a&#xa0;system-level attribute requiring specialized infrastructure, effective interdisciplinary collaboration and well-founded clinical decision-making in the selection of patients and treatment.</p>

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Exzellenz in der Aortenchirurgie: Welche Faktoren machen sie aus?

  • Christian Reeps,
  • Albert Busch,
  • Steffen Wolk

摘要

Background

Excellence in aortic surgery is frequently invoked but remains poorly defined.

Objective

To identify the key determinants of excellence in aortic surgery.

Methods

Conceptual analysis of potential factors influencing aortic treatment.

Results

Excellence represents a multidimensional system characterized by the consistent ability to achieve optimal patient-specific outcomes despite high procedural complexity and complication burden. Key determinants include risk-adjusted outcomes, well-structured interdisciplinary processes, institutional experience and access to the full therapeutic armamentarium. Case volume serves as a surrogate marker of collective expertise.

Conclusion

Excellence in aortic surgery is a system-level attribute requiring specialized infrastructure, effective interdisciplinary collaboration and well-founded clinical decision-making in the selection of patients and treatment.