--- title: 2018 European Guidelines Suggest Undergoing CABG in Centers That Perform at Least 200 CABG Cases per Year description: Learn why you should undergo CABG at a center that performs at least 200 cases per year. image: https://blog.transonic.com/hubfs/Screen%20Shot%202020-02-07%20at%2011.39.30%20AM.png --- [![Customer Login](https://no-cache.hubspot.com/cta/default/40716/9ebb5f25-e3e3-45fd-b525-1b9073c47d36.png)](https://cta-redirect.hubspot.com/cta/redirect/40716/9ebb5f25-e3e3-45fd-b525-1b9073c47d36) [![Transonic_logo-456](https://blog.transonic.com/hs-fs/hubfs/email-assets/newsletter/Transonic_logo-456.png?width=190&height=50&name=Transonic_logo-456.png "Transonic_logo-456")](https://www.transonic.com/) [![Talk with an Expert](https://no-cache.hubspot.com/cta/default/40716/44c87484-21b7-4747-832d-28806f592c2d.png)](https://cta-redirect.hubspot.com/cta/redirect/40716/44c87484-21b7-4747-832d-28806f592c2d) ![mail-icon](https://blog.transonic.com/hubfs/Transonic_2019/Images/mail-icon.png) ## Hear more from our team: - [** ](https://www.facebook.com/sharer/sharer.php?u=https://blog.transonic.com/cardiothoracic-surgery/undergoing-cabg-in-centers-that-perform-at-least-200-cabg-cases-per-year&title=2018%20European%20Guidelines%20Suggest%20Undergoing%20CABG%20in%20Centers%20That%20Perform%20at%20Least%20200%20CABG%20Cases%20per%20Year&picture=https://cdn2.hubspot.net/hubfs/40716/Screen%20Shot%202020-02-07%20at%2011.39.30%20AM.png&description=Learn%20why%20you%20should%20undergo%20CABG%20at%20a%20center%20that%20performs%20at%20least%20200%20cases%20per%20year.) - [**](http://www.linkedin.com/shareArticle?mini=true&url=https://blog.transonic.com/cardiothoracic-surgery/undergoing-cabg-in-centers-that-perform-at-least-200-cabg-cases-per-year&title=2018%20European%20Guidelines%20Suggest%20Undergoing%20CABG%20in%20Centers%20That%20Perform%20at%20Least%20200%20CABG%20Cases%20per%20Year&summary=Learn%20why%20you%20should%20undergo%20CABG%20at%20a%20center%20that%20performs%20at%20least%20200%20cases%20per%20year.) - - [**](mailto:?subjetc=&body=2018+European+Guidelines+Suggest+Undergoing+CABG+in+Centers+That+Perform+at+Least+200+CABG+Cases+per+Year%20-%20https://blog.transonic.com/cardiothoracic-surgery/undergoing-cabg-in-centers-that-perform-at-least-200-cabg-cases-per-year) # 2018 European Guidelines Suggest Undergoing CABG in Centers That Perform at Least 200 CABG Cases per Year By [Susan Eymann, MS](https://blog.transonic.com/cardiothoracic-surgery/author/susan-eymann-ms)24 Feb 2020 In recognition of February as American Heart Awareness month, Transonic is pleased to share this blog heart blog along with an offer for a free Transonic Flowprobe. To learn more about the offer, [click here.](https://info.transonic.com/free-transonic-flowprobe-2020) The 2018 European Guidelines for Myocardial Revascularization suggest that patients should take note of the number of coronary artery bypass grafting (CABG) surgeries performed by a medical center before undergoing CABG at a particular center. The Guidelines point to studies that suggest that the volume of CABG surgeries performed in a hospital significantly impacts outcomes including in-hospital mortality.1,2 *“An increase in mortality observed in lower volume centers seems to be attributable ![Screen Shot 2020-02-07 at 11.39.30 AM](https://blog.transonic.com/hs-fs/hubfs/Screen%20Shot%202020-02-07%20at%2011.39.30%20AM.png?width=300&name=Screen%20Shot%202020-02-07%20at%2011.39.30%20AM.png)* *to so-called `failure to rescue’: although patients operated on at low-volume centers are not at particularly higher risk of suffering a major complication, they are more likely to die from such a complication should it occur.”* 3 The Guidelines state: *“consideration should be given to the performance of CABG in centers with an annual volume of at least 200 CABG cases.”* The Guidelines also note that, “*Apart from hospital volume, higher surgeon volume also appears to be inversely related to operative mortality.” *One 2003 study published in the* New England Journal of Medicine *provided evidence that suggested that the experience of both hospitals and surgeons impact outcomes. ###### References: ###### 1. Post PN, Kuijpers M, Ebels T, Zijlstra F, “The relation between volume and outcome of coronary interventions: a systematic review and meta-analysis,” Eur Heart J. 2010;31:1985-1992. ###### 2. Kim LK, Looser P, Feldman DN, “Peri- and postoperative care after coronary artery bypass grafting in low versus high volume centers,” J Thorac Cardiovasc Surg. 2016;152:1205. ###### 3. Gonzalez AA, Dimick JB, Birkmeyer JD, Ghaferi AA, “Understanding the volume-outcome effect in cardiovascular surgery:The role of failure to rescue,” JAMA Surg. 2014;149:119-123. ###### 4. BirkmeyerBirkmeyer JD, Stukel TA, Siewers AE, Goodney PP, Wennberg DE, Lucas FL, “Surgeon volume and operative mortality in the United States,” N Engl J Med. 2003;349:2117-2127 [![New call-to-action](https://no-cache.hubspot.com/cta/default/40716/67d14f41-a0a2-4f5a-9606-d924a76f9bd9.png)](https://cta-redirect.hubspot.com/cta/redirect/40716/67d14f41-a0a2-4f5a-9606-d924a76f9bd9) - [** ](https://www.facebook.com/sharer/sharer.php?u=https://blog.transonic.com/cardiothoracic-surgery/undergoing-cabg-in-centers-that-perform-at-least-200-cabg-cases-per-year&title=2018%20European%20Guidelines%20Suggest%20Undergoing%20CABG%20in%20Centers%20That%20Perform%20at%20Least%20200%20CABG%20Cases%20per%20Year&picture=https://cdn2.hubspot.net/hubfs/40716/Screen%20Shot%202020-02-07%20at%2011.39.30%20AM.png&description=Learn%20why%20you%20should%20undergo%20CABG%20at%20a%20center%20that%20performs%20at%20least%20200%20cases%20per%20year.) - [**](http://www.linkedin.com/shareArticle?mini=true&url=https://blog.transonic.com/cardiothoracic-surgery/undergoing-cabg-in-centers-that-perform-at-least-200-cabg-cases-per-year&title=2018%20European%20Guidelines%20Suggest%20Undergoing%20CABG%20in%20Centers%20That%20Perform%20at%20Least%20200%20CABG%20Cases%20per%20Year&summary=Learn%20why%20you%20should%20undergo%20CABG%20at%20a%20center%20that%20performs%20at%20least%20200%20cases%20per%20year.) - [**](https://twitter.com/share?source=https://blog.transonic.com/cardiothoracic-surgery/undergoing-cabg-in-centers-that-perform-at-least-200-cabg-cases-per-year&text=2018%20European%20Guidelines%20Suggest%20Undergoing%20CABG%20in%20Centers%20That%20Perform%20at%20Least%20200%20CABG%20Cases%20per%20Year%20-%20https://blog.transonic.com/cardiothoracic-surgery/undergoing-cabg-in-centers-that-perform-at-least-200-cabg-cases-per-year) - [**](mailto:?subjetc=&body=2018+European+Guidelines+Suggest+Undergoing+CABG+in+Centers+That+Perform+at+Least+200+CABG+Cases+per+Year%20-%20https://blog.transonic.com/cardiothoracic-surgery/undergoing-cabg-in-centers-that-perform-at-least-200-cabg-cases-per-year) [![Transonic_logo-456](https://blog.transonic.com/hs-fs/hubfs/email-assets/newsletter/Transonic_logo-456.png?width=190&height=50&name=Transonic_logo-456.png "Transonic_logo-456")](https://www.transonic.com/) © 2023 Transonic. 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View our [Privacy Policy.](https://www.transonic.com/privacy) - - [**](https://www.facebook.com/TransonicSystems) - [**](https://www.youtube.com/channel/UCZpl6ULRsRfoB1TFvukukaw) - [**](https://www.linkedin.com/company/transonic-systems-inc-) ![](https://googleads.g.doubleclick.net/pagead/viewthroughconversion/881678749/?value=0&guid=ON&script=0) ```json { "@context" : "https://schema.org", "@type" : "BlogPosting", "author" : { "@type" : "Person", "name" : "Susan Eymann, MS", "url" : "https://blog.transonic.com/cardiothoracic-surgery/author/susan-eymann-ms" }, "dateModified" : "2022-09-27T15:48:08.244Z", "datePublished" : "2020-02-24T12:30:00.000Z", "headline" : "2018 European Guidelines Suggest Undergoing CABG in Centers That Perform at Least 200 CABG Cases per Year", "image" : [ "https://blog.transonic.com/hubfs/Screen%20Shot%202020-02-07%20at%2011.39.30%20AM.png" ], "mainEntityOfPage" : { "@id" : "https://blog.transonic.com/cardiothoracic-surgery/undergoing-cabg-in-centers-that-perform-at-least-200-cabg-cases-per-year", "@type" : "WebPage" }, "publisher" : { "@type" : "Organization", "logo" : { "@type" : "ImageObject", "url" : "https://blog.transonic.com/hubfs/Transonic_New_Spot.png" }, "name" : "Transonic Systems" } } ```