journal
https://read.qxmd.com/read/38987849/a-comparative-study-of-shockwave-intravascular-lithotripsy-and-conventional-percutaneous-coronary-intervention-in-the-treatment-of-severe-coronary-artery-calcification-lesions
#1
COMPARATIVE STUDY
Guang-Xin Zou, Gui-Wu Zhang, Zheng-Dong Wang, Ping Li, Wen-Chao Xie, Jian Chen
BACKGROUND: The purpose of this study was to evaluate the effectiveness of intravascular lithotripsy (IVL) in the treatment of severe coronary artery calcification (CAC) lesions. METHODS: In this study, we selected patients diagnosed with severe CAC lesions confirmed by coronary angiography (CAG) who were hospitalized in Yulin First People's Hospital between December 2021 and December 2022 and required percutaneous coronary intervention (PCI). Using a random number table, we divided all patients into the IVL group and the PCI group in the order of interventional therapy...
July 10, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38987847/perventricular-device-closure-of-the-ventricular-septal-defects-in-children-first-experience-in-the-united-arab-emirates
#2
JOURNAL ARTICLE
Aleksandr Omelchenko, Neerod Kumar Jha, Nishant Shah, Antoine AbdelMassih, Juan Pablo Montiel, Benedict Raj Rajkumar
BACKGROUND: Ventricular septal defect (VSD) is the most common congenital cardiac malformation, accounting for approximately 30% of congenital heart defects. Conventional surgical repair using cardiopulmonary bypass is invasive and associated with morbidities and prolonged hospital stay. With the advent of interventional approaches and availability of different occluding devices, the technique of perventricular device closure is evolving and being implemented successfully in larger groups of patients...
July 10, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38987820/long-term-mortality-after-isolated-coronary-artery-bypass-grafting-and-risk-factors-for-mortality
#3
JOURNAL ARTICLE
Therese K T Chua, Fei Gao, Shaw Yang Chia, Kenny Y K Sin, Madhava J Naik, Teing Ee Tan, Yi Chuan Tham
BACKGROUND: Patients requiring coronary artery bypass grafting (CABG) have multiple co-morbidities which need to be considered in totality when determining surgical risks. The objective of this study is to evaluate short-term and long-term mortality rates of CABG surgery, as well as to identify the most significant risk factors for mortality after isolated CABG. METHODS: All patients with complete dataset who underwent isolated CABG between January 2008 and December 2017 were included...
July 10, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38987804/patent-conversion-of-a-novel-closed-chest-drainage-device
#4
JOURNAL ARTICLE
Shaoqing Huang, Xu Song, Zhongkai Tong, Qiang Shi, Jie Li
Closed chest drainage is typically necessary following Lobar and Sublobar resections to evacuate gases and fluids from the thoracic cavity, eliminate residual pleural space for lung expansion, and maintain negative pressure. Currently, three conventional closed chest drainage systems are commonly employed: single-chamber, double-chamber, and triple-chamber systems; each system has its own advantages and disadvantages. Despite the emergence of digital drainage systems in recent years, their high cost hinders their widespread adoption...
July 10, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38987798/revolutionizing-thoracic-surgery-education-a-bibliometric-analysis-of-the-past-decade-s-literature
#5
REVIEW
Chao Guo, Lei Liu, Jiaqi Zhang, Ke Zhao, Shanqing Li
OBJECTIVES: Thoracic surgery is a complex field requiring advanced technical skills and critical decision-making. Surgical education must evolve to equip trainees with proficiency in new techniques and technologies. METHODS: This bibliometric analysis systematically reviewed 113 articles on thoracic surgery skills training published over the past decade, retrieved from databases including Web of Science. Publication trends, citation analysis, author and journal productivity, and keyword frequencies were evaluated...
July 10, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38987788/total-pulmonary-arterial-reconstruction-in-a-patient-with-arterial-tortuosity-syndrome-affecting-the-pulmonary-artery-a-case-report-and-review-of-the-literature
#6
REVIEW
Fahad M Alshair, Amal S Alsulami, Mohammad S Shihata, Osman O Alradi, Ragab S Debis, Abdullah H Baghaffar, Mazin A Fatani
BACKGROUND: Arterial tortuosity syndrome is a rare Autosomal recessive disease that leads to a loss of function of the connective tissues of the body, this happens due to a mutation in the solute carrier family 2 member 10 (SLC2A10) gene. ATS is more likely to occur in Large and medium-sized arteries including the aorta and pulmonary arteries. This syndrome causes the arteries to be elongated and tortuous, This tortuosity disturbs the blood circulation resulting in stenosis and lack of blood flow to organs and this chronic turbulent flow increases the risk of aneurysm development, dissection and ischemic events...
July 10, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38987787/outcomes-of-maze-procedure-and-mitral-valve-surgery-in-atrial-functional-mitral-regurgitation-a-retrospective-study
#7
JOURNAL ARTICLE
Kyungsub Song, Woo Sung Jang, Yun Seok Kim, Jonghoon Yoo
BACKGROUND: Atrial functional mitral regurgitation (AFMR) is a newly discovered condition associated with longstanding atrial fibrillation. This retrospective study aimed to analyze the outcomes of the maze procedure and mitral regurgitation (MR) surgery in AFMR and atrial fibrillation in comparison with those in degenerative MR (DMR). METHODS: Patients who underwent mitral valve repair/replacement with a maze procedure at a hospital (July 2012-August 2021) were included...
July 10, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38982433/left-anterior-mini-thoracotomy-an-alternative-approach-for-pulmonary-valve-replacement-after-surgically-corrected-tetralogy-of-fallot
#8
JOURNAL ARTICLE
Yan Le Ho, Abu Yamin Khamis, Basheer Ahamed Abdul Kareem
INTRODUCTION: Pulmonary regurgitation (PR) remains a common sequela in patients following surgically corrected TOF, and may lead to progressive right ventricle dilatation and dysfunction. The conventional approach of redo-sternotomy for pulmonary valve replacement (PVR) is associated with increased operative time as well as risks of bleeding and injury to the heart and great vessels. Thus, left anterior mini-thoracotomy has become an alternative approach in eliminating the risks of redo-sternotomy in these patients...
July 10, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38978097/the-association-between-heparin-sensitivity-index-and-postoperative-blood-loss-in-chinese-patients-undergoing-elective-off-pump-coronary-artery-bypass-grafting-a-single-center-retrospective-study
#9
JOURNAL ARTICLE
Bin Jia, Chenying Ding, Jinhe Deng, Wenhui Qi, Yuntai Yao
BACKGROUND: The heparin sensitivity index (HSI) is closely associated with perioperative ischemic events and increased blood loss in cardiac surgery. Previous studies have produced conflicting results. Therefore, this study aimed to investigate the relationship between HSI and postoperative blood loss specifically in Chinese patients undergoing elective off-pump coronary artery bypass grafting (OPCAB). METHODS: Patients underwent OPCAB between March 2021 and July 2022 were retrospectively included...
July 8, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38978064/effect-of-flow-optimized-pressure-control-ventilation-volume-guaranteed-pcv-vg-on-postoperative-pulmonary-complications-a-consort-study
#10
RANDOMIZED CONTROLLED TRIAL
Ting Ting Sun, Ke Xin Chen, Yong Tao, Gong Wei Zhang, Li Zeng, Min Lin, Jing Huang, Yue Hu
BACKGROUND: Postoperative pulmonary complications (PPCs) after one-lung ventilation (OLV) significantly impact patient prognosis and quality of life. OBJECTIVE: To study the impact of an optimal inspiratory flow rate on PPCs in thoracic surgery patients. METHODS: One hundred eight elective thoracic surgery patients were randomly assigned to 2 groups in this consort study (control group: n = 53 with a fixed inspiratory expiratory ratio of 1:2; and experimental group [flow rate optimization group]: n = 55)...
July 8, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38970107/which-one-is-the-best-in-treating-deep-venous-thrombosis-percutaneous-mechanical-thrombectomy-catheter-directed-thrombolysis-or-combination-of-them
#11
COMPARATIVE STUDY
Hao Zhang, Xiao-Ye Li, Jia-Si Li, Shi-Bo Xia, Chao Song, Qing-Sheng Lu, Wei Zhao, Lei Zhang
OBJECTIVE: To compare the treatment outcomes among percutaneous mechanical thrombectomy (PMT) with AngioJet, Catheter-directed thrombolysis (CDT), and a combination of both. METHODS: One hundred forty nine patients with acute or sub-acute iliac-femoral vein thrombosis accepting CDT and/or PMT were divided into three groups respectively: PMT group, CDT group, PMT + CDT group (PMT followed by CDT). The severity of thrombosis was evaluated by venographic scoring system...
July 5, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38970073/therapeutic-effect-of-induction-therapy-including-nab-paclitaxel-followed-by-surgical-resection-for-the-patients-with-locally-advanced-non-small-cell-lung-cancer
#12
JOURNAL ARTICLE
Hidetaka Uramoto, Nozomu Motono, Shun Iwai
BACKGROUND: Lung cancer is associated with a high mortality rate worldwide. Non-small-cell lung cancer (NSCLC) is a major subtype of lung cancer. Carboplatin (CBDCA) plus nab-paclitaxel (PTX) has become a standard treatment for advanced unresectable NSCLC. However, treatment with nab-PTX has not been established as a standard therapy for resectable locally advanced (LA)-NSCLC. METHODS: We conducted a comprehensive study involving consecutive patients with locally advanced NSCLC who underwent induction therapy including nab-PTX followed by surgical resection...
July 5, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38965617/different-antithrombotic-strategies-after-coronary-artery-bypass-grafting-to-prevent-adverse-events-a-retrospective-analysis
#13
JOURNAL ARTICLE
Yi Shi, Shenglong Chen, Gang Liu, Bo Lian, Yu Chen, Lixue Zhang
OBJECTIVE: Coronary artery bypass grafting (CABG) is associated with antithrombotic therapy in terms of postoperative adverse events; however, it is still unknown whether the early use of such drugs after CABG is safe and effective. In this study, we aim to evaluate the relationship between different postoperative antithrombotic strategies and in-hospital adverse events in patients undergoing isolated coronary artery bypass grafting surgery. METHODS: This was a single-center, retrospective cohort analysis of patients undergoing isolated CABG due to coronary artery disease (CAD) between 2001 and 2012...
July 4, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38965530/durvalumab-supplementation-for-non-small-cell-lung-cancer-a-meta-analysis-study
#14
JOURNAL ARTICLE
Chengchen Wang, Hongyi Fu, Feng Wang
BACKGROUND: Durvalumab supplementation may have some potential in improving the efficacy in patients with non-small-cell lung cancer (NSCLC), and this meta-analysis aims to explore the impact of durvalumab supplementation on efficacy for NSCLC. METHODS: PubMed, EMbase, Web of science, EBSCO, and Cochrane library databases were systematically searched, and we included randomized controlled trials (RCTs) assessing the effect of durvalumab supplementation on efficacy in patients with NSCLC...
July 4, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38961385/first-initiation-of-mobilization-out-of-bed-after-cardiac-surgery-an-observational-cross-sectional-study-in-sweden
#15
MULTICENTER STUDY
Elisabeth Westerdahl, Johanna Lilliecrona, Maria Sehlin, Anna Svensson-Raskh, Malin Nygren-Bonnier, Monika Fagevik Olsen
BACKGROUND: Cardiac surgery is associated with a period of postoperative bed rest. Although early mobilization is a vital component of postoperative care, for preventing complications and enhancing physical recovery, there is limited data on routine practices and optimal strategies for early mobilization after cardiac surgery. The aim of the study was to define the timing for the first initiation of out of bed mobilization after cardiac surgery and to describe the type of mobilization performed...
July 4, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38961486/long-term-outcomes-following-mitral-valve-replacement-in-children-at-heart-center-leipzig-a-20-year-analysis
#16
JOURNAL ARTICLE
Katja Schumacher, Mateo Marin-Cuartas, Muhammed Ikbal Aydin, Manuela de la Cuesta, Sabine Meier, Michael Andrew Borger, Ingo Dähnert, Martin Kostelka, Marcel Vollroth
BACKGROUND: Although mitral valve repair is the preferred surgical strategy in children with mitral valve disease, there are cases of irreparable severe dysplastic valves that require mitral valve replacement. The aim of this study is to analyze long-term outcomes following mitral valve replacement in children in a tertiary referral center. METHODS: A total of 41 consecutive patients underwent mitral valve replacement between February 2001 and February 2021. The study data was prospectively collected and retrospectively analyzed...
July 3, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38961485/application-of-the-radial-artery-after-angiography-in-patients-undergoing-total-arterial-coronary-revascularization
#17
JOURNAL ARTICLE
Zanxin Wang, Haibing Liu, Zhifu Huan, Chao Su, Yao Chen, Minxin Wei
OBJECTIVE: There is growing evidence supporting the utilization of the radial artery as a secondary arterial graft in coronary artery bypass grafting (CABG) surgery. However, debates continue over the recovery period of the radial artery following angiography. This study aims to evaluate the clinical outcomes and experiences related to the use of the radial artery post-angiography in total arterial coronary revascularization. METHODS: A retrospective analysis was performed on data from patients who underwent total arterial CABG surgery at the University of Hong Kong Shenzhen Hospital from July 1, 2020, to September 30, 2022...
July 3, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38961402/successful-open-surgical-treatment-for-persistent-type-ii-endoleak-following-thoracic-endovascular-aortic-repair-a-case-report
#18
JOURNAL ARTICLE
June Lee, Do Yeon Kim, Hyun Ah Lim, Seok Beom Hong, Yong Han Kim, Hwan Wook Kim
BACKGROUND: The occurrence of type II endoleaks after endovascular repair of aortic aneurysm has gradually gained increasing attention. We present a case of a patient with an expanding aneurysm after thoracic endovascular aortic repair (TEVAR) for a type II endoleak, in which successful direct ligations of the intercostal artery were performed using a sac incision without cardiopulmonary bypass (CPB) or graft replacement. CASE PRESENTATION: A 62-year-old male patient, previously treated with TEVAR for a descending thoracic aortic aneurysm, presented with ongoing chest discomfort...
July 3, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38961388/impact-of-minimal-invasive-extracorporeal-circulation-on-systemic-inflammatory-response-a-randomized-trial
#19
RANDOMIZED CONTROLLED TRIAL
Deborah Richards Halle, Leila Louise Benhassen, Karsten Lund Søberg, Peter Fast Nielsen, Hans-Henrik Kimose, Adrian Bauer, John Michael Hasenkam, Ivy Susanne Modrau
BACKGROUND: Extracorporeal circulation causes a systemic inflammatory response, that may cause postoperative haemodynamic instability and end-organ dysfunction. This study aimed to investigate the impact of minimal invasive extracorporeal circulation (MiECC) on the systemic inflammatory response compared with conventional extracorporeal circulation (CECC). METHODS: Patients undergoing coronary artery bypass grafting were randomized to MiECC (n = 30) and CECC (n = 30)...
July 3, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38961377/surgical-treatment-of-atrial-fibrillation-in-elderly-patients-undergoing-high-risk-cardiac-surgery
#20
JOURNAL ARTICLE
Mohammed Mohsin Uzzaman, Imthiaz Manoly, Mohini Pannikkar, Vincenzo Caruso, Maciej Matuszewski, Nicolas Nikolaidis, Stephen Billing
BACKGROUND: Evaluating outcomes of concurrent Cox-Maze procedures in elderly patients undergoing high-risk cardiac surgery. MEHODS: We retrospectively identified patients aged over 70 years with Atrial Fibrillation (AF) from 2011 to 2017 who had two or more other cardiac procedures. They were subdivided into two groups: 1. Cox-Maze IV AF ablation. 2. No-Surgical AF treatment. A propensity match score was used to generate a homogeneous cohort and to eliminate confounding variables...
July 3, 2024: Journal of Cardiothoracic Surgery
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