journal
https://read.qxmd.com/read/38483793/a-national-cross-sectional-survey-on-time-trends-for-endovascular-repair-of-genetically-triggered-aortic-disease-and-connective-tissue-disorders-over-two-decades
#1
JOURNAL ARTICLE
Mario D'Oria, Sandro Lepidi, Rocco Giudice, Jacob Budtz-Lilly, Ciro Ferrer
BACKGROUND: By this survey, we aim to gain national-based information regarding trends in endovascular repair (ER) for the treatment of aortic disease in patients with genetically-triggered aortic disease (GTAD) and connective tissue disorder (CTD) over the last two decades. METHODS: All Italian vascular surgery centers (N.=80) were invited to participate in an anonymous electronic cross-sectional survey on ER for GTAD/CTD. RESULTS: Overall, 29 institutions completed the survey, thereby yielding a 36% response rate...
March 14, 2024: Journal of Cardiovascular Surgery
https://read.qxmd.com/read/38483792/impact-of-subclinical-hypothyroidism-on-outcomes-after-coronary-artery-bypass-grafting-a-systematic-review-and-meta-analysis
#2
JOURNAL ARTICLE
Muhammad O Larik, Abdul R Shahid, Moeez I Shiraz, Maryam Urooj
INTRODUCTION: Coronary artery bypass grafting (CABG) is a surgical procedure that restores blood flow to heart muscle by bypassing the blocked or narrowed coronary arteries. On the other hand, subclinical hypothyroidism (SCH) is characterized by an elevated serum concentration of thyroid stimulating hormone with normal levels of serum free thyroxine. With limited research into the impact of SCH on postoperative CABG outcomes, this systematic review and meta-analysis was performed. EVIDENCE ACQUISITION: An electronic search of PubMed, Cochrane Library, and Scopus was performed from inception to April 2023...
March 14, 2024: Journal of Cardiovascular Surgery
https://read.qxmd.com/read/38470020/half-dose-direct-oral-anticoagulation-versus-warfarin-for-atrial-fibrillation-following-cardiac-surgery
#3
JOURNAL ARTICLE
Sabet W Hashim, Susan Collazo, Amanda Greco, Jeff F Mather, Raymond G McKay
BACKGROUND: Optimal anticoagulation strategies have not been defined for patients with atrial fibrillation following cardiac surgery. METHODS: From a total cohort of 228 patients with pre-existing or new onset atrial fibrillation following coronary artery bypass grafting and/or valve surgery, we compared in-hospital and 30-day outcomes in 119 patients treated with low-dose aspirin and a half-dose direct oral anticoagulant (DOAC) versus 109 treated with low-dose aspirin and warfarin...
March 12, 2024: Journal of Cardiovascular Surgery
https://read.qxmd.com/read/38445846/moderate-ischemic-mitral-regurgitation-in-ischemic-heart-disease-to-operate-or-not-a-meta-analysis
#4
JOURNAL ARTICLE
Razan A Alsuayri, Abdullah K Alassiri, Ahmed K Awad, Mohammed N Faleh, Rasha T Baqays, Massimo Porqueddu
INTRODUCTION: Deciding whether to perform coronary artery bypass grafting (CABG) alone or in combination with mitral valve repair is a common dilemma encountered by surgeons when treating patients with ischemic mitral regurgitation, a common condition related to coronary artery disease. Although ischemic mitral regurgitation after CABG has been linked to unfavorable results, the benefits of including mitral valve repair are still unknown. This discrepancy led us to undertake a systematic review and meta-analysis to determine whether combining CABG with mitral valve surgery leads to better clinical results than CABG alone...
March 6, 2024: Journal of Cardiovascular Surgery
https://read.qxmd.com/read/38411397/remote-ischemic-conditioning-reduces-postoperative-bleeding-in-adult-cardiac-surgical-patients-a-systematic-review-and-meta-analysis
#5
JOURNAL ARTICLE
Lin-Lin Chen, Yun-Tai Yao
INTRODUCTION: The current study was designed to systemically investigate the impact of RIC on intra- and postoperative bleeding and transfusion in patients undergoing cardiac surgery. EVIDENCE ACQUISITION: We included all randomized controlled trials (RCTs) comparing RIC with control on intra- and postoperative blood loss and blood transfusion. The inclusion criteria were as follows: 1) adult patients undergoing cardiac surgery; 2) RCT; 3) perioperative administration of RIC compared to control; 4) outcomes of interest reported...
February 27, 2024: Journal of Cardiovascular Surgery
https://read.qxmd.com/read/38391236/the-changing-face-of-surgical-education-transfer-of-surgical-and-endovascular-knowledge-to-young-surgeons
#6
JOURNAL ARTICLE
Peter Gloviczki
The goal of vascular surgery education is to provide the best possible training to vascular residents and fellows and to assure the highest standards of care for patients with vascular disease. In the USA, the currently used Vascular Surgery Milestones Program includes milestones as set targets at five levels, from novice to expertise, to assess the trainees' performance in knowledge, skills, attitudes, and other attributes of competencies. Competencies are broad and foundational domains of ability, the most important being the care of the patient...
February 23, 2024: Journal of Cardiovascular Surgery
https://read.qxmd.com/read/38345548/transcatheter-pulmonary-valve-replacement-after-pulmonary-homograft-dysfunction
#7
JOURNAL ARTICLE
Marie-Catherine Morgant, Chloé Bernard, Luc Lorgis, Olivier Bouchot
Pulmonary homograft dysfunction is challenging to treat in patients with a previous Ross procedure, and results in significant morbidity and mortality in case of reoperation. We report the case of a patient with early severe pulmonary homograft stenosis 18 months after a Ross procedure and successful management using transcatheter pulmonary valve replacement.
February 12, 2024: Journal of Cardiovascular Surgery
https://read.qxmd.com/read/38332715/sex-difference-and-outcome-trends-following-surgical-aortic-valve-replacement-from-the-national-inpatient-sample-nis-database
#8
JOURNAL ARTICLE
Gabby Elbaz-Greener, Eldad Rahamim, Zahi Abu Ghosh, Naseem Shadafny, Ronny Alcalai, Amit Korach, Shemy Carasso, Harindra C Wijeysundera, Tomas Igor, Offer Amir, Guy Rozen, David Planer
BACKGROUND: Based on worldwide registries, approximately 50% of patients who underwent aortic valve replacement (AVR) via surgical aortic valve replacement are females. Although AVR procedures have improved greatly in recent years, differences in outcome including mortality between sexes remain. We aimed to investigate the trends in SAVR outcomes in females versus males. METHODS: Using the 2011-2017 National Inpatient Sample (NIS) database, we identified hospitalizations for patients with diagnosis of aortic stenosis during which SAVR was performed...
February 9, 2024: Journal of Cardiovascular Surgery
https://read.qxmd.com/read/38319647/insight-from-an-italian-delphi-consensus-on-evar-feasibility-outside-the-instruction-for-use-the-safe-evar-study
#9
JOURNAL ARTICLE
Pasqualino Sirignano, Gabriele Piffaretti, Silvia Ceruti, Massimiliano Orso, Mario Picozzi, Giovanna Ricci, Ascanio Sirignano, Maurizio Taurino
BACKGROUND: The SAfety and FEasibility of standard EVAR outside the instruction for use (SAFE-EVAR) Study was designed to define the attitude of Italian vascular surgeons towards the use of standard endovascular repair (EVAR) for infrarenal abdominal aortic aneurysm (AAA) outside the instruction for use (IFU) through a Delphi consensus endorsed by the Italian Society of Vascular and Endovascular Surgery (Società Italiana di Chirurgia Vascolare ed Endovascolare - SICVE). METHODS: A questionnaire consisting of 26 statements was developed, validated by an 18-member Advisory Board, and then sent to 600 Italian vascular surgeons...
February 6, 2024: Journal of Cardiovascular Surgery
https://read.qxmd.com/read/38300167/endovenous-treatment-strategies-for-iliofemoral-deep-venous-thrombosis
#10
JOURNAL ARTICLE
Niels Bækgaard, Stephen A Black
No abstract text is available yet for this article.
February 1, 2024: Journal of Cardiovascular Surgery
https://read.qxmd.com/read/38300166/artificial-intelligence-in-academic-cardiothoracic-surgery
#11
JOURNAL ARTICLE
Adham Ahmed, Irbaz Hameed
No abstract text is available yet for this article.
February 1, 2024: Journal of Cardiovascular Surgery
https://read.qxmd.com/read/38300165/european-and-us-guidelines-on-acute-dvt-management
#12
JOURNAL ARTICLE
Loukia Alexopoulou-Prounia, Stavros K Kakkos, Manjit Gohel
Acute deep venous thrombosis (DVT) is a common health problem, affecting millions of patients in Europe and the United States annually. Europe and US national clinical practice guidelines are formulated by evaluation of the available scientific evidence, with expert opinion to create pragmatic guidance for the optimal patient management, representing the best available knowledge at the time of publication, and providing the best evidence-based recommendations for vascular patient care and venous pathologies...
February 1, 2024: Journal of Cardiovascular Surgery
https://read.qxmd.com/read/38300164/is-a-severe-preoperative-condition-a-contraindication-for-aortic-valve-sparing-reimplantation-in-type-a-aortic-dissection
#13
JOURNAL ARTICLE
Joël Lapeze, Jacques Robin, Jean Ninet, Jean-François Obadia, Fadi Farhat
BACKGROUND: Type A aortic dissection (TAAD) surgical management is still under debate. The purpose of this study was to demonstrate the feasibility and safety of the aortic valve-sparing root reconstruction (AVSR) procedure in 92 consecutive patients operated for TAAD, even when preoperative condition was severe (malperfusion, shock or both). METHODS: Our hospital database was reviewed to identify all patients who underwent an AVSR procedure for TAAD over 14 years...
February 1, 2024: Journal of Cardiovascular Surgery
https://read.qxmd.com/read/38261270/management-of-iliofemoral-deep-vein-thrombosis-with-distal-involvement
#14
JOURNAL ARTICLE
George Rahmani, Gerard J O'Sullivan
Endovascular treatment of iliofemoral deep vein thrombosis (IF DVT) can become more complex when thrombus extends below the knee. This article discusses various techniques that can be used to treat IF DVT with distal involvement.
January 23, 2024: Journal of Cardiovascular Surgery
https://read.qxmd.com/read/38261269/the-toolbox-of-acute-dvt-intervention
#15
JOURNAL ARTICLE
Rick DE Graaf, Houman Jalaie
Although the thrombectomy system is very important, there are many other devices and supportive tools that build the foundation for a successful interventional procedure. We suggest a toolbox of acute DVT intervention to aid in all likely strategies to effectively remove thrombus from the deep venous vasculature.
January 23, 2024: Journal of Cardiovascular Surgery
https://read.qxmd.com/read/38261268/the-background-and-role-of-catheter-directed-thrombolysis-evolving-procedures-for-acute-iliofemoral-deep-venous-thrombosis
#16
JOURNAL ARTICLE
Niels Bækgaard, Marie Josee E van Rijn
Minimal invasive treatment such as early endovenous thrombus removal for iliofemoral deep venous thrombosis (DVT) emerged in the end of last century. The principle is catheter-directed thrombolysis (CDT) using either plasminogen activating agents alone, as ultrasound-assisted CDT, or in combination with mechanical devices as pharmaco-mechanical CDT . The interest for this treatment modality is the high rate of post-thrombotic syndrome (PTS) with anticoagulation (AC) alone, especially after iliofemoral DVT. Recently published randomized controlled trials (RCTs) comparing early thrombus removal with AC alone, as well as non-randomized studies, have demonstrated favorable rates, or at least a decrease of moderate and severe PTS, in favor of these procedures...
January 23, 2024: Journal of Cardiovascular Surgery
https://read.qxmd.com/read/38231041/the-emerging-role-of-mechanical-thrombectomy-in-acute-dvt-management
#17
JOURNAL ARTICLE
Efthymios D Avgerinos, Vasileios Bouris, Houman Jalaie
Catheter directed thrombolysis (CDT) and pharmacomechanical thrombectomy in various technical combinations have been the main driver of acute deep venous interventions for over a decade. While the majority of high-level evidence was based on it, CDT requires longer procedural care and is associated to a small but not negligible bleeding risk. Contemporary DVT intervention, following the paradigm shift in myocardial infarction and stroke management, has steadily migrated towards minimizing or eliminating thrombolytics due to the introduction of mechanical/aspiration thrombectomy...
January 17, 2024: Journal of Cardiovascular Surgery
https://read.qxmd.com/read/38226927/randomized-controlled-trials-of-interventions-for-acute-iliofemoral-deep-venous-thrombosis
#18
JOURNAL ARTICLE
Benedict R Turner, Adam M Gwozdz, Alun H Davies, Stephen A Black
Venous thromboembolism (VTE), notably deep venous thrombosis (DVT), represents a significant cardiovascular disease with high morbidity from post-thrombotic syndrome (PTS). Recent advancements in early thrombus removal technologies have prompted randomized controlled trials (RCT) to assess their efficacy and safety, particularly for iliofemoral DVT (IF-DVT), which carries the greatest risk of developing PTS. This narrative review summarizes these trials and introduces upcoming innovations to evaluate acute intervention for IF-DVT...
January 16, 2024: Journal of Cardiovascular Surgery
https://read.qxmd.com/read/38127303/impact-of-great-saphenous-vein-quality-on-clinical-outcomes-after-cabg-in-the-regroup-trial
#19
JOURNAL ARTICLE
Ajami Gikandi, Jacquelyn Quin, Eileen M Stock, Ellen Dematt, Sameer Hirji, Miguel Haime, Kousick Biswas, Marco A Zenati
No abstract text is available yet for this article.
December 21, 2023: Journal of Cardiovascular Surgery
https://read.qxmd.com/read/38488020/innovations-in-deep-venous-thrombosis-surgical-education-and-more-a-call-for-action
#20
JOURNAL ARTICLE
Fabio Verzini
No abstract text is available yet for this article.
February 2024: Journal of Cardiovascular Surgery
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