journal
https://read.qxmd.com/read/38300167/endovenous-treatment-strategies-for-iliofemoral-deep-venous-thrombosis
#41
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
#42
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
#43
REVIEW
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 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
#44
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/38226927/randomized-controlled-trials-of-interventions-for-acute-iliofemoral-deep-venous-thrombosis
#45
REVIEW
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...
February 2024: Journal of Cardiovascular Surgery
https://read.qxmd.com/read/38261270/management-of-iliofemoral-deep-vein-thrombosis-with-distal-involvement
#46
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
#47
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
#48
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
#49
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/38127303/impact-of-great-saphenous-vein-quality-on-clinical-outcomes-after-cabg-in-the-regroup-trial
#50
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/38078710/endovascular-carotid-revascularization-under-open-chest-extracorporeal-circulation-combined-with-cardiac-surgery-in-unstable-patients-at-increased-risk-of-carotid-related-stroke-simultaneous-urgent-cardiac-surgery-and-micronet-covered-cguard-stent-carotid-revascularization
#51
JOURNAL ARTICLE
Karolina Dzierwa, Anna Kedziora, Lukasz Tekieli, Adam Mazurek, Robert Musial, Elzbieta Dobrowolska, Justyna Stefaniak, Piotr Pieniazek, Piotr Paluszek, Janusz Konstanty-Kalandyk, Robert Sobczynski, Boguslaw Kapelak, Pawel Kleczynski, Andrzej Brzychczy, Tomasz Kwiatkowski, Mariusz Trystula, Jacek Piatek, Piotr Musialek
BACKGROUND: In patients at urgent need for cardiac surgery coexisting with increased-stroke-risk carotid stenosis, any staged intervention increases the risk of complications from the primarily unaddressed pathology. In this challenging cohort, we assessed safety and feasibility of endovascular carotid revascularization under open-chest extracorporeal circulation (ECC) combined with cardiac surgery (hybrid-room true simultaneous treatment). METHODS: Per-protocol (PP), after general anesthesia induction, chest-opening and ECC stand-by installation, carotid stenting (CAS) was performed (femoral/radial or direct carotid access) with ad-hoc/on-hand switch to ECC cardiac surgery...
December 11, 2023: Journal of Cardiovascular Surgery
https://read.qxmd.com/read/38078709/outcomes-of-lower-extremity-peripheral-arterial-interventions-in-patients-with-and-without-chronic-kidney-disease-or-end-stage-renal-disease
#52
JOURNAL ARTICLE
Stephen D Adedokun, Maruf Sarwar, Keonmin Hwang, Aakash Hans, Janani Baskaran, Mahesh Anantha Narayanan
INTRODUCTION: Peripheral arterial disease (PAD) is a progressive vascular condition characterized by the narrowing or blockage of arteries, primarily attributed to atherosclerosis. PAD's prevalence in the general population is estimated at approximately 5.9%. Notably however, among patients with chronic kidney disease (CKD), PAD's prevalence is substantially higher, ranging from 17% to 48%. This review paper emphasizes the pervasiveness of PAD and its intricate relationship with CKD and end-stage renal disease (ESRD)...
December 11, 2023: Journal of Cardiovascular Surgery
https://read.qxmd.com/read/38078708/prospective-evaluation-of-acute-cerebral-injury-by-dw-mri-following-transcarotid-artery-revascularization-using-the-roadsaver-mesh-stent
#53
JOURNAL ARTICLE
María P Lamarca, Ángel Flores, Alberto Martín, Javier Peinado, Santiago Estébanez, Maite Arriola, Belén Llergo, Enrique García, Julián Tique, Fredy Torralbas, Elisa Millán, Martina Rigolin, Paula Lobato, José C Segundo, Mar Morín, Álvaro Jamilena, Raquel Moreno, Antonio Orgaz
BACKGROUND: Transcervical carotid artery revascularization (TCAR) has demonstrated a low overall stroke rate in carotid artery stenting (CAS). Furthermore, the use of a double-layer micromesh stent is expected to reduce embolization and plaque prolapse. The combination of TCAR and the double layer stent may lead to improved results compared to previously reported outcomes. The objective of this study is to present the findings of a prospective study including patients treated with the Roadsaver stent and TCAR...
December 11, 2023: Journal of Cardiovascular Surgery
https://read.qxmd.com/read/38385840/carotid-artery-revascularization-using-second-generation-stents-versus-surgery-a-meta-analysis-of-clinical-outcomes
#54
JOURNAL ARTICLE
Adam Mazurek, Krzysztof Malinowski, Pasqualino Sirignano, Ralf Kolvenbach, Laura Capoccia, Gianmarco DE Donato, Isabelle VAN Herzeele, Adnan H Siddiqui, Tomaso Castrucci, Lukasz Tekieli, Matteo Stefanini, Christian Wissgott, Kenneth Rosenfield, D Christopher Metzger, Kenneth Snyder, Andrey Karpenko, Waclaw Kuczmik, Eugenio Stabile, Magdalena Knapik, Renato Casana, Piotr Pieniazek, Anna Podlasek, Maurizio Taurino, Joachim Schofer, Alberto Cremonesi, Horst Sievert, Andrej Schmidt, Iris Q Grunwald, Francesco Speziale, Carlo Setacci, Piotr Musialek
INTRODUCTION: Meta-analyses and emerging randomized data indicate that second-generation ('mesh') carotid stents (SGS) may improve outcomes versus conventional (single-layer) stents but clinically-relevant differences in individual SGS-type performance have been identified. No comparisons exist for SGS versus carotid endarterectomy (CEA). EVIDENCE ACQUISITION: Thirty-day death (D), stroke (S), myocardial infarction (M), and 12-month ipsilateral stroke and restenosis in SGS studies were meta-analyzed (random effect model) against CEA outcomes...
December 2023: Journal of Cardiovascular Surgery
https://read.qxmd.com/read/38385839/carotid-stent-as-cerebral-protector-the-arrival-of-godot
#55
JOURNAL ARTICLE
Piotr Musialek, Ralf Langhoff, Matteo Stefanini, William A Gray
No abstract text is available yet for this article.
December 2023: Journal of Cardiovascular Surgery
https://read.qxmd.com/read/38037721/guidelines-on-the-diagnosis-treatment-and-management-of-visceral-and-renal-arteries-aneurysms-a-joint-assessment-by-the-italian-societies-of-vascular-and-endovascular-surgery-sicve-and-medical-and-interventional-radiology-sirm
#56
JOURNAL ARTICLE
Carlo Pratesi, Davide Esposito, Romeo Martini, Claudio Novali, Augusto Zaninelli, Antonio L Annese, Paolo Baggi, Raffaello Bellosta, Claudio Bianchini Massoni, Stefano Bonardelli, Serena Carriero, Rosa Cervelli, Emiliano Chisci, Roberto Cioni, Fabio Corvino, Francesco DE Cobelli, Fabrizio Fanelli, Aaron T Fargion, Marco Femia, Antonio Freyrie, Andrea Gaggiano, Enrico Gallitto, Stefano Gennai, Emanuela Giampalma, Francesco Giurazza, Franco Grego, Giorgia Guazzarotti, Anna M Ierardi, Andrea L Kahlberg, Daniele Mascia, Luca Mezzetto, Stefano Michelagnoli, Floriana Nardelli, Raffaella Niola, Massimo Lenti, Orsola Perrone, Filippo Piacentino, Gabriele Piffaretti, Raffaele Pulli, Gino Puntel, Giovanni Puppini, Denis Rossato, Michele Rossi, Roberto Silingardi, Pasqualino Sirignano, Francesco Squizzato, Marcello A Tipaldi, Massimo Venturini, Gian F Veraldi, Antonio Vizzuso, Sara Allievi, Luca Attisani, Gianluigi Fino, Francesca Ghirardini, Paola Manzo, Mattia Migliari, Stephanie Steidler, Vittorio Miele, Maurizio Taurino, Massimiliano Orso, Maurizio Cariati
The objective of these Guidelines is to provide recommendations for the classification, indication, treatment and management of patients suffering from aneurysmal pathology of the visceral and renal arteries. The methodology applied was the GRADE-SIGN version, and followed the instructions of the AGREE quality of reporting checklist. Clinical questions, structured according to the PICO (Population, Intervention, Comparator, Outcome) model, were formulated, and systematic literature reviews were carried out according to them...
November 30, 2023: Journal of Cardiovascular Surgery
https://read.qxmd.com/read/38015553/effect-of-plaque-morphological-characteristics-on-the-outcomes-of-carotid-artery-stenting
#57
JOURNAL ARTICLE
Francesco Squizzato, Michele Piazza, Alessandra Turcatel, Elda C Colacchio, Franco Grego, Michele Antonello
Carotid artery stenting (CAS) represents today an accepted option for the treatment of severe carotid artery stenosis. The evolution of materials, techniques, perioperative medical management and patients' selection, has allowed to progressively reduce CAS complications. However, the main drawback of CAS is still represented by the risk of cerebral embolization, that may occur during several steps of the procedure and also in the early postoperative period. Preoperative carotid plaque morphological characteristics may have a great role in determining the risk of embolization during CAS...
November 28, 2023: Journal of Cardiovascular Surgery
https://read.qxmd.com/read/38015552/the-role-of-post-dilatation-in-carotid-micronet-covered-stent-implantation-evaluated-using-3d-cone-beam-ct-angiography
#58
JOURNAL ARTICLE
Luca Ginanni Corradini, Luciano Maresca, Pierleone Lucatelli, Simone Balocco, Adolfo D'Onofrio, Matteo Stefanini
BACKGROUND: This study aims to assess the role and safety of post-dilatation in protected carotid artery stenting (PCAS) using the new MicroNet covered stent generation assessed by cone beam CT scans. METHODS: From March 2020 to March 2022, patients were enrolled in the study according to CT angiography results based on the following criteria: Evidence of 70% to 99% carotid stenosis in asymptomatic patients and 50% to 99% in symptomatic patients, per the NASCET index...
November 28, 2023: Journal of Cardiovascular Surgery
https://read.qxmd.com/read/37987738/development-of-comorbidity-index-for-in-hospital-mortality-for-patients-who-underwent-coronary-artery-revascularization
#59
JOURNAL ARTICLE
Renxi Li, Stephen Huddleston
BACKGROUND: For myocardial revascularization, coronary artery bypass grafting (CAGB) and percutaneous coronary intervention (PCI) are two common modalities but with high in-hospital mortality. A Comorbidity Index is useful to predict mortality or can be used with other covariates to develop point-scoring systems. This study aimed to develop specific comorbidity indices for patients who underwent coronary artery revascularization. METHODS: Patients who underwent CABG or PCI were identified in the National Inpatient Sample database between Q4 2015-2020...
November 21, 2023: Journal of Cardiovascular Surgery
https://read.qxmd.com/read/37987737/the-association-between-sarcopenia-and-adverse-outcomes-after-complex-endovascular-aortic-repair
#60
JOURNAL ARTICLE
Britt W Warmerdam, Carla S van Rijswijk, Anneke Droop, Claudia J Lucassen, Jaap F Hamming, Jan van Schaik, Joost R van der Vorst
BACKGROUND: Sarcopenia is identified as a predictive factor for adverse outcomes after complex endovascular aortic repair (complex EVAR). Consensus on preferred parameters for sarcopenia is not yet reached. The current study compares three CT-assessed parameters on their association with adverse outcomes after complex EVAR. METHODS: This was a single-center retrospective cohort study. Psoas Muscle Index (PMI), Skeletal Muscle Index (SMI), and lean psoas muscle area (LPMA) were examined by CT-segmentation...
November 21, 2023: Journal of Cardiovascular Surgery
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