Journal of cardiothoracic and vascular anesthesia最新文献

筛选
英文 中文
Limitations of Intraoperative Neuromonitoring for Detection of Cerebral Ischemia 术中神经监测检测脑缺血的局限性。
IF 2.3 4区 医学
Journal of cardiothoracic and vascular anesthesia Pub Date : 2025-03-01 DOI: 10.1053/j.jvca.2024.12.032
Bhav Jain BS , Parthasarathy D. Thirumala MD, MS
{"title":"Limitations of Intraoperative Neuromonitoring for Detection of Cerebral Ischemia","authors":"Bhav Jain BS , Parthasarathy D. Thirumala MD, MS","doi":"10.1053/j.jvca.2024.12.032","DOIUrl":"10.1053/j.jvca.2024.12.032","url":null,"abstract":"","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":"39 3","pages":"Pages 852-854"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142949342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Echogenicity Following Device Closure of a Ventricular Septal Defect: A Diagnostic Dilemma 室间隔缺损装置闭合后的回声:诊断难题。
IF 2.3 4区 医学
Journal of cardiothoracic and vascular anesthesia Pub Date : 2025-03-01 DOI: 10.1053/j.jvca.2024.10.002
Madan Mohan Maddali MD , Khalid Al Alawi MRCPCH, FRCPI , Abdullah Mohammed Al Farqani MRCPCH , Salim Nasser Al Maskari FRCPCH
{"title":"Echogenicity Following Device Closure of a Ventricular Septal Defect: A Diagnostic Dilemma","authors":"Madan Mohan Maddali MD , Khalid Al Alawi MRCPCH, FRCPI , Abdullah Mohammed Al Farqani MRCPCH , Salim Nasser Al Maskari FRCPCH","doi":"10.1053/j.jvca.2024.10.002","DOIUrl":"10.1053/j.jvca.2024.10.002","url":null,"abstract":"","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":"39 3","pages":"Pages 855-857"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142557899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ultrasound-guided Serratus Anterior Plane Block Versus Paravertebral Block for Postoperative Analgesia in Children Undergoing Video-assisted Thoracoscopic Surgery: A Randomized, Comparative Study 超声引导下锯肌前平面阻滞与椎旁阻滞对儿童电视胸腔镜手术术后镇痛的影响:一项随机比较研究。
IF 2.3 4区 医学
Journal of cardiothoracic and vascular anesthesia Pub Date : 2025-03-01 DOI: 10.1053/j.jvca.2024.09.134
Elsayed Elemam , Ibrahim Abdelbaser , Mahmoud Abdelfattah , Ahmed Amin Eisa , Ahmed Gamal Moursi , Mohamed Y. Yousef Abd Allah , Ahmed Alaidy , Reem Abdelraouf Elsharkawy , Ahmed Farid , Eiad Ramzy , Samah Elkenany , Tarek Habeeb , Ramy Sabry , Mohamed Tharwat , May Elsherbiny Badr
{"title":"Ultrasound-guided Serratus Anterior Plane Block Versus Paravertebral Block for Postoperative Analgesia in Children Undergoing Video-assisted Thoracoscopic Surgery: A Randomized, Comparative Study","authors":"Elsayed Elemam ,&nbsp;Ibrahim Abdelbaser ,&nbsp;Mahmoud Abdelfattah ,&nbsp;Ahmed Amin Eisa ,&nbsp;Ahmed Gamal Moursi ,&nbsp;Mohamed Y. Yousef Abd Allah ,&nbsp;Ahmed Alaidy ,&nbsp;Reem Abdelraouf Elsharkawy ,&nbsp;Ahmed Farid ,&nbsp;Eiad Ramzy ,&nbsp;Samah Elkenany ,&nbsp;Tarek Habeeb ,&nbsp;Ramy Sabry ,&nbsp;Mohamed Tharwat ,&nbsp;May Elsherbiny Badr","doi":"10.1053/j.jvca.2024.09.134","DOIUrl":"10.1053/j.jvca.2024.09.134","url":null,"abstract":"<div><h3>Objectives</h3><div>This study compared the postoperative analgesic efficacy of serratus anterior plane block (SAPB) and thoracic paravertebral block (PVB) in children undergoing video-assisted thoracoscopic surgery.</div></div><div><h3>Setting</h3><div>Operating room and intensive care unit of a tertiary care hospital.</div></div><div><h3>Design</h3><div>A single-center, randomized, comparative, open-labeled study.</div></div><div><h3>Participants</h3><div>Seventy pediatric patients aged 2 to 10 years who underwent video-assisted thoracoscopic surgery were enrolled.</div></div><div><h3>Interventions</h3><div>Patients were equally randomized into 2 groups. In the SAPB group, patients were injected with 0.4 mL/kg 0.25% bupivacaine under ultrasound guidance into the deep SAPB and in the PVB group, patients were injected with 0.4 mL/kg 0.25% bupivacaine under ultrasound guidance into the thoracic paravertebral space.</div></div><div><h3>Measurements and Main Results</h3><div>The primary outcome was morphine consumption within the first 24 hours after surgery. The secondary outcomes were Children's Hospital of Eastern Ontario Pain Scale pain score, intraoperative fentanyl consumption, and the time required to perform the block. The median (Q1, Q3) morphine consumption (mg/kg) in the first postoperative 24 hours was similar in the SAPB and PVB groups (0.15 [0.1-0.2], 0.1 [0.1-0.2], respectively). The Children's Hospital of Eastern Ontario Pain Scale pain score was similar in both the SAPB and PVB groups at all-time points. Intraoperative fentanyl consumption was comparable in both groups. Time needed to perform the block was shorter in SAPB than PVB.</div></div><div><h3>Conclusions</h3><div>SAPB provides effective postoperative pain control, similar to thoracic PVB. Moreover, it is technically easier and has a shorter time to perform than PVB. Therefore, SAPB is an effective and safe alternative to thoracic PVB.</div></div>","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":"39 3","pages":"Pages 742-749"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Role of del Nido Cardioplegia Solution in Prolonged Aortic Cross-clamp Cardiac Surgery: A Prospective Study del Nido停搏液在延长主动脉交叉钳心脏手术中的作用:一项前瞻性研究。
IF 2.3 4区 医学
Journal of cardiothoracic and vascular anesthesia Pub Date : 2025-03-01 DOI: 10.1053/j.jvca.2024.12.006
Sun Lin MD , Zhou Xiaoyu MD , Xu Lingfeng MD , Chang Xin MD , Guo Zhen MD, PhD
{"title":"Role of del Nido Cardioplegia Solution in Prolonged Aortic Cross-clamp Cardiac Surgery: A Prospective Study","authors":"Sun Lin MD ,&nbsp;Zhou Xiaoyu MD ,&nbsp;Xu Lingfeng MD ,&nbsp;Chang Xin MD ,&nbsp;Guo Zhen MD, PhD","doi":"10.1053/j.jvca.2024.12.006","DOIUrl":"10.1053/j.jvca.2024.12.006","url":null,"abstract":"<div><h3>Objectives</h3><div>The myocardial-protective effect of del Nido cardioplegia solution was evaluated in adult patients undergoing prolonged aortic cross-clamping during cardiac surgery.</div></div><div><h3>Design</h3><div>Prospective cohort.</div></div><div><h3>Setting</h3><div>Single-center tertiary academic medical center.</div></div><div><h3>Participants</h3><div>A total of 462 patients scheduled for cardiac surgery under cardiopulmonary bypass with an expected aortic cross-clamp time &gt;120 minutes between January 2020 and January 2024 were enrolled.</div></div><div><h3>Interventions</h3><div>Patients with an expected aortic cross-clamp time &gt;120 minutes were randomly assigned to low- and high-risk del Nido and Buckberg groups, with 112 patients in each group. Serum levels of cardiac troponin T and creatine kinase-MB were measured at 1, 24, and 48 hours after operation. The occurrence of atrial fibrillation within 48 hours postoperatively and other intraoperative and postoperative parameters were recorded.</div></div><div><h3>Results</h3><div>No significant differences were observed in preoperative parameters between the groups. The level of cardiac troponin T was significantly higher in the low-risk del Nido group than in the Buckberg group at 24 hours postoperatively (p &lt; 0.05). However, no significant differences were observed in cardiac troponin T or creatine kinase-MB levels at the other time points. The incidence of postoperative atrial fibrillation in the Buckberg group at 48 hours was significantly higher than the del Nido group in both the low- and high-risk groups (p &lt; 0.05).</div></div><div><h3>Conclusions</h3><div>The incidence of postoperative atrial fibrillation at 48 hours was significantly lower in the del Nido group than in the Buckberg group. del Nido cardioplegia solution can be safely used for high-risk patients undergoing prolonged aortic cross-clamping.</div></div>","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":"39 3","pages":"Pages 635-643"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142894763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
What Is in a Name? When It Comes to Venoarterial Extracorporeal Membrane Oxygenation, Everything 名字的含义是什么?当涉及到静脉体外膜氧合,一切。
IF 2.3 4区 医学
Journal of cardiothoracic and vascular anesthesia Pub Date : 2025-03-01 DOI: 10.1053/j.jvca.2024.12.010
Jamel Ortoleva MD, FASE , Saul Ramirez MD , Dominic V. Pisano MD , Alex Shapeton MD
{"title":"What Is in a Name? When It Comes to Venoarterial Extracorporeal Membrane Oxygenation, Everything","authors":"Jamel Ortoleva MD, FASE ,&nbsp;Saul Ramirez MD ,&nbsp;Dominic V. Pisano MD ,&nbsp;Alex Shapeton MD","doi":"10.1053/j.jvca.2024.12.010","DOIUrl":"10.1053/j.jvca.2024.12.010","url":null,"abstract":"","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":"39 3","pages":"Pages 569-572"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142914808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Crossing Boundaries: Utilizing Left-sided Impella for Right Ventricular Mechanical Support and Intraoperative Transesophageal Echocardiogram Considerations 跨越边界:利用左侧叶轮进行右室机械支持和术中经食管超声心动图的考虑。
IF 2.3 4区 医学
Journal of cardiothoracic and vascular anesthesia Pub Date : 2025-03-01 DOI: 10.1053/j.jvca.2024.12.018
Yang Gu MD , Milica Bjelic MD , Kunal Panda MD , Julie Wyrobek MD , Heather Lander MD , Isaac Wu MD , Bartholomew Simon MD , Bryan Barrus MD
{"title":"Crossing Boundaries: Utilizing Left-sided Impella for Right Ventricular Mechanical Support and Intraoperative Transesophageal Echocardiogram Considerations","authors":"Yang Gu MD ,&nbsp;Milica Bjelic MD ,&nbsp;Kunal Panda MD ,&nbsp;Julie Wyrobek MD ,&nbsp;Heather Lander MD ,&nbsp;Isaac Wu MD ,&nbsp;Bartholomew Simon MD ,&nbsp;Bryan Barrus MD","doi":"10.1053/j.jvca.2024.12.018","DOIUrl":"10.1053/j.jvca.2024.12.018","url":null,"abstract":"<div><h3>Objective</h3><div>Right ventricular failure is a leading cause of mortality among patients with various etiologies of cardiogenic shock. This case series outlines an innovative approach to directly unloading the right ventricle with the Impella LD or 5.5 without crossing the tricuspid valve in cases requiring tricuspid valve repair or replacement.</div></div><div><h3>Design</h3><div>Retrospective single-center review.</div></div><div><h3>Setting</h3><div>Single tertiary care university hospital.</div></div><div><h3>Participants</h3><div>Patients who underwent Impella LD or 5.5 insertions for right ventricular support.</div></div><div><h3>Interventions</h3><div>Impella LD or 5.5 inserted directly into the right ventricle via the pulmonary artery.</div></div><div><h3>Measurements and Main Results</h3><div>Patients’ baseline, intraoperative, and immediate postoperative clinical and echocardiographic data were obtained. Of the five consecutive patients with severe preoperative right ventricular failure who underwent surgical tricuspid valve procedures and Impella placement, three of the patients underwent concomitant left heart procedures. The Impella was preemptively inserted before separation from cardiopulmonary bypass in all patients. Four patients were extubated within the first 24 hours and ambulated with the Impella by postoperative day (POD) 3. By POD 10, four patients had sufficient right ventricular recovery to allow for Impella LD explant. One patient died due to septic shock with the right ventricular assist device still in place. One patient was transitioned to comfort measures 29 days after explant of the Impella device.</div></div><div><h3>Conclusions</h3><div>Left-sided Impella can be used to support the right ventricle in patients who have undergone surgical tricuspid valve procedures. It provides direct right ventricular unloading, does not cross a newly replaced or repaired tricuspid valve, and allows early ambulation.</div></div>","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":"39 3","pages":"Pages 625-634"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142931902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Successful Perioperative Monitoring of the Right Ventricular Pressure: Development and Evaluation of a New Pulmonary Artery Catheter 成功围手术期监测右心室压力:一种新型肺动脉导管的研制与评价。
IF 2.3 4区 医学
Journal of cardiothoracic and vascular anesthesia Pub Date : 2025-03-01 DOI: 10.1053/j.jvca.2024.12.033
Aaron Wozolek MD , Leah Soto , Etienne Couture , Tjorvi Perry , Jennifer Cutler , Peiman Lahsaei , Jonathan Leff , Kevin Moses , Cristhian Potes , Daniel Scherb , Antoine Rochon , André Y. Denault MD, PHD
{"title":"Successful Perioperative Monitoring of the Right Ventricular Pressure: Development and Evaluation of a New Pulmonary Artery Catheter","authors":"Aaron Wozolek MD ,&nbsp;Leah Soto ,&nbsp;Etienne Couture ,&nbsp;Tjorvi Perry ,&nbsp;Jennifer Cutler ,&nbsp;Peiman Lahsaei ,&nbsp;Jonathan Leff ,&nbsp;Kevin Moses ,&nbsp;Cristhian Potes ,&nbsp;Daniel Scherb ,&nbsp;Antoine Rochon ,&nbsp;André Y. Denault MD, PHD","doi":"10.1053/j.jvca.2024.12.033","DOIUrl":"10.1053/j.jvca.2024.12.033","url":null,"abstract":"","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":"39 3","pages":"Pages 858-859"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142931909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Routine Left Ventricular Unloading During Venoarterial Extracorporeal Membrane Oxygenation—A Therapeutic Conundrum 静脉体外膜氧合期间常规左心室卸荷-一个治疗难题。
IF 2.3 4区 医学
Journal of cardiothoracic and vascular anesthesia Pub Date : 2025-03-01 DOI: 10.1053/j.jvca.2024.12.040
Alice Bottussi MD , Jacopo D'Andria Ursoleo MD , Enrica Piazza MDs, Edoardo Mongardini MDs, Fabrizio Monaco MD
{"title":"Routine Left Ventricular Unloading During Venoarterial Extracorporeal Membrane Oxygenation—A Therapeutic Conundrum","authors":"Alice Bottussi MD ,&nbsp;Jacopo D'Andria Ursoleo MD ,&nbsp;Enrica Piazza MDs,&nbsp;Edoardo Mongardini MDs,&nbsp;Fabrizio Monaco MD","doi":"10.1053/j.jvca.2024.12.040","DOIUrl":"10.1053/j.jvca.2024.12.040","url":null,"abstract":"","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":"39 3","pages":"Pages 860-861"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142949346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Effect of Extracorporeal Membrane Oxygenation on the Pharmacokinetics of Dexmedetomidine Hydrochloride 体外膜氧合对盐酸右美托咪定药动学的影响。
IF 2.3 4区 医学
Journal of cardiothoracic and vascular anesthesia Pub Date : 2025-03-01 DOI: 10.1053/j.jvca.2024.12.029
Tao Wang , Huifang Zhang , Rui Tian , Liu Rong , Kaige Yang , Yan Wang , Ruilan Wang
{"title":"The Effect of Extracorporeal Membrane Oxygenation on the Pharmacokinetics of Dexmedetomidine Hydrochloride","authors":"Tao Wang ,&nbsp;Huifang Zhang ,&nbsp;Rui Tian ,&nbsp;Liu Rong ,&nbsp;Kaige Yang ,&nbsp;Yan Wang ,&nbsp;Ruilan Wang","doi":"10.1053/j.jvca.2024.12.029","DOIUrl":"10.1053/j.jvca.2024.12.029","url":null,"abstract":"<div><h3>Objectives</h3><div>Our objective was to explore the effects of extracorporeal membrane oxygenation (ECMO) on the pharmacokinetics of dexmedetomidine hydrochloride via vitro and in vivo experiments</div></div><div><h3>Design</h3><div>A single-center animal investigation.</div></div><div><h3>Setting</h3><div>An experimental animal facility in a tertiary hospital.</div></div><div><h3>Participants</h3><div>Eighteen male Landrace pigs.</div></div><div><h3>Interventions</h3><div>For the in vitro experiment, ECMO circuits were primed with whole blood solutions of dexmedetomidine at different concentrations and ran ex vivo. The adsorption rates of dexmedetomidine hydrochloride in ECMO circuits and control glass tubes were compared at 60 minutes, 5 hours, and 10 hours after the start of the in vitro experiment. In the in vivo experiment, 12 Landrace pigs were randomly allocated to the venovenous ECMO group or the control group. Dexmedetomidine hydrochloride (1 μg/kg) was administered to both groups. Blood samples were collected at 0 minutes, 5 minutes, 10 minutes, 15 minutes, 20 minutes, 30 minutes, 45 minutes, 60 minutes, 90 minutes, 2 hours, 3 hours, 5 hours, 7 hours, and 10 hours after administration. The plasma concentrations of dexmedetomidine were measured, and pharmacokinetic analysis was conducted in both groups.</div></div><div><h3>Measurements and Main Results</h3><div>The results revealed no significant difference in adsorption rates of dexmedetomidine hydrochloride in ECMO circuits at 60 minutes and 5 hours, but differences were observed at 10 hours. In vivo experiment, pharmacokinetic analysis revealed no significant difference in the area under the curve (AUC<sub>0-t</sub>), AUC<sub>0-∞</sub>, distribution half-life, elimination half-life, clearance, apparent volume of distribution, mean residence time or peak drug concentrations between the 2 groups (p &gt; 0.05).</div></div><div><h3>Conclusions</h3><div>The ECMO circuit had an adsorption effect on dexmedetomidine hydrochloride, but this effect was not sufficient to impact the in vivo pharmacokinetics of dexmedetomidine significantly. The effect of ECMO on the pharmacokinetics of dexmedetomidine hydrochloride was not significant.</div></div>","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":"39 3","pages":"Pages 616-624"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142949350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Unveiling Baseline Clinical Divergence in VA ECMO vs. ECPELLA: Tailoring Treatment for Distinct Patient Profiles. A Systematic Review and Meta-analysis 揭示VA ECMO与ECPELLA的基线临床差异:针对不同患者的定制治疗。系统回顾和荟萃分析。
IF 2.3 4区 医学
Journal of cardiothoracic and vascular anesthesia Pub Date : 2025-03-01 DOI: 10.1053/j.jvca.2024.11.033
Andrea Montisci MD , Serena Ambrosi MD , Massimo Baudo MD , Rosaria Muratore MD , Giuseppe Cuttone MD , Nicoletta D'Ettore MD , Federico Pappalardo MD
{"title":"Unveiling Baseline Clinical Divergence in VA ECMO vs. ECPELLA: Tailoring Treatment for Distinct Patient Profiles. A Systematic Review and Meta-analysis","authors":"Andrea Montisci MD ,&nbsp;Serena Ambrosi MD ,&nbsp;Massimo Baudo MD ,&nbsp;Rosaria Muratore MD ,&nbsp;Giuseppe Cuttone MD ,&nbsp;Nicoletta D'Ettore MD ,&nbsp;Federico Pappalardo MD","doi":"10.1053/j.jvca.2024.11.033","DOIUrl":"10.1053/j.jvca.2024.11.033","url":null,"abstract":"<div><h3>Objectives</h3><div>The benefit of combining multiple mechanical circulatory support (MCS) systems in patients with cardiogenic shock (CS) is debated. This review examines patient characteristics across studies to identify differences and assesses if patients with a higher-risk clinical profile receive Impella unloading.</div></div><div><h3>Design</h3><div>A systematic review and meta-analysis was conducted to examine if there were significant differences in baseline clinical parameters among patients receiving MCS in addition to venoarterial extracorporeal membrane oxygenation (VA ECMO).</div></div><div><h3>Setting</h3><div>A total of nine retrospective, three prospective, and two randomized controlled trials were included in this analysis.</div></div><div><h3>Participants</h3><div>The sample sizes ranged from 34 to 1,678 patients.</div></div><div><h3>Interventions</h3><div>The outcomes were assessments of differences in baseline clinical characteristics and comorbidities among patients that received VA ECMO alone or VA ECMO with intra-aortic balloon pump (IABP) versus ECPella.</div></div><div><h3>Measurements and Main Results</h3><div>ECPella patients showed a higher prevalence of coronary artery disease (65.0% <em>v</em> 34.6%, p &lt; 0.0001), cardiac arrest before MCS implantation (63.1% <em>v</em> 52.7%, p &lt; 0.0001), and ischemic CS (53.1% <em>v</em> 42.6%, p &lt; 0.0001) compared with patients with VA ECMO alone. The comparison between ECPella and VA ECMO + IABP patients showed a higher prevalence of acute myocardial infarction-CS (53.1% <em>v</em> 39.0%, p &lt; 0.0001), preimplantation cardiac arrest (63% <em>v</em> 49.3%, p &lt; 0.0001), and extracorporeal cardiopulmonary resuscitation (25.8% <em>v</em> 20.0%, p = 0.0015). The inclusion of the two randomized controlled trials in the VA ECMO group increased the prevalence of comorbidities compared with the ECPella group.</div></div><div><h3>Conclusions</h3><div>Patients who received a combination of MCS and VA ECMO have a greater prevalence of comorbidities.</div></div>","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":"39 3","pages":"Pages 675-682"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143005920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信