Journal of cardiothoracic and vascular anesthesia最新文献

{"title":"Use of Femoral Inferior Vena Cava Cannulation to Mitigate Inferior Vena Cava Stenosis After Bicaval Orthotopic Heart Transplantation: A Call for Cannulation Consideration","authors":"Jordan Holloway MD , Cassidy Wernke DO , Bryan A. Whitson MD, PhD , Michael Essandoh MD , Jonathan Tang MD","doi":"10.1053/j.jvca.2025.02.033","DOIUrl":"10.1053/j.jvca.2025.02.033","url":null,"abstract":"","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":"39 6","pages":"Pages 1613-1614"},"PeriodicalIF":2.3,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624827","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}

{"title":"Safety of Transesophageal Echocardiography in Patients Referred for Tricuspid Valve Disease at a Center for Structural Heart Disease","authors":"Andrew Chou MD ,&nbsp;Monique Oye DO ,&nbsp;Krishna Modi MD ,&nbsp;Kartik Gupta MD ,&nbsp;Georgi Fram ,&nbsp;John Dawdy MD ,&nbsp;Bryan Zweig MD ,&nbsp;Tiberio Frisoli MD ,&nbsp;Pedro Engel Gonzalez MD ,&nbsp;Pedro Villablanca Spinetto MD ,&nbsp;Brian O'Neill MD ,&nbsp;Trevor Szymanski MD ,&nbsp;Alexandra Deporre MD ,&nbsp;Sachin Parikh MD ,&nbsp;James Lee MD","doi":"10.1053/j.jvca.2025.02.041","DOIUrl":"10.1053/j.jvca.2025.02.041","url":null,"abstract":"<div><h3>Objectives</h3><div>The aim of this study was to examine safety outcomes in patients referred for transesophageal echocardiograms (TEEs) for tricuspid valve disease.</div></div><div><h3>Design</h3><div>Retrospective observational study.</div></div><div><h3>Setting</h3><div>Single quaternary referral center specializing in structural heart disease.</div></div><div><h3>Participants</h3><div>One hundred five patients referred for TEE for tricuspid valve disease between July 2022 and June 2023.</div></div><div><h3>Interventions</h3><div>This study was not interventional, but assessed the safety of TEE.</div></div><div><h3>Methods and Main Results</h3><div>The primary outcome was a composite of hypotension (mean arterial pressure [MAP] &lt; 60 mmHg); use of epinephrine, norepinephrine, or calcium chloride; aborted studies due to documented clinical instability; emergent intubation; hospitalization or escalation of care post-TEE; oropharyngeal or gastrointestinal injury; or cardiac arrest. Secondary outcomes were 30-day cardiovascular mortality, all vasopressor use, and time spent per TEE. The primary outcome was noted in 32 patients (30.5%). The rate of cardiac arrest was 2.9% (3/105). Hypotension (MAP &lt; 60 mmHg) was noted in 30 patients, with 7 patients needing hospitalization after TEE. No patients had oropharyngeal or gastrointestinal injury. There was a greater prevalence of moderate to severe right ventricular (RV) dilation (77% vs 53%; p = 0.022) and moderately to severely decreased RV function (48% vs 25%; p = 0.023) in patients who met the primary outcome. Both RV fractional area change (37.9% vs 29.8%; p = 0.003) and tricuspid annular plane systolic excursion (1.84 cm vs 1.45 cm; p = 0.002) were lower on baseline transthoracic echocardiogram.</div></div><div><h3>Conclusions</h3><div>Patients with severe tricuspid regurgitation had a high prevalence of adverse events when undergoing TEE. Further studies are needed to compare these outcomes with other groups undergoing diagnostic TEE and delineate what risk factors may place these patients at greater risk.</div></div>","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":"39 6","pages":"Pages 1414-1421"},"PeriodicalIF":2.3,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143639613","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}

{"title":"A History of the Journal of Cardiothoracic and Vascular Anesthesia: Nearly 40 Years and Counting","authors":"Paul S. Pagel MD, PhD ,&nbsp;Jiapeng Huang MD, PhD ,&nbsp;John G.T. Augoustides MD ,&nbsp;Alan Jay Schwartz MD, MSEd ,&nbsp;Eugene A. Hessel II MD ,&nbsp;Joel A. Kaplan MD","doi":"10.1053/j.jvca.2025.02.035","DOIUrl":"10.1053/j.jvca.2025.02.035","url":null,"abstract":"<div><div>This article describes the history of the <em>Journal of Cardiothoracic and Vascular Anesthesia</em>, including its conception, initial publication, remarkable growth, and international standing. The <em>Journal</em> is the oldest subspecialty journal in anesthesiology and has served as a model for the many other anesthesia subspecialty journals that have followed in its footsteps since it was first published in 1987. The <em>Journal</em> has seamlessly embraced and advanced knowledge about new developments in clinical practice throughout its nearly 40-year history of excellence. Led by its Editor-in-Chief Joel Kaplan and its Editorial Board, the <em>Journal</em> remains at the forefront of the most important advances in cardiac, thoracic, and vascular anesthesia. The <em>Journal of Cardiothoracic and Vascular Anesthesia</em> is the preeminent journal of its kind in the world today.</div></div>","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":"39 6","pages":"Pages 1389-1400"},"PeriodicalIF":2.3,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624824","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}

{"title":"Perioperative Aspirin Management in Stable Patients With Coronary Stents Undergoing Noncardiac Surgery: Hold or Continue?","authors":"Abimbola Faloye MD,&nbsp;Nadim Choudhury MD, MBA,&nbsp;Ragini G. Gupta MD","doi":"10.1053/j.jvca.2025.02.036","DOIUrl":"10.1053/j.jvca.2025.02.036","url":null,"abstract":"","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":"39 5","pages":"Pages 1113-1115"},"PeriodicalIF":2.3,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143566692","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}

{"title":"The VANISH2 Trial and Its Implications for Cardiac Anesthesiologists","authors":"Ryan Dodge MD ,&nbsp;Jordan Holloway MD ,&nbsp;Jonathan Tang MD ,&nbsp;Melissa Kimlinger MD ,&nbsp;Michael Essandoh MD ,&nbsp;Adam Dalia MD","doi":"10.1053/j.jvca.2025.02.037","DOIUrl":"10.1053/j.jvca.2025.02.037","url":null,"abstract":"","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":"39 6","pages":"Pages 1380-1382"},"PeriodicalIF":2.3,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143615489","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}

{"title":"Timing of Bleeding After Percutaneous and Surgical Coronary Revascularization","authors":"Daniel Bolliger MD ,&nbsp;Eckhard Mauermann ,&nbsp;Denis Berdajs MD","doi":"10.1053/j.jvca.2025.02.028","DOIUrl":"10.1053/j.jvca.2025.02.028","url":null,"abstract":"","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":"39 6","pages":"Pages 1365-1368"},"PeriodicalIF":2.3,"publicationDate":"2025-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143585671","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}

{"title":"The Conundrum of Perioperative Management of Patients with Diastolic Dysfunction Undergoing Cardiac Surgery","authors":"Deepak K. Tempe MD, FRCA, FAMS","doi":"10.1053/j.jvca.2025.02.031","DOIUrl":"10.1053/j.jvca.2025.02.031","url":null,"abstract":"","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":"39 5","pages":"Pages 1098-1102"},"PeriodicalIF":2.3,"publicationDate":"2025-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143566630","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}

{"title":"Retrospective Chart Review of Euglycemic Diabetic Ketoacidosis Rates and Outcomes Postimplementation of Sodium Glucose Cotransporter 2 Inhibitor Use Stoppage 5 Days Before Open Heart Surgery","authors":"Jonathan S. Auerbach MD ,&nbsp;Ahmed Alnajar MD, MSPH ,&nbsp;Samira S. Patel MBA ,&nbsp;Hayley B. Gershengorn MD ,&nbsp;Joseph Lamelas MD ,&nbsp;Daitiara Perez PharmD ,&nbsp;Oscar D. Aljure MD ,&nbsp;Tanira D. Ferreira MD ,&nbsp;Lazaro A. Gonzalez APRN ,&nbsp;Jorge L. Cabrera DO","doi":"10.1053/j.jvca.2025.02.030","DOIUrl":"10.1053/j.jvca.2025.02.030","url":null,"abstract":"<div><h3>Objectives</h3><div>Outcomes of stopping sodium-glucose cotransporter 2 inhibitors (SGLT2i) 5 days before open heart surgery (euglycemic diabetic ketoacidosis [eDKA] rate, mortality, infection, hospital, and cardiovascular intensive care unit [CVICU] length of stay [LOS]).</div></div><div><h3>Design</h3><div>Retrospective study.</div></div><div><h3>Setting</h3><div>Academic university hospital.</div></div><div><h3>Participants</h3><div>Adult open heart surgery patients.</div></div><div><h3>Exposures</h3><div>Patients on SGLT2i who stopped medications 5 days before open heart surgery versus non–SGLT2i-using patients.</div></div><div><h3>Measurements and Main Results</h3><div>We evaluated patients who were told to stop SGLT2i 5 days before receiving open heart surgery for eDKA development within 24 hours of hospital admission (12/14/2022 to 10/25/2023). Non-eDKA outcomes were compared between SGLT2i users and non-users using Wilcoxon rank sum and Chi-square testing as appropriate. Of 540 open heart surgery patients, 48 (8.9%) were prescribed SGLT2i's before surgery; of these, 0 (0%) developed eDKA within 24 hours of hospital admission. Hospital LOS was statistically longer for patients with SGLT2i use (median [interquartile range]: 4 [4-5] <em>v</em> 4 [3-6] days, p = 0.003; mean [standard deviation]: 4 [3] <em>v</em> 5 [2], p = 0.03). We found no significant difference between patients with and without SGLT2i use in CVICU LOS (median [interquartile range]: 1.67 [0.95-2.09] <em>v</em> 1.17 [0.96-1.88] days, p = 0.14), in-hospital mortality (2.1% [1] <em>v</em> 0.6% [3], p = 0.3), or sternal infections (0 [0.0%] <em>v</em> 2 [0.4%], p &gt; 0.9).</div></div><div><h3>Conclusion</h3><div>Postoperative eDKA was absent in SGLT2i patients told to stop medications 5 days before open heart surgery. LOS and infection and mortality rates appeared similar between the two cohorts. Stopping SGLT2i medications 5 days before open heart surgery appears safe.</div></div>","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":"39 6","pages":"Pages 1441-1450"},"PeriodicalIF":2.3,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143639612","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}

{"title":"Angiotensin II in Vasoplegia: Expanding Frontiers in Hemodynamic Therapy","authors":"Nazia Siddiqui MD ,&nbsp;Joseph Sanders MD ,&nbsp;Sandeep Krishnan MD","doi":"10.1053/j.jvca.2025.02.023","DOIUrl":"10.1053/j.jvca.2025.02.023","url":null,"abstract":"","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":"39 6","pages":"Pages 1383-1388"},"PeriodicalIF":2.3,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143585390","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}

{"title":"Transcatheter Tricuspid Valve Replacement: A New Frontier in Isolated Tricuspid Valve Regurgitation","authors":"Kristin Constantine Trela MD,&nbsp;Richa Dhawan MD, MPH","doi":"10.1053/j.jvca.2025.02.026","DOIUrl":"10.1053/j.jvca.2025.02.026","url":null,"abstract":"","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":"39 6","pages":"Pages 1369-1371"},"PeriodicalIF":2.3,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143585674","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}