Journal of cardiothoracic and vascular anesthesia最新文献

{"title":"Noninvasion and Its Relevance in Modern Imaging for Aortic Regurgitation.","authors":"Swapnil Khoche, Marcus Bruce, Tim Maus","doi":"10.1053/j.jvca.2025.03.020","DOIUrl":"https://doi.org/10.1053/j.jvca.2025.03.020","url":null,"abstract":"","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143982234","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":"Left Ventricular Inflow Obstruction in Neonatal Total Anomalous Pulmonary Venous Drainage","authors":"Madan Mohan Maddali MD , Salim Nasser Al-Maskari FRCPCH , Khaled Mohamed Ali PhD , Tuqa Al Lawati MD , Abdullah Mohammed Al Farqani MRCPH , Hamood Nasar Al Kindi FRCSC","doi":"10.1053/j.jvca.2025.03.021","DOIUrl":"10.1053/j.jvca.2025.03.021","url":null,"abstract":"","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":"39 7","pages":"Pages 1885-1889"},"PeriodicalIF":2.3,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143795533","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":"Utility of High-Sensitivity Cardiac Troponin Monitoring in Thoracic Surgery for Predicting Severe Postoperative Complications","authors":"Javier J. Mateos MD ,&nbsp;Elena De la Fuente MD ,&nbsp;Pablo Valero MD ,&nbsp;David Martínez MD ,&nbsp;Francisco De la Gala PhD ,&nbsp;Jose M. Bellón PhD ,&nbsp;Patricia Duque PhD ,&nbsp;Patricia Piñeiro PhD ,&nbsp;Alberto Calvo MD ,&nbsp;Almudena Reyes PhD ,&nbsp;Carlos Simón PhD ,&nbsp;Francisco J. Hortal PhD ,&nbsp;Ignacio Garutti PhD","doi":"10.1053/j.jvca.2025.03.023","DOIUrl":"10.1053/j.jvca.2025.03.023","url":null,"abstract":"<div><h3>Objectives</h3><div>To evaluate the utility of high-sensitivity cardiac troponin (hs-cTn) monitoring in thoracic surgery to predict severe postoperative complications (sPOCs) according to the Clavien-Dindo classification.</div></div><div><h3>Design</h3><div>Retrospective, observational cohort study.</div></div><div><h3>Setting</h3><div>Tertiary-level hospital involving multiple departments.</div></div><div><h3>Participants</h3><div>A total of 220 patients who underwent lung resection surgery between November 2018 and October 2021, with preoperative and postoperative troponin measurements.</div></div><div><h3>Interventions</h3><div>hs-cTnI levels (Abbott Alinity) were measured before surgery and within the first 24 hours postoperatively. Myocardial injury (MI) was defined as hs-cTnI greater than 26.2 ng/L postoperatively. In addition, the impact of a postoperative cTnI elevation greater than 20% or a preoperative value below 1.6 ng/L on the occurrence of sPOCs is analyzed. Postoperative complications were recorded for the first 30 days and classified using the Clavien-Dindo classification.</div></div><div><h3>Main Measurements and Results</h3><div>Patients with sPOCs had higher pre- and postoperative hs-cTnI levels compared to those without complications. Patients with MI had a higher incidence of POCs than those without MI. Additionally, undetectable preoperative hs-cTnI levels were associated with better survival.</div></div><div><h3>Conclusions</h3><div>Perioperative troponin elevation is associated with worse short-term postoperative outcomes, including a higher incidence of sPOCs and prolonged hospital stays. Preoperative hs-cTnI levels correlate with preoperative morbidity (frailty) in patients.</div></div>","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":"39 7","pages":"Pages 1763-1773"},"PeriodicalIF":2.3,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143795539","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":"Atrial Fibrillation, Coronary Artery Disease, and Anticoagulation: Is Two a Crowd?","authors":"Kelly Byrne MBChB, FANZCA ,&nbsp;Philip Sugden MBChB","doi":"10.1053/j.jvca.2025.03.012","DOIUrl":"10.1053/j.jvca.2025.03.012","url":null,"abstract":"","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":"39 7","pages":"Pages 1619-1621"},"PeriodicalIF":2.3,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752858","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":"Cerebral Autoregulation Monitoring: Time to Prioritize the Brain?","authors":"Nuno V. Gomes MD ,&nbsp;Daniel Bolliger MD","doi":"10.1053/j.jvca.2025.03.011","DOIUrl":"10.1053/j.jvca.2025.03.011","url":null,"abstract":"","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":"39 7","pages":"Pages 1678-1680"},"PeriodicalIF":2.3,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143795497","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":"Pro: All Cardiac Arrest Patients Should Be Transferred To a Cardiac Arrest Center.","authors":"Jacopo D'Andria Ursoleo, Fabrizio Monaco","doi":"10.1053/j.jvca.2025.03.019","DOIUrl":"https://doi.org/10.1053/j.jvca.2025.03.019","url":null,"abstract":"<p><p>Out-of-hospital cardiac arrest (OHCA) is characterized by a high prevalence and is burdened by significant mortality and morbidity. While underlying atherosclerotic coronary artery disease accounts for the majority of the cases in the Western world owing to lifestyle and dietary customs, several other conditions and diseases can lead to OHCA. Although patient survival rates have doubled over the past 3 decades, only marginal improvements in terms of overall survival and neurologic outcomes have been observed over the last decade. A growing body of evidence suggests that regional differences in OHCA outcomes may be attributable to differences in hospital infrastructure and healthcare provider expertise, thus contributing to increased awareness of the importance of cardiac arrest centers (CACs). CACs are centers of excellence for post-cardiac arrest care, which provide dedicated, continuous access to specialized multidisciplinary facilities and expert physicians (eg, emergency department, cardiac intensive care unit, coronary angiography laboratory, rehabilitation departments), ultimately seeking to optimize patient management and improve their survival rates and functional outcomes. Here we provide an overview of the complex management of OHCA patients and outline evidence-based benefits that can result from the treatment of OHCA patients in dedicated CACs.</p>","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752436","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":"Evaluating the Role of Right Ventricular Free Wall Longitudinal Strain as a Noninvasive Metric for Stroke Volume, Stroke Volume Index, and Right Ventricular Function","authors":"Samwel Gitundu BS ,&nbsp;Luis F. Gonzalez-Ciccarelli MD ,&nbsp;Brian R. Gebhardt MD, MPH, FASE ,&nbsp;Frederick C. Cobey MD, MPH, FASE","doi":"10.1053/j.jvca.2025.03.016","DOIUrl":"10.1053/j.jvca.2025.03.016","url":null,"abstract":"","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":"39 7","pages":"Pages 1894-1897"},"PeriodicalIF":2.3,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752862","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":"Incremental Value of Transesophageal Echocardiographic Imaging in Durable Left Ventricular Assist Device Patients: A Novel Approach Worth Considering","authors":"Jordan Holloway MD ,&nbsp;Aaron Guo MD ,&nbsp;Saliya Ratnayaka MD, PhD ,&nbsp;Paula Durbin APRN-DNP ,&nbsp;Bailey Drossman PA-C ,&nbsp;Michael Essandoh MD","doi":"10.1053/j.jvca.2025.03.015","DOIUrl":"10.1053/j.jvca.2025.03.015","url":null,"abstract":"","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":"39 7","pages":"Pages 1893-1894"},"PeriodicalIF":2.3,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752319","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 Pitfalls of Comparing Different Mechanical Circulatory Support Modalities.","authors":"Dominic V Pisano, Alexander Shapeton, Jamel Ortoleva","doi":"10.1053/j.jvca.2025.03.017","DOIUrl":"https://doi.org/10.1053/j.jvca.2025.03.017","url":null,"abstract":"","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752478","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":"Perfusionists, Surgeons, and Anesthesiologists: A History of Successful Multidisciplinary Collaboration: What's Next?","authors":"Eugene A. Hessel II MD, MS, FACS ,&nbsp;Robert C. Groom MS, CCP, FPP ,&nbsp;Thoralf M. Sundt III MD","doi":"10.1053/j.jvca.2025.03.013","DOIUrl":"10.1053/j.jvca.2025.03.013","url":null,"abstract":"","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":"39 7","pages":"Pages 1842-1843"},"PeriodicalIF":2.3,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143795536","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}