Cardiovascular Surgery and Interventions最新文献_第2页

Giant asymptomatic pulmonary herniation following minimally invasive mitral valve replacement 微创二尖瓣置换术后巨大无症状肺疝

Cardiovascular Surgery and Interventions Pub Date : 2023-03-28 DOI: 10.5606/e-cvsi.2023.1475

A. Durukan

引用次数: 0

Radiofrequency ablation versus high ligation and stripping for the treatment of symptomatic great saphenous vein insufficiency: Short-term patient-reported outcomes 射频消融与高位结扎剥离治疗症状性大隐静脉不全:短期患者报告的结果

Cardiovascular Surgery and Interventions Pub Date : 2023-03-28 DOI: 10.5606/e-cvsi.2023.1490

A. Topçu

{"title":"Radiofrequency ablation versus high ligation and stripping for the treatment of symptomatic great saphenous vein insufficiency: Short-term patient-reported outcomes","authors":"A. Topçu","doi":"10.5606/e-cvsi.2023.1490","DOIUrl":"https://doi.org/10.5606/e-cvsi.2023.1490","url":null,"abstract":"Objectives: The study aimed to compare short-term patient-reported outcomes of radiofrequency ablation (RFA) versus high ligation and stripping (HLS) in a cohort with symptomatic great saphenous vein (GSV) insufficiency. Patients and methods: This was a single-institution, retrospective, observational, cohort study of prospectively collected data. All procedures were performed between January 2019 and February 2021. Ninety-seven patients (54 females, 43 males; mean age: 45.2±11.1 years; range, 18 to 76 years) with lower limb chronic venous disease symptoms refractory to exercise, compression stockings, and pharmacotherapy underwent RFA (n=60) or HLS (n=37). Self-reported pain assessment was performed on the first postoperative day using the numeric rating scale, and duration of return to daily activities was questioned on the 30th postoperative day. Results: Patients in the RFA group reported significantly less pain compared to patients in the HLS group with median numeric rating scale scores of 1.5 (0-4) versus 4 (2-5), respectively (p<0.001). The RFA group returned to their daily routine significantly sooner compared to the HLS group (1 [1-1] versus 1.5 [1-4] days, respectively; p=0.004). Conclusion: Radiofrequency ablation is associated with significantly less postoperative pain and earlier return to daily activities compared to HLS in patients with symptomatic GSV insufficiency.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115189599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Transaortic cardioscopic left ventricular thrombectomy 经主动脉心镜左室取栓术

Cardiovascular Surgery and Interventions Pub Date : 2023-03-28 DOI: 10.5606/e-cvsi.2023.1398

M. Akpınar

引用次数: 1

Association between coronary artery lesion severity in coronary computed tomography angiography and hemoglobin A1c in nondiabetic patients with chronic coronary syndrome 非糖尿病慢性冠状动脉综合征患者冠状动脉ct血管造影中冠状动脉病变严重程度与血红蛋白A1c的关系

Cardiovascular Surgery and Interventions Pub Date : 2023-03-28 DOI: 10.5606/e-cvsi.2023.1412

F. Yurdam

{"title":"Association between coronary artery lesion severity in coronary computed tomography angiography and hemoglobin A1c in nondiabetic patients with chronic coronary syndrome","authors":"F. Yurdam","doi":"10.5606/e-cvsi.2023.1412","DOIUrl":"https://doi.org/10.5606/e-cvsi.2023.1412","url":null,"abstract":"Objectives: In this study, we aimed to investigate whether there is a relationship between coronary artery lesion severity detected on coronary computed tomography angiography (CTA) and the hemoglobin A1c (HbA1c) value in nondiabetic patients with chronic coronary syndrome (CCS). Patients and methods: The retrospective observational study included 125 patients (64 males, 61 females; median age: 55 years; IQR, 46.5-63.0) who underwent coronary CTA with the diagnosis of CCS and applied between March 2020 and July 2022. Two groups were formed according to the severity of coronary artery lesion by coronary CTA: Group 1 (n=71), with <70% coronary lesion severity, and Group 2 (n=54), with >70% coronary lesion severity. Results: The two groups were similar in terms of median age, (p=0.09) and male sex ratios (47% vs. 55%, p=0.47). The HbA1c value in Group 2 was statistically significantly higher than in Group 1 [5.89 (5.43-6.15) vs. 5.42 (5.1-5.8), p=0.001]. The HbA1c cut-off value was determined as 5.66. The ideal HbA1c cut-off value, calculated by the Youden index, had a sensitivity of 64% and a specificity of 63% in predicting the severity of coronary artery lesions in nondiabetic patients with CCS. Conclusion: In nondiabetic patients with CCS, HbA1c is associated with the presence of severe CAD lesions detected in coronary CTA.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115605316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Could the echocardiographic parameters be a predictor to estimate cerebrovascular events in patients with micro-atrial fibrillation? 超声心动图参数能否作为微心房颤动患者脑血管事件的预测因子?

Cardiovascular Surgery and Interventions Pub Date : 2023-03-28 DOI: 10.5606/e-cvsi.2023.1419

C. Aydın

{"title":"Could the echocardiographic parameters be a predictor to estimate cerebrovascular events in patients with micro-atrial fibrillation?","authors":"C. Aydın","doi":"10.5606/e-cvsi.2023.1419","DOIUrl":"https://doi.org/10.5606/e-cvsi.2023.1419","url":null,"abstract":"Objectives: This study examined possible predictors of stroke [left atrial sphericity index (LASI), left atrial kinetic energy (LAKE), left atrial volume index (LAVI) atrial electromechanical delay (AEMD)] intervals in patients with micro-atrial fibrillation (micro-AF). Patients and methods: A total of 102 consecutive patients (40 males, 62 females; mean age: 61.5±9.2 years; range, 18 to 75 years) diagnosed with micro-AF on rhythm Holter were included in this retrospective study between June 2021 and October 2021. Cranial magnetic resonance and computed tomography images of these patients were scanned from the hospital database. The patients were divided into two groups according to their stroke status (Group 1, the stroke group [n=25]; Group 2, the nonstroke group [n=77]). The LASI was calculated as a fraction of the left atrial maximum volume to the left atrial volume of the sphere in a four-chamber view. The biplane method of disks was used to calculate left atrium volume. The LAVI was calculated by dividing left atrium (LA) volume by the body surface area of patients. Atrial electromechanical delay intervals were calculated from the atrial walls by tissue Doppler imaging. These two groups were compared to assess whether echocardiographic parameters could be a predictor of cerebrovascular events. Results: There was a statistically significant difference between Groups 1 and 2 in terms of left (75.7±4.5 vs. 68.4±3.5, p<0.001) and right (69.5±7.1 vs. 57±3.2, p<0.001) atrial lateral wall and LA medial wall (72±4 vs. 66.2±3.5, p<0.001) electromechanical delay times, LAVI (38.9±3.3 vs. 30.9±3.8, p<0.001), LASI (0.78±0.05 vs. 0.67±0.4, p<0.001), and LAKE (3.7±0.9 vs. 7.9±1.9, p<0.001), left atrial diameter (40±5 vs. 38±2, p<0.001). Conclusion: Changes in LASI, LAVI, LAKE, left atrial diameter, and atrial AEMD times may be a predictor of stroke in patients with micro-AF.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126862672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Are we going to survive transplant during the coronavirus disease 2019 outbreak: A case report 2019冠状病毒病爆发期间，我们能在移植中存活吗

Cardiovascular Surgery and Interventions Pub Date : 2023-03-28 DOI: 10.5606/e-cvsi.2023.1492

Özge Altaş

引用次数: 0

Usefulness of red cell distribution width as a predictor of amputation after embolectomy in acute lower limb ischemia 红细胞分布宽度作为急性下肢缺血栓塞切除术后截肢的预测指标的有效性

Cardiovascular Surgery and Interventions Pub Date : 2023-03-28 DOI: 10.5606/e-cvsi.2023.1400

S. Şahin

{"title":"Usefulness of red cell distribution width as a predictor of amputation after embolectomy in acute lower limb ischemia","authors":"S. Şahin","doi":"10.5606/e-cvsi.2023.1400","DOIUrl":"https://doi.org/10.5606/e-cvsi.2023.1400","url":null,"abstract":"Objectives: This study aimed to determine whether red cell distribution width (RDW) is an independent predictor of adverse outcomes in patients who underwent surgical embolectomy for acute lower limb ischemia. Patients and methods: This retrospective study included 245 patients who underwent surgical embolectomy for acute lower limb ischemia between January 2008 and June 2012. Patients who had thrombosis of the atherosclerotic lesion and iliac or femoral stent thrombosis were excluded. The patients were divided into two groups according to the need for limb amputation after the initial embolectomy: 42 were in the limb amputation group (33 males, 9 females; mean age: 67.2±9.1 years; range, 52 to 85 years), and 203 were in the limb salvage group (132 males, 71 females; mean age: 58.4±9.3 years; range, 44 to 71 years). A multinomial logistic regression analysis was applied to determine the independent predictive effect of RDW and other parameters on major/minor amputation. The analysis was multivariately adjusted for age and sex to eliminate the confounding effect of other variables. Results: Age (odds ratio [OR]=1.131, 95% confidence interval [CI]: 1.074-1.191, p<0.001), recurrent embolism in the same limb (OR=2.898, 95% CI: 1.238-6.780, p=0.01), urea level (OR=1.037, 95% CI: 1.013-1.062, p=0.003), and RDW (OR=1.324, 95% CI: 1.006-1.741, p=0.04) were significantly associated with the risk of major amputation in unadjusted multinominal logistic regression analysis, whereas the association of RDW with the risk of major amputation did not remain when adjusted for age and sex (OR=1.191, 95% CI: 0.963-1.474, p=0.10). Conclusion: In conclusion, RDW may have a role in predicting adverse outcomes in patients treated for acute lower limb ischemia. However, it cannot be used as a stand-alone predictive marker.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124794448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Giant pseudoaneurysm due to Dacron graft degeneration: A case report 涤纶移植物变性致巨大假性动脉瘤1例

Cardiovascular Surgery and Interventions Pub Date : 2023-03-28 DOI: 10.5606/e-cvsi.2023.1416

A. Durmaz

{"title":"Giant pseudoaneurysm due to Dacron graft degeneration: A case report","authors":"A. Durmaz","doi":"10.5606/e-cvsi.2023.1416","DOIUrl":"https://doi.org/10.5606/e-cvsi.2023.1416","url":null,"abstract":"Knitted Dacron grafts are often preferred as they are easy to process, soft, and flexible; they also tend to expand due to their high porosity. Bleeding and pseudoaneurysm formation at the anastomotic site are common complications of vascular surgery, but nonanastomotic bleeding due to degeneration of Dacron graft's textile structure is rare. Here, we present a 70-year-old male diagnosed with a giant pseudoaneurysm that continues from the femoral artery to the popliteal artery formed due to the degeneration of the previous seven-year-old prosthetic graft. The pseudoaneurysm continued to be the source of arterial flow with its capsule, and the arterial flow into it was able to provide blood supply to the lower extremity without causing ischemia. The patient underwent surgery to excise the giant pseudoaneurysm and create a new bypass between the femoral and popliteal arteries. Today, the durability of prostheses is becoming increasingly important, and modifications in the manufacturing process have made Dacron grafts more resistant to cyclic pulsatile stretching and facilitated the adaptation of the prosthetic material to the host tissue. Despite all the remarkable innovations over the last 50 years, complications of prosthetic grafts can result in fatal bleeding. This situation emphasizes the importance of close follow-up and detailed clinical and radiological evaluation of patients.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"121 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116407048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Is del Nido cardioplegia safe in isolated coronary bypass surgery? It may be possible with this method 在孤立的冠状动脉搭桥手术中del Nido心脏骤停安全吗?用这种方法是可能的

Cardiovascular Surgery and Interventions Pub Date : 2023-03-28 DOI: 10.5606/e-cvsi.2023.1433

F. Borulu

{"title":"Is del Nido cardioplegia safe in isolated coronary bypass surgery? It may be possible with this method","authors":"F. Borulu","doi":"10.5606/e-cvsi.2023.1433","DOIUrl":"https://doi.org/10.5606/e-cvsi.2023.1433","url":null,"abstract":"Objectives: This study aimed to share the early results of the del Nido (DN) solution used with a different method in patients who underwent isolated coronary bypass. Patients and methods: The retrospective study included 150 patients (123 males, 27 females; mean age: 59.8±9.7 years; range, 38 to 84 years) who underwent isolated coronary bypass operation between January 2020 and May 2022. The DN solution was applied differently from the practice in the literature. Seventy-five percent of the dose calculated according to the body weight of the patients was administered at the first moment. The remaining amount was continued to be given through the saphenous veins as distal anastomoses were made. When the cross-clamp was lifted, all grafts were tied to the aorta cannula, and the coronary vascular bed was cleared. Follow-up of patients was done routinely. Results: The mean preoperative ejection fraction was 49.9±5.6, and the mean postoperative ejection fraction value was 50.3±5.0 (p=0.079). A statistically significant difference was found between the preoperative troponin level and the postoperative troponin level at 6 h (p<0.001). However, there was no significant difference between the postoperative 6 h and the postoperative 24 h. Spontaneous rhythm occurred at the termination of cardiopulmonary bypass in most of the patients (97%). No permanent pacing was required in any patient. An intra-aortic balloon pump was used in nine patients, and extracorporeal membrane oxygenation was used in two patients. Two patients died in the early period. Conclusion: The use of DN with this method seems to be a reliable alternative to eliminate hesitations in isolated coronary bypass surgery.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"96 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127080912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Comparison of flexible and rigid annuloplasty rings in isolated mitral regurgitation 软硬环成形术治疗孤立性二尖瓣返流的比较

Cardiovascular Surgery and Interventions Pub Date : 2023-03-28 DOI: 10.5606/e-cvsi.2023.1159

Özge Altaş

{"title":"Comparison of flexible and rigid annuloplasty rings in isolated mitral regurgitation","authors":"Özge Altaş","doi":"10.5606/e-cvsi.2023.1159","DOIUrl":"https://doi.org/10.5606/e-cvsi.2023.1159","url":null,"abstract":"Objectives: The aim of this study was to examine the early and midterm results of various annuloplasty rings in terms of residual mitral regurgitation (MR) in patients undergoing mitral valve repair. Patients and methods: In the retrospective study, 298 patients (157 males, 141 females; mean age: 58.8±14.3 years; range, 16 to 82 years) underwent repair between September 2009 and April 2012. Two hundred eleven were assigned to the flexible ring group (Group 1), whereas 87 were included in the rigid ring group (Group 2). Mitral pathologies were divided into three subgroups: ischemic, degenerative, and rheumatic. Results: The causes of mitral pathology were ischemic in 36.2%, degenerative in 54.4%, and rheumatic in 9.4%. Concomitant surgical procedures were present in 87%. The follow-up period ranged from 2 days to 33 months, with a mean of 15.8±7.5 months. The 30-day mortality rate was 9.2% and 10.4% in Groups 1 and 2, respectively. There was a high rate of successful repair in the rigid group with 88.5% and acceptable rate of repair in the flexible group with 72%. Mitral regurgitation was significantly reduced after intervention regardless of the ring type (p<0.01). Significant improvement in NYHA class was observed in both groups. Recurrent regurgitation was detected in 27.9% of patients in Group 1 and 11.5% in Group 2. Recurrence occurred within three to nine months following the surgery. Reoperation rates for residual MR were 3.3% (n=7) vs. 1.1% (n=1) in Groups 1 and 2, respectively (p=0.293). Conclusion: Saddle-shaped rings provide a mechanical benefit through a low and uniform force distribution and improve repair durability compared to flat rings. As a result, the rigid ring had a significant advantage, particularly in degenerative and rheumatic subgroups, but there was a loss of superiority in late ischemic MR due to left ventricle remodeling.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"71 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123208336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0