Cardiovascular Surgery and Interventions最新文献

{"title":"The association of new atherosclerosis markers with coronary collaterals in chronic total occlusion patients","authors":"N. Emlek","doi":"10.5606/e-cvsi.2022.1368","DOIUrl":"https://doi.org/10.5606/e-cvsi.2022.1368","url":null,"abstract":"Objectives: In the present study, we investigated the relationship between mentioned markers and chronic total occlusion collateral development. Patients and methods: A total of 243 patients (210 males, 33 females; mean age: 63.3±11.5; range, 51 to 76 years) who underwent coronary angiography due to typical chest pain or myocardial ischemia detected in noninvasive stress tests and diagnosed with ≥1 major coronary artery occlusion between January and September 2020 were included in the cross-sectional observational study. The angiographic collateral index was determined according to the Cohen-Rentrop classification. The patients were divided into two groups according to the sufficiency of collateral development: the well-developed collaterals group (n=155) and the poor-developed collaterals group (n=88). Results: Statistically significant parameters in univariate logistic regression analysis were evaluated with multivariate (stepwise) logistic regression analysis; as a result, presence of chronic total occlusion in left anterior descending artery (odds ratio [OR]=2.447; 95% confidence interval [CI], 1.160-5.162; p=0.019), total number of occlusions (OR=3.503; 95% CI, 1.445-8.494; p=0.006), left ventricular ejection fraction (OR=1.056; 95% CI, 1.022-1.091; p=0.001), and the atherogenic index of plasma (OR=0.017; 95% CI, 1.022-1.091; p<0.001) were independently associated with well-developed collaterals. Although the triglyceride-glucose index had statistical significance in the univariate analysis, it was not detected as an independent variable in the multivariate analysis. The monocyte-lymphocyte ratio was not significant in the univariate analysis. Conclusion: Of the new atherosclerosis markers, only the atherogenic index of plasma had an independent association with poor collateral development.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128800709","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}

{"title":"The treatment indication affects the time in therapeutic range","authors":"H. Iner","doi":"10.5606/e-cvsi.2022.1392","DOIUrl":"https://doi.org/10.5606/e-cvsi.2022.1392","url":null,"abstract":"Objectives: This study aimed to compare the efficacy and safety of the treatment in patients with deep vein thrombosis (DVT) and mechanical mitral valve replacement (MVR) who were treated with warfarin for different indications. Patients and methods: A total of 536 patients (314 males, 222 females; mean age: 55.6±10.8 years; range, 18 to 89 years) were retrospectively reviewed between January 2016 and January 2020. The patients were evaluated in two groups: 273 DVT patients (149 males, 124 females; mean age: 56.7±11.3 years) who received long-term therapy (six months) and 263 mechanical MVR patients (165 males, 98 females; mean age: 56.2±9.4 years). Both groups were compared in terms of the percentage of time in the therapeutic range (TTR), the time to reach the target international normalized ratio (INR), and warfarin related complications. Results: The number of total hospital visits and total INR measurements for six months in the MVR group was statistically significantly higher than in the DVT group (p<0.001). The duration and percentage of TTR in the first three and six months of the MVR group were statistically significantly higher than the DVT group (p<0.05). Conclusion: More MVR patients remained in the therapeutic range than DVT patients due to the frequent hospital visits of these patients for various reasons; thus, it may be beneficial to increase the frequency of follow-up examinations or measurements of INR in patients who have started warfarin treatment for an indication other than valve replacement.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130788990","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}

{"title":"Robotic atrial septal defect closure with valved pericardial patch in a pulmonary hypertensive patient","authors":"M. Kadan","doi":"10.5606/e-cvsi.2022.1279","DOIUrl":"https://doi.org/10.5606/e-cvsi.2022.1279","url":null,"abstract":"Atrial septal defect (ASD) is the most common congenital anomaly in adults after bicuspid aortic valve. Atrial septal defect closure should be carefully considered in the setting of elevated pulmonary artery systolic pressure. Patients with borderline pulmonary vascular resistance may be candidates for closure with careful hemodynamic evaluation, even after pulmonary hypertension therapy. Herein, we present the surgical closure of the ASD with a valved pericardial patch after medical therapy for pulmonary hypertension via the da Vinci robotic system in a 30-year-old female patient.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122753398","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}

{"title":"Single center experience with percutaneous peripheral atherectomy with the use of C-arm scopy for the treatment of lower extremity peripheral artery disease","authors":"I. Erdinc","doi":"10.5606/e-cvsi.2022.1351","DOIUrl":"https://doi.org/10.5606/e-cvsi.2022.1351","url":null,"abstract":"Objectives: This study aimed to present our results of endovascular procedures including balloon angioplasty combined with or without atherectomy for the treatment of iliofemoral and distal lesions with the use of a C-arm scopy. Patients and methods: The retrospective study was conducted on 153 patients (100 males, 53 females; mean age: 60.2±2.1 years; range, 53 to 82 years) with the diagnosis of peripheral artery disease between January 2017 and January 2020. The symptoms of the patients were claudication, rest pain, or tissue loss. The operations were performed at the operation theatre with local or spinal anesthesia in a supine or prone position according to the lesion status. Lesions were classified as superficial femoral, popliteal, and distal lesions below the knee. Results: Interventional treatment was applied in all patients, and 272 lesions in 204 extremities were intervened. In 78 patients, 160 right leg lesions were treated, and in 75 patients, a total of 112 lesions were treated. Fifty-one patients had bilateral leg lesions. The number of iliac, superficial femoral, and popliteal and distal segment lesions was 30 (11.1%), 213 (78.3%), and 29 (10.6%), respectively. Most of the lesions were confined to the SFA. We performed percutaneous transluminal angioplasty procedures in all 153 patients; however, 143 of them also received atherectomy with two different reliable devices (Avinger in 45 patients, Invamed in 114 patients). All interventions were done on a standard operating theatre bed with a C-arm scope. Doppler ultrasonography was used for popliteal imaging during the insertion. We did not encounter any problems in 125 patients. In 28 patients, progress was observed in the leg or ischemic wound between 30 and 65 postoperative days. A total of 23 patients required amputation; amputations were minor (finger amputation) in five patients and major (below the knee) in 18 patients. Conclusion: The perioperative and mid-term follow-up results of our study indicate that atherectomy and drug-coated balloon angioplasty may safely be performed by C-arm scopy with favorable outcomes.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125644281","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}

{"title":"Effectiveness of directional atherectomy with the drug-coated balloon method for long and heavily calcified superficial femoral artery lesions","authors":"S. Ketenciler","doi":"10.5606/e-cvsi.2022.1339","DOIUrl":"https://doi.org/10.5606/e-cvsi.2022.1339","url":null,"abstract":"Objectives: This study aimed to examine the mid-term results of patients who underwent directional atherectomy (DA) for vascular preparation before drug-coated balloon (DCB) angioplasty with superficial femoral artery lesions longer than 150 mm and severe calcification and compare these patients with those treated with DCB angioplasty alone. Patients and methods: This prospective study enrolled 76 patients (66 males, 10 females; mean age: 63.3+9.8 years; range 44 to 105 years) with calcific superficial femoral artery lesions longer than 150 mm treated with DA before DCB angioplasty or DCB angioplasty alone between May 2019 and November 2020. The patients were evaluated in two groups according to DA use: the DA+DCB group with 46 patients and the DCB group consisting of 30 patients. The results of these two methods were compared, and the outcomes were followed up for one year after the treatment. Primary outcomes were patency, freedom from target lesion revascularization, and unplanned amputation. Results: There was no statistically significant difference between the two groups in demographic features, risk factors, comorbidity, and functional capacity assessment tests. At the 12th month, the primary patency of the DCB and DA+DCB group was 66.6% and 82.6%, respectively (p<0.05). Although the bail-out stent requirement rate for the treatment of the flow-limiting dissection (type C-F) was lower in the DA+DCB group (8.6% vs. 10.0%), there was no statistically significant difference (p=0.46). Conclusion: The DA prior to DCB in long segment severe calcific superficial femoral artery lesions may provide better patency and may decrease rate of flow-limiting and non-flow limiting dissections.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"98 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133090933","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}

{"title":"Evaluation of a gold nanocomposite hyaluronic acid-based adhesion barrier with antibacterial properties in an animal model","authors":"Ferit Kasımzade","doi":"10.5606/e-cvsi.2022.1281","DOIUrl":"https://doi.org/10.5606/e-cvsi.2022.1281","url":null,"abstract":"Objectives: In this study, the effects of a gold nanocomposite hyaluronic acid-based adhesion barrier were evaluated in an animal model. Materials and methods: In our study, a total of 42 rats in seven groups, with six rats in each group, were evaluated. The groups were established according to the application of an adhesion barrier. In the first, second, and third groups, an adhesion barrier was applied by standard median laparotomy in the first, second, and fourth weeks, respectively. The fourth, fifth, and sixth groups underwent the same procedure in the first, second, and fourth weeks; however, no adhesion barrier was applied to these groups. The seventh group was the control group, and no treatment was performed in this group. Results: There was no significant difference in the formation of inflammatory cells and fibrous tissue between the groups that underwent laparotomy in the first and second weeks with and without the adhesion barrier (p>0.05). However, both low inflammatory cells (p<0.05) and low fibrous tissue (p<0.05) were evaluated in favor of the adhesion barrier group operated at the fourth week. Conclusion: A gold nanocomposite hyaluronic acid-based adhesion barrier prevents adhesion, particularly in the long term. However, the results need to be supported by clinical studies.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115328496","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}

{"title":"Partial posterior leaflet resection for mitral valve endocarditis and valve repair with autologous pericardium","authors":"M. Şahin","doi":"10.5606/e-cvsi.2022.1342","DOIUrl":"https://doi.org/10.5606/e-cvsi.2022.1342","url":null,"abstract":"Herein, we present a 55-year-old female who underwent a mitral valve repair procedure for mitral valve endocarditis. Multiple vegetations and leaflet tissues were surgically removed from the P1 and P2 scallops. The defect of the posterior leaflet was repaired using autologous pericardium. Rims of the persicardium supported three artificial chordae to obtain good mitral coaptation. The postoperative course was uneventful. The patient was discharged on the 30th postoperative day.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"215 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121451445","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}

{"title":"Metastatic osteosarcoma near-totally occluding the right atrium: A rare cause of cardiovascular emergency","authors":"Fatih Ada","doi":"10.5606/e-cvsi.2022.1246","DOIUrl":"https://doi.org/10.5606/e-cvsi.2022.1246","url":null,"abstract":"Emergency surgical treatment of metastatic cardiovascular tumors is rarely required in cardiovascular surgery. Metastatic cardiovascular tumors constitute a small portion of open-heart surgeries. Intracardiac metastasis of osteosarcomas is much less common. Herein, we present the diagnosis and management of dyspnea, cyanosis, and respiratory failure secondary to near-total occlusion of the right atrium due to right humerus metastatic osteosarcoma in a 21-year-old female patient.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127455926","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}

{"title":"The effect of right conventional radial artery access site and left distal radial artery access site on quality of life in coronary angiography: Which route is more appropriate?","authors":"M. Kış","doi":"10.5606/e-cvsi.2022.1328","DOIUrl":"https://doi.org/10.5606/e-cvsi.2022.1328","url":null,"abstract":"Objectives: There are not many studies comparing the right conventional and left distal radial (anatomical snuffbox) access in coronary angiography (CAG) or percutaneous coronary intervention (PCI) in terms of patient satisfaction and complications; therefore, in this study, we planned to compare these two approaches and determine the ideal radial access site for the patients. Patients and methods: A total of 120 patients (80 males, 40 females; mean age: 59.2±11.7 years; range, 18 to 90 years) who underwent CAG or PCI via the radial artery between February 2022 and April 2022 were included in the prospective observational study. The patients were divided into right conventional radial artery access (Group 1; n=68) and left distal radial artery (access (Group 2; n=52) groups. Results: The rate of minor bleeding was higher in the right conventional access group compared to the left distal access group (16.2% vs. 3.8%; p=0.031). Major bleeding, hand ischemia, and radial artery occlusion were not observed in the study population. The rate of patients who had pain that disrupts daily activities was statistically higher in Group 1 than in Group 2 (17.6% vs. 5.8%). The patients in Group 2 were more satisfied with the transradial CAG/PCI compared to Group 1 (94.3% vs. 66.2%; p=0.001). Conclusion: Left distal radial artery access from the anatomic snuffbox was a safer method than right conventional radial artery access for CAG or PCI. Patients were more satisfied with the left distal radial access than the right conventional radial access.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131388026","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}

{"title":"Evaluation of mortality scores in patients with adult congenital heart defects","authors":"Berra Zümrüt Tan-Recep","doi":"10.5606/e-cvsi.2022.1223","DOIUrl":"https://doi.org/10.5606/e-cvsi.2022.1223","url":null,"abstract":"Objectives: Currently, there is no approved risk stratification for adult congenital heart surgery; accordingly, this study aimed to evaluate risk stratification for congenital heart surgery in the pediatric age in terms of its prognostic value in adult patients as well as the effectiveness of the newly developed Adult Congenital Heart Surgery (ACHS) score in this patient group. Patients and methods: A total of 205 patients (115 males, 90 females; mean age: 25.0±11.4 years; range, 18 to 65 years) operated on due to congenital heart disease between January 1, 2011, and August 1, 2019, were studied retrospectively. Aristotle Basic Complexity (ABC) score, Society of Thoracic Surgery European Association for Cardiothoracic Surgery (STAT) score, and ACHS score were evaluated. Receiver operating characteristic (ROC) curves were created to evaluate the ability of scoring systems to predict mortality. Results: The mortality rate was 4.4% (n=9). For mortality, areas under the ROC curve were 0.89, 0.89, and 0.70 for ABC, STAT, and ACHS scores, respectively. The mean ACHS score was 0.42±0.34. The cut-off point of the ACHS score was identified as 0.7 and above. The specificity of the cut-off value of 0.7 regarding the ACHS score was 94.39%. Adult Congenital Heart Surgery scores were found to be statistically high in patients with mortality (p=0.037; p<0.05). Conclusion: Adult Congenital Heart Surgery scores had higher specificity in determining mortality in cases with an ACHS score of 0.7 and above. The ACHS score could also be used to determine the expected mortality rate, similar to the ABC and STAT scores.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121054771","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}