Cardiovascular Surgery and Interventions最新文献_第7页

Double-patch repair of left ventricular rupture after mitral valve replacement 二尖瓣置换术后左心室破裂的双补片修复

Cardiovascular Surgery and Interventions Pub Date : 2021-11-12 DOI: 10.5606/e-cvsi.2021.1144

M. Balkanay

引用次数: 0

12-Lead electrocardiography training via YouTube: How is it reliable? 通过YouTube进行的12导联心电图培训:如何可靠?

Cardiovascular Surgery and Interventions Pub Date : 2021-11-12 DOI: 10.5606/e-cvsi.2021.1173

S. Kalkan

{"title":"12-Lead electrocardiography training via YouTube: How is it reliable?","authors":"S. Kalkan","doi":"10.5606/e-cvsi.2021.1173","DOIUrl":"https://doi.org/10.5606/e-cvsi.2021.1173","url":null,"abstract":"Objectives: The aim of this study was to investigate the adequacy and quality of video trainings on electrocardiography (ECG) recording on YouTube for the training of healthcare professionals based on the uploader source. Materials and methods: Between May 19th, 2020 and May 25th, 2020, a total of 72 videos that were found to be eligible on YouTube were included. Two physicians independently assessed each video and scored the videos. The quality of the ECG recording was determined by giving 1 point for each of the 14 stages determined according to the current guidelines, and a total of 14 points was defined as maximum. Results: In the first stage, the videos were divided into two groups based on the total score: compatible (≥8 points) and non-compatible (<8 points). Significant differences were found between the groups in the global quality score (GQS) (p<0.001) and total score (p<0.001). In the next stage, videos were divided into four different categories according to the uploader source: hospital or university, training site for healthcare professionals, physician or non-physician healthcare personnel, and unknown. A significant difference in the total score (p<0.001) and GQS (p<0.001) among these groups. Conclusion: In the YouTube database, the scientific quality of the videos for standard 12-lead ECG recording training is highly variable. Training videos uploaded by hospitals and corporate healthcare training sites contain higher quality and scientific data than individual videos and videos of an unknown source.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121840403","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

A mitral blood cyst causing stenosis in the left ventricular outflow tract: A case report 二尖瓣血囊肿引起左心室流出道狭窄1例报告

Cardiovascular Surgery and Interventions Pub Date : 2021-08-11 DOI: 10.5606/e-cvsi.2021.1048

Berra Zümrüt Tan Recep

引用次数: 0

Patient and healthcare provider burden due to conventional measurement of the international normalized ratio: From a multi-dimensional perspective 国际标准化比率的传统测量造成的患者和医疗保健提供者负担:从多维角度看

Cardiovascular Surgery and Interventions Pub Date : 2021-08-11 DOI: 10.5606/e-cvsi.2021.1076

K. Kavasoğlu

{"title":"Patient and healthcare provider burden due to conventional measurement of the international normalized ratio: From a multi-dimensional perspective","authors":"K. Kavasoğlu","doi":"10.5606/e-cvsi.2021.1076","DOIUrl":"https://doi.org/10.5606/e-cvsi.2021.1076","url":null,"abstract":"Objectives: In this study, we aimed to investigate the healthcare burden associated with hospital visits for international normalized ratio (INR) measurement from a multi-dimensional perspective. Patients and methods: A total of 415 patients (198 males, 217 females; mean age: 54±12.7 years; range, 14 to 84 years) who were admitted to the cardiovascular surgery (CVS) outpatient clinic between March 2015 and June 2015 were included. The burden of INR measurement was assessed in two main categories: social and clinical. Data including educational status, occupational status and accompanying persons, indications for warfarin use, history of warfarin-related complications, expenses made by the patient and the accompanying persons, and the time spent were recorded. Results: A total of 1,259 laboratory entries were found for the overall study population. Of these entries, 99.4% were only for INR measurements. An INR outside the target therapeutic range (TTR) was detected in 53.7% of the patients. Among all patients attending to the CVS outpatient clinic during the study, the sole reason for attendance was the INR measurement in 23%. The rate of complications requiring intervention was 2.1%. The daily clinical cost per patient was $22.14, the social monetary cost was $9.77, and the total cost was $31.91. Conclusion: Conventional INR measurements have a significant social and economic impact on patients and are associated with significantly increased workload and loss of resources from the perspective of the healthcare provider.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125783827","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 electrocautery and LigaSure™ vessel sealing system in radial artery harvesting as coronary artery bypass surgery conduit: A prospective, randomized study 电炙和LigaSure™血管密封系统在冠状动脉搭桥手术中桡动脉采集的比较:一项前瞻性、随机研究

Cardiovascular Surgery and Interventions Pub Date : 2021-08-11 DOI: 10.5606/e-cvsi.2021.1128

M. Ökten, Beril Okur, Mehtap Akbaba, S. Şenay, H. Karabulut

{"title":"Comparison of electrocautery and LigaSure™ vessel sealing system in radial artery harvesting as coronary artery bypass surgery conduit: A prospective, randomized study","authors":"M. Ökten, Beril Okur, Mehtap Akbaba, S. Şenay, H. Karabulut","doi":"10.5606/e-cvsi.2021.1128","DOIUrl":"https://doi.org/10.5606/e-cvsi.2021.1128","url":null,"abstract":"Corresponding author: Beril Okur, MD. Acıbadem Mehmet Ali Aydınlar Üniversitesi Kalp ve Damar Cerrahisi Anabilim Dalı, 34684 Ataşehir, İstanbul, Türkiye. Tel: +90 539 761 80 82 e-mail: berilokur@hotmail.com ABSTRACT Objectives: In this study, we aimed to compare the efficiency of electrocautery with the LigaSureTM vessel sealing system. Patients and methods: This randomized study included a total of 53 patients (44 males, 9 females; mean age: 63.7±8.4 years; range, 39 to 83 years) who underwent coronary artery bypass grafting (CABG) for radial artery (RA) harvesting with electrocautery or LigaSureTM vessel sealing system between January 2019 and September 2019. The patients were randomly assigned into two groups. Group 1 consisted of 27 patients operated with the LigaSureTM small jaw sealer/divider and Group 2 consisted of 26 patients operated with electrocautery. The length of the conduit, the amount of intraoperative blood loss, the number of hemostatic clips before and after the anastomosis, the amount of postoperative blood loss, the number of ecchymoses, hematoma and infection are compared. Results: The amount of blood loss from the beginning of harvesting to the end of the closure of the skin of left arm was significantly lower in Group 1 (p=0.004). The difference in the number of hemostatic clips before and after the anastomosis of RA to coronary artery was statistically significantly lower in Group 1 (p<0.001 and p<0.001, respectively). There was no statistically significant difference in the amount of blood loss postoperatively (p>0.6), number of ecchymoses (p>0.1), and postoperative hematoma (p>0.1) and infection (p>0.03) between the groups. Conclusion: Our study results suggest that the LigaSureTM vessel sealing system is a better option of RA harvesting, particularly in patients who are prone to bleed.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122708628","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

Asymptomatic double aortic arch diagnosed incidentally in an adult patient 一例成人无症状双主动脉弓偶然诊断

Cardiovascular Surgery and Interventions Pub Date : 2021-08-11 DOI: 10.5606/e-cvsi.2021.1103

Zeynep Aslan Yağlı

引用次数: 0

Esophagitis and gastritis are associated with premature atrial contractions in patients with gastroesophageal reflux disease 食管炎和胃炎与胃食管反流病患者心房早缩相关

Cardiovascular Surgery and Interventions Pub Date : 2021-08-11 DOI: 10.5606/e-cvsi.2021.1115

Oğuzhan Bodur

{"title":"Esophagitis and gastritis are associated with premature atrial contractions in patients with gastroesophageal reflux disease","authors":"Oğuzhan Bodur","doi":"10.5606/e-cvsi.2021.1115","DOIUrl":"https://doi.org/10.5606/e-cvsi.2021.1115","url":null,"abstract":"Objectives: This study aims to investigate the association between premature atrial contractions (PACs) and esophagitis and/or gastritis in patients with gastroesophageal ref lux disease (GERD) symptoms. Patients and methods: A total of 108 patients (58 males, 50 females; mean age: 46.1±13.1 years; range, 37 to 63 years) who underwent gastroduodenal endoscopy to evaluate the presence of esophagitis and/or gastritis between February 2017 and September 2018. The patients underwent 24-h electrocardiographic monitoring for PACs. Esophagitis and/or gastritis rate was compared between PACs (+) and PACs (-) groups. Results: The PACs (+) patients were older with a male preponderance. The PACs (+) patients were also more likely to have esophagitis and/or erosive gastritis (p<0.001), higher serum creatinine (p=0.015), and larger left atrial diameter (p=0.049) compared to PACs (-) group. The PAC count was higher in patients with esophagitis and/or gastritis. Multivariate analyses showed that male sex (p=0.033) and presence of esophagitis and/or gastritis (p<0.001) were independent predictors of PACs. Conclusion: Esophagitis and/or gastritis in patients with GERD symptoms are independently associated with both the increased prevalence and number of PACs. Treatment of GERD may reduce PACs and subsequent further atrial arrhythmias, such as atrial fibrillation.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114859229","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: 2

Assessment of quality of life and psychosocial status of mothers whose children underwent congenital heart surgery 儿童接受先天性心脏手术的母亲的生活质量和社会心理状况评估

Cardiovascular Surgery and Interventions Pub Date : 2021-08-11 DOI: 10.5606/e-cvsi.2021.1137

S. Taşar

{"title":"Assessment of quality of life and psychosocial status of mothers whose children underwent congenital heart surgery","authors":"S. Taşar","doi":"10.5606/e-cvsi.2021.1137","DOIUrl":"https://doi.org/10.5606/e-cvsi.2021.1137","url":null,"abstract":"Objectives: The aim of this study was to assess the quality of life of mothers whose children underwent cardiac surgery. Patients and methods: This prospective, case-control study included a total of 103 children (52 males, 51 females; mean age: 59.1±56.1 months; range, 1 month-18 years) who underwent congenital heart surgery and their mothers between September 2019 and April 2020. The children who underwent cardiac surgery and their mothers were included as the study group (n=48). The control group (n=55) included healthy children and their mothers. Sociodemographic data of the children and their mothers were recorded. The World Health Organization Quality of Life-BREF (WHOQOL-BREF) questionnaire was administered to the mothers. Results: Both groups were similar in terms of age, sex, height, and birth weight, maternal age, education and marital status, and presence of comorbidities (p>0.05). The scores in a 0-100 scale of physical health, psychological health, social relationships and environment domains of the WHOQOL-BREF were statistically lower in the study group (p<0.05). Intensive care duration was negatively correlated with all domains of the WHOQOL-BREF (p<0.05). The domains except for the environment were negatively correlated with the hospital stay (p<0.05). Conclusion: Lower scores of WHOQOL-BREF were achieved in mothers whose children underwent congenital cardiac surgery. Length of intensive care and hospital stay was negatively correlated with the WHOQOL-BREF. Routine screening and counseling may be valuable in this patient population.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"36 9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129327341","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

The effect of cardiopulmonary bypass time on renal function after coronary artery bypass grafting 体外循环时间对冠状动脉旁路移植术后肾功能的影响

Cardiovascular Surgery and Interventions Pub Date : 2021-08-11 DOI: 10.5606/e-cvsi.2021.1151

Bahriye Serin

{"title":"The effect of cardiopulmonary bypass time on renal function after coronary artery bypass grafting","authors":"Bahriye Serin","doi":"10.5606/e-cvsi.2021.1151","DOIUrl":"https://doi.org/10.5606/e-cvsi.2021.1151","url":null,"abstract":"Objectives: In this study, we aimed to evaluate the effect of duration of cardiopulmonary bypass (CPB) on postoperative acute kidney injury (AKI) in patients who underwent coronary artery bypass grafting (CABG). Patients and methods: A total of 251 patients (222 males, 29 females; mean age: 61±9.4 years; range, 37 to 88 years) who underwent elective CABG operation between January 2014 and January 2018 were retrospectively analyzed. The patients were divided into three groups by considering the duration of CPB as 0 to 60 min (Group 1), 60 to 120 min (Group 2), and ≥120 min (Group 3). Preoperative, operative, and postoperative data and renal functions of the patients were evaluated using the Acute Kidney Injury Network (AKIN) criteria. Results: In all three groups, a statistically significant decrease in hemoglobin and estimated glomerular filtration rate (eGFR) values and a statistically significant increase in blood urea nitrogen (BUN) and creatinine values were found (p<0.05). In Group 2 and Group 3, postoperative BUN and creatinine value were significantly higher and eGFR value was significantly lower than Group 1 (p<0.05). In terms of postoperative data, the rate of acute renal failure (ARF) requiring dialysis was significantly higher in Group 2 and Group 3 than Group 1 (p<0.05). The postoperative mortality rate was significantly higher in Group 3 than Group 1 (p<0.05). Conclusion: In terms of postoperative mortality and morbidity, it is important to identify the risk factors for AKI and to take appropriate precautions for the risk factors. Minimizing perfusion time in patients undergoing CPB may help to decrease the incidence of CPB-induced AKI.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"128 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115963887","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

Mid- and long-term results in patients with thoracic endovascular aortic repair 胸椎血管内主动脉修复术患者的中长期疗效

Cardiovascular Surgery and Interventions Pub Date : 2021-08-11 DOI: 10.5606/e-cvsi.2021.1141

Yaşar Gökkurt

{"title":"Mid- and long-term results in patients with thoracic endovascular aortic repair","authors":"Yaşar Gökkurt","doi":"10.5606/e-cvsi.2021.1141","DOIUrl":"https://doi.org/10.5606/e-cvsi.2021.1141","url":null,"abstract":"Objectives: In this study, we aimed to examine the midand long-term results of the patients undergoing thoracic endovascular aortic repair (TEVAR) in our clinic. Patients and methods: Between June 2006 and October 2018, a total of 71 patients (59 males, 12 females; mean age: 60.9±13.3 years; range, 17 to 79 years) who underwent TEVAR electively or urgently were retrospectively analyzed. Data including demographic and clinical characteristics of the patients and operative data were recorded. Results: Of the patients, 22 (31%) were urgently operated and 49 (69%) were electively operated. Cerebrovascular disease (CVD) developed in three (4.2%) patients. Thirty-day overall survival of patients who were operated on emergency was found to be 72.7%, and this rate was 98% in elective patients (p=0.001). One-year overall survival of our patient series was 76.1%. One-year survival rate of emergency patients was 54.5%, and this rate was 85.7% in elective patients (p=0.002). Two-year overall survival of emergency patients was 45.5% and it was 79.6% in elective patients (p=0.002). While the survival rate of preoperative smokers after two years was 60.8%, it was calculated as 90% of preoperatively non-smokers (p=0.022). Conclusion: Thoracic endovascular aortic repair treatment seems to show similar results to open surgery in terms of mortality and other complications in the midand long-term. With the developing stent-graft technology, TEVAR results can be even better in the future.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125525625","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