ASIAN CARDIOVASCULAR & THORACIC ANNALS最新文献_第2页

Renal outcomes following oral anticoagulation in non-valvular atrial fibrillation: A multicentre, propensity-matched retrospective analysis in an Asian population. 非瓣膜性房颤口服抗凝治疗后的肾脏预后：一项亚洲人群的多中心、倾向匹配回顾性分析

IF 0.7

ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2025-03-01 Epub Date: 2025-06-02 DOI: 10.1177/02184923251347471

Hock Peng Koh, Jivanraj R Nagarajah, Jiaa Yinn Tang, Szu Lynn Tay, Sahimi Mohamed, Li Ling Loh, Chelfi Zhi Fei Chua, Shantini Radhakrishnan, Pradeep Kumar Nair Arumugam

{"title":"Renal outcomes following oral anticoagulation in non-valvular atrial fibrillation: A multicentre, propensity-matched retrospective analysis in an Asian population.","authors":"Hock Peng Koh, Jivanraj R Nagarajah, Jiaa Yinn Tang, Szu Lynn Tay, Sahimi Mohamed, Li Ling Loh, Chelfi Zhi Fei Chua, Shantini Radhakrishnan, Pradeep Kumar Nair Arumugam","doi":"10.1177/02184923251347471","DOIUrl":"10.1177/02184923251347471","url":null,"abstract":"BackgroundDirect oral anticoagulants (DOACs) have been linked to better renal outcomes than warfarin in non-valvular atrial fibrillation (NVAF). We aimed to compare the renal function outcomes in Asian NVAF patients treated with warfarin and DOAC.MethodsThis multicentre retrospective study analysed NVAF patients newly initiated on oral anticoagulant (OAC) from 2013 to 2022 across seven tertiary hospitals. Using propensity-score matching, warfarin and DOAC recipients were matched by incorporating 22 variables potentially affecting renal outcomes. Primary endpoints include clinically significant (≥30%) estimated glomerular filtration rate (eGFR) decline and worsened chronic kidney disease (CKD) stage.ResultsA total of 766 subjects (383 warfarin; 383 DOAC; mean age 70.7 ± 9.6 years) were analysed. Baseline eGFR was 75.0 (59.0-89.0) for warfarin and 76.0 (59.0-88.0) ml/min/1.73 m2 for DOAC groups. Following median OAC treatment of 2.8 ± 1.6 years, 14.5% experienced clinically significant eGFR decline and 31.9% had worsened CKD stage. DOAC was associated with a lower risk of clinically significant eGFR decline (OR 0.529, 95% CI 0.343-0.817, p = 0.004) and worsened CKD stage (OR 0.713, 95% CI 0.521-0.975, p = 0.034). In subgroup analysis, rivaroxaban (OR 0.337, 95% CI 0.157-0.724, p = 0.005) and dabigatran (OR 0.516, 95% CI 0.285-0.934, p = 0.029), but not apixaban (OR 0.759, 95% CI 0.432-1.333, p = 0.338), were associated with a lower risk of clinically significant eGFR decline.ConclusionsSignificant renal function decline is common during follow-up of Asian NVAF patients on OAC. Among the DOACs, rivaroxaban and dabigatran, but not apixaban, were associated with a lower risk of renal function decline than warfarin. These findings warrant confirmation in prospective randomised studies.","PeriodicalId":35950,"journal":{"name":"ASIAN CARDIOVASCULAR & THORACIC ANNALS","volume":" ","pages":"124-134"},"PeriodicalIF":0.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200286","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

Variations in thromboelastography levels in blood exposed to membrane oxygenators. 暴露于膜氧合器的血液中血栓弹性成像水平的变化。

IF 0.7

ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2025-03-01 Epub Date: 2025-03-17 DOI: 10.1177/02184923251327042

Masashi Tagaya, Shinya Okano, Takuo Murataka, Hiroki Handa, Shunsuke Ichikawa, Shunsuke Takahashi

{"title":"Variations in thromboelastography levels in blood exposed to membrane oxygenators.","authors":"Masashi Tagaya, Shinya Okano, Takuo Murataka, Hiroki Handa, Shunsuke Ichikawa, Shunsuke Takahashi","doi":"10.1177/02184923251327042","DOIUrl":"10.1177/02184923251327042","url":null,"abstract":"IntroductionThromboelastography (TEG), which indicates hemostatic ability, is useful for monitoring coagulation during extracorporeal circulation (ECC). However, the extent to which TEG levels are independently affected by ECC exposure remains unclear. To determine the effects of TEG levels in blood exposed to a membrane oxygenator, we performed in vitro experiments using whole human blood with ECC circuits including a membrane oxygenator.MethodsBlood provided by healthy volunteers was heparinized and circulated in three types of experimental circuits: polymer-coating, heparin-coating (HC), or non-coating (NC) membrane oxygenators (five of each type). Thromboelastography tests using a global hemostasis assay were performed at 3, 6, 12, and 24 h of circulation in each experiment. During TEG, the sampled blood was reversed with 0.05 mg of protamine. One-way analysis of variance (ANOVA) and two-way repeated measures ANOVA were performed to evaluate trends in circulation duration and coating types, respectively.ResultsCitrated kaolin with heparinase reaction times (CKHR) were significantly shortened at 6 and 12 h but prolonged at 24 h. The maximum amplitude for citrated kaolin with heparinase (CKHMA) was magnified from 6 to 12 h. Regarding the coating type, a significant difference was observed between HC and NC in CKHR at 6 h, but significance was not noted in other comparisons of coating types in CKHR and CKHMA.ConclusionsThromboelastography data indicated that the hemostatic capability of blood exposed to membrane surfaces was maintained after 12 h of circulation. The effects on TEG data in terms of coating type remain to be determined.","PeriodicalId":35950,"journal":{"name":"ASIAN CARDIOVASCULAR & THORACIC ANNALS","volume":" ","pages":"116-123"},"PeriodicalIF":0.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651203","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

Milky heart: A rare case of tuberculous chylopericardium managed conservatively. 乳糜心：一例罕见的结核性乳糜心包保守治疗。

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ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2025-03-01 Epub Date: 2025-03-24 DOI: 10.1177/02184923251324961

Kevin Paul DA Enriquez, John Christopher A Pilapil, Bynlee Stuart Go, Rafael Luis C Gavino, Michelle Marie Pipo, Felix Eduardo R Punzalan

引用次数: 0

Video-assisted thoracic surgery (VATS) in the surgical management of acquired benign broncho-esophageal fistula. 电视辅助胸外科（VATS）在获得性支气管-食管良性瘘的外科治疗中的应用。

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ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2025-03-01 Epub Date: 2025-05-21 DOI: 10.1177/02184923251343326

Sukhram Bishnoi, Mohan Venkatesh Pulle, Harsh Vardhan Puri, Belal Bin Asaf, Sumit Bangeria, Anmol Bhan, Anjali Singh, Arvind Kumar

{"title":"Video-assisted thoracic surgery (VATS) in the surgical management of acquired benign broncho-esophageal fistula.","authors":"Sukhram Bishnoi, Mohan Venkatesh Pulle, Harsh Vardhan Puri, Belal Bin Asaf, Sumit Bangeria, Anmol Bhan, Anjali Singh, Arvind Kumar","doi":"10.1177/02184923251343326","DOIUrl":"10.1177/02184923251343326","url":null,"abstract":"BackgroundBenign broncho-esophageal fistula (BEF) is a rare condition that often results from infections, trauma, or prior surgical interventions. This study evaluates the outcomes of surgical management of BEF, emphasizing the role of video-assisted thoracoscopic surgery.MethodsA retrospective analysis of 19 patients who underwent surgical management for benign BEF was conducted. Patient demographics, fistula characteristics, surgical approach, perioperative outcomes, and complications were assessed.ResultsThe cohort comprised 14 males (73.7%) and 5 females (26.3%) with a median age of 34 years (range: 19-63 years). The left main bronchus was the most common fistula location (n = 10, 52.6%) followed by right lower lobe (n = 6, 31.6%), left lower lobe (n = 2, 10.5%), and right bronchus intermedius (n = 1, 5.3%). A prior history of antitubercular treatment was noted in 15 patients (79%). Video-assisted thoracic surgery was successfully performed in 17 patients (89.5%), while 2 (10.5%) required conversion to thoracotomy due to dense adhesions. During surgery, division of fistula alone was performed in 14 patients (73.7%). The distal lung destruction necessitated lobectomy in 3 patients (15.78%) and wedge resection in 2 patients (10.52%). The mean operative time was 120 min, with a median hospital stay of 5.5 days. Two patients (10.5%) experienced complications, including a minimal esophageal leak managed with a stent and a case of postoperative pneumonia which resolved with conservative measures. No recurrences were observed during a median follow-up of 48 months.ConclusionsVideo-assisted thoracic surgery is a safe and effective approach for managing benign BEF, offering excellent long-term outcomes with minimal morbidity. Conversion to thoracotomy is required in select cases with dense adhesions.","PeriodicalId":35950,"journal":{"name":"ASIAN CARDIOVASCULAR & THORACIC ANNALS","volume":" ","pages":"135-141"},"PeriodicalIF":0.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121005","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

Superior vena cava syndrome caused by a giant right coronary artery aneurysm. 由巨大的右冠状动脉动脉瘤引起的上腔静脉综合征。

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ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2025-01-01 Epub Date: 2025-02-04 DOI: 10.1177/02184923251317752

Hagen Kahlbau, João João Mendes, Isabel Fragata, José Fragata

引用次数: 0

Failing DeVega tricuspid valve repair due to detachment of annuloplasty sutures: The Bowstring (Guitar string) sign. 由于环成形术缝合线脱离导致DeVega三尖瓣修复失败：弓弦（吉他弦）征。

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ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2025-01-01 Epub Date: 2025-02-03 DOI: 10.1177/02184923251318060

Mohammad Amin Shojaei, Soheila Salari, Saeid Hosseini

引用次数: 0

Multi-societal endorsement of the 2024 European guideline recommendations on coronary revascularization. 2024年欧洲冠状动脉血管重建术指南建议的多社会认可

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ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2025-01-01 Epub Date: 2025-02-05 DOI: 10.1177/02184923251315320

Victor Dayan, Joseph F Sabik, Minoru Ono, Marc Ruel, Song Wan, Lars G Svensson, Leonard N Girardi, Y Joseph Woo, Vinay Badhwar, Marc R Moon, Wilson Szeto, Vinod H Thourani, Rui Almeida, Zhe Zheng, Walter J Gomes, Dawn S Hui, Rosemary F Kelly, Miguel Sousa Uva, Joanna Chikwe, Faisal G Bakaeen

引用次数: 0

A rare presentation of a mediastinal retiniform type hemangioendothelioma. 罕见的纵隔视网膜状血管内皮瘤。

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ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2025-01-01 Epub Date: 2025-02-09 DOI: 10.1177/02184923251318388

Ubaldo E Rivas, Juan C Rendón, Eric E Vinck, Luis A Correa, Gustavo A Castilla, Bruno Ramírez Castillero

引用次数: 0

Traumatic chylothorax management post-coronary artery bypass grafting - A systematic review. 冠状动脉旁路移植术后外伤性乳糜胸的处理-系统回顾。

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ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2025-01-01 Epub Date: 2025-02-23 DOI: 10.1177/02184923251321541

Gavin John Carmichael, Duron Prinsloo, Connor Bentley, Rodan Prinsloo, Joshua G Kovoor, Mathew O Jacob, Aashray Gupta

{"title":"Traumatic chylothorax management post-coronary artery bypass grafting - A systematic review.","authors":"Gavin John Carmichael, Duron Prinsloo, Connor Bentley, Rodan Prinsloo, Joshua G Kovoor, Mathew O Jacob, Aashray Gupta","doi":"10.1177/02184923251321541","DOIUrl":"10.1177/02184923251321541","url":null,"abstract":"IntroductionCoronary artery bypass graft (CABG) surgery is performed globally around 400,000 times annually. Despite its benefits, CABG can lead to complications, including chylothorax, a rare condition where chyle accumulates in the pleural cavity due to thoracic duct trauma. Currently, there are no international guidelines for traumatic chylothorax management post-CABG. This is the first systematic review to provide a comprehensive overview of the current state of management for chylothorax post-CABG.MethodsThis systematic review was conducted by searching EMBASE, Cochrane, Ovid and PubMed databases on 16 June 2024. The inclusion criteria focused on studies addressing post-CABG chylothorax management and reporting clinical outcomes. Data was extracted from 11 studies focusing on graft type, complications and management strategies.ResultsThis review included 11 case report studies with 14 cases of post-CABG chylothorax. Conservative management was attempted in all cases, with varying components such as total parenteral nutrition, nil by mouth, octreotide and low-fat diets. High-output chylothorax (>1000 mL/day) often necessitated surgical intervention after an average of 12.5 days of conservative management. Surgical approaches included thoracic duct ligation, embolisation and pleurodesis. Surgical ligation was effective in three cases, while thoracic duct embolisation was successful in one case.ConclusionsChylothorax post-CABG is managed initially with conservative strategies, but high-output cases often necessitate surgical intervention. This review highlights the need for standardised guidelines, regarding the timing of surgical escalation and the use of octreotide and somatostatin. Further research should focus on higher-powered studies to validate these findings and establish clinical guidelines for managing chylothorax post-CABG.","PeriodicalId":35950,"journal":{"name":"ASIAN CARDIOVASCULAR & THORACIC ANNALS","volume":" ","pages":"73-86"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11951393/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The outcome of late open conversion after endovascular abdominal aortic repair. 腹主动脉腔内修复术后晚期开放转换的结果。

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ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2025-01-01 Epub Date: 2025-01-06 DOI: 10.1177/02184923241310916

Hironobu Nishiori, Tomohiko Inui, Michiko Watanabe, Hiroki Kohno, Kaoru Matsuura, Hiroki Ikeuchi, Tomoyoshi Kanda, Chihiro Ito, Hiroaki Yamamoto, Yusuke Shibata, Takashi Yamamoto, Maiko Nagahama, Goro Matsumiya

{"title":"The outcome of late open conversion after endovascular abdominal aortic repair.","authors":"Hironobu Nishiori, Tomohiko Inui, Michiko Watanabe, Hiroki Kohno, Kaoru Matsuura, Hiroki Ikeuchi, Tomoyoshi Kanda, Chihiro Ito, Hiroaki Yamamoto, Yusuke Shibata, Takashi Yamamoto, Maiko Nagahama, Goro Matsumiya","doi":"10.1177/02184923241310916","DOIUrl":"10.1177/02184923241310916","url":null,"abstract":"BackgroundEndovascular abdominal aneurysm repair (EVAR) offers a less invasive approach to treating abdominal aortic aneurysms (AAA) compared to open repair. However, EVAR is associated with higher rates of reintervention. This study investigates the early and mid-term outcomes of patients who underwent late open conversion including aneurysmorrhaphy after EVAR at our institution.MethodsWe conducted a retrospective cohort study of 29 patients who underwent late open conversion for AAA dilatation after EVAR between April 2015 and March 2022 at Chiba University Hospital. Surgical strategies included an artificial graft replacement for Type Ia endoleak (EL), Type III EL from stent graft main body, ruptured cases, and aneurysmorrhaphy with branch ligation for Type II EL.ResultsThe average time from EVAR to open conversion was 4.1 ± 2.3 years. There have been no reported cases of in-hospital mortality to date. Aneurysmorrhaphy demonstrated shorter operative times (239 ± 65 min) and lower red blood cell transfusion volumes (2.7 ± 4.2 units) compared to graft replacement. Postoperative complications included spinal cord ischemia in one patient and three patients requiring reintervention due to persistent or new ELs, who underwent angiography. The seven-year all-cause mortality rate was 78.5%. Among cases that underwent aneurysmorrhaphy, postoperative computed tomography scans showed a reduction in the maximum aortic diameter from 65 ± 6 mm preoperatively to 42 ± 10 mm postoperatively and 36 ± 11 mm at follow-up.ConclusionsLate open conversion including aneurysmorrhaphy after EVAR appears to be safe and effective, with no in-hospital mortality and low complication rates. Careful preoperative planning and appropriate surgical techniques are essential for optimizing outcomes.","PeriodicalId":35950,"journal":{"name":"ASIAN CARDIOVASCULAR & THORACIC ANNALS","volume":"33 1","pages":"21-27"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732120","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