ASIAN CARDIOVASCULAR & THORACIC ANNALS最新文献_第6页

A rare benign chondroid tumor of the main pulmonary artery. 肺动脉主动脉罕见的良性软骨样肿瘤。

IF 0.7

ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2026-03-01 Epub Date: 2026-03-13 DOI: 10.1177/02184923261424671

Onur Benli, Mehmet Şah Topçuoğlu, Mehmet Ayhan

引用次数: 0

Aortic wall needle extraction: Difference between forceps and needle holder use. 主动脉壁穿刺：钳与针架使用的区别。

IF 0.7

ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2026-03-01 Epub Date: 2026-02-27 DOI: 10.1177/02184923261425704

Masato Furui, Ryo Ozuru, Mikiko Aoki, Go Kuwahara, Yuta Sukehiro, Hideichi Wada

{"title":"Aortic wall needle extraction: Difference between forceps and needle holder use.","authors":"Masato Furui, Ryo Ozuru, Mikiko Aoki, Go Kuwahara, Yuta Sukehiro, Hideichi Wada","doi":"10.1177/02184923261425704","DOIUrl":"10.1177/02184923261425704","url":null,"abstract":"BackgroundWe investigated the difference in the extracted surfaces between extractions carried out using forceps and a needle holder, focusing on needle extraction manipulation for smaller needle-hole defects.MethodsIn this prospective observational study, we included patients who underwent aortic surgery at our Hospital between December 2023 and January 2025. Aortic wall samples were collected from the patients with acute type A aortic dissection (n = 20) and thoracic aortic aneurysm (n = 20). Two hundred needle holes were created in the samples from each disease type and randomized into two groups: the forceps (n = 100) and needle holder (n = 100) groups. The long axis, short axis, and area of needle-hole defects were measured and compared between the two groups.ResultsOverall, the long axis in the needle holder group was significantly shorter than that in the forceps group (forceps: 0.52 ± 0.18 vs. needle holder: 0.48 ± 0.12 mm, P = 0.036). The short axis was not significantly different between the groups (forceps: 0.26 ± 0.07 vs. needle holder: 0.25 ± 0.06 mm, P = 0.223). The defect area in the needle holder group was significantly smaller than that in the forceps group (forceps: 0.11 ± 0.06 vs. needle holder: 0.09 ± 0.03 mm2, P = 0.022). Acute aortic dissection showed a similar tendency, whereas thoracic aortic aneurysm showed no significant differences.ConclusionsThe defect area formed when using a needle holder tended to be smaller than that when using forceps, especially in acute aortic dissection. When performing anastomotic pullouts in fragile aortic walls, using a needle holder may help reduce bleeding and prevent distal anastomotic new entry tears.","PeriodicalId":35950,"journal":{"name":"ASIAN CARDIOVASCULAR & THORACIC ANNALS","volume":" ","pages":"242-249"},"PeriodicalIF":0.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147310735","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

Ischemia with nonobstructive coronary arteries: Insights into diagnostic approaches. 非阻塞性冠状动脉缺血：诊断方法的见解。

IF 0.7

ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2026-03-01 Epub Date: 2026-02-04 DOI: 10.1177/02184923261419648

Muhammed Jumani, Sameena Tabassum, Vicky Kumar, Muhammad Haris, Amer Hammad, Kalpana Kumari

{"title":"Ischemia with nonobstructive coronary arteries: Insights into diagnostic approaches.","authors":"Muhammed Jumani, Sameena Tabassum, Vicky Kumar, Muhammad Haris, Amer Hammad, Kalpana Kumari","doi":"10.1177/02184923261419648","DOIUrl":"10.1177/02184923261419648","url":null,"abstract":"Ischemia with nonobstructive coronary arteries (INOCA) is a clinically significant yet underrecognized condition characterized by anginal symptoms and evidence of myocardial ischemia in the absence of obstructive coronary artery disease. Once considered benign, INOCA is now associated with adverse outcomes such as myocardial infarction and heart failure.1 This narrative review synthesizes current understanding of the multifactorial pathophysiology underlying INOCA, including coronary microvascular dysfunction (CMD), epicardial coronary vasospasm, endothelial dysfunction, hormonal influences, and autonomic nervous system imbalance. Diagnostic challenges are explored, highlighting the utility of both invasive and noninvasive modalities (e.g. coronary flow reserve, index of microcirculatory resistance, acetylcholine provocation testing, cardiac PET, MRI, and single-photon emission computed tomography). Evidence-based management strategies are discussed with emphasis on mechanism-targeted pharmacologic therapy, alignment of treatments with specific pathophysiological processes, emerging interventions (such as Rho-kinase inhibitors), and lifestyle modifications. By identifying knowledge gaps, this review provides a narrative overview of current diagnostic approaches and management options for INOCA, while underscoring areas of ongoing research and clinical uncertainty.","PeriodicalId":35950,"journal":{"name":"ASIAN CARDIOVASCULAR & THORACIC ANNALS","volume":" ","pages":"253-267"},"PeriodicalIF":0.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146120600","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

Custom-made and off-the-shelf branched and fenestrated endovascular repair of the aortic arch: Current concepts and clinical outcomes. 主动脉弓的定制和现成的分支和开窗血管内修复：当前的概念和临床结果。

IF 0.7

ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2026-03-01 Epub Date: 2026-02-27 DOI: 10.1177/02184923261424595

Natasha Hasemaki, Jan Stana, Nikolaos Kontastinou, David Khangholi, Evangelos Maroulis, Sven Peterss, Maximilian Pichlmaier, Nikolaos Tsilimparis

{"title":"Custom-made and off-the-shelf branched and fenestrated endovascular repair of the aortic arch: Current concepts and clinical outcomes.","authors":"Natasha Hasemaki, Jan Stana, Nikolaos Kontastinou, David Khangholi, Evangelos Maroulis, Sven Peterss, Maximilian Pichlmaier, Nikolaos Tsilimparis","doi":"10.1177/02184923261424595","DOIUrl":"10.1177/02184923261424595","url":null,"abstract":"Endovascular repair of the aortic arch has evolved rapidly over the past decade, driven by the development of fenestrated and branched techniques, expanding treatment options for patients at high-risk for open or hybrid repair. This narrative review summarizes contemporary evidence on endovascular aortic arch repair, focusing on fenestrated and branched techniques using both custom-made and off-the-shelf devices, with emphasis on device design, anatomical considerations, clinical outcomes, limitations, and patient selection. Fenestrated endovascular repair is most commonly applied to distal arch pathology, particularly Ishimaru zone 2 and distal zone 1, and offers high technical success, and excellent target vessel patency. Branched endografts enable more extensive arch reconstruction and facilitate proximal landing in zone 0, at the cost of increased procedural complexity and higher stroke risk. Off-the-shelf platforms play an important role in urgent and emergent settings, while custom-made devices allow tailored solutions for elective cases. Across all strategies, outcomes are strongly influenced by patient selection, landing zone, and technical execution rather than device type alone. Endovascular aortic arch repair has become a viable treatment option for selected patients. Despite encouraging early and mid-term outcomes, stroke and reintervention remain key limitations, and long-term durability data are limited. Careful patient selection, meticulous planning, and multidisciplinary decision-making remain essential, while ongoing technological refinement are expected to further improve safety and expand applicability.","PeriodicalId":35950,"journal":{"name":"ASIAN CARDIOVASCULAR & THORACIC ANNALS","volume":" ","pages":"290-302"},"PeriodicalIF":0.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147310758","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

Aortic annular enlargement using the Y-incision technique-How I do it. 使用y型切口技术扩大主动脉环-我是怎么做的。

IF 0.7

ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2026-03-01 Epub Date: 2026-02-03 DOI: 10.1177/02184923261419650

Xiaoqin Hua, Lenard Conradi

引用次数: 0

Trans-fissural extension in post-tubercular lung parenchymal sequelae: A predictor of difficult surgery and poor outcomes. 结核后肺实质后遗症的经裂延伸：手术困难和预后不良的预测因素。

IF 0.7

ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2026-03-01 Epub Date: 2026-02-23 DOI: 10.1177/02184923261424929

Mohan Venkatesh Pulle, Sukhram Bishnoi, Arvind Kumar

引用次数: 0

Endovascular repair of thoracoabdominal aortic aneurysms in the 21^st century. 21世纪胸腹主动脉瘤的血管内修复。

IF 0.7

ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2026-03-01 Epub Date: 2026-02-17 DOI: 10.1177/02184923261419652

Roberto G Aru, Federico F Pennetta, Stéphan Haulon

{"title":"Endovascular repair of thoracoabdominal aortic aneurysms in the 21st century.","authors":"Roberto G Aru, Federico F Pennetta, Stéphan Haulon","doi":"10.1177/02184923261419652","DOIUrl":"10.1177/02184923261419652","url":null,"abstract":"Over the last two decades, there have been dramatic advancements in fenestrated and branched technology for endovascular repair of the thoracoabdominal aorta. The global development of these minimally invasive techniques decreased their short-term morbidity and mortality, compared to open aortic replacement. However, the need for secondary reinterventions remains frequent, although they are typically percutaneous. Continual device modifications, improved implantation techniques, and greater understanding of the endovascular tenets constantly improve rates of long-term success. Challenges exist in endovascular repair of post-dissection thoracoabdominal aortic aneurysms (PD TAAAs) with narrow paravisceral true lumen, and our institutional experience evolved from fenestrated to inner/outer branched technology to mitigate the long-term risk of target vessel instability. Refined strategies in bridging stent grafts, particularly in target vessels off the false lumen, lowered target vessel reintervention rates. Prophylactic and therapeutic management of the false lumen is essential to prevent continued aortic degeneration and to mitigate the risk of spinal cord ischemia. Over the next decade, endovascular management of PD TAAAs will continue to evolve, further improving long-term outcomes.","PeriodicalId":35950,"journal":{"name":"ASIAN CARDIOVASCULAR & THORACIC ANNALS","volume":" ","pages":"283-289"},"PeriodicalIF":0.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146214401","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

Transannular patch repair of tetralogy of Fallot. 法洛四联症的经环补片修复。

IF 0.7

ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2026-03-01 Epub Date: 2026-03-05 DOI: 10.1177/02184923261428822

Toshihide Nakano

引用次数: 0

Introduction to the ninth edition TNM staging of non-small cell lung cancer: A surgical perspective. 介绍非小细胞肺癌的第9版TNM分期：外科视角。

IF 0.7

ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2026-03-01 Epub Date: 2026-02-09 DOI: 10.1177/02184923261418810

Jianye Chen

{"title":"Introduction to the ninth edition TNM staging of non-small cell lung cancer: A surgical perspective.","authors":"Jianye Chen","doi":"10.1177/02184923261418810","DOIUrl":"10.1177/02184923261418810","url":null,"abstract":"PurposeThe ninth TNM staging of non-small-cell lung cancer (NSCLC) was introduced in 2023 to replace the eighth edition that had been in use since 2017. It provides a standardised universal language to discuss management of NSCLC patients. Outcomes across different patient populations can be better evaluated and this process is undertaken by the International Association for the Study of Lung Cancer Lung Cancer Staging Project team to further refine the staging classification past and present.Changes in descriptorsThere is no change to the size-based T-descriptors. Mediastinal nodal N-descriptors followed previous definitions but are now subdivided into N2a and N2b depending on single or multiple nodal stations involvement respectively. M1c M-descriptors that described multiple extra-thoracic metastases were also subclassified into single (M1c1) or multiple (M1c2) organ system involvement.Changes in stagingMajor revisions were made to stage 2 and 3 disease. Previous T1N1M0 disease is downstaged from stage 2B to 2A. T1N2aM0 disease is now downstaged to 2B whilst T1N2bM0 remained as stage 3A. Previous T2N2M0 and T3N2M0 disease were staged 3A and 3B respectively. Under the new classification, T2N2aM0 (unchanged) and T3N2aM0 (downstaged) are now stage 3A whilst T2N2bM0 (upstaged) and T3N2bM0 (unchanged) are now stage 3B.ConclusionThe ninth edition NSCLC TNM staging is now in place. It is important to be familiar with it to allow effective communication between surgical and medical oncologists to optimise patient care. It is also pertinent to start collecting and maintaining databases using the revised staging to help us further improve treatment in lung cancer patients.","PeriodicalId":35950,"journal":{"name":"ASIAN CARDIOVASCULAR & THORACIC ANNALS","volume":" ","pages":"271-278"},"PeriodicalIF":0.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146150883","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

Y-incision aortic root enlargement - Common mistakes and update of early outcomes. y切口主动脉根部扩大-常见错误和早期结果的更新。

IF 0.7

ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2026-03-01 Epub Date: 2026-03-04 DOI: 10.1177/02184923261428546

Chi Chi Do-Nguyen, Sarah A Chen, Bo Yang

引用次数: 0