Cirugia Cardiovascular最新文献_第4页

C19. ENDOCARDITIS INFECCIOSA EN PACIENTES CON CARDIOPATÍAS CONGÉNITAS EN UN HOSPITAL DE TERCER NIVEL C19。三级医院中先天性心脏病患者的感染性内分泌疾病

IF 0.3

Cirugia Cardiovascular Pub Date : 2025-05-01 DOI: 10.1016/j.circv.2025.01.025

M.P. Egea Arias, L. Ramos Merino, R. Fernández Varela, A. Alonso Álvarez, B. Pernas Souto, M.D. Sousa Regueiro, L. Gutiérrez Fernández, E. Miguez Rey, E. Sánchez Vidal

引用次数: 0

Efficacy of respiratory physiotherapy preceding to heart surgery with extracorporeal circulation 体外循环心脏手术前呼吸理疗的功效

IF 0.3

Cirugia Cardiovascular Pub Date : 2025-05-01 DOI: 10.1016/j.circv.2024.03.012

Eloy Rueda-Gomariz , Carlos A. Castillo-Sarmiento , José Ramón Muñoz-Rodríguez , Inmaculada Ballesteros-Yánez

{"title":"Efficacy of respiratory physiotherapy preceding to heart surgery with extracorporeal circulation","authors":"Eloy Rueda-Gomariz , Carlos A. Castillo-Sarmiento , José Ramón Muñoz-Rodríguez , Inmaculada Ballesteros-Yánez","doi":"10.1016/j.circv.2024.03.012","DOIUrl":"10.1016/j.circv.2024.03.012","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>Heart surgery is one of the most important tools for the treatment of cardiovascular diseases. Postoperative pulmonary complications in patients undergoing heart surgery represent a meaningful clinical problem.</div><div>Respiratory physiotherapy is essential in the management of patients during postoperative period, contributing to a better prognosis.</div><div>Our objective is to evaluate the efficacy of respiratory physiotherapy prior to cardiac surgery in reducing postoperative complications and hospital stay.</div></div><div><h3>Methods</h3><div>Randomized, controlled and observational study. A group of 92 patients who underwent heart surgery with extracorporeal circulation were analyzed in the Hospital Puerta del Mar (Spain), divided into 2 groups (control group and experimental group with previous respiratory physiotherapy). We study different postoperative complications and hospital stay.</div></div><div><h3>Results</h3><div>Atelectasis, pleural effusion, and sternal dehiscence were altered between both groups. An improvement in the intubation time and the reintubation rate was reported in the experimental group, in addition, lower oxygen consumption, an improvement in the fulfillment of respiratory physiotherapy following surgery and a shorter overall hospital stay and in the post-operative care unit was also observed.</div></div><div><h3>Conclusion</h3><div>Fulfillment of respiratory physiotherapy preceding to heart surgery decreases pulmonary complications and hospital stay, as well as accelerates the recovery of the breathing capacity.</div></div>","PeriodicalId":42671,"journal":{"name":"Cirugia Cardiovascular","volume":"32 3","pages":"Pages 125-131"},"PeriodicalIF":0.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141691051","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

C07. INFECCIONES EN PACIENTES PORTADORES DE DISPOSITIVOS HEARTMATE C07。携带心脏瓣膜的病人的感染

IF 0.3

Cirugia Cardiovascular Pub Date : 2025-05-01 DOI: 10.1016/j.circv.2025.01.016

I. Fernandez López, Á. Pedraz, D. Monzón, Z. Blázquez, M. Ruiz, G. Cuerpo, H. Rodríguez-Abella, J. Castrodeza, P. Muñoz, M. Valerio

引用次数: 0

Asociación entre conexión anómala parcial de venas pulmonares y atresia de venas pulmonares 部分肺静脉异常连接与肺静脉闭锁的关联

IF 0.3

Cirugia Cardiovascular Pub Date : 2025-05-01 DOI: 10.1016/j.circv.2024.07.004

Hugo A. Argueta-Velásquez, Jorge L. Cervantes-Salazar, Diego B. Ortega-Zhindon, Vincenzo Arenas-Fabbri, Yessica C. García Hernández, Antonio Benita-Bordes

引用次数: 0

C13. ENDOCARDITIS O DEPÓSITOS DE PIROFOSFATO CÁLCICO: UN DESAFÍO DIAGNÓSTICO Y TERAPÉUTICO C13。内核或钙焦磷酸盐沉积：一种诊断和治疗挑战

IF 0.3

Cirugia Cardiovascular Pub Date : 2025-05-01 DOI: 10.1016/j.circv.2025.01.022

Á. Granda Bauza, O. Leal Fernández, D. Sánchez Valenzuela, C. Palacios, M.P. Benito Martínez, J. Sola Gallegos, V. Calleja Muñoz, J. Velasco Montes

引用次数: 0

Técnicas de imagen no invasiva en el implante de prótesis valvulares aórticas transcatéter 经导管瓣膜假体植入的非侵入性成像技术

IF 0.3

Cirugia Cardiovascular Pub Date : 2025-03-01 DOI: 10.1016/j.circv.2024.01.008

Alberto Bouzas-Mosquera , Cayetana Barbeito-Caamaño , María José Martínez-Sapiña , Susana Otero-Muinelo , José Manuel Vázquez-Rodríguez

引用次数: 0

La importancia de la formación y participación de los cirujanos cardíacos españoles en las terapias TAVI 西班牙心脏外科医生接受培训和参与TAVI治疗的重要性

IF 0.3

Cirugia Cardiovascular Pub Date : 2025-03-01 DOI: 10.1016/j.circv.2025.02.001

Víctor X. Mosquera

引用次数: 0

Best evidence topic: implante valvular aórtico transcatéter en pacientes con estenosis aórtica grave asintomática 最佳临床证据：无症状严重主动脉狭窄患者的经传主动脉瓣膜植入物

IF 0.3

Cirugia Cardiovascular Pub Date : 2025-03-01 DOI: 10.1016/j.circv.2024.04.004

Elio Martín Gutiérrez , Pasquale Maiorano , Laura Castillo Pardo , Blanca Meana Fernández , Belén Ramos Barragán , Javier Gualis Cardona , Mario Castaño Ruiz , José Manuel Martínez Comendador , José Manuel Garrido Jiménez

{"title":"Best evidence topic: implante valvular aórtico transcatéter en pacientes con estenosis aórtica grave asintomática","authors":"Elio Martín Gutiérrez , Pasquale Maiorano , Laura Castillo Pardo , Blanca Meana Fernández , Belén Ramos Barragán , Javier Gualis Cardona , Mario Castaño Ruiz , José Manuel Martínez Comendador , José Manuel Garrido Jiménez","doi":"10.1016/j.circv.2024.04.004","DOIUrl":"10.1016/j.circv.2024.04.004","url":null,"abstract":"<div><h3>Background</h3><div>Transcatheter aortic valve implantation (TAVI) has become the most frequent option for severe aortic stenosis treatment. Patients with severe aortic stenosis may present an increased risk of mortality in the asymptomatic phase. Furthermore, the progression of their heart disease may have prognostic implications. It is proposed to carry out a bibliographic review to assess the benefit of TAVI in this context.</div></div><div><h3>Methods</h3><div>A systematic search in Pubmed and Cochrane was conducted, identifying comparative studies on surgery and/or TAVI versus conservative management in asymptomatic patients. Thus, an algorithm of better management of patients with severe aortic stenosis would be developed according to the available evidence.</div></div><div><h3>Results</h3><div>After the selection of papers and elimination of duplicates, 34 studies were full-text analyzed, among which we remark: 6 meta-analyses, 4 reviews, 14 original articles and 4 ongoing clinical trials were identified. Early surgery was unanimously superior to conservative management in terms of survival. In the case of TAVI, two studies demonstrated a better prognosis for asymptomatic patients compared to symptomatic patients when their valve disease was corrected with TAVI, and a sub-analysis of the Evolut Low Risk trial demonstrated superior survival results for TAVI compared to surgery and conservative treatment.</div></div><div><h3>Conclusions</h3><div>In the absence of a solid evidence, TAVI can be considered a valid treatment alternative for patients with asymptomatic aortic stenosis, although this indication relies on indirect evidence. More research is needed in this field.</div></div>","PeriodicalId":42671,"journal":{"name":"Cirugia Cardiovascular","volume":"32 2","pages":"Pages 110-116"},"PeriodicalIF":0.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143577655","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

Horizontes expandidos en TAVI: explorando las rutas de acceso no transfemoral para cirujanos cardíacos 拓展 TAVI 的视野：为心脏外科医生探索非经股动脉入路途径

IF 0.3

Cirugia Cardiovascular Pub Date : 2025-03-01 DOI: 10.1016/j.circv.2024.01.012

Víctor X. Mosquera

{"title":"Horizontes expandidos en TAVI: explorando las rutas de acceso no transfemoral para cirujanos cardíacos","authors":"Víctor X. Mosquera","doi":"10.1016/j.circv.2024.01.012","DOIUrl":"10.1016/j.circv.2024.01.012","url":null,"abstract":"<div><div>Transcatheter aortic valve implantation (TAVI) has become the primary treatment for symptomatic severe aortic stenosis, particularly in patients over 75 years of age and those at high surgical risk. In the last two decades, the number of TAVI procedures has significantly increased, and this trend is expected to continue. Despite the preference for transfemoral access in TAVI, it is unsuitable for up to 20% of patients due to anatomical contraindications such as inadequate vessel size, heavily calcified iliofemoral vasculature, or extreme vessel tortuosity. This has led to the exploration and development of non-TF TAVI approaches, including intrathoracic and extrathoracic approaches.</div><div>The emergence of different access routes for TAVI has not been simultaneous, and the choice between intrathoracic and extrathoracic accesses is multifaceted, influenced by the patient's anatomy, comorbidities, and the expertise of the treating center. The transapical approach, classified as intrathoracic, has been the main non transfemoral alternative for nearly a decade. However, the emergence of extrathoracic accesses, such as the transcarotid and transsubclavian approaches, has broadened the horizons of TAVI, potentially offering better outcomes for specific patient populations.</div></div>","PeriodicalId":42671,"journal":{"name":"Cirugia Cardiovascular","volume":"32 2","pages":"Pages 80-87"},"PeriodicalIF":0.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141400261","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

Complicaciones en el implante transcatéter de la válvula aórtica. Prevención, resolución y morbimortalidad asociada 经导管主动脉瓣植入术的并发症。预防、解决及相关发病率和死亡率。

IF 0.3

Cirugia Cardiovascular Pub Date : 2025-03-01 DOI: 10.1016/j.circv.2024.02.013

Pilar Garrido-Martín

{"title":"Complicaciones en el implante transcatéter de la válvula aórtica. Prevención, resolución y morbimortalidad asociada","authors":"Pilar Garrido-Martín","doi":"10.1016/j.circv.2024.02.013","DOIUrl":"10.1016/j.circv.2024.02.013","url":null,"abstract":"<div><h3>Introduction</h3><div>Degenerative aortic stenosis is the most common valvular pathology in the population over 65 years of age, incidence of 2-7%. Currently, transcatheter aortic valve implantation is a standard therapy in these symptomatic patients. This procedure is associated with relatively high rates of complications, which can be serious. The objective of this work is to provide an update and detailed description of the most important complications of the transcatheter aortic valve procedure in terms of etiology, prevalence, diagnosis, prognosis, prevention and treatment.</div></div><div><h3>Methods</h3><div>Bibliographic review of current evidence on the most important complications of transcatheter aortic valve implantation, their prevention and resolution.</div></div><div><h3>Results</h3><div>Rhythm disorders, vascular complications, prosthetic regurgitation, cardiac perforation..., are among others some of the possible complications that appear in 2-10% of cases, and are associated with an increase mortality of up to 2 or 3 times.</div></div><div><h3>Conclusions</h3><div>Complications of the transcatheter aortic valve procedure are frequent and often serious, so it is essential to know the predisposing factors, prevention and treatment strategies. Careful patient selection, quality infrastructure, training and accreditation, multidisciplinary collaboration are essential for optimal prognosis and a decrease in possible complications.</div></div>","PeriodicalId":42671,"journal":{"name":"Cirugia Cardiovascular","volume":"32 2","pages":"Pages 52-57"},"PeriodicalIF":0.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140782653","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