Seminars in Cardiothoracic and Vascular Anesthesia最新文献

Acute Intraoperative Pulmonary Embolism Management in the Era of Pulmonary Embolism Response Teams and Minimally Invasive Therapy: A Case Report. 肺栓塞反应小组和微创治疗时代的急性术中肺栓塞处理：一例报告。

IF 1.1

Seminars in Cardiothoracic and Vascular Anesthesia Pub Date : 2025-07-01 DOI: 10.1177/10892532251356125

Kelsei P Keene, Pete P Fong, John M Trahanas, Bantayehu Sileshi

引用次数: 0

Effects of Dexmedetomidine on Acute Kidney Injury and Perioperative Outcomes in Aortic Vascular Surgery: A Systematic Review and Meta-Analysis. 右美托咪定对主动脉血管手术急性肾损伤和围手术期预后的影响：系统回顾和荟萃分析。

IF 1.1

Seminars in Cardiothoracic and Vascular Anesthesia Pub Date : 2025-06-25 DOI: 10.1177/10892532251346645

Tallal Mushtaq Hashmi, Hadiah Ashraf, Muhammad Burhan, Rohma Zia, Mushood Ahmed, Raheel Ahmed, Majid Toseef Aized

{"title":"Effects of Dexmedetomidine on Acute Kidney Injury and Perioperative Outcomes in Aortic Vascular Surgery: A Systematic Review and Meta-Analysis.","authors":"Tallal Mushtaq Hashmi, Hadiah Ashraf, Muhammad Burhan, Rohma Zia, Mushood Ahmed, Raheel Ahmed, Majid Toseef Aized","doi":"10.1177/10892532251346645","DOIUrl":"https://doi.org/10.1177/10892532251346645","url":null,"abstract":"Background: Dexmedetomidine, a highly selective α2-adrenergic receptor agonist, may help mitigate postoperative complications in patients undergoing aortic vascular surgery. Methodology: A comprehensive search was conducted across PubMed, the Cochrane Library, and Embase to identify studies assessing the efficacy and safety of dexmedetomidine compared with placebo in patients undergoing aortic vascular surgery. A random effects meta-analysis was performed with R version 4.4.1 using the \"meta\" package. Results: Our analysis included eleven studies, comprising eight RCTs and three cohort studies, with a combined total of 1731 patients. The results showed that dexmedetomidine significantly reduced acute kidney injury (OR 0.49, 95% CI 0.25 to 0.98), ICU length of stay (MD -0.25 days, 95% CI -0.47 to -0.02), postoperative pulmonary complications (OR 0.55, 95% CI 0.32 to 0.94), and CRP levels 24 h post-surgery (MD -24.73 mg/L, 95% CI -46.29 to -3.16) compared to the control group. The length of hospital stay (MD -0.87 days, 95% CI -2.57 to 1.01), postoperative delirium (OR 0.78, 95% CI 0.43 to 1.42), and in-hospital mortality (OR 0.57, 95% CI 0.29 to 1.12) were not significantly different between the two groups. Conclusion: In patients undergoing aortic vascular surgery, dexmedetomidine administration is associated with reduced acute kidney injury, length of ICU stay, postoperative pulmonary complications, and CRP levels 24 h post-surgery.","PeriodicalId":46500,"journal":{"name":"Seminars in Cardiothoracic and Vascular Anesthesia","volume":" ","pages":"10892532251346645"},"PeriodicalIF":1.1,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144498356","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

Congenital Complete Heart Block Requiring Temporary Pacemaker Placement at Birth: A Case Report. 先天性完全性心脏传导阻滞需要在出生时放置临时起搏器：一例报告。

IF 1.1

Seminars in Cardiothoracic and Vascular Anesthesia Pub Date : 2025-06-10 DOI: 10.1177/10892532251349364

Karthi Murari, Clint Humpherys, Nathaniel Lata, Christian Taylor, Sanket Shah, Todd Glenski

{"title":"Congenital Complete Heart Block Requiring Temporary Pacemaker Placement at Birth: A Case Report.","authors":"Karthi Murari, Clint Humpherys, Nathaniel Lata, Christian Taylor, Sanket Shah, Todd Glenski","doi":"10.1177/10892532251349364","DOIUrl":"https://doi.org/10.1177/10892532251349364","url":null,"abstract":"Congenital heart block (CHB) is a rare congenital cardiac disease where disruption of the atrioventricular (AV) node results in cardiac conduction abnormalities. The majority of CHB cases are associated with neonatal lupus antibodies that are associated with autoimmune destruction and fibrosis of the AV node, most commonly resulting in a congenital complete heart block (CCHB). We report the case of a 23-year-old mother who was found to have a fetus with significant bradycardia at a 21-week anatomy ultrasound. Subsequent fetal echocardiograms demonstrated a third-degree heart block, and laboratory workup of the mother was positive for SSA antibodies. Successful care of the fetus required multidisciplinary coordination to ensure adequate antepartum care, successful delivery of the fetus, and proper cardiovascular management of the neonate after birth. We discuss etiologies of fetal bradycardia, proper imaging techniques to diagnose fetal cardiac abnormalities, and the management of a neonate with CCHB after birth. Lastly, we emphasize how adequate operating room preparation and multidisciplinary planning are essential for optimal outcomes during time-sensitive and high-risk operating room procedures.","PeriodicalId":46500,"journal":{"name":"Seminars in Cardiothoracic and Vascular Anesthesia","volume":" ","pages":"10892532251349364"},"PeriodicalIF":1.1,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144259025","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

Abdominal Organ Transplantation: Noteworthy Literature in 2024. 腹部器官移植：2024年值得关注的文献。

IF 1.1

Seminars in Cardiothoracic and Vascular Anesthesia Pub Date : 2025-06-01 Epub Date: 2025-03-17 DOI: 10.1177/10892532251328204

Akira Katayama, Palak Patel, Abigail Pianelli, Ryan Wang, Tetsuro Sakai

引用次数: 0

The Year in Review: Anesthesia for Congenital Heart Disease 2024. 年度回顾：麻醉治疗先天性心脏病2024。

IF 1.1

Seminars in Cardiothoracic and Vascular Anesthesia Pub Date : 2025-06-01 Epub Date: 2025-04-12 DOI: 10.1177/10892532251333682

Matthew M Goodmanson, Destiny F Chau, Leah M Landsem, Gregory J Latham

引用次数: 0

Year in Review 2024: Noteworthy Literature in Cardiac Anesthesiology. 2024年回顾：心脏麻醉学值得注意的文献。

IF 1.1

Seminars in Cardiothoracic and Vascular Anesthesia Pub Date : 2025-06-01 Epub Date: 2025-04-10 DOI: 10.1177/10892532251332468

Tamas Seres, Barbara Wilkey, Nathaen Weitzel, Nathan Clendenen

{"title":"Year in Review 2024: Noteworthy Literature in Cardiac Anesthesiology.","authors":"Tamas Seres, Barbara Wilkey, Nathaen Weitzel, Nathan Clendenen","doi":"10.1177/10892532251332468","DOIUrl":"10.1177/10892532251332468","url":null,"abstract":"The research findings relevant for Cardiac Anesthesiology studies published in 2024 involved key innovations in devices and gene therapy in addition to the expansion of transcatheter techniques for valve repair or replacement. We reviewed 447 relevant articles and selected 21 as the most noteworthy studies published in 2024. Themes that emerged from our review include the etiology and prevention of delirium or outcomes after mechanical circulatory support. Robust clinical outcome data now supports the use of microaxial flow devices for mechanical circulatory support for cardiogenic shock due to acute myocardial infarction. Pharmacology development presents colchicine as anti-inflammatory medication to prevent atrial fibrillation or intravenous amino acids for kidney protection after cardiopulmonary bypass. Technological advances include implantable wireless pacing-defibrillator devices, pulmonary artery pressure monitoring in heart failure patients, extracorporeal blood purification for preventing acute kidney injury and hypothermic oxygenated perfusion of the donor heart in heart transplantation. Transcatheter interventions on mitral or aortic valve were gaining advances over surgical procedures. Novel paradigms included treatments with gene therapy for cardiac amyloidosis or refractory angina and the emerging risk of microplastic exposure in cardiovascular events.","PeriodicalId":46500,"journal":{"name":"Seminars in Cardiothoracic and Vascular Anesthesia","volume":" ","pages":"134-146"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144006667","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

Year in Review 2024: Noteworthy Literature in Cardiothoracic Critical Care. 2024年回顾：心胸危重症值得注意的文献。

IF 1.1

Seminars in Cardiothoracic and Vascular Anesthesia Pub Date : 2025-06-01 Epub Date: 2025-04-13 DOI: 10.1177/10892532251333550

Samuel Gilliland, Kevin K Kim, Xiang Li, Kenji Tanabe, Andrew Hennigan, Sarah Alber

引用次数: 0

Noteworthy in Cardiothoracic Surgery 2024. 2024 年值得关注的心胸外科。

IF 1.1

Seminars in Cardiothoracic and Vascular Anesthesia Pub Date : 2025-06-01 Epub Date: 2025-04-08 DOI: 10.1177/10892532251332455

Christina M Stuart, Robert A Meguid, Jessica Y Rove

{"title":"Noteworthy in Cardiothoracic Surgery 2024.","authors":"Christina M Stuart, Robert A Meguid, Jessica Y Rove","doi":"10.1177/10892532251332455","DOIUrl":"10.1177/10892532251332455","url":null,"abstract":"Noteworthy in Cardiothoracic Surgery 2024 summarizes a few of the most high-impact trials and provocative trends in cardiothoracic surgery this past year. Specifically, this year saw the release of many in-depth reports comparing the long-term outcomes of transcatheter aortic valve replacement (TAVR) vs surgical approaches for aortic valve replacement, data which is expected to move the transcatheter pendulum. In particular, this included a national analysis of trends reporting the rapid increase of post-TAVR surgical aortic valve replacement (SAVR). This year's literature also reported ground-breaking milestones related robotics in cardiothoracic surgery, with publication of the first multicenter series of robotic aortic valve replacements, the first entirely robotic double lung and heart transplants, as well as the first combined robotic aortic valve replacement and coronary artery bypass grafting. Specific to lung cancer, data continues to emerge regarding the de-escalation of magnitude of surgical resection from lobectomy to sublobar when able, and in the benefit of immunotherapy in the neoadjuvant treatment of non-small cell lung cancer. Frequent in the literature this year were concerns about toxicity, surgical challenges after therapy, and potential increases in perioperative complications following neoadjuvant chemoimmunotherapy, with calls for surgeons to crucially assess these effects on surgical outcomes to help refine patient selection criteria. Finally, 2024 saw many advancements in intraoperative tumor localization focused on enhancing precision, minimizing invasiveness, and improving surgical outcomes, including robotic-assisted bronchoscopy, electromagnetic navigation bronchoscopy (ENB), and encouraging data regarding intraoperative molecular imaging.","PeriodicalId":46500,"journal":{"name":"Seminars in Cardiothoracic and Vascular Anesthesia","volume":" ","pages":"126-133"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812495","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

Noteworthy Literature in 2024 Editorial Charting Progress: A Year of Advances in Cardiac Surgery, Transplantation, and Anesthetic Management. 值得注意的文献在2024社论图表进展：一年的进展在心脏手术，移植和麻醉管理。

IF 1.1

Seminars in Cardiothoracic and Vascular Anesthesia Pub Date : 2025-06-01 Epub Date: 2025-05-06 DOI: 10.1177/10892532251340817

James Littlejohn, Miklos D Kertai, Benjamin Abrams, Nathaen Weitzel

引用次数: 0

Comparison of Short-Term Outcomes of Extubation in the Operating Room and Extubating in the Intensive Care Unit After Cardiac Surgery: Systematic Review and Meta-Analysis. 心脏手术后在手术室拔管与在重症监护病房拔管的短期结果比较：系统回顾和荟萃分析。

IF 1.1

Seminars in Cardiothoracic and Vascular Anesthesia Pub Date : 2025-05-29 DOI: 10.1177/10892532251346646

Noritsugu Naito, Hisato Takagi

{"title":"Comparison of Short-Term Outcomes of Extubation in the Operating Room and Extubating in the Intensive Care Unit After Cardiac Surgery: Systematic Review and Meta-Analysis.","authors":"Noritsugu Naito, Hisato Takagi","doi":"10.1177/10892532251346646","DOIUrl":"https://doi.org/10.1177/10892532251346646","url":null,"abstract":"Objectives: This study aimed to compare short-term outcomes in patients extubated in the operating room (ORE) vs those extubated in the intensive care unit (ICUE) following cardiac surgery. Methods: A systematic search of MEDLINE and EMBASE was conducted from inception through September 2024. Pooled outcome estimates were calculated, and subgroup analyses were performed focusing on studies utilizing propensity score matching, weighting, or randomization. Results: Fourteen studies published between 2000 and 2024, encompassing 679,749 patients, were included. Of these, 6 utilized propensity score matching, 1 applied overlap weighting, and 1 employed randomization. Overall, ORE group had shorter aortic cross-clamp (P = 0.02) and cardiopulmonary bypass (P < 0.01) times. ORE patients had shorter ICU (P < 0.01) and hospital stays (P < 0.01). Rates of reintubation (P = 0.78), reoperation for bleeding (P = 0.18), prolonged mechanical ventilation (P = 0.12), and hospital readmission (P = 0.71) were comparable between the groups. Postoperative stroke rate (P < 0.01) and short-term mortality (P = 0.04) were lower in the ORE group. In the subgroup analysis, ICU stay, hospital stay, and cardiopulmonary bypass time remained shorter in ORE groupfund, while reoperation for bleeding was significantly higher (P < 0.01). However, the differences in postoperative stroke (P = 0.52) and short-term mortality (P = 0.42) were no longer statistically significant. Conclusion: This meta-analysis demonstrates that ORE after cardiac surgery can be performed in selected patients, with comparable postoperative outcomes to ICUE. The ORE strategy may result in shorter ICU and hospital stays.","PeriodicalId":46500,"journal":{"name":"Seminars in Cardiothoracic and Vascular Anesthesia","volume":" ","pages":"10892532251346646"},"PeriodicalIF":1.1,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144183053","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