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Seminars in Thoracic and Cardiovascular Surgery最新文献

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Integrating Quality Metrics with Enhanced Recovery Pathways in Coronary Artery Bypass Grafting.
IF 2.6 3区 医学
Seminars in Thoracic and Cardiovascular Surgery Pub Date : 2025-01-30 DOI: 10.1053/j.semtcvs.2025.01.002
Katherine G Phillips, Aubrey Galloway, Eugene A Grossi, Daniel Swistel, Deane E Smith, Ralph Mosca, Elias Zias
{"title":"Integrating Quality Metrics with Enhanced Recovery Pathways in Coronary Artery Bypass Grafting.","authors":"Katherine G Phillips, Aubrey Galloway, Eugene A Grossi, Daniel Swistel, Deane E Smith, Ralph Mosca, Elias Zias","doi":"10.1053/j.semtcvs.2025.01.002","DOIUrl":"https://doi.org/10.1053/j.semtcvs.2025.01.002","url":null,"abstract":"<p><p>Perspective Statement: Beyond the Society of Thoracic Surgery's (STS) quality metrics, many other operative measures, such as completeness of revascularization, and patient care measures add quality and value for patients undergoing coronary artery bypass surgery; and Enhanced Recovery after Surgery (ERAS) protocols have improved patient experience and recovery, leading to better outcomes and significant healthcare savings.</p>","PeriodicalId":48592,"journal":{"name":"Seminars in Thoracic and Cardiovascular Surgery","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Beating Heart is a Happy Heart, Especially in Patients with LV Dysfunction Undergoing Coronary Artery Bypass Grafting.
IF 2.6 3区 医学
Seminars in Thoracic and Cardiovascular Surgery Pub Date : 2025-01-21 DOI: 10.1053/j.semtcvs.2025.01.001
Meghana R K Helder, Jong Kim
{"title":"A Beating Heart is a Happy Heart, Especially in Patients with LV Dysfunction Undergoing Coronary Artery Bypass Grafting.","authors":"Meghana R K Helder, Jong Kim","doi":"10.1053/j.semtcvs.2025.01.001","DOIUrl":"https://doi.org/10.1053/j.semtcvs.2025.01.001","url":null,"abstract":"<p><p>Beating-heart CABG in patients with LV dysfunction can provide the best of all words by limiting myocardial injury purported by cardioplegic arrest. Complete revascularization is possible and graft numbers are not different when compared to arrested heart CABG. Furthermore, beating-heart CABG more often reduces the need for intraoperative and postoperative mechanical support reducing the complications and costs associated with these devices. CENTRAL MESSAGE: Beating-heart CABG avoids ischemic insult to the heart while allowing for complete revascularization.</p>","PeriodicalId":48592,"journal":{"name":"Seminars in Thoracic and Cardiovascular Surgery","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143030143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Challenging Proximal Control for Open Thoracoabdominal Repair. 胸腹开放性修复的近端控制具有挑战性。
IF 2.6 3区 医学
Seminars in Thoracic and Cardiovascular Surgery Pub Date : 2024-12-30 DOI: 10.1053/j.semtcvs.2024.11.010
Abe DeAnda
{"title":"Challenging Proximal Control for Open Thoracoabdominal Repair.","authors":"Abe DeAnda","doi":"10.1053/j.semtcvs.2024.11.010","DOIUrl":"10.1053/j.semtcvs.2024.11.010","url":null,"abstract":"<p><p>Proximal control of the thoracic aorta during the open repair of thoracoabdominal aorta can be challenging. Various techniques have been developed to address these challenges, including the use of deep hypothermic circulatory arrest and staged procedures, such as the conventional as well as frozen elephant trunk procedures. This paper is a brief review of the challenges and rationale behind some approaches.</p>","PeriodicalId":48592,"journal":{"name":"Seminars in Thoracic and Cardiovascular Surgery","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
CABG Should Be a Subspecialty. CABG应该是一个亚专业。
IF 2.6 3区 医学
Seminars in Thoracic and Cardiovascular Surgery Pub Date : 2024-12-27 DOI: 10.1053/j.semtcvs.2024.12.003
Bob Kiaii, Bradley Taylor
{"title":"CABG Should Be a Subspecialty.","authors":"Bob Kiaii, Bradley Taylor","doi":"10.1053/j.semtcvs.2024.12.003","DOIUrl":"10.1053/j.semtcvs.2024.12.003","url":null,"abstract":"<p><p>Subspecialization in surgery is increasingly common and for great reasons. Over the past 20 years, there has been evidence in support of the link between subspecialization in the disciplines of orthopedic surgery, general, thoracic surgery, neurosurgery, and in interventional cardiology and better patient outcomes and technical advances in their respective fields. In addition, studies suggest that increased hospital and surgeon volume throughout surgery may lead to improved surgical outcomes. The degree of specialization has been shown to reduce operative mortality in a variety of procedures and highlights that the level of sophistication and fund of knowledge required within each area is so great that no one surgeon can \"do it all\" and do it well. Cardiac surgery has become more subspecialized; however, many still view coronary artery surgery as a generalist procedure. There is debate as to the relative contribution of hospital volume, surgeon volume, or degree of specialization on perioperative mortality following isolated coronary artery bypass grafting. In this paper, we will discuss the current data supporting the need for specialization in coronary surgery and present arguments in favor of further specialization in this field.</p>","PeriodicalId":48592,"journal":{"name":"Seminars in Thoracic and Cardiovascular Surgery","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142904034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Trends in Acute Type B Aortic Dissection Management and Outcomes: The IRAD Experience and Beyond. 急性B型主动脉夹层处理和结果的评估：IRAD的经验和超越。
IF 2.6 3区 医学
Seminars in Thoracic and Cardiovascular Surgery Pub Date : 2024-12-26 DOI: 10.1053/j.semtcvs.2024.12.002
Santi Trimarchi, Daniele Bissacco, Himanshu J Patel, Kim A Eagle
{"title":"Trends in Acute Type B Aortic Dissection Management and Outcomes: The IRAD Experience and Beyond.","authors":"Santi Trimarchi, Daniele Bissacco, Himanshu J Patel, Kim A Eagle","doi":"10.1053/j.semtcvs.2024.12.002","DOIUrl":"10.1053/j.semtcvs.2024.12.002","url":null,"abstract":"","PeriodicalId":48592,"journal":{"name":"Seminars in Thoracic and Cardiovascular Surgery","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Is Connective Tissue Disorder a Risk Factor for Durability after Valve-Sparing Root Replacement? 结缔组织紊乱是保留瓣膜根置换术后耐久性的危险因素吗？
IF 2.6 3区 医学
Seminars in Thoracic and Cardiovascular Surgery Pub Date : 2024-12-25 DOI: 10.1053/j.semtcvs.2024.11.012
Susan K Keen, Lars G Svensson, Milind Y Desai
{"title":"Is Connective Tissue Disorder a Risk Factor for Durability after Valve-Sparing Root Replacement?","authors":"Susan K Keen, Lars G Svensson, Milind Y Desai","doi":"10.1053/j.semtcvs.2024.11.012","DOIUrl":"10.1053/j.semtcvs.2024.11.012","url":null,"abstract":"","PeriodicalId":48592,"journal":{"name":"Seminars in Thoracic and Cardiovascular Surgery","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Endovascular Repair of Chronic Descending Dissection. 慢性降支夹层血管内修复。
IF 2.6 3区 医学
Seminars in Thoracic and Cardiovascular Surgery Pub Date : 2024-12-25 DOI: 10.1053/j.semtcvs.2024.11.011
Nicolas Chanes, Bo Chang Brian Wu, T Brett Reece
{"title":"Endovascular Repair of Chronic Descending Dissection.","authors":"Nicolas Chanes, Bo Chang Brian Wu, T Brett Reece","doi":"10.1053/j.semtcvs.2024.11.011","DOIUrl":"10.1053/j.semtcvs.2024.11.011","url":null,"abstract":"","PeriodicalId":48592,"journal":{"name":"Seminars in Thoracic and Cardiovascular Surgery","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Off-Pump Coronary Artery Bypass Grafting is Overutilized. 非体外循环冠状动脉旁路移植术被过度使用。
IF 2.6 3区 医学
Seminars in Thoracic and Cardiovascular Surgery Pub Date : 2024-12-25 DOI: 10.1053/j.semtcvs.2024.12.001
Allen A Razavi, Jad Malas, Aminah Salam, Dominic A Emerson, Michael E Bowdish
{"title":"Off-Pump Coronary Artery Bypass Grafting is Overutilized.","authors":"Allen A Razavi, Jad Malas, Aminah Salam, Dominic A Emerson, Michael E Bowdish","doi":"10.1053/j.semtcvs.2024.12.001","DOIUrl":"10.1053/j.semtcvs.2024.12.001","url":null,"abstract":"<p><p>Off-pump coronary artery bypass grafting (CABG), developed to avoid the potential complications of cardiopulmonary bypass, remains a subject of debate. Studies have demonstrated that off-pump CABG is associated with higher rates of incomplete revascularization, inferior graft patency, and increased reintervention rates compared to on-pump CABG, leading to worse outcomes. The theoretical neuroprotective and renal-protective benefits associated with off-pump CABG have not been definitively proven, with stroke and renal failure rates similar to those of on-pump CABG in both short- and long-term follow-up. Off-pump CABG presents technical challenges, contributing to a steep learning curve, and its effectiveness is dependent on surgeon and center experience. Lower-volume centers and surgeons performing off-pump CABG have shown increased rates of mortality and reintervention. Despite the potential cost savings by avoiding cardiopulmonary bypass, the need for repeat interventions and associated complications can lead to higher long-term healthcare costs. This paper advocates for a more selective use of off-pump CABG while maintaining on-pump CABG as the standard approach for patients with coronary artery disease.</p>","PeriodicalId":48592,"journal":{"name":"Seminars in Thoracic and Cardiovascular Surgery","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Acute Type B Management; Implications of Initial Treatment Strategy: The NIH Type B Trial. 急性B型血管理；初始治疗策略的含义：NIH B型试验。
IF 2.6 3区 医学
Seminars in Thoracic and Cardiovascular Surgery Pub Date : 2024-12-25 DOI: 10.1053/j.semtcvs.2024.11.013
Alexander P Nissen, Bradley G Leshnower
{"title":"Acute Type B Management; Implications of Initial Treatment Strategy: The NIH Type B Trial.","authors":"Alexander P Nissen, Bradley G Leshnower","doi":"10.1053/j.semtcvs.2024.11.013","DOIUrl":"10.1053/j.semtcvs.2024.11.013","url":null,"abstract":"","PeriodicalId":48592,"journal":{"name":"Seminars in Thoracic and Cardiovascular Surgery","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Aortic Dissection Following Transcatheter Aortic Valve Replacement. 经导管主动脉瓣置换术后的主动脉夹层。
IF 2.6 3区 医学
Seminars in Thoracic and Cardiovascular Surgery Pub Date : 2024-12-13 DOI: 10.1053/j.semtcvs.2024.11.006
Bret DeGraaff, Scott C DeRoo, Isaac George
{"title":"Aortic Dissection Following Transcatheter Aortic Valve Replacement.","authors":"Bret DeGraaff, Scott C DeRoo, Isaac George","doi":"10.1053/j.semtcvs.2024.11.006","DOIUrl":"10.1053/j.semtcvs.2024.11.006","url":null,"abstract":"<p><p>Transcatheter Aortic Valve Replacement (TAVR) continues to grow in popularity and has become the preferred mechanism for the treatment of aortic stenosis in most patients. Despite significant improvements in the safety of TAVR, complications remain inevitable. Aortic dissection, although rare, is a feared complication following TAVR. Aortic dissection after TAVR has been reported to occur in both the ascending and descending thoracic aorta and may occur acutely during valve placement or in a delayed fashion. Bicuspid aortic valve and ascending aortic aneurysm may increase the risk for Type A dissection following TAVR. Given the rarity of aortic dissection in TAVR, a high index of suspicion must be maintained to provide prompt diagnosis and management. Open surgical repair is the preferred treatment modality for type A aortic dissection, however endovascular management and conservative medical therapy can be utilized in select patients and are more commonly employed for type B dissection.</p>","PeriodicalId":48592,"journal":{"name":"Seminars in Thoracic and Cardiovascular Surgery","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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