Seminars in Thoracic and Cardiovascular Surgery最新文献_第7页

Discussion to: Twenty-Five Years of Lung Transplantation in Medellín: Overcoming the Challenges of an Emerging Country 讨论：麦德林肺移植二十五年：克服新兴国家的挑战。

IF 2.6 3区医学

Seminars in Thoracic and Cardiovascular Surgery Pub Date : 2024-09-01 DOI: 10.1053/j.semtcvs.2023.08.001

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Reply: What is the Suitable Predictor for Venous Sequential Coronary Grafting? 回复：静脉序贯冠状动脉移植术的合适预测指标是什么？

IF 2.6 3区医学

Seminars in Thoracic and Cardiovascular Surgery Pub Date : 2024-09-01 DOI: 10.1053/j.semtcvs.2024.03.001

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Should Treatment of Mesothelioma Include Surgery? MARS2 Fails to Land. 间皮瘤的治疗应包括手术吗？MARS2 未能着陆

IF 2.6 3区医学

Seminars in Thoracic and Cardiovascular Surgery Pub Date : 2024-07-17 DOI: 10.1053/j.semtcvs.2024.07.001

Shubham Gulati, Andrea S Wolf, Raja M Flores

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Recent Articles in AATS Journals 最近在 AATS 期刊上发表的文章

IF 2.5 3区医学

Seminars in Thoracic and Cardiovascular Surgery Pub Date : 2024-06-01 DOI: 10.1053/j.semtcvs.2024.05.001

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Masthead (copyright and information page) 刊头（版权和信息页）

IF 2.5 3区医学

Seminars in Thoracic and Cardiovascular Surgery Pub Date : 2024-06-01 DOI: 10.1053/S1043-0679(24)00034-0

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Commentary: Old Data Provide New Insights Into the Therapeutic Benefit of Adjuvant Chemotherapy in Non-Small Cell Lung Cancer 评论：旧数据为非小细胞肺癌辅助化疗的治疗效果提供了新见解。

IF 2.5 3区医学

Seminars in Thoracic and Cardiovascular Surgery Pub Date : 2024-06-01 DOI: 10.1053/j.semtcvs.2022.11.006

Kyle G. Mitchell MD MSc, Mara B. Antonoff MD

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AATS 2022 Virtual Annual Meeting AATS 2022 虚拟年会。

IF 2.5 3区医学

Seminars in Thoracic and Cardiovascular Surgery Pub Date : 2024-06-01 DOI: 10.1053/j.semtcvs.2022.08.020

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Closure of Left Atrial Appendage Has no Effect on Thromboembolic Rates after Mitral Valve Repair in Patients in Sinus Rhythm 关闭左心房附壁对窦性心律患者二尖瓣修复术后血栓栓塞率无影响

IF 2.5 3区医学

Seminars in Thoracic and Cardiovascular Surgery Pub Date : 2024-06-01 DOI: 10.1053/j.semtcvs.2022.10.008

Maria Ascaso MD, Carolyn M. David BN, Chun-Po Steve Fan PhD, Sudipta Saha PhD, Tirone E. David MD

{"title":"Closure of Left Atrial Appendage Has no Effect on Thromboembolic Rates after Mitral Valve Repair in Patients in Sinus Rhythm","authors":"Maria Ascaso MD, Carolyn M. David BN, Chun-Po Steve Fan PhD, Sudipta Saha PhD, Tirone E. David MD","doi":"10.1053/j.semtcvs.2022.10.008","DOIUrl":"10.1053/j.semtcvs.2022.10.008","url":null,"abstract":"<div>Closure of the left atrial appendage (LAA) reduces the rates of TIA/stroke in patients in atrial fibrillation (AF) but its role in patients in sinus rhythm who undergo mitral valve repair (MV) for leaflet prolapse remains unknown. This study examined the effects of closing the LAA in TIA/stroke after MV repair. Our database on patients who had MV repair for leaflet prolapse from 2000 through 2019 was reviewed. After excluding patients at higher risk of TIA/stroke, 1050 patients in sinus rhythm were entered into the study: 781 with open LAA and 269 with surgically closed LAA. Using a propensity score analysis to compensate from clinical differences, 267 pairs of patients with open and closed LAA were matched. Follow-up was truncated at 5 years because routine closure of the LAA was performed only during recent years. The cumulative incidence of TIA/stroke at 5 years in the entire cohort was 2.7% [95% CI 1.9, 4.0]; it was 2.9% [95% CI 1.9, 4.4] in patients with open LAA,and 1.8% [95% CI 0.7, 4.9] in patients with closed LAA (P = 0.53). In the matched cohorts, the cumulative incidences of TIA/stroke did not differ significantly (match-adjusted HR [95% CI] = 0.80 [0.21, 2.98], P = 0.74), and multivariable Cox proportional hazard regression analysis also confirmed no difference in the risk of TIA/stroke between the 2 groups (regression-adjusted HR [95% CI] = 0.58 [0.12, 2.9], P = 0.47). This study failed to show a reduction in the risk of TIA/stroke by closing the LAA in patients in sinus rhythm (Figure 6). Closure of the LAA during MV repair warrants a larger and more rigorous study.</div>","PeriodicalId":48592,"journal":{"name":"Seminars in Thoracic and Cardiovascular Surgery","volume":"36 2","pages":"Pages 150-157"},"PeriodicalIF":2.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9662810","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}

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Operating Room Versus Intensive Care Unit Extubation Within 6 Hours After On-Pump Cardiac Surgery: Early Results and Hospital Costs 泵上心脏手术后 6 小时内在手术室拔管与在重症监护室拔管的对比：早期结果和医院成本。

IF 2.5 3区医学

Seminars in Thoracic and Cardiovascular Surgery Pub Date : 2024-06-01 DOI: 10.1053/j.semtcvs.2022.09.013

Andrew D. Hawkins MD , Raymond J. Strobel MD, MSc , J. Hunter Mehaffey MD, MSc , Robert B. Hawkins MD, MSc , Evan P. Rotar MD, MS , Andrew M. Young MD , Leora T. Yarboro MD , Kenan Yount MD, MBA , Gorav Ailawadi MD, MBA , Mark Joseph MD , Mohammed Quader MD , Nicholas R. Teman MD

{"title":"Operating Room Versus Intensive Care Unit Extubation Within 6 Hours After On-Pump Cardiac Surgery: Early Results and Hospital Costs","authors":"Andrew D. Hawkins MD , Raymond J. Strobel MD, MSc , J. Hunter Mehaffey MD, MSc , Robert B. Hawkins MD, MSc , Evan P. Rotar MD, MS , Andrew M. Young MD , Leora T. Yarboro MD , Kenan Yount MD, MBA , Gorav Ailawadi MD, MBA , Mark Joseph MD , Mohammed Quader MD , Nicholas R. Teman MD","doi":"10.1053/j.semtcvs.2022.09.013","DOIUrl":"10.1053/j.semtcvs.2022.09.013","url":null,"abstract":"<div>Time-directed extubation (fast-track) protocols may decrease length of stay and cost but data on operating room (OR) extubation is limited. The objective of this study was to compare the outcomes of extubation in the OR versus fast-track extubation within 6 hours of leaving the operating room. Patients undergoing nonemergent STS index cases (2011–2021) who were extubated within 6 hours were identified from a regional STS quality collaborative. Patients were stratified by extubation in the OR versus fast track. Propensity score matching (1:n) was performed to balance baseline differences. Of the 24,962 patients, 498 were extubated in the OR. After matching, 487 OR extubation cases and 899 fast track cases were well balanced. The rate of reintubation was higher for patients extubated in the OR [21/487 (4.3%) vs 16/899 (1.8%), P = 0.008] as was the incidence of reoperation for bleeding [12/487 (2.5%) vs 8/899 (0.9%), P = 0.03]. There was no significant difference in the rate of any reoperation [16/487 (3.3%) vs 15/899 (1.6%), P = 0.06] or operative mortality [4/487 (0.8%) vs 6/899 (0.6%), P = 0.7]. OR extubation was associated with shorter hospital length of stay (5.6 vs 6.2 days, P < 0.001) and lower total cost of admission ($29,602 vs $31,565 P < 0.001). OR extubation is associated with a higher postoperative risk of reintubation and reoperation due to bleeding, but lower resource utilization.Future research exploring predictors of extubation readiness may be required prior to widespread adoption of this practice.</div>","PeriodicalId":48592,"journal":{"name":"Seminars in Thoracic and Cardiovascular Surgery","volume":"36 2","pages":"Pages 195-208"},"PeriodicalIF":2.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9539405","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}

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Commentary: The Many Shades of Gradient After Repair of Tetralogy of Fallot 评论：法洛氏四联症修复后的多种渐变。

IF 2.5 3区医学

Seminars in Thoracic and Cardiovascular Surgery Pub Date : 2024-06-01 DOI: 10.1053/j.semtcvs.2023.01.002

Sitaram M. Emani MD

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