The Journal of Thoracic and Cardiovascular Surgery最新文献_第3页

The Journal of Thoracic and Cardiovascular Surgery Pub Date : 2024-04-01 DOI: 10.1016/j.jtcvs.2024.04.003

J. Nelson

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Interhospital Variability in Cardiac Rehabilitation Use After Cardiac Surgery Among Medicare Beneficiaries. 医疗保险受益人心脏手术后使用心脏康复治疗的医院间差异。

The Journal of Thoracic and Cardiovascular Surgery Pub Date : 2024-04-01 DOI: 10.1016/j.jtcvs.2024.04.019

Maximilian A. Fliegner, H. Hou, Tyler M Bauer, Temilolaoluwa Daramola, Jeffrey McCullough, Francis D. Pagani, Devraj Sukul, D. Likosky, S. Keteyian, Mike P Thompson

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Discussion to: What drives variability in postoperative transfusion rates? 讨论到：是什么导致了术后输血率的变化？

The Journal of Thoracic and Cardiovascular Surgery Pub Date : 2024-04-01 DOI: 10.1016/j.jtcvs.2024.03.016

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Commentary: What Matters More: Method of Revascularization or Completeness? 评论：什么更重要？血管再通方法还是完整性？

The Journal of Thoracic and Cardiovascular Surgery Pub Date : 2024-04-01 DOI: 10.1016/j.jtcvs.2024.04.014

Robert B. Hawkins

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Complex Patient with Azygos Continuation of the Inferior Vena Cava: Value of Flow Simulation. 下腔静脉Azygos延续的复杂病人：流量模拟的价值。

The Journal of Thoracic and Cardiovascular Surgery Pub Date : 2024-04-01 DOI: 10.1016/j.jtcvs.2024.04.015

D. Hoganson, V. Govindarajan, Noah E. Schulz, Peter E. Hammer, R. Rathod, Christopher W. Baird

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Ventricular Assist Device using a Thoracotomybased Implant Technique: Multi-center HeartMate 3 SWIFT Study 使用胸廓切开术植入技术的心室辅助装置：多中心 HeartMate 3 SWIFT 研究

The Journal of Thoracic and Cardiovascular Surgery Pub Date : 2024-02-01 DOI: 10.1016/j.jtcvs.2024.02.013

Igor Gosev, D. Pham, John Y. Um, A. Anyanwu, A. Itoh, K. Kotkar, Koji Takeda, Yoshifumi Naka, Matthias Peltz, Scott C. Silvestry, Gregory Couper, M. Leacche, Vivek Rao, Benjamin Sun, Ryan J. Tedford, N. Mokadam, Robert McNutt, Daniel Crandall, Mandeep R. Mehra, Christopher T. Salerno

引用次数: 0

Unplanned readmissions, community socioeconomic factors, and their effects on long-term survival after complex thoracic aortic surgery 非计划再入院、社区社会经济因素及其对复杂胸主动脉手术后长期生存的影响

The Journal of Thoracic and Cardiovascular Surgery Pub Date : 2024-02-01 DOI: 10.1016/j.jtcvs.2024.01.035

Ourania Preventza, Jaymie Henry, Lubna Khan, Lorraine D. Cornwell, Katherine H. Simpson, Subhasis Chatterjee, Hiruni S. Amarasekara, Marc R. Moon, Joseph S. Coselli

{"title":"Unplanned readmissions, community socioeconomic factors, and their effects on long-term survival after complex thoracic aortic surgery","authors":"Ourania Preventza, Jaymie Henry, Lubna Khan, Lorraine D. Cornwell, Katherine H. Simpson, Subhasis Chatterjee, Hiruni S. Amarasekara, Marc R. Moon, Joseph S. Coselli","doi":"10.1016/j.jtcvs.2024.01.035","DOIUrl":"https://doi.org/10.1016/j.jtcvs.2024.01.035","url":null,"abstract":"<h3>Objective</h3><p>We evaluated community socioeconomic (CSE) factors in patients who had unplanned readmission after undergoing proximal aortic surgery (ascending aorta, aortic root, or arch).</p><h3>Methods</h3><p>Unplanned readmissions for any reason within 60 days of the index procedure were reviewed by race, acuity at presentation, and gender. We also evaluated 3 CSE factors: poverty, household income, and education. Kaplan-Meier survival curves were used to assess long-term survival differences by group (race, acuity, gender).</p><h3>Results</h3><p>Among 2406 patients who underwent proximal aortic surgery during the 20-year study period and were discharged alive, our team identified 146 (6.1%) unplanned readmissions. Compared with White patients, Black patients lived in areas characterized by more widespread poverty (20.8% vs 11.1%, p=.0003), lower income (42,776 vs 65,193 USD, p=.0007), and fewer residents with a high school diploma (73.7% vs 90.1%, p <.0001). Compared with patients whose index operation was elective, patients who had urgent or emergency index procedures lived in areas with lower income (54,425 vs 64,846 USD, p=.01) and fewer residents with a high school diploma (81.1% vs 89.2%, p=.005). CSE factors did not differ by gender. Four- and 6-year survival estimates were 63.1% and 63.1% for Black patients versus 89.1% and 83.0% for White patients (p=.0009). No significant differences by acuity or gender were found.</p><h3>Conclusions</h3><p>Among readmitted patients, Black patients and patients who had emergency surgery had less favorable CSE factors and poorer long-term survival. Earlier and more frequent follow-up in these patients should be considered. Developing off-campus clinics and specific post-discharge measures targeting these patients is important.</p>","PeriodicalId":501609,"journal":{"name":"The Journal of Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139664498","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

Ventricular Assist Device using a Thoracotomybased Implant Technique: Multi-center HeartMate 3 SWIFT Study 使用胸廓切开术植入技术的心室辅助装置：多中心 HeartMate 3 SWIFT 研究

The Journal of Thoracic and Cardiovascular Surgery Pub Date : 2024-02-01 DOI: 10.1016/j.jtcvs.2024.02.013

Igor Gosev, D. Pham, John Y. Um, A. Anyanwu, A. Itoh, K. Kotkar, Koji Takeda, Yoshifumi Naka, Matthias Peltz, Scott C. Silvestry, Gregory Couper, M. Leacche, Vivek Rao, Benjamin Sun, Ryan J. Tedford, N. Mokadam, Robert McNutt, Daniel Crandall, Mandeep R. Mehra, Christopher T. Salerno

引用次数: 0

Significance of Isolated Postoperative Atrial Fibrillation in Thoracic Aortic Aneurysm Repair 胸主动脉瘤修复术后孤立性心房颤动的意义

The Journal of Thoracic and Cardiovascular Surgery Pub Date : 2024-01-06 DOI: 10.1016/j.jtcvs.2023.12.023

Megan M. Chung, Cheryl Pan, Hideyuki Hayashi, Viswajit Kandula, Yanling Zhao, Dov Levine, Patra Childress, Lauren Sutherland, Syed T. Raza, Paul Kurlansky, Craig R. Smith, Hiroo Takayama

{"title":"Significance of Isolated Postoperative Atrial Fibrillation in Thoracic Aortic Aneurysm Repair","authors":"Megan M. Chung, Cheryl Pan, Hideyuki Hayashi, Viswajit Kandula, Yanling Zhao, Dov Levine, Patra Childress, Lauren Sutherland, Syed T. Raza, Paul Kurlansky, Craig R. Smith, Hiroo Takayama","doi":"10.1016/j.jtcvs.2023.12.023","DOIUrl":"https://doi.org/10.1016/j.jtcvs.2023.12.023","url":null,"abstract":"<h3>Objective</h3><p>While postoperative atrial fibrillation (POAF) has been shown to be associated with worse survival after thoracic aortic surgery, its effect on outcomes independently from other postoperative complications is not well understood.</p><h3>Methods</h3><p>This is a single-center retrospective study of patients who underwent open thoracic aortic aneurysm repair between March 2005 and March 2021. POAF was defined as new-onset atrial fibrillation (AF) that developed during the index hospital stay. Patients with preoperative AF were excluded. Postoperative major complications included reoperation for bleeding, respiratory failure, acute renal failure, and stroke. Variables associated with POAF were analyzed with multivariable regression. Survival of patients without major complications was compared between patients without AF to patients with POAF after propensity score matching for baseline and intraoperative characteristics.</p><h3>Results</h3><p>Of 1,454 patients, 520 (35.8%) were observed to have POAF. Patients with POAF had a higher rate of postoperative major complications than those without AF (20.2% vs. 12.2%, p<0.001). Ten year survival was 82.0% in patients with POAF and 87.0% in patients without AF (p=0.008). In the cohort of patients without complications, 10-year survival was similar between patients with and without POAF after propensity score matching (83.6% vs. 83.8%, p=0.75).</p><h3>Conclusions</h3><p>POAF is common after open proximal thoracic aortic aneurysm repair. While development of major postoperative complications is associated with POAF and decreased long-term survival, isolated POAF does not appear to influence long-term survival.</p>","PeriodicalId":501609,"journal":{"name":"The Journal of Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139375969","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

Optimized strategy to improve the outcomes of acute type A aortic dissection with malperfusion syndrome 改善急性 A 型主动脉夹层伴灌注不良综合征预后的优化策略

The Journal of Thoracic and Cardiovascular Surgery Pub Date : 2024-01-01 DOI: 10.1016/j.jtcvs.2024.01.006

Shuangkun Chen, Hua Peng, Zhuang Hui, Juxiang Wang, Pianpian Yan, Weiqun Zhang, Weiliang Zheng, Mingyu Li, Xijie Wu

引用次数: 0