Annals of Thoracic Surgery最新文献

{"title":"Editor's Choice","authors":"","doi":"10.1016/S0003-4975(25)00233-4","DOIUrl":"10.1016/S0003-4975(25)00233-4","url":null,"abstract":"","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":"119 5","pages":"Page A4"},"PeriodicalIF":3.6,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143859489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sixty-first Annual Meeting, The Society of Thoracic Surgeons","authors":"Wilson Y. Szeto MD (Secretary)","doi":"10.1016/j.athoracsur.2025.03.004","DOIUrl":"10.1016/j.athoracsur.2025.03.004","url":null,"abstract":"","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":"119 5","pages":"Pages 1129-1131"},"PeriodicalIF":3.6,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143859601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial Board Changes (May 2025)","authors":"","doi":"10.1016/j.athoracsur.2025.03.003","DOIUrl":"10.1016/j.athoracsur.2025.03.003","url":null,"abstract":"","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":"119 5","pages":"Pages 931-933"},"PeriodicalIF":3.6,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143859492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Society Board","authors":"","doi":"10.1016/S0003-4975(25)00232-2","DOIUrl":"10.1016/S0003-4975(25)00232-2","url":null,"abstract":"","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":"119 5","pages":"Page A3"},"PeriodicalIF":3.6,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143859488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Association between Participation in a Quality Collaborative and Value in Lung Cancer Surgery.","authors":"Callie K VanWinkle, Whitney Fu, Kristen P Hassett, Michael P Thompson, Rishindra M Reddy, Kiran Lagisetty, Sidra N Bonner","doi":"10.1016/j.athoracsur.2025.02.027","DOIUrl":"https://doi.org/10.1016/j.athoracsur.2025.02.027","url":null,"abstract":"<p><strong>Background: </strong>In this study, the association between participation in a statewide thoracic surgery quality collaborative initiative(CQI) and value for resection of lung cancer is evaluated.</p><p><strong>Methods: </strong>Data from the Michigan Value Collaborative, a quality initiative with the goal of improving healthcare value and quality across Michigan by leveraging robust multi-payer claims data to identify patients undergoing lung cancer resection at Michigan hospitals from 2015-2020. We identified patients who did and did not receive their care at a hospital participating in a statewide thoracic surgery CQI. There were 16 CQI hospitals and 38 non- CQI hospitals identified where patients underwent resection for lung cancer. Multi-variable logistic and linear regression were performed to compare surgical outcomes and total surgical episodes for patients receiving care within the CQI compared to those outside of the CQI RESULTS: Overall, a total of 4,857 patients undergoing resection for lung cancer were identified with patient mean (SD) age of 68.3 (8.6) with 2,599 women (53.5%). Patients receiving surgery within CQI hospitals had significantly lower mortality compared to patients at non-CQI hospitals (1.5% vs. 2.6%; P<0.04). A similar pattern was found for all complications(48.4% vs. 60.6%, %; P<0.001) and specific complications including acute respiratory failure (11.1% vs. 25.4%: P<0.001), pneumonia(6.4% vs. 10.1%; P<0.001), pneumothorax (20.3% vs. 25.3%; P<0.001), and renal failure(6.0% vs. 9.2%:P<0.001). Lastly, CQI hospitals had significantly lower mean 30-day total surgical episode payments ($26,470.42 vs. $28,561.56; P<0.001).</p><p><strong>Conclusions: </strong>This study finds association between participation in a collaborative quality initiative and improved value in lung cancer surgery.</p>","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Novel bioprostheses: Is five years still within the honeymoon phase?","authors":"George Tolis","doi":"10.1016/j.athoracsur.2025.03.031","DOIUrl":"https://doi.org/10.1016/j.athoracsur.2025.03.031","url":null,"abstract":"","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lessons from 19 Years of a Pediatric Heart Surgery Volunteer Program in Jamaica: Partnership, Teamwork, and Sustainability.","authors":"Sanjhai L Ramdeen, Sherard G H Little, Sharonne Forrester, Cleopatra Patterson, Tamra Tomlinson Morris, David S Cooper, David F Vener, Lindsey B Justice, Wendy E Redmer, Katie Hoag, Kayla V Lucas, Douglas J Walker, Donna E McDonald, LeeAnn Hewitt, Sarah Sukumar, Jennifer Carapellucci, J Blaine John, Frank G Scholl, Vinay Badhwar, Melanie A Edwards, Jeffrey Phillip Jacobs","doi":"10.1016/j.athoracsur.2025.03.030","DOIUrl":"https://doi.org/10.1016/j.athoracsur.2025.03.030","url":null,"abstract":"<p><strong>Background: </strong>The purpose of this analysis was to review our 19-year experience (2006-2024) of a pediatric cardiac surgery volunteer program in Jamaica and examine the transition of surgical responsibility to the local team, case complexity, and Operative Mortality.</p><p><strong>Methods: </strong>This was a retrospective study with a prospectively maintained database. Data points included diagnosis, procedure, surgeon, assistant, patient age, weight, sex, postoperative complications, and Operative Mortality.</p><p><strong>Results: </strong>A total of 142 index pediatric cardiac operations were performed on 137 patients. The mean age was 5.2 years (SD±5.1), with a range from 0 days to 16.9 years. The mean patient weight was 17.5 kg (SD±14.6), with a range of 2.2-62.0 kilograms. 47.7% (n=52) of patients were male and 52.3% (n=57) were female. Operative complexity varied over the course of the 14 mission trips. There was a 5 year pause in mission trips (2018-2022), largely due to COVID-19. Over the course of 13 operative mission trips over 18 years (2007-2024), the primary surgeon transitioned from the visiting surgeons to local surgeons. In 2007 and 2008, 100% of cases were performed by visiting surgeons, whereas in 2024, only 33% of cases were performed by the visiting surgeons. 5.6% (n=8/142) of patients had postoperative mediastinal re-explorations, with 1 patient having two re-explorations. Operative Mortality was 5/142 = 3.5%.</p><p><strong>Conclusions: </strong>A 19-year collaboration between the local Jamaican team and the visiting team, based on partnership, teamwork, and sustainability, allowed for gradual and safe transition of surgical leadership to the local Jamaican team.</p>","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143797088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"In Memoriam: Albert Starr, MD, 1926-2024.","authors":"Anthony P Furnary, Gary L Grunkemeier, Howard K Song","doi":"10.1016/j.athoracsur.2025.03.028","DOIUrl":"https://doi.org/10.1016/j.athoracsur.2025.03.028","url":null,"abstract":"","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143789293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Best Management Practices on Temporary Mechanical Circulatory Support: Joint Consensus Report of the PeriOperative Quality Initiative and the Enhanced Recovery After Surgery Cardiac Society.","authors":"Jean Deschamps, Osamudosamudiamen Obanor, Nadia Clarizia, Gurmeet Singh, Kevin Lobdell, Dwight Bailey, Christopher F Barnett, Andrew D Shaw, Daniel T Engelman, Rakesh C Arora","doi":"10.1016/j.athoracsur.2025.01.039","DOIUrl":"https://doi.org/10.1016/j.athoracsur.2025.01.039","url":null,"abstract":"<p><strong>Background: </strong>Effective utilization of temporary mechanical circulatory support (tMCS) mandates a multifaceted understanding of patient physiology, device technology, procedural techniques, patient-device interactions, and interdisciplinary collaboration. This manuscript endeavours to provide clinicians with a practical roadmap incorporating evidence-based best practices in several key areas that delineate the initial priorities in mechanical ventilation, anticoagulation, sedation, and monitoring for patients requiring tMCS.</p><p><strong>Methods: </strong>With an interdisciplinary, international group of clinicians and through a structured literature review, a modified Delphi method was used to achieve consensus on best practices in tMCS.</p><p><strong>Results: </strong>Nine key questions were developed with accompanying statements to direct areas that institutions and providers should prioritize to optimize care. These questions included: what expertise is required within the interdisciplinary team to optimize patient care? How should medical centers facilitate escalation of care when indicated? What is the optimal ventilation management strategy? What are the recommended gas exchange targets to preserve end-organ function? What is the recommended timing to start or resume anticoagulation? What anticoagulation agent and monitoring approach should be used routinely? What is the optimal strategy for patient comfort and device interactions? Can a patient on tMCS be mobilized? What routine monitoring needs to be performed?</p><p><strong>Conclusions: </strong>This review provides a comprehensive review of key management strategies leveraging the interdisciplinary team and evidence-based medical knowledge to improve patient outcomes while utilizing tMCS.</p>","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143789183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Escalation and De-escalation of Temporary Mechanical Circulatory Support: Joint Consensus Report of the PeriOperative Quality Initiative and the Enhanced Recovery After Surgery Cardiac Society.","authors":"Audrey E Spelde, Lauren M Barron, Busra Cangut, Gavin W Hickey, Roberto Lorusso, Scott C Silvestry, Michael Z Tong, Daniel T Engelman, Andrew D Shaw, Subhasis Chatterjee","doi":"10.1016/j.athoracsur.2025.01.038","DOIUrl":"https://doi.org/10.1016/j.athoracsur.2025.01.038","url":null,"abstract":"<p><strong>Background: </strong>Temporary mechanical circulatory support (tMCS) for cardiogenic shock (CS) is increasing despite knowledge gaps and variations in management practices. This document was created to provide clinicians with guidance regarding initiation, escalation and de-escalation of tMCS in patients with CS.</p><p><strong>Methods: </strong>An interdisciplinary, international expert panel utilizing a structured literature appraisal and modified Delphi method derived consensus statements regarding triggers for prompt patient assessment and initiating tMCS in CS, assessing adequacy of support, readiness for tMCS weaning and next steps in non-recovery. Individual statements were graded based on the quality of available evidence.</p><p><strong>Results: </strong>The panel addressed four main questions aimed at initiation, escalation and de-escalation of tMCS. Based on available literature review and expert consensus, 11 recommendations were formulated. Key principles included recognition of the need for CS patients with ongoing hemodynamic compromise, tissue hypoperfusion, and metabolic derangements to be considered for early tMCS initiation. An interdisciplinary shock team should be involved in management with early referral when patient conditions require care beyond center capabilities. Discussions providing anticipatory guidance should be performed with patients and decision makers prior to initiating tMCS. Management of tMCS involves frequent, timely hemodynamic and tissue perfusion reassessments to determine the need for escalation or weaning. For patients unable to wean from tMCS, evaluation should include interdisciplinary assessment for advanced therapies with palliation included as a consideration in care discussions.</p><p><strong>Conclusions: </strong>A practical guide to initiation, escalation, and de-escalation of temporary MCS is provided. Center-specific approaches based on local capabilities should be implemented.</p>","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143789256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}