Annals of Thoracic Surgery最新文献_第10页

The Vasoplegia Risk Score: A Key Step Toward Individualized Vasoplegia Risk Assessment 血管截瘫风险评分：个体化血管截瘫风险评估的关键一步。

IF 5.3 2区医学

Annals of Thoracic Surgery Pub Date : 2026-07-01 Epub Date: 2025-12-02 DOI: 10.1016/j.athoracsur.2025.11.024

Travis J. Miles MD, MS, Michael T. Guinn MD, PhD, Ravi K. Ghanta MD, Subhasis Chatterjee MD

引用次数: 0

Beyond SUVmax and Morphology: The Critical Role of Tumor Invasive Size in Hypometabolic Nodal Spread 超越SUVmax和形态学：肿瘤浸润大小在低代谢淋巴结扩散中的关键作用。

IF 5.3 2区医学

Annals of Thoracic Surgery Pub Date : 2026-07-01 Epub Date: 2025-11-01 DOI: 10.1016/j.athoracsur.2025.10.012

Qiang Wu MD, Zhenyang Lv MMed, Ting Lei MD

引用次数: 0

Trends of Aortic Valve Replacement in Patients 65 Years and Younger in the United States 美国65岁及以下患者主动脉瓣置换术的趋势

IF 5.3 2区医学

Annals of Thoracic Surgery Pub Date : 2026-07-01 Epub Date: 2026-02-06 DOI: 10.1016/j.athoracsur.2026.01.031

J. Hunter Mehaffey MD, MSc, Vikrant Jagadeesan MD, J.W. Hayanga MD, Dhaval Chauhan MD, Lawrence Wei MD, Christopher E. Mascio MD, Ramesh Daggubati MD, Vinay Badhwar MD

{"title":"Trends of Aortic Valve Replacement in Patients 65 Years and Younger in the United States","authors":"J. Hunter Mehaffey MD, MSc, Vikrant Jagadeesan MD, J.W. Hayanga MD, Dhaval Chauhan MD, Lawrence Wei MD, Christopher E. Mascio MD, Ramesh Daggubati MD, Vinay Badhwar MD","doi":"10.1016/j.athoracsur.2026.01.031","DOIUrl":"10.1016/j.athoracsur.2026.01.031","url":null,"abstract":"<div><h3>Background</h3><div>Current guidelines recommend surgical aortic valve replacement (SAVR) over transcatheter aortic valve replacement (TAVR) for patients ≤65 years of age. Recent state-specific data suggest that >50% of patients aged ≤65 years undergo TAVR. Given recent data of a potential survival benefit for mechanical SAVR in patients aged 60 years and younger, we sought to evaluate the national incidence of TAVR, bioprosthetic SAVR, and mechanical SAVR in young patients.</div></div><div><h3>Methods</h3><div>Using the Premier Healthcare Database, all patients aged 40 to 65 years undergoing isolated aortic valve replacement (2016-2024) were assessed. Premier is a nationally representative all-payer, all-age, inpatient and outpatient database accounting for 25% of the population of the United States. Diagnosis-related group and <em>International Classification of Diseases, Tenth Revision</em> procedure codes were used to define procedures and comorbidities and a validated frailty metric.</div></div><div><h3>Results</h3><div>A total of 18,694 patients receiving first-time isolated aortic valve replacement were analyzed (31.3% TAVR, 68.7% SAVR). Patients receiving TAVR were older and more often female and Black, with higher Kim frailty index (<em>P</em> < .0001). Young patients were more likely to receive TAVR at teaching hospitals and larger centers (>499 beds). TAVR increased from the beginning of the study period to a peak of 40.8% in 2020, followed by a decrease to 32.5% in 2024. Overall utilization of mechanical SAVR remained between 15% and 18% throughout.</div></div><div><h3>Conclusions</h3><div>Nearly one-third of patients aged 40 to 65 years receive TAVR in contemporary practice. Real-time data highlight that evolving TAVR use outside of current guidelines is less than previously reported in regional data sets.</div></div>","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":"122 1","pages":"Pages 67-73"},"PeriodicalIF":5.3,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146144391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cerebral Protection and Chaos Theory: The Butterfly Effect on Display 脑保护与混沌理论：展示中的蝴蝶效应。

IF 5.3 2区医学

Annals of Thoracic Surgery Pub Date : 2026-07-01 Epub Date: 2026-05-19 DOI: 10.1016/j.athoracsur.2026.05.006

David M. Overman MD

引用次数: 0

Closing the Open Pipe: Restoring Balance Before the Flood 关闭开放的管道：在洪水之前恢复平衡。

IF 5.3 2区医学

Annals of Thoracic Surgery Pub Date : 2026-07-01 Epub Date: 2025-11-01 DOI: 10.1016/j.athoracsur.2025.10.013

Khaled Ebrahim Al Ebrahim FRCSC

引用次数: 0

Segmentectomy for Occult N1 NSCLC: Methodological Considerations Warrant a Cautious Interpretation 隐匿性N1 NSCLC的节段切除术：方法学考虑需要谨慎解释。

IF 5.3 2区医学

Annals of Thoracic Surgery Pub Date : 2026-07-01 Epub Date: 2025-10-25 DOI: 10.1016/j.athoracsur.2025.09.046

Guanghao Pan MD, Wenhao Wang MD, Jingli Fan MD, Huining Liu MD

引用次数: 0

Downfall of Right Internal Thoracic Artery, Yes. Is It obsolete? Not Yet 右胸内动脉塌陷，是的。它过时了吗？还没有。

IF 5.3 2区医学

Annals of Thoracic Surgery Pub Date : 2026-07-01 Epub Date: 2026-03-05 DOI: 10.1016/j.athoracsur.2026.02.022

Andre Lamy MD

引用次数: 0

Role of Radiologic Morphology in Nodal Spread of Clinical Stage IA Hypometabolic Lung Adenocarcinoma 影像学形态学在临床IA期低代谢肺腺癌淋巴结扩散中的作用。

IF 5.3 2区医学

Annals of Thoracic Surgery Pub Date : 2026-07-01 Epub Date: 2026-01-20 DOI: 10.1016/j.athoracsur.2025.12.038

Yukio Watanabe MD, Kenji Suzuki MD

引用次数: 0

Minimally Invasive Tetralogy Repair in Infants and Small Children: Pushing the Safety Limits and Opening New Doors—We Can, but Should We? 婴儿和幼儿的微创四联症修复：突破安全极限，打开新的大门——我们可以，但我们应该吗？

IF 5.3 2区医学

Annals of Thoracic Surgery Pub Date : 2026-07-01 Epub Date: 2026-01-09 DOI: 10.1016/j.athoracsur.2025.12.027

Ali Dodge-Khatami MD, PhD

引用次数: 0

Atypical Histology in Pulmonary Biopsies Obtained Using Robotic-Assisted Bronchoscopy: Natural History and Clinical Practice 使用机器人辅助支气管镜获得的肺活检的非典型组织学：自然史和临床实践。

IF 5.3 2区医学

Annals of Thoracic Surgery Pub Date : 2026-07-01 Epub Date: 2026-01-20 DOI: 10.1016/j.athoracsur.2025.12.041

Brandon Ellis Cowan MD, Mengqi Xiao MS, Camilla Gomes MD, MS, Balaji Laxmanan MD, Damaris Pederson MPH, Paul Morris MD, Septimiu Murgu MD

{"title":"Atypical Histology in Pulmonary Biopsies Obtained Using Robotic-Assisted Bronchoscopy: Natural History and Clinical Practice","authors":"Brandon Ellis Cowan MD, Mengqi Xiao MS, Camilla Gomes MD, MS, Balaji Laxmanan MD, Damaris Pederson MPH, Paul Morris MD, Septimiu Murgu MD","doi":"10.1016/j.athoracsur.2025.12.041","DOIUrl":"10.1016/j.athoracsur.2025.12.041","url":null,"abstract":"<div><h3>Background</h3><div>A recent consensus statement recommends that atypical cells are considered nondiagnostic specimens in the calculation of diagnostic yield. This study investigated the natural history and malignancy rate of atypical cells and practice patterns of clinicians encountering these biopsy results.</div></div><div><h3>Methods</h3><div>This was a subset analysis of a prospective, multicenter study evaluating the safety and diagnostic outcomes of robotic-assisted bronchoscopy for pulmonary nodules. Nondiagnostic samples, including those with and without atypical cells, were included for this analysis, with an ultimate diagnosis of benign if lesion size remained stable or decreased through 12 months or malignant if enlarging on computed tomography or on the basis of repeat biopsy. Lesion characteristics and clinical outcomes were compared with the Fisher exact test.</div></div><div><h3>Results</h3><div>Of 679 patients in the study, 196 had a nondiagnostic biopsy without atypical cells (NDwo), and 47 nondiagnostic biopsies had evidence of atypical cells (NDwA). Pretest probability for malignancy was similar (79% NDwo and 83% NDwA, medium risk with Brock University prediction; <em>P</em> = .870). Malignancy was the final diagnosis in 33% of NDwo and 68% of NDwA (<em>P</em> < .001). A total of 48% of NDwo and 26% of NDwA were diagnosed as benign, and 19% and 6% of NDwo and NDwA, respectively, were inconclusive. A total of 21% of NDwA, compared with 4.6% of NDwo, were in patients referred directly to cancer therapy without repeat imaging or biopsy (<em>P</em> < .001).</div></div><div><h3>Conclusions</h3><div>More than two-thirds of biopsies resulting in NDwA status manifest in malignancy on follow-up. One in 5 patients with these results is referred to treatment without further interventions.</div></div>","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":"122 1","pages":"Pages 186-193"},"PeriodicalIF":5.3,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0