JTCVS Techniques最新文献

Enhancing recovery and outcomes of sternal closure in cardiac surgery: Early results of a 400-patient comparison of suture tapes and steel wires 提高心脏手术中胸骨闭合的恢复和预后：400例患者缝合带和钢丝比较的早期结果

IF 1.7

JTCVS Techniques Pub Date : 2025-05-04 DOI: 10.1016/j.xjtc.2025.03.016

Ujjawal Kumar BA (Cantab) , Usman Aslam DO, MPH, MS , Tyler Phillips BS , Zacharya Khalpey , Zain Khalpey MD, PhD

{"title":"Enhancing recovery and outcomes of sternal closure in cardiac surgery: Early results of a 400-patient comparison of suture tapes and steel wires","authors":"Ujjawal Kumar BA (Cantab) , Usman Aslam DO, MPH, MS , Tyler Phillips BS , Zacharya Khalpey , Zain Khalpey MD, PhD","doi":"10.1016/j.xjtc.2025.03.016","DOIUrl":"10.1016/j.xjtc.2025.03.016","url":null,"abstract":"<div><h3>Background</h3><div>Conventional steel wires may be inadequate for patients at high risk of sternal complications. We compared steel wires with a novel sternal closure system involving suture tapes, aiming to reduce sternal complications and enhance postoperative recovery, particularly in high-risk patients.</div></div><div><h3>Methods</h3><div>A total of 400 consecutive patients undergoing cardiac surgery via median sternotomy were analyzed retrospectively. Steel wires were used for patients 1 to 200 and suture tapes were used for patients 201 to 400. Preoperative, intraoperative, and postoperative data were compared between the 2 groups of patients.</div></div><div><h3>Results</h3><div>The 2 groups were generally similar in terms of preoperative characteristics. The suture tape group had lower rates of sternal wound infection (1% vs 5%) and sternal dehiscence (0% vs 6%). Postoperative hospital admission also was significantly shorter (7 days vs 10 days). Suture tape patients had significantly less pain at 14-day and 30-day follow-ups, with significantly lower opioid use (125 vs 175 morphine milligram equivalents).</div></div><div><h3>Conclusions</h3><div>Suture tape sternal closure was effective, reproducible, and safe. It showed significant advantages over steel wires, including lower rates of sternal infection, dehiscence, and postoperative pain, as well as decreased opioid usage, and shorter hospital admission and closure times. We demonstrate the significant potential of this novel sternal closure system, especially for patients susceptible to sternal complications. Extended follow-up will be vital to demonstrate long-term efficacy.</div></div>","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"31 ","pages":"Pages 97-104"},"PeriodicalIF":1.7,"publicationDate":"2025-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144167640","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

A modification of the reinforced Ross procedure: Root pressurization before implantation 加固罗斯法的改良：种植前根部加压

IF 1.7

JTCVS Techniques Pub Date : 2025-05-04 DOI: 10.1016/j.xjtc.2025.03.017

Gianna Dafflisio BS , Olivia McCloskey MD , Margaret Holland PA-C , Dominic P. Recco MD , Peter E. Hammer PhD , Nathalie Roy MD , Michael H. Kwon MD , Akinobu Itoh MD , Sitaram M. Emani MD

引用次数: 0

A novel technique to achieve pulmonary valve competence in aortic root translocation 主动脉根部移位中实现肺动脉瓣功能的新技术

IF 1.7

JTCVS Techniques Pub Date : 2025-05-03 DOI: 10.1016/j.xjtc.2025.02.016

Zeynep Bengi Eren MS, Arif Selcuk MD, Manan Desai MD, Sofia Hanabergh MS, Aybala Tongut MD, Yves d'Udekem MD, PhD

引用次数: 0

Surgical thoracic duct decompression: The right choice for Fontan-associated protein-losing enteropathy? 手术胸导管减压：方丹相关蛋白丢失性肠病的正确选择？

IF 1.7

JTCVS Techniques Pub Date : 2025-05-03 DOI: 10.1016/j.xjtc.2025.04.013

Mohamad Alaeddine MD, Deepti P. Bhat MD, Joshua Pohlman MD, Joseph Graziano MD, Vasu Gooty MD, Hüseyin Sicim MD, Daniel A. Velez MD

{"title":"Surgical thoracic duct decompression: The right choice for Fontan-associated protein-losing enteropathy?","authors":"Mohamad Alaeddine MD, Deepti P. Bhat MD, Joshua Pohlman MD, Joseph Graziano MD, Vasu Gooty MD, Hüseyin Sicim MD, Daniel A. Velez MD","doi":"10.1016/j.xjtc.2025.04.013","DOIUrl":"10.1016/j.xjtc.2025.04.013","url":null,"abstract":"<div><h3>Objective</h3><div>Protein-losing enteropathy is among the most debilitating complications of Fontan circulation. Central venous hypertension increases lymphatic pressure in the thoracic duct, potentially leading to significant intestinal protein loss. Current treatment options for recurrent or refractory protein-losing enteropathy are limited to complex lymphatic interventions, fenestration creation, and heart transplantation. We have implemented an alternative surgical approach—thoracic duct decompression—and report our early experience in pediatric Fontan patients.</div></div><div><h3>Methods</h3><div>We studied 5 Fontan patients, analyzing their preoperative history, treatment, and surgical approach tailored to their unique anatomy, postoperative course, and symptoms at their most recent Fontan clinic follow-up.</div></div><div><h3>Results</h3><div>Since February 2024, 5 Fontan patients aged 5 to 16 years diagnosed with recurrent protein-losing enteropathy underwent surgical thoracic duct decompression. The first 2 patients experienced mild anastomotic narrowing, which was successfully treated with transcatheter angioplasty. The remaining 3 patients had uneventful postoperative course and hospital stays of approximately 1 week. All patients were closely monitored with echocardiograms and laboratory testing. At 6 months postoperatively, all remained symptom-free and transplant-free (follow-up range, 7-12 months), and reported improved quality of life. No cases of turndown stenosis were observed. Additionally, all patients were successfully weaned off enteral steroids and aggressive diuretic therapy. A mild decrease in oxygen saturations (1%-3%) was noted with no clinical significance.</div></div><div><h3>Conclusions</h3><div>Thoracic duct decompression appears to be a feasible intervention for recurrent protein-losing enteropathy in Fontan patients, demonstrating a low rate of short-term complications. This procedure may serve as a viable alternative to heart transplantation in select cases; however, its long-term efficacy warrants further investigation.</div></div>","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"31 ","pages":"Pages 133-141"},"PeriodicalIF":1.7,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144167651","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

A near-infrared fluorescent imaging method for identifying the target segmental bronchus in thoracoscopic anatomical segmentectomy 胸腔镜解剖节段切除术中近红外荧光成像识别目标支气管的方法

IF 1.7

JTCVS Techniques Pub Date : 2025-05-03 DOI: 10.1016/j.xjtc.2025.04.001

Hirohisa Kato MD, PhD, Masami Abiko MD, PhD, Kaito Sato MD

引用次数: 0

Autologous leaflet reconstruction for aortic valve endocarditis 主动脉瓣心内膜炎的自体小叶重建

IF 1.7

JTCVS Techniques Pub Date : 2025-05-03 DOI: 10.1016/j.xjtc.2025.04.016

Timothy W. James MD , J. Hunter Mehaffey MD , Vinay Badhwar MD , J. Scott Rankin MD

引用次数: 0

The accordion technique for diaphragm plication 横膈膜应用的手风琴技术

IF 1.7

JTCVS Techniques Pub Date : 2025-05-02 DOI: 10.1016/j.xjtc.2025.02.019

Christopher Strader MD, MPH , Patrick McGeoghegan BS , Ramiro Fernandez MD , R. Taylor Ripley MD

引用次数: 0

Robotic-assisted left upper lobe S2 segmentectomy: Identification of vascular and bronchial anatomy 机器人辅助左上肺叶S2节段切除术：血管和支气管解剖的识别

IF 1.7

JTCVS Techniques Pub Date : 2025-05-02 DOI: 10.1016/j.xjtc.2025.04.017

Claire Perez MD, Lucas Weiser MD, Kellie Knabe MSN, Raffaele Rocco MD, Philicia Moonsamy MD, Andrew R. Brownlee MD, Harmik J. Soukiasian MD

引用次数: 0

Cardiac autotransplantation for the complete resection of a giant left ventricular fibroma in a child 心脏自体移植完全切除儿童巨大左心室纤维瘤

IF 1.7

JTCVS Techniques Pub Date : 2025-04-22 DOI: 10.1016/j.xjtc.2025.04.008

Afksendiyos Kalangos MD , Yilmaz Zorman MD , Nataliia Shatelen MD , Metehan Kizilkaya MD

引用次数: 0

Left-sided valve dysfunction with extreme giant left atrium and anomalous coronary sinus connection after atrioventricular septal defect repair 房室间隔缺损修复后伴有巨大左心房和冠状窦连接异常的左侧瓣膜功能障碍

IF 1.7

JTCVS Techniques Pub Date : 2025-04-15 DOI: 10.1016/j.xjtc.2025.03.026

Masahiko Fujii MD, PhD , Masashi Kabasawa MD, PhD , Kenji Mogi MD, PhD , Manabu Sakurai MD, PhD , Masaaki Omori MD , Yusuke Hagiwara MD , Yoshiharu Takahara MD, PhD

引用次数: 0