JTCVS TechniquesPub Date : 2024-10-01DOI: 10.1016/j.xjtc.2024.06.023
Margaret Holland PA-C , Isaac Wamala MD , Jocelyn Davee MS , Edward T. O'Leary MD , Elizabeth S. DeWitt MD , Matthew Gelin BA , Pedro J. del Nido MD , Sitaram M. Emani MD , Christopher W. Baird MD , Eric N. Feins MD
{"title":"Intraoperative conduction system mapping during reoperative mitral valve replacement","authors":"Margaret Holland PA-C , Isaac Wamala MD , Jocelyn Davee MS , Edward T. O'Leary MD , Elizabeth S. DeWitt MD , Matthew Gelin BA , Pedro J. del Nido MD , Sitaram M. Emani MD , Christopher W. Baird MD , Eric N. Feins MD","doi":"10.1016/j.xjtc.2024.06.023","DOIUrl":"10.1016/j.xjtc.2024.06.023","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"27 ","pages":"Pages 138-141"},"PeriodicalIF":1.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141696866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
JTCVS TechniquesPub Date : 2024-10-01DOI: 10.1016/j.xjtc.2024.07.008
Mengyang Liu MS , Chao Yang MS , Xuan Li MS , Guilin Peng MD , Jianxing He MD, PhD , Xin Xu MD, PhD
{"title":"A novel bilateral lobar lung transplantation: End-to-side pulmonary artery reconstruction in left-to-right inverted split-lobe lung transplantation","authors":"Mengyang Liu MS , Chao Yang MS , Xuan Li MS , Guilin Peng MD , Jianxing He MD, PhD , Xin Xu MD, PhD","doi":"10.1016/j.xjtc.2024.07.008","DOIUrl":"10.1016/j.xjtc.2024.07.008","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"27 ","pages":"Pages 207-210"},"PeriodicalIF":1.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141843595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
JTCVS TechniquesPub Date : 2024-10-01DOI: 10.1016/j.xjtc.2024.07.007
Alexander P. Nissen MD , Yazan M. Duwayri MD , William D. Jordan MD , Vasilis C. Babaliaros MD , Robert J. Lederman MD , Bradley G. Leshnower MD
{"title":"Transcatheter electrosurgical aortic septostomy optimizes distal landing zone in chronic dissection","authors":"Alexander P. Nissen MD , Yazan M. Duwayri MD , William D. Jordan MD , Vasilis C. Babaliaros MD , Robert J. Lederman MD , Bradley G. Leshnower MD","doi":"10.1016/j.xjtc.2024.07.007","DOIUrl":"10.1016/j.xjtc.2024.07.007","url":null,"abstract":"<div><h3>Objective</h3><div>Efficacy of thoracic endovascular aortic repair (TEVAR) for chronic type B aortic dissection (CTBAD) is dependent on eliminating retrograde false lumen perfusion and remodeling the aorta. We describe the efficacy of a novel transcatheter electrosurgical technique to fenestrate the dissection flap and create a distal seal zone for TEVAR in CTBAD.</div></div><div><h3>Methods</h3><div>A retrospective review of the Emory Aortic Database from 2016 to 2023 identified 33 patients who underwent TEVAR with intentional endovascular rupture of the dissection flap (Knickerbocker; KNICK) for CTBAD. In 11 patients, we performed transcatheter electrosurgical aortic septostomy (TECSAS) before KNICK. The technical aspects of TECSAS + KNICK are described and results compared with TEVAR + KNICK alone.</div></div><div><h3>Results</h3><div>Dissection chronicity, aortic size, and preoperative demographics were similar between groups. Technical success was 100%, with zero stroke or paraplegia in both groups. Thirty-day mortality for TECSAS versus KNICK was 0% versus 13.6% (<em>P</em> = .199). Median follow-up was shorter after TECSAS versus KNICK, although not statistically significant (14.6 months vs 21.9 months; <em>P</em> = .065). Elimination of retrograde false lumen perfusion (TECSAS 100% vs KNICK 68.2%; <em>P</em> = .035) and complete false lumen thrombosis or obliteration (TECSAS 91.9% vs KNICK 54.6%; <em>P</em> = .037) were more frequent after the TECSAS procedure. Aortic reinterventions were less frequent after TECSAS versus KNICK (0% vs 13.6%, <em>P</em> = .199), although not statistically significant.</div></div><div><h3>Conclusions</h3><div>The addition of TECSAS to intentional endovascular rupture of the dissection flap in CTBAD improves distal seal, eliminating retrograde false lumen perfusion. This technique is a safe and precise method to fenestrate a dissection flap and optimize TEVAR in CTBAD.</div></div>","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"27 ","pages":"Pages 19-28"},"PeriodicalIF":1.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141847439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
JTCVS TechniquesPub Date : 2024-10-01DOI: 10.1016/j.xjtc.2024.07.005
Nadia H. Bakir MD, John O. Barron MD, Shawn Shah MD, MBA, Sudish C. Murthy MD, PhD
{"title":"Contemporary surgical management of synchronous primary tracheal and pulmonary malignancies","authors":"Nadia H. Bakir MD, John O. Barron MD, Shawn Shah MD, MBA, Sudish C. Murthy MD, PhD","doi":"10.1016/j.xjtc.2024.07.005","DOIUrl":"10.1016/j.xjtc.2024.07.005","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"27 ","pages":"Pages 185-187"},"PeriodicalIF":1.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141839087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
JTCVS TechniquesPub Date : 2024-10-01DOI: 10.1016/j.xjtc.2024.07.018
Akiko Tanaka MD, PhD , Harleen K. Sandhu MD, MPH , Hung Nguyen MD , Alexander Mills DO , Kelsie Kiser BS, CCP , Rana O. Afifi MD , Shao Feng Zhou MD , Charles C. Miller III PhD , Hazim J. Safi MD , Anthony L. Estrera MD
{"title":"Routine intercostal artery reattachment strategy reduces delayed and permanent spinal cord injury after open descending thoracic and thoracoabdominal aortic aneurysm repair","authors":"Akiko Tanaka MD, PhD , Harleen K. Sandhu MD, MPH , Hung Nguyen MD , Alexander Mills DO , Kelsie Kiser BS, CCP , Rana O. Afifi MD , Shao Feng Zhou MD , Charles C. Miller III PhD , Hazim J. Safi MD , Anthony L. Estrera MD","doi":"10.1016/j.xjtc.2024.07.018","DOIUrl":"10.1016/j.xjtc.2024.07.018","url":null,"abstract":"<div><h3>Objective</h3><div>During open descending thoracic and thoracoabdominal aortic aneurysm (DTAA/TAAA) repair, we used a routine T8-T12 intercostal artery (ICA) reattachment strategy from July 2004 to June 2009 and after 2017, we used a selective ICA reattachment strategy (reattaching T8-T12 ICAs only when neuromonitor signals were lost) from July 2009 to 2016. This study reviewed our nearly 2-decade experience to assess the impact of 2 ICA reattachment strategies on spinal cord injury (SCI).</div></div><div><h3>Methods</h3><div>All open DTAA/TAAA repairs performed from July 2004 to June 2022 were included, except for cases without intraoperative cerebral spinal fluid drainage. Perioperative data were reviewed. Univariable and multivariable analyses and propensity matching for risk-adjusted effects of 2 strategies for ICA reattachment on SCI were used.</div></div><div><h3>Results</h3><div>In all, 375 patients were operated on with selective strategy and 584 with routine strategy. Age and prevalence of rupture and redo were similar in the 2 groups. The rate of operative mortality and immediate SCI was also similar (selective vs routine: mortality, 12.5% vs 12.3%; immediate SCI, 3.2% vs 2.2%). However, the incidence of delayed and permanent SCI was increased in the selective group (delayed, 10.4% vs 6.9%; permanent, 8.5% vs 5.3%). Multivariable analyses demonstrated selective strategy was a predictor of delayed and permanent SCI, along with TAAA extent II/III, and older age.</div></div><div><h3>Conclusions</h3><div>Two strategies of ICA reattachment did not impact the incidence of immediate SCI, which was infrequent, but the selective strategy was associated with greater rates of delayed permanent SCI. Reattachment of the ICAs within T8-T12 should be performed during open DTAA/TAAA.</div></div>","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"27 ","pages":"Pages 9-18"},"PeriodicalIF":1.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142536207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
JTCVS TechniquesPub Date : 2024-10-01DOI: 10.1016/j.xjtc.2024.06.011
Omar A. Jarral MD, PhD, Stevan S. Pupovac MD, Jui-Chuan Tseng PA, Chad A. Kliger MD, Luigi Pirelli MD, Kush R. Dholakia MD, Nirav C. Patel MD, S. Jacob Scheinerman MD, Alan R. Hartman MD, Derek R. Brinster MD
{"title":"Transcatheter aortic valve replacement valve endocarditis requiring Commando procedure","authors":"Omar A. Jarral MD, PhD, Stevan S. Pupovac MD, Jui-Chuan Tseng PA, Chad A. Kliger MD, Luigi Pirelli MD, Kush R. Dholakia MD, Nirav C. Patel MD, S. Jacob Scheinerman MD, Alan R. Hartman MD, Derek R. Brinster MD","doi":"10.1016/j.xjtc.2024.06.011","DOIUrl":"10.1016/j.xjtc.2024.06.011","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"27 ","pages":"Pages 73-75"},"PeriodicalIF":1.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142536286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
JTCVS TechniquesPub Date : 2024-10-01DOI: 10.1016/j.xjtc.2024.07.011
James Butz MD , Peter Peng PA-C , Josh T. Gysbers PA-C , Chris Cullom MD , Kaushik Mukherjee MD , Brian Sutjiadi MD , S. Zan M. Jafry MD , Salmon Zaheer MD , Josh S. Chung MD , David G. Rabkin MD
{"title":"Penetrating missile injury to the heart without pericardial effusion: The immaculate bullet and the “Iron Man” injury","authors":"James Butz MD , Peter Peng PA-C , Josh T. Gysbers PA-C , Chris Cullom MD , Kaushik Mukherjee MD , Brian Sutjiadi MD , S. Zan M. Jafry MD , Salmon Zaheer MD , Josh S. Chung MD , David G. Rabkin MD","doi":"10.1016/j.xjtc.2024.07.011","DOIUrl":"10.1016/j.xjtc.2024.07.011","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"27 ","pages":"Pages 125-128"},"PeriodicalIF":1.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141839726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}