JTCVS Techniques最新文献_第5页

Rapid expansion of the ascending aorta following fluoroquinolone therapy 氟喹诺酮类药物治疗后升主动脉迅速扩张

IF 1.9

JTCVS Techniques Pub Date : 2025-10-01 DOI: 10.1016/j.xjtc.2025.07.004

Takuro Makiura MD, Masahiro Daimon MD, PhD, Sachiko Kanki MD, PhD, Takahiro Katsumata MD, PhD

引用次数: 0

Left ventricular apical aneurysm recurrence in a patient with hypertrophic cardiomyopathy and midventricular obstruction 肥厚性心肌病合并中心室梗阻患者左室顶动脉瘤复发1例

IF 1.9

JTCVS Techniques Pub Date : 2025-10-01 DOI: 10.1016/j.xjtc.2025.08.001

Anastasiia Karadzha MD , Hartzell V. Schaff MD , Rick A. Nishimura MD

引用次数: 0

Novel technique for repairing an anomalous origin of the left coronary artery from the pulmonary artery with an adherent interarterial course 新技术修复左冠状动脉异常起始肺动脉与动脉间粘附路线

IF 1.9

JTCVS Techniques Pub Date : 2025-10-01 DOI: 10.1016/j.xjtc.2025.06.008

Gananjay G. Salve MCh , Abhishek Prabhu MCh , Veeresh Manvi FNB , Danish A.K. Memon DM , Nihal P. Jagtap BSc , Nidhi G. Manvi DNB , Anand Vagarali MD , Mohan D. Gan MCh

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Facilitating redo sternotomy: A patented handheld retractor for safe reentry in reoperative cardiac surgery 促进重做胸骨切开术：一种专利的手持式牵开器，用于心脏再手术的安全再入

IF 1.9

JTCVS Techniques Pub Date : 2025-10-01 DOI: 10.1016/j.xjtc.2025.07.020

Rakan I. Nazer MD , Nabeel A. Ali MD , Ali M. Albarrati PhD

引用次数: 0

Stroke prevention in nonvalvular atrial fibrillation: Thoracoscopic left atrial appendage closure with or without surgical ablation 非瓣膜性房颤的卒中预防：胸腔镜下左心房附件关闭伴或不伴手术消融

IF 1.9

JTCVS Techniques Pub Date : 2025-10-01 DOI: 10.1016/j.xjtc.2025.07.012

Hiroshi Ito MD , Hiroshi Kurazumi MD , Soichi Ike MD , Masaya Takahashi MD , Takahiro Mizoguchi MD , Kimikazu Hamano MD

{"title":"Stroke prevention in nonvalvular atrial fibrillation: Thoracoscopic left atrial appendage closure with or without surgical ablation","authors":"Hiroshi Ito MD , Hiroshi Kurazumi MD , Soichi Ike MD , Masaya Takahashi MD , Takahiro Mizoguchi MD , Kimikazu Hamano MD","doi":"10.1016/j.xjtc.2025.07.012","DOIUrl":"10.1016/j.xjtc.2025.07.012","url":null,"abstract":"<div><h3>Objectives</h3><div>Totally thoracoscopic left atrial appendage closure (TT-LAAC) with or without the MAZE procedure is an LAA management technique that prevents cardioembolic events by closing the LAA in patients with atrial fibrillation (AF). Additionally, it facilitates rhythm control with a concurrent a mini-maze procedure. Here we present TT-LAAC outcomes without the MAZE procedure (TT-LAAC) and with the maze procedure (TT-MAZE).</div></div><div><h3>Methods</h3><div>LAAC and/or bilateral pulmonary vein isolation were performed under complete thoracoscopy, with ablation performed using a radiofrequency device. Patients undergoing both LAAC and ablation were classified as TT-MAZE, whereas those undergoing only closure were classified as TT-LAAC. Successful closure was defined as a stump <10 mm as assessed via intraoperative transesophageal echocardiography.</div></div><div><h3>Results</h3><div>Between March 2018 and January 2025, 200 patients (155 males, 45 females; mean age, 70.4 ± 9.6 years) underwent TT-MAZE (n = 151) or TT-LAAC (n = 49). AF subtypes included paroxysmal in 62 patients, persistent in 105 patients, and permanent in 33 patients. Closure of the LAA was successful in all patients. No in-hospital mortality was observed. Anticoagulant therapy was discontinued in 96.5% of the patients (n = 193) of patients after 3 months. No postoperative strokes were observed during the mean follow-up of 3 years. In the TT-MAZE group, sinus rhythm was maintained in 72% of patients at 4 years postoperatively.</div></div><div><h3>Conclusions</h3><div>TT-LAAC procedures effectively prevent cardioembolic stroke even after discontinuation of anticoagulant therapy, regardless of whether sinus rhythm was restored after surgery. These procedures remain a valuable treatment strategy for AF.</div></div>","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"33 ","pages":"Pages 110-121"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145190114","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

Leveraging technology to help the patient: Combined robotic bronchoscopic biopsy with surgical resection during the same anesthetic event 利用技术帮助患者：在同一麻醉事件中，将机器人支气管镜活检与手术切除相结合

IF 1.9

JTCVS Techniques Pub Date : 2025-10-01 DOI: 10.1016/j.xjtc.2025.08.002

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

{"title":"Leveraging technology to help the patient: Combined robotic bronchoscopic biopsy with surgical resection during the same anesthetic event","authors":"Claire Perez MD , Lucas Weiser MD , Woosik Yu MD , Kellie Knabe MSN , Sevannah Soukiasian , Raffaele Rocco MD , Philicia Moonsamy MD , Andrew R. Brownlee MD , Harmik J. Soukiasian MD","doi":"10.1016/j.xjtc.2025.08.002","DOIUrl":"10.1016/j.xjtc.2025.08.002","url":null,"abstract":"<div><h3>Objective</h3><div>Delays from diagnosis to treatment of early-stage lung cancer affect survival, with variable biopsy wait times often requiring diagnostic wedge resection at planned oncologic resection, resulting in a 20% to 25% benign resection rate. We compared 2 approaches to reduce treatment delays in patients with high pretest probability of resectable malignancy.</div></div><div><h3>Methods</h3><div>Patients from 2021 to 2024 with a lung nodule who did not have a previous attempt at diagnosis and had a Mayo Clinic solitary pulmonary nodule malignancy risk score ≥90% were offered a Single Anesthetic robotic bronchoscopy with Biopsy, followed by anatomic Resection, if indicated (SABRR). The control group included contemporaneous patients undergoing traditional surgical wedge resection (WR) for diagnosis, followed by anatomic resection if indicated. All patients with benign diagnoses that did not undergo surgery were followed until their nodule decreased in size or resolved.</div></div><div><h3>Results</h3><div>A total of 138 patients were identified (65 SABRR, 73 WR). There were no differences in clinical characteristics or nodule location between the 2 groups. The mean time from clinic to definitive treatment was 30 ± 21 days in the SABRR group and 32 ± 23 days in the WR group (<em>P</em> = .545). Mean nodule size was larger (2.0 ± 0.9 vs 1.7 ± 0.7, <em>P</em> = .006) and mean operating room time was longer (218 ± 76 minutes vs 113 ± 43 minutes, <em>P</em> < .001) in the SABRR group. There were no differences in postoperative complications or 90-day readmission between groups. Eleven SABRRs were stopped at biopsy alone because of a diagnosis precluding surgical resection. Benign resection rate of 7.6% in the SABRR group was significantly lower than the rate of 21.9% in the WR group (<em>P</em> = .037). All SABRRs that were stopped at biopsy with a benign diagnosis had a decrease in nodule size or repeat benign biopsy within 6 months of their bronchoscopy.</div></div><div><h3>Conclusions</h3><div>Combined robotic bronchoscopy with biopsy and anatomic lung resection under a single period of anesthesia significantly reduces the rate of benign and unnecessary surgery, as well as mitigates delay from diagnosis to surgery.</div></div>","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"33 ","pages":"Pages 230-237"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145190327","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}

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More than meets the eye: Not a cardiac myxoma 不只是看起来：不是心脏黏液瘤

IF 1.9

JTCVS Techniques Pub Date : 2025-10-01 DOI: 10.1016/j.xjtc.2025.06.022

Akshat Saxena MBBS, MS, PhD, FRACS , Michael Seco MBBS, PhD , Charles G. Jenkinson MBBS , Peter W. Grant MBBS, FRACS

引用次数: 0

Managing accidental left pulmonary vein transection during segmentectomy 节段切除术中意外左肺静脉横断的处理

IF 1.9

JTCVS Techniques Pub Date : 2025-10-01 DOI: 10.1016/j.xjtc.2025.06.021

Kohei Hashimoto MD, PhD, Yoshifumi Hirata MD, Kazuharu Suda MD, PhD, Keisei Tachibana MD, PhD, Ryota Tanaka MD, PhD, Haruhiko Kondo MD, PhD

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Branched stented anastomosis frozen elephant trunk repair in acute type A aortic dissection with paraplegia 支状支架吻合冷冻象鼻修复急性A型主动脉夹层伴截瘫

IF 1.9

JTCVS Techniques Pub Date : 2025-10-01 DOI: 10.1016/j.xjtc.2025.06.004

Esther S. Choi PhD , Kenny K. Nguyen BS , Ryan M. Holcomb DO, MPH , Aanya Chopra BS , Abdulrhman S. Elnaggar MD

引用次数: 0

Valsalva sinus perforation caused by Cor-Knot during totally endoscopic minimally invasive aortic valve replacement 全内镜微创主动脉瓣置换术中颈结致主动脉窦穿孔

IF 1.9

JTCVS Techniques Pub Date : 2025-10-01 DOI: 10.1016/j.xjtc.2025.06.020

Akitoshi Yamada MD, PhD, Chihiro Okubo MD, Ryo Tohma MD, Hidekazu Nakai MD, PhD, Yoshihisa Morimoto MD, PhD, Kunio Gan MD, PhD, Tatsuro Asada MD, PhD

引用次数: 0