Interdisciplinary cardiovascular and thoracic surgery最新文献_第7页

2024 EACTS/EACTAIC Guidelines on patient blood management in adult cardiac surgery in collaboration with EBCP. 2024 EACTS/EACTAIC 与 EBCP 合作制定成人心脏手术患者血液管理指南。

Interdisciplinary cardiovascular and thoracic surgery Pub Date : 2024-10-10 DOI: 10.1093/icvts/ivae170

Filip P A Casselman, Marcus D Lance, Aamer Ahmed, Alice Ascari, Juan Blanco-Morillo, Daniel Bolliger, Maroua Eid, Gabor Erdoes, Renard Gerhardus Haumann, Anders Jeppsson, Hendrik J van der Merwe, Erik Ortmann, Mate Petricevic, Luca Paolo Weltert, Milan Milojevic

引用次数: 0

Vasa vasorum of the no-touch saphenous vein graft observed using frequency-domain optical coherence tomography. 利用频域光学相干断层扫描技术观察到的无触摸大隐静脉移植血管。

Interdisciplinary cardiovascular and thoracic surgery Pub Date : 2024-10-08 DOI: 10.1093/icvts/ivae167

Akira Sugaya, Satoshi Uesugi, Masayuki Doi, Ryohei Horikoshi, Norihiko Oka, Shuta Imada, Kenji Komiya, Masanori Nakamura, Koji Kawahito

{"title":"Vasa vasorum of the no-touch saphenous vein graft observed using frequency-domain optical coherence tomography.","authors":"Akira Sugaya, Satoshi Uesugi, Masayuki Doi, Ryohei Horikoshi, Norihiko Oka, Shuta Imada, Kenji Komiya, Masanori Nakamura, Koji Kawahito","doi":"10.1093/icvts/ivae167","DOIUrl":"10.1093/icvts/ivae167","url":null,"abstract":"Objectives: One possible reason for the long-term patency of no-touch (NT) saphenous vein grafts (SVG) is the preservation of the vasa vasorum in the adventitia/perivascular adipose tissue (PAT). We investigated the vasa vasorum of the NT SVG in vivo using frequency-domain optical coherence tomography (FD-OCT), performed qualitative and quantitative analyses and compared them with the conventional SVG.Methods: An FD-OCT study was performed on 14 SVG at the postoperative coronary angiography 1-2 weeks postoperatively (NT group, n = 9; conventional group, n = 5).Results: Many signal-poor tubular lumen structures that can be recognized in the cross-sectional and longitudinal profiles, which indicates the vasa vasorum, were observed in the adventitial/PAT layer in the NT SVG. In contrast, the vasa vasorum were less abundant in the conventional SVG. The volume of vasa vasorum per millimetre of graft in the no-touch group was significantly higher than in the conventional group [0.0020 (0.0017, 0.0043) mm3 and 0.0003 (0.0000, 0.0006) mm3, P = 0.023].Conclusions: FD-OCT showed abundant vasa vasorum in the thick adventitia/PAT layer of NT saphenous veins in vivo. In contrast, few vasa vasorum were observed in the conventional SVG.","PeriodicalId":73406,"journal":{"name":"Interdisciplinary cardiovascular and thoracic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11495867/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367741","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}

引用次数: 0

Lateral atrial septal defect closure with induced ventricular fibrillation versus cardioplegic arrest. 用诱导心室颤动与心脏停搏进行侧房间隔缺损闭合术。

Interdisciplinary cardiovascular and thoracic surgery Pub Date : 2024-10-08 DOI: 10.1093/icvts/ivae128

Henning Carstens, Daniel Biermann, Jörg Sachweh, Martin Munz, Ida Hüners, Rainer Kozlik-Feldmann, Michael Hübler

{"title":"Lateral atrial septal defect closure with induced ventricular fibrillation versus cardioplegic arrest.","authors":"Henning Carstens, Daniel Biermann, Jörg Sachweh, Martin Munz, Ida Hüners, Rainer Kozlik-Feldmann, Michael Hübler","doi":"10.1093/icvts/ivae128","DOIUrl":"10.1093/icvts/ivae128","url":null,"abstract":"Minimally invasive surgical closure of atrial septal defects is gaining widespread acceptance and can be performed via a right midaxillary thoracotomy. In addition, the procedure can be performed in ischaemic cardiac arrest or fibrillation with a core body temperature between 34°C and 36°C.Objectives: We present our single-centre results of paediatric patients who underwent surgical atrial septal defect II closure via lateral thoracotomy.Methods: Retrospective analysis. Patients were divided into a cardiac arrest group and a cardiac fibrillation group. All procedures were performed via right midaxillary thoracotomy through a single incision without side ports.Results: All 37 consecutive patients between March 2019 and August 2022 (median age 3 years; percentile 25th: 2; 75th: 5 years) in both groups were free of mortality and postoperative morbidity such as haemodynamically relevant residual shunt or malignant arrhythmias. Cardiopulmonary bypass time was significantly shorter in the fibrillation group (mean: 34.7 min vs 52.6 min, P = 0.01), and all patients were weaned off the ventilator immediately postoperatively. Length of the intensive care unit stay was not different between the 2 groups. Postoperative hospital stay was significantly longer in patients with cardiac arrest (mean: 5.6 days vs 4.9 days, P = 0.04). Postoperative laboratory parameters did not differ between the 2 groups. All patients were discharged with normal left ventricular function and normalized cardiac enzymes.Conclusions: Minimally invasive closure of an atrial septal defect during atrial fibrillation is a safe procedure with results comparable to those of an induced cardiac arrest procedure.","PeriodicalId":73406,"journal":{"name":"Interdisciplinary cardiovascular and thoracic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11488972/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367739","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}

引用次数: 0

Left-handed cardiac surgery and training: a survey-based assessment. 左撇子心脏手术和培训：基于调查的评估。

Interdisciplinary cardiovascular and thoracic surgery Pub Date : 2024-10-08 DOI: 10.1093/icvts/ivae174

Eric E Vinck, Peyman Sardari Nia

{"title":"Left-handed cardiac surgery and training: a survey-based assessment.","authors":"Eric E Vinck, Peyman Sardari Nia","doi":"10.1093/icvts/ivae174","DOIUrl":"10.1093/icvts/ivae174","url":null,"abstract":"Objectives: There is a lack of guidance and scant learning resources for left-handed (LH) cardiac surgery residents and surgeons. No objective data exists to evaluate the reality of the training experience of LH cardiac surgeons and residents.Methods: A 32-question survey was designed for LH cardiac surgeons and residents. The survey questions were aimed towards understanding the experiences of LH cardiac surgeons and residents in order to identify and determine where the challenges of LH in cardiac surgery lie. The survey was disseminated by the European Association for Cardio-thoracic Surgery (EACTS) through online platforms, social media and the EACTS website.Results: 74 total responses were gathered from the survey; 73% were true LH operators. During residency, 78.1% of LH cardiac surgery residents had no access to LH faculty. Of those with LH mentors, only 53.3% were supportive and helped teach LH techniques. As trainees, 49.3% considered coronary artery bypass grafting anastomosis to be the most difficult portion of LH technique. Upon initiating independent practice, LH cardiac surgeons consider being LH an advantage in comparison to residency.Conclusions: In LH cardiac surgery, there is a lack of tailored surgical exposure, training guidance, standardization, learning tools and teaching resources. Training resources for LH cardiac surgeons and residents should be developed.","PeriodicalId":73406,"journal":{"name":"Interdisciplinary cardiovascular and thoracic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11495865/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142482373","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}

引用次数: 0

Uniportal thoracoscopic plication of diaphragmatic eventration: loop needle technique for better visualization. 单孔胸腔镜膈肌分离术：环形针技术实现更好的可视化。

Interdisciplinary cardiovascular and thoracic surgery Pub Date : 2024-10-08 DOI: 10.1093/icvts/ivae164

Ryosuke Kumagai, Shinsaku Kabemura, Fumitsugu Kojima, Toru Bando

引用次数: 0

Corrigendum to: Y-shaped graft replacement of an isolated innominate artery aneurysm via the transmanubrial approach. 更正：通过横膈膜入路以 Y 型移植物置换孤立的贲门动脉瘤。

Interdisciplinary cardiovascular and thoracic surgery Pub Date : 2024-10-08 DOI: 10.1093/icvts/ivae173

引用次数: 0

Bilateral lung volume reduction surgery outperforms the unilateral approach in functional improvement. 双侧肺容积缩小手术在功能改善方面优于单侧方法。

Interdisciplinary cardiovascular and thoracic surgery Pub Date : 2024-10-08 DOI: 10.1093/icvts/ivae169

Özlem Okumus, Gernot Seebacher, Daniel Valdivia, Alexis Slama, Kaid Darwiche, Rüdiger Karpf-Wissel, Johannes Wienker, Stephane Collaud, Sandra Kampe, Balazs Hegedüs, Clemens Aigner

{"title":"Bilateral lung volume reduction surgery outperforms the unilateral approach in functional improvement.","authors":"Özlem Okumus, Gernot Seebacher, Daniel Valdivia, Alexis Slama, Kaid Darwiche, Rüdiger Karpf-Wissel, Johannes Wienker, Stephane Collaud, Sandra Kampe, Balazs Hegedüs, Clemens Aigner","doi":"10.1093/icvts/ivae169","DOIUrl":"10.1093/icvts/ivae169","url":null,"abstract":"Objectives: Lung volume reduction surgery (LVRS) is an established treatment approach for patients with severe pulmonary emphysema, enhancing lung function and quality of life in selected patients. Functional benefits and outcomes after uni- versus bilateral lung volume reduction remain a topic of debate.Methods: A retrospective analysis of patients undergoing LVRS from January 2018 to October 2022 was conducted. After encouraging initial results, the standard unilateral LVRS approach was switched to bilateral. The goal of this study was to assess the impact on functional outcomes at 3 and 6 months post-surgery compared to preoperative levels for the uni- versus the bilateral approach.Results: A total of 83 patients were included (43 bilateral, 40 unilateral). Baseline demographic and functional parameters were comparable between groups. The most common complication was prolonged air leak in 19 patients (11 in the unilateral group, 8 in the bilateral group). Two patients died perioperatively (2.4%). Overall, LVRS improved forced expiratory volume in 1 s by 8.3% after 3 and 12.5% after 6 months postoperatively compared to baseline. Bilateral surgery presented significantly superior forced expiratory volume in 1 s improvement than unilateral approach at both 3 (29.2% versus 2.9%; P = 0.0010) and 6 months (21.5% versus 3%; P = 0.0310) postoperatively. Additionally, it reduced hyperinflation (residual volume) by 23.1% after 3 months and by 17.5% after 6 months, compared to reductions of 16% and 9.1% in the unilateral group.Conclusions: Bilateral approach resulted in better functional outcomes 3 and 6 months postoperatively compared to unilateral surgery.","PeriodicalId":73406,"journal":{"name":"Interdisciplinary cardiovascular and thoracic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11502496/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367721","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}

引用次数: 0

Predictive role of cardiopulmonary bypass exposure indexed to body surface area on postoperative organ dysfunction: a retrospective cohort study. 以体表面积为指标的心肺旁路暴露对术后器官功能障碍的预测作用：一项回顾性队列研究。

Interdisciplinary cardiovascular and thoracic surgery Pub Date : 2024-10-08 DOI: 10.1093/icvts/ivae171

Florian Falter, Ryan Salter, Jose Fernandes, Christiana Burt, Kate Drummond, Ganesh Ramalingam, Samer Nashef

{"title":"Predictive role of cardiopulmonary bypass exposure indexed to body surface area on postoperative organ dysfunction: a retrospective cohort study.","authors":"Florian Falter, Ryan Salter, Jose Fernandes, Christiana Burt, Kate Drummond, Ganesh Ramalingam, Samer Nashef","doi":"10.1093/icvts/ivae171","DOIUrl":"10.1093/icvts/ivae171","url":null,"abstract":"Objectives: Long cardiopulmonary bypass times are associated with adverse postoperative outcomes and increased healthcare resource use. It is likely that this effect is pronounced in smaller patients. Previous studies have been criticized for not taking into consideration that prolonged bypass times are often due to higher complexity. The purpose of this study was to investigate the relationship between bypass index (bypass time/body surface area) and adverse postoperative events.Methods: Single-centre, retrospective cohort study including 2413 patients undergoing cardiac surgery on cardiopulmonary bypass from June 2018 to April 2020. Length of hospital stay, as surrogate marker of postoperative morbidity, was selected as primary outcome. The strength of association between bypass index and the primary outcome was assessed with linear regression analysis. Secondary outcomes included new onset renal, pulmonary or cardiac rhythm dysfunction. The predictive value of bypass index was assessed with linear regression analysis; univariate and multiple regression were used to assess the strength of association between Bi and the secondary outcomes.Results: Bypass index was predictive for length of stay at univariate (Relative Risk (RR): 1.004, P < 0.001) and at multivariable (RR: 1.003, P < 0.001) analysis. The association between bypass index and new renal (mean difference: 14.1 min/m2, P < 0.001) and cardiac rhythm dysfunction (mean difference: 12.6 min/m2) was significant. This was not true of postoperative lung dysfunction (mean difference: -1.5 min/m2, P = 0.293).Conclusions: Bypass index, calculated as total bypass time/patient body surface area, is predictive of postoperative morbidity and resource utilization after cardiac surgery on pump.","PeriodicalId":73406,"journal":{"name":"Interdisciplinary cardiovascular and thoracic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11483134/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395740","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}

引用次数: 0

Hybrid repair of complicated acute aortic arch intramural haematoma with the Castor single-branch stent graft. 用蓖麻单支支架移植物混合修复复杂的急性主动脉弓膜内血肿。

Interdisciplinary cardiovascular and thoracic surgery Pub Date : 2024-10-08 DOI: 10.1093/icvts/ivae163

Antonio Rizza, Cataldo Palmieri, Silvia Di Sibio, Michele Murzi

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Small cardiac vein draining into the inferior vena cava. 排入下腔静脉的心脏小静脉。

Interdisciplinary cardiovascular and thoracic surgery Pub Date : 2024-10-08 DOI: 10.1093/icvts/ivae162

Filippos-Paschalis Rorris, Spyridoula Katsilouli, Dimitrios Bobos, Meletios Kanakis

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