Cardiovascular surgery (London, England)最新文献

{"title":"Evolving techniques for endoscopic radial artery harvesting","authors":"Roberto P Casula,&nbsp;Pankaj Kumar,&nbsp;Hutan Ashrafian,&nbsp;Thanos Athanasiou","doi":"10.1016/S0967-2109(03)00099-1","DOIUrl":"10.1016/S0967-2109(03)00099-1","url":null,"abstract":"<div><p><span>The role of radial artery as an arterial conduit for </span>myocardial revascularisation is well established. Minimally invasive approaches for the harvesting of conduits are desirable for clinical and cosmetic reasons. We report our experience with two techniques of endoscopic radial artery harvesting. The techniques are illustrated and their relative advantages discussed.</p></div>","PeriodicalId":79324,"journal":{"name":"Cardiovascular surgery (London, England)","volume":"11 5","pages":"Pages 425-427"},"PeriodicalIF":0.0,"publicationDate":"2003-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0967-2109(03)00099-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22564047","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}

{"title":"Childhood memories of giants in Vascular Surgery: Matas, DeBakey, de Takats, and Ochsner: An interview with Dr. John Ochsner","authors":"Roger T Gregory","doi":"10.1016/S0967-2109(03)00082-6","DOIUrl":"https://doi.org/10.1016/S0967-2109(03)00082-6","url":null,"abstract":"","PeriodicalId":79324,"journal":{"name":"Cardiovascular surgery (London, England)","volume":"11 5","pages":"Pages 407-411"},"PeriodicalIF":0.0,"publicationDate":"2003-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0967-2109(03)00082-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90003212","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}

{"title":"Changing surgical management for acute aortic dissection type A improves immediate outcome","authors":"J. Sierra","doi":"10.1016/S0967-2109(03)00129-7","DOIUrl":"https://doi.org/10.1016/S0967-2109(03)00129-7","url":null,"abstract":"","PeriodicalId":79324,"journal":{"name":"Cardiovascular surgery (London, England)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2003-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56638968","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}

{"title":"Valvular heart disease with dark green discoloration of the leaflets: ochronosis","authors":"E. Erek","doi":"10.1016/S0967-2109(03)00133-9","DOIUrl":"https://doi.org/10.1016/S0967-2109(03)00133-9","url":null,"abstract":"","PeriodicalId":79324,"journal":{"name":"Cardiovascular surgery (London, England)","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2003-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56638989","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}

{"title":"A successful repair of prenatally diagnosed aortico-left ventricular tunnel","authors":"J. Kolcz","doi":"10.1016/S0967-2109(03)00110-8","DOIUrl":"https://doi.org/10.1016/S0967-2109(03)00110-8","url":null,"abstract":"","PeriodicalId":79324,"journal":{"name":"Cardiovascular surgery (London, England)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2003-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56638277","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}

{"title":"Editorial Note: Fibrin sealants in cardiovascular surgery","authors":"","doi":"10.1016/S0967-2109(03)00063-2","DOIUrl":"https://doi.org/10.1016/S0967-2109(03)00063-2","url":null,"abstract":"","PeriodicalId":79324,"journal":{"name":"Cardiovascular surgery (London, England)","volume":"11 ","pages":"Page 1"},"PeriodicalIF":0.0,"publicationDate":"2003-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0967-2109(03)00063-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138252596","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}

{"title":"Leadership challenges for carotid disease in the 21st century","authors":"K Ouriel","doi":"10.1016/S0967-2109(03)00070-X","DOIUrl":"10.1016/S0967-2109(03)00070-X","url":null,"abstract":"","PeriodicalId":79324,"journal":{"name":"Cardiovascular surgery (London, England)","volume":"11 4","pages":"Pages 255-256"},"PeriodicalIF":0.0,"publicationDate":"2003-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0967-2109(03)00070-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22432765","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}

{"title":"Integrated approach to off-pump coronary artery bypass surgery","authors":"S Al-Ruzzeh,&nbsp;M Amrani,&nbsp;M Boscoe,&nbsp;J Farrimond,&nbsp;B Riedel,&nbsp;I Wright,&nbsp;S George","doi":"10.1016/S0967-2109(03)00028-0","DOIUrl":"10.1016/S0967-2109(03)00028-0","url":null,"abstract":"<div><p><em>Background:</em><span><span> The Off-Pump Coronary Artery Bypass (OPCAB) technique is becoming more popular in many cardiac units throughout the world. This relatively new technique has prompted surgeons and anaesthetists to review and modify the routine approach to Coronary Artery Bypass Surgery (CABG). In this study we reviewed and analysed the outcome of an integrated anaesthetic and surgical peri-operative approach that allowed routine use of OPCAB and avoided the use of </span>cardiopulmonary bypass (CPB).</span></p><p><em>Methods:</em> We reviewed and analysed the data on the first consecutive 285 patients who were operated on using the OPCAB technique. These represent our initial experience with applying the OPCAB technique non-selectively for all patients over a period of 16 months.</p><p><em>Results:</em><span> All patients had at least 2-vessel disease. 807 grafts were performed (mean 2.8 per patient) of which 647 (80%) were arterial (mean 2.3 per patient). 179 (63%) patients underwent total arterial revascularization. Eight patients required cardiopulmonary bypass; all other operations were completed off-pump. Complications – mortality 3 (1%); renal failure 24 (8%); stroke 3 (1%) and atrial fibrillation 60 (21%).</span></p><p><em>Conclusion:</em> This retrospective analysis shows that provided a combined and integrated anaesthestic and surgical approach is used, beating heart technique for CABG can be safely offered to all patients with a good outcome.</p></div>","PeriodicalId":79324,"journal":{"name":"Cardiovascular surgery (London, England)","volume":"11 4","pages":"Pages 299-303"},"PeriodicalIF":0.0,"publicationDate":"2003-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0967-2109(03)00028-0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22433881","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}

{"title":"Cardiovascular Surgery: A New Era","authors":"","doi":"10.1016/S0967-2109(03)00096-6","DOIUrl":"https://doi.org/10.1016/S0967-2109(03)00096-6","url":null,"abstract":"","PeriodicalId":79324,"journal":{"name":"Cardiovascular surgery (London, England)","volume":"11 4","pages":"Pages v-vi"},"PeriodicalIF":0.0,"publicationDate":"2003-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0967-2109(03)00096-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91772725","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}

{"title":"Endoluminal aortic shunting for distal perfusion during thoracic aortal cross-clamping in a pig model","authors":"M Ditmarsch ,&nbsp;E.N Yilmaz ,&nbsp;A.C Vahl ,&nbsp;H.R van Genderingen ,&nbsp;G.L van Rij ,&nbsp;J.A Rauwerda","doi":"10.1016/S0967-2109(03)00061-9","DOIUrl":"10.1016/S0967-2109(03)00061-9","url":null,"abstract":"<div><p><em>Purpose of the study:</em> To investigate the haemodynamic properties of a direct endovascular aortic shunt to maintain distal aortic perfusion as an alternative of a distal shunt (left-left-, Gott shunt) in thoracic aortic aneurysm repair.</p><p><em>Methods:</em> A shunt was developed and tested in an in vitro model which should be capable of transporting a flow of 3–4 L/min with a decrease in blood pressure &lt; 20 mmHg. Thereupon the shunt was tested in an in vivo experiment in six pigs to assess the possibility of its use with normal distal blood pressure. The shunt was inserted in the thoracic aorta and stayed in place for 1.5 h. Parameters were measured at six time intervals to assess organ perfusion, -function, cardiac output, proximal- and distal blood pressure and aortic- and shunt flow.</p><p><em>Principle findings:</em><span> The mean blood flow through the shunt was 2.5 L/min. The difference of the mean blood pressure<span> over the shunt was on average 14.20 mmHg. Parameters for coagulation disturbance and organ ischaemia were tested. The decrease in mean trombocyt count was 299–158 (</span></span><em>p</em><span><span><span>&lt;0.02). The venous lactate and the venous mesenteric lactate as parameters for intestinal ischemia did not increase significantly. No significant changes occurred in </span>angiotensin II levels. </span>Pulsatile flow was maintained but significantly suppressed (60%) distal from the shunt. The clamp time needed to insert the shunt and the venous mesenteric lactate, as well as the venous lactate, showed high correlation, </span><em>r</em>_s = 0.9 (<em>p</em>&lt;0.05) and <em>r</em>_s = 0.94 (<em>p</em>&lt;0.01). This also accounted for the 2nd clamp time, both <em>r</em>_s = 0.95 (<em>p</em>&lt;0.05).</p><p><em>Conclusion:</em> The shunt is capable of transporting a blood flow of 2–4 L/min with an acceptable decrease in distal blood pressure. However, the time, needed to insert the shunt, was significantly associated with parameters of organ ischaemia.</p></div>","PeriodicalId":79324,"journal":{"name":"Cardiovascular surgery (London, England)","volume":"11 4","pages":"Pages 287-293"},"PeriodicalIF":0.0,"publicationDate":"2003-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0967-2109(03)00061-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22433879","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}