Annals of Thoracic and Cardiovascular Surgery最新文献

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Arterial Embolization and Cone-Beam Computed Tomography-Guided Lung Resection for Anomalous Systemic Arterial Blood Supply to Normal Lung: Two Case Reports. 动脉栓塞和锥形束计算机断层扫描引导的肺切除术治疗正常肺的异常系统动脉供血:两个病例报告。
IF 1.3 4区 医学
Annals of Thoracic and Cardiovascular Surgery Pub Date : 2024-01-26 Epub Date: 2023-03-15 DOI: 10.5761/atcs.cr.23-00023
Momoko Asami, Hitoshi Dejima, Yoshikane Yamauchi, Yuichi Saito, Koji Saito, Hiroshi Kondo, Yukinori Sakao
{"title":"Arterial Embolization and Cone-Beam Computed Tomography-Guided Lung Resection for Anomalous Systemic Arterial Blood Supply to Normal Lung: Two Case Reports.","authors":"Momoko Asami, Hitoshi Dejima, Yoshikane Yamauchi, Yuichi Saito, Koji Saito, Hiroshi Kondo, Yukinori Sakao","doi":"10.5761/atcs.cr.23-00023","DOIUrl":"10.5761/atcs.cr.23-00023","url":null,"abstract":"<p><p>Systemic arterial blood supply to a normal lung is a rare anatomical abnormality. Surgery is usually indicated because this abnormality leads to pulmonary hypertension. Herein, we report our experience and ideas for safe vessel dissection. Case 1 was a woman in her 50s. We performed a left lower lobectomy following percutaneous coil embolization. The aberrant artery with emboli was confirmed intraoperatively by cone-beam computed tomography (CBCT) to safely dissect under thoracoscopic surgery (TS). Case 2 was a man in his 40s. Following percutaneous endovascular plug occlusion, we performed a left partial resection using indocyanine green fluorescence navigation. Intraoperatively, CBCT imaging demonstrated the aberrant artery and exact position of the emboli. This combination technique of interventional radiology and TS with CBCT imaging was considered safe and more secure for the treatment of anomalous systemic arterial blood supply to a normal lung.</p>","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10902647/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9476307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impact of Graft Velocity on Saphenous Vein Graft Atherosclerosis after Coronary Artery Bypass Grafting. 冠状动脉旁路移植术后移植物速度对隐静脉移植物动脉粥样硬化的影响
IF 1.3 4区 医学
Annals of Thoracic and Cardiovascular Surgery Pub Date : 2024-01-26 Epub Date: 2023-07-19 DOI: 10.5761/atcs.oa.23-00066
Ryo Nakamura, Kentaro Honda, Hideki Kunimoto, Takahiro Fujimoto, Kota Agematsu, Yoshiharu Nishimura
{"title":"Impact of Graft Velocity on Saphenous Vein Graft Atherosclerosis after Coronary Artery Bypass Grafting.","authors":"Ryo Nakamura, Kentaro Honda, Hideki Kunimoto, Takahiro Fujimoto, Kota Agematsu, Yoshiharu Nishimura","doi":"10.5761/atcs.oa.23-00066","DOIUrl":"10.5761/atcs.oa.23-00066","url":null,"abstract":"<p><strong>Purpose: </strong>Saphenous vein grafts (SVGs) sometimes occur as vein graft stenosis or failure in coronary artery bypass grafting. The purpose of this study was to detect the factors affecting vein graft atherosclerosis.</p><p><strong>Methods: </strong>We performed two analysis. In the first analysis, we enrolled 120 grafts using conventionally harvested saphenous vein graft (C-SVG) and followed-up with multiple coronary computed tomography angiography (CCTA). We examined the factors that contribute to the graft atherosclerosis defined by graft failure at subsequent CCTA or substantial progression of graft stenosis (a decrease of ≥0.6 mm in diameter). In the second analysis, 66 grafts using no-touch harvested saphenous vein graft (N-SVG) were compared with those in the first analysis using C-SVG, focusing on the differences in intraoperative factors using propensity score-matched analysis.</p><p><strong>Results: </strong>In the first analysis, graft atherosclerosis+ group comprised 27 grafts, which had a larger SVG diameter, lower graft velocity, and higher graft/native ratio in diameter than the graft atherosclerosis- group. In the multivariable analysis, slow graft velocity and graft/native ≥2 in diameter were independently associated with the graft atherosclerosis. In the second analysis, the N-SVG group had a much greater graft velocity than the C-SVG group.</p><p><strong>Conclusion: </strong>Lower graft velocity and higher graft/native ratio in diameter were associated with the graft atherosclerosis. The N-SVG group had increased graft velocity, which may contribute to prevent the graft atherosclerosis.(Trial registration: UMIN Clinical Trial Registry no. UMIN000050482. Registered 3 March 2023, retrospectively registered.).</p>","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10902658/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9828254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impact of Impella Support on Clinical Outcomes in Patients with Postcardiotomy Cardiogenic Shock. Impella 支持对心肌梗死术后心源性休克患者临床疗效的影响。
IF 1.3 4区 医学
Annals of Thoracic and Cardiovascular Surgery Pub Date : 2024-01-26 Epub Date: 2023-08-03 DOI: 10.5761/atcs.oa.23-00076
Yukiharu Sugimura, Moritz Benjamin Immohr, Arash Mehdiani, Udo Boeken, Hug Aubin, Artur Lichtenberg, Payam Akhyari
{"title":"Impact of Impella Support on Clinical Outcomes in Patients with Postcardiotomy Cardiogenic Shock.","authors":"Yukiharu Sugimura, Moritz Benjamin Immohr, Arash Mehdiani, Udo Boeken, Hug Aubin, Artur Lichtenberg, Payam Akhyari","doi":"10.5761/atcs.oa.23-00076","DOIUrl":"10.5761/atcs.oa.23-00076","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to elucidate the strategy of an effective Impella support for better clinical outcomes in patients with a postcardiotomy cardiogenic shock (PCCS).</p><p><strong>Methods: </strong>This single-center retrospective observational study enrolled 31 patients with PCCS undergoing an elective open-heart surgery followed by Impella support between November 2018 and February 2022 for further analysis.</p><p><strong>Results: </strong>The preoperative Euroscore II and left ventricular (LV) ejection fraction were 9.1 ± 10.4 and 35.7% ± 12.6%, respectively. The in-hospital mortality rate was 51.6% (n = 16). In survivors (n = 15), the mean Impella support time was 6.9 ± 3.5 days. Patients were discharged on the postoperative day 24.9 ± 16.4. Regarding LV remodeling, LV end-diastolic diameter was significantly decreased after Impella support (59.2 ± 6.0 mm vs. 54.4 ± 4.7 mm, p = 0.01, preoperative vs. postoperative). In-hospital mortality rates were comparable with small (CP, n = 6) or large (5.0, n = 25) Impella systems (33.3% [n = 2] vs. 56.0% [n = 14], p = 0.39). However, a lower in-hospital mortality rate was observed in the group with early initiation (i.e., intraoperative) of Impella support (n = 14) than that with delayed Impella initiation (i.e., in the postoperative course) (n = 11) (28.6% [n = 4] vs. 90.9% [n = 10], p = 0.004).</p><p><strong>Conclusions: </strong>Impella support contributes to LV remodeling in PCCS patients. In-hospital mortality was comparable in different Impella sizes and lower in early Impella initiation.</p>","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10902663/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9929350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Comparison of the Efficacies of OK-432 and Talc Slurry for Pleurodesis in Patients with Prolonged Air Leak after Pulmonary Resection. 比较 OK-432 和滑石粉浆对肺切除术后长期漏气患者进行胸膜穿刺的疗效。
IF 1.3 4区 医学
Annals of Thoracic and Cardiovascular Surgery Pub Date : 2024-01-26 Epub Date: 2023-08-30 DOI: 10.5761/atcs.oa.23-00115
Tomohiro Watanabe, Yoshikane Yamauchi, Ryo Takeyama, Shinya Kohmaru, Hitoshi Dejima, Yuichi Saito, Yukinori Sakao
{"title":"A Comparison of the Efficacies of OK-432 and Talc Slurry for Pleurodesis in Patients with Prolonged Air Leak after Pulmonary Resection.","authors":"Tomohiro Watanabe, Yoshikane Yamauchi, Ryo Takeyama, Shinya Kohmaru, Hitoshi Dejima, Yuichi Saito, Yukinori Sakao","doi":"10.5761/atcs.oa.23-00115","DOIUrl":"10.5761/atcs.oa.23-00115","url":null,"abstract":"<p><strong>Purpose: </strong>A prolonged air leak (PAL) is one of the common postoperative complications of pulmonary resection. The aim of this study was to evaluate the efficacy and safety of pleurodesis with sterile talc or OK-432 for postoperative air leak.</p><p><strong>Methods: </strong>Patients with postoperative air leak who received chemical pleurodesis using sterile talc or OK-432 were retrospectively identified from medical records data. For pleurodesis with either agent, prior assessment and approval by the hospital safety department were carried out for each case, in addition to individual consent.</p><p><strong>Results: </strong>Between February 2016 and June 2022, 39 patients had PALs and underwent chemical pleurodesis. Among them, 24 patients received pleurodesis with talc (Talc group) and 15 with OK-432 (OK-432 group). The leak resolved after less than two pleurodesis treatments in 22 patients (91.7%) in the Talc group compared with 14 patients (93.3%) in the OK-432 group. Pleurodesis significantly increased white blood cell counts, C-reactive protein concentration, and body temperature in the OK-432 group compared with that in the Talc group (p <0.001, p = 0.003, and p <0.001, respectively).</p><p><strong>Conclusions: </strong>Pleurodesis with talc may be an effective treatment option for postoperative air leak. Our findings suggest that talc was as effective as OK-432 and resulted in a milder systemic inflammatory response.</p>","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10902650/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10476429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Surgery for Secondary Spontaneous Pneumothorax with Chronic Lung Diseases. 慢性肺部疾病继发性自发性气胸的手术治疗。
IF 1.3 4区 医学
Annals of Thoracic and Cardiovascular Surgery Pub Date : 2024-01-26 Epub Date: 2023-07-28 DOI: 10.5761/atcs.oa.23-00061
Kazuhisa Tanaka, Hidemi Suzuki, Terunaga Inage, Takamasa Ito, Yuichi Sakairi, Ichiro Yoshino
{"title":"Surgery for Secondary Spontaneous Pneumothorax with Chronic Lung Diseases.","authors":"Kazuhisa Tanaka, Hidemi Suzuki, Terunaga Inage, Takamasa Ito, Yuichi Sakairi, Ichiro Yoshino","doi":"10.5761/atcs.oa.23-00061","DOIUrl":"10.5761/atcs.oa.23-00061","url":null,"abstract":"<p><strong>Purposes: </strong>Secondary spontaneous pneumothorax (SSP) is occasionally observed in elderly patients suffering from diffuse lung diseases. The purpose of this study was to analyze the outcomes of surgical treatment of SSP patients with chronic lung diseases.</p><p><strong>Methods: </strong>In total, 242 patients who underwent surgery for spontaneous pneumothorax at Chiba University Hospital from January 2006 to October 2016 were included in this study. The patients' records were reviewed retrospectively for data on their background, surgical treatment, morbidity, mortality, and recurrence.</p><p><strong>Results: </strong>Of the spontaneous pneumothorax cohort, primary spontaneous pneumothorax (PSP) accounted for 144 patients. Among the 98 patients with SSP, 57 cases were caused by chronic obstructive pulmonary disease (COPD) and 21 were caused by interstitial pneumonia (IP). The postoperative complication rate was 19.3% in the COPD group, 42.9% in the IP group, and 11.1% in the PSP group. The recurrence rate was 5.3% in the COPD group, 28.6% in the IP group, and 21.5% in the PSP group.</p><p><strong>Conclusions: </strong>The morbidity and recurrence were comparable between PSP and SSP cases with COPD, whereas these values were unfavorable in SSP cases with IP compared with PSP ones. Surgical intervention should be carefully considered in SSP patients with IP.</p>","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10902674/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9897784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Surgery for Ascending Aortic Aneurysm and Aortic Valve Insufficiency in Conditions of Active Proceeding Syphilitic Aortitis and Valvulitis. 主动脉瘤和主动脉瓣关闭不全的手术治疗梅毒性主动脉炎和瓣膜炎。
IF 1.3 4区 医学
Annals of Thoracic and Cardiovascular Surgery Pub Date : 2024-01-26 Epub Date: 2023-03-25 DOI: 10.5761/atcs.cr.22-00236
Michael Malyshev, Alexander Safuanov, Anton Malyshev, Andrey Rostovykh, Dmitry Sinyukov, Natalie Rostovykh, Vladlena Trushina
{"title":"Surgery for Ascending Aortic Aneurysm and Aortic Valve Insufficiency in Conditions of Active Proceeding Syphilitic Aortitis and Valvulitis.","authors":"Michael Malyshev, Alexander Safuanov, Anton Malyshev, Andrey Rostovykh, Dmitry Sinyukov, Natalie Rostovykh, Vladlena Trushina","doi":"10.5761/atcs.cr.22-00236","DOIUrl":"10.5761/atcs.cr.22-00236","url":null,"abstract":"<p><p>A syphilitic aortitis is a late cardiovascular lesion of tertiary syphilis that has become exceptionally rare in the antibiotic era but not eradicated completely. Syphilitic aortitis of ascending aorta complicates in ascending aortic aneurysm formation and aortic valve regurgitation, both requiring surgical treatment. After surgery, lifelong surveillance of the remainder of the aorta is recommended because of a priori supposed high incidence of delayed involvement of noninvolved aortic segments. A 3-year follow-up result of surgery of syphilitic ascending aortic aneurysm with aortic valve regurgitation in condition of active ongoing syphilitic aortitis and valvulitis is described with addressing the dimensions of remaining aortic segments. This case demonstrates that the dilatation of the remainder of the aorta does not occur during 3 years, at least when anti-syphilitic course of antibiotic is used just after operation without additional treatment during the follow-up period. A few reports on surgical treatment of syphilitic aneurysms of the ascending aorta are discussed.</p>","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10902664/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9527922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Metachronous Primary Lung Cancer Occurring during the Spontaneous Regression of Locally Advanced Lung Cancer: A Rare Case Report. 在局部晚期肺癌自然消退期间发生的并发原发性肺癌:罕见病例报告
IF 1.3 4区 医学
Annals of Thoracic and Cardiovascular Surgery Pub Date : 2024-01-26 Epub Date: 2022-10-05 DOI: 10.5761/atcs.cr.22-00138
Ryosuke Amemiya, Ikki Takada, Hiroya Kanzawa, Shotaro Ono, Yukio Morishita, Norihiko Ikeda, Kinya Furukawa
{"title":"Metachronous Primary Lung Cancer Occurring during the Spontaneous Regression of Locally Advanced Lung Cancer: A Rare Case Report.","authors":"Ryosuke Amemiya, Ikki Takada, Hiroya Kanzawa, Shotaro Ono, Yukio Morishita, Norihiko Ikeda, Kinya Furukawa","doi":"10.5761/atcs.cr.22-00138","DOIUrl":"10.5761/atcs.cr.22-00138","url":null,"abstract":"<p><p>A 71-year-old man was diagnosed as having right primary lung squamous cell carcinoma, clinical stage IIIA, but he refused treatment. However, the right upper lobe nodule and lymph node (LN) #4R showed gradual shrinking without treatment. Four years after the diagnosis, a new nodule was detected in the left lung field. We considered that this new nodule might be metachronous primary lung cancer, and hence resected it for diagnosis and treatment. The tumor in the left lung was diagnosed as basaloid squamous cell carcinoma, and that in LN #4R was diagnosed as squamous cell carcinoma with keratinization. Therefore, the patient was diagnosed as having metachronous primary lung cancer that developed during the spontaneous regression of locally advanced lung cancer.</p>","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10902648/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33489609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of Optimizing Regional Cerebral Oxygen Saturation during Infant Cardiac Surgery on the Incidence of Postoperative Delirium: A Retrospective Study. 婴儿心脏手术期间优化区域脑氧饱和度对术后谵妄发生率的影响:一项回顾性研究。
IF 1.3 4区 医学
Annals of Thoracic and Cardiovascular Surgery Pub Date : 2024-01-25 Epub Date: 2023-07-01 DOI: 10.5761/atcs.oa.23-00057
Jian-Feng Liu, Si-Jia Zhou, Xiu-Hua Chen, Hua Cao, Qiang Chen
{"title":"Effect of Optimizing Regional Cerebral Oxygen Saturation during Infant Cardiac Surgery on the Incidence of Postoperative Delirium: A Retrospective Study.","authors":"Jian-Feng Liu, Si-Jia Zhou, Xiu-Hua Chen, Hua Cao, Qiang Chen","doi":"10.5761/atcs.oa.23-00057","DOIUrl":"10.5761/atcs.oa.23-00057","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the effect of optimizing regional cerebral oxygen saturation (rScO<sub>2</sub>) on the incidence of postoperative delirium and surgical outcome in infants with congenital heart disease.</p><p><strong>Methods: </strong>Sixty-one infants experienced desaturation in rScO<sub>2</sub> of 10% from baseline for more than 30 seconds during surgery between January 2020 and January 2022. Among them, 32 cases (Group A) received the corresponding treatment in the process of desaturation and 29 cases (Group B) were observed without receiving any treatment. General information, cerebral oxygen saturation, the incidence of postoperative delirium, and other relevant clinical data were collected.</p><p><strong>Results: </strong>The duration and severity of intraoperative rScO<sub>2</sub> desaturation in Group A were significantly lower than those in Group B. The incidence of postoperative delirium in Group A was significantly lower than that in Group B. There was no significant difference in the positive screening score for delirium between the two groups. Binary logistic regression analysis showed that the aortic cross-clamp time, mechanical ventilation duration, and severity of intraoperative rScO<sub>2</sub> desaturation were significantly correlated with the occurrence of postoperative delirium.</p><p><strong>Conclusion: </strong>Aggressive rScO<sub>2</sub> desaturation treatment is associated with a lower incidence of postoperative delirium and improved surgical outcomes.</p>","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10851446/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9742984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Determination of Treatment Efficacy after Revascularization of Intermittent Claudication Patients by Physical Function Assessment. 通过身体功能评估确定间歇性跛行患者血管再通术后的治疗效果
IF 1.3 4区 医学
Annals of Thoracic and Cardiovascular Surgery Pub Date : 2024-01-25 Epub Date: 2023-07-01 DOI: 10.5761/atcs.oa.23-00069
Masaharu Nakajima, Hiroki Mitsuoka, Yuki Orimoto, Shota Otsuka, Tomoyuki Morisawa, Tetsuya Takahashi, Hiroyuki Ishibashi
{"title":"Determination of Treatment Efficacy after Revascularization of Intermittent Claudication Patients by Physical Function Assessment.","authors":"Masaharu Nakajima, Hiroki Mitsuoka, Yuki Orimoto, Shota Otsuka, Tomoyuki Morisawa, Tetsuya Takahashi, Hiroyuki Ishibashi","doi":"10.5761/atcs.oa.23-00069","DOIUrl":"10.5761/atcs.oa.23-00069","url":null,"abstract":"<p><strong>Purpose: </strong>There have been few reports examining changes in physical activity (PA) after revascularization of lower extremities from the perspective of physical function at discharge. The purpose of this study was to clarify the effects of physical function before discharge on the amount of PA after discharge in patients who underwent revascularization.</p><p><strong>Methods: </strong>The subjects were 34 Fontaine class II patients admitted for elective surgical revascularization or endovascular treatment at two hospitals from September 2017 to October 2019. Triaxial accelerometers were used to measure changes in sedentary behavior (SB) before admission and 1 month after discharge. Multiple regression analysis was performed on the 6-min walking distance (6MWD) at the time of discharge and the change in SB 1 month after discharge; the cutoff value was calculated from the receiver operating characteristic (ROC) curve.</p><p><strong>Results: </strong>SB 1 month after discharge significantly decreased in the decreased SB group compared to the increased SB group (575.5 [400-745.2] vs. 649.5 [453.8-809.2], p <0.01). ROC curve was plotted with SB increase/decrease as the dependent variable and 6MWD at discharge as the independent variable; the cutoff value was 357.5 m.</p><p><strong>Conclusion: </strong>6MWD measurement at discharge may help predict changes in SB after discharge.</p>","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10851441/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9742985","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Endoscopic Pedicle Saphenous Vein Graft Harvesting. 内窥镜下腓骨隐静脉移植物采集术
IF 1.3 4区 医学
Annals of Thoracic and Cardiovascular Surgery Pub Date : 2024-01-25 Epub Date: 2023-07-07 DOI: 10.5761/atcs.nm.23-00054
Yuji Katayama, Takahiro Miho, Eijiro Nogami, Kohei Hamada, Masahide Shichijo, Kouta Shimauchi, Keiji Kamohara
{"title":"Endoscopic Pedicle Saphenous Vein Graft Harvesting.","authors":"Yuji Katayama, Takahiro Miho, Eijiro Nogami, Kohei Hamada, Masahide Shichijo, Kouta Shimauchi, Keiji Kamohara","doi":"10.5761/atcs.nm.23-00054","DOIUrl":"10.5761/atcs.nm.23-00054","url":null,"abstract":"<p><p>The excellent long-term patency of no-touch (NT) saphenous vein grafts (SVGs) makes the grafts very attractive for coronary artery bypass grafting; however, NT-SVG harvesting has a greater incidence of wound complications than conventional methods. Since 2009, we have performed endoscopic vein harvesting (EVH) in our department with very few major wound complications. Because NT-SVG harvesting is expected to provide long-term patency, if performed with EVH, the incidence of wound complications will be reduced. Thus, we began performing endoscopic pedicle SVG harvesting (Pedicle-EVH) in March 2019. Herein, we report the early results obtained using our current Pedicle-EVH procedure. No major wound complications were reported, and the early results, including patency, were satisfactory. To harvest the pedicle SVG, however, we used a different method than the NT-SVG procedure, so careful monitoring will be needed to assess long-term outcomes.</p>","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10851456/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9766599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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