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Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery

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https://www.readbyqxmd.com/read/30153118/corevalve-double-jeopardy-embolized-valve-capture-with-subsequent-valve
#1
Jules-Joel Bakhos, Andrew M Goldsweig
During transcatheter aortic valve replacement with a self-expanding prosthesis, prosthesis embolization represents a rare but severe complication. Etiologies of prosthesis embolization include improper sizing and malpositioning, specifically high deployment with respect to the aortic annulus. Treatment of embolization into the aorta relies upon repositioning of the prosthesis using endovascular snares or removal with open surgery. Patients with prosthesis embolization have a high risk of mortality and morbidity including stroke and aortic dissection associated with manipulation of the prosthesis in the ascending aorta...
August 27, 2018: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://www.readbyqxmd.com/read/30119053/using-the-hybrid-operating-room-in-thoracic-surgery-a-paradigm-shift
#2
Carsten Schroeder, Jane M Chung, Andrew B Mitchell, Thomas A Dillard, Alessandro G Radaelli, Stephanie Schampaert
We describe the integration of the hybrid operation room cone-beam computed tomography (CT) scan technology into the practice of general thoracic surgery. The combination of the following three techniques: (1) cone-beam CT scan augmented navigational bronchoscopy, (2) cone-beam CT-guided percutaneous biopsy and/or fiducial placement, and (3) fiducial or image-guided video-assisted thoracic surgery resection, into a single-stage, single-provider procedure allows for diagnosis and treatment in one setting. Rapid on-site evaluation of cytological or pathology specimens is key to this "all-in-one" approach...
August 17, 2018: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://www.readbyqxmd.com/read/30036206/message-from-the-president
#3
Anson Cheung
No abstract text is available yet for this article.
July 20, 2018: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://www.readbyqxmd.com/read/30020111/ismics-research-and-education-fund
#4
(no author information available yet)
No abstract text is available yet for this article.
July 16, 2018: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://www.readbyqxmd.com/read/29994934/message-from-the-editor
#5
Ralph J Damiano
No abstract text is available yet for this article.
July 7, 2018: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://www.readbyqxmd.com/read/29975210/ismics-membership-application
#6
(no author information available yet)
No abstract text is available yet for this article.
July 2, 2018: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://www.readbyqxmd.com/read/30142111/multicenter-assessment-of-grafts-in-coronaries-midterm-evaluation-of-the-c-port-device-the-magic-study
#7
Husam H Balkhy, Nirav C Patel, Mahesh Ramshandani, Hiroto Kitahara, Valavunar A Subramanian, Nicholas V Augelli, Gareth Tobler, Tung H Cai
OBJECTIVE: The commercially available C-Port distal anastomotic device (Food and Drug Administration cleared in 2007) is an automated miniature vascular stapler that performs the coronary anastomosis. This prospective multicenter registry sought to evaluate midterm patency using this device compared with hand-sewn grafts. METHODS: Patients receiving at least one C-Port anastomosis during coronary artery bypass grafting surgery were enrolled at eight sites. Of the 117 patients enrolled, 78 patients (67%) with 104 C-Port vein grafts completed the study to patency assessment via computed tomography angiography...
July 2018: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://www.readbyqxmd.com/read/30142110/outcomes-of-impella-5-0-in-cardiogenic-shock-a-systematic-review-and-meta-analysis
#8
George Batsides, Joe Massaro, Anson Cheung, Edward Soltesz, Danny Ramzy, Mark B Anderson
OBJECTIVE: The aim of the study was to comprehensively summarize the survival outcomes and complications of Impella 5.0 (Abiomed Inc, Danvers, MA USA) use in patients with cardiogenic shock (CS). METHODS: We performed a literature review for relevant studies by searching in Medline, Medline In-Process, EMBASE, and the CENTRAL bibliographic databases on April 30, 2017. Nonoverlapping studies with 10 patients or more supported for cardiogenic shock with Impella 5...
July 2018: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://www.readbyqxmd.com/read/30138245/geometric-ring-annuloplasty-for-aortic-valve-repair-during-aortic-aneurysm-surgery-two-year-clinical-trial-results
#9
J Scott Rankin, Domenico Mazzitelli, Theodor Fischlein, Yeong-Hoon Choi, Jan Pirk, Steffen Pfeiffer, Lawrence M Wei, Vinay Badhwar
OBJECTIVE: An aortic annuloplasty ring could be useful for aortic valve repair. This trial evaluated intermediate-term outcomes of internal geometric ring annuloplasty for repair of trileaflet and bicuspid aortic insufficiency associated with ascending aortic and/or aortic root aneurysms. METHODS: Under regulatory supervision, 47 patients with aortic insufficiency and ascending aortic (n = 22) and/or aortic root (n = 25) aneurysms were managed with aortic valve repair and aneurysm resection...
July 2018: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://www.readbyqxmd.com/read/30138244/direct-femoral-cannulation-in-minimal-invasive-pediatric-cardiac-surgery-our-experience-with-midterm-result
#10
Vivek A Wadhawa, Kartik G Patel, Chirag P Doshi, Jigar K Shah, Jaydip A Ramani, Pankaj D Garg, Sudhir H Adalti, Yashpal R Rana, Himani M Pandya, Vijay Gupta
OBJECTIVE: One of the major challenges faced in minimally invasive pediatric cardiac surgery is cannulation strategy for cardiopulmonary bypass. Central aortic cannulation through the same incision has been the usual strategy, but it has the disadvantage of cluttering of the operative field. We hereby present the results of femoral cannulation in minimally invasive pediatric cardiac surgery in terms of adequacy and safety. METHODS: From January 2013 to June 2016, 200 children (122 males) with mean ± SD age of 9...
July 2018: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://www.readbyqxmd.com/read/30138243/minimally-invasive-versus-full-sternotomy-septal-myectomy-for-hypertrophic-cardiomyopathy
#11
Farah N Musharbash, Matthew R Schill, Vivek H Hansalia, Richard B Schuessler, Jeremy E Leidenfrost, Spencer J Melby, Ralph J Damiano
OBJECTIVE: Septal myectomy remains the criterion standard for the treatment of patients with hypertrophic obstructive cardiomyopathy refractory to medical therapy. There have been few reports of minimally invasive approaches. This study compared a minimally invasive septal myectomy performed at our institution with the traditional full-sternotomy approach. METHODS: Patients receiving a stand-alone septal myectomy were retrospectively reviewed from November 1999 to December 2016 (N = 120)...
July 2018: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://www.readbyqxmd.com/read/30138242/intravenous-acetaminophen-improves-outcomes-after-transapical-transcatheter-aortic-valve-replacement
#12
Keith B Allen, A Michael Borkon, David J Cohen, Adnan K Chhatriwalla, Sanjeev Aggarwal, John Saxon, J Russell Davis, Kevin F Kennedy
OBJECTIVE: Complications with opioid-based postoperative pain management have led to guideline recommendations for a multimodal analgesia strategy incorporating nonopioid agents. We evaluated the opioid-sparing effect of intravenous acetaminophen in patients undergoing transapical transcatheter aortic valve replacement. METHODS: A multimodal pain management strategy that incorporated intravenous acetaminophen was retrospectively evaluated in 43 patients undergoing transapical transcatheter aortic valve replacement between November 2012 and March 2014...
July 2018: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://www.readbyqxmd.com/read/30130264/it-s-about-time
#13
Anson W Cheung
No abstract text is available yet for this article.
July 2018: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://www.readbyqxmd.com/read/30130263/cost-and-outcome-of-minimally-invasive-techniques-for-coronary-surgery-using-robotic-technology
#14
Chetan Pasrija, Zachary N Kon, Mehrdad Ghoreishi, Eric J Lehr, James S Gammie, Bartley P Griffith, Johannes Bonatti, Bradley S Taylor
OBJECTIVE: Totally endoscopic coronary artery bypass (TECAB) with robotic distal anastomosis and robotic-assisted minimally invasive coronary artery bypass (RA-MIDCAB) with robotic internal mammary artery harvest and direct hand-sewn distal anastomosis via an anterior thoracotomy have both been reported as safe and efficacious. We compared hospital cost and short-term outcomes between these techniques. METHODS: Patients who underwent robotic-assisted minimally invasive single-vessel Coronary artery bypass grafting (2011-2014) were retrospectively reviewed...
July 2018: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://www.readbyqxmd.com/read/30124588/mini-right-anterior-thoracotomy-approach-versus-sternotomy-for-resection-of-intracardiac-myxoma
#15
Mariam Ellouze, Michel Pellerin, Hugues Jeanmart, Jean-Sébastien Lebon, Denis Bouchard
OBJECTIVE: The standard approach in treating cardiac myxoma is the median full sternotomy. After recent advances in surgical techniques, the mini right anterior thoracotomy has emerged as an alternative method. METHODS: We performed a retrospective study to compare the clinical outcomes of the mini right anterior thoracotomy approach with those of the sternotomy approach for resection of cardiac myxoma at the Montreal Heart Institute. There were 20 patients treated using a mini right anterior thoracotomy (4-5 cm) and 23 patients were treated using a median sternotomy...
July 2018: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://www.readbyqxmd.com/read/30124587/magna-ease-versus-trifecta-early-hemodynamics-a-systematic-review-and-meta-analysis
#16
Bobby Yanagawa, Derrick Y Tam, Kathryn Hong, Amine Mazine, Akshay Bagai, Nazgol Kafaei Shahbaz, Maral Ouzounian, Subodh Verma
OBJECTIVE: This meta-analysis compares the early echocardiographic outcomes of aortic valve replacement using the two most commonly implanted stented bioprostheses. METHODS: We searched MEDLINE and EMBASE databases until 2017 for studies comparing Magna or Magna Ease (Edwards Lifesciences, Irvine, CA USA) versus Trifecta (St Jude Medical, St. Paul, MN USA) aortic bioprosthetic valves. A random-effects meta-analysis was performed for the primary outcome of mean gradient on echocardiography and secondary outcomes of effective orifice area, indexed effective orifice area, and in-hospital mortality...
July 2018: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://www.readbyqxmd.com/read/30124586/silver-impregnated-dressing-does-not-decrease-incidence-of-surgical-site-infection-after-adult-cardiac-surgery
#17
Vignesh Raman, Kelly A Thompson-Brazill, Kathy Kane, Charles D Harr, Abdul G Chaudhry, Robert Merrill Hunter, Bryon J Boulton, William A Killinger, Judson B Williams
OBJECTIVE: Sternal wound infections complicate 1% to 8% of cardiac surgeries and carry significant morbidity. We investigated the utility of silver-impregnated dressing in decreasing sternal wound infections after sternotomy cases. METHODS: A single-institution cohort study was performed as part of a quality improvement trial of a new sternal dressing. Five hundred fifty-seven sternotomy cases were performed in 2015 with application of a traditional gauze dressing...
July 2018: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://www.readbyqxmd.com/read/30119056/the-paper-roll-a-simple-but-useful-tool-for-minimal-invasive-mitral-valve-repair-surgery
#18
Wilfried Wisser, Marie-Elisabeth Stelzmüller
During minimal invasive mitral valve repair, excessive valve tissue, as in myxomatous or Barlow disease, might be cumbersome to analyze and treat the subvalvular mitral valve apparatus. We developed a new, adaptive, flexible, and easy-to-use technique for better visualization of the subvalvular apparatus. After visualization of the mitral valve, a simple sterile paper ruler was curled up to a roll 1 cm in diameter and inserted through the mitral valve. By means of two endo forceps, the paper roll was uncurled to the desired diameter, thus pushing the valve leaflets away, allowing for a direct view onto the subvalvular apparatus...
July 2018: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://www.readbyqxmd.com/read/30119055/2017-best-manuscript-awards
#19
Ralph J Damiano
No abstract text is available yet for this article.
July 2018: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://www.readbyqxmd.com/read/30119054/single-stage-total-arch-replacement-with-open-stent-graft-for-kommerell-s-diverticulum-with-right-sided-aortic-arch
#20
Kohei Horikawa, Hiroyuki Nishi, Naosumi Sekiya, Mitsutomo Yamada, Toshiki Takahashi
We treated a 70-year-old patient with Kommerell's diverticulum associated with an aberrant left subclavian artery and right aortic arch using single-stage total arch replacement with a commercially available open stent graft through only a median sternotomy. A four-branched prosthetic graft was implanted after insertion of the open stent graft through the anastomotic site under moderate hypothermia and cardiopulmonary bypass with selective cerebral perfusion. The aberrant subclavian artery was occluded by coil embolization from the distal site and anatomically reconstructed from the prosthetic graft...
July 2018: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
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