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Cardiology Surgery

Suk Jung Choo, Sung Ho Shinn, Kyung Hwan Kim, Wook Sung Kim, Sam-Sae Oh, Sak Lee
Background: Analyses of the efficacy and safety of transcatheter aortic valve replacement (TAVR) in most countries have been based on outcomes obtained in accordance with national practice guidelines and monitoring protocols. The purpose of this study is to share our experience regarding the process for establishing guidelines and monitoring protocols for the use of TAVR in Korea, in the hopes that it may be helpful to others undergoing a similar process in their own country. Methods: The Korean guidelines for TAVR were established on June 1, 2015 in through a tri-party agreement involving the Department of Health and Welfare, the Korean Society of Thoracic and Cardiovascular Surgery and the Korean Society of Cardiology...
August 2018: Korean Journal of Thoracic and Cardiovascular Surgery
Naokata Sumitomo, Reizo Baba, Shozaburo Doi, Takashi Higaki, Hitoshi Horigome, Fukiko Ichida, Hiromi Ishikawa, Mari Iwamoto, Naomi Izumida, Yuji Kasamaki, Keisuke Kuga, Yoshihide Mitani, Haruki Musha, Toshio Nakanishi, Masao Yoshinaga, Katsumi Abe, Mamoru Ayusawa, Tatsunori Hokosaki, Taichi Kato, Yoshiaki Kato, Kunio Ohta, Hirofumi Sawada, Hiroya Ushinohama, Shigeki Yoshiba, Hirotsugu Atarashi, Atsushi Hirayama, Minoru Horie, Masami Nagashima, Koichiro Niwa, Shunichi Ogawa, Ken Okumura, Hiroyuki Tsutsui
No abstract text is available yet for this article.
August 11, 2018: Circulation Journal: Official Journal of the Japanese Circulation Society
Benjamin Khechen, Brittany E Haws, Mundeep S Bawa, Dil V Patel, Kaitlyn L Cardinal, Jordan A Guntin, Simon P Lalehzarian, Kern Singh
STUDY DESIGN: Retrospective Cohort OBJECTIVE.: To determine if comorbidity as determined by Charlson Comorbidity Index (CCI) is associated with inpatient complication rate, length of stay (LOS), or direct hospital costs after minimally-invasive transforaminal lumbar interbody fusion (MIS-TLIF). SUMMARY OF BACKGROUND DATA: In the spine literature, comorbidity burden has been associated with an increased risk for complications, prolonged LOS, and greater hospital costs...
August 7, 2018: Spine
Duk-Woo Park, Jung-Min Ahn, Seung-Jung Park, David P Taggart
Although coronary-artery bypass grafting (CABG) is the standard choice of revascularization for significant left main coronary artery (LMCA) disease, percutaneous coronary intervention (PCI) for LMCA disease has been widely expanded with adoption of drug-eluting stents (DES). Several small- and moderate-sized trials of CABG and first-generation DES showed that PCI might be a good alternative for selected patients with LMCA disease. However, these early trials were relatively underpowered and comparative results of contemporary DES and CABG were clearly required...
July 2018: Annals of Cardiothoracic Surgery
Annarita Pilleri, Maurizio Giuseppe Abrignani, Fabio Angeli, Paolo Fontanive, Paolo Silvestri, Gian Francesco Mureddu
BACKGROUND: Cardiovascular risk stratification and perioperative management of subjects undergoing non-cardiac surgery have recently been updated in the 2014 European Society of Cardiology guidelines. Nevertheless, and notwithstanding the epidemiological relevance of this condition, an underevaluation of the importance of perioperative risk stratification is a common feeling. METHODS: The ANMCO Cardiovascular Prevention Area organized, last year, a web-based survey with 15 questions to investigate perioperative management and care pathways in non-cardiac surgery and to evaluate guideline adherence of Italian cardiologists...
September 2018: Giornale Italiano di Cardiologia
Annop Lekhakul, Eric R Fenstad, Chalailak Assawakawintip, Sorin V Pislaru, Assefa M Ayalew, Joseph F Maalouf, Vuyisile T Nkomo, Jeremy Thaden, Jae K Oh, Larry J Sinak, Garvan C Kane
OBJECTIVE: As invasive cardiovascular care has become increasingly complex, cardiac perforation leading to hemopericardium is a progressively prevalent complication. We sought to assess the frequency, etiology, and outcomes of hemorrhagic pericardial effusions managed through a nonsurgical echo-guided percutaneous strategy. PATIENTS AND METHODS: Over a 10-year period (January 1, 2007, to December 31, 2016), 1097 unique patients required pericardiocentesis for clinically important pericardial effusions...
August 2018: Mayo Clinic Proceedings
Adam A Dalia, Jamel Ortoleva, Amy Fiedler, Mauricio Villavicencio, Ken Shelton, Gaston D Cudemus
OBJECTIVES: At the authors' institution, prior to 2014, patients requiring care in the peri-extracorporeal membrane oxygenation (ECMO) period were treated by intensivists with specific training in ECMO but worked independently. This isolated form of care was addressed in late 2013 with the formal initiation of an ECMO team. The authors wanted to assess the difference in overall mortality for ECMO patients cared for prior to the initiation of a multidisciplinary team compared to after its establishment...
June 20, 2018: Journal of Cardiothoracic and Vascular Anesthesia
Fan Wang, Mengyun Zhu, Xiaoyu Wang, Wei Zhang, Yang Su, Yuyan Lu, Xin Pan, Di Gao, Xianling Zhang, Wei Chen, Yawei Xu, Yuxi Sun, Dachun Xu
BACKGROUND: Left atrial appendage morphology has been proved to be an important predictor of left atrial thrombus (LAT) and left atrial spontaneous echo contrast (LASEC) and stroke in patients with non-valvular atrial fibrillation (NVAF). However, the relation between left atrial appendage (LAA) lobes and LAT or LASEC is still unknown. The aim of this study is to investigate the correlation between the number of left atrial appendage lobes and LAT/LASEC in patients with NVAF. METHODS: This monocentric cross-sectional study enrolled 472 consecutive patients with non-valvular atrial fibrillation, who had transthoracic echocardiography (TTE) and transesophageal echocardiography (TEE) prior to cardioversion or left atrial appendage closure (LAAC) from July 2009 to August 2015 in department of cardiology of Shanghai Tenth People's Hospital...
July 31, 2018: BMC Cardiovascular Disorders
Edin Begic, Zijo Begic, Dzenan Jahic, Enisa Hodzic
Aim: The aim of this paper was to present a 65 year old female patient with chronic heart disease, surgically treated for congenital heart defect type Tetralogy of Fallot. Case report: In the sixth year of life the patient underwent palliative Potts anastomosis surgery which created an anastomosis between the left pulmonary artery and the descending aorta. Total correction was made in 34 years of life, six months after catheterization, which indicated malignant pulmonary hypertension...
June 2018: Medical Archives
Stephanie Wu, Audrey Chai, Sandra Arimie, Anilkumar Mehra, Leonardo Clavijo, Ray V Matthews, David M Shavelle
BACKGROUND: Mitral regurgitation (MR) is a common valvular disorder, occurring in up to 10% of the general population. Although surgery is the established treatment for primary MR, many patients do not receive appropriate therapy. The objective of this study was to determine the incidence and treatment pattern of patients with severe MR evaluated at a tertiary medical center and determine factors associated with receiving surgery. METHODS: All patients with moderate-severe and severe MR undergoing transthoracic echocardiography from 2011 to 2016 were identified...
July 24, 2018: Cardiovascular Revascularization Medicine: Including Molecular Interventions
H P Wang, J H Shi, W Z Wang, L Zhang
Objective: Pulmonary metastatic angiosarcoma is a rare, fatal disease that often presents as diffuse alveolar hemorrhage(DAH). In this report, clinical characteristics of pulmonary metastatic angiosarcoma were retrospectively reviewed. Methods: A total of 9 patients with angiosarcoma who presented as DAH were enrolled. Clinical data included age, gender, symptoms, smoking status, physical exam findings, pulmonary function tests, and radiology. Results: All patients were male with median age 41 years(range, 22 to 57 years)...
August 1, 2018: Zhonghua Nei Ke za Zhi [Chinese Journal of Internal Medicine]
E Wierda, D C Eindhoven, M J Schalij, C J W Borleffs, G Amoroso, D van Veghel, C R Mitchell, B A J M de Mol, A Hirsch, M C Ploem
Context: Quality-of-care registries have been shown to improve quality of healthcare and should be facilitated and encouraged. The data of these registries are also very valuable for medical data research.<b >While fully acknowledging the importance of re-using already available data for research purposes, there are concerns about how the applicable privacy legislation is dealt with. These concerns are also articulated in the new European law on privacy, the 'General Data Protection Regulation' (GDPR) which has come into force on May 25th 2018...
July 30, 2018: European Heart Journal. Quality of Care & Clinical Outcomes
Jan D Schmitto, Yuriy Pya, Daniel Zimpfer, Thomas Krabatsch, Jens Garbade, Vivek Rao, Michiel Morshuis, Friedhelm Beyersdorf, Silvana Marasco, Poornima Sood, Laura Damme, Ivan Netuka
AIM: This study aimed to assess safety and outcomes of patients, 2 years after implantation with the HeartMate 3 Left Ventricular Assist System. METHODS AND RESULTS: This study included 50 adults with New York Heart Association (NYHA) class IIIB or IV symptoms or American College of Cardiology/American Heart Association stage D heart failure with an ejection fraction ≤25% and a cardiac index ≤2.2 L/min/m2 without inotropes, or inotrope-dependent with optimal medical management, or listed for heart transplant...
July 27, 2018: European Journal of Heart Failure
K McDowell, M C Petrie, N A Raihan, J Logue
OBJECTIVE: Obesity is an independent risk factor for the development of heart failure, and the two commonly co-exist. The European Society of Cardiology does not provide guidance regarding weight loss strategies in heart failure. The aim of this study was to systematically review the evidence for outcomes following intentional weight loss in patients with heart failure and obesity. METHOD: A systematic review of English articles was undertaken using databases PubMed, Embase and CENTRAL...
July 27, 2018: Obesity Reviews: An Official Journal of the International Association for the Study of Obesity
Basem B Abdelmalak, Alaa A Abd-Elsayed, Jarrod E Dalton, Joseph B Abdelmalak, John P Lawrence, D John Doyle, Martin J Schreiber, John W Sear
BACKGROUND: The association between preinduction blood pressure (BP) and postoperative outcomes after noncardiac surgery is poorly understood. Whether this association depends on the presence of risk factors for poor cardiovascular outcomes remains unclear. Accordingly, we evaluated the association between preinduction BP and its different components; isolated systolic hypertension (ISH) and wide pulse pressure (WPP), and postoperative complications in patients with and without revised cardiac risk index (RCRI) components...
July 23, 2018: Journal of Hypertension
Habib A Dakik, Wassef Karowni, Katia El-Sibai, Semaan Kobrossi, Karrar Abdul-Ameer, Hani Tamim
BACKGROUND: Little data are available on the impact of formal training and certification on the relationship between volumes and outcome in percutaneous coronary interventions (PCIs).The objective of this report is to study the relationship between PCI volume and outcome for a formally trained interventional cardiologist who is certified by the American Board on Internal Medicine - Interventional Cardiology subspecialty board. METHODS: The operator witnessed 3 different PCI volumes/yr over a 15-year practice period (2000-2014): <50 PCI/yr (years 2000-2006; n = 179), 50-100 PCI/yr (years 2007-2010; n = 256), and >100 PCI/yr (years 2011-2014; n = 427)...
September 2018: Critical Pathways in Cardiology
I Pylypko, O Halytska-Kharkhalis, T Henyk, N Flekey, N Panchyshyn
Portal hypertension is a constant companion of numerous diseases in gastroenterology, vascular surgery, cardiology, and hematology with grave consequences for the health and life of patients. The development of portal hypertension leads to significant violations of hemodynamics in the liver vessels and the development of arterial and venous hypertrophy, stasis of blood in the vessels of the portal tract. In the experiment on rats, portal hypertension was simulated in an original way with the following study of the peculiarities of morphological changes in the internal structure of the kidneys and gonads in males as a manifestation of a violation of systemic hemodynamics...
June 2018: Georgian Medical News
Kanutte Norderud, Gro Egholm, Troels Thim, Kevin Kris Warnakula Olesen, Morten Madsen, Lisette Okkels Jensen, Hans Erik Bøtker, Steen Dalby Kristensen, Michael Maeng
Aims: The current guidelines from the European Society of Cardiology and European Society of Anaesthesiology on non-cardiac surgery (ESC/ESA-NCS) divide surgical procedures into those associated with low (<1%), intermediate (1-5%), and high risk (>5%) of major adverse cardiac events (MACE). Evaluating surgical risk might be particularly appropriate in patients with recent stent implantation and thus we validated the ESC/ESA-NCS classification in patients undergoing NCS within 1 year after coronary drug-eluting stent (DES) implantation...
July 19, 2018: European Heart Journal. Quality of Care & Clinical Outcomes
Leo Lopez, Lucile Houyel, Steven D Colan, Robert H Anderson, Marie J Béland, Vera D Aiello, Frederique Bailliard, Meryl S Cohen, Jeffrey P Jacobs, Hiromi Kurosawa, Stephen P Sanders, Henry L Walters, Paul M Weinberg, Jeffrey R Boris, Andrew C Cook, Adrian Crucean, Allen D Everett, J William Gaynor, Jorge Giroud, Kristine J Guleserian, Marina L Hughes, Amy L Juraszek, Otto N Krogmann, Bohdan J Maruszewski, James D St Louis, Stephen P Seslar, Diane E Spicer, Shubhika Srivastava, Giovanni Stellin, Christo I Tchervenkov, Lianyi Wang, Rodney C G Franklin
The definition and classification of ventricular septal defects have been fraught with controversy. The International Society for Nomenclature of Paediatric and Congenital Heart Disease is a group of international specialists in pediatric cardiology, cardiac surgery, cardiac morphology, and cardiac pathology that has met annually for the past nine years in an effort to unify by consensus the divergent approaches to describe ventricular septal defects. These efforts have culminated in acceptance of the classification system by the World Health Organization into the 11th Iteration of the International Classification of Diseases (ICD-11)...
July 19, 2018: Annals of Thoracic Surgery
Joseph E Bavaria, Carl L Tommaso, Ralph G Brindis, John D Carroll, G Michael Deeb, Ted E Feldman, Thomas G Gleason, Eric M Horlick, Clifford J Kavinsky, Dharam J Kumbhani, D Craig Miller, A Allen Seals, David M Shahian, Richard J Shemin, Thoralf M Sundt, Vinod H Thourani
No abstract text is available yet for this article.
July 18, 2018: Journal of the American College of Cardiology
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