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https://www.readbyqxmd.com/read/29451075/short-term-outcomes-of-preoperative-intra-aortic-balloon-pump-use-in-patients-undergoing-adjunctive-coronary-endarterectomy-a-retrospective-observational-study
#1
Liangshan Wang, Xing Hao, Xiaomeng Wang, Chengxiong Gu, Hong Wang, Xiaotong Hou
BACKGROUND: Coronary artery bypass grafting (CABG) combined with coronary endarterectomy (CE) can be associated with high operative mortality and morbidity. An intra-aortic balloon pump (IABP) has been the most widely used mechanical circulatory support device during perfusion treatment. However, the benefits of preoperative IABP in CABG combined with CE remain unknown. We conducted a retrospective observational study to evaluate the efficacy of preoperative IABP therapy in patients undergoing adjunctive right coronary artery (RCA) endarterectomy...
February 1, 2018: Perfusion
https://www.readbyqxmd.com/read/29447780/nonprimary-pci-at-hospitals-without-cardiac-surgery-on-site-consistent-outcomes-for-all
#2
Matthew J Czarny, Julie M Miller, Daniel Q Naiman, Chao-Wei Hwang, Rani K Hasan, Cynthia C Lemmon, Thomas Aversano
BACKGROUND: The CPORT-E trial showed the noninferiority of nonprimary percutaneous coronary intervention (PCI) at hospitals without cardiac surgery on-site (SoS) compared with hospitals with SoS for 6-week mortality and 9-month major adverse cardiac events (MACE). However, target vessel revascularization (TVR) was increased at non-SoS hospitals. Therefore, we aimed to determine the consistency of the CPORT-E trial findings across the spectrum of enrolled patients. METHODS: Post hoc subgroup analyses of 6-week mortality and 9-month MACE, defined as the composite of death, Q-wave myocardial infarction, or TVR, were performed...
March 2018: American Heart Journal
https://www.readbyqxmd.com/read/29443740/clinical-outcomes-of-left-main-coronary-artery-disease-patients-undergoing-three-different-revascularization-approaches
#3
Chieh-Shou Su, Yu-Wei Chen, Ching-Hui Shen, Tsun-Jui Liu, Yen Chang, Wen-Lieng Lee
Significant unprotected left main (LM) coronary artery disease is frequently associated with severe multivessel disease and increased mortality and morbidity compared with non-LM coronary artery disease. This study compared the clinical outcomes of patients with LM disease who received percutaneous coronary intervention (PCI) with stenting, conventional coronary-artery bypass grafting (C-CABG), and robot-assisted CABG (R-CABG).This retrospective study analyzed 472 consecutive LM disease patients who underwent three different revascularization approaches at a tertiary medical center between January 2005 and November 2013...
February 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29423774/revision-prognostic-impact-of-baseline-glucose-levels-in-acute-myocardial-infarction-complicated-by-cardiogenic-shock-a-substudy-of-the-iabp-shock-ii-trial
#4
Amr Abdin, Janine Pöss, Georg Fuernau, Taoufik Ouarrak, Steffen Desch, Ingo Eitel, Suzanne de Waha, Uwe Zeymer, Michael Böhm, Holger Thiele
BACKGROUND: Limited data from observational retrospective studies suggest an association between glucose levels and prognosis of patients with cardiogenic shock (CS). The aim of this study was to investigate the prognostic role of glucose at admission in patients with acute myocardial infarction (AMI) complicated by CS included in the largest CS trial to date, the Intraaortic Balloon Pump in Cardiogenic Shock II (IABP-SHOCK II) trial. METHODS AND RESULTS: In the IABP-SHOCK II-trial, patients with CS complicating AMI undergoing early revascularization were randomized to a therapy with vs...
February 8, 2018: Clinical Research in Cardiology: Official Journal of the German Cardiac Society
https://www.readbyqxmd.com/read/29420842/acute-myocardial-infarction-complicated-with-ventricular-septal-rupture-and-intracranial-hemorrhage
#5
Munevver Sari, Gokhan Kahveci, Alev Kilicgedik, Mehmet Ayturk, Selcuk Pala
Ventricular septal rupture (VSR) is a rare but fatal complication of acute myocardial infarction (AMI) with an associated mortality that ranges from 41% to 80%. The treatment consists of supplemental oxygenation, afterload reduction, intraaortic balloon pump, and surgical repair. In selected patients, extracorporeal membrane oxygenation (ECMO) and/or percutaneous closure of the defect can be considered if anatomically appropriate. Echocardiography evaluates the morphology and location of the defect, anatomical concerns for percutaneous closure, and accompanying pathologies...
February 8, 2018: Echocardiography
https://www.readbyqxmd.com/read/29416868/clinical-outcomes-of-patients-undergoing-primary-percutaneous-coronary-intervention-for-acute-myocardial-infarction-requiring-the-intensive-care-unit
#6
Ken Parhar, Victoria Millar, Vasileios Zochios, Emilia Bruton, Catherine Jaworksi, Nick West, Alain Vuylsteke
Background: Outcomes for patients with ST-segment elevation myocardial infarction continue to improve, largely due to timely provision of reperfusion by primary percutaneous coronary intervention (PPCI). However, despite prompt and successful PPCI, a small proportion of patients require ventilatory and hemodynamic support in an intensive care unit (ICU). The outcome of these patients remains poorly defined. Methods: A retrospective review of all consecutive admissions post-PPCI pathway to a single ICU between January 2009 and May 2014 was performed...
2018: Journal of Intensive Care
https://www.readbyqxmd.com/read/29404355/when-more-is-not-better-appropriately-excluding-patients-from-mechanical-circulatory-support-therapy
#7
REVIEW
Mannu Nayyar, Kevin Michael Donovan, Rami N Khouzam
Mechanical circulatory support (MCS) devices are continually evolving and are providing greater hemodynamic support. This review was conducted to evaluate the prophylactic use of MCS in hemodynamically stable patients who were awaiting future coronary artery revascularization. A thorough review of published literature was conducted to evaluate for patients and clinical scenarios that are indicated for MCS, including hemodynamically stable and unstable patients awaiting revascularization. Although there have been several studies demonstrating the benefit of MCS use in hemodynamically unstable patients, there was limited trials in patients that were hemodynamically stable...
January 2018: Annals of Translational Medicine
https://www.readbyqxmd.com/read/29404349/impact-of-family-history-of-coronary-artery-disease-on-in-hospital-clinical-outcomes-in-st-segment-myocardial-infarction
#8
Manyoo A Agarwal, Lohit Garg, Carl J Lavie, Guy L Reed, Rami N Khouzam
Background: Patients with a family history of coronary artery disease (FHxCAD) are at increased risk for development of myocardial infarction (MI). However, the data on the influence of FHxCAD on in-hospital clinical outcomes post ST-segment myocardial infarction (STEMI) is limited. Hence, we evaluated the impact of FHxCAD on in-hospital clinical outcomes post STEMI in an unselected nationwide cohort. Methods: Nationwide Inpatient Sample (NIS) database [2003-2011] was used to compare differences in all-cause in-hospital mortality and adverse clinical events (cardiogenic shock, acute cerebrovascular events and use of intra-aortic balloon pump) between patients with and without FHxCAD...
January 2018: Annals of Translational Medicine
https://www.readbyqxmd.com/read/29402690/outcomes-of-heart-block-in-myocarditis-a-review-of-31-760-patients
#9
Gbolahan O Ogunbayo, Samy-Claude Elayi, Le Dung Ha, Odunayo Olorunfemi, Ayman Elbadawi, Deola Saheed, Vincent L Sorrell
BACKGROUND: Various electrocardiographic abnormalities, including atrioventricular conduction block, have been reported in patients with myocarditis. We performed an observation study to describe the characteristics and outcomes of inpatients diagnosed with myocarditis complicated by heart block (HB) in a large national cohort. METHODS: We identified patients with primary ICD-9 codes for myocarditis HB from the Nationwide Inpatient Survey (NIS) Database from 1998 to 2013...
December 24, 2017: Heart, Lung & Circulation
https://www.readbyqxmd.com/read/29400657/national-trends-predictors-of-use-and-in-hospital-outcomes-in-the-mechanical-circulatory-support-for-cardiogenic-shock
#10
Jordan B Strom, Yuansong Zhao, Changyu Shen, Mabel Chung, Duane S Pinto, Jeffrey J Popma, Robert W Yeh
AIMS: Despite rising rates of cardiogenic shock (CS), data on trends and in-hospital outcomes of shortterm non-durable mechanical circulatory support (MCS) are limited. METHODS AND RESULTS: Hospitalizations of US adults with a discharge diagnosis of CS, 1/1/2004- 12/31/2014, in the National Inpatient Sample, were included. Rates of MCS were stratified by device type and clinical presentation. Outcomes included in-hospital mortality, hospitalization costs, and number of procedures...
February 6, 2018: EuroIntervention
https://www.readbyqxmd.com/read/29400656/outcome-after-revascularisation-of-acute-myocardial-infarction-with-cardiogenic-shock-on-extracorporeal-life-support
#11
Pavel Overtchouk, Julien Pascal, Guillaume Lebreton, Jean-Sebastien Hulot, Charles-Edouard Luyt, Alain Combes, Mathieu Kerneis, Johanne Silvain, Olvier Barthelemy, Pascal Leprince, Nicolas Brechot, Gilles Montalescot, Jean-Philippe Collet
AIMS: To identify independent correlates of survival in patients undergoing PCI for refractory cardiogenic shock due to myocardial infarction (RCS-MI) with need for extracorporeal life support (ECLS). METHOD AND RESULTS: This observational single-tertiary-centre study enrolled 106 consecutive patients (52.7±10.4 years) with ECLS placed before or after the PCI. Half of the patients had triple vessel disease and PCI was attempted whenever possible (74.5%). The 30-day mortality rate was 63...
February 6, 2018: EuroIntervention
https://www.readbyqxmd.com/read/29395828/4-valve-heart-disease-and-right-heart-failure
#12
McKenzie Hollon, Kathyrn Glas, Michele Sumler
Carcinoid heart disease is a rare form of heart disease due to secretion of vasoactive compounds, including serotonin, from gastrointestinal tumors. This E-challenge examines the case of a patient with advanced carcinoid heart disease who presented to the operating room (OR) for a tricuspid valve replacement. Once the patient was in the OR, intraoperative transesophageal echocardiography was used to discover a patent foramen ovale and involvement of all 4 valves with regurgitant lesions. The patient underwent tricuspid valve replacement, pulmonic valve replacement, right ventricular outflow tract reconstruction, and patent foramen closure in the OR and experienced subsequent fulminant right heart failure...
October 13, 2017: Journal of Cardiothoracic and Vascular Anesthesia
https://www.readbyqxmd.com/read/29395233/predictors-of-cardiogenic-shock-in-cardiac-surgery-patients-receiving-intra-aortic-balloon-pumps
#13
Amit Iyengar, Oh Jin Kwon, Katherine L Bailey, Adeel Ashfaq, Ayman Abdelkarim, Richard J Shemin, Peyman Benharash
BACKGROUND: Cardiogenic shock after cardiac surgery leads to severely increased mortality. Intra-aortic balloon pumps may be used during the preoperative period to increase coronary perfusion. The purpose of this study was to characterize predictors of postoperative cardiogenic shock in cardiac surgery patients with and without intra-aortic balloon pumps support. METHODS: We performed a retrospective analysis of our institutional database of the Society of Thoracic Surgeons for patients operated between January 2008 to July 2015...
January 23, 2018: Surgery
https://www.readbyqxmd.com/read/29394853/-gastrectomy-with-intra-aortic-balloon-pumping-support-for-a-hemorrhagic-advanced-gastric-cancer-patient-with-severe-coronary-stenosis
#14
Takuya Hamakawa, Kazuhiro Nishikawa, Motohiro Hirao, Kei Yamamoto, Ayako Fujiwara, Sakae Maeda, Mamoru Uemura, Masakazu Miyake, Naoki Hama, Atsushi Miyamoto, Michihiko Miyazaki, Takeshi Kato, Koji Takami, Shoji Nakamori, Mitsugu Sekimoto
Here we report a case of a hemorrhagic gastric cancer patient with severe coronary artery disease, in whom the cancer was successfully resected with the support of intra-aortic balloon pumping(IABP). An 80-year-old man was referred to our hospital for further examination of his anemia and tumor around the pancreatic head. He was diagnosed with type 3 gastric cancer with multiple bulky lymph node metastases invadingto the pancreas(cT4b[LN-Panc], N3a, M1[LYM No.16a2int], cStage IV ). Tarry stools continued and blood transfusion was repeatedly required...
November 2017: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29384472/montreal-electronic-artificial-urinary-sphincters-our-futuristic-alternatives-to-the-ams800%C3%A2
#15
Xavier Biardeau, Sami Hached, Oleg Loutochin, Lysanne Campeau, Mohamad Sawan, Jacques Corcos
INTRODUCTION: We aimed to present three novel remotely controlled hydromechanical artificial urinary sphincters (AUSs) and report their in-vitro and ex-vivo results. METHODS: We successively developed three distinct hydromechanical AUSs on the basis of the existing AMS800™ device by incorporating an electronic pump. No changes were made to the cuff and balloon. The AUS#1 was designed as an electromagnetically controlled device. The AUS#2 and AUS#3 were conceived as Bluetooth 2...
October 2017: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
https://www.readbyqxmd.com/read/29382393/modified-double-patch-repair-with-infarct-exclusion-technique-for-ventricular-septal-perforation-a-case-study
#16
Takuma Yamasaki, Shuhei Fujita, Yuji Kaku, Junko Katagiri, Takeshi Hiramatsu
BACKGROUND: Ventricular septal perforation (VSP) after acute myocardial infarction (AMI) is accompanied by the worsening of rapid hemodynamics, resulting in a poor prognosis. In our department, infarct lesions are preoperatively detected with electrocardiogram (ECG)-synchronized contrast computed tomography, and the scope of approach and exclusion is determined. Furthermore, to effectively prevent a residual shunt, modified double patch repair and infarct exclusion techniques were used in combination to preserve left ventricular (LV) function...
January 30, 2018: Journal of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/29374934/-status-of-intra-aortic-balloon-pump-application-and-related-factors-in-chinese-patients-with-acute-myocardial-infarction
#17
N Q Wu, Z Gao, Y Zheng, W Li, J N Li, H Y Xu, X S Cheng, Y Wu, Y Wang, Z J Wang, J G Yang, Y J Yang
Objective: To investigate the current status of application of intra-aortic balloon pump(IABP) and analyze the factors which might impact the application of IABP in patients with acute myocardial infarction complicated with cardiac shock in China. Methods: In China Acute Myocardial Infarction (CAMI) Registry,a nationwide, multicenter(107 hospitals), prospective study, 26 592 patients with acute myocardial infarction were enrolled consecutively between January 1, 2013 and September 30, 2014. After excluding of 30 cases due to missing important data,26 562 cases were analyzed...
January 24, 2018: Zhonghua Xin Xue Guan Bing za Zhi
https://www.readbyqxmd.com/read/29373223/factors-associated-with-pulmonary-dysfunction-in-patients-undergoing-coronary-artery-bypass-graft-surgery-with-use-of-intra-aortic-balloon-pump
#18
Helena Amaral Gonçalves Fusatto, Luciana Castilho de Figueiredo, Ana Paula Ragonete Dos Anjos Agostini, Melissa Sibinelli, Desanka Dragosavac
OBJECTIVE: The aim of this study was to identify pulmonary dysfunction and factors associated with prolonged mechanical ventilation, hospital stay, weaning failure and mortality in patients undergoing coronary artery bypass grafting with use of intra-aortic balloon pump (IABP). METHODS: This observational study analyzed respiratory, surgical, clinical and demographic variables and related them to outcomes. RESULTS: We analyzed 39 patients with a mean age of 61...
January 16, 2018: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
https://www.readbyqxmd.com/read/29360066/perkat%C3%A2-rv-first-in-vivo-data-of-a-novel-right-heart-assist-device
#19
Daniel Kretzschmar, Alexander Lauten, Harald Schubert, Sabine Bischoff, Christian Schulze, Markus W Ferrari
AIMS: Mechanical right ventricular (RV) support offers a treatment option for critically ill patients with RV failure (RVF). We developed an assist device for rapid percutaneous implantation. METHODS AND RESULTS: The PERKAT® RV ("PERkutane KATheterpumptechnologie") device consists of a nitinol chamber covered by foils containing inflow valves. An outlet tube is attached to its distal part. The system is designed for 18F percutaneous implantation. The chamber is unfolded in the inferior vena cava while the outlet tube bypasses the right heart with the tip in the pulmonary trunk...
January 23, 2018: EuroIntervention
https://www.readbyqxmd.com/read/29355988/variation-in-practice-patterns-and-outcomes-across-united-network-for-organ-sharing-allocation-regions
#20
Dushyanth Srinivasan, Benjamin Vaccaro, Pooja Rao, Rohit Ghosh, Prashant Warier, Tariq Ahmad, Nihar Desai
BACKGROUND: The number of heart transplants performed is limited by organ availability and is managed by the United Network for Organ Sharing (UNOS). Efforts are underway to make organ disbursement more equitable as demand increases. HYPOTHESIS: Significant variation exists in contemporary patterns of care, wait times, and outcomes among patients undergoing heart transplantation across UNOS regions. METHODS: We identified adult patients undergoing first, single-organ heart transplantation between January 2006 and December 2014 in the UNOS dataset and compared sociodemographic and clinical profiles, wait times, use of mechanical circulatory support (MCS), status at time of transplantation, and 1-year survival across UNOS regions...
January 22, 2018: Clinical Cardiology
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