keyword
https://read.qxmd.com/read/38426431/difference-between-cardiopulmonary-bypass-time-and-aortic-cross-clamping-time-as-a-predictor-of-complications-after-coronary-artery-bypass-grafting
#1
JOURNAL ARTICLE
Fabiano Gonçalves Jucá, Fabiane Letícia de Freitas, Maxim Goncharov, Daniella de Lima Pes, Maria Eduarda Coimbra Jucá, Luis Roberto Palma Dallan, Luiz Augusto Ferreira Lisboa, Fábio B Jatene, Omar Asdrúbal Vilca Mejia
INTRODUCTION: Along with cardiopulmonary bypass time, aortic cross-clamping time is directly related to the risk of complications after heart surgery. The influence of the time difference between cardiopulmonary bypass and cross-clamping times (TDC-C) remains poorly understood. OBJECTIVE: To assess the impact of cardiopulmonary bypass time in relation to cross-clamping time on immediate results after coronary artery bypass grafting in the Registro Paulista de Cirurgia Cardiovascular (REPLICCAR) II...
March 1, 2024: Brazilian Journal of Cardiovascular Surgery
https://read.qxmd.com/read/38422308/relationship-between-static-lung-compliance-and-extubation-failure-in-postoperative-cardiac-surgery-patients
#2
JOURNAL ARTICLE
Thais Bento Rudge Ramos, Luciana Castilho Figueiredo, Luiz Claudio Martins, Antonio Luis Eiras Falcão, Lígia Dos Santos Roceto Ratti, Orlando Petrucci, Desanka Dragosavac
BACKGROUND: Static lung compliance, which is seriously affected during surgery, can lead to respiratory failure and extubation failure, which is little explored in the decision to extubate after cardiac surgery. OBJECTIVE: To evaluate static lung compliance in the postoperative period of cardiac surgery and relate its possible reduction to cases of extubation failure in patients submitted to the fast-track method of extubation. METHODS: Patients undergoing cardiac surgery using cardiopulmonary bypass (CPB) at a state university hospital admitted to the ICU under sedation and residual block were included...
2024: Arquivos Brasileiros de Cardiologia
https://read.qxmd.com/read/38401703/surgical-aortic-valve-replacement-in-octogenarians-single-center-perioperative-outcomes-and-5-years-survival
#3
JOURNAL ARTICLE
Tiago R Velho, João Gonçalves, Rafael Maniés Pereira, Ricardo Ferreira, André Sena, Nádia Junqueira, Eurídice Ângelo, Nuno Carvalho Guerra, Mário Mendes, Ricardo Arruda Pereira, Ângelo Nobre
INTRODUCTION AND OBJECTIVES: Aortic stenosis is the most common valvular heart disease. The number of octogenarians proposed for intervention is growing due to increased lifespan. In this manuscript we aim to evaluate perioperative outcome and long-term survival after surgical aortic valve replacement (SAVR) in octogenarians, comparing patients with low surgical risk (EuroscoreII <4%) with intermediate-high risk (EuroscoreII ≥4%). METHODS: A retrospective observational single-center cohort study with 195 patients aged ≥80 years-old, who underwent SAVR between 2017-2021...
February 22, 2024: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
https://read.qxmd.com/read/38349204/data-driven-coaching-to-improve-statewide-outcomes-in-cabg-before-and-after-interventional-study
#4
JOURNAL ARTICLE
Omar A V Mejia, Gabrielle B Borgomoni, Fabiane Letícia de Freitas, Lucas S Furlán, Bianca Maria M Orlandi, Marcos G Tiveron, Pedro Gabriel M de B E Silva, Marcelo A Nakazone, Marco Antonio P de Oliveira, Valquíria P Campagnucci, Sharon-Lise Normand, Roger D Dias, Fábio B Jatene
BACKGROUND: The impact of quality improvement initiatives Program (QIP) on coronary artery bypass grafting surgery (CABG) remains scarce, despite improved outcomes in other surgical areas. This study aims to evaluate the impact of a package of QIP on mortality rates among patients undergoing CABG. MATERIALS AND METHODS: This prospective cohort study utilized data from the multicenter database Registro Paulista de Cirurgia Cardiovascular II (REPLICCAR II), spanning from July 2017 to June 2019...
February 13, 2024: International Journal of Surgery
https://read.qxmd.com/read/38133154/the-ii-brazilian-guidelines-for-the-pharmacological-treatment-of-patients-hospitalized-with-covid-19-joint-guidelines-of-the-associa%C3%A3-%C3%A3-o-brasileira-de-medicina-de-emerg%C3%A3%C2%AAncia-associa%C3%A3-%C3%A3-o-de-medicina-intensiva-brasileira-associa%C3%A3-%C3%A3-o-m%C3%A3-dica-brasileira-sociedade
#5
JOURNAL ARTICLE
Maicon Falavigna, Cintia Laura Pereira de Araujo, Alexandre Naime Barbosa, Karlyse Claudino Belli, Verônica Colpani, Felipe Dal-Pizzol, Rosemeri Maurici da Silva, Luciano César Pontes de Azevedo, Maria Beatriz Souza Dias, José Luiz Gomes do Amaral, Gilson Pires Dorneles, Juliana Carvalho Ferreira, Ana Paula da Rocha Freitas, Débora Dalmas Gräf, Hélio Penna Guimarães, Suzana Margareth Ajeje Lobo, Flávia Ribeiro Machado, Michelle Silva Nunes, Maura Salaroli de Oliveira, Suena Medeiros Parahiba, Regis Goulart Rosa, Vania Cristina Canuto Santos, Marcone Lima Sobreira, Viviane Cordeiro Veiga, Ricardo Machado Xavier, Alexandre Prehn Zavascki, Cinara Stein, Carlos Roberto Ribeiro de Carvalho
OBJECTIVE: To update the recommendations to support decisions regarding the pharmacological treatment of patients hospitalized with COVID-19 in Brazil. METHODS: Experts, including representatives of the Ministry of Health and methodologists, created this guideline. The method used for the rapid development of guidelines was based on the adoption and/or adaptation of existing international guidelines (GRADE ADOLOPMENT) and supported by the e-COVID-19 RecMap platform...
2023: Crit Care Sci
https://read.qxmd.com/read/38126444/risk-factors-for-surgical-site-infection-in-patients-undergoing-pediatric-cardiac-surgery
#6
JOURNAL ARTICLE
Anna Christina de Lima Ribeiro, Rinaldo Focaccia Siciliano, Antonio Augusto Lopes, Tania Mara Varejão Strabelli
BACKGROUND: Central Illustration : Risk Factors for Surgical Site Infection in Patients Undergoing Pediatric Cardiac Surgery Risk factors for surgical site infection in patients undergoing pediatric cardiac surgery. BACKGROUND: Surgical site infection is an important complication after pediatric cardiac surgery, associated with increased morbidity and mortality. OBJECTIVES: We sought to identify risk factors for surgical site infection after pediatric cardiac surgeries...
December 2023: Arquivos Brasileiros de Cardiologia
https://read.qxmd.com/read/38003865/network-based-in-silico-analysis-of-new-combinations-of-modern-drug-targets-with-methotrexate-for-response-based-treatment-of-rheumatoid-arthritis
#7
REVIEW
Marjan Assefi, Kai-Uwe Lewandrowski, Morgan Lorio, Rossano Kepler Alvim Fiorelli, Stefan Landgraeber, Alireza Sharafshah
BACKGROUND: Methotrexate (MTX), sulfonamides, hydroxychloroquine, and leflunomide have consistently resulted in remission with relatively mild to moderate adverse effects in patients with rheumatoid arthritis (RA). Modern medications outperform traditional treatments in that they target the pathological processes that underlie the development of RA. METHODS: Following PRISMA guidelines, the authors accomplished a systematic review of the clinical efficacy of RA drugs, including the biologics such as Tumor Necrosis Factor-alpha inhibitors (TNF-α i) like Etanercept, Infliximab, Golimumab, and Adalimumab, kinase inhibitors (JAK inhibitors including Baricitinib and Tofacitanib), SyK inhibitors like Fos-tamatinib, MAPK inhibitors such as Talmapimod, T-cell inhibitors (Abatacept), IL6 blockers (Tocilizumab), and B cells depleters (Rituximab)...
October 29, 2023: Journal of Personalized Medicine
https://read.qxmd.com/read/37944922/iron-deficiency-anemia-in-pregnancy-after-bariatric-surgery-etiology-risk-factors-and-how-to-manage-it
#8
JOURNAL ARTICLE
Carolina de Freitas Alves Amaral-Moreira, Guilherme Redezuk, Belmiro Gonçalves Pereira, Anderson Borovac-Pinheiro, Patricia Moretti Rehder
OBJECTIVE:  Pregnancy after bariatric surgery is a reality of the 21st century and therefore is essential that all obstetricians know how to manage it. The most prevalent nutritional deficiency is iron deficiency and, consequently, anemia. Although bariatric surgery and pregnancy are already risk factors for anemia, we evaluated in our study if there were any other risk factors and actions to improve hemoglobin levels in this population. METHODS:  We performed a retrospective cohort study, and performed frequency measurements and analyzes of odds ratio, X2 and Fisher exact test to evaluate the risk factors...
October 2023: Revista Brasileira de Ginecologia e Obstetrícia
https://read.qxmd.com/read/37908520/bristow-latarjet-surgery-a-current-overview-in-brazil
#9
JOURNAL ARTICLE
Bruno Vierno de Araujo, Paulo Henrique Schmidt Lara, Alberto de Castro Pochini, Benno Ejnisman, Eduardo Antônio de Figueiredo, Paulo Santoro Belangero
Objective  To provide a current overview of the Bristow-Latarjet surgery in Brazil. Materials and Methods  This cross-sectional study was based on an electronic questionnaire with 26 items, which was sent to active members of the Brazilian Society of Shoulder and Elbow Surgery (Sociedade Brasileira de Cirurgia do Ombro e Cotovelo, SBCOC, in Portuguese). The questionnaire addressed training, surgical technique, complications, and postoperative management. Results  We sent the questionnaire to 845 specialists from April 20 to May 12, 2021, and 310 of them answered i in full...
October 2023: Revista Brasileira de Ortopedia
https://read.qxmd.com/read/37793405/neuropsychology-of-epilepsy-surgery-and-theory-based-practice-an-opinion-review
#10
JOURNAL ARTICLE
Panayiotis Patrikelis, Lambros Messinis, Vasileios Kimiskidis, Stylianos Gatzonis
The present review attempts to discuss how some of the central concepts from the Lurian corpus of theories are relevant to the modern neuropsychology of epilepsy and epilepsy surgery. Through the lenses of the main Lurian concepts (such as the qualitative syndrome analysis), we discuss the barriers to clinical reasoning imposed by quadrant-based views of the brain, or even atheoretical, statistically-based and data-driven approaches. We further advice towards a systemic view inspired by Luria's clinical work and theorizing, given their importance towards our clinical practice, by contrasting it to the modular views when appropriate...
September 2023: Arquivos de Neuro-psiquiatria
https://read.qxmd.com/read/37466618/comparison-of-cardioplegic-solutions-in-coronary-bypass-surgery-over-autophagy-and-apoptosis-mechanisms
#11
JOURNAL ARTICLE
Elif Funda Sener, Zuhal Hamurcu, Serpil Taheri, Reyhan Tahtasakal, Nesrin Delibasi, Deniz Elcik, Ecmel Mehmetbeyoglu, Aydin Tuncay, Fatma Dal, Keziban Korkmaz Bayram, Isın Gunes, Omer Naci Emirogullari
BACKGROUND: Coronary artery disease (CAD) due to myocardial ischemia causes permanent loss of heart tissue. OBJECTIVES: We aimed to demonstrate the possible damage to the myocardium at the molecular level through the mechanisms of autophagy and apoptosis in coronary bypass surgery patients. METHODS: One group was administered a Custodiol cardioplegia solution, and the other group was administered a Blood cardioplegia solution. Two myocardial samples were collected from each patient during the operation, just before cardiac arrest and after the aortic cross-clamp was released...
June 2023: Arquivos Brasileiros de Cardiologia
https://read.qxmd.com/read/37072084/the-evolution-of-management-of-type-b-aortic-dissection-in-a-series-of-100-consecutive-cases-in-a-tertiary-center
#12
JOURNAL ARTICLE
Alice Lopes, Luís Mendes Pedro, Ryan Gouveia E Melo, Mariana Moutinho, Gonçalo Sobrinho, Pedro Amorim, Luís Silvestre, Ruy Fernandes E Fernandes, Augusto Ministro, Carlos Martins, Ana Gomes Almeida, Ângelo Nobre, Fausto Pinto, José Fernandes E Fernandes
INTRODUCTION AND OBJECTIVES: Management of aortic dissection is rapidly evolving. The present study aims to assess paradigm shifts in type B aortic dissection (TBAD) treatment modalities and their outcomes according to clinical presentation and type of treatment. We also aim to assess the impact of endovascular technology in TBAD management in order to define organizational strategies to provide an integrated cardiovascular approach. METHODS: We performed a retrospective review with descriptive analysis of the last 100 consecutive patients with TBAD admitted to the Vascular Surgery Department of Centro Hospitalar Universitário Lisboa Norte over a 16-year period...
July 2023: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
https://read.qxmd.com/read/37042876/multi-arterial-grafting-in-surgical-coronary-revascularization-the-renewed-quest-for-enhanced-outcomes
#13
EDITORIAL
Walter J Gomes
No abstract text is available yet for this article.
April 7, 2023: Arquivos Brasileiros de Cardiologia
https://read.qxmd.com/read/37042855/overexpression-of-the-pten-gene-in-myocardial-tissues-of-coronary-bypass-surgery-patients
#14
JOURNAL ARTICLE
Reyhan Tahtasakal, Elif Funda Sener, Nesrin Delibasi, Zuhal Hamurcu, Ecmel Mehmetbeyoglu, Keziban Korkmaz Bayram, Isin Gunes, Dincer Goksuluk, Omer Naci Emirogullari
BACKGROUND: Coronary artery disease is a complex disorder that causes death worldwide. One of the genes involved in developing this disease may be PTEN. OBJECTIVES: This study aimed to investigate the PTEN gene and protein expression in tissue and blood samples taken from coronary bypass surgery patients. METHODS: Molecular studies were performed at Erciyes University Genome and Stem Cell Center (GENKOK). Right atrial appendage and blood samples were taken from the central vein of 22 coronary bypass surgery patients before starting and ending cardiopulmonary bypass...
2023: Arquivos Brasileiros de Cardiologia
https://read.qxmd.com/read/37019280/repair-of-a-gigantic-ascending-aortic-pseudoaneurysm-a-challenging-approach
#15
Sara Ranchordás, Sara Guerreiro, Márcio Madeira, Manuel Canada, José Pedro Neves
Aortic pseudoaneurysms can be a potentially fatal, yet rare, complication of heart surgery. Surgery is indicated but is high risk during sternotomy. Therefore, careful planning is required. We report the case of a 57-year-old patient who has undergone heart surgery twice in the past and who presented with an ascending aortic pseudoaneurysm. A successful repair of the pseudoaneurysm was performed under deep hypothermia, left ventricular apical venting, periods of circulatory arrest and endoaortic balloon occlusion...
April 3, 2023: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
https://read.qxmd.com/read/36958582/percutaneous-versus-surgical-revascularization-of-unprotected-left-main-coronary-artery-data-from-the-portuguese-registry-of-acute-coronary-syndromes-proacs
#16
JOURNAL ARTICLE
Ana Rita Pereira, Rita Calé, Alexandra Briosa, João Grade Santos, Daniel Sebaiti, Mariana Martinho, Bárbara Ferreira, Ana Marques, Sofia Alegria, Ana Catarina Gomes, Gonçalo Morgado, Ana Cristina Martins, Hélder Pereira
BACKGROUND: In acute coronary syndromes (ACS), the optimal revascularization strategy for unprotected left main coronary artery (ULMCA) culprit lesion has been under-investigated. Therefore, we compared clinical characteristics and short- and medium-term outcomes of percutaneous and surgical revascularization in ACS. METHODS AND RESULTS: Of 31 886 patients enrolled in a multicenter, national, prospective registry study between October 2010 and December 2020, 246 (0...
March 21, 2023: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
https://read.qxmd.com/read/36946859/immediate-results-after-multiple-arterial-grafts-in-coronary-artery-bypass-graft-surgery-in-the-s%C3%A3-o-paulo-state-cross-cohort-study
#17
JOURNAL ARTICLE
Raúl Armando Micalay Paredes, Gabrielle Barbosa Borgomoni, Anny Kátia Puchalski Micalay, José Carlos Arteaga Camacho, Luís Roberto Palma Dallan, Luiz Augusto Ferreira Lisboa, Luís Alberto de Oliveira Dallan, Omar Asdrúbal Vilca Mejia
BACKGROUND: The short-term results after using arterial grafts still raise questions and doubts for medical society. OBJECTIVE: To compare the immediate outcomes of patients undergoing single arterial graft versus multiple arterial grafts coronary artery bypass grafting surgery. METHODS: Cross-sectional cohort study in the São Paulo Registry of Cardiovascular Surgery II (REPLICCAR II). Perioperative data from 3122 patients were grouped by the number of arterial grafts used, and their outcomes were compared: reoperation, deep sternal wound infection (DSWI), stroke, acute kidney injury, prolonged intubation (>24 hours), short hospital stay (<6 days), prolonged hospital stay (>14 days), morbidity and mortality...
March 2023: Arquivos Brasileiros de Cardiologia
https://read.qxmd.com/read/36946858/infective-endocarditis-surgery-insights-from-328-patients-operated-in-a-university-tertiary-hospital
#18
JOURNAL ARTICLE
Marcelo Serafim Jorge, Alfredo J Rodrigues, Walter Vilella A Vicente, Paulo Roberto B Evora
BACKGROUND: Infectious endocarditis (IE) refers to infection of the endocardial surface of the heart and usually occurs in native or prosthetic valves. OBJECTIVE: This study aimed to raise IE data reflecting the surgical therapy in a University Hospital in the interior of the State of Sao Paulo-Brazil. METHOD: Retrospective and observational approach of 328 patients with IE who underwent surgery between 1982 and 2020. RESULTS: The main data (n=121/37%), congestive heart failure (n=114/35%), valve disease (n=92/28%), diabetes mellitus (n=85/26%), chronic kidney disease (n=59/18%), and rheumatic fever (49/15%)...
March 2023: Arquivos Brasileiros de Cardiologia
https://read.qxmd.com/read/36888779/secondary-pharmacological-prevention-of-coronary-artery-disease-among-patients-submitted-to-clinical-management-percutaneous-coronary-intervention-or-coronary-artery-bypass-graft-surgery
#19
JOURNAL ARTICLE
Marcelo B Lucca, Felipe C Fuchs, Adriana S Almeida, Marco V Wainstein, Flavio D Fuchs, Sandra C Fuchs
BACKGROUND: Secondary prevention is recommended for patients with evidence of coronary artery disease (CAD) regardless of the indication for treatment by coronary artery bypass graft surgery (CABG) or percutaneous coronary intervention (PCI). OBJECTIVES: This study evaluated whether clinical treatment, PCI or CABG had an influence on adherence to the pharmacological secondary prevention in patients with stable CAD. METHODS: This cohort included patients aged ≥40 years with stable CAD confirmed by coronary angiography...
February 2023: Arquivos Brasileiros de Cardiologia
https://read.qxmd.com/read/36856248/from-volume-to-value-creation-in-cardiac-surgery-what-is-needed-to-get-off-the-ground-in-brazil
#20
EDITORIAL
Omar Asdrúbal Vilca Mejia, Fabio Biscegli Jatene
No abstract text is available yet for this article.
February 27, 2023: Arquivos Brasileiros de Cardiologia
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