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https://www.readbyqxmd.com/read/29452368/validity-of-the-swedish-cardiac-surgery-registry
#1
Per Vikholm, Torbjörn Ivert, Johan Nilsson, Anders Holmgren, Wolfgang Freter, Lisa Ternström, Haider Ghaidan, Ulrik Sartipy, Christian Olsson, Hans Granfeldt, Sigurdur Ragnarsson, Örjan Friberg
OBJECTIVES: Our goal was to validate the Swedish Cardiac Surgery Registry by reviewing the reported cardiac operations to assess the completeness and quality of the registered data and the EuroSCORE II variables. METHODS: A total of 5837 cardiac operations were reported to the Swedish Cardiac Surgery Registry in Sweden during 2015. A randomly selected sample of 753 patient records (13%) was scrutinized by 3 surgeons at all 8 units in Sweden performing open cardiac surgery in adults...
February 14, 2018: Interactive Cardiovascular and Thoracic Surgery
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
#2
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/29447771/topographical-distribution-of-perioperative-cerebral-infarction-associated-with-transcatheter-aortic-valve-implantation
#3
Jonathon P Fanning, Allan J Wesley, Darren L Walters, Andrew A Wong, Adrian G Barnett, Wendy E Strugnell, David G Platts, John F Fraser
BACKGROUND: Transcatheter aortic valve implantation (TAVI) is associated with a high incidence of cerebrovascular injury. As these injuries are thought to be primarily embolic, neuroprotection strategies have focused on embolic protection devices. However, the topographical distribution of cerebral emboli and how this impacts on the effectiveness of these devices have not been thoroughly assessed. Here, we evaluated the anatomical characteristics of magnetic resonance imaging (MRI)-defined cerebral ischemic lesions occurring secondary to TAVI to enhance our understanding of the distribution of cardioembolic phenomena...
March 2018: American Heart Journal
https://www.readbyqxmd.com/read/29439738/dietary-inflammatory-index-a-potent-association-with-cardiovascular-risk-factors-among-patients-candidate-for-coronary-artery-bypass-grafting-cabg-surgery
#4
Mahdieh Abbasalizad Farhangi, Mahdi Najafi
BACKGROUND: Recently, the clinical importance of dietary inflammatory index (DII) in predicting the inflammatory potential of diet and its role in pathogenesis of several chronic disease including some types of cancers, osteoporosis, cardiovascular disease and renal disease has been proposed. However, its association with the disease severity and progression and cardio-metabolic risk factors among patients candidate for coronary artery bypass graft surgery (CABG) has not been evaluated yet...
February 13, 2018: Nutrition Journal
https://www.readbyqxmd.com/read/29420709/rapid-deployment-aortic-valve-replacement-in-a-minimal-access-setting-intermediate-clinical-and-echocardiographic-outcomes
#5
Markus Schlömicher, Zulfugar Taghiyev, Yazan AlJabery, Peter Lukas Haldenwang, Michael Zumholz, Magdalena Sikole, Dritan Useini, Hamid Naraghi, Vadim Moustafine, Matthias Bechtel, Justus Thomas Strauch
OBJECTIVES: Transcatheter procedures have overtaken conventional operations in Germany. Considering that this is a highly competitive field, a rate of 25% for minimal access aortic valve replacement seems to be disappointingly low. One way to promote minimal access techniques is through the systematic use of rapid deployment valves. METHODS: A total of 143 patients underwent rapid deployment aortic valve replacement via upper right hemisternotomy between March 2012 and September 2015...
February 6, 2018: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/29408350/a-pragmatic-approach-for-mortality-prediction-after-surgery-in-infective-endocarditis-optimizing-and-refining-euroscore
#6
Nuria Fernández-Hidalgo, Ignacio Ferreria-González, Josep R Marsal, Aida Ribera, María L Aznar, Arístides de Alarcón, Emilio García-Cabrera, Juan Gálvez-Acebal, Gemma Sánchez-Espín, José M Reguera-Iglesias, Javier De La Torre-Lima, José M Lomas, Carmen Hidalgo-Tenorio, Nuria Vallejo, Berta Miranda, Alba Santos-Ortega, Miguel A Castro, Pilar Tornos, David García-Dorado, Benito Almirante
OBJECTIVE: To simplify and optimize EuroSCORE I and II ability to predict early mortality after surgery of infective endocarditis (IE). METHODS: Multicenter retrospective study (n=775). Simplified scores, eliminating irrelevant variables, and new specific scores, adding specific IE variables, were created. The performance of the original, recalibrated and specific EuroSCOREs was assessed by Brier score, C-statistic, and calibration plot in bootstrap samples. The Net Reclassification Index (NRI) was quantified...
February 2, 2018: Clinical Microbiology and Infection
https://www.readbyqxmd.com/read/29404354/outcomes-following-transcatheter-aortic-valve-replacement-in-patients-with-native-aortic-valve-regurgitation
#7
REVIEW
Tamunoinemi Bob-Manuel, Siri Kadire, Mark R Heckle, Jiajing Wang, Uzoma N Ibebuogu
Due to the absence of annular calcification for device anchoring, it is presumed that transcatheter aortic valve replacement (TAVR) is not suitable for the treatment of native aortic valve regurgitation (NAVR) resulting in very limited data and experience concerning its safety and efficacy. We sought to review published data on the safety and efficacy of TAVR in high-risk patients with NAVR. Studies including case reports, case series and original articles published between 2002 and 2016 on TAVR in patients with NAVR were identified with a systematic electronic search using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement...
January 2018: Annals of Translational Medicine
https://www.readbyqxmd.com/read/29401266/randomized-trial-of-the-carpentier-edwards-supra-annular-prosthesis-versus-the-medtronic-mosaic-aortic-prosthesis-10-year-results
#8
Omar Zibdeh, Ian Bugg, Shriyam Patel, Gina Twine, Jonathan Unsworth-White
OBJECTIVES: We performed a prospective randomized study comparing the clinical performance of the Carpentier-Edwards supra-annular valve (CE-SAV) (Edwards Lifesciences, Irvine, CA, USA) and the newer Mosaic (Medtronic Corporation, Minneapolis, MN, USA) porcine bioprostheses in the aortic position over a 10-year period. METHODS: Between January 2001 and March 2005, 398 patients undergoing bioprosthetic aortic valve replacement were randomized to receive either the CE-SAV (n = 193) or the Mosaic (n = 205) prosthesis...
February 1, 2018: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/29390969/hypertension-mitral-valve-disease-atrial-fibrillation-and-low-education-level-predict-delirium-and-worst-outcome-after-cardiac-surgery-in-older-adults
#9
Fátima R Oliveira, Victor H Oliveira, Ítalo M Oliveira, José W Lima, Daniela Calderaro, Danielle M Gualandro, Bruno Caramelli
BACKGROUND: Delirium is a common complication after cardiac surgery in older adult patients. However, risk factors and the influence of delirium on patient outcomes are not well established. We aimed to determine the incidence, predisposing and triggering factors of delirium following cardiac surgery. METHODS: One hundred seventy-three consecutive patients aged ≥60 years were studied. Patients' characteristics and two cognitive function assessment tests were recorded preoperatively...
February 1, 2018: BMC Anesthesiology
https://www.readbyqxmd.com/read/29382792/prolonged-mechanical-ventilation-as-a-predictor-of-mortality-after-cardiac-surgery
#10
Maria Dolores Fernandez-Zamora, Antonio Gordillo-Brenes, Esther Banderas-Bravo, José Andrés Arboleda-Sánchez, Rafael Hinojosa-Pérez, Eduardo Aguilar-Alonso, Ángel Herruzo-Aviles, Emilio Curiel-Balsera, Ángel Sánchez-Rodríguez, Ricardo Rivera-Fernández
BACKGROUND: Mortality among the small percentage of cardiac surgery patients receiving prolonged mechanical ventilation is high, but this issue appears to be inadequately addressed in guidelines. METHODS: This study is a retrospective analysis of prospective, multi-center, and observational study in Spain including all adults undergoing cardiac surgery in 3 Andalusian hospitals between June 2008 and December 2012. RESULTS: The study included 3,588 adults with mean ± SD age of 63...
January 30, 2018: Respiratory Care
https://www.readbyqxmd.com/read/29371002/the-predictive-value-of-nt-probnp-and-hs-tnt-for-risk-of-death-in-cardiac-surgical-patients
#11
Jon Brynildsen, Liisa Petäjä, Ville Pettilä, Ståle Nygård, Suvi T Vaara, Rita Linko, Marjatta Okkonen, Tor-Arne Hagve, Leena Soininen, Raili Suojaranta-Ylinen, Magnus Nakrem Lyngbakken, Torbjørn Omland, Helge Røsjø
BACKGROUND: European System for Cardiac Operative Risk Evaluation II (EuroSCORE II) is used for risk stratification before cardiac surgery, but whether N-terminal pro-B-type natriuretic peptide (NT-proBNP) and high-sensitivity troponin T (hsTnT) may add prognostic information to EuroSCORE II is not known. METHODS: Preoperative (n=640) and postoperative (n=629) blood samples were available from cardiac surgical patients with 961-day follow-up (FINNAKI Heart study; cohort #1)...
January 22, 2018: Clinical Biochemistry
https://www.readbyqxmd.com/read/29361457/postoperative-delirium-in-cardiac-surgery-patients
#12
Kati Järvelä, Helena Porkkala, Sari Karlsson, Tero Martikainen, Tuomas Selander, Stepani Bendel
OBJECTIVE: The authors studied the incidence of postoperative delirium among cardiac surgery patients using the Intensive Care Delirium Screening Checklist (ICDSC). DESIGN: Prospective screening. SETTING: Two university hospitals. PARTICIPANTS: A total of 1,036 consecutive patients. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Patients were prospectively screened from day 1 to day 10 after surgery or until hospital discharge...
December 21, 2017: Journal of Cardiothoracic and Vascular Anesthesia
https://www.readbyqxmd.com/read/29360062/intracardiac-shunts-following-transcatheter-aortic-valve-implantation-a-multicentre-study
#13
Ignacio J Amat-Santos, Paol Rojas, Peter R Stella, Luis Nombela-Franco, Roman Lezáun-Burgui, Antonio J Muñoz-García, Vicenç Serra, Enrique Gutierrez-Ibanes, Mariano Larman, Ramón Rodriguez-Olivares, Nynke H M Kooistra, Hipólito Gutiérrez, José A San Román
AIMS: To describe the incidence, mechanisms, management and outcomes of intracardiac shunts (ICS) following TAVI. METHODS AND RESULTS: Multicentre registry across 10 centres aimed to gather all cases of ICS (1.1%) including infection-related (IRICS, 0.3%) or aseptic (AICS, 0.8%) shunts. Patients presented porcelain aorta (24% vs. 6.8%, p=0.024) and had been treated with pre- (88% vs. 68.5%, p=0.037) or post-dilation (59.1% vs. 19.3%, p<0.001) more often. Median time from intervention to diagnosis of ICS was 10 days [IQR: 2-108], being longer for IRICS (171 [63-249] vs...
January 23, 2018: EuroIntervention
https://www.readbyqxmd.com/read/29358003/predicting-device-failure-after-percutaneous-repair-of-functional-mitral-regurgitation-in-advanced-heart-failure-implications-for-patient-selection
#14
Davide Stolfo, Antonio De Luca, Gaetano Morea, Marco Merlo, Giancarlo Vitrella, Thomas Caiffa, Giulia Barbati, Serena Rakar, Renata Korcova, Andrea Perkan, Bruno Pinamonti, Aniello Pappalardo, Alessandra Berardini, Elena Biagini, Francesco Saia, Francesco Grigioni, Claudio Rapezzi, Gianfranco Sinagra
BACKGROUND: Patients with heart failure (HF) and severe symptomatic functional mitral regurgitation (FMR) may benefit from MitraClip implantation. With increasing numbers of patients being treated the success of procedure becomes a key issue. We sought to investigate the pre-procedural predictors of device failure in patients with advanced HF treated with MitraClip. METHODS: From April 2012 to November 2016, 76 patients with poor functional class (NYHA class III-IV) and severe left ventricular (LV) remodeling underwent MitraClip implantation at University Hospitals of Trieste and Bologna (Italy)...
January 6, 2018: International Journal of Cardiology
https://www.readbyqxmd.com/read/29357762/outcome-and-selection-of-revascularization-strategy-in-left-main-coronary-artery-stenosis
#15
Thomas Gripenberg, Fadi Jokhaji, Nikolaos Östlund-Papadogeorgos, Christina Ekenbäck, Rikard Linder, Bassem Samad, Jonas Persson
OBJECTIVES: To investigate clinical outcome in unselected real-life patients with unprotected left main coronary artery (ULMCA) stenosis and determine factors associated with selection of revascularization strategy. DESIGN: Consecutive patients with ULMCA stenosis at our institution in 2009-2013 (n = 308) were retrospectively analyzed with propensity score adjusted Cox proportional hazards models for outcome. Baseline characteristics in relation to selection of revascularization strategy were analyzed with multivariate logistic regression...
January 22, 2018: Scandinavian Cardiovascular Journal: SCJ
https://www.readbyqxmd.com/read/29354172/transcatheter-aortic-valve-implantation-at-a-high-volume-center-the-bad-rothenfelde-experience
#16
Marek Kowalski, Cornelia Deutsch, Steffen Hofmann, Norbert Franz, Michael Billion, Abbas Ferdosi, Peter Bramlage, Guram Imnadze, Henning Warnecke
Introduction: The "transfemoral (TF) first" approach to access route selection in transcatheter aortic valve implantation (TAVI) is popular; however, the risk of major vascular complications is substantial. The "best for TF" approach identifies only the patients with ideal anatomy for TF-TAVI, potentially minimizing complications. Aim: To characterize the outcomes of patients undergoing TAVI at a large-volume site that employs this approach. Material and methods: Patients who underwent TAVI at the Bad Rothenfelde Heart Centre between 2008 and 2016 were consecutively enrolled...
December 2017: Kardiochirurgia i Torakochirurgia Polska, Polish Journal of Cardio-Thoracic Surgery
https://www.readbyqxmd.com/read/29351610/orthotopic-branched-endovascular-aortic-arch-repair-in-patients-who-cannot-undergo-classical-surgery
#17
Martin Czerny, Bartosz Rylski, Julia Morlock, Holger Schröfel, Friedhelm Beyersdorf, Bertrand Saint Lebes, Olivier Meyrignac, Fatima Mokrane, Mario Lescan, Christian Schlensak, Constatijn Hazenberg, Trijntje Bloemert-Tuin, Sue Braithwaite, Joost van Herwaarden, Herve Rousseau
OBJECTIVES: Our goal was to assess the results after orthotopic branched endovascular aortic arch repair using a new double-branch endoprosthesis in patients with thoracic aortic disease affecting the aortic arch who cannot undergo classical surgery. METHODS: Within a 4-year period, 15 patients with thoracic aortic disease affecting the aortic arch were treated with the Bolton Relay plus double-branch endoprosthesis (Bolton Medical, Sunrise, FL, USA). We assessed clinical outcome, occurrence of endoleaks and the need for secondary interventions...
January 16, 2018: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/29350385/impact-of-previous-cardiac-surgery-with-sternotomy-on-clinical-outcomes-and-quality-of-life-after-transcatheter-aortic-valve-implantation-for-severe-aortic-stenosis
#18
Tomasz Tokarek, Artur Dziewierz, Maciej Bagienski, Lukasz Rzeszutko, Danuta Sorysz, Pawel Kleczynski, Dariusz Dudek
BACKGROUND: Transcatheter aortic valve implantation (TAVI) has evolved as effective treatment in patients with symptomatic severe aortic stenosis (AS) and increased operative risk. Data on the influence of previous sternotomy on the risk of TAVI are limited. AIM: We sought to investigate the impact of previous cardiac surgery with sternotomy on clinical outcomes and quality of life (QoL) after TAVI. METHODS: A total of 148 consecutive patients with symptomatic, severe AS who underwent TAVI were included...
January 19, 2018: Kardiologia Polska
https://www.readbyqxmd.com/read/29338298/coronary-and-arch-hybrid-surgery-in-a-patient-with-infrarenal-aortic-occlusion
#19
Teng Kiat Koh, Jocelyn Zi Lin Ting, Bernard Wee, Rustem Khamitov, Kristine Teoh, Julian Wong, Vitaly A Sorokin
A 65-year-old gentleman with claudication underwent contrast-enhanced computed tomography. The scan showed occlusion of the infrarenal abdominal aorta and a 6.0 × 3.7 cm saccular zone-3 arch aneurysm. The left ventricular ejection fraction was 35% and a coronary angiogram revealed triple-vessel disease. In view of the patient's high risk with EuroSCORE II 20.34%, coronary artery surgery was combined with hybrid type I arch aneurysm repair. An endovascular stent was delivered in an antegrade manner. Open heart surgery and a hybrid type I arch intervention can be performed simultaneously through a midline sternotomy approach...
January 1, 2018: Asian Cardiovascular & Thoracic Annals
https://www.readbyqxmd.com/read/29336961/chronic-lung-disease-and-mortality-after-cardiac-surgery-a-prospective-cohort-study
#20
Dmitry Ponomarev, Oksana Kamenskaya, Asya Klinkova, Irina Loginova, Pavel Vedernikov, Igor Kornilov, Vladimir Shmyrev, Vladimir Lomivorotov, Aleksander Chernavskiy, Aleksander Karaskov
OBJECTIVE: To investigate the 1-year survival in cardiac surgical patients with lung disease, including previously undiagnosed cases. DESIGN: Prospective cohort study. SETTING: Tertiary hospital. PARTICIPANTS: Patients scheduled for elective coronary artery bypass graft (CABG) surgery. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Pulmonary function tests (PFTs) were performed in 454 patients before surgery...
December 11, 2017: Journal of Cardiothoracic and Vascular Anesthesia
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