keyword
https://read.qxmd.com/read/38535104/transferring-surgical-expertise-analyzing-the-learning-curve-of-robotic-cardiac-surgery-operative-time-reduction-when-surgeon-moves-from-one-experienced-center-to-another
#1
JOURNAL ARTICLE
Sherif M Khairallah, Mohamed Rahouma, Stephanie L Mick
BACKGROUND: Robotically assisted cardiac surgery is performed in a team setting and is well known to be associated with learning curves. Surgeon and operative team learning curves are distinct entities, with total operative time representing the entire operative team (surgery, anesthesia, nursing, and perfusion) and cross-clamp time representing mainly the surgical team. Little is known about how a team learning curve evolves when an experienced surgeon transitions from one surgical center to another...
February 29, 2024: Journal of Cardiovascular Development and Disease
https://read.qxmd.com/read/38531093/intraoperative-use-of-intra-aortic-balloon-pump-to-generate-pulsatile-flow-during-heart-transplantation-a-single-center-experience
#2
JOURNAL ARTICLE
Les James, Michael P Dorsey, Sumner E Kilmarx, Sallie Yassin, Shashwat Shrivastava, Neil Menghani, Vikram Bajaj, Eugene A Grossi, Aubrey C Galloway, Nader Moazami, Deane E Smith
The physiologic impact of pulsatile flow (PF) on end-organ perfusion during cardiopulmonary bypass (CPB) is controversial. Using an intra-aortic balloon pump (IABP) to maintain PF during CPB for patients undergoing heart transplantation (HT) may impact end-organ perfusion, with implications for postoperative outcomes. A single-center retrospective study of 76 patients bridged to HT with IABP was conducted between January 2018 and December 2022. Beginning in May 2022, patients received IABP-generated PF during CPB at an internal rate of 80 beats/minute...
March 27, 2024: ASAIO Journal: a Peer-reviewed Journal of the American Society for Artificial Internal Organs
https://read.qxmd.com/read/38530798/in-patients-supported-with-peripheral-veno-arterial-extracorporeal-membrane-oxygenation-what-factors-are-associated-with-the-development-of-spinal-cord-ischaemia
#3
JOURNAL ARTICLE
Alison Zhu, Charis Tan, Richard Chard, Yishay Orr
A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was in patients supported with peripheral veno-arterial extracorporeal membrane oxygenation (VA-ECMO), what factors are associated with the development of spinal cord ischaemia? Altogether more than 22 papers were found using the reported search, of which 10 represented the best evidence to answer the clinical question. The authors, journal, date and country of publication, patient group studied, study type, relevant outcomes and results of these papers are tabulated...
March 26, 2024: Interdiscip Cardiovasc Thorac Surg
https://read.qxmd.com/read/38511808/the-effects-of-exercise-on-cardiogenic-shock-with-an-intra-aortic-balloon-pump-a-case-report
#4
Vanessa M Ferreira, Dayane Nunes Rodrigues, Carlos Alberto Mendez Contreras, João M Rossi, Rui Fernando Ramos, Gustavo Oliveira, Mayron F Oliveira
This case report describes the exercise program on a hospitalized 54-year-old male patient with cardiogenic shock waiting for a heart transplant assisted by an intra-aortic balloon pump, a temporary mechanical circulatory support device. The temporary mechanical circulatory support device, an intra-aortic balloon pump, was placed in the left subclavian artery, enabling the exercise protocol. Measurements and values from Swan-Ganz catheter, blood sample, brain natriuretic peptide (NT-proBNP), and high-sensitivity C-reactive protein (hs-CRP), as well as the six-minute walk test (6MWT) and venous oxygen saturation (SvO2) were obtained before and after an exercise protocol...
2024: Arquivos Brasileiros de Cardiologia
https://read.qxmd.com/read/38511148/the-use-of-mechanical-circulatory-support-in-elective-high-risk-percutaneous-coronary-interventions-a-literature-based-review
#5
REVIEW
Alexander Geppert, Kambis Mashayekhi, Kurt Huber
Contemporary medical practices allow complete percutaneous coronary intervention (PCI) in a considerable number of patients who previously would have been considered too 'high-risk' for such procedures. The use of mechanical circulatory support (MCS) devices during these high-risk PCIs (HR-PCIs) is thought to reduce the potential risk for major adverse events during and after revascularization. The intra-aortic balloon pump (IABP), veno-arterial extracorporeal membrane oxygenation (V-A ECMO), and the Impella are the most common MCS devices in use...
March 2024: Eur Heart J Open
https://read.qxmd.com/read/38509938/association-between-red-blood-cell-distribution-width-and-all-cause-mortality-of-patients-after-intra-aortic-balloon-pump-in-the-intensive-care-unit
#6
JOURNAL ARTICLE
Zhongheng Jia, Can Jin, Da Pan, Daqing Chen
OBJECTIVES: This study aimed to explore the relationship between red blood cell distribution width (RDW) and all-cause mortality in critically ill patients undergoing intra-aortic balloon pumping (IABP) in the intensive care unit (ICU). METHODS: This study retrospectively analyzed data from the Medical Information Mart for Intensive Care IV (MIMIC-IV) database. The primary endpoint was the 30-day mortality rate, while the secondary endpoint was the in-hospital mortality rate...
March 30, 2024: Heliyon
https://read.qxmd.com/read/38504295/recognition-and-management-of-left-atrial-dissection-during-mitral-repair
#7
JOURNAL ARTICLE
Haya Alshaabi, Jack F Donaghue, Denise M Franko, Jock N McCullough
BACKGROUND: Left atrial dissection (LAtD) is a rare but potentially life-threatening complication of mitral valve surgery. Its management is not well stablished in the literature. However, early recognition through intraoperative TEE and attention to changes in the left atrial free wall during saline leak testing can lead to avoidance of severe complications. CASE PRESENTATION: We report a case of LAtD detected by intraoperative transesophageal echocardiogram (TEE) following mitral valve repair for primary mitral valve regurgitation secondary to degenerative mitral valve disease with MAZE IV procedure for atrial fibrillation...
March 19, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38502888/early-vs-delayed-mechanical-circulatory-support-in-patients-with-acute-myocardial-infarction-and-cardiogenic-shock
#8
JOURNAL ARTICLE
Kevin G Buda, Katarzyna Hryniewicz, Peter M Eckman, Mir B Basir, Jennifer A Cowger, Khaldoon Alaswad, Srini Mukundan, Yader Sandoval, Andrea Elliott, Emmanouil S Brilakis, Michael S Megaly
BACKGROUND: Despite increased temporary mechanical circulatory support (tMCS) utilization for acute myocardial infarction complicated by cardiogenic shock (AMI-CS), data regarding efficacy and optimal timing for tMCS support are limited. This study aimed to describe outcomes based on tMCS timing in AMI-CS and to identify predictors of 30-day mortality and readmission. METHODS: Patients with AMI-CS identified in the National Readmissions Database were grouped according to the use of tMCS and early (<24 hours) vs...
March 19, 2024: European Heart Journal. Acute Cardiovascular Care
https://read.qxmd.com/read/38479848/clinical-features-and-outcomes-of-shoshin-beriberi
#9
JOURNAL ARTICLE
Yoshiki Mizuguchi, Hideyuki Mouri, Taisuke Jo, Yohei Hashimoto, Hiroki Matsui, Kiyohide Fushimi, Hideo Yasunaga, Takumi Taniguchi
Shoshin beriberi is a fulminant form of wet beriberi, but there are no large-scale studies detailing the clinical features of this disease. We investigated the clinical features and outcomes of Shoshin beriberi using data from a nationwide database in Japan.Using the Diagnosis Procedure Combination database, we identified patients with Shoshin beriberi between July 2010 and March 2021. We retrospectively investigated the characteristics, comorbidities, treatment, and in-hospital mortality of patients with Shoshin beriberi...
March 12, 2024: International Heart Journal
https://read.qxmd.com/read/38469104/fulminant-myocarditis-with-sars-cov-2-infection-a-narrative-review-from-the-case-studies
#10
REVIEW
Ryohei Ono, Togo Iwahana, Kaoruko Aoki, Hirotoshi Kato, Sho Okada, Yoshio Kobayashi
One of the severe complications of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is myocarditis. However, the characteristics of fulminant myocarditis with SARS-CoV-2 infection are still unclear. We systematically reviewed the previously reported cases of fulminant myocarditis associated with SARS-CoV-2 infection from January 2020 to December 2022, identifying 108 cases. Of those, 67 were male and 41 female. The average age was 34.8 years; 30 patients (27.8%) were ≤20 years old, whereas 10 (9...
2024: Canadian Journal of Infectious Diseases & Medical Microbiology
https://read.qxmd.com/read/38466306/beating-heart-transplant-procedures-using-organs-from-donors-with-circulatory-death
#11
JOURNAL ARTICLE
Aravind Krishnan, Chawannuch Ruaengsri, Brandon A Guenthart, Yasuhiro Shudo, Hanjay Wang, Michael R Ma, John Ward MacArthur, William Hiesinger, Y Joseph Woo
IMPORTANCE: The use of ex vivo normothermic organ perfusion has enabled the use of deceased after circulatory death (DCD) donors for heart transplants. However, compared with conventional brain death donation, DCD heart transplantation performed with ex vivo organ perfusion involves an additional period of warm and cold ischemia, exposing the allograft to multiple bouts of ischemia reperfusion injury and may contribute to the high rates of extracorporeal membrane oxygenation usage after DCD heart transplantation...
March 4, 2024: JAMA Network Open
https://read.qxmd.com/read/38455981/a-complication-of-an-axillary-intra-aortic-balloon-pump
#12
Eileen Kodack, Riya Patel, Carain Bonner, Enrique Pantin
Intra-aortic balloon pumps (IABPs) are used to mechanically temporize a failing heart by decreasing afterload while increasing coronary perfusion pressure of the heart while more definitive treatment is sought. We report a case of a 65-year-old male with nonischemic cardiomyopathy, atrial fibrillation, thyroiditis, and non-Hodgkin lymphoma who presented with worsening heart failure. He underwent a percutaneous placement of a left axillary IABP with seemingly no complications. Approximately 3 weeks post-placement, the patient was taken for a heart transplant when an intraoperative transesophageal echo showed that the IABP was in the aortic arch and ascending aorta, instead of its proper placement in the descending aorta...
March 2024: Journal of Surgical Case Reports
https://read.qxmd.com/read/38452842/a-curious-case-of-lvot-vti-alternans-with-an-intra-aortic-balloon-pump-physiology-in-action
#13
JOURNAL ARTICLE
Sumana Vardhan, Jonathan D Moreno
No abstract text is available yet for this article.
March 5, 2024: American Journal of Cardiology
https://read.qxmd.com/read/38440209/case-report-a-42-year-old-male-with-iabp-developing-multiple-organ-embolism-and-intestinal-necrosis
#14
Wanying Yang, Jing Lu, Ting Du, Lulin Sha, Wei Wang, Xin Wang, Qian Gong
We report a 42-year-old male patient who was diagnosed with acute myocardial infarction (AMI), and subsequently underwent percutaneous coronary intervention (PCI) for revascularization. The patient was transferred to the cardiac intensive care unit for intra-aortic balloon pump (IABP) due to frequent malignant arrhythmia after PCI. Then the patient experienced the most severe complications of IABP, including multiple organ embolism and intestinal necrosis. This report highlights the rare serious complications of IABP and the challenges encountered in handling this complex case...
2024: Frontiers in Cardiovascular Medicine
https://read.qxmd.com/read/38433755/the-effect-of-surgery-started-at-different-time-point-during-the-day-on-the-clinical-outcomes-of-mitral-valve-surgery
#15
JOURNAL ARTICLE
Shuai Zheng, Jiangang Wang, Haibo Zhang, Shengyu Wang, Xu Meng
BACKGROUND: The clinical prognosis of mitral valve surgery at morning, afternoon, and evening is not yet clear. The aim of the study is to investigate the impact of different time periods of surgery in the morning, afternoon and evening on the short-term and long-term results of mitral valve surgery. METHODS: From January 2018 to December 2020, 947 patients with mitral valve surgery in our department were selected. These patients were divided into 3 groups according to the starting time of surgery...
2024: Frontiers in Cardiovascular Medicine
https://read.qxmd.com/read/38432762/mitral-regurgitation-complicated-by-cardiogenic-shock-reassessing-risk-stratification-and-therapeutic-strategies
#16
REVIEW
Carla Boyle, Khoa Nguyen, Johannes Steiner, Conrad J Macon, Jeffrey A Marbach
Mitral regurgitation complicated by cardiogenic shock creates a unique and devastating risk profile for patients and poses significant difficulties for physicians who lack a comprehensive range of effective management strategies. Supportive measures such as intravenous vasodilators, intra-aortic balloon pumps, and percutaneous ventricular assist devices are often necessary to stabilize patients prior to definitive treatment with surgical mitral valve replacement or trans-catheter edge-to-edge repair. This review evaluates the evidence for the available supportive and definitive management strategies in patients with mitral regurgitation complicated by cardiogenic shock and presents a framework to aid clinicians in navigating the complex clinical decision-making process...
April 2024: Interventional Cardiology Clinics
https://read.qxmd.com/read/38426709/feasibility-of-goal-directed-fluid-therapy-in-patients-with-transcatheter-aortic-valve-replacement-an-ambispective-analysis
#17
JOURNAL ARTICLE
Ralf Felix Trauzeddel, Michael Nordine, Giovanni B Fucini, Michael Sander, Henryk Dreger, Karl Stangl, Sascha Treskatsch, Marit Habicher
INTRODUCTION: Goal-directed fluid therapy (GDFT) has been shown to reduce postoperative complications. The feasibility of GDFT in transcatheter aortic valve replacement (TAVR) patients under general anesthesia has not yet been demonstrated. We examined whether GDFT could be applied in patients undergoing TAVR in general anesthesia and its impact on outcomes. METHODS: Forty consecutive TAVR patients in the prospective intervention group with GDFT were compared to 40 retrospective TAVR patients without GDFT...
March 1, 2024: Brazilian Journal of Cardiovascular Surgery
https://read.qxmd.com/read/38422534/ambulatory-trans-femoral-intra-aortic-balloon-pump
#18
JOURNAL ARTICLE
Faris G Araj, Haley Ashton, Binod Bista, Brooke Wilson, Meredith Smith
A 53-year-old man with inotrope-dependent advanced heart failure was admitted with acute decompensation and underwent urgent listing for heart transplant.
February 27, 2024: Journal of Invasive Cardiology
https://read.qxmd.com/read/38414435/blood-perfusion-status-is-important-in-the-prognosis-of-ventricular-aneurysm-complicated-by-ventricular-septal-rupture
#19
JOURNAL ARTICLE
Siyuan Huang, Shicheng Zhang, Yangwu Song, Wei Feng
AIMS: Due to its low incidence, poor prognosis, and high mortality in the acute phase, the long-term prognosis of the left ventricular aneurysm (LVA) complicated by ventricular septal rupture (VSR) has received little attention. This study focus on the long-term prognosis of patients with LVA complicated by relatively stable VSR. METHODS AND RESULTS: Over a decade of retrospection, 68 patients with both LVA and VSR were compared with 136 patients with LVA alone after propensity score matching...
February 28, 2024: ESC Heart Failure
https://read.qxmd.com/read/38410552/risk-factors-and-prediction-model-for-thrombocytopenia-following-coronary-artery-bypass-graft-surgery-in-elderly-chinese-population
#20
JOURNAL ARTICLE
Honglei Zhao, Wei Zhang, Yongmin Liu, Wenxing Peng
BACKGROUND: Thrombocytopenia, a common complication of coronary artery bypass graft (CABG) surgery, is particularly prevalent among elderly individuals. This study developed a risk prediction model utilizing preoperative and intraoperative variables to identify high-risk elderly patients prone to developing thrombocytopenia. METHODS: The patients were retrospectively recruited from Beijing Anzhen Hospital between February 2019 and December 2020. Postoperative thrombocytopenia was defined as a postoperative platelet (PLT) count <100×109 /L as measured within 7 days after surgery...
January 30, 2024: Journal of Thoracic Disease
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