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University of Iowa Cardiothoracic Collection

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29 papers 25 to 100 followers
https://www.readbyqxmd.com/read/29150326/concomitant-mitral-valve-procedures-in-patients-undergoing-implantation-of-continuous-flow-left-ventricular-assist-devices-an-intermacs-database-analysis
#1
Jason O Robertson, David C Naftel, Susan L Myers, Ryan J Tedford, Susan M Joseph, James K Kirklin, Scott C Silvestry
BACKGROUND: Management of existing mitral valve (MV) disease in patients undergoing left ventricular assist device (LVAD) implantation remains controversial. METHODS: Among continuous-flow LVAD patients with moderate to severe mitral regurgitation entered into the Interagency Registry for Mechanically Assisted Circulatory Support (INTERMACS) database between April 2008 and March 2014 (n = 4,930), outcomes were compared between patients who underwent MV repair (MVr, n = 252), MV replacement (MVR, n = 11) and no MV procedure (no MVP, n = 4,667)...
October 10, 2017: Journal of Heart and Lung Transplantation
https://www.readbyqxmd.com/read/28795434/concomitant-antegrade-stent-grafting-of-the-descending-thoracic-aorta-during-transverse-hemiarch-reconstruction-for-acute-debakey-i-aortic-dissection-repair-improves-aortic-remodeling
#2
Ibrahim Sultan, Tyler J Wallen, Andreas Habertheuer, Mary Siki, George J Arnaoutakis, Joseph Bavaria, Wilson Y Szeto, Rita Milewski, Prashanth Vallabhajosyula
BACKGROUND AND AIM: Concomitant endovascular stent grafting of the descending thoracic aorta during open repair for acute DeBakey I aortic dissection can be performed in patients with extensive dissection and malperfusion. We analyzed the effects of this strategy on distal aortic remodeling. METHODS: From 2006-2014, acute DeBakey I dissection patients without primary aortic arch tear undergoing open distal hemiarch reconstruction (Standard group) versus those undergoing hemiarch with descending thoracic aorta (DTA) thoracic endovascular aortic repair (TEVAR group) were retrospectively reviewed...
August 9, 2017: Journal of Cardiac Surgery
https://www.readbyqxmd.com/read/28551049/hypothermia-and-selective-antegrade-cerebral-perfusion-is-safe-for-arch-repair-in-type-a-dissection
#3
W Brent Keeling, Bradley G Leshnower, John C Hunting, Jose Binongo, Edward P Chen
BACKGROUND: Unilateral selective antegrade cerebral perfusion with moderate hypothermic circulatory arrest has been shown to be a safe and effective method of cerebral protection during surgery for acute type A dissection. This study evaluates the impact of this cerebral protection strategy on clinical outcomes after extended aortic arch reconstruction in patients undergoing emergent repair of acute type A dissection. METHODS: A retrospective review from 2004 to 2016 at a US academic center of patients undergoing surgery for acute type A dissections using moderate hypothermic circulatory arrest and selective antegrade cerebral perfusion was performed...
September 2017: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/28315732/2017-aha-acc-focused-update-of-the-2014-aha-acc-guideline-for-the-management-of-patients-with-valvular%C3%A2-heart-disease-a-report-of-the-american-college-of-cardiology-american-heart-association-task-force-on-clinical-practice-guidelines
#4
Rick A Nishimura, Catherine M Otto, Robert O Bonow, Blase A Carabello, John P Erwin, Lee A Fleisher, Hani Jneid, Michael J Mack, Christopher J McLeod, Patrick T O'Gara, Vera H Rigolin, Thoralf M Sundt, Annemarie Thompson
No abstract text is available yet for this article.
July 11, 2017: Journal of the American College of Cardiology
https://www.readbyqxmd.com/read/21762867/how-to-swim-with-sharks-a-primer
#5
Voltaire Cousteau
Swimming with the sharks is neither enjoyable nor exhilarating, and it is not an acknowledged sport. Some individuals, however, must swim by virtue of their occupation. If such an individual finds himself or herself in shark-infested waters, this article provides useful guidelines for survival.
August 2011: Thoracic Surgery Clinics
https://www.readbyqxmd.com/read/26670067/hemodynamics-of-mechanical-circulatory-support
#6
REVIEW
Daniel Burkhoff, Gabriel Sayer, Darshan Doshi, Nir Uriel
An increasing number of devices can provide mechanical circulatory support (MCS) to patients with acute hemodynamic compromise and chronic end-stage heart failure. These devices work by different pumping mechanisms, have various flow capacities, are inserted by different techniques, and have different sites from which blood is withdrawn and returned to the body. These factors result in different primary hemodynamic effects and secondary responses of the body. However, these are not generally taken into account when choosing a device for a particular patient or while managing a patient undergoing MCS...
December 15, 2015: Journal of the American College of Cardiology
https://www.readbyqxmd.com/read/28450136/the-use-of-topical-hemostatic-agents-in-cardiothoracic-surgery
#7
REVIEW
Art Bracey, Aryeh Shander, Solomon Aronson, Bradley A Boucher, Domenico Calcaterra, Michael W A Chu, Richard Culbertson, Karim Jabr, Henrik Kehlet, Omar Lattouf, S Chris Malaisrie, C David Mazer, Martin M Oberhoffer, Sherri Ozawa, Theolyn Price, Todd Rosengart, Bruce D Spiess, Giuseppe Turchetti
Topical hemostatic agents are used in conjunction with conventional procedures to reduce blood loss. They are often used in cardiothoracic surgery, which is particularly prone to bleeding risks. Variation in their use exists because detailed policy and practice guidelines reflecting the current medical evidence have not been developed to promote best surgical practice in this setting. To address this need, the Society for the Advancement of Blood Management convened an International Hemostatic Expert Panel...
July 2017: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/28365016/2016-the-american-association-for-thoracic-surgery-aats-consensus-guidelines-surgical-treatment-of-infective-endocarditis-executive-summary
#8
Gösta B Pettersson, Joseph S Coselli, Gösta B Pettersson, Joseph S Coselli, Syed T Hussain, Brian Griffin, Eugene H Blackstone, Steven M Gordon, Scott A LeMaire, Laila E Woc-Colburn
No abstract text is available yet for this article.
June 2017: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/27312787/composite-valve-graft-implantation-for-the-treatment-of-aortic-valve-and-root-disease-results-in-1045-patients
#9
Luca Di Marco, Davide Pacini, Antonio Pantaleo, Alessandro Leone, Giuseppe Barberio, Giuseppe Marinelli, Roberto Di Bartolomeo
OBJECTIVES: Aortic root replacement using a composite graft is the treatment of choice for a large variety of aortic root conditions with a diseased aortic valve. The objective of the current study was to evaluate the long-term results of this procedure. METHODS: Between 1978 and 2010, 1045 patients aged 58.7 ± 13.6 years underwent aortic root composite graft replacement using the following techniques: 95 Bentall operation; 926 the "button technique;" 24 the Cabrol technique...
October 2016: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/23291103/aortic-valve-and-ascending-aorta-guidelines-for-management-and-quality-measures-executive-summary
#10
REVIEW
Lars G Svensson, David H Adams, Robert O Bonow, Nicholas T Kouchoukos, D Craig Miller, Patrick T O'Gara, David M Shahian, Hartzell V Schaff, Cary W Akins, Joseph Bavaria, Eugene H Blackstone, Tirone E David, Nimesh D Desai, Todd M Dewey, Richard S D'Agostino, Thomas G Gleason, Katherine B Harrington, Susheel Kodali, Samir Kapadia, Martin B Leon, Brian Lima, Bruce W Lytle, Michael J Mack, T Brett Reece, George R Reiss, Eric Roselli, Craig R Smith, Vinod H Thourani, E Murat Tuzcu, John Webb, Mathew R Williams
The Society of Thoracic Surgeons Clinical Practice Guidelines are intended to assist physicians and other health care providers in clinical decision making by describing a range of generally acceptable approaches for the diagnosis, management, or prevention of specific diseases or conditions. These guidelines should not be considered inclusive of all proper methods of care or exclusive of other methods of care reasonably directed at obtaining the same results. Moreover, these guidelines are subject to change over time, without notice...
April 2013: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/28298458/2017-aha-acc-focused-update-of-the-2014-aha-acc-guideline-for-the-management-of-patients-with-valvular-heart-disease-a-report-of-the-american-college-of-cardiology-american-heart-association-task-force-on-clinical-practice-guidelines
#11
REVIEW
Rick A Nishimura, Catherine M Otto, Robert O Bonow, Blase A Carabello, John P Erwin, Lee A Fleisher, Hani Jneid, Michael J Mack, Christopher J McLeod, Patrick T O'Gara, Vera H Rigolin, Thoralf M Sundt, Annemarie Thompson
No abstract text is available yet for this article.
June 20, 2017: Circulation
https://www.readbyqxmd.com/read/27570160/optimal-timing-from-myocardial-infarction-to-coronary-artery-bypass-grafting-on-hospital-mortality
#12
MULTICENTER STUDY
Elizabeth L Nichols, Jock N McCullough, Cathy S Ross, Robert S Kramer, Benjamin M Westbrook, John D Klemperer, Bruce J Leavitt, Jeremiah R Brown, Elaine Olmstead, Felix Hernandez, Gerald L Sardella, Carmine Frumiento, David Malenka, Anthony DiScipio
BACKGROUND: Whether delaying coronary artery bypass grafting (CABG) after myocardial infarction (MI) is associated with better outcomes or is an unnecessary use of health care resources is unclear. This study investigated the relationship between MI-to-CABG timing on in-hospital death. METHODS: From the Northern New England Cardiovascular Disease Study Group (NNE) Cardiac Surgery Registry we identified 3,060 isolated CABG patients with prior MI from 2008 to 2014...
January 2017: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/28134010/noteworthy-literature-published-in-2016-for-cardiac-surgery
#13
REVIEW
Muhammad Aftab, Joseph C Cleveland, T Brett Reece
Cardiac surgical care of patients continued to evolve rapidly in 2016. In this article, 3 topics of considerable change are discussed based on recent publications. The first topic reviews the potential risks and benefits of newly instituted low-risk percutaneous aortic valve replacement. The second topic reviews the increasing utilization of more extensive arch replacements in acute type A dissection. The final topic reviews current trends and justification for changes in patterns of use of cardioplegia options...
March 2017: Seminars in Cardiothoracic and Vascular Anesthesia
https://www.readbyqxmd.com/read/28063810/2017-acc-expert-consensus-decision-pathway-for-transcatheter-aortic-valve-replacement-in-the-management-of-adults-with-aortic%C3%A2-stenosis-a-report-of-the-american-college-of-cardiology-task-force-on-clinical-expert-consensus-documents
#14
Catherine M Otto, Dharam J Kumbhani, Karen P Alexander, John H Calhoon, Milind Y Desai, Sanjay Kaul, James C Lee, Carlos E Ruiz, Christina M Vassileva
No abstract text is available yet for this article.
March 14, 2017: Journal of the American College of Cardiology
https://www.readbyqxmd.com/read/28122680/the-society-of-thoracic-surgeons-expert-consensus-for-the-resuscitation-of-patients-who-arrest-after-cardiac-surgery
#15
(no author information available yet)
The Society of Thoracic Surgeons Task Force on Resuscitation After Cardiac Surgery provides this professional society perspective on resuscitation in patients who arrest after cardiac surgery. This document was created using a multimodal methodology for evidence generation and includes information from existing guidelines, from the International Liaison Committee on Resuscitation, from our own structured literature reviews on issues particular to cardiac surgery, and from an international survey on resuscitation hosted by CTSNet...
March 2017: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/20181499/clinical-management-of-continuous-flow-left-ventricular-assist-devices-in-advanced-heart-failure
#16
Mark S Slaughter, Francis D Pagani, Joseph G Rogers, Leslie W Miller, Benjamin Sun, Stuart D Russell, Randall C Starling, Leway Chen, Andrew J Boyle, Suzanne Chillcott, Robert M Adamson, Margaret S Blood, Margarita T Camacho, Katherine A Idrissi, Michael Petty, Michael Sobieski, Susan Wright, Timothy J Myers, David J Farrar
Continuous-flow left ventricular assist devices (LVAD) have emerged as the standard of care for advanced heart failure patients requiring long-term mechanical circulatory support. Evidence-based clinical management of LVAD-supported patients is becoming increasingly important for optimizing outcomes. In this state-of-art review, we propose key elements in managing patients supported with the new continuous-flow LVADs. Although most of the presented information is largely based on investigator experience during the 1,300-patient HeartMate II clinical trial, many of the discussed principles can be applied to other emerging devices as well...
April 2010: Journal of Heart and Lung Transplantation
https://www.readbyqxmd.com/read/27669554/acute-normovolemic-hemodilution-reduces-allogeneic-red-blood-cell-transfusion-in-cardiac-surgery-a-systematic-review-and-meta-analysis-of-randomized-trials
#17
REVIEW
Luigi Barile, Evgeny Fominskiy, Nora Di Tomasso, Ligia Elena Alpìzar Castro, Giovanni Landoni, Monica De Luca, Elena Bignami, Alessandra Sala, Alberto Zangrillo, Fabrizio Monaco
BACKGROUND: To better understand the role of acute normovolemic hemodilution (ANH) in a surgical setting with high risk of bleeding, we analyzed all randomized controlled trials (RCTs) in the setting of cardiac surgery that compared ANH with standard intraoperative care. The aim was to assess the incidence of ANH-related number of allogeneic red blood cell units (RBCu) transfused. Secondary outcomes included the rate of allogeneic blood transfusion and estimated total blood loss. METHODS: Twenty-nine RCTs for a total of 2439 patients (1252 patients in the ANH group and 1187 in the control group) were included in our meta-analysis using PubMed/MEDLINE, Cochrane Controlled Trials Register, and EMBASE...
March 2017: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/16564304/m%C3%A3-nchhausen-syndrome-simulating-acute-aortic-dissection
#18
Richard A Hopkins, Colin J Harrington, Athena Poppas
A young adult man presented to the emergency department reporting a convincing story for acute aortic dissection, a disorder in which diagnostic evaluations should occur in parallel with pharmacologic management. Transesophageal echocardiography demonstrated normal cardiac and aortic structures. Additional history was notable for extensive travel across numerous medical facilities with associated misrepresentation of his diagnosis and treatment. The patient was willing to undergo unpleasant and invasive procedures and succeeded at least once in the past to deceive clinicians to the point of performing a median sternotomy...
April 2006: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/23219494/optimal-treatment-strategy-for-type-a-acute-aortic-dissection-with-intramural-hematoma
#19
COMPARATIVE STUDY
Mitsumasa Hata, Hiroaki Hata, Akira Sezai, Isamu Yoshitake, Shinji Wakui, Motomi Shiono
OBJECTIVE: The management strategy for type A acute aortic dissection (AAD) with intramural hematoma (IMH) remains controversial. The aim of this study was to compare the outcomes of emergency surgery and medical treatment for patients with acute type A IMH. METHODS: One hundred seventy-one patients with acute type A IMH, whose average age was 69.4 years (range, 39-90 years) were divided into 3 groups: groups I and II consisted of 74 and 33 patients undergoing emergency surgery for complicated and uncomplicated type A IMH, respectively, and group III comprised 66 patients who were treated conservatively...
January 2014: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/27526655/comparison-of-suction-versus-nonsuction-drainage-after-lung-resections-a%C3%A2-prospective-randomized-trial
#20
RANDOMIZED CONTROLLED TRIAL
Wojciech Gocyk, Jarosław Kużdżał, Janusz Włodarczyk, Zbigniew Grochowski, Tomasz Gil, Janusz Warmus, Piotr Kocoń, Piotr Talar, Piotr Obarski, Łukasz Trybalski
BACKGROUND: Sufficiently large, prospective randomized trials comparing suction drainage and nonsuction drainage are lacking. The aim of the present study was to compare the effects of suction drainage and nonsuction drainage on the postoperative course in patients who have undergone lung resection. METHODS: This prospective, randomized trial included patients undergoing different types of lung resections. On the day of surgery, suction drainage at -20 cm H2O was used...
October 2016: Annals of Thoracic Surgery
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