Smoking Cessation after Surgery and Mid-Term Outcomes of Surgical Revascularization.
Smoking Cessation after Surgery and Mid-Term Outcomes of Surgical Revascularization. Ann Thorac Surg. 2019 Nov 07;: Authors: Masoudkabir F, Yavari N, Pashang M, Sadeghian S, Jalali A, Karimi A, Bagheri J, Abbasi K, Davoodi S, Omran AS, Shirzad M, Ahmadi Tafti SH Abstract BACKGROUND: Although multiple studies reported the devastating effect of Cigarette smoking (CS) on short-term outcomes of patients who underwent coronary artery bypass grafting surgery (CABG), its effect on long-term outcomes is still questionable. We aimed to evaluate the long-term outcomes of CS cessation after CABG surgery. METHODS: This retrospective cohort study included all patients who underwent isolated CABG at our center between 2007 and 2016 and were either cigarette smoker just prior or at the time of surgery. Patients were stratified into those who continued CS and those who were persistently CS abstinent after CABG. The endpoints of the study were 5-year mortality and 5-year major adverse cardio- cerebrovascular events . RESULTS: Of a total of 28,945 patients who underwent isolated CABG, 9,173 current-cigarette smoker patients (93.5% males, mean age of 58.6 years) met our selection criteria and were included in the final analysis. Of these, 3302 patients (40.0%) continued CS after surgery and 5688 patients were persistently abstinent. Multivariable survival analysis demonstrated that CS cessation after CABG adjusted for major coronary risk factors, could reduce the...
To investigate the role of preoperative hematologic indices (neutrophil-lymphocyte ratio [NLR], platelet-lymphocyte ratio [PLR], systemic immune-inflammation index [SII; neutrophil × platelet/lymphocyte) in predicting short-term outcomes after off-pump coronary artery bypass grafting (OPCABG).
ConclusionIn a center with expertise in valve ‐sparing procedures, ARREAA is a reasonable option in the surgical management of AAAD in selected patients. This technique stabilizes the aortic annulus and preserves root anatomy for durable outcomes.
Journal of Cardiac Surgery, EarlyView.
Condition: Circadian Rhythm Disorders Interventions: Other: Blue light-blocking goggles; Other: Clear goggles Sponsor: West Virginia University Recruiting
Conclusion Among patients with severe degenerative aortic stenosis, vitamin D deficiency is common. We found a significant association between left ventricular wall thickness and vitamin D levels, suggesting a potential role of this hormone in modulating hypertrophic remodelling in these patients. However, future larger studies are certainly needed to confirm our findings and to define their prognostic implications.
Authors: Kapoor L, Chowdhury P, Barman D, Gayen R, Toshniwal V, Kumar S, Narayan P PMID: 33014095 [PubMed]
Conclusions: Carotid endarterectomy continues to prove its safety in carotid artery stenosis patients. Continuous cerebral oxygenation monitoring is indispensable for carotid surgery. Despite discrepancies in surgical techniques, we believe that "one fits all strategy: general anesthesia, conventional endarterectomy without patch plasty, never shunter and always NIRS monitorization" may be used safely in patients undergoing carotid endarterectomy. PMID: 33014089 [PubMed]
Conclusions: In CABG patients with a narrow QRS complex, preoperative intermediate prolonged QRS is an independent predictor of all-cause mortality in long-term follow-up. PMID: 33014085 [PubMed]
Conclusions: Multimodal low-opioid anesthesia during coronary artery bypass surgery with artificial blood circulation allows one to ensure adequate analgesia and avoid the intraoperative usage of routine doses of fentanyl, as indicated by the absence of hemodynamic and endocrine-metabolic changes. PMID: 33014084 [PubMed]