Journal of Cardiothoracic and Vascular Anesthesia This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Percutaneous Approach to Mechanical Aortic Valve Prosthesis Paravalvular Leak Closure: Lessons Learned
An adverse outcome of cardiac valve replacement, either open surgical replacement or percutaneous replacement, is paravalvular leak (PVL). The incidence of moderate or severe PVL has been reported up to 24% in post-mitral valve replacement, post-transcatheter or surgical aortic valve replacements, and mechanical valve replacements in either position.1-3 A clinically significant PVL can present with hemolytic anemia, symptoms of congestive heart failure, and is associated with increased mortality. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 1, 2024 Category: Anesthesiology Authors: Lisa Huang, Feroze Mahmood, Roger Laham, Ravi K. Sharma, Kiran Belani Tags: Case Report Source Type: research

Virtual Reality as Anesthetic Alternative for Ablation of Non-inducible Ventricular Arrhythmia
The anesthetic management of patients undergoing ventricular arrythmia ablation can vary from local anesthetic infiltration, moderate sedation, to general anesthesia (GA). The ideal anesthetic strategy for ablation of ventricular arrhythmias (VAs) is variable based on targeted arrhythmia, procedure time, patients age, comorbidities, risk of airway obstruction, and patient ability and/or desire to cooperate. In general, shorter acting agents are preferred to easily manipulate depth of anesthesia. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 1, 2024 Category: Anesthesiology Authors: Andrea Rivero, Klaus Torp, Rebecca Klingbeil, Fred Kusumoto Tags: Case Report Source Type: research

Artificial Intelligence for Anesthesiology Board-style Examination Questions: Role of Large Language Models
: New artificial intelligence tools have been developed that have implications for medical usage. Large language models such as the widely used ChatGPT, developed by OpenAI, have not been explored in the context of anesthesiology education. Understanding the reliability of various publicly available large language models for medical specialties could offer insight into their understanding of the physiology, pharmacology, and practical applications of anesthesiology. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 1, 2024 Category: Anesthesiology Authors: Adnan A. Khan, Rayaan Yunus, Mahad Sohail, Taha A. Rehman, Shirin Saeed, Yifan Bu, Cullen D. Jackson, Aidan Sharkey, Feroze Mahmood, Robina Matyal Tags: Emerging Technology Source Type: research

Pulmonary vascular resistance-pulmonary artery compliance relationship and time constant in pulmonary hypertension due to valvular heart disease
Pulmonary vascular resistance and pulmonary artery compliance are inversely related and remain in a fixed relationship during a wide variety of experimental conditions. However, an increase in pulmonary capillary wedge pressure may alter the relationship between resistance and compliance in the pulmonary circulation.1-3 The time constant of the pulmonary circulation (determined by the product of pulmonary vascular resistance and arterial compliance) has been proposed as a more comprehensive index of right ventricle afterload than either variable alone. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 1, 2024 Category: Anesthesiology Authors: Ajay Kumar Jha, Sundaraj Rajkumar, Satyen Parida Tags: Letter to the Editor Source Type: research

Intraoperative blood pressure management and its effects on postoperative delirium after cardiac surgery: A single centre retrospective cohort study
This study aimed to investigate the impact of intraoperative hypotension (IOH) on adverse neurological outcome and mortality. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 31, 2024 Category: Anesthesiology Authors: N Mohr, A Krannich, H Jung, N Hulde, V von Dossow Tags: Original Article Source Type: research

Pro: You need a mentor and a sponsor
Mentorship continues to be widely recognized as a vital component of personal growth and professional development in medicine. However, mentorship alone cannot guarantee that physicians will gain the exposure and experiences necessary for academic promotion.1 This is particularly true for women and underrepresented minorities in medicine.2 Sponsorship, in contrast, provides access to high-visibility opportunities critical to career advancement.1 The path to career success requires both an effective mentor and a sponsor. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 31, 2024 Category: Anesthesiology Authors: Matthew Kennedy, Lydia Miller, Vivek K. Moitra Tags: Pro and Con Source Type: research

Pro: Is Minimally Invasive Extracorporeal Circulation Superior to Conventional Cardiopulmonary Bypass in Cardiac Surgery?
DESPITE NUMEROUS TECHNOLOGIC advances and significant experience acquired in surgical procedures using extracorporeal circulation, on-pump cardiac surgery is still not devoid of drawbacks.1 The Society of Thoracic Surgeons adult cardiac surgery database, which spans more than 200,000 procedures, shows that favorable operative outcomes are observed in low-risk elective surgeries (eg, coronary artery bypass grafting [CABG], isolated aortic valve replacement [AVR], or mitral valve repair). Notwithstanding these positive trends, significant rates of operative mortality and major morbidity, reaching around 30%, persist not only...
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 30, 2024 Category: Anesthesiology Authors: Fabrizio Monaco, Jacopo D'Andria Ursoleo Tags: Pro and Con Source Type: research

Pro: Is Minimal Invasive Extracorporeal Circulation Superior to Conventional Cardiopulmonary Bypass in Cardiac Surgery?
Despite numerous technological advances and significant experience acquired in surgical procedures using extracorporeal circulation, on-pump cardiac surgery is still not devoid of drawbacks1. The Society of Thoracic Surgeons adult cardiac surgery database, which spans over 200,000 procedures, shows that favorable operative outcomes are observed in low-risk elective surgeries (i.e., coronary artery bypass grafting [CABG], isolated aortic valve replacement, or mitral valve repair). Notwithstanding these positive trends, significant rates of operative mortality and major morbidity, reaching around 30%, persist not only in hig...
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 30, 2024 Category: Anesthesiology Authors: Fabrizio Monaco, Jacopo D'Andria-Ursoleo Tags: Pro and Con Source Type: research

The adherence to an intraoperative blood product transfusion algorithm is associated with reduced blood product transfusions in cardiac surgical patients undergoing coronary artery bypass grafts and aortic and or valve replacement surgery: A single-center, observational study
To demonstrate the value of a viscoelastic-based intraoperative transfusion algorithm to reduce blood product administration in adult cardiac surgical patients. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 30, 2024 Category: Anesthesiology Authors: Megan Lanigan, Daniel Siers, Megan Schramski, Andrew Shaffer, Ranjit John, Ryan Knoper, Stephen Huddleston, Lauren Gunn-Sandell, Alexander Kaizer, Tjorvi E Perry Source Type: research

Acute Kidney Injury After Heart Transplantation: Risk Factors and Clinical Outcomes
This study aimed to identify independent donor and recipient risk factors associated with RRT after OHT. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 26, 2024 Category: Anesthesiology Authors: Friedrich Welz, Felix Schoenrath, Aljona Friedrich, Alexa Wloch, Julia Stein, Felix Hennig, Sascha C. Ott, Benjamin O'Brien, Volkmar Falk, Christoph Knosalla, Isabell Anna Just Tags: Original Article Source Type: research

Achieving Equipoise in Decision-Making for Aortic Valve Replacement in Low-Risk Patients
TRANSCATHETER AORTIC VALVE INTERVENTION (TAVI) undeniably has changed the management of aortic stenosis, and cardiac anesthesiologists have had a front-row seat to this evolution. Clinicians now routinely provide monitored anesthesia care for these valve interventions, bypass the intensive care unit, and discharge patients home 24 hours later.1 Although TAVI passes the “eye test,” it is imperative that they rely on high-quality research vetted by a peer review process and present for consideration in high-quality journals or at a respected academic conference to corroborate what is observed in clinical practice. (Sourc...
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 26, 2024 Category: Anesthesiology Authors: Peter J. Neuburger, Sandeep Krishnan, Kinjal M. Patel Tags: Invited Commentary Source Type: research

Achieving Equipoise in Decision Making for Aortic Valve Replacement in Low-Risk Patients
Transcatheter aortic valve intervention (TAVI) has undeniably changed the management of aortic stenosis, and cardiac anesthesiologists have had a front row seat to this evolution. We now routinely provide monitored anesthesia care for these valve interventions, bypass the intensive care unit and discharge patients home 24 hours later.1 Although TAVI passes the “eye test,” it is imperative that we rely on high quality research, vetted by a peer review process, and presented for us to consider in a high-quality journal or at a respected academic conference to corroborate what we observe in clinical practice. (Source: Jou...
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 26, 2024 Category: Anesthesiology Authors: Peter J. Neuburger, Sandeep Krishnan, Kinjal M. Patel Tags: Invited Commentary Source Type: research

Acute kidney injury after heart transplantation – Risk factors and clinical outcome
This study aimed to identify independent donor and recipient risk factors associated with RRT after OHT. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 26, 2024 Category: Anesthesiology Authors: Friedrich Welz, Felix Schoenrath, Aljona Friedrich, Alexa Wloch, Julia Stein, Felix Hennig, Sascha C Ott, Benjamin O'Brien, Volkmar Falk, Christoph Knosalla, Isabell Anna Just Tags: Original Article Source Type: research

Atrial Flow Regulator: Should We Be Afraid of It?
The atrial flow regulator (AFR) is an innovative technology to treat patients with symptomatic heart failure and increased left atrial pressure, particularly heart failure with preserved ejection fraction (HFpEF). This device is implanted percutaneously in the interatrial septum to create a left-to-right shunt that may either reduce the abnormal pressure rise occurring initially during exercise in the left atrium in HFpEF or keep elevated left atrium pressure lower at rest in more advanced cases. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 25, 2024 Category: Anesthesiology Authors: Ranil Yenidoganay, Valentina Rancati, Patrick Yerly, Henri Lu, Basile Pache, Lorenzo R ösner Tags: Letter to the Editor Source Type: research

Cardiac Tamponade in ECMO: Infrequent but Important
We read with great interest a recent article in the journal.1 In it, the authors present the results of an analysis of the Extracorporeal Life Support Organization (ELSO) database, exploring the complication of cardiac tamponade in adult patients (aged 18 years or older) supported by extracorporeal membrane oxygenation (ECMO) of the following types: cardiac, pulmonary, or extracorporeal cardiopulmonary resuscitation (E-CPR).1 The study examines the association of baseline factors and other characteristics with the development of cardiac tamponade during ECMO support, as well as the association of cardiac tamponade with out...
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 25, 2024 Category: Anesthesiology Authors: Siavash Saadat, Amy French, Eric White, Jamel Ortoleva Tags: Editorial Source Type: research