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.

Conduit choice in coronary artery bypass grafting: Insights from an expert systematic review endorsed by the European Association for Cardio-Thoracic Surgery (EACTS) and The Society of Thoracic Surgeons (STS)
Coronary artery bypass grafting (CABG) is a well-established procedure for patients requiring coronary revascularization, and remains the most commonly performed cardiac surgery.1 Saphenous vein grafts (SVGs) were the primary conduit of choice until Loop et al. observed superior long-term patency and improved survival with internal thoracic arteries (ITAs) as primary conduits.2 These observations led to attempts at maximizing arterial conduits for revascularization, with the radial artery, gastroepiploic artery, or inferior epigastric artery being used to complement the primary ITA graft. (Source: Journal of Cardiothoracic...
Source: Journal of Cardiothoracic and Vascular Anesthesia - December 14, 2023 Category: Anesthesiology Authors: Kinjal M. Patel, Ronak G. Desai, Sandeep Krishnan Tags: Invited Commentary Source Type: research

The Irreversible Cannot be Reversed: Normothermic Regional Perfusion is Euthanasia
There are insufficient organs for patients requiring transplantation. Widespread adoption of determining death by neurological criteria, formalized in the Uniform Declaration of Death Act in 1981, created a new pipeline for organ procurement as intended, but brain death accounts for only 2% of deaths in the United States (1). Controlled donation after circulatory death (cDCD) can occur more frequently, but the required waiting period and resultant ischemic time between declaration of death and organ procurement renders organs less viable (2,3). (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - December 14, 2023 Category: Anesthesiology Authors: Jonah Rubin Tags: Editorial Source Type: research

Ascending Aortic Growth After Transcatheter Aortic Valve Replacement
Aortic stenosis (AS) is the leading valvular pathology in adults in the Western world.1 Transcatheter aortic valve replacement (TAVR) has proved to be a safe and effective alternative to surgical aortic valve replacement (SAVR) for the treatment of severe AS in patients with moderate and high risk surgical populations, with expansion into low-risk populations.2-5 It has been reported that ascending aortic dilation associated with aortic stenosis stabilizes after SAVR for tricuspid AS, minimizing the neeed for future ascending aortic replacement. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - December 13, 2023 Category: Anesthesiology Authors: Lisa Q. Rong, Andrew Martinez, Richard B. Devereux, Jonathan W. Weinsaft, Mario Gaudino Tags: Letter to the Editor Source Type: research

Ascending Aortic Growth following Transcatheter Aortic Valve Replacement
Aortic stenosis (AS) is the leading valvular pathology in adults in the western world.1 Transcatheter aortic valve replacement (TAVR) has proved to be a safe and effective alternative to surgical aortic valve replacement (SAVR) for treatment of severe AS in patients with moderate and high risk, with expansion into low-risk populations.2 –5 It has been well-established that the aortic dilation stabilizes following surgical valve replacement for tricuspid AS, minimizing the necessity for concomitant aortic replacement. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - December 13, 2023 Category: Anesthesiology Authors: Lisa Q. Rong, Andrew Martinez, Richard B. Devereux, Jonathan W. Weinsaft, Mario Gaudino Tags: Letter to the Editor Source Type: research

Evaluation of Intraoperative Left-Ventricular Diastolic Function by Myocardial Strain in On-Pump Coronary Artery Bypass Surgery
Left ventricular (LV) diastolic function strongly predicts outcomes after cardiac surgery, but there is no consensus about appropriate intraoperative assessment. Recently, intraoperative diastolic strain-based measurements assessed by transesophageal echocardiography (TEE) have shown a strong correlation with LV relaxation, compliance, and filling, but there are no reports about evaluation through the entire perioperative period. Therefore, the authors describe the intraoperative course of this novel assessment technique in patients who underwent coronary artery bypass grafting, and compare it with conventional echocardiog...
Source: Journal of Cardiothoracic and Vascular Anesthesia - December 11, 2023 Category: Anesthesiology Authors: Jakob Labus, Jens Fassl, Andr é Foit, Oliver Mehler, Parwis Rahmanian, Thorsten Wahlers, Bernd W. Böttiger, Wolfgang A. Wetsch, Alexander Mathes Tags: Original Article Source Type: research

Comparison of Erector Spinae Plane Block and Pectointercostal Facial Plane Block for Enhanced Recovery After Sternotomy in Adult Cardiac Surgery
This study aimed to investigate and compare the effects of the pectointercostal fascial plane block (PIFPB) and the erector spinae plane block (ESPB) on enhancing the recovery of patients who undergo cardiac surgery. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - December 11, 2023 Category: Anesthesiology Authors: Islam Mohamed Elbardan, Elsayed Mohamed Abdelkarime, Hassan Saeed Elhoshy, Amr Hashem Mohamed, Dalia Ahmed ElHefny, Ahmed Abd Bedewy Tags: Original Article Source Type: research

Comparison of erector spinae plane block and pecto-intercostal facial plane block for enhanced recovery after sternotomy in adult cardiac surgery
This study aimed to investigate and compare the effects of the pectointercostal fascial plane block (PIFPB) and the erector spinae plane block (ESPB) on enhancing cardiac surgery patients' recovery. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - December 11, 2023 Category: Anesthesiology Authors: IM Elbardan, EM Abdelkarime, HS Elhoshy, AH Mohamed, DA ElHefny, AA Bedewy Tags: Original Article Source Type: research

Usefulness of Monitoring Ventilation-Perfusion with Electrical Impedance Tomography in the Immediate Postoperative Period of Pulmonary Thromboendarterectomy
Chronic thromboembolic pulmonary hypertension (CTEPH) develops in 0.5-9% of patients after a pulmonary embolism (PE).1 The treatment of choice for this disease, in selected patients, is pulmonary thromboendarterectomy (PTE), which is considered potentially curative in this type of pulmonary hypertension (PH). The main objectives of the surgery are, firstly, to reduce the strain on the right ventricle by removing the thrombotic material, and secondly, to improve the ventilation-perfusion ratio in the affected areas. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - December 11, 2023 Category: Anesthesiology Authors: Alejandro Caballo Manuel, Jose Lu ís Pérez Vela, María Jesús López Gude, Nerea Blanco Otaegui Tags: Case Report Source Type: research

Evaluation of intraoperative left ventricular diastolic function by myocardial strain in onpump coronary artery bypass surgery
Left ventricular (LV) diastolic function is associated with perioperative outcome in cardiac surgery patients.1-4 (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - December 11, 2023 Category: Anesthesiology Authors: Jakob Labus, Jens Fassl, Andr é Foit, Oliver Mehler, Parwis Rahmanian, Thorsten Wahlers, Bernd W. Böttiger, Wolfgang A. Wetsch, Alexander Mathes Tags: Original Article Source Type: research

Thank you for guest reviewers 2023
(Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - December 9, 2023 Category: Anesthesiology Source Type: research

The ProCCard study: clinical study design compared with experimental conditions
We read with great interest the recent comment about our work.1,2 We thank the authors for their interest about our study that evaluated the relevance of a cardioprotective bundle of care during cardiac surgery with cardiopulmonary bypass. 210 patients were randomized in a control group (standard of care) and a treatment group combining 5 modes of protection: administration of a volatile anesthetic (sevoflurane), remote ischemic preconditioning, tight intraoperative blood glucose control, induction of a moderate respiratory acidosis (pH 7.30) just before release of the aortic cross clamp to prevent the “pH paradox” phe...
Source: Journal of Cardiothoracic and Vascular Anesthesia - December 9, 2023 Category: Anesthesiology Authors: Pascal Chiari, Jean-Luc Fellahi Tags: Letter to the Editor Source Type: research

Con: Mechanical Ventilation during Cardiopulmonary Bypass
The ventilatory strategy to adopt during cardiopulmonary bypass (CPB) is still debated. The rationale for using CPAP or low-tidal volume mechanical ventilation would be to counteracting alveolar collapse and improve ischemia phenomena and passive alveolar diffusion of oxygen. Although there are several studies supporting the hypothesis of a positive effect on oxygenation and systemic inflammatory response, a real clinical impact of ventilation during CPB is controversial. Furthermore, the biases present in literature make the studies results non-unique in their interpretation. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - December 6, 2023 Category: Anesthesiology Authors: Massimo Maffezzoni, Valentina Bellini Tags: Pro and Con Source Type: research

Cardiopulmonary Bypass Circuit Obstruction and Urgent Replacement After the Administration of Andexanet Alfa
Thrombus occlusion in the cardiopulmonary bypass (CPB) circuit is a life-threatening adverse event. Herein, the authors present a case of Stanford type A aortic dissection in which the CPB circuit became completely occluded intraoperatively, necessitating immediate circuit replacement. The patient preoperatively had been prescribed edoxaban, a direct oral anticoagulant (DOAC). Due to the evident preoperative tendency for bleeding, the authors decided to administer andexanet alfa to antagonize the effects of edoxaban. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - December 5, 2023 Category: Anesthesiology Authors: Yusaku Nozumi, Yuta Yonezawa, Kazuma Yunoki, Hiroyuki Mima Tags: Case Report Source Type: research

Cardiopulmonary bypass circuit obstruction and urgent replacement following the administration of andexanet alfa
Thrombus occlusion in the cardiopulmonary bypass (CPB) circuit is a life-threatening adverse event. Herein, we present a case of Stanford type A aortic dissection in which the CPB circuit became completely occluded intraoperatively, necessitating immediate circuit replacement. The patient had been preoperatively prescribed edoxaban, a direct oral anticoagulant (DOAC). Owing to the evident preoperative tendency for bleeding, we decided to administer andexanet alfa to antagonize the effects of edoxaban. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - December 5, 2023 Category: Anesthesiology Authors: Yusaku Nozumi, Yuta Yonezawa, Kazuma Yunoki, Hiroyuki Mima Tags: Case Report Source Type: research

Association of Impedance Aggregometry-Measured Platelet Aggregation With Thromboembolic Events in Patients Who Undergo Carotid Endarterectomy: A Pilot Study
The aim of the current study was to assess the relationship among thrombin receptor activator peptide 6 (TRAP test), adenosine-5 ′-diphosphate (ADP test), arachidonic acid (ASPI test), and stroke/transient ischemic attack (TIA), using the multiple electrode aggregometry (Multiplate) in patients undergoing carotid thromboendarterectomy (CEA). (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - December 4, 2023 Category: Anesthesiology Authors: Fabrizio Monaco, Margherita Licheri, Rosa Labanca, Federica Russetti, Alessandro Oriani, Germano Melissano, Roberto Chiesa, Gaia Barucco, Collaborators (to appear on PubMed and Scopus) Tags: Original Article Source Type: research