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Specialty: Cardiovascular & Thoracic Surgery
Condition: Thrombosis

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Total 372 results found since Jan 2013.

Ten-year screening for thrombocytopenia after aortic valve replacement
CONCLUSIONS Thrombocytopenia and Elisa (+) are more common after AVR than after other procedures, and both were associated with increased adverse clinical outcomes. Age and lower preoperative platelet count were associated with postoperative thrombocytopenia and Elisa (+).
Source: Interactive CardioVascular and Thoracic Surgery - April 21, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Sun, X., Hill, P. C., Ellis, J., Corso, P. J., Taylor-Panek, S. L., Chen, F. Tags: Adult Cardiac Source Type: research

TEVAR for Symptomatic Stanford B Dissection: A Systematic Review of 30-Day Mortality and Morbidity.
Conclusion Mortality and morbidity rates for TEVAR seemed to have increased over the past 16 years despite improved technology and surgical technique. This may be explained by the increasing liberal use of TEVAR intervention and quite possibly better reporting. The current data are highly heterogenous making it difficult for solid conclusions to be drawn. The only way forward is through better data registries and well-designed clinical trials. PMID: 24752872 [PubMed - as supplied by publisher]
Source: The Thoracic and Cardiovascular Surgeon - April 21, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Ramdass M Tags: Thorac Cardiovasc Surg Source Type: research

The effects of a low international normalized ratio on thromboembolic and bleeding complications in patients with mechanical mitral valve replacement
Conclusions: This study showed that a target INRs of 2.0-2.5 are acceptable for preventing TEs and safe in terms of bleeding complications in patients with mechanical MVR.
Source: Journal of Cardiothoracic Surgery - May 7, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Ugur BalAlp AydinalpKerem YilmazEmre OzcalikSenem HasirciIlyas AtarBahadir GultekinAtilla SezginHaldun Muderrisoglu Source Type: research

Temporary right ventricular support following left ventricle assist device implantation: a comparison of two techniques
CONCLUSIONS Temporary support of the failing RV after LVAD implantation using temporary vein and the pulmonary artery RVAD is a promising therapeutic option. This approach provides adequate LVAD pre- and afterload and is associated with significantly less thromboembolic complications.
Source: Interactive CardioVascular and Thoracic Surgery - June 18, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Noly, P.-E., Kirsch, M., Quessard, A., Leger, P., Pavie, A., Amour, J., Leprince, P. Tags: Adult Cardiac Source Type: research

Who might benefit from early aspirin after coronary artery surgery?
A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was whether early administration of aspirin might optimize vein graft patency. More than 250 papers were found using the reported search, of which 4 new papers in addition to the previous 7 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. Early postoperative aspirin administered within 6 h following coronary artery bypass grafting (CABG) has been show...
Source: Interactive CardioVascular and Thoracic Surgery - August 14, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Gukop, P., Gutman, N., Bilkhu, R., Karapanagiotidis, G. T. Tags: Cardiac - physiology, Education, Congestive Heart Failure, Molecular biology Adult Cardiac Source Type: research

013 * european multicentre experience with sutureless perceval valve: clinical and haemodynamic outcomes up to 5 years in over 700 patients
Conclusion: This European multicentre experience with the largest cohort of patients with sutureless valves to date shows excellent clinical and haemodynamic results that remain stable even up to 5 years follow-up. Even in this elderly patient cohort with 40% octogenarians, both early and late mortality were very low. There were no valve migrations, structural valve degeneration or valve thrombosis in follow-up. The sutureless technique is a promising alternative to biological AVR.
Source: Interactive CardioVascular and Thoracic Surgery - September 23, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Shrestha, M., Laborde, F., Carrel, T., Fischlein, T., Meuris, B., Madonna, F., Misfeld, M., Haverich, A. Tags: Small incisions and sutureless valves: A perfect marriage Source Type: research

164 * decision-making in aortic root surgery in marfan syndrome: bleeding, thromboembolism and risk of reintervention after valve-sparing or mechanical aortic root replacement
Conclusion: The calculated annual failure rate after VSRR using the reimplantation technique was lower than the annual risk for thromboembolic or bleeding events. As the perioperative risk of reinterventions after VSRR itself is low, patients might benefit from VSRR even if they have to undergo redo surgery during follow-up.
Source: Interactive CardioVascular and Thoracic Surgery - September 23, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Schoenhoff, F., Langhammer, B., Reineke, D., Kadner, A., Carrel, T. Tags: Proximal thoracic aortic pathology: Variations on a theme Source Type: research

189 * managing distal arch tears in debakey i aortic dissection: cut or stent?
Conclusion: In anatomically feasible aortic dissection arch tear, THA + TEVAR is a safe alternative treatment strategy to conventional TAR, with improved postoperative and early mid-term survival.
Source: Interactive CardioVascular and Thoracic Surgery - September 23, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Vallabhajosyula, P., Robb, J. D., Menon, R., Gottret, J., Desai, N., Szeto, W., Pochettino, A., Bavaria, J. E. Tags: Hot strategies in complex cardiac surgery Source Type: research

254 * evaluation of the downstream aorta after frozen elephant trunk repair for aortic dissections in terms of diameter and false lumen status
Conclusion: Compared to conventional surgery for extensive aortic dissections, the FET technique provides a high rate of FL thrombosis of the thoracic aorta without increasing the risk of the operation.
Source: Interactive CardioVascular and Thoracic Surgery - September 23, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Weiss, G., Santer, D., Folkmann, S. V., Dumfarth, J., Pisarik, H., Harrer, M., Waldenberger, F., Grabenwoger, M. Tags: Thoraco-abdominal aortic pathology: A functional approach in preserving spinal cord integrity Source Type: research

TEVAR for Symptomatic Stanford B Dissection: A Systematic Review of 30-Day Mortality and Morbidity
Conclusion Mortality and morbidity rates for TEVAR seemed to have increased over the past 16 years despite improved technology and surgical technique. This may be explained by the increasing liberal use of TEVAR intervention and quite possibly better reporting. The current data are highly heterogenous making it difficult for solid conclusions to be drawn. The only way forward is through better data registries and well-designed clinical trials.[...]Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals:Table of contents  |  Abstract  |  Full text
Source: The Thoracic and Cardiovascular Surgeon - April 21, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Ramdass, Michael Tags: Review Source Type: research

The frozen elephant trunk technique for the treatment of complicated type B aortic dissection with involvement of the aortic arch: multicentre early experience AORTIC SURGERY
CONCLUSION The FET technique is a feasible therapeutic option for complicated type B AD with involvement of the aortic arch if TEVAR is contraindicated. In contrast to conventional aortic surgery via a lateral thoracotomy, the FET procedure can provide simultaneous treatment of the ascending aorta and aortic arch.
Source: European Journal of Cardio-Thoracic Surgery - December 11, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Weiss, G., Tsagakis, K., Jakob, H., Di Bartolomeo, R., Pacini, D., Barberio, G., Mascaro, J., Mestres, C.-A., Sioris, T., Grabenwoger, M. Tags: AORTIC SURGERY Source Type: research

Association of embolism and stroke in the catheterization laboratory
Key Points Strokes continue to be a rare but potentially devastating event during cardiac catheterization Most strokes are associated with brain imaging patterns consistent with embolic etiologies Common embolic etiology supports not only the critical importance of catheterization laboratory techniques to minimize activation of thrombosis or embolism, but also point to potential treatment with rapid application of neurovascular brain salvage techniques.
Source: Catheterization and Cardiovascular Interventions - April 23, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Ian C. Gilchrist Tags: Peripheral Vascular Disease Source Type: research

Surgical treatment for pseudo-occlusion of the internal carotid artery
CONCLUSIONS Surgical treatment for carotid artery pseudo-occlusion is safe and effective.
Source: Interactive CardioVascular and Thoracic Surgery - April 22, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Desole, A., Campanile, F., Tosato, F., Milite, D. Tags: Neurostimulation Vascular Source Type: research

Use of intracardiac echocardiography to guide percutaneous transluminal mitral commissurotomy: A 20‐patient case series
ConclusionsICE‐guided PTMC offers excellent visualization of the LA and the LAA with satisfactory clinical outcomes and low risk. As a part of the PTMC procedure, ICE safely provides a valid alternative to a separate TEE procedure. © 2015 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - May 6, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Mike Saji, Michael Ragosta, John Dent, D. Scott Lim Tags: Valvular and Structural Heart Diseases Source Type: research

Early and late outcomes of AVR with aortic annular enlargement in octogenarian
Conclusion AVR with aortic annular enlargement in octogenarians with small aortic annulus was safe and led to good operative and long-term outcomes.
Source: General Thoracic and Cardiovascular Surgery - May 14, 2015 Category: Cardiovascular & Thoracic Surgery Source Type: research