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Specialty: Cardiovascular & Thoracic Surgery
Condition: Thrombosis

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Total 372 results found since Jan 2013.

Left atrial appendage closure: Initial experience with the ultraseal device
ConclusionsThis initial experience with the Ultraseal LAA closure device demonstrates preliminary safety and feasibility. Further larger studies with longer follow‐up are warranted. © 2016 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - November 16, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Ander Regueiro, Mathieu Bernier, Gilles O'Hara, Kim O'Connor, Jean ‐Michel Paradis, Jonathan Beaudoin, Tania Rodriguez‐Gabella, Jean Champagne, Josep Rodés‐Cabau Tags: Valvular and Structural Heart Diseases Source Type: research

Thrombus aspiration: Suck it up and keep looking for a niche
Key Points Thrombus aspiration in acute coronary syndrome PCI decreased angiographic stenosis and decreased IVUS‐assessed volume of lesions. Decrease in culprit lesion volume correlated with better stent expansion. This non‐randomized single‐center study demonstrated feasibility of thrombus aspiration pre‐PCI in ACS patients, but did not prove superiority to other methods of lesion preparation such as balloon pre‐dilatation. It is unlikely to be adopted into routine practice based on this study. Randomized studies large enough to compare clinical outcomes (e.g., stroke and death) would be necessary to prove the ...
Source: Catheterization and Cardiovascular Interventions - November 15, 2016 Category: Cardiovascular & Thoracic Surgery Authors: James C. Blankenship Tags: Coronary Artery Disease Source Type: research

Carotid artery stenting: Avoiding the perfect storm
Key Points Carotid artery stenting (CAS) and carotid artery endarterectomy (CEA) have achieved equipoise for most patients with carotid artery stenosis. Studies of outcomes after CAS and CEA must consider important patient and anatomic characteristics. A perfect storm for CAS is observed in a clinical scenario characterized by acute stroke, high likelihood for unstable plaque and thrombus, early revascularization, operator inexperience, and failure to use closed‐cell stents and embolic protection. Adverse outcomes in these situations are not shortcomings of CAS, but are due to poor clinical decision‐making and judgment.
Source: Catheterization and Cardiovascular Interventions - November 15, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Robert D. Safian Tags: Peripheral Vascular Disease Source Type: research

A mechanism for stroke complicating thrombus aspiration
We propose a mechanism of how stroke may be caused by thrombus aspiration during primary percutaneous coronary intervention (PPCI), and how it may be technique‐dependent. Two recent meta‐analyses report increased risk of stroke in patients undergoing routine thrombus aspiration during STEMI and the value of this technique has been controversial. The mechanism of stroke has not been fully explained. This case demonstrates 2 mechanisms by which aspiration might cause thrombus embolization. We recommend that if thrombus aspiration is performed during PPCI for STEMI, it should be done selectively and carefully. It is prude...
Source: Catheterization and Cardiovascular Interventions - October 2, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Eddie D. Brown, James C. Blankenship Tags: Coronary Artery Disease Source Type: research

Clinical outcomes associated with per ‐operative discontinuation of aspirin in patients with coronary artery disease: A systematic review and meta‐analysis
Conclusion: Our analysis suggests that planned short‐term discontinuation in the appropriate clinical setting appears to be safe in the correct clinical setting with no increased risk of thrombotic events and with a decreased risk of bleeding. © 2016 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - September 23, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Faraz Khan Luni, Haris Riaz, Abdur Rahman Khan, Talha Riaz, Muhammad Husnain, Irbaz Bin Riaz, Muhammad Shahzeb Khan, Mohammed Taleb, Yusuf Kanjwal, Christopher J. Cooper, Sadik A. Khuder Tags: Coronary Artery Disease Source Type: research

Percutaneous left atrial appendage occlusion: Effect of device positioning on outcome
ConclusionsNo evidence for a difference in the occurrence of the safety and efficacy endpoint was found between patients with complete vs. incomplete ACP disc coverage of the LAA ostium. The risk of repositioning attempts in case of incomplete coverage does not seem to be warranted. Current findings need further confirmation in a larger scale clinical trial. © 2016 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - July 27, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Mathias Wolfrum, Adrian Attinger ‐Toller, Samera Shakir, Steffen Gloekler, Burkhardt Seifert, Aris Moschovitis, Ahmed Khattab, Francesco Maisano, Bernhard Meier, Fabian Nietlispach Tags: Valvular and Structural Heart Diseases Source Type: research

A model for predicting prolonged length of stay in patients undergoing anatomical lung resection: a National Surgical Quality Improvement Program (NSQIP) database study
CONCLUSIONS A simple model for predicting the probability of a prolonged length of stay in patients undergoing anatomical lung resection has been successfully created. This model can allow for better risk stratification of patients preoperatively based on certain existing comorbidities, and can help to predict the impact the development of various postoperative complications will have on overall patient outcomes.
Source: Interactive CardioVascular and Thoracic Surgery - July 14, 2016 Category: Cardiovascular & Thoracic Surgery Authors: DeLuzio, M. R., Keshava, H. B., Wang, Z., Boffa, D. J., Detterbeck, F. C., Kim, A. W. Tags: Mediastinum Thoracic Source Type: research

Cardiovascular Outcomes Following Rotational Atherectomy: A UK Multicentre Experience
ConclusionsRA is safe and effective, with high rate of procedural success and relatively low incidence of MACE. PVD, DM, ACS presentation and SYNTAX score were significant predictors for MACE. © 2016 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - June 2, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Christos Eftychiou, David S. Barmby, Simon J. Wilson, Salahaddin Ubaid, Andrew J. Markwick, Loukia Makri, Jonathan M. Blaxill, James C. Spratt, Mark Gunning, John P. Greenwood Tags: Coronary Artery Disease Source Type: research

Free-floating left atrial ball thrombus after mitral valve replacement with patent coronary artery bypass grafts: successful removal by a right minithoracotomy approach without aortic cross-clamp
We describe a case in a 79-year-old woman with chronic atrial fibrillation and a recent stroke who had undergone mitral valve replacement 25 years previously and coronary artery bypass grafting 5 years previously. Redo cardiac surgery represents a clinical challenge due to a higher rate of peri-operative morbidity and mortality. Median re-sternotomy can be particularly difficult in patients with functioning coronary artery grafts, where the risk of graft injury is a significant concern. Prompt surgical intervention was carried out, and to avoid the challenge of re-sternotomy in this patient with two prior thoracotomies, ...
Source: General Thoracic and Cardiovascular Surgery - May 22, 2016 Category: Cardiovascular & Thoracic Surgery Source Type: research

Mechanical thrombectomy using the Solitaire stent in a left main coronary artery: A novel approach to coronary thrombus retrieval
The Solitaire stent is a self‐expanding nitinol, fully retrievable stent that was originally designed for applications in cerebral circulation. Expanded indications for its use in mechanical embolectomy during acute ischemic stroke have proven safe and effective. Herein, we describe a novel use of this stent to perform a mechanical thrombectomy of a large left main coronary artery thrombus. © 2016 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - May 8, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Carlos E. Uribe, Mauricio Zuñiga, Camilo Madrid Tags: Coronary Artery Disease Source Type: research

Management of floating thrombus in the aortic arch
We report our experience in managing floating thrombi in the aortic arch.
Source: The Journal of Thoracic and Cardiovascular Surgery - April 12, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Salome Weiss, Roman B ühlmann, Regula S. von Allmen, Vladimir Makaloski, Thierry P. Carrel, Jürg Schmidli, Thomas R. Wyss Tags: Acquired Source Type: research

Clinical features and prognostic value of stent-graft-induced post-implantation syndrome after thoracic endovascular aortic repair in patients with type B acute aortic syndromes AORTIC SURGERY
CONCLUSIONS PIS occurred in 15.8% of patients with AASs without affecting in-hospital outcome. At follow-up, PIS was associated with increased rates of MAEs, but not mortality.
Source: European Journal of Cardio-Thoracic Surgery - March 16, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Gorla, R., Erbel, R., Kahlert, P., Tsagakis, K., Jakob, H., Mahabadi, A.-A., Schlosser, T., Eagle, K., Bossone, E., Janosi, R. A. Tags: Pericardium AORTIC SURGERY Source Type: research

Hemiarch replacement with concomitant antegrade stent grafting of the descending thoracic aorta versus total arch replacement for treatment of acute DeBakey I aortic dissection with arch tear AORTIC SURGERY
CONCLUSION In treating DeBakey I aortic dissection with arch tear, hemiarch replacement with primary tear repair and concomitant TEVAR is a safe alternative to conventional TAR, with improved distal aortic remodelling.
Source: European Journal of Cardio-Thoracic Surgery - March 16, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Vallabhajosyula, P., Gottret, J. P., Robb, J. D., Szeto, W. Y., Desai, N. D., Pochettino, A., Bavaria, J. E. Tags: Extracorporeal circulation, Pericardium AORTIC SURGERY Source Type: research

Artificial aortic valve dysfunction due to pannus and thrombus - different methods of cardiac surgical management.
CONCLUSIONS: Precise and modern diagnostic methods facilitated selection of the treatment method. However, the intraoperative view also seems to be crucial in individualizing the surgical approach. PMID: 26702274 [PubMed]
Source: Polish Journal of Cardio-Thoracic Surgery - January 20, 2016 Category: Cardiovascular & Thoracic Surgery Tags: Kardiochir Torakochirurgia Pol Source Type: research

The SYNERGY II Everolimus elutiNg stent In patients Older than 75 years undergoing coronary Revascularisation associated with a short dual antiplatelet therapy (SENIOR) trial: rationale and design of a large-scale randomised multicentre study.
CONCLUSIONS: This trial is designed to evaluate a new revascularisation strategy combining DES and short duration DAPT in elderly patients. It has the potential to decrease the need for target lesion revascularisation without a significant DAPT-related increase in bleeding compared to BMS. PMID: 26690312 [PubMed - as supplied by publisher]
Source: EuroIntervention - December 26, 2015 Category: Cardiovascular & Thoracic Surgery Tags: EuroIntervention Source Type: research