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Combined coronary and carotid artery disease: what to operate on first? or both at the same time?
Heart disease and stroke rank amongst the top four leading causes of death in the United States.1 Studies have demonstrated a positive correlation between the two, even suggesting that carotid artery disease may predict the presence of coronary artery disease (CAD).2,3 In fact, some have found that the prevalence of carotid artery stenosis (CAS) in those undergoing coronary artery bypass grafting (CABG) may be as high as 8-14%.4 Despite such co-existence, there remains no clear consensus Guidelines for revascularization in patients with co-existing CAD and CAS.
Source: Journal of Cardiothoracic and Vascular Anesthesia - September 20, 2023 Category: Anesthesiology Authors: Sherman Yu, Mark A. Chaney Tags: Case Conference Source Type: research

Measurement of stroke volume with echocardiography compared to gold standard cardiac magnetic resonance imaging An observational study
The assessment of Doppler-derived left ventricular outflow tract (LVOT) stroke volume (SV) is fundamental in outpatient, perioperative and critical care echocardiography.1 Calculation of SV allows assessment of the severity of aortic stenosis (AS) and evaluation of the haemodynamic state during undifferentiated hypotension.2 The use of focused transthoracic echocardiography (TTE) has appeal in a critical care environment, where after a single measurement of the LVOT area, pulsed wave Doppler velocity time integral (VTI) in the LVOT is used to calculate LVOT SV.
Source: Journal of Cardiothoracic and Vascular Anesthesia - May 16, 2023 Category: Anesthesiology Authors: Brian Cowie, Leah Wright, Ben Costello, Kristel Janssens, Erin Howden, Darragh Flannery, Steve Foulkes, Roman Kluger, Andre La Gerche Tags: Original Article Source Type: research

Predictors and outcomes of stroke after isolated coronary artery bypass grafting. A single-center experience in 20,582 patients
Stroke remains a devastating complication after cardiac surgical procedures despite advances in perioperative monitoring and management. The purpose of this study was to determine the predictors of stroke in a large, contemporary coronary surgery population.
Source: Journal of Cardiothoracic and Vascular Anesthesia - April 12, 2023 Category: Anesthesiology Authors: Vincent J. Kroeze, Jules R Olsthoorn, Albert H.M. van Straten, Anouk Princee, Mohamed A. Soliman-Hamad Tags: Original Article Source Type: research

The Validation of Cardiac Index and Stroke-Volume Variation Measured by the Pulse-Wave Transit Time-Analysis Versus Conventional Pulse-Contour Analysis After Off-Pump Coronary Artery Bypass Grafting: Observational Study
To compare the reliability of cardiac index (CI) and stroke-volume variation (SVV) measured by the pulse-wave transit-time (PWTT) method using estimated continuous cardiac output (esCCO) technique with conventional pulse-contour analysis after off-pump coronary artery bypass grafting (OPCAB).
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 11, 2023 Category: Anesthesiology Authors: Evgeniia V. Fot, Alexey A. Smetkin, Dmitriy A. Volkov, Tatyana N. Semenkova, Konstantin V. Paromov, Vsevolod V. Kuzkov, Mikhail Y. Kirov Tags: Original Article Source Type: research

The validation of cardiac index and stroke volume variation measured by the pulse wave transit time analysis vs. conventional pulse contour analysis after off-pump coronary artery bypass grafting: observational study
To compare the reliability of cardiac index (CI) and stroke volume variation (SVV) measured by pulse wave transit time method using estimated continuous cardiac output (esCCO) technique with conventional pulse contour analysis after off-pump coronary artery bypass grafting (OPCAB).
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 11, 2023 Category: Anesthesiology Authors: Evgeniia V. Fot, Alexey A. Smetkin, Dmitriy A. Volkov, Tatyana N. Semenkova, Konstantin V. Paromov, Vsevolod V. Kuzkov, Mikhail Y. Kirov Tags: Original Article Source Type: research

Stroke volume and arterial pressure fluid responsiveness in patients with elevated stroke volume variation undergoing major vascular surgery: a prospective intervention study
Identification of potential hemodynamic indicators to increase the predictive power of SVV for MAP and SV fluid responsiveness
Source: Journal of Cardiothoracic and Vascular Anesthesia - November 24, 2022 Category: Anesthesiology Authors: A. Fischer, J. Menger, M. Mouhieddine, M. Seidel, M. Edlinger-Stanger, M. Bevilacqua, J. Brugger, M. Hiesmayr, M. Dworschak Source Type: research

Left ventricular ejection fraction correlation with stroke volume as estimated by Doppler echocardiography in cardiogenic shock: A retrospective observational study
Echocardiography is the main tool for cardiac assessment and helps to guide management in patients admitted to the intensive care unit (ICU) with cardiogenic shock (CS). Left ventricular ejection fraction (LVEF) is a commonly used echocardiographic surrogate for left ventricular (LV) systolic function. In this hypothesis generating study we investigated the correlation between LVEF and stroke volume (SV)/SV index (SVI) estimated by Doppler echocardiography in patients admitted to ICU with CS and reduced LVEF.
Source: Journal of Cardiothoracic and Vascular Anesthesia - May 9, 2022 Category: Anesthesiology Authors: Hazem Lashin, Olusegun Olusanya, Andrew Smith, Sanjeev Bhattacharyya Source Type: research

Mortality reduction after a pre-incision safety check before cardiac surgery; is it the aorta?
This study assesses prevalence and predictors of this adaptation following a pre-incision safety check and the subsequent effect on outcome.
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 4, 2022 Category: Anesthesiology Authors: Alexander J. Spanjersberg, Jan Paul Ottervanger, Arno P. Nierich, Marga Hoogendoorn, George J. Brandon Bravo Bruinsma Source Type: research

Mortality Reduction After a Preincision Safety Check Before Cardiac Surgery: Is It the Aorta?
This study assessed the prevalence and predictors of this adaptation after a preincision safety check and the subsequent effect on outcome.
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 4, 2022 Category: Anesthesiology Authors: Alexander J. Spanjersberg, Jan Paul Ottervanger, Arno P. Nierich, Marga Hoogendoorn, George J. Brandon Bravo Bruinsma Tags: Original Article Source Type: research

Early Thromboembolic Stroke Risk of Postoperative Atrial Fibrillation Following Cardiac Surgery
We aimed to study the association between postoperative atrial fibrillation (POAF) and thromboembolic stroke and to determine risk factors for thromboembolic stroke following cardiac surgery.
Source: Journal of Cardiothoracic and Vascular Anesthesia - July 20, 2021 Category: Anesthesiology Authors: Ramon Pierik, Miriam Zeillemaker-Hoekstra, Thomas W.L. Scheeren, Michiel E. Erasmus, Gert-Jan R. Luijckx, Michiel Rienstra, Maarten Uyttenboogaart, Maarten Nijsten, Walter M. van den Bergh Source Type: research

New-onset Atrial Fibrillation after Cardiac Surgery is a Significant Risk Factor for Long-term Stroke: An 8-Year Prospective Cohort Study
This study sought to determine the incidence and significance of new-onset atrial fibrillation as a risk factor for long-term stroke and mortality after cardiac surgery.Design: A prospective cohort study.Setting: 2 large tertiary public hospitalsParticipants: The study comprised 3008 patients who underwent coronary artery bypass grafting and/or valve surgery from 2008 to 2012.Interventions: None.Measurements and Main Results: new-onset atrial fibrillation was analysed as a risk factor for postoperative stroke using a multivariable logistic regression model following adjustment for potential confounders.
Source: Journal of Cardiothoracic and Vascular Anesthesia - July 8, 2021 Category: Anesthesiology Authors: Kevin K.P. Wang, Weiling Liu, Sophia T.H. Chew, Lian Kah Ti, Liang Shen Source Type: research

The PARTNER 3 Trial at Two Years: What We Have Learned and What Time Will Tell
Based on data from large, industry-sponsored randomized prospective studies, the US Food and Drug Administration (FDA) has approved both balloon-expandable and self-expanding transcatheter aortic valve replacement (TAVR) devices for use in aortic stenosis patients at low, intermediate, and high risk for surgical aortic valve replacement (SAVR).1-6 High-risk device approval was based on one-year data, which was reasonable due to the actuarial life expectancies of the cohort.1,2 Intermediate-risk approval for the balloon-expandable SAPIEN XT (Edwards Lifesciences, Irvine, CA) system was based largely on data from the Placeme...
Source: Journal of Cardiothoracic and Vascular Anesthesia - May 28, 2021 Category: Anesthesiology Authors: Peter J. Neuburger, Kinjal M. Patel, Prakash A. Patel Tags: Editorial Source Type: research

The PARTNER 3 Trial at 2 Years: What We've Learned and What Time Will Tell
Based on data from large, industry-sponsored randomized prospective studies, the United States Food and Drug Administration (FDA) has approved both balloon-expandable and self-expanding transcatheter aortic valve replacement (TAVR) devices for use in aortic stenosis patients at low, intermediate and high-risk for surgical aortic valve replacement (SAVR).1-6 High-risk device approval was based on 1-year data, which was reasonable due to the actuarial life expectancies of the cohort.1, 2 Intermediate-risk approval for the balloon-expandable Sapien XT (Edwards Lifesciences, Irvine, California) system was largely based on data...
Source: Journal of Cardiothoracic and Vascular Anesthesia - May 28, 2021 Category: Anesthesiology Authors: Peter J. Neuburger, Kinjal M. Patel, Prakash A. Patel Source Type: research

Neurological Injury in COVID-19 Patients Who Receive VV-ECMO Therapy: A Cohort Study
Both thrombotic and bleeding events have been implicated in the progression of Coronavirus disease 2019 (COVID-19).1,2 Such dysregulation of coagulation has been associated with poor prognosis.3,4 Neurologic sequelae, such as ischemic stroke and intracranial hemorrhage (ICH), have been reported in COVID-19 patients at rates of 0.9%-2.3% and 0.9%, respectively.5,6,7,8 Limited data exists on neurological events in COVID-19 patients in the intensive care unit (ICU) who require extracorporeal membrane oxygenation (ECMO) due to severe acute respiratory distress syndrome (ARDS).
Source: Journal of Cardiothoracic and Vascular Anesthesia - May 13, 2021 Category: Anesthesiology Authors: Nivedha V. Kannapadi, Meghana Jami, Lavienraj Premraj, Eric W. Etchill, Katherine Giuliano, Errol L. Bush, Bo Soo Kim, Stella Seal, Glenn Whitman, Sung-Min Cho Tags: Letter to the Editor Source Type: research

Neurologic Injury in Patients With COVID-19 Who Receive VV-ECMO Therapy: A Cohort Study
THROMBOTIC AND BLEEDING events have been implicated in the progression of coronavirus disease 2019 (COVID-19).1,2 This dysregulation of coagulation has been associated with poor prognoses.3,4 Neurologic sequelae, such as ischemic stroke and intracranial hemorrhage (ICH), have been reported in patients with COVID-19 at rates of 0.9%-to-2.3% and 0.9%, respectively.5,6,7,8 Limited data exist on neurologic events in patients with COVID-19 in the intensive care unit who require extracorporeal membrane oxygenation (ECMO) due to severe acute respiratory distress syndrome (ARDS).
Source: Journal of Cardiothoracic and Vascular Anesthesia - May 13, 2021 Category: Anesthesiology Authors: Nivedha V. Kannapadi, Meghana Jami, Lavienraj Premraj, Eric W. Etchill, Katherine Giuliano, Errol L. Bush, Bo Soo Kim, Stella Seal, Glenn Whitman, Sung-Min Cho Tags: Letters to the Editor Source Type: research

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