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Source: Journal of Cardiothoracic and Vascular Anesthesia

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Total 207 results found since Jan 2013.

Continuing Antiplatelet Therapy Before Cardiac Surgery With Cardiopulmonary Bypass: A Meta-Analysis on the Need for Reexploration and Major Outcomes
Conclusions: Continuing antiplatelet therapy for patients undergoing surgery with CPB is associated with a low risk for reexploration.
Source: Journal of Cardiothoracic and Vascular Anesthesia - August 22, 2013 Category: Anesthesiology Authors: Joanne Guay, E. Andrew Ochroch Tags: Original Articles Source Type: research

Cold Blood Versus Crystalloid Cardioplegia for Myocardial Protection in Adult Cardiac Surgery: A Meta-analysis of Randomized Controlled Studies
Conclusions: Cold blood cardioplegia reduced perioperative myocardial infarction when compared with cold crystalloid cardioplegia. No differences in the overall incidence rates of spontaneous sinus rhythm, mortality (within 30 days), atrial fibrillation or stroke were observed.
Source: Journal of Cardiothoracic and Vascular Anesthesia - April 9, 2014 Category: Anesthesiology Authors: Jinming Zeng, Wenwu He, Zhanli Qu, Yanyan Tang, Qiuxi Zhou, Bingdong Zhang Tags: Original Articles Source Type: research

Basic Data From 176 Studies on the Immediate Outcome After Aortic Valve Replacement With or Without Coronary Artery Bypass Surgery
Objective: The aim of this study was to summarize the immediate outcome after aortic valve replacement (AVR) with or without coronary artery bypass grafting (CABG).Design: Systematic review and meta-analysis.Setting: University hospitals.Participants: Participants were 683,286 patients who underwent AVR with or without CABG. Patients undergoing other major cardiac procedures were excluded from this analysis.Interventions: AVR with or without CABG.Measurements and Main Results: Operative mortality after AVR with or without concomitant CABG was 4.3%, stroke 2.1%, pacemaker implantation 5.9%, and dialysis 2.2%. After isolated...
Source: Journal of Cardiothoracic and Vascular Anesthesia - December 2, 2013 Category: Anesthesiology Authors: Fausto Biancari, Marta Martin, Giulia Bordin, Elia Vettore, Giulia Vinco, Vesa Anttila, Juhani Airaksinen, Francesco Vasques Tags: Original Articles Source Type: research

Anesthetics and Cerebral Protection in Patients Undergoing Carotid Endarterectomy
CEREBRAL ISCHEMIA/HYPOXIA may occur in a variety of perioperative circumstances. The main pathophysiologic aspects involved in cerebral ischemia/reperfusion are caused by adenosine triphosphate (ATP) consumption, the excitotoxic actions of glutamate, changes in ionic homeostasis, and formation of free radicals (Fig 1). Outcomes from such events range from subclinical neurocognitive deficits to catastrophic neurologic morbidity or death.1 Stroke is a severe complication that occurs rarely, perioperatively, but when it happens, stroke is associated with a high mortality or results in serious disability.
Source: Journal of Cardiothoracic and Vascular Anesthesia - October 3, 2014 Category: Anesthesiology Authors: Miomir Jovic, Dragana Unic-Stojanovic, Esma Isenovic, Rizzo Manfredi, Olivera Cekic, Nenad Ilijevski, Srdjan Babic, Djordje Radak Tags: Review ArticleGiovanni Landoni, MDSection Editors? > Source Type: research

Perioperative Hemodynamic Management of Carotid Artery Surgery
STENOSIS OF THE extracranial carotid artery is known to be responsible for 15% to 20% of ischemic strokes.1,2 Carotid artery surgery has been proven to be the best secondary prevention for reducing the risk of recurrent stroke.3 Therefore, surgical treatment has become the standard practice to prevent stroke and its devastating clinical features.
Source: Journal of Cardiothoracic and Vascular Anesthesia - November 17, 2015 Category: Anesthesiology Authors: Caroline Vanpeteghem, Anneliese Moerman, Stefan De Hert Tags: Review ArticleGiovanni Landoni, MDSection Editors? > Source Type: research

Regional Versus General Anesthesia for Carotid Endarterectomy: Do We Need Another Randomized Trial?
STROKE CURRENTLY remains the second cause of death among all patients with cardiovascular disease.1 Carotid endarterectomy (CEA) is a safe and effective surgical technique that lowers the risk of ischemic stroke in patients with carotid artery stenosis secondary to atherosclerotic disease.2 CEA is associated with improved neurologic and cognitive function and quality of life.
Source: Journal of Cardiothoracic and Vascular Anesthesia - October 4, 2018 Category: Anesthesiology Authors: Vladimir V. Lomivorotov, Vladimir A. Shmyrev, Valery A. Nepomniashchikh Tags: Editorial Source Type: research

Carotid Revascularization Procedures and Perioperative Outcomes: A Multistate Analysis, 2007-2014
To compare in-hospital mortality, postoperative stroke, and combined stroke/mortality in carotid artery stenting (CAS) patients and carotid endarterectomy (CEA) patients.
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 15, 2019 Category: Anesthesiology Authors: Abdullah S. Rasheed, Robert S. White, Virginia Tangel, Bess M. Storch, Kane O. Pryor Tags: Original Article Source Type: research

Left Atrial Appendage Occlusion: A Narrative Review
Left atrial appendage occlusion (LAAO) is a proposed alternative to oral anticoagulation in reducing stroke in patients with atrial fibrillation. It is suggested that LAAO is most suitable in patients at increased risk of stroke or bleeding or with contraindication to pharmacologic intervention. Despite the increase in evidence evaluating LAAO, the relative safety and efficacy of the procedure remains uncertain. Presently, several ongoing randomized trials are comparing various devices to each other and to pharmacologic anticoagulation.
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 8, 2019 Category: Anesthesiology Authors: Ali Alsagheir, Alex Koziarz, Emilie P. Belley-C ôté, Richard P. Whitlock Tags: Review Article Source Type: research

A Case of Successful Treatment of Cerebral Embolism Using Endovascular Thrombectomy Immediately After Transcatheter Aortic Valve Implantation
TRANSCATHETER aortic valve implantation (TAVI) is a less invasive alternative to surgical aortic valve replacement in high-risk patients with severe aortic stenosis. However, there are increasing concerns about the potential complications of TAVI now that its indications have been expanded to include patients with low-to-intermediate surgical risk.1,2 One of the serious complications of TAVI is stroke. It is known that there is an increase in 30-day mortality, rates of respiratory insufficiency and postprocedural delirium, and duration of hospital stay if stroke occurs.
Source: Journal of Cardiothoracic and Vascular Anesthesia - December 17, 2019 Category: Anesthesiology Authors: Shunichi Murakami, Kazuyoshi Ishida, Hideyuki Ishihara, Takayuki Okamura, Tetsuro Oda, Ryo Suzuki, Atsuo Yamashita, Satoshi Yamashita, Hiroshi Kurazumi, Michiyasu Suzuki, Mishiya Matsumoto Tags: Case Report Source Type: research

Microemboli on Cardiopulmonary Bypass: Should We Care?
CENTRAL nervous system complications after cardiac surgery range from subtle cognitive impairment to clinically evident delirium, confusion, and stroke. It also is important to recognize that even without apparent clinical presentation, a significant number of older patients are diagnosed with covert stroke after both cardiac1 and noncardiac2 surgery. Several mechanisms have been implicated in the pathophysiology of these processes, including global or regional cerebral hypoperfusion, cerebral embolism, and neuroinflammation.
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 11, 2020 Category: Anesthesiology Authors: V. Melnyk, L. Fedorko, G. Djaiani Tags: Editorial Source Type: research

Functional Hemodynamic Monitoring with a Wireless Ultrasound Patch
In this Emerging Technology Review a novel, wireless, wearable Doppler ultrasound patch is described as a tool for resuscitation. The device is designed, foremost, as a functional hemodynamic monitor – a simple, fast and consistent method for measuring hemodynamic change with preload variation. More generally, functional hemodynamic monitoring is a paradigm that helps predict stroke volume response to additional intravenous volume. Because Doppler ultrasound of the left ventricular outflow tra ct non-invasively measures stroke volume in real-time, it is increasingly deployed for this purpose.
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 24, 2021 Category: Anesthesiology Authors: Jon- Émile S. Kenny Tags: Emerging Technology Source Type: research

Self-Expanding versus Balloon Expandable Valve – Are we at the Cusp of Delivering a Perfect Transcatheter Aortic Valve?
Transcatheter aortic valve replacement (TAVR) has become a leading and dominant treatment alternative to surgical aortic valve replacement (SAVR) for high- and intermediate-risk patients with aortic stenosis.1 –5 The follow up trials for both the core valve as well as the balloon-expanding valve showed similar mid-term survival and stroke rates in high-risk patients following TAVR vs SAVR.6–8 With the recent results of the PARTNER 3 and EVOLUT low risk trials, it is evident that, among patients with s evere aortic stenosis with low surgical risks, the rate of composite death, stroke and rehospitalization at 1 year was ...
Source: Journal of Cardiothoracic and Vascular Anesthesia - November 26, 2021 Category: Anesthesiology Authors: Ankit Jain Tags: Editorial Source Type: research

Self-Expanding Versus Balloon-Expandable Valve: Are We at the Cusp of Delivering a Perfect Transcatheter Aortic Valve?
Transcatheter aortic valve replacement (TAVR) has become a leading and dominant treatment alternative to surgical aortic valve replacement (SAVR) for intermediate- and high-risk patients with aortic stenosis.1-5 The follow-up trials for both the core valve, as well as the balloon-expanding valve, showed similar midterm survival and stroke rates in high-risk patients following TAVR versus SAVR.6-8 With the recent results of the PARTNER 3 and EVOLUT low-risk trials, it is evident that, among patients with severe aortic stenosis with low surgical risks, the rates of composite death, stroke, and rehospitalization at 1 year wer...
Source: Journal of Cardiothoracic and Vascular Anesthesia - November 26, 2021 Category: Anesthesiology Authors: Ankit Jain Tags: Editorial 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

Cognitive function deterioration after cardiopulmonary bypass: Can intraoperative optimal cerebral regional tissue oxygen saturation predict postoperative cognitive function?
Neurologic complications from cardiac surgeries with cardiopulmonary bypass (CPB) affect further outcomes, including length of hospital stay, survival, health care costs, and quality of life. Stroke is the most obvious manifestation among neurologic complications, reported in 1% –3% of cases1. Although not as clinically significant as stroke, cognitive impairment occurs in about 50% of patients2 and carries important social and financial implications3.
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 30, 2023 Category: Anesthesiology Authors: Yu-Ning Hu, Tsung-Hao Hsieh, Meng-Ta Tsai, Chung-Yao Chien, Jun-Neng Roan, Yu-Ching Huang, Sheng-Fu Liang Tags: Original Article Source Type: research