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Source: The Annals of Thoracic Surgery
Condition: Bleeding

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Total 81 results found since Jan 2013.

Outcomes for Low-Risk Surgical Aortic Valve Replacement: A Benchmark for Aortic Valve Technology.
CONCLUSIONS: Low-risk patients undergoing surgical AVR in the current era have excellent results. The most common complications were atrial fibrillation and bleeding. These real-world results should provide additional context for upcoming transcatheter clinical trial data. PMID: 28610884 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - June 11, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Johnston LE, Downs EA, Hawkins RB, Quader MA, Speir AM, Rich JB, Ghanta RK, Yarboro LT, Ailawadi G Tags: Ann Thorac Surg Source Type: research

Does Surgical Ablation Energy Source Affect Long-Term Success of the Concomitant Cox Maze Procedure?
CONCLUSIONS: Concomitant CM procedures performed with cryothermal energy alone or combined with bipolar radiofrequency ablation are safe and exceedingly effective. The association of cryothermal energy alone with higher rates of sinus rhythm and stroke reduction should be investigated further. PMID: 28577848 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - June 1, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Ad N, Holmes SD, Rongione AJ, Massimiano PS, Fornaresio LM Tags: Ann Thorac Surg Source Type: research

Outcomes of Antegrade Stent Graft Deployment During Hybrid Aortic Arch Repair.
CONCLUSIONS: Hybrid repair of complex aortic arch pathology with antegrade stent graft deployment can be performed safely with high technical success while obviating the need for a second operation. Reasonable midterm survival can be anticipated; however, older age, preoperative coagulopathy, and postoperative acute kidney injury are factors associated with poor outcome. PMID: 28395872 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - April 7, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Aalaei-Andabili SH, Scali S, Klodell C, Lee T, Hess P, Martin T, Beck A, Feezor R, Alhussaini M, Arnaoutakis G, Beaver T Tags: Ann Thorac Surg Source Type: research

Venovenous Versus Venoarterial Extracorporeal Membrane Oxygenation for Adult Patients With Acute Respiratory Distress Syndrome Requiring Precannulation Hemodynamic Support: A Review of the ELSO Registry.
CONCLUSIONS: In this review of ARDS patients requiring pre-ECMO hemodynamic support, VV ECMO was not associated with worse survival or complication rates compared with VA ECMO. These data suggest that, in appropriately selected patients, it may be reasonable to initially institute VV ECMO support, reserving VA ECMO for conversion for refractory hypotension. PMID: 28190548 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - February 8, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Kon ZN, Bittle GJ, Pasrija C, Pham SM, Mazzeffi MA, Herr DL, Sanchez PG, Griffith BP Tags: Ann Thorac Surg Source Type: research

Prolonged Cross-Clamping During Aortic Valve Replacement Is an Independent Predictor of Postoperative Morbidity and Mortality: Analysis of the Japan Cardiovascular Surgery Database.
CONCLUSIONS: Prolonged ACCD offers an independent predictor of postoperative morbidity and mortality after isolated AVR for AS despite recent technologic advances and surgical refinements. PMID: 27624296 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - September 9, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Iino K, Miyata H, Motomura N, Watanabe G, Tomita S, Takemura H, Takamoto S Tags: Ann Thorac Surg Source Type: research

Outcomes on Continuous Flow Left Ventricular Assist Devices: A Single Institutional 9-Year Experience.
CONCLUSIONS: These data indicate excellent survival for BTT and DT patients on long-term LVAD support. However, for LVAD therapy to become a plausible alternative to heart transplantation, we need to further decrease the incidence of postoperative complications. PMID: 27173072 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - May 9, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Morgan JA, Go PH, Xuereb L, Kaur B, Akrawe S, Nemeh HW, Borgi J, Lanfear DE, Williams CT, Paone G Tags: Ann Thorac Surg Source Type: research

Resection of Intraabdominal Tumors With Cavoatrial Extension Using Deep Hypothermic Circulatory Arrest.
CONCLUSIONS: Intraabdominal malignancies with cavoatrial extension can be safely resected. Excellent local tumor control can be anticipated. Long-term surveillance is necessary to detect recurrence. PMID: 27173070 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - May 8, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Lau C, O'Malley P, Gaudino M, Scherr DS, Girardi LN Tags: Ann Thorac Surg Source Type: research

Beyond the Aortic Root: Staged Open and Endovascular Repair of Arch and Descending Aorta in Patients with Connective Tissue Disorders.
CONCLUSIONS: Most patients with CTDs who require operations beyond the aortic root have aortic dissection and require multiple reinterventions. Staged repair strategies, including open repair in combination with TEVAR, are feasible, and benefits outweigh risks. These patients require lifelong imaging surveillance. PMID: 26545624 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - November 3, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Roselli EE, Idrees JJ, Lowry AM, Masabni K, Soltesz EG, Johnston DR, Kalahasti V, Blackstone EH, Sabik JF, Lytle BW, Svensson LG Tags: Ann Thorac Surg Source Type: research

Transcatheter or Surgical Aortic Valve Replacement in Patients With Prior Coronary Artery Bypass Grafting.
CONCLUSIONS: For patients with prior coronary artery bypass graft surgery and aortic stenosis, TAVR offers a significant morbidity advantage and a strong trend toward improved survival over SAVR at 1 year. PMID: 26433523 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - September 30, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Conte JV, Gleason TG, Resar JR, Adams DH, Deeb GM, Popma JJ, Hughes GC, Zorn GL, Reardon MJ Tags: Ann Thorac Surg Source Type: research

Impact of Ultrafiltration on Kidney Injury After Cardiac Surgery: The Michigan Experience.
CONCLUSIONS: Patients exposed to CUF had a higher adjusted risk of AKI. Clinical teams should consider lower volumes of CUF among patients with low creatinine clearance to minimize the risk of AKI. PMID: 26209495 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - July 22, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Paugh TA, Dickinson TA, Martin JR, Hanson EC, Fuller J, Heung M, Zhang M, Shann KG, Prager RL, Likosky DS, Michigan Society of Thoracic and Cardiovascular Surgeons and the Perfusion Measures and Outcomes (PERForm) Registry Tags: Ann Thorac Surg Source Type: research

Endoaortic Clamping Does Not Increase the Risk of Stroke in Minimal Access Mitral Valve Surgery: A Multicenter Experience.
CONCLUSIONS: Once procedural proficiency is acquired, endoaortic balloon clamping in MIMVS is a safe and effective technique. Despite the fact that this patient cohort also includes combined and redo procedures, the observed mortality and stroke rate compared favorably with the existing literature on primary isolated mitral valve surgery irrespective of the approach. PMID: 26163356 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - July 7, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Casselman F, Aramendi J, Bentala M, Candolfi P, Coppoolse R, Gersak B, Greco E, Herijgers P, Hunter S, Krakor R, Rinaldi M, Van Praet F, Van Vaerenbergh G, Zacharias J Tags: Ann Thorac Surg Source Type: research

Hospital Readmissions After Continuous-Flow Left Ventricular Assist Device Implantation: Incidence, Causes, and Cost Analysis.
CONCLUSIONS: Gastrointestinal bleeding and CF-LVAD-related infections were the leading causes of readmission. Patients with a CF-LVAD spent 93% of their time out of hospital after implantation, and readmissions did not have a negative impact on long-term survival. New approaches to minimize these adverse events will continue to improve the efficacy and decrease the cost of CF-LVAD therapy. PMID: 26095106 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - June 19, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Akhter SA, Badami A, Murray M, Kohmoto T, Lozonschi L, Osaki S, Lushaj EB Tags: Ann Thorac Surg Source Type: research

Transapical Versus Transaortic Transcatheter Aortic Valve Implantation: A Systematic Review.
Abstract Two alternative approaches for transcatheter aortic valve implantation (TAVI) exist for patients unsuitable for the transfemoral approach; the transapical and the transaortic approaches. It is unclear as to which approach has superior short-term outcomes. A systematic review and meta-analysis was performed to answer this question. Mortality was equivalent in the 2 groups. There was a trend toward a lower rate of stroke in the transaortic group (0.9% vs 2.1%) but this was not statistically significant. Conversion to surgical aortic valve replacement, paravalvular leak, pacemaker requirement, and major bl...
Source: The Annals of Thoracic Surgery - May 20, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Dunne B, Tan D, Chu D, Yau V, Xiao J, Ho KM, Yong G, Larbalestier R Tags: Ann Thorac Surg Source Type: research

A More Specific Anticoagulation Regimen Is Required for Patients After the Cox-Maze Procedure.
CONCLUSIONS: Our results indicate that the decision to discontinue OAC after the Cox-Maze procedure should not be based solely on CHADS2 scores; rather, rhythm status, echocardiographic findings, and patient risk for bleeding should be considered. These findings underscore the need for an OAC protocol for patients who have undergone the Cox-Maze procedure with appropriate LAA management. PMID: 25152383 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - August 21, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Ad N, Henry L, Shuman DJ, Holmes SD Tags: Ann Thorac Surg Source Type: research

Optimal Conduit for Diabetic Patients: Propensity Analysis of Radial and Right Internal Thoracic Arteries.
CONCLUSIONS: In diabetic patients undergoing multivessel revascularization with either RA or RITA grafts to the circumflex coronary, long-term survival is similar. However, RA patients experienced significantly fewer respiratory or sternal wound adverse events. The RA is the preferred conduit to extend to more diabetic patients the recognized survival benefit of a multiple arterial graft strategy. PMID: 24878172 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - May 28, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Hoffman DM, Dimitrova KR, Lucido DJ, Dincheva GR, Geller CM, Balaram SK, Ko W, Swistel DG, Tranbaugh RF Tags: Ann Thorac Surg Source Type: research