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Source: Journal of Thoracic Disease
Condition: Bleeding
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Total 215 results found since Jan 2013.
Minimally invasive and robotic coronary artery bypass grafting-a 25-year review
J Thorac Dis. 2021 Mar;13(3):1922-1944. doi: 10.21037/jtd-20-1535.ABSTRACTDuring the mid-1990s cardiac surgery started exploring minimally invasive methods for coronary artery bypass grafting (CABG) and has over a 25-year period developed highly differentiated and less traumatic operations. Instead of the traditional sternotomy mini-incisions on the chest or ports are placed, surgery on the beating heart is applied, sophisticated remote access heart lung machine systems as well as videoscopic units are available, and robotic technology enables completely endoscopic approaches. This review describes these methods, reports o...
Source: Journal of Thoracic Disease - April 12, 2021 Category: Respiratory Medicine Authors: Johannes Bonatti Stephanie Wallner Ingo Crailsheim Martin Grabenw öger Bernhard Winkler Source Type: research
Use of durable left ventricular assist devices for high-risk patients: Korean experience before insurance coverage.
Conclusions: All patients who received LVADs before insurance coverage had contraindications for HT. The overall outcomes were comparable with those reported in the international registry.
PMID: 33447412 [PubMed]
Source: Journal of Thoracic Disease - January 17, 2021 Category: Respiratory Medicine Tags: J Thorac Dis Source Type: research
Perioperative risk factors for delayed extubation after acute type A aortic dissection surgery.
Conclusions: Preoperative cardiac tamponade, central arterial cannulation for CPB, postoperative stroke, postoperative renal dysfunction that required temporary hemodialysis, and re-exploration to stop bleeding are perioperative risk factors for delayed extubation. Identification of the potential risk factors for delayed extubation may help optimize the perioperative management and improve postoperative outcomes of patients undergoing ATAAD surgery.
PMID: 33145052 [PubMed]
Source: Journal of Thoracic Disease - November 5, 2020 Category: Respiratory Medicine Tags: J Thorac Dis Source Type: research
Aortic and mitral valve surgery for infective endocarditis with reconstruction of the intervalvular fibrous body: an analysis of clinical outcomes.
Conclusions: The double-valve replacement and AMC reconstruction (the Commando procedure) is an effective technique in complex heart valve disease. The short- and mid-term results with this technique are optimal, with a very low in-hospital mortality and nearly 100% of long-term survival during follow-up.
PMID: 32395280 [PubMed]
Source: Journal of Thoracic Disease - May 13, 2020 Category: Respiratory Medicine Tags: J Thorac Dis Source Type: research
Transcatheter versus surgical aortic valve replacement in low and intermediate risk patients with severe aortic stenosis: systematic review and meta-analysis of randomized controlled trials and propensity score matching observational studies.
Conclusions: TAVR is comparable to SAVR in terms of mortality and disabling stroke in severe AS patients at low and intermediate risk, but higher proportion of AV re-intervention observed in TAVR. Those results should encourage caution when extending the indications of TAVR into low risk patients, especially for young low risk patients.
Systematic review registration: PROSPERO CRD 42018112626.
PMID: 31285888 [PubMed]
Source: Journal of Thoracic Disease - July 10, 2019 Category: Respiratory Medicine Tags: J Thorac Dis Source Type: research
Single or dual antiplatelet therapy after transcatheter aortic valve replacement: an updated systemic review and meta-analysis.
Conclusions: This meta-analysis suggests that compared with DAPT, SAPT after TAVR is more likely to lead to a decline of 30-day mortality along with the reduced risk of bleeding and no increased risk of stroke. However, more clinical data and evidence from randomized controlled trials are warranted to clarify the optimal post-TAVR antiplatelet strategy.
PMID: 31019786 [PubMed]
Source: Journal of Thoracic Disease - April 27, 2019 Category: Respiratory Medicine Tags: J Thorac Dis Source Type: research
Transcatheter, sutureless and conventional aortic-valve replacement: a network meta-analysis of 16,432 patients.
Conclusions: In selected patients, minimally invasive surgical interventions including TAVI and SL-AVR for severe AS are viable alternatives to conventional surgery. However, TAVI is associated with increased paravalvular regurgitation, whereas TAVI and SL-AVR are associated with increased conduction disturbances compared to CAVR.
PMID: 30863588 [PubMed]
Source: Journal of Thoracic Disease - March 14, 2019 Category: Respiratory Medicine Tags: J Thorac Dis Source Type: research
Total aortic arch replacement using elephant trunk or frozen elephant trunk technique: a case-control matching study.
Conclusion: In regard to the short- and mid-term outcome, there were only slight differences between both techniques. In patients with extensive aneurysmal aortic disease, conventional ET and FET procedures seem to be associated with acceptable satisfactory mid-term outcome.
PMID: 30622791 [PubMed]
Source: Journal of Thoracic Disease - January 11, 2019 Category: Respiratory Medicine Tags: J Thorac Dis Source Type: research
Frozen elephant trunk with modified en bloc arch reconstruction and left subclavian transposition for chronic type A dissection.
Conclusions: Acceptable early and mid-term outcomes were achieved for patients with chronic type A dissection using en bloc technique with LSCA-LCCA transposition during TAR and FET procedure. This technique may be an alternative approach to chronic type A dissection in selected patients.
PMID: 30416785 [PubMed]
Source: Journal of Thoracic Disease - November 13, 2018 Category: Respiratory Medicine Tags: J Thorac Dis Source Type: research
Using the scoring schemes in the right way: the dynamic assessment of stroke and bleeding risk in patients with atrial fibrillation.
Authors: Chao TF, Chen SA
PMID: 30023127 [PubMed]
Source: Journal of Thoracic Disease - July 21, 2018 Category: Respiratory Medicine Tags: J Thorac Dis Source Type: research
