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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

Exclusion of the left atrial appendage with the TigerPaw II system: a word of caution
We describe herein our experience with the recently introduced TigerPaw II system for LAA exclusion, and report a high prevalence of device malfunction. Design improvements may address these issues and increase safety for new technological devices designed for surgical LAA closure.
Source: Interactive CardioVascular and Thoracic Surgery - November 17, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Ventosa-Fernandez, G., Quintana, E., Castella, M., Pereda, D. Tags: Adult Cardiac Source Type: research

Surgical treatment for pseudo-occlusion of the internal carotid artery
CONCLUSIONS Surgical treatment for carotid artery pseudo-occlusion is safe and effective.
Source: Interactive CardioVascular and Thoracic Surgery - April 22, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Desole, A., Campanile, F., Tosato, F., Milite, D. Tags: Neurostimulation Vascular Source Type: research

189 * managing distal arch tears in debakey i aortic dissection: cut or stent?
Conclusion: In anatomically feasible aortic dissection arch tear, THA + TEVAR is a safe alternative treatment strategy to conventional TAR, with improved postoperative and early mid-term survival.
Source: Interactive CardioVascular and Thoracic Surgery - September 23, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Vallabhajosyula, P., Robb, J. D., Menon, R., Gottret, J., Desai, N., Szeto, W., Pochettino, A., Bavaria, J. E. Tags: Hot strategies in complex cardiac surgery Source Type: research

254 * evaluation of the downstream aorta after frozen elephant trunk repair for aortic dissections in terms of diameter and false lumen status
Conclusion: Compared to conventional surgery for extensive aortic dissections, the FET technique provides a high rate of FL thrombosis of the thoracic aorta without increasing the risk of the operation.
Source: Interactive CardioVascular and Thoracic Surgery - September 23, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Weiss, G., Santer, D., Folkmann, S. V., Dumfarth, J., Pisarik, H., Harrer, M., Waldenberger, F., Grabenwoger, M. Tags: Thoraco-abdominal aortic pathology: A functional approach in preserving spinal cord integrity Source Type: research

013 * european multicentre experience with sutureless perceval valve: clinical and haemodynamic outcomes up to 5 years in over 700 patients
Conclusion: This European multicentre experience with the largest cohort of patients with sutureless valves to date shows excellent clinical and haemodynamic results that remain stable even up to 5 years follow-up. Even in this elderly patient cohort with 40% octogenarians, both early and late mortality were very low. There were no valve migrations, structural valve degeneration or valve thrombosis in follow-up. The sutureless technique is a promising alternative to biological AVR.
Source: Interactive CardioVascular and Thoracic Surgery - September 23, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Shrestha, M., Laborde, F., Carrel, T., Fischlein, T., Meuris, B., Madonna, F., Misfeld, M., Haverich, A. Tags: Small incisions and sutureless valves: A perfect marriage Source Type: research

019 * is antiplatelet therapy required in heartmate ii patients? preliminary results from the european trace study
Conclusion: This preliminary analysis of the observational TRACE-EU study suggests that managing HMII patients with a vitamin K antagonist without aspirin may help to reduce the incidence of major bleeding without increasing the risk of thrombo-embolic events including ischaemic stroke and device thrombosis. Further prospective studies are needed.
Source: Interactive CardioVascular and Thoracic Surgery - September 23, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Schmitto, J. D., Litzler, P. Y., Berchtold-Herz, M., Flecher, E., Zimpfer, D., Damme, L., Sundareswaran, K., Netuka, I. Tags: Left ventricular assist devices: Softening the blow Source Type: research

164 * decision-making in aortic root surgery in marfan syndrome: bleeding, thromboembolism and risk of reintervention after valve-sparing or mechanical aortic root replacement
Conclusion: The calculated annual failure rate after VSRR using the reimplantation technique was lower than the annual risk for thromboembolic or bleeding events. As the perioperative risk of reinterventions after VSRR itself is low, patients might benefit from VSRR even if they have to undergo redo surgery during follow-up.
Source: Interactive CardioVascular and Thoracic Surgery - September 23, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Schoenhoff, F., Langhammer, B., Reineke, D., Kadner, A., Carrel, T. Tags: Proximal thoracic aortic pathology: Variations on a theme Source Type: research

Who might benefit from early aspirin after coronary artery surgery?
A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was whether early administration of aspirin might optimize vein graft patency. More than 250 papers were found using the reported search, of which 4 new papers in addition to the previous 7 represented the best evidence to answer the clinical question. The authors, journal, date and country of publication, patient group studied, study type, relevant outcomes and results of these papers are tabulated. Early postoperative aspirin administered within 6 h following coronary artery bypass grafting (CABG) has been show...
Source: Interactive CardioVascular and Thoracic Surgery - August 14, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Gukop, P., Gutman, N., Bilkhu, R., Karapanagiotidis, G. T. Tags: Cardiac - physiology, Education, Congestive Heart Failure, Molecular biology Adult Cardiac Source Type: research

Temporary right ventricular support following left ventricle assist device implantation: a comparison of two techniques
CONCLUSIONS Temporary support of the failing RV after LVAD implantation using temporary vein and the pulmonary artery RVAD is a promising therapeutic option. This approach provides adequate LVAD pre- and afterload and is associated with significantly less thromboembolic complications.
Source: Interactive CardioVascular and Thoracic Surgery - June 18, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Noly, P.-E., Kirsch, M., Quessard, A., Leger, P., Pavie, A., Amour, J., Leprince, P. Tags: Adult Cardiac Source Type: research

Ten-year screening for thrombocytopenia after aortic valve replacement
CONCLUSIONS Thrombocytopenia and Elisa (+) are more common after AVR than after other procedures, and both were associated with increased adverse clinical outcomes. Age and lower preoperative platelet count were associated with postoperative thrombocytopenia and Elisa (+).
Source: Interactive CardioVascular and Thoracic Surgery - April 21, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Sun, X., Hill, P. C., Ellis, J., Corso, P. J., Taylor-Panek, S. L., Chen, F. Tags: Adult Cardiac Source Type: research

Guideline adherence in antithrombotic treatment after concomitant ablation surgery in atrial fibrillation patients
CONCLUSIONS Real-life OAC prescription in AF patients showed a moderate guideline adherence, with high-risk patients being undertreated and low-risk patients being overtreated. These findings stress the importance that antithrombotic treatment in patients undergoing AF surgery needs to be critically re-evaluated.
Source: Interactive CardioVascular and Thoracic Surgery - February 15, 2014 Category: Cardiovascular & Thoracic Surgery Authors: van Breugel, H. N. A. M., Gelsomino, S., Lozekoot, P. W. J., Accord, R. E., Luca, F., Parise, O., Crijns, H. J. G. M., Maessen, J. G. Tags: Adult Cardiac Source Type: research

064 * ten-year results of redo aortic valve surgery in current practice: results from the multicentre european redo cardiac operations research database (record) initiative
Conclusions: rAVR still achieve satisfactory results. Baseline risk-factors and perioperative complications affecting outcome can be targets for TAVR and for improvements in perioperative management respectively.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Onorati, F., Biancari, F., De Feo, M., Mariscalco, G., Messina, A., Santarpino, G., Santini, F., Faggian, G. Tags: Aortic valve replacement: Long-term outcomes Source Type: research

115 * the frozen elephant trunk technique for the treatment of complicated type b aortic dissection: early multicentre experience
Conclusions: The FET technique constitutes a feasible therapeutic option, if TEVAR is not recommended. In contrast to conventional aortic surgery via a lateral thoracotomy, the FET procedure provides the opportunity for simultaneous treatment of the ascending aorta and aortic arch, if necessary.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Weiss, G., Tsagakis, K., Jakob, H. G., Di Bartolomeo, R., Barberio, G., Mascaro, J., Mestres, C., Sioris, T., Grabenwoger, M. Tags: Proximal aorta surgery: Extending to the descending aorta Source Type: research

117 * long-term results of the frozen elephant trunk technique for acute type a aortic dissection from a 15-year experience
Conclusions: The FET technique resulted in excellent aortic remodelling on the downstream aorta and could improve the long-term outcome for AAAD.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Uchida, N., Katayama, A., Katayama, K., Takahashi, S., Takasaki, T., Sueda, T. Tags: Proximal aorta surgery: Extending to the descending aorta Source Type: research

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