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Specialty: Cardiovascular & Thoracic Surgery
Condition: Thrombosis

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Total 372 results found since Jan 2013.

Hemiarch replacement with concomitant antegrade stent grafting of the descending thoracic aorta versus total arch replacement for treatment of acute DeBakey I aortic dissection with arch tear AORTIC SURGERY
CONCLUSION In treating DeBakey I aortic dissection with arch tear, hemiarch replacement with primary tear repair and concomitant TEVAR is a safe alternative to conventional TAR, with improved distal aortic remodelling.
Source: European Journal of Cardio-Thoracic Surgery - March 16, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Vallabhajosyula, P., Gottret, J. P., Robb, J. D., Szeto, W. Y., Desai, N. D., Pochettino, A., Bavaria, J. E. Tags: Extracorporeal circulation, Pericardium AORTIC SURGERY Source Type: research

Mechanical thrombectomy using the Solitaire stent in a left main coronary artery: A novel approach to coronary thrombus retrieval
The Solitaire stent is a self‐expanding nitinol, fully retrievable stent that was originally designed for applications in cerebral circulation. Expanded indications for its use in mechanical embolectomy during acute ischemic stroke have proven safe and effective. Herein, we describe a novel use of this stent to perform a mechanical thrombectomy of a large left main coronary artery thrombus. © 2016 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - May 8, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Carlos E. Uribe, Mauricio Zuñiga, Camilo Madrid Tags: Coronary Artery Disease Source Type: research

Cardiovascular Outcomes Following Rotational Atherectomy: A UK Multicentre Experience
ConclusionsRA is safe and effective, with high rate of procedural success and relatively low incidence of MACE. PVD, DM, ACS presentation and SYNTAX score were significant predictors for MACE. © 2016 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - June 2, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Christos Eftychiou, David S. Barmby, Simon J. Wilson, Salahaddin Ubaid, Andrew J. Markwick, Loukia Makri, Jonathan M. Blaxill, James C. Spratt, Mark Gunning, John P. Greenwood Tags: Coronary Artery Disease Source Type: research

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

Management of floating thrombus in the aortic arch
We report our experience in managing floating thrombi in the aortic arch.
Source: The Journal of Thoracic and Cardiovascular Surgery - April 12, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Salome Weiss, Roman B ühlmann, Regula S. von Allmen, Vladimir Makaloski, Thierry P. Carrel, Jürg Schmidli, Thomas R. Wyss Tags: Acquired Source Type: research

Thrombus aspiration: Suck it up and keep looking for a niche
Key Points Thrombus aspiration in acute coronary syndrome PCI decreased angiographic stenosis and decreased IVUS‐assessed volume of lesions. Decrease in culprit lesion volume correlated with better stent expansion. This non‐randomized single‐center study demonstrated feasibility of thrombus aspiration pre‐PCI in ACS patients, but did not prove superiority to other methods of lesion preparation such as balloon pre‐dilatation. It is unlikely to be adopted into routine practice based on this study. Randomized studies large enough to compare clinical outcomes (e.g., stroke and death) would be necessary to prove the ...
Source: Catheterization and Cardiovascular Interventions - November 15, 2016 Category: Cardiovascular & Thoracic Surgery Authors: James C. Blankenship Tags: Coronary Artery Disease Source Type: research

Carotid artery stenting: Avoiding the perfect storm
Key Points Carotid artery stenting (CAS) and carotid artery endarterectomy (CEA) have achieved equipoise for most patients with carotid artery stenosis. Studies of outcomes after CAS and CEA must consider important patient and anatomic characteristics. A perfect storm for CAS is observed in a clinical scenario characterized by acute stroke, high likelihood for unstable plaque and thrombus, early revascularization, operator inexperience, and failure to use closed‐cell stents and embolic protection. Adverse outcomes in these situations are not shortcomings of CAS, but are due to poor clinical decision‐making and judgment.
Source: Catheterization and Cardiovascular Interventions - November 15, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Robert D. Safian Tags: Peripheral Vascular Disease Source Type: research

Twenty ‐five year outcomes following composite graft aortic root replacement
ConclusionsComposite graft aortic root replacement is associated with low operative risk, excellent long‐term survival, and low incidence of reoperation and late events.
Source: Journal of Cardiac Surgery - November 30, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Salvior C.M. Mok, Wei ‐Guo Ma, Ahmed Mansour, Paris Charilaou, Alan S. Chou, Sven Peterss, Maryann Tranquilli, Bulat A. Ziganshin, John A. Elefteriades Tags: Original Article Source Type: research

Aortic Remodeling After Endovascular Repair of Complicated Acute Type B Aortic  Dissection
Conclusions TEVAR for complicated aTBAD results in low 30-day and 1-year mortality rates, with higher reintervention rates than observed with open operations. TEVAR is effective in thrombosing and stabilizing the size of the thoracic FL. The abdominal aortic FL remains patent and must be carefully scrutinized for long-term aneurysm formation.
Source: The Annals of Thoracic Surgery - December 17, 2016 Category: Cardiovascular & Thoracic Surgery Source Type: research

Predictors of Atrial Fibrillation After Coronary Artery Bypass Grafting: A  Bayesian Analysis
Conclusions This prospective Bayesian analysis identified five independent preoperative predictors of POAF after isolated CABG with cardiopulmonary bypass: CHA2DS2-VASc score, severe obesity, preoperative β-blocker use, preoperative antiplatelet therapy, and renal failure. The main interest in the CHA2DS2-VASc score as a predictor of POAF is that it is a simple and widely used bedside tool. Patients with these independent predictors of POAF may constitute a target population to test preventive strategies, such as non-antiarrhythmic and antiarrhythmic drugs.
Source: The Annals of Thoracic Surgery - December 18, 2016 Category: Cardiovascular & Thoracic Surgery Source Type: research

Aortic Remodeling After Endovascular Repair of Complicated Acute Type B Aortic  Dissection.
CONCLUSIONS: TEVAR for complicated aTBAD results in low 30-day and 1-year mortality rates, with higher reintervention rates than observed with open operations. TEVAR is effective in thrombosing and stabilizing the size of the thoracic FL. The abdominal aortic FL remains patent and must be carefully scrutinized for long-term aneurysm formation. PMID: 27993378 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - December 15, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Leshnower BG, Duwayri YM, Chen EP, Li C, Zehner CA, Binongo JN, Veeraswamy RK Tags: Ann Thorac Surg Source Type: research

Evidence for and risks of endovascular treatment of asymptomatic acute type B aortic dissection.
Abstract Acute aortic dissection is a challenging disease to manage. Type B aortic dissection has traditionally been divided temporally into acute and chronic cases but more recently this classification has been modified to include a sub-acute phase. Computed tomography is the imaging technique used most frequently in diagnosis and management. Active management of blood pressure is essential and should include beta-blockade unless contra-indicated. In-hospital outcomes are generally acceptable in patients with medically managed acute uncomplicated type B aortic dissection, with up to 90% of patients surviving to h...
Source: The Journal of Cardiovascular Surgery - January 2, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Clough RE, Nienaber CA Tags: J Cardiovasc Surg (Torino) Source Type: research

Unfractionated heparin versus bivalirudin in patients undergoing primary percutaneous coronary intervention: a SWEDEHEART study.
CONCLUSIONS: In this large, nationwide observational study we found low and similar rates of early ST in UFH only and bivalirudin treated patients undergoing primary PCI. Mortality was higher in UFH compared with bivalirudin treated patients. PMID: 28044990 [PubMed - as supplied by publisher]
Source: EuroIntervention - January 5, 2017 Category: Cardiovascular & Thoracic Surgery Tags: EuroIntervention Source Type: research

Aortic valve repair in the paediatric population: insights from a 38-year single-centre experience CONGENITAL
CONCLUSIONS In our experience, AV repair in the paediatric population provides excellent results in terms of both overall survival and valve-related reoperation. It obviates the need for chronic anticoagulation and in most cases delays the time at which more complex surgery such as the Ross procedure should be undertaken.
Source: European Journal of Cardio-Thoracic Surgery - January 10, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Poncelet, A. J., El Khoury, G., De Kerchove, L., Sluysmans, T., Moniotte, S., Momeni, M., Detaille, T., Rubay, J. E. Tags: Basic research vascular CONGENITAL Source Type: research

Building a bioartificial heart: Obstacles and opportunities
The growing numbers of patients with heart failure, both in the United States and around the globe, has led to a pressing need for new therapies. Heart transplantation is a very restricted option due to the limited number of donor hearts available —currently approximately 2800 per year in the United States. Transplant patients also have to take immunosuppressive drugs for the rest of their lives. Ventricular assist devices, used either as bridge to transplant or destination therapy, can prolong patient survival, but present a number of comp lications, including thrombosis, stroke, and infection.
Source: The Journal of Thoracic and Cardiovascular Surgery - January 13, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Martha S. Lundberg, J. Timothy Baldwin, Denis B. Buxton Tags: Feature Expert opinion Source Type: research