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Source: Journal of Cardiothoracic and Vascular Anesthesia
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Total 207 results found since Jan 2013.
A Case of Fatal Bleeding Following Emergency Surgery on an Ascending Aorta Intramural Hematoma in a Patient Taking Dabigatran
INTRAMURAL HEMATOMA (IMH) is an acute aortic syndrome. More frequently—in 60% to 70% of cases—IMH involves the descending aorta (type B), whereas the involvement of the ascending aorta and aortic arch accounts for 30% and 10% of the cases, respectively. Hospital mortality of type-A IMH is similar to type-A aortic dissection. Cardiocirculatory shock secondary to cardiac tamponade, together with stroke, coma, and impaired coronary perfusion, are important predictive factors of postoperative mortality.
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 13, 2016 Category: Anesthesiology Authors: Giulia Beatrice Crapelli, Paolo Bianchi, Giuseppe Isgrò, Andrea Biondi, Carlo de Vincentiis, Marco Ranucci Tags: Case Report Source Type: research
The Effect of Cardiopulmonary Bypass on Dabigatran Levels
DABIGATRAN IS a novel anticoagulant that is licensed for use for the prevention of stroke in the presence of atrial fibrillation. Its use has expanded rapidly in New Zealand, primarily due to there being no requirement for routine monitoring of its effect, as there is for warfarin. There are case reports in the literature describing management of patients coming for urgent cardiac surgery, which revolve mainly around the use of dialysis and massive transfusion of clotting factors to manage the bleeding associated with surgery.
Source: Journal of Cardiothoracic and Vascular Anesthesia - December 31, 2015 Category: Anesthesiology Authors: Kelly Byrne Tags: CASE REPORT Source Type: research
Impact of Positive End-Expiratory Pressure on Thermodilution-Derived Right Ventricular Parameters in Mechanically Ventilated Critically Ill Patients
To examine the effect of positive end-expiratory pressure (PEEP) on right ventricular stroke volume variation (SVV), with possible implications for the number and timing of pulmonary artery catheter thermodilution measurements.
Source: Journal of Cardiothoracic and Vascular Anesthesia - December 16, 2015 Category: Anesthesiology Authors: Thomas G.V. Cherpanath, Wim K. Lagrand, Jan M. Binnekade, Anton J. Schneider, Marcus J. Schultz, Johan A.B. Groeneveld Tags: Original Article Source Type: research
New-Onset Atrial Fibrillation After Cardiac Surgery: Pathophysiology, Prophylaxis, and Treatment
AMONG ALL CARDIOVASCULAR complications, new-onset postoperative atrial fibrillation (POAF) is one of the most common complications, occurring in 30% to 50% of patients after cardiac surgery.1 POAF occurs most frequently in the first 5 days after cardiac surgery, with a peak incidence on postoperative day 2.2,3 POAF is associated with an increased risk of mortality and morbidity, predisposes patients to a higher risk of stroke, requires additional treatment, and increases postoperative costs.4–6 Thus, POAF is a significant problem because its impact on hospital resources is substantial.
Source: Journal of Cardiothoracic and Vascular Anesthesia - November 17, 2015 Category: Anesthesiology Authors: Vladimir V. Lomivorotov, Sergey M. Efremov, Eugeniy A. Pokushalov, Alexander M. Karaskov Tags: Review ArticleGiovanni Liandoni, 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
CASE 9—2015 Anesthetic Management of a Patient With Esophago-Pericardial Fistula Complicating Atrial Fibrillation Radiofrequency Ablation
ATRIAL FIBRILLATION (AF) REMAINS the most common arrhythmia in the elderly population.1,2 Treatment of AF is tailored toward rhythm and heart rate control using antiarrhythmic medications and anticoagulation therapy to prevent embolic stroke. However, antiarrhythmic therapy fails in a significant number of patients. Drug-refractory AF currently is managed with catheter ablation (CA) procedures, which are associated with a complication rate of about 5% and a mortality rate of approximately 0.001%.
Source: Journal of Cardiothoracic and Vascular Anesthesia - September 16, 2015 Category: Anesthesiology Authors: Michael Essandoh, Andrew J Otey, Juan Crestanello, Jonathan Keshishian, Patrick G. Brady, Rebecca M. Gerlach Tags: Case Conferences Source Type: research
The Problem With Predicting Postoperative Atrial Fibrillation
ATRIAL FIBRILLATION (AF) is the most common cardiac arrhythmia, with significant effects on patient quality of life and healthcare costs. Currently, more than 400,000 hospitalizations and 80,000 deaths annually are attributed to AF, with a substantial associated healthcare cost of $26 billion.1,2 Postoperative atrial fibrillation (POAF) is a unique entity seen in 16% to 30% of patients undergoing cardiac surgery and is associated with increased stroke, mortality, and hospital length of stay.3–5 The exact mechanism of POAF remains unknown, although it likely is multifactorial, caused by a combination of surgical stress an...
Source: Journal of Cardiothoracic and Vascular Anesthesia - September 16, 2015 Category: Anesthesiology Authors: Emily Methangkool, Kimberly Howard-Quijano, Aman Mahajan Tags: Editorial Source Type: research
Left Atrial Appendage, Intraoperative Echocardiography, and the Anesthesiologist
THE ANATOMY and function of the left atrial appendage (LAA) recently have received clinical attention. The LAA’s role in the generation of intracardiac thrombi and eventual embolism has been investigated significantly.1 The LAA is not merely an embryologic remnant but an integral anatomic and physiologic component of the left atrium (LA). It has a complex shape and functions as a reservoir and a neurosecretory organ with arrhythmogenic potential.2 Importantly, the LAA is the most common cardiac source of embolism with resultant stroke.
Source: Journal of Cardiothoracic and Vascular Anesthesia - August 25, 2015 Category: Anesthesiology Authors: Khurram Owais, Feroze Mahmood, Mario Montealegre-Gallegos, Kamal R. Khabbaz, Robina Matyal Tags: Review Article Source Type: research
Carotid endarterectomy in octogenarians: A 5-years single centre experience
Surgical carotid endarterectomy still remains the most effective treatment for reducing the risk of stroke in patients with significant carotid stenosis. In fact, endovascular carotid stenting is associated with a higher incidence of perioperative and long-term minor stroke when compared to carotid endarterectomy although long-term functional outcome and risk of major stroke are comparable.1 However, advanced age resulted to be associated with an increased risk of complications after carotid endarterectomy.
Source: Journal of Cardiothoracic and Vascular Anesthesia - June 1, 2015 Category: Anesthesiology Authors: Laura Pasin, Pasquale Nardelli, Daniela Febres, Alessandro Belletti, Omar Saleh, Mattia Bellandi, Livia Manfredini, Gianluca Paternoster, Giovanni Landoni, Alberto Zangrillo Source Type: research
Regional cerebral oxygen desaturation measured by Near-Infrared-Spectroscopy is not a reliable indicator for cerebral outcome after aortic arch surgery
In this retrospective study in adults the relationship between intraoperative regional oxygen cerebral (de)saturation (rScO2) and the incidence of neurological deficit (stroke, delirium) after aortic arch surgery was investigated
Source: Journal of Cardiothoracic and Vascular Anesthesia - June 1, 2015 Category: Anesthesiology Authors: Werner Baulig, Philipp Buehler, Karin Brueckner, Dominique Bettex, Marco Bosshart Source Type: research
Use of Blood Products and Diseased Ascending Aorta Are Determinants of Stroke After Off-Pump Coronary Artery Bypass Grafting
To examine the effect of blood products on the occurrence of stroke after coronary artery surgery.
Source: Journal of Cardiothoracic and Vascular Anesthesia - May 25, 2015 Category: Anesthesiology Authors: Eeva-Maija Kinnunen, Tatu Juvonen, Fausto Biancari Tags: Original Article Source Type: research
Management of Direct Oral Anticoagulants in the Perioperative Setting
AN INCREASING NUMBER of patients undergoing surgical procedures are treated chronically by oral anticoagulants (OAC). Vitamin K antagonists (VKAs) have been standard practice in chronic anticoagulant therapy for decades. Despite a proved efficacy, they have several disadvantages. Over the past 5 years, direct oral anticoagulants (DOAs) such as dabigatran, rivaroxaban, apixaban, and edoxaban have been approved for several indications for long-term anticoagulation. Consequently, with the aging population and the extension of the indication of anticoagulation for stroke prevention in nonvalvular atrial fibrillation (AF), ther...
Source: Journal of Cardiothoracic and Vascular Anesthesia - May 24, 2015 Category: Anesthesiology Authors: Olivier Untereiner, Pierre-François Seince, Vladimir Chterev, Isabelle Leblanc, Clarisse Berroëta, Patrick Bourel, Ivan Philip Tags: Review ArticlesGiovanni Landoni, MDSection Editors? > Source Type: research
