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High-Risk Pulmonary Embolism After Hemorrhagic Stroke: Management Considerations During Catheter-Directed Interventional Therapy
SUMMARY
Source: Journal of Cardiothoracic and Vascular Anesthesia - April 6, 2022 Category: Anesthesiology Authors: Ferenc Rabai, Joseph E. LaGrew, Michael Lazarowicz, Gregory M. Janelle, Nicolai Goettel, Lawrence J. Caruso Source Type: research

Noninvasive Sonographic Assessment of Volume-Responsiveness in Neonates After Cardiac Surgery: More of the Same or Something Novel?
APPROPRIATE PERIOPERATIVE fluid management in the neonate or infant after cardiac surgery requires meticulous attention to volume and timing of administration. Insufficient fluid administration can promote or maintain a state of relative volume depletion, reducing stroke volume and cardiac output with attendant risk of inadequate systemic oxygen delivery and end-organ hypoperfusion. This has been associated with acute kidney injury, among other sequelae. Conversely, excessive volume expansion can lead to a state of fluid overload, increasing ventricular filling pressures and myocardial oxygen demand.
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 23, 2022 Category: Anesthesiology Authors: Timothy P. Welch, Adam C. Adler Tags: Editorial Source Type: research

DUPLICATE: Combined Stroke and Spinal Cord Infarction in Hybrid Type I Aortic Arch Debranching and TEVAR and the Dual Role of the Left Subclavian Artery
The Publisher regrets that this article is an accidental duplication of an article that has already been published, http://dx.doi.org/10.1016/j.endend.2014.06.001. The duplicate article has therefore been withdrawn.The full Elsevier Policy on Article Withdrawal can be found at http://www.elsevier.com/locate/withdrawalpolicy.
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 11, 2022 Category: Anesthesiology Authors: Hamdy Awad, Arwa Raza, Samiya Saklayen, Sujatha Bhandary, Hesham Kelani, Ciaran Powers, Eric Bourekas, Michael Essandoh Tags: Case Conference Source Type: research

Combined Stroke and Spinal Cord Infarction in Hybrid Type I Aortic Arch Debranching and TEVAR and the Dual Role of the Left Subclavian Artery
Introduction
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 11, 2022 Category: Anesthesiology Authors: Hamdy Awad, Arwa Raza, Samiya Saklayen, Sujatha Bhandary, Hesham Kelani, Ciaran Powers, Eric Bourekas, Michael Essandoh Tags: Case Conference Source Type: research

Mortality reduction after a pre-incision safety check before cardiac surgery; is it the aorta?
This study assesses prevalence and predictors of this adaptation following a pre-incision safety check and the subsequent effect on outcome.
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 4, 2022 Category: Anesthesiology Authors: Alexander J. Spanjersberg, Jan Paul Ottervanger, Arno P. Nierich, Marga Hoogendoorn, George J. Brandon Bravo Bruinsma Source Type: research

Mortality Reduction After a Preincision Safety Check Before Cardiac Surgery: Is It the Aorta?
This study assessed the prevalence and predictors of this adaptation after a preincision safety check and the subsequent effect on outcome.
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 4, 2022 Category: Anesthesiology Authors: Alexander J. Spanjersberg, Jan Paul Ottervanger, Arno P. Nierich, Marga Hoogendoorn, George J. Brandon Bravo Bruinsma Tags: Original Article Source Type: research

Acute Thrombocytopenia is More Pronounced in Women After LVAD Implantation
The alterations of platelet count in patients undergoing left ventricular assist device (LVAD) implantation are unkonown. We characterized differences in platelet count between men and women with a “benign” course post LVAD in the absence of stroke, sepsis, the need for other mechanical circulatory support, renal replacement therapy, and prolonged vasopressor support. After Institutional Review Board approval, we retrospectively studied consecutive patients undergoing Heart Mate 2 or 3 imp lantation from April, 2008 until August, 2020.
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 7, 2022 Category: Anesthesiology Authors: Assi Milwidsky, Magued W. Haroun, Shivank Madan, Omar Saeed, Ari Feinberg, Seyed F. Marashi, Mayuko Uehara, Stephen J. Forest, Daniel J. Goldstein, Ulrich. P. Jorde Source Type: research

Self-Expanding Versus Balloon-Expandable Valve: Are We at the Cusp of Delivering a Perfect Transcatheter Aortic Valve?
Transcatheter aortic valve replacement (TAVR) has become a leading and dominant treatment alternative to surgical aortic valve replacement (SAVR) for intermediate- and high-risk patients with aortic stenosis.1-5 The follow-up trials for both the core valve, as well as the balloon-expanding valve, showed similar midterm survival and stroke rates in high-risk patients following TAVR versus SAVR.6-8 With the recent results of the PARTNER 3 and EVOLUT low-risk trials, it is evident that, among patients with severe aortic stenosis with low surgical risks, the rates of composite death, stroke, and rehospitalization at 1 year wer...
Source: Journal of Cardiothoracic and Vascular Anesthesia - November 26, 2021 Category: Anesthesiology Authors: Ankit Jain Tags: Editorial Source Type: research

Self-Expanding versus Balloon Expandable Valve – Are we at the Cusp of Delivering a Perfect Transcatheter Aortic Valve?
Transcatheter aortic valve replacement (TAVR) has become a leading and dominant treatment alternative to surgical aortic valve replacement (SAVR) for high- and intermediate-risk patients with aortic stenosis.1 –5 The follow up trials for both the core valve as well as the balloon-expanding valve showed similar mid-term survival and stroke rates in high-risk patients following TAVR vs SAVR.6–8 With the recent results of the PARTNER 3 and EVOLUT low risk trials, it is evident that, among patients with s evere aortic stenosis with low surgical risks, the rate of composite death, stroke and rehospitalization at 1 year was ...
Source: Journal of Cardiothoracic and Vascular Anesthesia - November 26, 2021 Category: Anesthesiology Authors: Ankit Jain Tags: Editorial Source Type: research

Neurologic Dysfunction and Neuroprotection in Transcatheter Aortic Valve Implantation
Transcatheter aortic valve implantation is a fast-growing procedure. Expanding to low-risk patients, it has surpassed surgical aortic valve implantation in frequency and has been associated with excellent outcomes. Stroke is a devastating complication after transcatheter aortic valve implantation. Silent brain infarcts identified by diffusion-weighted magnetic resonance imaging are present in most patients following transcatheter aortic valve implantation. Postoperative delirium and cognitive dysfunction are common neurologic complications.
Source: Journal of Cardiothoracic and Vascular Anesthesia - November 12, 2021 Category: Anesthesiology Authors: Kyle J. Riley, Lee-Wei Kao, Ying Low, Shika Card, Gem Manalo, Jeffrey P. Flemming, Michael K. Essandoh, Adam A. Dalia, Jason Z. Qu Tags: Review Article Source Type: research

The Use of Cerebral Oximetry in Surgery: A Systematic Review and Meta-analysis of Randomised Controlled Trials
The evidence on the use of cerebral oximetry during surgery to minimise postoperative neurological complications remains uncertain in the literature. We aimed to assess the value of cerebral oximetry in the prevention of postoperative cognitive dysfunction, postoperative delirium and postoperative stroke in adults undergoing surgery.
Source: Journal of Cardiothoracic and Vascular Anesthesia - October 1, 2021 Category: Anesthesiology Authors: Zhen Zhe Wong, Xin Hui Chiong, Sook Hui Chaw, Noorjahan Haneem Binti Md Hashim, Mohd Fitry Bin Zainal Abidin, Siti Nadzrah Binti Yunus, Thiruselvi Subramaniam, Ka Ting Ng Tags: Original Article Source Type: research

The Use of Cerebral Oximetry in Surgery: A Systematic Review and Meta-analysis of Randomized Controlled Trials
The evidence on the use of cerebral oximetry during surgery to minimize postoperative neurologic complications remains uncertain in the literature. The present authors aimed to assess the value of cerebral oximetry in the prevention of postoperative cognitive dysfunction, postoperative delirium, and postoperative stroke in adults undergoing surgery.
Source: Journal of Cardiothoracic and Vascular Anesthesia - October 1, 2021 Category: Anesthesiology Authors: Zhen Zhe Wong, Xin Hui Chiong, Sook Hui Chaw, Noorjahan Haneem Binti Md Hashim, Mohd Fitry Bin Zainal Abidin, Siti Nadzrah Binti Yunus, Thiruselvi Subramaniam, Ka Ting Ng Tags: Original Article Source Type: research

Combined Stroke and Spinal Cord Infarction in Hybrid Type I Aortic Arch Debranching and TEVAR and the Dual Role of the Left Subclavian Artery
Aortic arch pathology, as a part of acute aortic syndrome, is a difficult clinical problem to address. Whether it presents as an intramural hematoma with impending rupture, isolated aneurysmal disease, or acute localized dissection, it creates a clinical challenge to the perioperative team. Some of the difficulty stems from determining the best operative strategy, either an open approach, total endovascular repair, or a hybrid of the two. Hybrid aortic arch repair involves two steps: open aortic branch revascularization and endovascular aortic repair.
Source: Journal of Cardiothoracic and Vascular Anesthesia - August 24, 2021 Category: Anesthesiology Authors: Hamdy Awad, Arwa Raza, Samiya Saklayen, Sujatha Bhandary, Hesham Kelani, Ciaran Powers, Eric Bourekas, Ian Stines, Ross Milner, Elizabeth Valentine, Michael Essandoh Source Type: research

Combined Stroke and Spinal Cord Ischemia in Hybrid Type I Aortic Arch Debranching and TEVAR and the Dual Role of the Left Subclavian Artery
AORTIC ARCH PATHOLOGY, as a part of acute aortic syndrome, is a difficult clinical problem to address. Whether it presents as an intramural hematoma with impending rupture, isolated aneurysmal disease, or acute localized dissection, it creates a clinical challenge to the perioperative team. Some of the difficulty stems from determining the best operative strategy, either an open approach, total endovascular repair, or a hybrid of the two. Hybrid aortic arch repair involves two steps: open aortic branch revascularization and endovascular aortic repair.
Source: Journal of Cardiothoracic and Vascular Anesthesia - August 24, 2021 Category: Anesthesiology Authors: Hamdy Awad, Arwa Raza, Samiya Saklayen, Sujatha Bhandary, Hesham Kelani, Ciaran Powers, Eric Bourekas, Ian Stine, Ross Milner, Elizabeth Valentine, Michael Essandoh Tags: Case Conference Source Type: research

A wolf in sheep's skin? Postoperative atrial fibrillation after cardiac surgery and the risk of stroke and mortality
Postoperative Atrial Fibrillation (poAF; AF) is the most common complication after heart surgery.1 Up to 50% of patients who present preoperatively in normal sinus rhythm will develop poAF after cardiac surgery making it the most common postoperative morbidity.2 It is hypothesized that inflammation, increased sympathoadrenal activation, and oxidative stress unmask the propensity for developing poAF in at-risk patients, thereby leading to blood stasis and clot formation in the left atrium.3 Resulting thromboembolism and cerebrovascular accidents can dramatically change the postoperative course and affect patients ’ lives.
Source: Journal of Cardiothoracic and Vascular Anesthesia - August 19, 2021 Category: Anesthesiology Authors: Sergey Karamnov, Benjamin O'Brien, Jochen D. Muehlschlegel Source Type: research

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