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Specialty: Cardiovascular & Thoracic Surgery
Condition: Atrial Fibrillation

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Total 564 results found since Jan 2013.

A Comparative Prospective Observational Study on the Use of Direct Oral Anticoagulants after Cardiac Surgery for the Management of Atrial Fibrillation.
CONCLUSION: DOAC as anticoagulation therapy for the early intervention of POAF following cardiac surgery is associated with a low incidence of major bleeding; a favorable safety profile and excellent efficacy were demonstrated for DOAC. Furthermore, our results indicate that the safety and efficacy of apixaban and edoxaban are better than rivaroxaban. PMID: 33208579 [PubMed - as supplied by publisher]
Source: Annals of Thoracic and Cardiovascular Surgery - November 18, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Sezai A, Taoka M, Osaka S, Kitazumi Y, Suzuki K, Kamata K, Tanaka M Tags: Ann Thorac Cardiovasc Surg Source Type: research

Impact of Pulmonary Ridge Coverage after Left Atrial Appendage Occlusion.
CONCLUSIONS: Pulmonary ridge coverage was associated with a lower incidence of DRT after LAAO. Procedural and follow-up clinical outcomes did not differ among covered-PR and uncovered-PR patients. PMID: 33164895 [PubMed - as supplied by publisher]
Source: EuroIntervention - November 11, 2020 Category: Cardiovascular & Thoracic Surgery Tags: EuroIntervention Source Type: research

Minithoracotomy versus full sternotomy for isolated aortic valve replacement: Propensity matched data from two centers
ConclusionsThis study found RALT to be an equally safe approach to surgical AVR as MS. Furthermore, RALT showed advantages regarding important aspects of postoperative recovery, especially concerning pulmonary function.
Source: Journal of Cardiac Surgery - November 1, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Alexander Meyer, Antonia Kampen, Philipp Kiefer, Simon S ündermann, Karel M. Van Praet, Michael A. Borger, Volkmar Falk, Jörg Kempfert Tags: ORIGINAL ARTICLE Source Type: research

Commentary: Left atrial appendage excision reduces long-term stroke rates is it the operation or the treatment of atrial fibrillation?
Surgical management of the left atrial appendage (LAA) reduces the rate of cerebrovascular accidents (CVA).1-8 In this edition of the Journal, Duan and colleagues9 present their findings on the incidence of CVA in 1136 patients with atrial fibrillation (AF) undergoing surgical LAA treatment over a 10-year period. Approximately one third underwent LAA excision, LAA extracardiac ligation, and LAA intracardiac suture, respectively. With an average follow-up of 48.7 months, there was no difference in long-term survival.
Source: The Journal of Thoracic and Cardiovascular Surgery - October 28, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Alison F. Ward, Richard Lee Tags: Commentary Source Type: research

Commentary: Left Atrial Appendage Excision Reduces Long Term Stroke Rates —Is it the Operation or the Treatment of Atrial Fibrillation?
Source: The Journal of Thoracic and Cardiovascular Surgery - October 28, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Alison F. Ward, Richard Lee Source Type: research

Commentary: Left atrial appendage excision reduces long-term stroke rates —is it the operation or the treatment of atrial fibrillation?
Surgical management of the left atrial appendage (LAA) reduces the rate of cerebrovascular accidents (CVA).1-8 In this edition of the Journal, Duan and colleagues9 present their findings on the incidence of CVA in 1136 patients with atrial fibrillation (AF) undergoing surgical LAA treatment over a 10-year period. Approximately one third underwent LAA excision, LAA extracardiac ligation, and LAA intracardiac suture, respectively. With an average follow-up of 48.7  months, there was no difference in long-term survival.
Source: The Journal of Thoracic and Cardiovascular Surgery - October 28, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Alison F. Ward, Richard Lee Tags: Commentary Source Type: research

Anticoagulation following mitral valve repair
ConclusionsOur analysis showed that postoperative warfarin use was associated with an overall reduced composite of bleeding and thromboembolic incidents and superior long ‐term survival. These findings suggest that anticoagulation with warfarin following mitral valve repair may be a safe and effective means for avoiding postoperative complications and that a large prospective randomized clinical trial is warranted.
Source: Journal of Cardiac Surgery - October 21, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Tessa M. F. Watt, Shannon L. Murray, Alexander A. Brescia, David A. Burn, Alexander Wisniewski, Shazli P. Khan, Matthew A. Romano, Steven F. Bolling, The Michigan Mitral Research Group (MMRG) Tags: ORIGINAL ARTICLE Source Type: research

Device use for proximal anastomosis on ascending aorta in off-pump coronary artery bypass grafting.
CONCLUSIONS: Clinical safety of Device use in CABG comparable to No-touch for mortality and morbidity. Hemostasis may be a key issue for accomplishing higher level quality control when devices used in proximal anastomosis of CABG. PMID: 33065052 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - October 13, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Saito A, Kumamaru H, Miyata H, Motomura N Tags: Ann Thorac Surg Source Type: research

Costs of surgical ablation of atrial fibrillation in Ontario, Canada from 2006 to 2017
ConclusionOntario taxpayers spend significant financial resources on surgical ablation of AF, a procedure lacking high ‐quality evidence demonstrating benefit in reducing mortality or stroke. Further large prospective studies examining clinically important outcomes are needed to justify its routine use in patient care and to guide allocation of healthcare funds.
Source: Journal of Cardiac Surgery - September 27, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Justin Y. Chow, Graham McClure, Emilie P. Belley ‐Côté, William F. McIntyre, Rohit K. Singal, Richard P. Whitlock Tags: ORIGINAL ARTICLE Source Type: research

Long ‐term risk of heart failure and mortality following mitral valve surgery in patients with and without right ventricular pacemaker
ConclusionsPostoperative implantation of a permanent RV pacemaker does not alter the long ‐term risks of HF and mortality following mitral valve surgery.
Source: Journal of Cardiac Surgery - September 27, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Charlotte Andersson, Morten Schou, Gunnar H. Gislason, Lars K øber, Christian Torp‐Pedersen, Kevin M. Monahan Tags: ORIGINAL ARTICLE Source Type: research

Minimally invasive left atrial appendage excision and atrial fibrillation ablation as secondary prevention of thromboembolic stroke —weighing the risk versus the benefit
In this issue of the Seminars, Ni and colleagues report outcomes of the first series of patients treated with minimally invasive left atrial appendage excision (LAAE) and atrial fibrillation (AF) ablation for secondary prevention of thromboembolic stroke1. Although the follow up period is relatively short, the authors are to be commended for demonstrating procedural safety using video assisted thoracoscopic surgery (VATS) AF ablation and LAAE, in addition to ensuring meticulous follow up including electrocardiographic Holter monitoring and computed tomography angiography (CTA) for assessment of completeness of LAAE in this...
Source: Seminars in Thoracic and Cardiovascular Surgery - September 19, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Stephen J. Huddleston, Sara J. Shumway Tags: ADULT – Commentary Source Type: research

Left atrial appendage exclusion is effective in reducing postoperative stroke after mitral valve replacement
ConclusionsConcurrent LAA exclusion during MVR is a safe and effective way to reduce postoperative ischemic stroke, particularly in patients with AF.
Source: Journal of Cardiac Surgery - September 15, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Shengli Jiang, Huajun Zhang, Shixiong Wei, Lin Zhang, Zhiyun Gong, Bojun Li, Yao Wang Tags: ORIGINAL ARTICLE Source Type: research

Less-Invasive Aortic Valve Replacement: Trends and Outcomes from the STS Database.
CONCLUSIONS: LI-AVR is associated with a similar operative mortality and postoperative stroke rate compared to FS. LI-AVRS should be served as a benchmark for comparison between TAVR and sAVR in low risk patients. PMID: 32835750 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - August 20, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Ghoreishi M, Thourani VH, Badhwar V, Massad M, Svensson L, Taylor BS, Pasrija C, Gammie JS, Jacobs JP, Cox M, Grau-Sepulveda M, Brennan M, Griffith BP, Milliken JC, Abdelhady K, Kon Z Tags: Ann Thorac Surg Source Type: research

Safety of Atrial Fibrillation Ablation with Isolated Surgical Aortic Valve Replacement.
CONCLUSIONS: Despite being a Class I recommendation, AF ablation concomitantly with other cardiac surgical procedures remains lower than current guideline recommendation in surgical AVR patients. Ablation for AF does not increase the 30-day operative mortality or perioperative morbidity compared to non-ablated patients, although new pacemaker requirements were higher in the AF ablated group. PMID: 32791060 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - August 9, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Churyla A, Andrei AC, Kruse J, Cox JL, Kislitsina ON, Liu M, Malaisrie SC, McCarthy PM Tags: Ann Thorac Surg Source Type: research