Filtered By:
Specialty: Cardiovascular & Thoracic Surgery
Condition: Atrial Fibrillation

This page shows you your search results in order of date. This is page number 18.

Order by Relevance | Date

Total 564 results found since Jan 2013.

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 - August 1, 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

Predictors of Acute Kidney Injury Following Surgical Valve Replacement
Conclusion Independent predictors of acute kidney injury following valve surgeries include age, hypertension, heart failure, MR, use of ACEi <month, perioperative blood transfusion, and prolonged pump time or inotropic support. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text
Source: The Thoracic and Cardiovascular Surgeon - July 24, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Ibrahim, Khalid S. Kheirallah, Khalid A. Mayyas, Fadia A. Alwaqfi, Nizar A. Tags: Original Cardiovascular Source Type: research

Less Invasive Mitral Surgery versus Conventional Sternotomy Stratified by Mitral Pathology.
CONCLUSIONS: LIMS was associated with higher mitral repair rates, and lower morbidity. Further studies regarding the impact of surgeon volume on choice of operative approach are necessary. PMID: 32717233 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - July 23, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Nissen AP, Miller CC, Thourani VH, Woo YJ, Gammie JS, Ailawadi G, Nguyen TC Tags: Ann Thorac Surg Source Type: research

Post-operative atrial fibrillation after cardiac surgery: a systematic review and meta-analysis.
CONCLUSIONS: This systematic review and meta-analysis identified an association between POAF and long-term mortality after cardiac surgery. More comprehensive POAF prevention and management, including more stringent follow-up for POAF recurrence after hospital discharge, may be indicated. While included studies used inconsistent definitions of POAF and variable exclusion criteria, estimates of heterogeneity are low. Differences in preoperative comorbidities such as age, ejection fraction, and obesity may not be fully accounted for in adjusted analyses. Future work is required to delineate mechanisms linking POAF and mortal...
Source: The Annals of Thoracic Surgery - July 16, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Eikelboom R, Sanjanwala R, Le ML, Yamashita MH, Arora RC Tags: Ann Thorac Surg Source Type: research

Mini ‐sternotomy vs right anterior thoracotomy for aortic valve replacement
ConclusionsThis study highlights important differences in short ‐term outcomes between MS and RAT as approaches for AVR. This has important implications for patient selection, especially in the elderly, where such approaches are becoming more common‐place.
Source: Journal of Cardiac Surgery - July 10, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Mohammad Yousuf Salmasi, Hamish Hamilton, Ishtiaq Rahman, Lueh Chien, Paul Rival, Umberto Benedetto, Christopher Young, Massimo Caputo, Gianni D. Angelini, Hunaid A. Vohra Tags: REVIEW ARTICLE Source Type: research

Thoracoscopic Left Atrial Appendage Excision plus Ablation for Atrial Fibrillation to Prevent Stroke
Atrial fibrillation (AF) patients with a previous stroke are often at a high risk of recurrent stroke and bleeding. Anticoagulation therapy in such patients is a challenging dilemma. Thoracoscopic left atrial appendage excision (LAAE) plus AF ablation is an interventional approach offered to some AF patients. We hypothesized that this approach may be suitable as a secondary stroke prevention strategy for these high-risk patients. Between January 2013 and December 2016, a total of 44 patients (26 male; mean age 65.0 ±9.1 years) with nonvalvular AF and a previous stroke or systemic thromboembolic event were enrolled.
Source: Seminars in Thoracic and Cardiovascular Surgery - July 1, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Buqing Ni, Zidun Wang, Weidong Gu, Mingfang Li, Minglong Chen, Gregory Y.H. Lip, Yongfeng Shao Tags: ADULT – Original Submission Source Type: research

Left atrial appendage closure versus medical therapy for atrial fibrillation: the APPLY study.
Authors: Gloekler S, Fürholz M, de Marchi S, Kleinecke C, Streit SR, Buffle E, Fankhauser M, Häner J, Nietlispach F, Galea R, Windecker S, Meier B Abstract AIMS: Left atrial appendage closure (LAAC) with AMPLATZER occluders is used for stroke prevention in atrial fibrillation (AF). Net clinical benefit compared to medical therapy has not been tested. METHODS AND RESULTS: 500 consecutive patients who underwent LAAC with AMPLATZER occluders were compared to 500 patients with medical therapy by propensity score matching. The primary efficacy endpoint was a composite of stroke, systemic embolism and cardiovascula...
Source: EuroIntervention - June 27, 2020 Category: Cardiovascular & Thoracic Surgery Tags: EuroIntervention Source Type: research

Minimally invasive, simplified double ‐layer left atrial appendage closure
AbstractThe left atrial appendage (LAA) has been identified as a site of thrombus formation in the heart and as a source of embolism in patients with atrial fibrillation, leading to stroke. Studies suggest that LAA closure may reduce the risk for stroke and the need for anticoagulation; conversely, incomplete closure can increase the stroke risk almost 12 ‐fold. Because open heart surgery is associated with increased risk for subsequent stroke, surgeons generally prefer to close the LAA during heart surgery, as recommended in current atrial fibrillation management guidelines. Building on trends toward minimally invasive ...
Source: Journal of Cardiac Surgery - June 11, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Ahmed Alnajar, Corinne Aberle, Joseph Lamelas Tags: SURGICAL TECHNIQUE Source Type: research

Isolated surgical left atrial appendage closure: Revisiting utility and indications in a burgeoning era of percutaneous therapy
ConclusionIt is important to recall the utility of therapies that have been previously used with success for intracardiac thrombi and still remain as viable options.
Source: Journal of Cardiac Surgery - June 11, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Paula M. Hernandez, Sanjay Divakaran, Dale S. Adler, Daniel R. Storms, Tsuyoshi Kaneko, Bibhu D. Mohanty Tags: CASE REPORT Source Type: research

The Beneficial Effect of Anticoagulation in Aortic Bioprosthesis is Associated with its Size
Conclusion: Early anticoagulation after AVR with bioprosthesis was associated with significant decrease of transprosthesis gradient and improvement in NYHA class. These associations were seen mainly in patients with ≤ 21 mm prosthesis.
Source: Revista Brasileira de Cirurgia Cardiovascular - June 10, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Minimally invasive, simplified double ‐layer left atrial appendage closure
AbstractThe left atrial appendage (LAA) has been identified as a site of thrombus formation in the heart and as a source of embolism in patients with atrial fibrillation, leading to stroke. Studies suggest that LAA closure may reduce the risk for stroke and the need for anticoagulation; conversely, incomplete closure can increase the stroke risk almost 12 ‐fold. Because open heart surgery is associated with increased risk for subsequent stroke, surgeons generally prefer to close the LAA during heart surgery, as recommended in current atrial fibrillation management guidelines. Building on trends toward minimally invasive ...
Source: Journal of Cardiac Surgery - May 21, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Ahmed Alnajar, Corinne Aberle, Joseph Lamelas Tags: SURGICAL TECHNIQUE Source Type: research

Factor Xa inhibitors in patients with continuous-flow left ventricular assist devices
ConclusionsFactor Xa inhibitors may be viable treatment options for CF-LVAD patients for whom warfarin therapy has failed. Large prospective studies are necessary to confirm these results.
Source: General Thoracic and Cardiovascular Surgery - April 26, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Isolated surgical left atrial appendage closure: Revisiting utility and indications in a burgeoning era of percutaneous therapy
ConclusionIt is important to recall the utility of therapies that have been previously used with success for intracardiac thrombi and still remain as viable options.
Source: Journal of Cardiac Surgery - April 24, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Paula M. Hernandez, Sanjay Divakaran, Dale S. Adler, Daniel R. Storms, Tsuyoshi Kaneko, Bibhu D. Mohanty Tags: CASE REPORT Source Type: research

Perioperative Beta-Blocker for Atrial Fibrillation after Cardiac Surgery: A Meta-Analysis
Conclusions Perioperative use of BB is effective in preventing POAF even in patients undergoing cardiac surgery other than isolated CABG, although it did not translate into improved clinical outcomes. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text
Source: The Thoracic and Cardiovascular Surgeon - April 5, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Kim, Sue Hyun Jang, Myoung-jin Hwang, Ho Young Tags: Original Cardiovascular Source Type: research

Alternative Access Transcatheter Aortic Valve Replacement in Nonagenarians versus Younger Patients
Conclusion AA TAVR in nonagenarian patients who are not candidates for transfemoral approach can be efficaciously performed with comparable clinical outcomes to younger patients, age <90 years. Furthermore, some access sites should be avoided when possible; notably TA was associated with increased mortality, stroke, and new onset atrial fibrillation. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text
Source: The Thoracic and Cardiovascular Surgeon - April 5, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Lin, Nicole Nores, Marcos A. James, Taylor M. Rothenberg, Mark Stamou, Sotiris C. Tags: Original Cardiovascular Source Type: research