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Condition: Renal Failure
Therapy: Dialysis

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Total 248 results found since Jan 2013.

A Multi Center Experience: Is Valve Replacement Safe for Patients with Hugely Dilated Left Ventricle?
CONCLUSION: Valve replacement in patients with hugely dilated left ventricle are safe operations with satisfactory outcomes even if combined with other procedures, especially with proper preoperative preparation, intraoperative preservation of posterior mitral leaflet, and meticulous postoperative follow up in the surgical ICU. PMID: 31895029 [PubMed - in process]
Source: The Heart Surgery Forum - November 24, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Ahmed A, Toema A, Yehia A, Hashim Y, Elkahely M, Onsy A Tags: Heart Surg Forum Source Type: research

Coronary artery bypass grafting vs. drug-eluting stent implantation in patients with end-stage renal disease requiring dialysis.
Conclusions: Among patients with CAD and dialysis-dependent chronic kidney disease (CKD), treatment with CABG or PCI with DES exhibited similar long-term outcomes. However, CABG was associated with higher short-term risk of death. Higher mortality was revealed in patients over 65 years and underwent PD. PMID: 31918608 [PubMed - in process]
Source: Renal Failure - January 12, 2020 Category: Urology & Nephrology Tags: Ren Fail Source Type: research

A Simple Risk Score to Predict Clavien-Dindo Grade IV and V Complications After Non-elective Cholecystectomy
ConclusionA simple risk-score model predicts severe complications in patients undergoing unplanned cholecystectomy for common indications encountered in an acute care surgery service and identifies high-risk patients.
Source: Journal of Gastrointestinal Surgery - February 5, 2020 Category: Surgery Source Type: research

Effects and outcomes of cardiac surgery in patients with cardiometabolic syndrome
ConclusionsPatients with CMS were more likely to present with increased comorbidities. Patients with CMS undergoing CABG were at risk for worse short ‐term secondary postoperative outcomes and reduced long‐term survival. The data supports the need for further investigation for risk reduction surrounding operative revascularization.
Source: Journal of Cardiac Surgery - February 17, 2020 Category: Cardiovascular & Thoracic Surgery Authors: David Zapata, Michael Halkos, Jose Binongo, John Puskas, Robert Guyton, Omar Lattouf Tags: ORIGINAL ARTICLE Source Type: research

Mitral valve prosthesis choice in patients < 70 years: A systematic review and meta ‐analysis of 20 219 patients
ConclusionMechanical MVR in patients aged less than 70 years is associated with a lower risk of operative mortality as well as a 20% lower risk of long ‐term death and 65% lower risk of mitral valve reoperation but 60% greater risk of bleeding compared with bioMVR in matched or adjusted data.
Source: Journal of Cardiac Surgery - February 27, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Bobby Yanagawa, Jessica Lee, Maral Ouzounian, Akshay Bagai, Asim Cheema, Subodh Verma, Jan O. Friedrich, on behalf of the Canadian Cardiovascular Surgery Meta ‐Analysis Working Group Tags: ORIGINAL ARTICLE Source Type: research

Torsades de Pointes in Coronavirus Disease 2019 Infection
A 73-YEAR-OLD MAN (weight 69 kg, height 175 cm) was transferred to the authors ’ critical care unit with respiratory and acute renal failure secondary to coronavirus disease 2019 (COVID-19) infection. His past medical history included hypertension, diabetes, and previous stroke, from which he had made a full recovery. The patient was treated with mechanical ventilation and p eritoneal dialysis. He was recruited into the hydroxychloroquine arm of the RECOVERY (Randomised Evaluation of COVID-19 Therapy) trial.
Source: Journal of Cardiothoracic and Vascular Anesthesia - July 31, 2020 Category: Anesthesiology Authors: Bagrat Lalabekyan, Gudrun Kunst, Vanessa A. Skelton Tags: Diagnostic Dilemma Source Type: research

Continuous cerebral and myocardial selective perfusion in neonatal aortic arch surgery
ConclusionCCMSP is a safe and reproducible strategy for cerebral, myocardial and visceral protection in neonatal aortic arch repair, with or without VSD closure, resulting in low complication and mortality.
Source: Journal of Cardiac Surgery - August 12, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Pierre Maminirina, Carine Pavy, Pierre Bourgoin, Olivier Baron Tags: ORIGINAL ARTICLE Source Type: research

Outcome of CentriMag ™ extracorporeal mechanical circulatory support use in critical cardiogenic shock (INTERMACS 1) patients
ConclusionOur results demonstrate an excellent outcome with the use of the CentriMag ™ device in this seriously ill population. Despite requiring multiple procedures, over 58% of patients were discharged from hospital with 5-year survival of 46%.
Source: Indian Journal of Thoracic and Cardiovascular Surgery - September 29, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

610 Infective Endocarditis, Predictors of Mortality and Morbidity
The outcomes of this study is to assess factors associated with in-hospital mortality in patients with infective endocarditis undergoing surgery and to assess the factors associated with morbidity; namely post operative stroke, renal failure and dialysis, complete heart block and return to theatre.
Source: Heart, Lung and Circulation - November 8, 2020 Category: Cardiology Authors: A. Eranki Source Type: research

The long-term impact of perioperative red blood transfusion on patients undergoing cardiac surgery.
CONCLUSIONS: Patients with perioperative PRBC transfusions have increased operative and long-term mortality and hospital readmissions. Total units of PRBC transfused was directly associated with mortality and readmissions. PMID: 33171175 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - November 7, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Sultan I, Bianco V, Brown JA, Kilic A, Harbertheuer A, Aranda-Michel E, Navid F, Humar R, Wang Y, Gleason TG Tags: Ann Thorac Surg Source Type: research

Continuous cerebral and myocardial selective perfusion in neonatal aortic arch surgery
ConclusionCCMSP is a safe and reproducible strategy for cerebral, myocardial and visceral protection in neonatal aortic arch repair, with or without VSD closure, resulting in low complication and mortality.
Source: Journal of Cardiac Surgery - October 21, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Pierre Maminirina, Carine Pavy, Pierre Bourgoin, Olivier Baron Tags: ORIGINAL ARTICLE Source Type: research

A mortality risk score for heart transplants after contemporary ventricular assist device bridging
ConclusionsAmong patients bridged to OHT with newer generation centrifugal LVADs, older age, increasing bilirubin, longer ischemic time, and pre ‐OHT dialysis independently predicted post‐transplant mortality. The composite risk score based on these factors may assist in patient selection and prognostication in those supported with contemporary LVADs.
Source: Journal of Cardiac Surgery - December 7, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Lauren V. Huckaby, Laura M. Seese, Gavin Hickey, Ibrahim Sultan, Arman Kilic Tags: ORIGINAL ARTICLE Source Type: research

Open Repair of Acute Type A Intramural Hematoma in 3 Patients.
Abstract Acute aortic syndrome encompasses classic aortic dissection and less common aortic phenomena, including intramural hematoma (IMH), a hemorrhage within the aortic media that occurs without a discrete intimal tear. We reviewed our experience with treating acute type A IMH to better understand this acute aortic syndrome. A review of our clinical database identified 1,902 proximal aortic repairs that were performed from January 2006 through December 2018; of these, 266 were for acute aortic syndrome, including 3 (1.1%) for acute type A IMH. Operative technique varied considerably. All IMH repairs involved hem...
Source: Texas Heart Institute Journal - August 1, 2020 Category: Cardiology Authors: Frankel WC, Weldon SA, Green SY, Amarasekara HS, LeMaire SA, Coselli JS Tags: Tex Heart Inst J Source Type: research

Kidney Disease and Epilepsy
The family of a 47-year-old man with end stage renal failure on hemodialysis brought him to the emergency room. He had missed 3 sessions of dialysis due to concerns for COVID-19 precautions. He had developed increasing confusion and generalized weakness. Examination showed altered mental status and disorientation to date and place. He had bilateral gaze evoked nystagmus and asterixis in his upper extremities. His lab work showed Blood Urea Nitrogen (BUN) of 75  mg/dL and Creatinine of 6.2 mg/dL. His EEG showed generalized triphasic waves (Fig. 1).
Source: Journal of Stroke and Cerebrovascular Diseases - February 10, 2021 Category: Neurology Authors: Mona Sazgar Source Type: research

Open Repair of Acute Type A Intramural Hematoma in 3 Patients
Tex Heart Inst J. 2020 Aug 1;47(4):290-297. doi: 10.14503/THIJ-20-7242.ABSTRACTAcute aortic syndrome encompasses classic aortic dissection and less common aortic phenomena, including intramural hematoma (IMH), a hemorrhage within the aortic media that occurs without a discrete intimal tear. We reviewed our experience with treating acute type A IMH to better understand this acute aortic syndrome. A review of our clinical database identified 1,902 proximal aortic repairs that were performed from January 2006 through December 2018; of these, 266 were for acute aortic syndrome, including 3 (1.1%) for acute type A IMH. Operativ...
Source: Texas Heart Institute Journal - January 20, 2021 Category: Cardiology Authors: William C Frankel Scott A Weldon Susan Y Green Hiruni S Amarasekara Scott A LeMaire Joseph S Coselli Source Type: research