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Journal and News Scan
August 27, 2021
Submitted by: Christopher Anderson
This paper shows that landing zone optimization using aortic septotomy resulted in a much higher positive aortic remodeling rate, whereas standalone TEVAR outcomes without adjunctive procedures for cTBAD were unfavorable. The authors show that routine aortic septotomy may have a positive effect on long-term cTBAD survival and expand TEVAR candidacy.
August 27, 2021
Submitted by: Alexander Nissen
The following editorial focuses on CoC Standard 5.8 for curative-intent resection of primary pulmonary malignancy. We offer a summary of Standard 5.8, and relevant data upon which it is based, in hopes of improving implementation in 2021 and improving compliance, which will first be assessed during site reviews taking place in 2022. We also describe best practices for pathologists, registrars and surgeons to achieve these compliance goals.
August 27, 2021
Submitted by: Christopher Anderson
This invited commentary offers insights into a manuscript that provides a deeper understanding of the perioperative outcomes of patients with stage II/IV non-small-cell lung cancer (NSCLC) with tumour resection after neoadjuvant immunotherapy, alone or as part of multimodal treatment.
August 27, 2021
Submitted by: Christopher Anderson
It is difficult to identify patients with myocardial infarction after they have undergone heart surgery, but this manuscript presents a useful algorithm to help one decide between watchful waiting and immediate action.
August 20, 2021
Submitted by: Christopher Anderson
It is generally necessary to implant a permanent pacemaker (PPM) in 1% to 5% of patients undergoing cardiac surgery due to conduction disturbances. The authors of this study sought to discover whether PPM implantation timing and particular conduction disturbances are linked to the need for a permanent pacemaker. They concluded that implanting a PPM on postoperative day 7 was optimal for preventing unnecessary implantations and long-term hospitalizations.
August 16, 2021
Submitted by: Alexander Nissen
This is the largest analysis of COVID-19 related impact on adult cardiac surgery volume, trends, and outcomes. During the pandemic, cardiac surgery volume suffered dramatically, particularly in the Mid-Atlantic and New England regions during the first COVID-19 surge, with a concurrent increase in observed-to-expected 30-day mortality.
August 14, 2021
Submitted by: Aristotle Protopapas
Interesting multi-center RCT that paves the way for potential paradigm shifts in antithrombotic modulation. The abcence of symptomatic pulmonary embolism warrants further investigation...
August 13, 2021
Submitted by: Christopher Anderson
This study used data from 6600 lung resections performed in the UK between 2012 and 2018 to develop a prediction model for 90-day mortality after lung resection.
August 12, 2021
Submitted by: Catherine Joyce
This study focused on FET proximalization used in combination with four-sites perfusion and results show that these techniques when performed together have the potential to improve patient outcomes in terms of survival and major events.
August 12, 2021
Submitted by: Mark Ferguson
Although the standard of care in the West for regionally advanced esophageal cancer entails induction therapy, this is routinely not the case in China. This randomized trial involving over 450 randomized participants to induction therapy (vinorelbine, cisplatin, 40 Gy RT) followed by resection vs resection alone. At a median f/u of 53.5 mos, trimodality therapy demonstrated overall (HR 0.74; CI 0.57-0.97) and disease free (HR 0.60; CI 0.45 to 0.80) survival advantages compared to surgery alone. This study may establish a new standard of care for management of resectable regionally advanced esophageal cancer in China.