This clinical video depicts the use of premeasured and premade PTFE neochordae for minimally invasive mitral valve repair.
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Cardiac
January 18, 2018
The authors describe a clinical unit developed at their institution designed to implement "nudges" to help improve health care delivery, primarily through the EMR. "Nudges" have been used to shape other behaviors, such as offering opt-out (rather than opt-in) for organ donor status to encourage increased organ donation. The concept was described
January 18, 2018
The authors summarize the rationale and utility of point of care ultrasonography for identifying factors associated with hypotension or hypoxia in a deteriorating surgical patient, including hypovolemia, LV dysfunction, PE, pleural fluid, ascites, etc. Their claim is that a variety of other diagnostic measures are less accurate, and that a single ul
January 17, 2018
This video demonstrates the technical aspects of transfemoral TAVR as done by the Houston Methodist TAVR team for two commercially available valve systems.
January 17, 2018
The new EACTS Guidelines on perioperative medication in adult cardiac surgery address antithrombotic management, atrial fibrillation, renin–angiotensin–aldosterone system inhibitors, beta-blockers, dyslipidaemia, ulcer prevention and steroids, antibiotic prophylaxis, anaesthesia and postoperative analgesia, and blood glucose management.
January 17, 2018
Dr T. Sloane Guy discusses the motivation behind CTSNet's first Guest Editor Series topic and describes the important cardiac surgery techniques that it covers.
January 16, 2018
In this study with 663 TAVI patients, the authors investigated the predictors for next day discharge (NDD). After excluding cases that did not have a minimalist transfemoral approach, 150 patients had NDD and 210 patients had non-NDD.
January 16, 2018
This video demonstrates a stage I elephant trunk procedure and aortic valve repair via partial sternotomy, for a woman who presented with aortic valve insufficiency and an aortic aneurysm extending from the ascending to descending thoracic aorta.
January 13, 2018
Using a group of nearly 23,000 individuals in four community-based longitudinal cohorts, the authors studied those who developed heart failure (HF) with either preserved (633) or reduced (841) ejection fraction (EF). HF with reduced EF was more strongly associated with natriuretic peptide, troponin, and C-reactive protein than was HF with preserved
January 13, 2018
Interesting research/opinion piece about how the introduction of robots has forced a change in surgical training, with some residents gaining skill through a process of "shadow learning."