A brief focused commentary on a recent medium size Japanese series of succesful surgery for Acute Aortic Syndrome. The limitations of the series presented in well- written Uchida manuscript( and already to the last AATS Meeting) are being explored, and the commentators' allusion to the need for randomised trial is evident.
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Vascular
October 22, 2021
October 21, 2021
A large randomised double-blinded trial reporting a considerable benefit ( 0.79 HR with very small p and supporting confidence intervals) of the Boehringer SGLPT-2 inhibitor regardless of presence of formal diagnosis of diabetes.
October 8, 2021
Objective: The aim of the study was to determine cause-specific mortality in TBAD and to evaluate the clinical characteristics associated with aorta-related and non aorta-related mortality.
September 27, 2021
A small meta-analysis suggesting a bemefit of vascular ultrasound for access to the groin vessels in TAVI. The utility of ultrasonography may be extended in access for groin cannulation in aortovascular surgery and ECMO
September 24, 2021
A comprehensive update on the evidence on the management of acute aortic syndromes, including IMH. Of particular interest is the robust recommendation to bypass non-dedicated aortic centers even to the expense of increased transit time in order to offer management in a Comprehensive Aortic Center (CAC).
September 14, 2021
Based on data of 4203 patients with acute type A dissection in the UK National Adult Cardiac Surgical Audit, Benedetto and associates have identified the following risk factors for operative mortality: age (odds ratio, OR, 1.02), malperfusion (OR 1.79), left ventricular ejection fraction (moderate: OR 1.40; poor: OR 2.83), prior cardiac surgery (OR 2
September 13, 2021
A brief but dense editorial included in a compedium on cardioplegia.
The last sentence summarises what many colleagues would think on the matter of single-shot plegia for root surgery.
August 28, 2021
In this study by Olive et al, they demonstrate the demographic landscape of current cardiothoracic surgeons and trainees in terms of sex and race/ethnicity, and demonstrate improvement in diversity of trainees and faculty across multiple training pathways over the years.
August 28, 2021
In this article, Loo et al demonstrate in a survey to the Thoracic Surgery Residents Association membership that only approximately 20% of trainees were accurate in estimating surgeon reimbursement, with a demonstrated lack of understanding in how reimbursement models work, despite acknowledgement of its importance.
August 14, 2021
Interesting multi-center RCT that paves the way for potential paradigm shifts in antithrombotic modulation. The abcence of symptomatic pulmonary embolism warrants further investigation...