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Journal and News Scan
In this editorial, Dr Joseph Dearani, Chair of the Department of Cardiovascular Surgery at Mayo Clinic in Rochester, Minnesota, addresses the important and timely subject of outcomes measurement, and of transparency and public reporting of cardiac surgery outcomes.
The aim of this study was to investigate the role of free margin length and geometric height in normal aortic valves and aortic dilatation.
This study prospectively acquired these measurements within 132 patients, who were operated on for aortic insufficiency, aortic dilatation, endocarditis, or fibroelastoma. Patients with aortic dilatation and leaflet prolapse showed significantly larger free margin length and geometric height compared to patients with normal aortic valve function.
The authors concluded that these measurements provide a new point of view into the pathomorphology of the aortic valve and might support new aortic valve repair methods.
Declines in US annual lung cancer mortality rates of 5% for men and 4% for women led improvements in overall cancer mortality rates in the latest update from the American Cancer Society. This is likely linked to efforts at decreasing tobacco use, improved screening, and newer systemic therapies.
''CABG was significantly better than PCI (p=0·0066........''
Benign-appearing lung nodules identified on screening CTs are associated with an increased risk of lung cancer diagnosis 4 to 8 and 8 to 11 years after the scan (RRs 1.9 and 1.6, respectively).
A medium size RCT with encouraging surgical outcomes in the era of TAVI expansion.....
In this randomized trial including 330 pts with MPE, talc slurry and VATS talc insufflation under local anesthesia had similar failure rates (24% vs 22%) at 90 days.
Using a standardized intraoperative autologous blood donation protocol, surgical complications, postoperative transfusions, and transfusion volumes were all reduced.
The authors aimed to analyze the outcome of transcatheter aortic valve implantation (TAVI) via carotid arteries. Included are more than 10,000 patients. The study showed a similar two-year outcome regardless of access. Transcarotid TAVI was associated with higher risk of stroke but lower rate of access site complications.
Using the NCDB, the authors evaluated outcomes for patients with T4a esophageal adenocarcinoma. Receipt of surgery, compared to definitive chemoradiotherapy, offered a significant benefit to overall survival (HR 0.26).