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Journal and News Scan
In this article, Drs Malaisrie and Mehta discuss updates on the indications for TEVAR in type B aortic dissection with comparison of the guidelines from The Society of Thoracic Surgeons, Society of Vascular Surgery, American Heart Association, American College of Cardiology, the European Society of Cardiology, and the Japanese Circulation Society.
Wang et al. present a retrospective single-center study on 712 patients with acute type A dissection who underwent repair utilizing hypothermic circulatory arrest. Within their cohort, preoperative Cystatin-C level and mechanical ventilation times were independent risk factors for acute kidney injury after aortic surgery. Furthermore, acute kidney injury was associated with increased short-term mortality.
Kitamura et al. present a single-center study looking into the outcomes of patients with acute type A intramural hematoma. Within their Japanese collective, patients showing an aortic diameter ≤ 50 mm, no ulcer-like projection, and a pain score of ≤ 3/10 had to be operated on in only 17% of cases, and had a low hospital mortality of 4%. They conclude a watch-and-wait strategy to be reasonable in this very specific patient cohort.
An analysis, from the cardiology viewpoint, of the MI nomenclature issues around the external validity of the EXCEL trial that undermined the EACTS support of the relevant 2018 guidelines
This is an a comprehensive consensus document on post-cardiotomy extracorporeal life support (PC-ECLS) jointly released by the European Association for Cardio-Thoracic Surgery (EACTS), the Extracorporeal Life Support Organization (ELSO), the Society of Thoracic Surgeons (STS) and the American Association for Thoracic Surgery (AATS). This position statement is focused on the most relevant issues to optimize indications and applications, to suggest configurations of PC-ECLS, to avoid or manage complications and to improve outcomes.
An unprecedented position piece signed by all editors of the NEJM condemning US political leadership for their response to the pandemic.
At the first day of its 34th Annual Meeting, the European Association for Cardio-Thoracic Surgery (EACTS) released the "Current Options and Recommendations for the Use of Thoracic Endovascular Aortic Repair in Acute and Chronic Thoracic Aortic Disease. This is an expert consensus document jointly drafted by the European Society for Cardiology (ESC) Working Group of Cardiovascular Surgery, the ESC Working Group on Aorta and Peripheral Vascular Diseases, the European Association of Percutaneous Cardiovascular Interventions (EAPCI) of the ESC and the European Association for Cardio-Thoracic Surgery (EACTS). It is intended to provide a synopsis of current evidence regarding the use of TEVAR in acute and chronic thoracic aortic disease, to share latest recommendations for a modified terminology and reporting standards, and to take a glimpse at the trends of future development.
The authors provide a succint summary of FAQs in pediatric cardiac surgery.
The authors are concerned about the 'deaths at home' having the greatest contribution to the excess of acute cardiovascular deaths in that period of the recent epidemic, AND LOCKDOWN in England and Wales. They advance the position that fear of the virus stopped patients from seeking potentially life-saving hospital treatment for cardiovascular conditions.
Death from cardiovascular causes, stroke, or hospitalization with worsening of heart failure or acute coronary syndrome was reduced (P=0.005) by early pharmacogical or inteventional ablation for fast response-atrial fibrillation in a small German RCT.