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Journal and News Scan
The MitraClip Therapy Economic and Clinical Outcomes Study Europe (ACCESS-EU) enroled 117 patients with degenerative mitral regurgitation (MR) considered ineligible for surgery. Mortalities at 30 days and 12 months were 6.0 and 17.1%, respectively. At 12 months, 74.6% (53 of 71) of patients in follow-up achieved significant reductions in MR and improved clinical outcomes. This complementary non-surgical intervention should be indicated by an inter-disciplinary team of cardiologists and cardiac surgeons.
A database analysis on 4212 patients found female sex to be associated with improved survival in patients with Stage I adenocarcinoma but not with other stages or with squamous carcinoma. The authors discuss the reasons for their findings.
A multicenter retrospective study on over 26000 patients compared off-pump and on-pump surgery for CABG. Off-pump surgery was associated with a lower perioperative incidence of stroke in patients with two or more cardiovascular risk factors especially with chronic renal failure.
See highlights as the meeting takes place, including the interview below with the EACTS President, Jose Luis Pomar.
This is an outstanding video on the surgical repair of the pulmonary arteries, which has been published in the MMCTS as a detailed techniques article.
This updated meta-analysis evaluated outcomes in 2687 pts from 8 randomized clinical trials assessing the utility of polyunsaturated fatty acids in preventing postoperative atrial fibrillation after cardiac surgery. Treatment reduced the incidence of a-fib overall by 16% to 25%. In patients undergoing isolated CABG the reduction was 34% (p=0.003).
This study reviewed single institutional data to develop a composite risk index for mortality after heart transplantation in patients with congenital heart disease. Results in 46 pts operated 1996-2011 were studied with the primary differentiation being single vs double ventricle morphology. Predictors of mortality were preoperative renal insufficiency and the combination of single ventricle morphology and dialysis.
This derivation and validation study involving 2300 patients who underwent resection for NSCLC explored predictors of local/regional recurrence. Recurrence-free survival was similar between the datasets. Predictors of recurrence were different between the datasets. The derivation dataset identified stage I adeno, stage I squamous/large cell, and stage II-IIIA as predictors. The validation dataset identified lymphovascular invasion and stage as predictors.
Management of a dilated ascending aorta at the time of AVR was investigated in patients undergoing AVR alone (362), AVR plus aortic wrapping (67), or AVR plus aortic replacement (70). Long-term outcomes including death and aortic expansion were similar among the 3 groups.
This is a lovely gem of an operation back from 1998 , by Donald Doty. Really nicely filmed.
The only bit I didn't get was where the surgeons was standing !! isn't he on the left side of the patient ?