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Journal and News Scan

Source: News from around the web.
Author(s): Claire Vernon

Patient Care and General Interest

Despite being the leading cause of death in the US, heart disease was the most-Googled disease in only one state: Maine.

A study that sought to understand the importance of successful teamwork for general surgery used cardiothoracic surgical teams as their comparison group because of the stability and experience that these teams typically have.

Experts call attention to what they say is a public health crisis facing countries that continue to produce and use asbestos, including Brazil, Russia, India, and China.

A 50-year-old mitral valve prosthesis is rediscovered when a woman in Italy undergoes an operation.


Drugs and Devices

In an update to a letter sent in February 2019, the US Food and Drug Administration has warned healthcare providers against off-indication use of the Impella RP system from Abiomed, emphasizing that the benefits of the device outweigh the risks in appropriately selected patients.

Health Canada has approved the Apple Watch’s electrocardiogram app and irregular rhythm notifications.


Research, Trials, and Funding

Researchers from Pakistan and across the US report finding positive “spin” of results in approximately two-thirds of articles publishing cardiovascular-focused randomized clinical trials.

Metformin reduced left ventricular hypertrophy in patients with coronary artery disease who did not have diabetes, say researchers from the UK.

At the recent EuroPCR meeting in Paris, France, researchers present the usage of Abbott’s transcatheter tricuspid valve repair system to treat tricuspid regurgitation in 85 patients.

Canadian and Brazilian researchers report their use of radar to remotely monitor heart and respiratory rates, with 80% and 94% correlation with a wearable sensor, respectively.

Source: BBC
Author(s): Andrew Benson

Three-time Formula 1 world champion Niki Lauda has died at the age of 70. Lauda, who underwent a lung transplant in August 2018 and had previously had 2 renal transplants, "passed away peacefully" on Monday, his family said. He was only days away from death 9 months ago when he underwent life-saving lung transplant surgery.

For more information about Mr Lauda's lung transplant, please see the following resources:

0:35How Niki Lauda Is Doing After Lung Transplant Surgery -

Source: Circulation: Heart Failure
Author(s): David Baran, Hannah Copeland, Jack Copeland

The authors utilized a retrospective review of the UNOS database from 2007-2014 to evaluate the impact of donor sequence number (DSN) on outcomes. Specifically, they interestingly identified that survival is the same across various DSNs, indicating a potential ability to increase transplant numbers based on similar survival when utilizing donors of higher DSN.

Source: Journal of Thoracic Oncology
Author(s): Jelle E. Bousema, Martijn van Dorp, Valentin J.J.M. Noyez, Marcel G.W. Dijkgraaf, Jouke T. Annema, Frank J.C. van den Broek

Rates of unforeseen N2 disease were similar between nodal staging by EBUS and mediastinoscopy, but mediastinoscopy had a complication rate of 6%.

Source: Journal of Thoracic Oncology
Author(s): Raymond U. Osarogiagbon, Giulia Veronesi, Wentao Fang, Simon Ekman, Kenichi Suda, Joachim G. Aerts, Jessica Donington

Excellent review of recent advances that will shape therapy in the next 5 years.

Source: The Journal of Thoracic and Cardiovascular Surgery
Author(s): Bo Yang, Elizabeth L. Norton, Reilly Hobbs, Linda Farhat, Xiaoting Wu, Whitney E. Hornsby, Karen M. Kim, Himanshu J. Patel, G. Michael Deeb

Discussion and critique editorials accompany this report on extensive emergency surgical treatment of aortic dissection, fueling an important debate.

Source: Newswise
Author(s): American Association for Thoracic Surgery

Vaughn A. Starnes, MD, became the 100th President of the American Association for Thoracic Surgery (AATS). He officially succeeded David H. Adams, MD, in a ceremony at the AATS 99th Annual Meeting in Toronto. Joining him in new positions on the Executive Committee are Marc R. Moon, MD, who is now President-Elect after serving as Vice President for the past year and Secretary for five years, Shaf Keshavjee, MD, who was elected as the new AATS Vice President and who served as Treasurer for five years, and Emile A. Bacha, MD, who became Treasurer following three years as Director. David R. Jones, MD, was reappointed to serve as Secretary.

Source: Annals of Cardiothoracic Surgery
Author(s): Marion Durand

In this surgical video, Durand presents a four-arm robotic sleeve right upper lobectomy and node harvest. The patient was a 60-year old man who had been diagnosed with a proximal right upper lobe squamous cell carcinoma after exploration for hemoptysis. Additionally, the author highlights the differences between the technique shown in this video and other recently published techniques.

Source: News from around the web.
Author(s): Claire Vernon

Patient Care and General Interest

The British Heart Foundation reports that the number of premature deaths related to cardiovascular disease has risen in the UK for the first time in 50 years.

A federal judge in the US ruled against the Food and Drug Administration’s (FDA) 2017 decision to allow e-cigarettes to remain on the commercial market prior to obtaining FDA approval, a move that was applauded by the associations that brought the suit.


Drugs and Devices

The US FDA has expanded the approved duration of support for 2 Impella heart pumps from 6 to 14 days.

Xvivo Perfusion, Inc, was granted premarket approval by the US FDA for its ex vivo lung perfusion system, a move that expands the device’s previous humanitarian device exemption authorization.

The US FDA has approved dalteparin sodium for treating venous thromboembolism in children as young as 1 month old.


Research, Trials, and Funding

The antiplatelet agent ticagrelor showed antibacterial activity against Staphylococcus and Enterococcus strains that was not seen with other antiplatelet agents, say researchers from Liege, Belgium.

Researchers in China compared the levels of circulating tumor cells after either a vein-first or artery-first approach to lobectomy for lung cancer.

An iron boost on the day before cardiac surgery reduced the need for blood transfusion in patients with anemia or iron deficiency, say researchers from Zurich, Switzerland.

Researchers in Durham, North Carolina, USA, grew human acellular vessels that were implanted in dialysis patients, and they speculate about potential future applications for these vessels, such as use during heart surgery.

Source: European Journal of Cardio-Thoracic Surgery
Author(s): Zhang L. Zhang, Vincent van Suylen, Judith E van Zanden, Caroline Van De Wauwer, Erik A. M. Verschuuren, Wim van der Bij, Michiel E. Erasmus

Zhang and colleagues retrospectively compared outcomes for 27 patients who underwent lung transplantation either with or without ex vivo lung perfusion at their center. The ex vivo lung perfusion group consisted of recipients who received initially-discarded donor lungs that were reconditioned using ex vivo perfusion. Similar outcomes were observed between the two groups, including primary graft dysfunction, pulmonary function, chronic lung allograft dysfunction, and survival.