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.
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June 19, 2020
A large retrospective review of almost three decades of extensive thoracoabdominal aortic surgery, with considerable educational value especially on the anatomicoclinical correlations of the spinal vasculature.
Surgery for Type A Aortic Dissection in Patients with Cerebral Malperfusion: Results From the International Registry of Acute Aortic Dissections
November 15, 2019
The International Registry of Acute Aortic Dissection investigators analyzed the impact of cerebral malperfusion (CM) on the surgical outcomes of acute type A dissection in 2402 patients. The incidence of CM and neurologic deficit was 15.1% (362/2402).
Effect of Targeting Mean Arterial Pressure During Cardiopulmonary Bypass by Monitoring Cerebral Autoregulation on Postsurgical Delirium Among Older Patients
September 19, 2019
In this randomized trial, the authors studied the use of cerebral autoregulation monitoring to target mean arterial pressure during CPB. The outcome of interest was postopertive delirium. The incidence of delirium was 53% in the usual care group compared to 38% in the intervention group, with a reduction in the odds of delirium of 45% (p=0.04).
July 8, 2019
The authors provide a step-by-step tutorial about how to perform a proper epiaortic scan.
Differential Outcomes of Open and Clamp-On Distal Anastomosis Techniques in Acute Type A Aortic Dissection
June 11, 2019
Food for thought from a retrospective non-randomized study on the Scandinavian experience with acute aortic dissection. The reader may find outcomes that will surpise them.
In Global News: Roadside Thoracotomy, Recalled Atrioseptostomy Catheters, and Lung Cancer in Nonsmokers
May 3, 2019
Patient Care and General Interest A roadside thoracotomy was performed in the UK to control severe bleeding for a man who was stabbed, and the procedure was captured on video.
June 26, 2018
The authors provide a step-by-step description of a two-stage repair of a DeBakey type I aortic dissection using the elephant trunk technique.
Common Carotid Artery Cannulation: A Potential Alternative Site for Establishing CPB in Special Situations
March 19, 2018
Common carotid artery cannulation can provide antegrade blood flow to the whole body during cardiopulmonary bypass, as well as maintain cerebral perfusion even at the time of arch exclusion or repair.
September 26, 2017
In this video, the authors present the case of a patient with an extensive thoracic aorta aneurysm, who was treated with a two-stage hybrid approach.