The authors conducted a prospective randomized study of 20 high-risk cardiac surgical patients, split into two groups: pulsatile versus nonpulsatile flow during cardiopulmonary bypass. Using spectral imaging and near-infrared technology, the group found that the the pulsatile perfusion group maintained better perfusion indices in the microcirculati
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Coronary disease
February 6, 2018
February 6, 2018
The Nationwide Inpatient Sample was interrogated for all patients undergoing either CABG, valve replacement, or both from 2008 to 2011, and a total of 1,078,036 patients were included in the analysis. The authors discovered that, overall, 9.8% of patients developed acute kidney injury (AKI) postoperatively.
February 6, 2018
The authors participated in a multi-institutional prospective study to evaluate the frequency, risk factors, and outcomes of patients who suffer mediastinal infection after cardiac surgery. A total of 5,158 patients were enrolled, and there were 43 infections in 41 patients (0.79 cumulative incidence) occurring at a median time of 20 days after surg
February 2, 2018
This review included 55 publications covering 141 cohort studies. The authors found that the relative risk of stroke associated with smoking just one cigarette a day was 1.25 to 1.31, and for coronary artery disease it was 1.48 to 1.57. There is no safe level of smoking.
January 26, 2018
Patient Care
A CABG operation performed at the Uganda Heart Institute at Mulago National Referral Hospital was done by an all-Ugandan surgical team for the first time.
January 24, 2018
A well executed study on an important problem in cardiac surgery that merits careful reading, as no one-sentence conclusion can be adequately gleaned.
January 19, 2018
Patient Care
China and Cambodia will work together on a program to provide free heart surgery to 100 Cambodian children with congenital heart disease.
January 17, 2018
The new EACTS Guidelines on perioperative medication in adult cardiac surgery address antithrombotic management, atrial fibrillation, renin–angiotensin–aldosterone system inhibitors, beta-blockers, dyslipidaemia, ulcer prevention and steroids, antibiotic prophylaxis, anaesthesia and postoperative analgesia, and blood glucose management.
January 8, 2018
A very brief editorial on frailty as a risk factor. In the time of weighing transcatheter interventions versus variable access surgical options, quantifying this physiological concept is of major importance for the cardiac teams and, importantly, the autonomy of the patient.
January 3, 2018
This article from the BBC highlights two different artificial intelligence (AI) diagnostic systems, one that evaluates coronary artery disease (CAD) and another that determines whether a lung nodule is cancerous. The systems are being trialed around the UK, and they show promise for improved accuracy of imaging-based diagnoses.