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Journal and News Scan

Source: VuMedi
Author(s): Thomas daniel

This is an interesting video documenting radiotracer labelld lung nodule incision of a small 10mm right upper lobe nodule that is really quite deep 

Source: Interact CardioVasc Thorac Surg
Author(s): Tine E. Philipsen, Valérie M. Collas, Inez E. Rodrigus, Rodrigo A. Salgado, Bernard P. Paelinck, Christiaan M. Vrints, and Johan M. Bosmans

The authors report on TAVI implantation through the brachiocephalic artery in patients without ideal femoral access. This approach is safe and feasible. The distance between access point and implant site is short, facilitating catheter manipulation and implantation itself.

Source: Eur J Cardiothorac Surg
Author(s): Marijke H. van der Meulen, Michiel Dalinghaus, Alexander P.W.M. Maat, Pieter C. van de Woestijne, M. van Osch, M. de Hoog, Ulrike S. Kraemer, and Ad J.J.C. Bogers

Results of the Dutch National Paediatric HTx Programme are presented. Eighteen of 43 eligible patients underwent implantation of a ventricular assist device. The authors provide a detailed description of the outcomes.

Source: Eur J Cardiothorac Surg
Author(s): Andreas Holzamer, Emanuel Sitka, Christian Hengstenberg, Christof Schmid, Kurt Debl, Lars Maier, Daniele Camboni, Oliver Husser, and Michael Hilker

Prediction of the implantation plane in transcatheter aortic valve implantation using a multislice computed tomography-based method is evaluated in 244 patients. The results reveal large interindividual differences

Source: Eur J Cardiothorac Surg
Author(s): Miguel Sousa-Uva, Stuart J. Head, Matthias Thielmann, Giuseppe Cardillo, Umberto Benedetto, Martin Czerny, Joel Dunning, Manuel Castella, Tomas Gudbjartsson, Neil Howell, Mark Hazekamp, Philippe Kolh, Friedhelm Beyersdorf, Domenico Pagano, and A. Pieter Kappetein

How to develop the perfect clinical guideline: Instructions by the European Association for Cardio-Thoracic Surgery (EACTS).

Source: New England Journal of Medicine
Author(s): Steven P. Sedlis, Pamela M. Hartigan, Koon K. Teo, David J. Maron, John A. Spertus, G.B. John Mancini, William Kostuk, Bernard R. Chaitman, Daniel Berman, Jeffrey D. Lorin, Marcin Dada, William S. Weintraub, and William E. Boden for the COURAGE Trial Investigators

The authors report on the extended follow-up of Courage Trial patients for up to 15 years.  In this trial, patients with chronic stable angina were randomized to medical therapy alone versus PCI plus medical therapy.  At extended follow-up, there was no difference in overall survival between the two treatment strategies.

Source: Annals of Thoracic Surgery
Author(s): Stephanie M. Fuller, Xia He, Jeffrey P. Jacobs, Sara K. Pasquali, J. William Gaynor, Christopher E. Mascio, Kevin D. Hill, Marshall L. Jacobs, Yuli Y. Kim

Using the STS Database, a mortality risk score was developed for adult patients undergoing congenital heart surgery.  Procedure-specific outcomes differed by age category.  The age-specific mortality risk score was more accurate than a score for all age categories (81% vs 78%). 

Source: Annals of Thoracic Surgery
Author(s): Pamela Samson, Aalok Patel, Traves D. Crabtree, Daniel Morgensztern, Cliff G. Robinson, Graham A. Colditz, Saiama Waqar, Daniel Kreisel, A. Sasha Krupnick, G. Alexander Patterson, Stephen Broderick, Bryan F. Meyers, Varun Puri

The relationship to institution type and survival after multimodality therapy for IIIA NSCLC was investigated using the NCDB (National Cancer Database).  Academic medical centers had a higher incidence of induction therapy, lower postoperative mortality, and improved overall survival. 

Source: Annals of Thoracic Surgery
Author(s): Michelle C. Ellis, Theron A. Paugh, Timothy A. Dickinson, John Fuller, Jeffrey Chores, Gaetano Paone, Michael Heung, Karsten Fliegner, Andrew L. Pruitt, Himanshu J. Patel, Min Zhang, Richard L. Prager, Donald S. Likosky, for the PERForm Registry and the Michigan Society of Thoracic and Cardiovascular Surgeons Quality Collaborative

Data from a large multicenter registry were evaluated to determine whether there is a sex difference in susceptibility to acute kidney injury after CBP related to nadir hematocrit levels.  Based on a 21% hematocrit threshold, 9.5% of men and 31.9% of women were affected.  Rates of AKI were similar between the sexes.  There was a strong interaction betwen sex and nadir Hct level; men were significantly more susceptible to AKI related to nadir Hct.

Source: Annals of Thoracic Surgery
Author(s): Jonathan M. Philpott, Christian W. Zemlin, James L. Cox, Mack Stirling, Michael Mack, Robert L. Hooker, Allen Morris, David A. Heimansohn, James Longoria, Divyakant B. Gandhi, Patrick M. McCarthy

The report of FDA-mandated prospective evaluation of outcomes after Cox Maze-IV for atrial fibrillation during cardiac surgery for other problems.  It utilized the Synergy ablation system and focused on absence of AF off antiarrhythmics at 6 months and the absence of major adverse events at 30 days.  76% were AF free, and 9.1% experienced major complications.  Results were comparable to the cut-and-sew technique of the Cox Maze-III procedure.

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