This video shows an epicardial lead implant via videothoracoscopy in an 80-year-old male patient with hypertension, syncope, and fainting.
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Cardiac
July 18, 2016
A handy mini-textbook on ECMO
July 14, 2016
In this matched cohort study the authors evaluate the age-associated risk of bleeding and thrombosis in 3313 patients ≥70 years attending a single thrombosis service and treated with vitamin K antagonist (VKA). Patients were matched 1:1:1 by decade (70-79, 80-89, 90-99 years) and duration of treatment.
July 14, 2016
In a discussion filmed at the 2016 STS Annual Meeting in Phoenix, Arizona, a panel of experts share insights into utilizing Internet technologies to improve the practice of cardiothoracic surgery for both surgeons and patients.
July 14, 2016
This article explores the controversial topic of TAVR versus surgical AVR in low-risk patients. The primary outcome was 3-year survival. The authors report 3-year survival for TAVR and surgical AVR as 72% and 83.4%, respective (p=0.0015). Although TAVR is an exciting technology, there should be caution in adopting it in lower risk patients.
July 13, 2016
This retrospective study evaluated the effects of high-dose nitroglycerine (NTG) on glucose metabolism, tissue oxygenation and postoperative recovery in cardiac surgical patients. Two groups were classified: NTG group (iv loading of NTG starting at rewarming of cardiopulmonary bypass; n=101), NON-NTG group (n=151).
July 13, 2016
The authors enrolled 149 patients on DAPT undergoing urgent cardiac surgery in a prospective study analyzing the association between platelet reactivity and postoperative bleeding. They found that decreasing platelet reactivity correlated with an increase in calculated red blood cell loss after surgery.
July 6, 2016
What effect has the SYNTAX trial had on practice in Europe? Philippe Kolh reviews the trial and its guidelines.
July 5, 2016
With the rapid expansion of mechanical circulatory support (MCS) in various contexts (CVICU, in-hospital cardiac arrest (E-CPR) and the ED), the authors have provided a very nice overview of the general principles of MCS options and management to assist the broader healthcare team involved with these complex patients.
July 5, 2016
Acute kidney injury (AKI) complicates recovery from cardiac surgery in up to 30% of patients, injures and impairs the function of the brain, lungs, and gut, and places patients at a 5-fold increased risk of death during hospitalization.