The latest on portable venovenous ECMO in a cohort in which half of the subjects died after a resource-intensive treatment. The results of the relevant EOLIA trial are keenly awaited.
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Vascular
April 26, 2018
The authors retrospectively evaluated the long-term fate of the aortic arch in 168 patients with bicuspid aortic valves who had undergone either ascending aortic (24%) or aortic root (76%) replacement. At a median follow-up of 5.9 years, the mean aortic arch diameter went from 2.9 cm preoperatively to 3.0 cm at follow-up (p=ns). The authors conclud
April 13, 2018
The authors present their experience in treating 39 patients with thoracic aortic endovascular repair of the ascending aorta who were determined to be very high risk for open surgical repair from 2006 to 2016.
April 4, 2018
The EJCTS and ICVTS are publishing a series of Statistical Primers to help clinicians perform and interpret research. In this article, Hickey and colleagues provide a practical introduction to repeated-measures analysis.
March 27, 2018
A succinct balanced editorial advancing, amongst other things, the position for initial nonintervention for submassive pulmonary embolism.
March 24, 2018
This survey of general surgeons in the US who had a pregnancy during surgical training identified a number of challenges that may influence career satisfaction. These included inadequate scheduling support, lactation facilities, and mentoring. 30% of participants would advise a female medical student not to pursue a surgical career.
March 21, 2018
This video demonstrates a superior caval system reconstruction using a single bovine pericardial patch. The procedure was performed following a radical thymectomy for a cortical thymoma, which invaded the right and left brachiocephalic veins and the upper portion of the superior vena cava.
March 21, 2018
Of 1,232 patients who underwent elective arch repairs at 11 European aortic centers, 155 were selected and their surgical outcomes were analyzed retrospectively. Approximately 13% of patients suffered an aortic event, and 85% of them needed reoperation.
March 21, 2018
One of the more contentious issues in Enhanced Recovery After Surgery (ERAS) programs is the role of preoperative carbohydrate loading. This randomized trial demonstrated less need for insulin for treating serum glucose >180 mg/dl in the carbohydrate-loading group compared to the placebo group (2.4% versus 16.0%; RR 0.15; p<0.001) with no chan
March 21, 2018
A brief, informative, and helpful article. It highlights alarming reports that 80% to 90% of "negative" randomized controlled trials in surgery are not adequately powered to reliably declare a negative outcome.