John Elefteriades of Yale University School of Medicine, New Haven, United States, shares ten tips for circulatory support during aortic surgery.
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Aorta
May 11, 2015
The authors conducted a retrospective review of two concurrent groups undergoing elective aortic transverse hemiarch reconstruction: Group DHCA underwent deep hypothermic circulatory arrest with retrograde cerebral perfusion; group MHCA underwent moderate hypothermic (>25 degrees C) circulatory arrest with antegrade cerebral perfusion.
April 30, 2015
Results of moderate hypothermic arrest and antegrade cerebral perfusion (MHCA group) were compared with deep hypothermic arrest and retrograde cerebral perfusion (DHCA) for management of hemiarch reconstruction using single institution data. The MHCA group was older and more often affected by atherosclerotic aneurysm. MHCA was associated with short
April 2, 2015
This analysis compared results of open repair for chronic Type B dissection (OAR) and endovascular repair (TEVAR) using propensity matching techniques. Freedom from rupture/reintervention at 10 years was 78%. Specific outcomes were similar for both types of intervention, but overall treatment efficacy was better for OAR.
April 1, 2015
Tal Golesworthy and Tom Treasure discuss the development of the ExoVasc and its future as an alternative to aortic root replacement.
March 10, 2015
This article describes the technique of composite graft replacement and emphasizes some technical details for the left-handed surgeon.
December 11, 2014
Provocative study that analyzes lower body perfusion in a porcine model during cardiopulmonary bypass with an actuated IABP in place to effect pulsatile perfusion. Parameters of distal perfusion including measurement of pressures and microsphere perfusion indicate that flow distal to the balloon pump may be impaired.
November 29, 2014
Randomized multicenter trial comparing losartan versus atenolol in young patients with Marfan's syndrome with no significant difference in aortic root dilation between groups.
November 26, 2014
Goldberg and colleagues provide an excellent review on a complex topic: intramural hematomas.
October 9, 2014
This is an amazing Ted.com video on Tal Golesworthy who designed his own aortic root