The rate of cerebral embolism in patients with acute infective endocarditis (AIE) was about one quarter on CT scanning, with about one third having silent emboli. This had an adverse impact on survival. Haemorrhagic transformation was low. The authors indicate CT scanning should be routine for all patients with AIE.
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Professional Affairs
June 16, 2014
June 4, 2014
Filmed at the 2014 STS Annual Meeting, the roundtable discussion focuses on the growing role of women in the cardiothoracic surgery specialty.
June 1, 2014
This is a nice video that demonstrates what items are required to safely perform an emergency resternotomy.
Might be a nice video to show to your ICU nurses or those who might be required to assist in an emergency resternotomy.
May 28, 2014
Extracapsular spread of cancer cells is associated with poorer outcome compared to intracapsular limitation in positive lymphnodes in patients with adenocarcinoma of the oesophagus and gastro-oesophageal junction. This finding is not reflected by the current tumour staging system.
May 23, 2014
Stepped wedged cluster randomized control trial from the World Health Organization comparing outcomes in those who received a Checklist. Implementation of the WHO Surgical Safey Checklist decreased morbidty and hospital length of stay.
May 5, 2014
This is a really nice summary article of the new oral antocoagulants which is freely available in full.
It describes the particular complications of the NOAC and cautions in renal failure and recommends safe stopping times before surgery
May 3, 2014
This systematic review and meta-analysis of individual patient data from 15 RCTs (2385 pts) assessed the utility of preoperative chemotherapy in patients with primarily stages Ib-IIIa NSCLC. Chemotherapy resulted in a 13% reduction in death (HR 0.87, p=0.007), and a 5% survival improvement at 5 years.
May 1, 2014
A panel for the Centers for Medicare and Medicaid determined that annual low-dose CT screening for lung cancer carries too high a risk related to the potential benefits. They expressed concern about high false-positive rates, quality assurance, and gaps in evidence as to how the CT results would be used. Despite the fact that many professional grou
April 28, 2014
A Consensus Statement issued by the International Aortic Arch Surgery Study Group, on the standardization of clinical endpoints for aortic arch surgery. This guideline recommends a list important secondary outcomes that should be reported to enable comprehensive analysis of patient outcomes.
April 26, 2014
The new expert opinion paper by the ESC working on the optimal strategy for antiplateletet therapy in patients undergoing CABG