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ThoracicSurgery

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Widowmaker: Stents as safe as open heart surgery in left main artery disease – MassDevice

A long-term Korean study found stents as safe as open heart surgery in treating blockages of a coronary artery known as the widowmaker, showing that stented patients did not run a significantly higher risk of suffering a heart attack or stroke.  
massdevice.com
over 6 years ago
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UK children's heart surgery death rates nearly halve in 10 years

Better care has led to a fall in fatality rates even as the number of cases rose over the past decade, according to research published in Open Heart journal  
theguardian.com
over 6 years ago
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FDA Expands Approval for 'Valve in Valve' Aortic Replacement - MedicineNet

The U.S. Food and Drug Administration said Tuesday that use of the CoreValve valve-in-valve aortic replacement has been expanded to include people at extreme risk for serious complications of traditional open-heart surgery.  
medicinenet.com
over 6 years ago
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Baby born with half a heart survives NINE operations

Jack Stevens, 15 months, from Hartlepool, County Durham, was born with an underdeveloped heart due to Hypoplastic Left Heart Syndrome, and underwent open heart surgery at just a week old.  
dailymail.co.uk
over 6 years ago
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Prognostic capabilities of coronary computed tomographic angiography before non-cardiac surgery: prospective cohort study

Objectives To determine if coronary computed tomographic angiography enhances prediction of perioperative risk in patients before non-cardiac surgery and to assess the preoperative coronary anatomy in patients who experience a myocardial infarction after non-cardiac surgery.  
feeds.bmj.com
over 6 years ago
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Critical Care

There is an increasing focus on intensive care unit-acquired weakness, its underlying mechanisms and therapeutic options. In this article we offer a commentary on the paper by Bloch and colleagues entitled 'MiR-181a: a potential biomarker of acute muscle wasting following cardiac surgery'. There is a need for biomarkers for intensive care unit-acquired weakness, not only in clinical practice but also in order to streamline future therapeutic trials. MicroRNAs are attractive biomarkers, and may have an important role in this disease. We highlight the significance of the authors’ finding of miR-181a, a novel plasma biomarker for the development of acute muscle wasting in post-operative cardiac surgery patients and discuss future research that is needed in this field following on from the study findings.  
ccforum.com
over 6 years ago
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Critical Care

Postoperative acute kidney injury (AKI) is a frequently observed phenomenon after cardiac surgery with cardio-pulmonary bypass (CPB); this severe complication is associated with adverse patient outcomes. There are multiple mechanisms involved in AKI during cardiac surgery, including CPB-dependent hemolysis. An IV infusion of sodium bicarbonate, which leads to urine alkalization, may play a role in preventing AKI. Recently, several trials have investigated the effect of sodium bicarbonate and reported controversial results. The purpose of this investigation was to investigate the following question. Under what circumstances can sodium bicarbonate prevent postoperative AKI?  
ccforum.com
over 6 years ago
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TEE DURING CARDIAC ARREST

Transesophageal echocardiography (TEE or TOE) used to be the domain of cardiologists. It has lately seeped into other areas of medicine where hemodynamic evaluation is crucial. ICU’s and occasionally OR’s use them even for non-cardiac surgery. But the TEE probe can quite easily be used in any unconscious, intubated patient. One obvious indication would be cardiac arrests.  
scancrit.com
over 6 years ago
Www.bmj
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Blood flow conditioning reduces kidney injury in high risk cardiac surgery patients

Remote ischaemic preconditioning, which involves alternately inflating and deflating a blood pressure cuff around a limb to restrict and restore blood flow, reduces kidney injury and the need for dialysis in high risk patients undergoing cardiac surgery, a study reported in JAMA has shown.1  
feeds.bmj.com
over 6 years ago
Www.bmj
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Blood flow conditioning reduces kidney injury in high risk cardiac surgery patients

Remote ischaemic preconditioning, which involves alternately inflating and deflating a blood pressure cuff around a limb to restrict and restore blood flow, reduces kidney injury and the need for dialysis in high risk patients undergoing cardiac surgery, a study reported in JAMA has shown.1  
feeds.bmj.com
over 6 years ago
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5

Blood flow conditioning reduces kidney injury in high risk cardiac surgery patients

Remote ischaemic preconditioning, which involves alternately inflating and deflating a blood pressure cuff around a limb to restrict and restore blood flow, reduces kidney injury and the need for dialysis in high risk patients undergoing cardiac surgery, a study reported in JAMA has shown.1  
feeds.bmj.com
over 6 years ago