Pub Date : 2023-11-01Epub Date: 2023-09-11DOI: 10.1007/s12055-023-01597-2
Carlos A Mestres
{"title":"We were there: now much more is coming. It is our turn!","authors":"Carlos A Mestres","doi":"10.1007/s12055-023-01597-2","DOIUrl":"10.1007/s12055-023-01597-2","url":null,"abstract":"","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"39 6","pages":"656"},"PeriodicalIF":0.7,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10597948/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54228930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-28DOI: 10.1007/s12055-023-01611-7
Luca Di Marco, Chiara Nocera, Silvia Snaidero, Francesco Campanini, Francesco Buia, Luigi Lovato, Giacomo Murana, Davide Pacini
Abstract Purpose Frozen elephant trunk (FET) was born as an ideal one-step procedure to treat complex arch and descending thoracic aorta pathology. It was then proved that it frequently needs reintervention, which can often be performed by thoracic endovascular aortic repair (TEVAR) extension since FET provides a safe proximal landing zone. We hereby describe our experience in TEVAR extension after FET, its main indications, technique, and outcomes. Methods Between 2007 and 2022, 371 patients underwent FET at our center. Of these, 119 needed TEVAR extension. Some required more than one TEVAR, with a total of 154 procedures. The preoperative characteristics, indications, and outcomes were analyzed retrospectively. Results Of 154 TEVAR procedures, 15 were performed in an urgent setting. Mean time from FET to TEVAR was 22,2 ± 28,73 months. Two patients died in the operating room; no others died during the hospital stay. Survival after 1, 2, 5, and 10 years was 96.2%, 93.9%, 90.1%, and 70.5% respectively. There was no statistically significant difference in the rates of TEVAR extension for patients in which a Thoraflex™ vs E-vita™ graft was used, nor for zone 2 vs zone 3 anastomosis and stent length. Conclusion Though TEVAR extension is often required after FET, it is a safe and effective procedure with excellent post-operative outcomes in the short-, mid-, and long-term and allows successful treatment of complex aortic pathologies. Rigorous and specialized follow-up after FET is central to identify the right moment to intervene.
{"title":"Staging TEVAR after FET — an exception or the rule?","authors":"Luca Di Marco, Chiara Nocera, Silvia Snaidero, Francesco Campanini, Francesco Buia, Luigi Lovato, Giacomo Murana, Davide Pacini","doi":"10.1007/s12055-023-01611-7","DOIUrl":"https://doi.org/10.1007/s12055-023-01611-7","url":null,"abstract":"Abstract Purpose Frozen elephant trunk (FET) was born as an ideal one-step procedure to treat complex arch and descending thoracic aorta pathology. It was then proved that it frequently needs reintervention, which can often be performed by thoracic endovascular aortic repair (TEVAR) extension since FET provides a safe proximal landing zone. We hereby describe our experience in TEVAR extension after FET, its main indications, technique, and outcomes. Methods Between 2007 and 2022, 371 patients underwent FET at our center. Of these, 119 needed TEVAR extension. Some required more than one TEVAR, with a total of 154 procedures. The preoperative characteristics, indications, and outcomes were analyzed retrospectively. Results Of 154 TEVAR procedures, 15 were performed in an urgent setting. Mean time from FET to TEVAR was 22,2 ± 28,73 months. Two patients died in the operating room; no others died during the hospital stay. Survival after 1, 2, 5, and 10 years was 96.2%, 93.9%, 90.1%, and 70.5% respectively. There was no statistically significant difference in the rates of TEVAR extension for patients in which a Thoraflex™ vs E-vita™ graft was used, nor for zone 2 vs zone 3 anastomosis and stent length. Conclusion Though TEVAR extension is often required after FET, it is a safe and effective procedure with excellent post-operative outcomes in the short-, mid-, and long-term and allows successful treatment of complex aortic pathologies. Rigorous and specialized follow-up after FET is central to identify the right moment to intervene.","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"11 24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136158496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-26DOI: 10.1007/s12055-023-01612-6
Ishir Narayan, Ryka C Chopra, Sivasis Sarkar, Suma Chakrabarthi
{"title":"Financial burden of coronary artery bypass grafting in India: implications for catastrophic health expenditure and healthcare access","authors":"Ishir Narayan, Ryka C Chopra, Sivasis Sarkar, Suma Chakrabarthi","doi":"10.1007/s12055-023-01612-6","DOIUrl":"https://doi.org/10.1007/s12055-023-01612-6","url":null,"abstract":"","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"51 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134908868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-25DOI: 10.1007/s12055-023-01594-5
Alaa Salama, Ghada Ibrahim, Mohammad Fikry, Moataz Hassan Elsannan, Mohammad Eltahlawi
{"title":"Prognostic value of high-sensitive troponin T in patients with severe aortic stenosis undergoing valve replacement surgery","authors":"Alaa Salama, Ghada Ibrahim, Mohammad Fikry, Moataz Hassan Elsannan, Mohammad Eltahlawi","doi":"10.1007/s12055-023-01594-5","DOIUrl":"https://doi.org/10.1007/s12055-023-01594-5","url":null,"abstract":"","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"14 7","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135169410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-19DOI: 10.1007/s12055-023-01602-8
Parth Mukund Patel, Oreoluwa Elizabeth Olakunle, Andy Dong, Edward Chiou, Jane Wei, Jose Binongo, Bradley Leshnower, Edward Po Chen
{"title":"Acute type A aortic syndromes: outcomes are independent of aortic root/valve management","authors":"Parth Mukund Patel, Oreoluwa Elizabeth Olakunle, Andy Dong, Edward Chiou, Jane Wei, Jose Binongo, Bradley Leshnower, Edward Po Chen","doi":"10.1007/s12055-023-01602-8","DOIUrl":"https://doi.org/10.1007/s12055-023-01602-8","url":null,"abstract":"","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135667182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-19DOI: 10.1007/s12055-023-01604-6
Muhanad S. Algadheeb, Mohsyn I. Malik, Santiago Besa-Bandeira, Matthew Valdis, Niko Tzemos, Rodrigo Bagur, Michael W. A. Chu
{"title":"Contemporary surgical management of infective endocarditis of the aortic root","authors":"Muhanad S. Algadheeb, Mohsyn I. Malik, Santiago Besa-Bandeira, Matthew Valdis, Niko Tzemos, Rodrigo Bagur, Michael W. A. Chu","doi":"10.1007/s12055-023-01604-6","DOIUrl":"https://doi.org/10.1007/s12055-023-01604-6","url":null,"abstract":"","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135730246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-19DOI: 10.1007/s12055-023-01601-9
Mohsyn Imran Malik, Djalal Fakim, David Drullinksy, A. Dave Nagpal
{"title":"Indication for ECMO predicts time to first actionable bleeding complication","authors":"Mohsyn Imran Malik, Djalal Fakim, David Drullinksy, A. Dave Nagpal","doi":"10.1007/s12055-023-01601-9","DOIUrl":"https://doi.org/10.1007/s12055-023-01601-9","url":null,"abstract":"","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135731227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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