Pub Date : 2023-09-01DOI: 10.1053/j.optechstcvs.2023.09.003
{"title":"Recent Articles in AATS Journals","authors":"","doi":"10.1053/j.optechstcvs.2023.09.003","DOIUrl":"https://doi.org/10.1053/j.optechstcvs.2023.09.003","url":null,"abstract":"","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49895833","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}
Percutaneous cannulation improved femoro-femoral veno-arterial Extracorporeal Membrane Oxygenation (VA-ECMO) results, reducing infectious complications, but remains limited by vascular complications related to the arterial decannulation. Several techniques were described to perform a percutaneous decannulation but were limited by poor results or lacking reproducibility and fit to the VA-ECMO in cardiogenic shock. We report herein a novel simplified technic for femoro-femoral VA-ECMO decannulation: the combined use of Manta and FemoSeal for percutaneous VA-ECMO decannulation is an easy to learn, reproducible and effective technique, and appears to improve the outcomes of VA-ECMO.
{"title":"Decannulation of Percutaneous Femoro-femoral VA-ECMO Using the Manta Vascular Closure Device","authors":"Charles Juvin-Bouvier , Nathalie Nardone , Elodie Berg , Pascal Leprince , Guillaume Lebreton","doi":"10.1053/j.optechstcvs.2023.04.005","DOIUrl":"10.1053/j.optechstcvs.2023.04.005","url":null,"abstract":"<div><p><span><span>Percutaneous cannulation improved femoro-femoral veno-arterial </span>Extracorporeal Membrane Oxygenation (VA-ECMO) results, reducing infectious complications, but remains limited by vascular complications related to the arterial decannulation. Several techniques were described to perform a percutaneous decannulation but were limited by poor results or lacking reproducibility and fit to the VA-ECMO in </span>cardiogenic shock. We report herein a novel simplified technic for femoro-femoral VA-ECMO decannulation: the combined use of Manta and FemoSeal for percutaneous VA-ECMO decannulation is an easy to learn, reproducible and effective technique, and appears to improve the outcomes of VA-ECMO.</p></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48046004","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 : 2023-09-01DOI: 10.1053/j.optechstcvs.2023.03.004
Sitaram M. Emani
Double inlet ventricle, including double inlet left ventricle or double inlet right ventricle may be managed with staged ventricular septation strategy. This manuscript describes our techniques for staged septation. The strategy avoids the Fontan procedure and culminates in either biventricular circulation or 1.5V circulation. The goal is to retain low inferior vena cava (IVC) pressures with normalization of oxygen saturations. Long term data are lacking, but the strategy may be an option for subgroups of patients.
{"title":"Staged Ventricular Septation in Patients With Double Inlet Ventricle","authors":"Sitaram M. Emani","doi":"10.1053/j.optechstcvs.2023.03.004","DOIUrl":"10.1053/j.optechstcvs.2023.03.004","url":null,"abstract":"<div><p><span><span>Double inlet ventricle, including double inlet left ventricle or double inlet </span>right ventricle may be managed with staged ventricular septation strategy. This manuscript describes our techniques for staged septation. The strategy avoids the </span>Fontan procedure<span><span> and culminates in either biventricular circulation or 1.5V circulation. The goal is to retain low inferior vena cava (IVC) pressures with normalization of </span>oxygen saturations. Long term data are lacking, but the strategy may be an option for subgroups of patients.</span></p></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43199529","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 : 2023-09-01DOI: 10.1053/j.optechstcvs.2023.06.001
Hani K. Najm
{"title":"Commentary: In strive to get rid of chronic venous hypertension; staged ventricular septation in double inlet ventricles","authors":"Hani K. Najm","doi":"10.1053/j.optechstcvs.2023.06.001","DOIUrl":"10.1053/j.optechstcvs.2023.06.001","url":null,"abstract":"","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46617221","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 : 2023-09-01DOI: 10.1053/j.optechstcvs.2023.04.003
Rıza Türköz, Abdullah Doğan
Pulmonary valve dysfunction after tetralogy of Fallot (TOF) repair increases morbidity and mortality in the long term. Several pulmonary valve‐sparing techniques have been introduced to prevent such adverse sequelae. In this article we describe our valve-sparing technique for TOF repair that primarily consists of skeletonization of the anterior part of the pulmonary annulus and gentle dilation to preserve the pulmonary valve and annulus function.
{"title":"Technique of Valve-Sparing Repair With Skeletonization of the Pulmonary Annulus for Tetralogy of Fallot","authors":"Rıza Türköz, Abdullah Doğan","doi":"10.1053/j.optechstcvs.2023.04.003","DOIUrl":"https://doi.org/10.1053/j.optechstcvs.2023.04.003","url":null,"abstract":"<div><p>Pulmonary valve<span> dysfunction after tetralogy of Fallot<span> (TOF) repair increases morbidity and mortality in the long term. Several pulmonary valve‐sparing techniques have been introduced to prevent such adverse sequelae. In this article we describe our valve-sparing technique for TOF repair that primarily consists of skeletonization of the anterior part of the pulmonary annulus and gentle dilation to preserve the pulmonary valve and annulus function.</span></span></p></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49880494","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 : 2023-09-01DOI: 10.1053/j.optechstcvs.2023.05.004
Tracy R. Geoffrion, Ronald K. Woods
{"title":"Commentary: Double Inlet Ventricle – Septate, Fenestrate, and Be Prepared to Reoperate","authors":"Tracy R. Geoffrion, Ronald K. Woods","doi":"10.1053/j.optechstcvs.2023.05.004","DOIUrl":"10.1053/j.optechstcvs.2023.05.004","url":null,"abstract":"","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43444629","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 : 2023-09-01DOI: 10.1053/j.optechstcvs.2023.09.004
{"title":"Introduction for Volume 28 Issue 3","authors":"","doi":"10.1053/j.optechstcvs.2023.09.004","DOIUrl":"https://doi.org/10.1053/j.optechstcvs.2023.09.004","url":null,"abstract":"","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49895832","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 : 2023-09-01DOI: 10.1053/j.optechstcvs.2023.03.003
Charles Juvin-Bouvier , Pascal Leprince , Guillaume Lebreton
Postcardiotomy cardiogenic shock is a severe and feared complication of open-heart surgery. Even if the frequency seems low, the mortality is very high. The use of an extracorporeal membrane oxygenation device in this context can save up to a third of patients, but its implantation and management must be carried out by specialized teams; proper cannulation technique will help prevent many complications and facilitate weaning from the device. For this, all steps and preventive measures must be known and respected, which may include the coexistence of other circulatory assistance devices.
{"title":"Tips and Tricks of Peripheral ECMO Cannulation and Management for Postcardiotomy Shock","authors":"Charles Juvin-Bouvier , Pascal Leprince , Guillaume Lebreton","doi":"10.1053/j.optechstcvs.2023.03.003","DOIUrl":"10.1053/j.optechstcvs.2023.03.003","url":null,"abstract":"<div><p>Postcardiotomy cardiogenic shock<span> is a severe and feared complication of open-heart surgery. Even if the frequency seems low, the mortality is very high. The use of an extracorporeal membrane oxygenation<span> device in this context can save up to a third of patients, but its implantation and management must be carried out by specialized teams; proper cannulation technique will help prevent many complications and facilitate weaning from the device. For this, all steps and preventive measures must be known and respected, which may include the coexistence of other circulatory assistance devices.</span></span></p></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48227842","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 : 2023-08-02DOI: 10.1053/j.optechstcvs.2023.07.001
Nicholas Smedira
{"title":"Commentary: “Keep Your Eye on the Prize and Keep it Between the Lines.”","authors":"Nicholas Smedira","doi":"10.1053/j.optechstcvs.2023.07.001","DOIUrl":"10.1053/j.optechstcvs.2023.07.001","url":null,"abstract":"","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43663248","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 : 2023-06-01DOI: 10.1053/j.optechstcvs.2023.05.001
{"title":"Recent Articles in AATS Journals","authors":"","doi":"10.1053/j.optechstcvs.2023.05.001","DOIUrl":"https://doi.org/10.1053/j.optechstcvs.2023.05.001","url":null,"abstract":"","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49844486","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}