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Operative Techniques in Thoracic and Cardiovascular Surgery最新文献

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Recent Articles in AATS Journals AATS期刊近期文章
Q3 Medicine Pub Date : 2023-09-01 DOI: 10.1053/j.optechstcvs.2023.09.003
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引用次数: 0
Decannulation of Percutaneous Femoro-femoral VA-ECMO Using the Manta Vascular Closure Device 使用Manta血管关闭装置的经皮股股VA-ECMO断管。
Q3 Medicine Pub Date : 2023-09-01 DOI: 10.1053/j.optechstcvs.2023.04.005
Charles Juvin-Bouvier , Nathalie Nardone , Elodie Berg , Pascal Leprince , Guillaume Lebreton

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.

经皮插管改善股-股静脉-动脉体外膜氧合(VA-ECMO)结果,减少感染并发症,但仍受动脉脱管相关血管并发症的限制。几种技术被描述为进行经皮脱管,但由于结果不佳或缺乏可重复性和适合VA-ECMO心源性休克而受到限制。我们在此报告了一种新的简化的股股VA-ECMO脱管技术:联合使用Manta和FemoSeal进行经皮VA-ECMO脱管是一种易于学习,可重复且有效的技术,并且似乎可以改善VA-ECMO的结果。
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引用次数: 0
Staged Ventricular Septation in Patients With Double Inlet Ventricle 双心室患者的阶段性室间隔
Q3 Medicine Pub Date : 2023-09-01 DOI: 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.

双入口心室,包括双入口左心室或双入口右心室,可采用分阶段室间隔策略进行治疗。这份手稿描述了我们的分阶段分隔技术。该策略避免了Fontan程序,并在双心室循环或1.5V循环中达到高潮。目的是保持低下腔静脉(IVC)压力和正常的氧饱和度。缺乏长期数据,但该策略可能是亚组患者的一种选择。
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引用次数: 2
Commentary: In strive to get rid of chronic venous hypertension; staged ventricular septation in double inlet ventricles 点评:在努力摆脱慢性静脉高压;双入口心室分阶段室间隔
Q3 Medicine Pub Date : 2023-09-01 DOI: 10.1053/j.optechstcvs.2023.06.001
Hani K. Najm
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引用次数: 0
Technique of Valve-Sparing Repair With Skeletonization of the Pulmonary Annulus for Tetralogy of Fallot 法洛四联症肺环骨化保留瓣膜修复技术
Q3 Medicine Pub Date : 2023-09-01 DOI: 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.

法洛四联症(TOF)修复后肺动脉瓣功能障碍会增加长期的发病率和死亡率。一些保留肺动脉瓣的技术已经被引入以防止这种不良的后遗症。在这篇文章中,我们描述了用于TOF修复的保留瓣膜技术,主要包括肺环前部的骨骼化和温和的扩张,以保留肺瓣膜和肺环的功能。
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引用次数: 0
Commentary: Double Inlet Ventricle – Septate, Fenestrate, and Be Prepared to Reoperate 解说词:双入口心室——隔室、开窗,并做好再次手术的准备
Q3 Medicine Pub Date : 2023-09-01 DOI: 10.1053/j.optechstcvs.2023.05.004
Tracy R. Geoffrion, Ronald K. Woods
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引用次数: 0
Introduction for Volume 28 Issue 3 第28卷第3期介绍
Q3 Medicine Pub Date : 2023-09-01 DOI: 10.1053/j.optechstcvs.2023.09.004
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引用次数: 0
Tips and Tricks of Peripheral ECMO Cannulation and Management for Postcardiotomy Shock 外周ECMO插管与心脏切开后休克处理的技巧
Q3 Medicine Pub Date : 2023-09-01 DOI: 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.

心源性休克是心内直视手术中一种严重而可怕的并发症。尽管频率看起来很低,但死亡率却很高。在这种情况下,使用体外膜氧合装置可以挽救多达三分之一的患者,但其植入和管理必须由专门的团队进行;适当的插管技术将有助于防止许多并发症,并有助于从设备上脱机。为此,必须了解和尊重所有步骤和预防措施,其中可能包括与其他循环辅助装置共存。
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引用次数: 0
Commentary: “Keep Your Eye on the Prize and Keep it Between the Lines.” 评论:“把你的目光放在奖品上,把它藏在字里行间。”斯特吉尔·辛普森2016年水手地球指南。
Q3 Medicine Pub Date : 2023-08-02 DOI: 10.1053/j.optechstcvs.2023.07.001
Nicholas Smedira
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引用次数: 0
Recent Articles in AATS Journals AATS期刊上的最新文章
Q3 Medicine Pub Date : 2023-06-01 DOI: 10.1053/j.optechstcvs.2023.05.001
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引用次数: 0
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Operative Techniques in Thoracic and Cardiovascular Surgery
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