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Expanding the Criteria for Heart Transplantation Donors: A Review of DCD, Increased Ischemic Times, HCV, HIV, and Extended Criteria Donors. 扩大心脏移植捐献者的标准:DCD、缺血时间增加、HCV、HIV和扩大标准捐献者的综述。
IF 0.6 4区 医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-10-30 DOI: 10.59958/hsf.6677
Reed T Jenkins, Manuj M Shah, Emily L Larson, Alice L Zhou, Jessica M Ruck, Ahmet Kilic

With the demand for heart transplantation continuing to outpace the available donor organs, previously underutilized donors are now being reconsidered. We sought to describe the emerging techniques and outcomes of expanded criteria heart transplantation. A comprehensive review of the recent literature concerning expanded donor selection in heart transplantation was performed using the PubMed MEDLINE database. To characterize trends in transplant practice, the United Network for Organ Sharing (UNOS/OPTN) registry was queried for all adult isolated heart transplants since 2010, and data regarding transplant parameters was collected. Donation after cardiac death (DCD), DCD with normothermic regional perfusion, increased ischemic time, hepatitis C positive donor organs, HIV-positive donor organs, and extended criteria donors were identified as promising avenues currently being explored to expand the number of donor organs. The utilization of various expanded criteria for heart transplantation was summarized since 2010 and showed an increasing use of these donor organs, contributing to the overall increasing frequency of heart transplantation. Utilization of expanded criteria for donor selection in heart transplantation has the potential to increase the supply of donor organs with comparable outcomes in selected recipients.

随着对心脏移植的需求继续超过可用的供体器官,以前未充分利用的供体现在正在重新考虑。我们试图描述扩展标准心脏移植的新兴技术和结果。使用PubMed MEDLINE数据库对最近关于心脏移植中扩大供体选择的文献进行了全面综述。为了描述移植实践的趋势,自2010年以来,对器官共享联合网络(UNOS/OPTN)登记处的所有成人孤立心脏移植进行了查询,并收集了有关移植参数的数据。心脏病死亡后的捐献(DCD)、常温区域灌注的DCD、缺血时间增加、丙型肝炎阳性供体器官、HIV阳性供体器官和扩展标准供体被认为是目前正在探索的扩大供体器官数量的有希望的途径。自2010年以来,总结了各种扩大的心脏移植标准的使用情况,并显示这些供体器官的使用越来越多,这有助于心脏移植的总体频率增加。在心脏移植中使用扩大的供体选择标准有可能增加供体器官的供应,并在选定的接受者中获得类似的结果。
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引用次数: 0
The Efficacy of Erector Spinae Plane Block for Thoracoscopic Surgery: A Meta-Analysis of Randomized Controlled Trials. 直立棘平面阻滞在胸腔镜手术中的疗效:随机对照试验的荟萃分析。
IF 0.6 4区 医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-10-30 DOI: 10.59958/hsf.5349
Ling Liu, Yuhua Zhao, Yongpeng He, WenLi Peng, Huan He, Ling Liang

Background: The efficacy of erector spinae plane block for thoracoscopic surgery remains controversial. We conducted a systematic review and meta-analysis to explore the impact of erector spinae plane block on thoracoscopic surgery.

Methods: We searched the PubMed, EMbase, Web of science, EBSCO, and Cochrane library databases through February 2022 for randomized controlled trials (RCTs), assessing the effect of erector spinae plane block on thoracoscopic surgery. This meta-analysis was performed using the random-effect model.

Results: Seven RCTs, involving 439 patients, are included in the meta-analysis. Overall, compared with the control group for thoracoscopic surgery, erector spinae plane block (ESPB) results in significantly reduced pain scores at 1 h (standard mean difference (SMD) = -4.26; 95% confidence interval (CI) = -7.63 to -0.88; p = 0.01), 4 h (SMD = -4.08; 95% CI = -4.56 to -3.60; p < 0.00001), 8 h (SMD = -4.13; 95% CI = -4.62 to -3.65; p < 0.00001), and postoperative anesthesia consumption (SMD = -3.04; 95% CI = -4.58 to -1.50; p = 0.0001) and can decrease the incidence of nausea and vomiting (odd ratio (OR) = 0.18; 95% CI = 0.08 to 0.39; p < 0.001).

Conclusions: ESPB can substantially enhance pain relief for thoracoscopic surgery.

背景:直立棘平面阻滞在胸腔镜手术中的疗效仍然存在争议。我们进行了一项系统综述和荟萃分析,以探讨竖脊肌平面阻滞对胸腔镜手术的影响。方法:我们在PubMed、EMbase、Web of science、EBSCO和Cochrane图书馆数据库中搜索了截至2022年2月的随机对照试验(RCT),以评估竖脊肌平面阻滞对胸腔镜手术的影响。该荟萃分析采用随机效应模型进行。结果:纳入荟萃分析的有7项随机对照试验,涉及439名患者。总体而言,与胸腔镜手术的对照组相比,竖脊肌平面阻滞(ESPB)在1小时时可显著降低疼痛评分(标准平均差(SMD)=-4.26;95%置信区间(CI)=-7.63至-0.88;p=0.01)、4小时(SMD=-4.08;95%CI=-4.56至-3.60;p<0.00001)、8小时(SMD=-4.13;95%CI=-4.62至-3.65;p<.00001)和术后麻醉消耗(SMD=-3.04;95%CI=4.58至-1.50;p=0.0001),并可降低恶心和呕吐的发生率(奇数比(OR)=0.18;95%置信区间=0.08至0.39;p<0.001)。结论:ESPB能显著提高胸腔镜手术的镇痛效果。
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引用次数: 0
Does False Lumen Thrombosis Lead to Better Outcomes in Patients with Aortic Dissection: A Meta-Analysis and Systematic Review. 主动脉夹层患者假性管腔血栓形成是否能带来更好的结果:荟萃分析和系统评价。
IF 0.6 4区 医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-10-30 DOI: 10.59958/hsf.5739
Shiming Zhang, Wei Sun, Shidong Liu, Bing Song, Lili Xie, Ruisheng Liu

Objectives: For a long time, the association of the false lumen status and the outcomes of patients suffering from aortic dissection has been unclear, so this review article aims to study whether the unobstructed of the false lumen is related to the outcome of patients suffering from aortic dissection.

Methods: We performed this systematic review and meta-analysis according to the Preferred Reporting Items for Systematic Reviews and Meta Analyzes Protocols (PRISMA) statement 2009 and registered with PROSPERO (CRD42022381869). We searched PubMed, the Cochrane library, Web of Science and Embase to collect potential studies. The Newcastle-Ottawa Scale was used to assess the quality of the included studies. The main outcome is long-term survival. Data included in the study were summarized using the risk ratio or mean difference and 95% confidence interval.

Results: There were 16 trials, 2829 patients in total, with a mean age of 62.1 years. Compared with completely thrombosed false lumen, patent group has better long-term survival (risk ratio (RR), 0.88; 95% CI, 0.79 to 0.97; p = 0.01; I2 = 58%) and smaller yearly aortic growth rate (mean difference (MD), 1.03; 95% CI, 0.23 to 1.82; p = 0.01; I2 = 98%). In addition, patients with a patent false lumen had a lower risk of aortic event (RR, 0.81; 95% CI, 0.68 to 0.97; p = 0.02; I2 = 37%), but higher risk of aortic rupture (RR, 7.02; 95% CI, 2.55 to 19.3; p = 0.0002; I2 = 0) and hospital death (RR, 2.72; 95% CI, 1.45 to 5.08; p = 0.002; I2 = 0).

Conclusion: Completely thrombosed of the false lumen is more beneficial to the long-term survival of patients with aortic dissection. And the risk of aortic rupture and hospital death in patients with patent false lumen is 7 times and 3 times that of patients with complete thrombosed false lumen. It is expected to provide individualized medical care for different types of patients according to different false lumen status to minimize death and related complications.

目的:长期以来,主动脉夹层患者的假腔状态与预后之间的关系一直不清楚,因此本文旨在研究假腔的通畅与主动脉夹层患者预后是否相关。方法:我们根据2009年系统评价和荟萃分析方案的首选报告项目(PRISMA)声明进行了系统评价和元分析,并在PROSPERO注册(CRD42022381869)。我们搜索了PubMed、Cochrane图书馆、Web of Science和Embase以收集潜在的研究。纽卡斯尔-渥太华量表用于评估纳入研究的质量。主要结果是长期生存。研究中包含的数据使用风险比或平均差和95%置信区间进行总结。结果:共有16项试验,2829名患者,平均年龄62.1岁。与完全血栓形成的假腔相比,专利组具有更好的长期生存率(风险比(RR),0.88;95%可信区间为0.79~0.97;p=0.01;I2=58%)和较小的主动脉年生长率(平均差(MD),1.03;95%可信区间0.23-1.82;p=0.01;I2=98%)。此外,管腔未闭的患者发生主动脉事件的风险较低(RR,0.81;95%CI,0.68至0.97;p=0.02;I2=37%),但主动脉破裂(RR,7.02;95%可信区间,2.55至19.3;p=0.0002;I2=0)和住院死亡(RR,2.72;95%置信区间,1.45至5.08;p=0.002;I2=0。未闭假腔患者发生主动脉破裂和住院死亡的风险是完全血栓形成假腔患者的7倍和3倍。它有望根据不同的假腔状态为不同类型的患者提供个性化的医疗护理,以最大限度地减少死亡和相关并发症。
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引用次数: 0
Meta-Analysis of the Efficacy of Levosimendan in the Treatment of Severe Sepsis Complicated with Septic Cardiomyopathy. 左西孟丹治疗严重脓毒症并发脓毒症心肌病疗效的Meta分析。
IF 0.6 4区 医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-10-30 DOI: 10.59958/hsf.6439
Qiongchan Guan, Chuang Zhang, Binbin Li, Daochao Huang, Aiming Li, Jie Qin, Xianhuan Zhang

Introduction: Sepsis is a medical condition characterized by acute organ dysfunction and uncontrolled inflammation. Organ dysfunction in sepsis is the primary cause of mortality in patients with myocardial dysfunction. Levosimendan is a vasodilating and inotropic agent used in patients with acute heart failure and has resulted in decreased morbidity and mortality in these patients. Our main objective is to examine levosimendan's efficacy in treating severe sepsis complicated with septic cardiomyopathy.

Methods: We systematically searched five databases, PubMed, Web of Science, Embase, Cochrane Library and BioMed Central, for articles and publications from their inception to 2023. Our study adopted the PICOS approach in identifying suitable publications during the systematic search. Inclusion criteria included randomized, controlled trials utilizing levosimendan in adult patients diagnosed with septic shock or severe sepsis. We excluded non-English publications and non-randomized controlled trials. The Newcastle-Ottawa scale (NOS) scale was used to assess the methodological quality, while the risk of bias was assessed through the Cochrane Risk of bias tool. All statistical analyses were performed using RevMan version 5.4.

Results: Eight studies met the eligibility criteria and were included in the analysis. There was a statistically significant positive effect on cardiac input in patients treated with levosimendan compared to those treated with dobutamine (p < 0.001). Similarly, there were positive effects on left ventricular ejection fraction (LVEF) (p < 0.001) and left ventricular stroke work index (LVSWI) (p < 0.001). We observed a significant reduction in mortality (p < 0.01) and serum levels of lactic acid (p < 0.01).

Discussion: Levosimendan is a calcium sensitizer associated with an influx of calcium ions and activation of ATP-dependent potassium channels that increases myocardial contractility contractions, enhances vasodilation and improves oxygen supply to the cells and tissues.

Conclusion: Levosimendan is highly efficacious and safe in the management of sepsis and sepsis-induced cardiomyopathy.

简介:脓毒症是一种以急性器官功能障碍和炎症失控为特征的疾病。败血症的器官功能障碍是心肌功能障碍患者死亡的主要原因。左西孟丹是一种用于急性心力衰竭患者的血管舒张和变力剂,可降低这些患者的发病率和死亡率。我们的主要目的是检查左西孟丹治疗严重败血症并发败血症性心肌病的疗效。方法:我们系统地检索了PubMed、Web of Science、Embase、Cochrane Library和BioMed Central五个数据库,从它们成立到2023年的文章和出版物。我们的研究采用PICOS方法在系统搜索过程中确定合适的出版物。纳入标准包括在诊断为感染性休克或严重败血症的成年患者中使用左西孟丹的随机对照试验。我们排除了非英文出版物和非随机对照试验。纽卡斯尔-渥太华量表(NOS)用于评估方法质量,而偏倚风险通过Cochrane偏倚风险工具进行评估。所有统计分析均使用RevMan 5.4版进行。结果:8项研究符合资格标准并纳入分析。与多巴酚丁胺治疗的患者相比,左西孟旦治疗的患者对心脏输入有统计学意义的积极影响(p<0.001),对左心室射血分数(LVEF)(p<0.001)和左心室卒中功指数(LVSWI)(p>0.001)有积极影响。我们观察到死亡率(p<0.01)和血清乳酸水平(p<0.05)显著降低增加心肌收缩性收缩、增强血管舒张并改善细胞和组织的氧气供应。结论:左西孟丹治疗脓毒症和脓毒症所致心肌病疗效确切,安全性高。
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引用次数: 0
A Review of Advances in the Surgical Treatment of Coronary Heart Disease and Lung Cancer. 外科治疗冠心病和肺癌癌症进展综述。
IF 0.6 4区 医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-10-30 DOI: 10.59958/hsf.5877
Yang Hong, Shixiong Wei, Mingbo Tang, Wei Liu

Lung cancer is currently the most prevalent and fatal malignant tumor in China. Additionally, the incidence of coronary heart disease is steadily increasing. Both diseases exhibit a higher risk of mortality with age, particularly among elderly patients. Moreover, these diseases are interconnected and share common risk factors. However, the treatment options for patients suffering from both lung cancer and coronary heart disease lack clarity and standardized criteria. This article critically examines the literature on surgical interventions for patients with lung cancer complicated by coronary artery disease during the period from January 2021 to December 2022. It summarizes the safety and effectiveness of these interventions and highlights the various surgical options available for different patient profiles.

癌症是目前我国最常见、最致命的恶性肿瘤。此外,冠心病的发病率正在稳步上升。随着年龄的增长,这两种疾病的死亡率都较高,尤其是在老年患者中。此外,这些疾病相互关联,有共同的风险因素。然而,患有癌症和冠心病的患者的治疗方案缺乏明确性和标准化标准。本文对2021年1月至2022年12月期间癌症合并冠状动脉疾病患者的手术干预文献进行了批判性分析。它总结了这些干预措施的安全性和有效性,并强调了针对不同患者的各种手术选择。
{"title":"A Review of Advances in the Surgical Treatment of Coronary Heart Disease and Lung Cancer.","authors":"Yang Hong,&nbsp;Shixiong Wei,&nbsp;Mingbo Tang,&nbsp;Wei Liu","doi":"10.59958/hsf.5877","DOIUrl":"10.59958/hsf.5877","url":null,"abstract":"<p><p>Lung cancer is currently the most prevalent and fatal malignant tumor in China. Additionally, the incidence of coronary heart disease is steadily increasing. Both diseases exhibit a higher risk of mortality with age, particularly among elderly patients. Moreover, these diseases are interconnected and share common risk factors. However, the treatment options for patients suffering from both lung cancer and coronary heart disease lack clarity and standardized criteria. This article critically examines the literature on surgical interventions for patients with lung cancer complicated by coronary artery disease during the period from January 2021 to December 2022. It summarizes the safety and effectiveness of these interventions and highlights the various surgical options available for different patient profiles.</p>","PeriodicalId":51056,"journal":{"name":"Heart Surgery Forum","volume":"26 5","pages":"E656-E665"},"PeriodicalIF":0.6,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71428853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Application Effect of Multi-Dimension Nursing Combined with GRACE Scoring System in Patients with Atrial Fibrillation after Green Precision Catheter Radiofrequency Ablation. 多维护理结合GRACE评分系统在Green Precision导管射频消融后心房颤动患者中的应用效果。
IF 0.6 4区 医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-10-26 DOI: 10.59958/hsf.5839
Wenjuan Duan, Baojun Ren

Objective: To explore the application effect of multi-dimensional nursing combined with the Global Registry of Acute Events (GRACE) scoring system in the nursing of patients with atrial fibrillation after radiofrequency ablation with green precision catheter radiofrequency ablation.

Methods: A total of 274 patients diagnosed with atrial fibrillation undergoing green precision catheter radiofrequency ablation were collected from the Department of Cardiology at our hospital in a retrospective study. After the inclusion, exclusion, diagnostic criteria and physical examination, all the subjects underwent green precision catheter radiofrequency ablation. According to various nursing methods that were adopted, they were divided into two groups with 7-14 days of nursing intervention by digital randomization: the study group (multi-dimensional nursing combined with GRACE scoring system evaluation, n = 136 cases) and the control group (postoperative routine nursing, n = 138 cases). The MOS item short from health survey (SF-36) score, Hamilton anxiety scale (HAMA) score, Hamilton depression scale (HAMD) score, complication rates and the nursing quality of the two groups were observed.

Results: After multi-dimensional nursing combined with the GRACE in-hospital scoring system for stratified nursing in the study group, SF-36 scores in both groups increased after conventional nursing in the control group, but there was a statistical difference between the study group and the control group (p < 0.05). HAMA score and HAMD score decreased, and there were statistical differences between the study group and the control group (p < 0.05). The comparison between the study group and the control group showed that "Cardiac tamponade", "Atrioventricular block", "Peripheral vascular injury" and the total incidence of complications were statistically different (p < 0.05). The basic satisfaction, number of satisfaction and total satisfaction rate of the study group were higher than those of the control group, and the difference was statistically significant (p < 0.05).

Conclusions: Multi-dimensional nursing combined with the GRACE scoring system in the nursing care of patients with atrial fibrillation after radiofrequency ablation with the green precision catheter, improves the quality of life, alleviates negative emotions, reduces the incidence of complications, and results in better quality of nursing care.

目的:探讨多维护理结合急性事件全球登记(GRACE)评分系统在绿色精密导管射频消融术后房颤患者护理中的应用效果。方法:对我院心内科274例经绿色精密导管射频消融术诊断为心房颤动的患者进行回顾性研究。在纳入、排除、诊断标准和体检后,所有受试者均接受了绿色精密导管射频消融。根据所采用的各种护理方法,采用数字随机化将他们分为两组,为期7-14天的护理干预:研究组(多维护理结合GRACE评分系统评估,n=136例)和对照组(术后常规护理,n=138例)。观察两组患者的健康状况调查总分(SF-36)、汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HamMD)、并发症发生率及护理质量。结果:研究组采用多维护理结合GRACE住院评分系统进行分层护理后,两组SF-36评分均较对照组常规护理后有所上升,但研究组与对照组之间有统计学差异(p<0.05),HAMA评分和HAMD评分均有所下降,研究组与对照组比较,“心脏压塞”、“房室传导阻滞”、“外周血管损伤”及并发症总发生率有统计学差异(p<0.05),研究组的满意度和总满意度均高于对照组,差异有统计学意义(p<0.05),提高生活质量,缓解负面情绪,降低并发症的发生率,提高护理质量。
{"title":"Application Effect of Multi-Dimension Nursing Combined with GRACE Scoring System in Patients with Atrial Fibrillation after Green Precision Catheter Radiofrequency Ablation.","authors":"Wenjuan Duan,&nbsp;Baojun Ren","doi":"10.59958/hsf.5839","DOIUrl":"10.59958/hsf.5839","url":null,"abstract":"<p><strong>Objective: </strong>To explore the application effect of multi-dimensional nursing combined with the Global Registry of Acute Events (GRACE) scoring system in the nursing of patients with atrial fibrillation after radiofrequency ablation with green precision catheter radiofrequency ablation.</p><p><strong>Methods: </strong>A total of 274 patients diagnosed with atrial fibrillation undergoing green precision catheter radiofrequency ablation were collected from the Department of Cardiology at our hospital in a retrospective study. After the inclusion, exclusion, diagnostic criteria and physical examination, all the subjects underwent green precision catheter radiofrequency ablation. According to various nursing methods that were adopted, they were divided into two groups with 7-14 days of nursing intervention by digital randomization: the study group (multi-dimensional nursing combined with GRACE scoring system evaluation, n = 136 cases) and the control group (postoperative routine nursing, n = 138 cases). The MOS item short from health survey (SF-36) score, Hamilton anxiety scale (HAMA) score, Hamilton depression scale (HAMD) score, complication rates and the nursing quality of the two groups were observed.</p><p><strong>Results: </strong>After multi-dimensional nursing combined with the GRACE in-hospital scoring system for stratified nursing in the study group, SF-36 scores in both groups increased after conventional nursing in the control group, but there was a statistical difference between the study group and the control group (p < 0.05). HAMA score and HAMD score decreased, and there were statistical differences between the study group and the control group (p < 0.05). The comparison between the study group and the control group showed that \"Cardiac tamponade\", \"Atrioventricular block\", \"Peripheral vascular injury\" and the total incidence of complications were statistically different (p < 0.05). The basic satisfaction, number of satisfaction and total satisfaction rate of the study group were higher than those of the control group, and the difference was statistically significant (p < 0.05).</p><p><strong>Conclusions: </strong>Multi-dimensional nursing combined with the GRACE scoring system in the nursing care of patients with atrial fibrillation after radiofrequency ablation with the green precision catheter, improves the quality of life, alleviates negative emotions, reduces the incidence of complications, and results in better quality of nursing care.</p>","PeriodicalId":51056,"journal":{"name":"Heart Surgery Forum","volume":"26 5","pages":"E600-E608"},"PeriodicalIF":0.6,"publicationDate":"2023-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71428798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Efficacy and Safety of Distal Radial Artery Approach for Coronary Angiography: A Retrospective Study. 桡动脉远端入路冠状动脉造影的有效性和安全性:一项回顾性研究。
IF 0.6 4区 医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-10-25 DOI: 10.59958/hsf.5887
Jiaojiao Chen, Wenling Li, Li Huang, Lingjuan Zhou
<p><strong>Background: </strong>The distal radial artery approach has been employed as a potential alternative technique for coronary angiography. Nevertheless, its clinical implementation is significantly constrained by the narrow diameter of the radial artery. A comprehensive investigation of the efficacy and safety of the distal radial artery approach for coronary angiography is lacking. The objective of this study is to investigate the impact of the distal radial artery approach for coronary angiography and transradial artery access for interventional diagnosis and treatment. In addition, the effectiveness and safety of the distal radial artery approach for coronary artery angiography will be analyzed, for the wider adoption of this technique in clinical practice.</p><p><strong>Methods: </strong>A total of 68 patients with coronary heart disease (CHD) who underwent coronary catheterization via the left distal radial artery approach from December 2020 to December 2022 using the Distal radial artery approach (TRA) comprised the case-control study group. Seventy-three CHD patients who underwent routine left Transradial Artery Access coronary catheterization were selected as the Regular TRA group during the same period. Clinical data including age, body mass index (BMI), gender, CHD risk factors, routine drug treatment, ultrasonic-related indicators and operation-related indicators were collected from electronic medical records and the catheterization database from the two groups of patients.</p><p><strong>Results: </strong>The diameter and Endothelium-dependent vasodilation (noe FMD) of puncture vessels in the Distal TRA group were significantly lower than those in the Regular radial artery approach (TRA) group (p-value < 0.05). After a period of 48 hours following the catheterization, the puncture vessel diameter and flow-mediated dilation (FMD) of the Distal TRA group were significantly lower compared to those of the Regular TRA group (p-value < 0.05). The effectiveness of transradial artery access was then compared between the two groups. It was determined that the Distal TRA group exhibited significantly higher values in terms of the Visual Analog Scale (VAS) score, puncture time, and heparin usage, in comparison to the Regular TRA group (p-value < 0.05). The occurrence rates of local hematoma, mediastinal hematoma, retroperitoneal hematoma, pseudoaneurysm, arteriovenous fistula, vagal reflex, vasospasm, blood transfusion, and other complications among patients in the Distal TRA group were comparable to those in the Regular TRA group (p-value > 0.05). The incidence of puncture and X-ray radiation in the Distal TRA group was found to be marginally higher compared to the Regular TRA group. This study suggests that the safety profile of patients undergoing coronary artery catheterization via the distal radial artery is relatively higher than those undergoing the procedure via the transradial artery, although the difference was not statistically
背景:桡骨远端动脉入路已被用作冠状动脉造影的潜在替代技术。然而,其临床实施受到桡动脉狭窄直径的显著限制。目前还缺乏对桡动脉远端入路进行冠状动脉造影的有效性和安全性的全面研究。本研究的目的是研究桡动脉远端入路对冠状动脉造影和经桡动脉入路对介入诊断和治疗的影响。此外,还将分析桡骨远端动脉入路进行冠状动脉造影的有效性和安全性,以便在临床实践中更广泛地采用该技术。方法:在2020年12月至2022年12月期间,共有68名冠心病患者采用左桡骨远端动脉入路(TRA)进行冠状动脉插管,构成病例对照研究组。同期选择73例接受常规左桡动脉介入冠状动脉插管的CHD患者作为常规TRA组。从两组患者的电子病历和导管插入术数据库中收集临床数据,包括年龄、体重指数(BMI)、性别、CHD危险因素、常规药物治疗、超声相关指标和手术相关指标。结果:远端TRA组的穿刺血管直径和内皮依赖性血管舒张(noe-FMD)明显低于常规桡动脉入路(TRA)组(p值<0.05),远端TRA组的穿刺血管直径和血流介导扩张(FMD)显著低于常规TRA组(p值<0.05)。然后比较两组经桡动脉介入的有效性。与常规TRA组相比,远端TRA组在视觉模拟量表(VAS)评分、穿刺时间和肝素使用方面表现出显著更高的值(p值<0.05)。局部血肿、纵隔血肿、腹膜后血肿、假性动脉瘤、动静脉瘘、迷走神经反射、血管痉挛、输血,远端TRA组患者的其他并发症与常规TRA组相当(p值>0.05)。远端TRA的穿刺和X射线照射发生率略高于常规TRA。该研究表明,经由桡骨远端动脉进行冠状动脉插管的患者的安全性相对高于经由经桡动脉进行手术的患者,结论:桡动脉远端入路可用于进行全面的冠状动脉介入诊疗,具有缩短术后压迫时间、通过桡动脉远端进路更好止血、提高患者舒适度等优点。该方法具有良好的疗效和安全性,是一种适合临床治疗的常规穿刺方法。
{"title":"Efficacy and Safety of Distal Radial Artery Approach for Coronary Angiography: A Retrospective Study.","authors":"Jiaojiao Chen,&nbsp;Wenling Li,&nbsp;Li Huang,&nbsp;Lingjuan Zhou","doi":"10.59958/hsf.5887","DOIUrl":"10.59958/hsf.5887","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;The distal radial artery approach has been employed as a potential alternative technique for coronary angiography. Nevertheless, its clinical implementation is significantly constrained by the narrow diameter of the radial artery. A comprehensive investigation of the efficacy and safety of the distal radial artery approach for coronary angiography is lacking. The objective of this study is to investigate the impact of the distal radial artery approach for coronary angiography and transradial artery access for interventional diagnosis and treatment. In addition, the effectiveness and safety of the distal radial artery approach for coronary artery angiography will be analyzed, for the wider adoption of this technique in clinical practice.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A total of 68 patients with coronary heart disease (CHD) who underwent coronary catheterization via the left distal radial artery approach from December 2020 to December 2022 using the Distal radial artery approach (TRA) comprised the case-control study group. Seventy-three CHD patients who underwent routine left Transradial Artery Access coronary catheterization were selected as the Regular TRA group during the same period. Clinical data including age, body mass index (BMI), gender, CHD risk factors, routine drug treatment, ultrasonic-related indicators and operation-related indicators were collected from electronic medical records and the catheterization database from the two groups of patients.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The diameter and Endothelium-dependent vasodilation (noe FMD) of puncture vessels in the Distal TRA group were significantly lower than those in the Regular radial artery approach (TRA) group (p-value &lt; 0.05). After a period of 48 hours following the catheterization, the puncture vessel diameter and flow-mediated dilation (FMD) of the Distal TRA group were significantly lower compared to those of the Regular TRA group (p-value &lt; 0.05). The effectiveness of transradial artery access was then compared between the two groups. It was determined that the Distal TRA group exhibited significantly higher values in terms of the Visual Analog Scale (VAS) score, puncture time, and heparin usage, in comparison to the Regular TRA group (p-value &lt; 0.05). The occurrence rates of local hematoma, mediastinal hematoma, retroperitoneal hematoma, pseudoaneurysm, arteriovenous fistula, vagal reflex, vasospasm, blood transfusion, and other complications among patients in the Distal TRA group were comparable to those in the Regular TRA group (p-value &gt; 0.05). The incidence of puncture and X-ray radiation in the Distal TRA group was found to be marginally higher compared to the Regular TRA group. This study suggests that the safety profile of patients undergoing coronary artery catheterization via the distal radial artery is relatively higher than those undergoing the procedure via the transradial artery, although the difference was not statistically","PeriodicalId":51056,"journal":{"name":"Heart Surgery Forum","volume":"26 5","pages":"E577-E583"},"PeriodicalIF":0.6,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71428805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Preoperative Nutritional Status of Infants with Non-Restricted Ventricular Septal Defect and Its Influence on Postoperative Recovery. 非限制性室间隔缺损患儿术前营养状况及其对术后恢复的影响。
IF 0.6 4区 医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-10-25 DOI: 10.59958/hsf.5707
Qu-Bo Huang, Bi-Xia Shi, Sheng-Huo Zhou, Sai-Lan Li, Yan-Juan Lin

Purpose: This study described the preoperative nutritional status of infants with nonrestricted ventricular septal defects (VSDs) and evaluated its effect on postoperative recovery.

Methods: We retrospectively collected data from infants with nonrestricted VSD who received surgical treatment in our hospital from January 2020 to December 2021 and analyzed their preoperative nutritional status and postoperative recovery.

Results: Fifty (53.8%) patients were underweight (weight for age Z score (WAZ) ≤-1), and 31 (33.3%) patients were malnourished (WAZ ≤-2). The mechanical ventilation time, duration of intensive care unit stay and hospital stay time after surgery of patients with WAZ ≤-2 were significantly longer than those of patients with WAZ >-2 (p < 0.05). The results of linear correlation analysis showed that age, WAZ and prealbumin were negatively correlated with mechanical ventilation time, duration of intensive care unit stay and hospital stay time after surgery, respectively. Multiple linear regression analysis showed that mechanical ventilation time = 7.080 - 0.668 WAZ - 0.013 prealbumin - 0.618 age (R2: 0.729, F: 79.773, p: 0.001); duration of intensive care unit admission = 11.775 - 1.385 WAZ - 0.018 prealbumin - 0.102 age (R2: 0.714, F: 74.072, p: 0.001); and hospital stay time = 17.663 - 1.673 WAZ - 0.017 prealbumin - 1.07 age (R2: 0.711, F: 72.842, p: 0.001).

Conclusion: The incidence of malnutrition in infants with nonrestricted VSD was very high, and malnutrition had a significant adverse effect on postoperative recovery. Malnutrition significantly prolonged mechanical ventilation time, duration of intensive care unit stay and hospital stay after surgery.

目的:本研究描述了无限制性室间隔缺损(VSDs)婴儿的术前营养状况,并评估了其对术后恢复的影响。方法:我们回顾性收集了2020年1月至2021年12月在我院接受手术治疗的无限制性室间隔缺损婴儿的数据,并分析了他们的术前营养状况和术后恢复情况。结果:50名(53.8%)患者体重不足(年龄Z评分(WAZ)≤-1),31名(33.3%)患者营养不良(WAZ≤-2)。WAZ≤-2的患者术后机械通气时间、重症监护室住院时间和住院时间明显长于WAZ>-2的患者(p<0.05)。线性相关分析结果显示,年龄、WAZ和前白蛋白与机械通气时间呈负相关,重症监护室的住院时间和手术后的住院时间。多元线性回归分析显示,机械通气时间=7.080-0.668 WAZ-0.013前白蛋白-0.618年龄(R2:0.729,F:79.773,p=0.001);重症监护病房入院时间=11.775-1.385 WAZ-0.018前白蛋白-0.102年龄(R2:0.714,F:74.072,p:0.001);住院时间=17.663-1.673 WAZ-0.017 prealbumin-1.07年龄(R2:0.711,F:72.842,p=0.001)。营养不良显著延长了术后机械通气时间、重症监护室住院时间和住院时间。
{"title":"Preoperative Nutritional Status of Infants with Non-Restricted Ventricular Septal Defect and Its Influence on Postoperative Recovery.","authors":"Qu-Bo Huang,&nbsp;Bi-Xia Shi,&nbsp;Sheng-Huo Zhou,&nbsp;Sai-Lan Li,&nbsp;Yan-Juan Lin","doi":"10.59958/hsf.5707","DOIUrl":"10.59958/hsf.5707","url":null,"abstract":"<p><strong>Purpose: </strong>This study described the preoperative nutritional status of infants with nonrestricted ventricular septal defects (VSDs) and evaluated its effect on postoperative recovery.</p><p><strong>Methods: </strong>We retrospectively collected data from infants with nonrestricted VSD who received surgical treatment in our hospital from January 2020 to December 2021 and analyzed their preoperative nutritional status and postoperative recovery.</p><p><strong>Results: </strong>Fifty (53.8%) patients were underweight (weight for age Z score (WAZ) ≤-1), and 31 (33.3%) patients were malnourished (WAZ ≤-2). The mechanical ventilation time, duration of intensive care unit stay and hospital stay time after surgery of patients with WAZ ≤-2 were significantly longer than those of patients with WAZ >-2 (p < 0.05). The results of linear correlation analysis showed that age, WAZ and prealbumin were negatively correlated with mechanical ventilation time, duration of intensive care unit stay and hospital stay time after surgery, respectively. Multiple linear regression analysis showed that mechanical ventilation time = 7.080 - 0.668 WAZ - 0.013 prealbumin - 0.618 age (R2: 0.729, F: 79.773, p: 0.001); duration of intensive care unit admission = 11.775 - 1.385 WAZ - 0.018 prealbumin - 0.102 age (R2: 0.714, F: 74.072, p: 0.001); and hospital stay time = 17.663 - 1.673 WAZ - 0.017 prealbumin - 1.07 age (R2: 0.711, F: 72.842, p: 0.001).</p><p><strong>Conclusion: </strong>The incidence of malnutrition in infants with nonrestricted VSD was very high, and malnutrition had a significant adverse effect on postoperative recovery. Malnutrition significantly prolonged mechanical ventilation time, duration of intensive care unit stay and hospital stay after surgery.</p>","PeriodicalId":51056,"journal":{"name":"Heart Surgery Forum","volume":"26 5","pages":"E560-E565"},"PeriodicalIF":0.6,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71428859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association Analysis between Maternal Serum Biomarkers and Fetal Congenital Heart Disease. 母体血清生物标志物与胎儿先天性心脏病的相关性分析。
IF 0.6 4区 医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-10-25 DOI: 10.59958/hsf.6703
Hong Jiang, Yuan Lin, Xinqin He

Objective: To investigate the association of maternal serum biomarkers alpha fetal protein (AFP), β-human chorionic gonadotropin (HCG) and unconjugated estriol 3 (uE3) in the second trimester with fetal congenital heart disease (CHD) in low risk populations during the screening of Down's syndrome.

Methods: 109 cases diagnosed with fetal CHD in the second trimester by fetal echocardiography were enrolled as the CHD group. Pregnancy- and gestational-age matched 344 cases without fetal CHD were used as the control group. The values of maternal serum biomarkers HCG, AFP and uE3 were tested and the association with CHD was analyzed.

Results: The means of HCG multiple of median (MoM) and AFP MoM were higher, while the mean of uE3 MoM was lower in the CHD group than those of the control group (p < 0.05). The number of cases with HCG MoM ≥85% quantile, AFP MoM ≥85% quantile was more, while that with uE3 MoM ≤15% quantile was less in the CHD group than that of the control group (p < 0.05). The univariate logistic regression analysis showed that fetal CHD was associated with high values of HCG MoM and AFP MoM and low value of uE3 MoM as well as the HCG MoM ≥85% quantile, AFP MoM ≥85% quantile and the uE3 MoM ≤15% quantile. The multivariate logistic regression analysis showed that HCG MoM ≥85% quantile and AFP MoM ≥85% quantile or the uE3 ≤15% quantile were the independent factors of fetal CHD. In addition, the risk of fetal CHD was higher when one situation existed among the HCG MoM ≥85% quantile, AFP MoM ≥85% quantile and the uE3 MoM ≤15% quantile. The risk of fetal CHD was much higher when both the HCG MoM ≥85% quantile and AFP MoM ≥85% quantile existed or both the HCG MoM ≥85% quantile and the uE3 MoM existed ≤15% quantile.

Conclusions: Second trimester maternal serum biomarkers may be useful indicators for fetal evaluation for CHD to screen positive pregnancies without identified chromosomal defects.

目的:在唐氏综合征筛查期间,探讨妊娠中期母体血清生物标志物α-胎儿蛋白(AFP)、β-人绒毛膜促性腺激素(HCG)和非偶联雌三醇3(uE3)与胎儿先天性心脏病(CHD)的关系。方法:将109例经胎儿超声心动图诊断为妊娠中期胎儿CHD的患者作为CHD组。妊娠和孕龄匹配的344例无胎儿CHD的患者作为对照组。检测母体血清生物标志物HCG、AFP和uE3的值,并分析其与CHD的关系。结果:CHD组中位HCG倍数(MoM)和AFP MoM均值均高于对照组,而uE3 MoM均值低于对照组(p<0.05),单因素logistic回归分析表明,胎儿CHD与HCG-MoM、AFP-MoM值高、uE3-MoM值低、HCG-MoM≥85%、AFP-MoM≥85%、uE3-MoM≤15%有关。多元logistic回归分析表明,HCG-MoM≥85%分位数和AFP-MoM≥85%分位数或uE3≤15%分位数是胎儿CHD的独立因素。此外,当HCG MoM≥85%分位数、AFP MoM≥85%分位数和uE3 MoM≤15%分位数中存在一种情况时,胎儿CHD的风险更高。当HCG-MoM≥85%分位数和AFP-MoM≥85%分位数同时存在时,或当HCG-MoM≥85%分位数和uE3 MoM均存在≤15%分位数时,胎儿CHD的风险要高得多。结论:孕中期孕妇血清生物标志物可能是胎儿评估CHD的有用指标,以筛查没有明确染色体缺陷的阳性妊娠。
{"title":"Association Analysis between Maternal Serum Biomarkers and Fetal Congenital Heart Disease.","authors":"Hong Jiang,&nbsp;Yuan Lin,&nbsp;Xinqin He","doi":"10.59958/hsf.6703","DOIUrl":"10.59958/hsf.6703","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the association of maternal serum biomarkers alpha fetal protein (AFP), β-human chorionic gonadotropin (HCG) and unconjugated estriol 3 (uE3) in the second trimester with fetal congenital heart disease (CHD) in low risk populations during the screening of Down's syndrome.</p><p><strong>Methods: </strong>109 cases diagnosed with fetal CHD in the second trimester by fetal echocardiography were enrolled as the CHD group. Pregnancy- and gestational-age matched 344 cases without fetal CHD were used as the control group. The values of maternal serum biomarkers HCG, AFP and uE3 were tested and the association with CHD was analyzed.</p><p><strong>Results: </strong>The means of HCG multiple of median (MoM) and AFP MoM were higher, while the mean of uE3 MoM was lower in the CHD group than those of the control group (p < 0.05). The number of cases with HCG MoM ≥85% quantile, AFP MoM ≥85% quantile was more, while that with uE3 MoM ≤15% quantile was less in the CHD group than that of the control group (p < 0.05). The univariate logistic regression analysis showed that fetal CHD was associated with high values of HCG MoM and AFP MoM and low value of uE3 MoM as well as the HCG MoM ≥85% quantile, AFP MoM ≥85% quantile and the uE3 MoM ≤15% quantile. The multivariate logistic regression analysis showed that HCG MoM ≥85% quantile and AFP MoM ≥85% quantile or the uE3 ≤15% quantile were the independent factors of fetal CHD. In addition, the risk of fetal CHD was higher when one situation existed among the HCG MoM ≥85% quantile, AFP MoM ≥85% quantile and the uE3 MoM ≤15% quantile. The risk of fetal CHD was much higher when both the HCG MoM ≥85% quantile and AFP MoM ≥85% quantile existed or both the HCG MoM ≥85% quantile and the uE3 MoM existed ≤15% quantile.</p><p><strong>Conclusions: </strong>Second trimester maternal serum biomarkers may be useful indicators for fetal evaluation for CHD to screen positive pregnancies without identified chromosomal defects.</p>","PeriodicalId":51056,"journal":{"name":"Heart Surgery Forum","volume":"26 5","pages":"E552-E559"},"PeriodicalIF":0.6,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71428801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Obesity Does Not Affect Major Outcomes in Robotic Coronary Surgery. 肥胖不会影响机器人冠状动脉手术的主要结果。
IF 0.6 4区 医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-10-25 DOI: 10.59958/hsf.6791
Emre Yasar, Zihni Mert Duman, Muhammed Bayram, Mete Gürsoy, Ersin Kadiroğulları, Ünal Aydın

Background: Robotic-assisted coronary surgery is gaining attraction as an alternative to traditional open-heart procedures, offering potential benefits such as decreased mortality rates, shorter hospital stays, and reduced complications. This study aimed to investigate the outcomes of robotic-assisted coronary surgery, focusing particularly on the impact of obesity.

Methods: A total of 210 consecutive patients underwent robotic-assisted coronary surgery over an eight-year period at a single institution. Patients were categorized based on body mass index (BMI), distinguishing between obese (BMI ≥30 kg/m2) and non-obese (BMI <30 kg/m2) groups. The analysis encompassed preoperative characteristics, operative factors, and postoperative outcomes.

Results: Comparisons between obese and non-obese patients revealed similar preoperative comorbidities. However, the operation time was prolonged in the obese group (p = 0.03). Major cardiac and cerebrovascular events, along with overall complications, displayed no significant disparities between the groups. Notably, superficial wound infections were more prevalent among obese patients (p = 0.03). Importantly, intensive care unit and hospital stay times were comparable between the two groups.

Conclusion: Robotic-assisted coronary surgery demonstrates its potential as a viable alternative to conventional open-heart procedures, offering benefits such as reduced mortality rates, shorter hospital stays, and minimized perioperative complications. This study's findings underscore the feasibility and safety of this approach, with outcomes comparable between obese and non-obese patients.

背景:作为传统心脏直视手术的替代方案,机器人辅助冠状动脉手术越来越受欢迎,它具有降低死亡率、缩短住院时间和减少并发症等潜在好处。这项研究旨在调查机器人辅助冠状动脉手术的结果,特别关注肥胖的影响。方法:共有210名连续患者在一家机构接受了为期八年的机器人辅助冠状动脉手术。根据体重指数(BMI)对患者进行分类,区分肥胖(BMI≥30 kg/m2)和非肥胖(BMI结果:肥胖和非肥胖患者之间的比较显示出相似的术前合并症。然而,肥胖组的手术时间延长(p=0.03),各组间无明显差异。值得注意的是,浅表伤口感染在肥胖患者中更为普遍(p=0.03)。重要的是,两组患者的重症监护室和住院时间具有可比性。结论:机器人辅助冠状动脉手术证明了其作为传统心脏直视手术的可行替代方案的潜力,具有降低死亡率、缩短住院时间和最大限度地减少围手术期并发症等优点。这项研究的发现强调了这种方法的可行性和安全性,肥胖和非肥胖患者的结果相当。
{"title":"Obesity Does Not Affect Major Outcomes in Robotic Coronary Surgery.","authors":"Emre Yasar,&nbsp;Zihni Mert Duman,&nbsp;Muhammed Bayram,&nbsp;Mete Gürsoy,&nbsp;Ersin Kadiroğulları,&nbsp;Ünal Aydın","doi":"10.59958/hsf.6791","DOIUrl":"10.59958/hsf.6791","url":null,"abstract":"<p><strong>Background: </strong>Robotic-assisted coronary surgery is gaining attraction as an alternative to traditional open-heart procedures, offering potential benefits such as decreased mortality rates, shorter hospital stays, and reduced complications. This study aimed to investigate the outcomes of robotic-assisted coronary surgery, focusing particularly on the impact of obesity.</p><p><strong>Methods: </strong>A total of 210 consecutive patients underwent robotic-assisted coronary surgery over an eight-year period at a single institution. Patients were categorized based on body mass index (BMI), distinguishing between obese (BMI ≥30 kg/m2) and non-obese (BMI <30 kg/m2) groups. The analysis encompassed preoperative characteristics, operative factors, and postoperative outcomes.</p><p><strong>Results: </strong>Comparisons between obese and non-obese patients revealed similar preoperative comorbidities. However, the operation time was prolonged in the obese group (p = 0.03). Major cardiac and cerebrovascular events, along with overall complications, displayed no significant disparities between the groups. Notably, superficial wound infections were more prevalent among obese patients (p = 0.03). Importantly, intensive care unit and hospital stay times were comparable between the two groups.</p><p><strong>Conclusion: </strong>Robotic-assisted coronary surgery demonstrates its potential as a viable alternative to conventional open-heart procedures, offering benefits such as reduced mortality rates, shorter hospital stays, and minimized perioperative complications. This study's findings underscore the feasibility and safety of this approach, with outcomes comparable between obese and non-obese patients.</p>","PeriodicalId":51056,"journal":{"name":"Heart Surgery Forum","volume":"26 5","pages":"E525-E530"},"PeriodicalIF":0.6,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71428855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Heart Surgery Forum
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