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Pulmonary endarterectomy through inverted-T upper hemisternotomy 通过倒 T 型上半身切口进行肺动脉内膜切除术
IF 1.7 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
JTCVS Techniques
Pub Date : 2024-10-18 DOI: 10.1016/j.xjtc.2024.09.021
Marie De Vos MD , Bart Meyns MD, PhD , Rozenn Anne Quarck MSc, PhD , Catharina Belge MD, PhD , Laurent Godinas MD, PhD , Steffen Rex MD, PhD , Dirk Vlasselaers MD, PhD , Marion Delcroix MD, PhD , Tom Verbelen MD, PhD

Objective

We aimed to explore the feasibility of an inverted-T upper hemisternotomy approach for pulmonary endarterectomy (PEA) and report the results after 17 cases.

Methods

PEA was conducted through a 7-cm skin incision using an inverted-T upper hemisternotomy across the third intercostal spaces. Cardiopulmonary bypass (CPB) was established through central arterial and percutaneous femoral dual-staged venous cannulation. Perioperative and hemodynamic data were compared with 17 previous conventional PEAs performed by the same surgeon.

Results

From July 2022 to September 2023, 22 PEAs were performed, 17 through inverted-T upper hemisternotomy. Contraindications were an inferior caval vein filter, concomitant coronary revascularization or mitral valve surgery, pulmonary artery intimal sarcoma, and an emergency. Compared with 17 preceding conventional PEAs, there was no significant difference in demographics or in CPB time (274 [256-301] vs 264 [250-274] minutes, P = .1629), deep hypothermic circulatory arrest time (56 [45-65] vs 54 [50-58] minutes, P = .9587), preoperative pulmonary vascular resistance (4.12 [3.10-4.79] vs 4.49 [3.25-6.24] Wood units, P = .5890), 6-month postoperative pulmonary vascular resistance (1.90 [1.40-2.56] vs 1.83 [1.44-2.20] Wood units, P = .6374), or hospital stay (10 [8-12] vs 11 [9-14] days, P = .3327). Intravenous opioid use (0.29 [0.21-0.83] vs 2.99 [1.31-4.33] mg, P < 1.10−4) was significantly lower.

Conclusions

PEA using an inverted-T upper hemisternotomy approach is feasible and safe and obtains similar hemodynamic results compared with a full sternotomy approach without prolonging CPB and deep hypothermic circulatory arrest times. It offers bilateral treatment via a single incision and has few contraindications.
目的我们旨在探索倒 T 型上半身切口肺动脉内膜切除术（PEA）的可行性，并报告 17 例病例的治疗结果。心肺旁路（CPB）是通过中心动脉和经皮股静脉双级插管建立的。围手术期和血流动力学数据与之前由同一外科医生实施的17例常规PEA进行了比较。结果从2022年7月到2023年9月，共实施了22例PEA，其中17例通过倒T形上半腔切开术。禁忌症包括下腔静脉滤器、同时进行冠状动脉再通术或二尖瓣手术、肺动脉内膜肉瘤和急诊。与之前的17例常规PEA相比，在人口统计学、CPB时间（274 [256-301] vs 264 [250-274] 分钟，P = .1629）、深低温循环停止时间（56 [45-65] vs 54 [50-58]分钟，P = .9587）、术前肺血管阻力（4.12 [3.10-4.79] vs 4.49 [3.25-6.24] Wood 单位，P = .5890）、术后 6 个月肺血管阻力（1.90 [1.40-2.56] vs 1.83 [1.44-2.20] Wood 单位，P = .6374）或住院时间（10 [8-12] vs 11 [9-14] 天，P = .3327）。结论 采用倒 T 上半身切口法进行全身抽吸术是可行和安全的，与全胸骨切开术相比，能获得相似的血流动力学结果，且不会延长 CPB 和深低温循环停止时间。它通过单切口提供双侧治疗，禁忌症很少。
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引用次数: 0
Commentator Discussion: Deep learning-based prediction of nodal metastasis in lung cancer using endobronchial ultrasound 评论员讨论：基于深度学习的支气管内超声肺癌结节转移预测
IF 1.7 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
JTCVS Techniques
Pub Date : 2024-10-10 DOI: 10.1016/j.xjtc.2024.10.003
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引用次数: 0
Commentator Discussion: An innovative minimally invasive approach for hypertrophic obstructive cardiomyopathy: Transaortic septal myectomy via right infra-axillary incision 评论员讨论：治疗肥厚型梗阻性心肌病的创新微创方法：经右腋下切口的主动脉瓣隔膜切除术
IF 1.7 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
JTCVS Techniques
Pub Date : 2024-10-09 DOI: 10.1016/j.xjtc.2024.10.002
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引用次数: 0
Novel technique for inguinal lymphatic fistula management using a double U-stitch closure 使用双 U 线缝合法治疗腹股沟淋巴瘘的新技术
IF 1.7 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
JTCVS Techniques
Pub Date : 2024-10-02 DOI: 10.1016/j.xjtc.2024.09.019
Ubaldo E. Rivas MD, José J. Escobar MD, Omar A. Matar MD, Sharoon Suárez MD, Juan C. Rendón MD, Susana Cardona MD, Eric E. Vinck MD
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引用次数: 0
Total percutaneous 4-vessel endovascular aortic arch repair with a triple inner-branch device and a fenestration 使用三重内支装置和瓣膜进行全经皮 4 血管主动脉弓修复术
IF 1.7 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
JTCVS Techniques
Pub Date : 2024-10-02 DOI: 10.1016/j.xjtc.2024.09.020
Clément Willot MD , Jessica Forcillo MD, PhD , Jean-François Blair MD , Marie-Jo Plamondon MD , Stéphane Elkouri MD , Laura M. Drudi MD , Stephan Haulon MD, PhD , Philippe Charbonneau MD
{"title":"Total percutaneous 4-vessel endovascular aortic arch repair with a triple inner-branch device and a fenestration","authors":"Clément Willot MD ,&nbsp;Jessica Forcillo MD, PhD ,&nbsp;Jean-François Blair MD ,&nbsp;Marie-Jo Plamondon MD ,&nbsp;Stéphane Elkouri MD ,&nbsp;Laura M. Drudi MD ,&nbsp;Stephan Haulon MD, PhD ,&nbsp;Philippe Charbonneau MD","doi":"10.1016/j.xjtc.2024.09.020","DOIUrl":"10.1016/j.xjtc.2024.09.020","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"28 ","pages":"Pages 18-21"},"PeriodicalIF":1.7,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142699613","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}
引用次数: 0
Radiation-induced dedifferentiated chondrosarcoma of the chest wall 辐射诱发的胸壁软骨肉瘤
IF 1.7 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
JTCVS Techniques
Pub Date : 2024-10-02 DOI: 10.1016/j.xjtc.2024.09.023
Ira Goldsmith MD, FRCS CTh , Maurizio Brotto MD, FRCP , Thomas Bragg VR, FRCS Plast
{"title":"Radiation-induced dedifferentiated chondrosarcoma of the chest wall","authors":"Ira Goldsmith MD, FRCS CTh ,&nbsp;Maurizio Brotto MD, FRCP ,&nbsp;Thomas Bragg VR, FRCS Plast","doi":"10.1016/j.xjtc.2024.09.023","DOIUrl":"10.1016/j.xjtc.2024.09.023","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"28 ","pages":"Pages 212-215"},"PeriodicalIF":1.7,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142700169","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}
引用次数: 0
An alternative technique in management of recipient left superior vena cava in orthotopic heart transplantation 在正位心脏移植中管理受体左上腔静脉的另一种技术
IF 1.7 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
JTCVS Techniques
Pub Date : 2024-10-02 DOI: 10.1016/j.xjtc.2024.09.018
Jessica S. Clothier MD , Andrew Harding MD , Jonathan Praeger MD , Serge Kobsa MD, PhD , Sanjeet Patel MD, PhD , Ajay Vaidya MD, MPH , Anahat Dhillon MD , Amy Hackmann MD , Craig Baker MD , Mark Barr MD , Vaughn Starnes MD , Raymond Lee MD
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引用次数: 0
The use of 4-dimensional flow magnetic resonance imaging and fluid structure interaction analysis to predict failure of medical therapy in acute uncomplicated type B aortic dissection 利用四维流磁共振成像和流体结构相互作用分析预测急性非并发 B 型主动脉夹层的药物治疗失败率
IF 1.7 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
JTCVS Techniques
Pub Date : 2024-10-01 DOI: 10.1016/j.xjtc.2024.06.019
Hannah L. Cebull PhD , Minliang Liu PhD , Marina Piccinelli PhD , Hai Dong PhD , Muhammad Naeem MD , Yuhang Du BS , John N. Oshinski PhD , Rudolph L. Gleason Jr. PhD , John A. Elefteriades MD , Bradley G. Leshnower MD
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引用次数: 0
Staged, robotic video-assisted thoracoscopic surgical approach to treat dysphagia lusoria 分阶段、机器人视频辅助胸腔镜手术治疗吞咽困难的方法
IF 1.7 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
JTCVS Techniques
Pub Date : 2024-10-01 DOI: 10.1016/j.xjtc.2024.07.024
Ngoc-Quynh Chu MD, Oliver S. Chow MD, Ha Samantha Nguyen PA, Jonathan Villena-Vargas MD, Sebron Harrison MD, Charles Mack MD, Jeffrey Port MD, Nasser Altorki MD, Benjamin Lee MD
{"title":"Staged, robotic video-assisted thoracoscopic surgical approach to treat dysphagia lusoria","authors":"Ngoc-Quynh Chu MD,&nbsp;Oliver S. Chow MD,&nbsp;Ha Samantha Nguyen PA,&nbsp;Jonathan Villena-Vargas MD,&nbsp;Sebron Harrison MD,&nbsp;Charles Mack MD,&nbsp;Jeffrey Port MD,&nbsp;Nasser Altorki MD,&nbsp;Benjamin Lee MD","doi":"10.1016/j.xjtc.2024.07.024","DOIUrl":"10.1016/j.xjtc.2024.07.024","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"27 ","pages":"Pages 169-171"},"PeriodicalIF":1.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142528214","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}
引用次数: 0
Crossing boundaries: A rare penetrating cardiac injury and survival miracle triggered by a steel nail 跨越界限：钢钉引发的罕见穿透性心脏损伤和生存奇迹
IF 1.7 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
JTCVS Techniques
Pub Date : 2024-10-01 DOI: 10.1016/j.xjtc.2024.06.014
Wendi Yang MS, Rui Tang MD, Fareed Khan MD, Yong Shi MS, Tianxiang Gu MD, PhD, Ye Zhao MD, PhD
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引用次数: 0
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