JTCVS Techniques最新文献

英文中文

Intraoperative conduction system mapping during reoperative mitral valve replacement 再手术二尖瓣置换术的术中传导系统绘图

IF 1.7 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

JTCVS Techniques

Pub Date : 2024-10-01 DOI: 10.1016/j.xjtc.2024.06.023

Margaret Holland PA-C , Isaac Wamala MD , Jocelyn Davee MS , Edward T. O'Leary MD , Elizabeth S. DeWitt MD , Matthew Gelin BA , Pedro J. del Nido MD , Sitaram M. Emani MD , Christopher W. Baird MD , Eric N. Feins MD

引用次数: 0

A novel bilateral lobar lung transplantation: End-to-side pulmonary artery reconstruction in left-to-right inverted split-lobe lung transplantation 新颖的双侧肺叶移植术：左向右倒置分叶肺移植中的端侧肺动脉重建

IF 1.7 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

JTCVS Techniques

Pub Date : 2024-10-01 DOI: 10.1016/j.xjtc.2024.07.008

Mengyang Liu MS , Chao Yang MS , Xuan Li MS , Guilin Peng MD , Jianxing He MD, PhD , Xin Xu MD, PhD

引用次数: 0

Transcatheter electrosurgical aortic septostomy optimizes distal landing zone in chronic dissection 经导管电外科主动脉隔膜切除术优化了慢性夹层的远端着床区

IF 1.7 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

JTCVS Techniques

Pub Date : 2024-10-01 DOI: 10.1016/j.xjtc.2024.07.007

Alexander P. Nissen MD , Yazan M. Duwayri MD , William D. Jordan MD , Vasilis C. Babaliaros MD , Robert J. Lederman MD , Bradley G. Leshnower MD

Objective

Efficacy of thoracic endovascular aortic repair (TEVAR) for chronic type B aortic dissection (CTBAD) is dependent on eliminating retrograde false lumen perfusion and remodeling the aorta. We describe the efficacy of a novel transcatheter electrosurgical technique to fenestrate the dissection flap and create a distal seal zone for TEVAR in CTBAD.

Methods

A retrospective review of the Emory Aortic Database from 2016 to 2023 identified 33 patients who underwent TEVAR with intentional endovascular rupture of the dissection flap (Knickerbocker; KNICK) for CTBAD. In 11 patients, we performed transcatheter electrosurgical aortic septostomy (TECSAS) before KNICK. The technical aspects of TECSAS + KNICK are described and results compared with TEVAR + KNICK alone.

Results

Dissection chronicity, aortic size, and preoperative demographics were similar between groups. Technical success was 100%, with zero stroke or paraplegia in both groups. Thirty-day mortality for TECSAS versus KNICK was 0% versus 13.6% (P = .199). Median follow-up was shorter after TECSAS versus KNICK, although not statistically significant (14.6 months vs 21.9 months; P = .065). Elimination of retrograde false lumen perfusion (TECSAS 100% vs KNICK 68.2%; P = .035) and complete false lumen thrombosis or obliteration (TECSAS 91.9% vs KNICK 54.6%; P = .037) were more frequent after the TECSAS procedure. Aortic reinterventions were less frequent after TECSAS versus KNICK (0% vs 13.6%, P = .199), although not statistically significant.

Conclusions

The addition of TECSAS to intentional endovascular rupture of the dissection flap in CTBAD improves distal seal, eliminating retrograde false lumen perfusion. This technique is a safe and precise method to fenestrate a dissection flap and optimize TEVAR in CTBAD.

目的慢性B型主动脉夹层（CTBAD）胸腔内血管主动脉修复术（TEVAR）的疗效取决于消除逆行假腔灌注和重塑主动脉。我们描述了一种新型经导管电外科技术的疗效，该技术可在 CTBAD 中剥离夹层瓣并创建 TEVAR 的远端密封区。方法回顾性审查了 2016 年至 2023 年的埃默里主动脉数据库，确定了 33 例因 CTBAD 而接受 TEVAR 并有意血管内破裂夹层瓣（Knickerbocker；KNICK）的患者。在 11 例患者中，我们在 KNICK 之前进行了经导管电切主动脉间隔成形术（TECSAS）。我们对 TECSAS + KNICK 的技术方面进行了描述，并将结果与单独的 TEVAR + KNICK 进行了比较。技术成功率为 100%，两组均无中风或截瘫。TECSAS与KNICK的30天死亡率分别为0%和13.6%（P = .199）。TECSAS 与 KNICK 相比，中位随访时间更短，但无统计学意义（14.6 个月 vs 21.9 个月；P = 0.065）。TECSAS术后更常出现逆行假腔灌注消除（TECSAS 100% vs KNICK 68.2%；P = .035）和完全假腔血栓形成或闭塞（TECSAS 91.9% vs KNICK 54.6%；P = .037）。TECSAS 与 KNICK 相比，主动脉再介入的发生率较低（0% vs 13.6%，P = .199），但无统计学意义。结论在 CTBAD 中有意进行血管内破裂夹层瓣时增加 TECSAS 可改善远端密封性，消除逆行假腔灌注。该技术是一种安全、精确的方法，可在 CTBAD 中使夹层瓣破裂并优化 TEVAR。

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引用次数: 0

Contemporary surgical management of synchronous primary tracheal and pulmonary malignancies 同步原发性气管和肺部恶性肿瘤的当代外科治疗方法

IF 1.7 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

JTCVS Techniques

Pub Date : 2024-10-01 DOI: 10.1016/j.xjtc.2024.07.005

Nadia H. Bakir MD, John O. Barron MD, Shawn Shah MD, MBA, Sudish C. Murthy MD, PhD

引用次数: 0

A hybrid approach incorporating uniportal thoracoscopy for lobectomy with en bloc chest wall resection 融合单孔胸腔镜的肺叶切除术与胸壁内切术的混合方法

IF 1.7 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

JTCVS Techniques

Pub Date : 2024-10-01 DOI: 10.1016/j.xjtc.2024.06.020

Rafael Ribeiro Barcelos MD , Ivan Azevedo MD , Paula Ugalde Figueroa MD

引用次数: 0

Extra-pleural pneumonectomy: How I teach it 胸膜外气胸切除术

IF 1.7 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

JTCVS Techniques

Pub Date : 2024-10-01 DOI: 10.1016/j.xjtc.2024.06.018

Phil Honest BSc, Laura Donahoe MD, MSc, Marc de Perrot MD, MSc, FRCSC

引用次数: 0

Sutureless technique for left pulmonary vein occlusion with persistent left superior vena cava: Case report 左肺静脉闭塞伴持续性左上腔静脉的无缝合技术：病例报告

IF 1.7 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

JTCVS Techniques

Pub Date : 2024-10-01 DOI: 10.1016/j.xjtc.2024.06.013

Kazuki Tamura MD, Joji Hoshino MD, Masahiko Ezure MD, Yutaka Hasegawa PhD, Yasuyuki Yamada MD, Shuichi Okada MD, Hiroyuki Morishita MD, Masahiro Seki MD, Takashi Soda MD

引用次数: 0

Routine intercostal artery reattachment strategy reduces delayed and permanent spinal cord injury after open descending thoracic and thoracoabdominal aortic aneurysm repair 常规肋间动脉再连接策略可减少开胸降主动脉瘤和胸腹主动脉瘤修复术后的延迟性和永久性脊髓损伤

IF 1.7 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

JTCVS Techniques

Pub Date : 2024-10-01 DOI: 10.1016/j.xjtc.2024.07.018

Akiko Tanaka MD, PhD , Harleen K. Sandhu MD, MPH , Hung Nguyen MD , Alexander Mills DO , Kelsie Kiser BS, CCP , Rana O. Afifi MD , Shao Feng Zhou MD , Charles C. Miller III PhD , Hazim J. Safi MD , Anthony L. Estrera MD

Objective

During open descending thoracic and thoracoabdominal aortic aneurysm (DTAA/TAAA) repair, we used a routine T8-T12 intercostal artery (ICA) reattachment strategy from July 2004 to June 2009 and after 2017, we used a selective ICA reattachment strategy (reattaching T8-T12 ICAs only when neuromonitor signals were lost) from July 2009 to 2016. This study reviewed our nearly 2-decade experience to assess the impact of 2 ICA reattachment strategies on spinal cord injury (SCI).

Methods

All open DTAA/TAAA repairs performed from July 2004 to June 2022 were included, except for cases without intraoperative cerebral spinal fluid drainage. Perioperative data were reviewed. Univariable and multivariable analyses and propensity matching for risk-adjusted effects of 2 strategies for ICA reattachment on SCI were used.

Results

In all, 375 patients were operated on with selective strategy and 584 with routine strategy. Age and prevalence of rupture and redo were similar in the 2 groups. The rate of operative mortality and immediate SCI was also similar (selective vs routine: mortality, 12.5% vs 12.3%; immediate SCI, 3.2% vs 2.2%). However, the incidence of delayed and permanent SCI was increased in the selective group (delayed, 10.4% vs 6.9%; permanent, 8.5% vs 5.3%). Multivariable analyses demonstrated selective strategy was a predictor of delayed and permanent SCI, along with TAAA extent II/III, and older age.

Conclusions

Two strategies of ICA reattachment did not impact the incidence of immediate SCI, which was infrequent, but the selective strategy was associated with greater rates of delayed permanent SCI. Reattachment of the ICAs within T8-T12 should be performed during open DTAA/TAAA.

目的在开放式降胸和胸腹主动脉瘤（DTAA/TAAA）修复术中，我们在 2004 年 7 月至 2009 年 6 月期间采用常规 T8-T12 肋间动脉 (ICA) 重接策略，在 2017 年之后，我们在 2009 年 7 月至 2016 年期间采用选择性 ICA 重接策略（仅在神经监测器信号丢失时重接 T8-T12 ICA）。本研究回顾了我们近 20 年的经验，以评估两种 ICA 重接策略对脊髓损伤（SCI）的影响。方法纳入 2004 年 7 月至 2022 年 6 月进行的所有开放式 DTAA/TAAA 修复术，但术中未引流脑脊液的病例除外。回顾围手术期数据。结果共有375名患者采用选择性策略进行了手术，584名患者采用常规策略进行了手术。两组患者的年龄、破裂率和重接率相似。手术死亡率和即刻 SCI 的发生率也相似（选择性与常规：死亡率，12.5% 对 12.3%；即刻 SCI，3.2% 对 2.2%）。不过，选择性组的延迟性和永久性 SCI 发生率有所增加（延迟性，10.4% 对 6.9%；永久性，8.5% 对 5.3%）。多变量分析表明，选择性策略是延迟性和永久性 SCI 的预测因素，此外还有 TAAA II/III 度和年龄偏大。在开放 DTAA/TAAA 期间，应在 T8-T12 范围内进行 ICA 重接。

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引用次数: 0

Transcatheter aortic valve replacement valve endocarditis requiring Commando procedure 需要突击队手术的经导管主动脉瓣置换术瓣膜心内膜炎

IF 1.7 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

JTCVS Techniques

Pub Date : 2024-10-01 DOI: 10.1016/j.xjtc.2024.06.011

Omar A. Jarral MD, PhD, Stevan S. Pupovac MD, Jui-Chuan Tseng PA, Chad A. Kliger MD, Luigi Pirelli MD, Kush R. Dholakia MD, Nirav C. Patel MD, S. Jacob Scheinerman MD, Alan R. Hartman MD, Derek R. Brinster MD

引用次数: 0

Penetrating missile injury to the heart without pericardial effusion: The immaculate bullet and the “Iron Man” injury 无心包积液的导弹穿透性心脏损伤：无暇子弹和 "钢铁侠 "损伤

IF 1.7 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

JTCVS Techniques

Pub Date : 2024-10-01 DOI: 10.1016/j.xjtc.2024.07.011

James Butz MD , Peter Peng PA-C , Josh T. Gysbers PA-C , Chris Cullom MD , Kaushik Mukherjee MD , Brian Sutjiadi MD , S. Zan M. Jafry MD , Salmon Zaheer MD , Josh S. Chung MD , David G. Rabkin MD

引用次数: 0

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