Total one-stage repair in „giant“ aneurysms of the complete thoracic aorta with hybrid approach: early results in 4 cases

PurposeWhile traditional theories of information and communication technology (ICT) adoption have been deployed to study ICT adoption in the past, these theories considers ICT adoption as static and rely on conceptualising factors as variables and predicting their levels of outcome at a single decision stage. Although much has been credited to these theories, they have continuously ignored the fact that as decisions to adopt are made and challenged along the adoption process, such decision can be influenced by the same, different or combination of factors at different stages of the adoption process. This paper aims to examine ICT adoption from a dynamic process perspective and to explore the key determinants and how these differ from one stage of the adoption process to another.Design/methodology/approachQualitative method was adopted in this study. Both unstructured and semi-structured interviews were conducted in two separate stages using purposeful random sampling. Hybrid approach of thematic analysis was adopted in analysing the data.FindingsThis study develops a framework informed by actor network theory (ANT) concepts and finds that using ANT to examine the process of adoption helps to unveil the recursive nature of the process. The study reveals that the 14 determinants identified in this study influenced adoption at different stages. Factors such as ease of use, managerial time, customer focus and adoption influenced adoption at all the stages. This reveals that factors influencing ICT adoption are not static at one particular stage rather it may influence ICT adoption at different stages.Research limitations/implicationsQualitative research is often subjective and interpretive in nature, and one of the limitations is the sample used in this research. Considering the small number of interviews carried out in this study, the generalisation of finding and the framework remains to be established across a wider population. Therefore, the factors presented could be limited considering that a number of practitioners that are involved in establishing emerging ICT are numerous. Therefore, other factors are prevailing to other industries or sectors that may provide scholars another way of examining these factors. Also, the framework demonstrates that it is a valuable analytical tool for researchers to examine how and why different actors including small and medium enterprise (SME) managers act around emerging ICT.Originality/valueThis study develops a framework that revealed the interactive and recursive nature of ICT adoption and the determinants influencing the process of ICT adoption at different stages thereby advancing ICT adoption research. The study challenges researchers to always consider ICT adoption as dynamic and unpredictable instead of one-off action as factors influencing its adoption are not static rather; they vary from one stage to another.

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Early Results of One-Stage Correction for Hip Instability in Cerebral Palsy

Clinics in Orthopedic Surgery ◽

10.4055/cios.2012.4.2.139 ◽

2012 ◽

Vol 4 (2) ◽

pp. 139 ◽

Cited By ~ 14

Author(s):

Hui Taek Kim ◽

Jae Hoon Jang ◽

Jae Min Ahn ◽

Jong Seo Lee ◽

Dong Joon Kang

Keyword(s):

Cerebral Palsy ◽

Hip Instability ◽

One Stage ◽

Early Results

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Hybrid approach for removal of an errant intra-vascular pedicle spinal fixation screw in the thoracic aorta

Journal of Vascular Surgery ◽

10.1016/j.jvs.2011.12.084 ◽

2012 ◽

Vol 56 (1) ◽

pp. 201-204 ◽

Cited By ~ 7

Author(s):

Benjamin D. Colvard ◽

Javier E. Anaya-Ayala ◽

Christopher J. Smolock ◽

Alan B. Lumsden ◽

Michael J. Reardon ◽

...

Keyword(s):

Thoracic Aorta ◽

Hybrid Approach ◽

Vascular Pedicle ◽

Spinal Fixation ◽

Fixation Screw

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Hybrid Treatment of Aortic Arch Aneurysms Associated with an Aneurysm of the Proximal Descending Thoracic Aorta: Early results of the Endovascular Second Stage of the Proximal Elephant Trunks

Annals of Vascular Surgery ◽

10.1016/j.avsg.2015.06.020 ◽

2015 ◽

Vol 29 (6) ◽

pp. 1050-1051

Author(s):

Julien Gaudric ◽

Clemence Jouhannet ◽

Theresa Khalife ◽

Marc Dennery ◽

Nicolas Kagan ◽

...

Keyword(s):

Aortic Arch ◽

Thoracic Aorta ◽

Descending Thoracic Aorta ◽

Second Stage ◽

Hybrid Treatment ◽

Early Results

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Aortic Valve Replacement through Right Minithoracotomy in 306 Consecutive Patients

Innovations Technology and Techniques in Cardiothoracic and Vascular Surgery ◽

10.1097/imi.0b013e3181f64e54 ◽

2010 ◽

Vol 5 (5) ◽

pp. 326-330 ◽

Cited By ~ 9

Author(s):

Donald D. Glower ◽

Teng Lee ◽

Bhargavi Desai

Keyword(s):

Aortic Valve ◽

Aortic Valve Replacement ◽

Valve Replacement ◽

Hybrid Approach ◽

Median Sternotomy ◽

Aortic Disease ◽

Percutaneous Coronary Angioplasty ◽

Early Results ◽

The Right ◽

Aortic Root Disease

Objective To define the role and early results of aortic valve surgery through a right minithoracotomy. Methods A retrospective analysis was performed on 306 consecutive patients undergoing aortic valve replacement through an 8-cm right minithoracotomy in the second intercostal space. The initial experience was included. The right second and third ribs were detached from the sternum in most cases and repaired at the end of each case. Most operations were performed using anterograde and retrograde cardioplegic arrest with percutaneous femoral venous cannulation and direct aortic cannulation through the incision. Standard instruments were used with direct digital knot tying. Results Mean age was 65 ± 14 (range, 20–90) years. Aortic valve disease cause was calcific disease in 160 of 306 (52%) patients, bicuspid disease in 95 of 306 (31%) patients, and endocarditis in 9 of 306 (3%) patients. Previous cardiac surgery was present in 13 of 306 (4%) patients. Biologic prostheses were used in 240 of 306 (78%) patients. Median valve size was 23 mm. Mean clamp times and pump times were 103 ± 26 and 158 ± 35 minutes, respectively. Median postoperative length of stay was 5 days. Thirty-day mortality was found in 4 of 306 (1%) cases. There were no deep wound infections or mediastinitis. Stroke occurred in 5 of 306 (1.6%) patients, and new pacemaker required in 11 of 306 (4%) patients. Reoperation for bleeding occurred in 2 of 306 (1%) patients. Conversion to median sternotomy occurred in 15 of 306 (5%) patients caused by chest wall anatomy (n = 7), bleeding (n = 3), coronary disease (n = 2), or aortic disease (n = 3). Patients were allowed to return to driving or preoperative activity in 2 weeks. With a mean follow-up of 2.8 ± 2.2 years, one patient required reoperation for aortic root disease. Conclusions Right minithoracotomy is a safe but limited alternative to sternotomy in isolated aortic valve replacement. This approach may be particularly valuable in some higher risk, elderly patients and opens options for a hybrid approach combined with percutaneous coronary angioplasty.

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One-stage surgery in combination with thoracic endovascular grafting and resection of T4 lung cancer invading the thoracic aorta and spine

Journal of Thoracic Disease ◽

10.21037/jtd.2017.10.101 ◽

2017 ◽

Vol 9 (11) ◽

pp. E1009-E1012 ◽

Cited By ~ 3

Author(s):

Seijiro Sato ◽

Tatsuya Goto ◽

Terumoto Koike ◽

Takeshi Okamoto ◽

Hirokazu Shoji ◽

...

Keyword(s):

Lung Cancer ◽

Thoracic Aorta ◽

One Stage ◽

T4 Lung Cancer ◽

Endovascular Grafting

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Hybrid procedures for the treatment of multi-focal ipsilateral internal carotid and proximal common carotid or innominate artery lesions

VASA ◽

10.1024/0301-1526/a000099 ◽

2011 ◽

Vol 40 (3) ◽

pp. 241-245 ◽

Cited By ~ 8

Author(s):

Karathanos ◽

Sfyroeras ◽

Stamoulis ◽

Drakou ◽

Vretzakis ◽

...

Keyword(s):

Carotid Artery ◽

Internal Carotid Artery ◽

Internal Carotid ◽

Hybrid Approach ◽

Innominate Artery ◽

Internal Carotid Artery Stenosis ◽

Hybrid Procedures ◽

One Stage ◽

Primary Stenting ◽

The One

We report three cases with concomitant ipsilateral proximal common carotid and internal carotid artery stenosis treated in one stage with carotid endarterectomy and retrograde primary stenting of the common carotid artery. The internal carotid artery was clamped during stenting to avoid cerebral embolization. All procedures were successfully completed and all patients remain asymptomatic at 18 months follow up. The one-stage hybrid approach appears to be a safe and effective procedure for the treatment of ipsilateral multifocal significant lesions.

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Early Results of Endovascular Treatment of the Thoracic Aorta Using the Valiant Endograft

CardioVascular and Interventional Radiology ◽

10.1007/s00270-007-9147-x ◽

2007 ◽

Vol 30 (6) ◽

pp. 1130-1138 ◽

Cited By ~ 49

Author(s):

Matt Thompson ◽

Stella Ivaz ◽

Nicholas Cheshire ◽

Rosella Fattori ◽

Herve Rousseau ◽

...

Keyword(s):

Endovascular Treatment ◽

Thoracic Aorta ◽

Early Results

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One stage bilateral unicompartmental knee replacement: Similar early clinical outcome with shorter rehabilitation and better resources utilization compared with two stage

Journal of Orthopaedics Trauma and Rehabilitation ◽

10.1177/2210491720973673 ◽

2020 ◽

pp. 221049172097367

Author(s):

Yan Ho Bruce Tang ◽

Hok Leung Wong ◽

Tai Fong Wong

Keyword(s):

Clinical Outcome ◽

Knee Replacement ◽

Operative Time ◽

Unicompartmental Knee Replacement ◽

Knee Score ◽

Two Stage ◽

One Stage ◽

Unicompartmental Knee ◽

Early Results ◽

The One

Introduction: There are a lot of debates on the advantages and safety profile of one stage bilateral knee arthroplasty. Most of the studies focus on total knee replacement, and it may not be applied directly to unicompartmental knee replacement (UKR). We would like to compare the early results of one and two stage bilateral UKR in our center. Methods: This is a retrospective review of all the bilateral medial UKR done in our center in 2018–2019. Patients’ demographic data, operative time, postoperative blood, length of stay (LOS) and complications were recorded. The number of admissions, pre-operative assessment sessions (PAS), and weeks of post-operative physiotherapy were analyzed. Clinical outcome was measured by Knee society knee score and range of motion (ROM). Results: Our center performed 97 UKR in 2018–2019, with 50 UKR performed in 25 patients, among which 16 received one stage while 9 received two stage bilateral UKR. Both groups had similar mean age, BMI, sex ratio, ASA grading, pre-operative knee score and ROM. Patient in the one stage group required only 1 PAS/admission/operation to treat both knees with a mean LOS of 7.3 days and 7.8 weeks of physiotherapy, while those in the two stage group required 2 PAS/admissions/operations with a mean cumulative LOS of 9.8 days and 14.1 weeks of physiotherapy. The mean cumulative operative time was similar for both groups but the one stage group only required 1 operative session. There was no difference in blood loss and there was no transfusion or complication. The post-operative knee score and ROM at 3 and 6 months were similar for both groups. Conclusion: In suitable patients with bilateral medial OA knee, one stage bilateral UKR offers simliar early clinical outcome with shorter rehabilitation duration but without increasing complications compared with two stage. Resources can therefore be better utilized.

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