scholarly journals Application of strain and other echocardiographic parameters in the evaluation of early and long-term clinical outcomes after cardiac surgery revascularization

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Anna Gozdzik ◽  
Krzysztof Letachowicz ◽  
Barbara Barteczko Grajek ◽  
Tomasz Plonek ◽  
Marta Obremska ◽  
...  
2020 ◽  
Vol 26 (2) ◽  
pp. 84-87 ◽  
Author(s):  
Masahide Komagamine ◽  
Tomohiro Nishinaka ◽  
Yuki Ichihara ◽  
Satoshi Saito ◽  
Hiroshi Niinami

2007 ◽  
Vol 84 (6) ◽  
pp. 1978-1983 ◽  
Author(s):  
Mark A. Groh ◽  
Oliver A. Binns ◽  
Harry G. Burton ◽  
Stephen W. Ely ◽  
Alan M. Johnson

2021 ◽  
Vol 10 (7) ◽  
pp. 1499
Author(s):  
Damian Hudziak ◽  
Adrianna Hajder ◽  
Radoslaw Gocol ◽  
Marcin Malinowski ◽  
Maciej Kazmierski ◽  
...  

This study aimed to prospectively evaluate the safety and long-term clinical outcomes of cerebral-oximetry-guided transcarotid transcatheter aortic valve implantation (TC-TAVI) with systematic follow-up with carotid ultrasound. Thirty-three TCTAVI procedures were performed in our center from 2017 to 2019. Our analysis includes in-hospital outcomes and long-term follow-up data on mortality, echocardiographic parameters, carotid Doppler ultrasound, and VARC-2 defined clinical events. Intraoperatively, one patient died, and one had a transient ischemic attack (TIA). The following events occurred in-hospital postoperatively: myocardial infarction (3.0%), cardiac tamponade (3.0%), new-onset atrial fibrillation (6.3%), need for temporary pacing (27.3%) and need for pacemaker implantation (15%). The mean follow-up was 19.5 ± 9.52 months. In the long-term follow-up, the two-year survival rate was 83% ± 14. The echocardiographic parameters did not differ significantly from the postprocedural values, and the ultrasound did not show any cases of significant vessel narrowing. The mean peak systolic velocity (PSV) was 71.6 cm/s in the left common carotid artery and 70.6 cm/s in the right common carotid artery. In conclusion, cerebral oximetry-guided TC access is safe, has a favorable long-term outcome, and does not increase the risk of plaque formation in the carotid artery. In a carefully selected group of patients, it might be considered as a first-choice alternative to TF access.


2021 ◽  
Vol 8 ◽  
Author(s):  
Fei Xu ◽  
Cheng Zhang ◽  
Chao Liu ◽  
Siwei Bi ◽  
Jun Gu

Background: This study was aimed to investigate the relationship between first 24-h mean body temperature and clinical outcomes of post cardiac surgery patients admitted to intensive care unit (ICU) in a large public clinical database.Methods: This is a retrospectively observational research of MIMIC III dataset, a total of 6,122 patients included. Patients were divided into 3 groups according to the distribution of body temperature. Multivariate cox analysis and logistic regression analysis were used to investigate the association between abnormal temperature, and clinical outcomes.Results: Hypothermia (<36°C) significantly associated with increasing in-hospital mortality (HR 1.665, 95%CI 1.218–2.276; p = 0.001), 1-year mortality (HR 1.537, 95% CI 1.205–1.961; p = 0.001), 28-day mortality (HR 1.518, 95% CI 1.14–2.021; p = 0.004), and 90-day mortality (HR 1.491, 95% CI 1.144–1.943; p = 0.003). No statistical differences were observed between short-term or long-term mortality and hyperthermia (>38°C). Hyperthermia was related to the extended length of ICU stay (p < 0.001), and hospital stay (p < 0.001).Conclusion: Hypothermia within 24h after ICU admission was associated with the increased mortality of post cardiac surgery patients. Enhanced monitoring of body temperature within 24h after cardiac surgery should be taken into account for improving clinical outcomes.


Author(s):  
James A. Brown ◽  
Arman Kilic ◽  
Edgar Aranda-Michel ◽  
Forozan Navid ◽  
Derek Serna-Gallegos ◽  
...  

2013 ◽  
Vol 61 (S 01) ◽  
Author(s):  
C Schimmer ◽  
K Hamouda ◽  
M Özkur ◽  
SP Sommer ◽  
I Aleksic ◽  
...  

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