The role of CT cardiothoracic angiography in pre- and postoperative imaging of Bentall procedure

Objective. To describe the role of imaging in vascular composite allotransplantation based on one institution’s experience with upper extremity allotransplant patients.Methods. The institutional review board approved this review of HIPAA-compliant patient data without the need for individual consent. A retrospective review was performed of imaging from 2008 to 2011 on individuals undergoing upper extremity transplantation. This demonstrated that, of the 19 patients initially considered, 5 patients with a mean age of 37 underwent transplantation. Reports were correlated clinically to delineate which preoperative factors lead to patient selection versus disqualification and what concerns dictated postoperative imaging. Findings were subdivided into musculoskeletal and vascular imaging criterion.Results. Within the screening phase, musculoskeletal exclusion criterion included severe shoulder arthropathy, poor native bone integrity, and marked muscular atrophy. Vascular exclusion criterion included loss of sufficient arterial or venous supply and significant distortion of the native vascular architecture. Postoperative imaging was used to document healing and hardware integrity. Postsurgical angiography and ultrasound were used to monitor for endothelial proliferation or thrombosis as signs of rejection and vascular complication.Conclusion. Multimodality imaging is an integral component of vascular composite allotransplantation surgical planning and surveillance to maximize returning form and functionality while minimizing possible complications.

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Defining the timing and role of acute postoperative imaging in pituitary adenoma surgery: clinical study

Acta Neurochirurgica ◽

10.1007/s00701-020-04515-2 ◽

2020 ◽

Vol 162 (10) ◽

pp. 2353-2360

Author(s):

Katherine E. Kunigelis ◽

Gregory Arnone ◽

Gregoire Chatain ◽

Jessa Hoffman ◽

Oscar Chatain ◽

...

Keyword(s):

Clinical Study ◽

Pituitary Adenoma ◽

Postoperative Imaging

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Role of Pet-CT in the Differential Diagnosis of Infective Endocarditis After Bentall Procedure

The American Journal of Cardiology ◽

10.1016/j.amjcard.2018.03.318 ◽

2018 ◽

Vol 121 (8) ◽

pp. e144

Author(s):

Serkan Dilmen ◽

Muhammed Keskin ◽

İbrahim Dağaşan ◽

Burhan Bıçakçı ◽

Emrah Burak Ölçü ◽

...

Keyword(s):

Differential Diagnosis ◽

Infective Endocarditis ◽

Bentall Procedure ◽

Pet Ct

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Commentary on: The Role of Postoperative Imaging after Orbital Floor Repair

Craniomaxillofacial Trauma & Reconstruction ◽

10.1055/s-0038-1645864 ◽

2018 ◽

Vol 11 (2) ◽

pp. 102-103

Author(s):

Paul N. Manson

Keyword(s):

Orbital Floor ◽

Postoperative Imaging

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The Role of Postoperative Imaging after Orbital Floor Fracture Repair

Craniomaxillofacial Trauma & Reconstruction ◽

10.1055/s-0038-1625949 ◽

2018 ◽

Vol 11 (2) ◽

pp. 96-101 ◽

Cited By ~ 1

Author(s):

David Carpenter ◽

Ronnie Shammas ◽

Adam Honeybrook ◽

C.Scott Brown ◽

Nikita Chapurin ◽

...

Keyword(s):

Internal Fixation ◽

Open Reduction ◽

Clinical Symptoms ◽

Orbital Floor ◽

Complication Rates ◽

Postoperative Imaging ◽

Asymptomatic Patients ◽

Orbital Floor Fractures ◽

Maxillofacial Fractures

Obtaining postoperative images of maxillofacial fractures does not affect the clinical management of asymptomatic patients; however, few studies have evaluated the role of postoperative imaging in the context of orbital floor fractures. In this study, we evaluate current practice techniques and the role of postoperative imaging in the management of orbital floor fractures in isolation and with concomitant facial fractures. Retrospective review of patients who underwent open reduction and internal fixation of orbital floor fractures between 2005 and 2015 at a single medical institution. Operative and perioperative records were reviewed to characterize postoperative imaging as routine or as indicated by concerning clinical symptoms, and to correlate clinical outcomes to postoperative imaging patterns across all identified orbital floor fractures. A total of 139 patients underwent open reduction and internal fixation of orbital floor fractures. Of these, 75 (54%) had zygomaticomaxillary (ZMC) involvement. The remaining 64 (46%) were isolated orbital floor fractures. Overall, 54 (39%) patients underwent postoperative imaging. Of these, 38 (70%) had postoperative imaging in the absence of concerning clinical symptoms. There was no observed difference in complication rates in those who underwent postoperative imaging, and those who did not. Patients with orbital + ZMC fractures underwent a significantly higher number of postoperative imaging studies ( p < 0.001); however, there was no observed difference in complications between isolated orbital and orbital + ZMC fractures. Routine postoperative imaging is not warranted in the absence of persistent clinical symptoms following open reduction and internal fixation of orbital floor fractures.

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Role of PET/CT scan in identifying late-onset graft infection following Bentall procedure

BMJ Case Reports ◽

10.1136/bcr-2021-243834 ◽

2021 ◽

Vol 14 (9) ◽

pp. e243834

Author(s):

Akash Batta ◽

Prashant Panda ◽

Harpreet Singh ◽

Yash Paul Sharma

Keyword(s):

Ct Scan ◽

Late Onset ◽

Graft Infection ◽

Bentall Procedure ◽

Pet Ct ◽

Pet Ct Scan

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Veno arterial-extra corporal membrane oxygenation for the treatment of cardiac failure in patients with infective endocarditis

Perfusion ◽

10.1177/0267659119842807 ◽

2019 ◽

Vol 34 (7) ◽

pp. 613-617

Author(s):

Floris S van den Brink ◽

Rob van Tooren ◽

Uday Sonker ◽

Patrick Klein ◽

Frans Waanders ◽

...

Keyword(s):

Infective Endocarditis ◽

Artery Bypass ◽

Bypass Graft ◽

Mitral Valve Surgery ◽

Artery Bypass Graft ◽

Membrane Oxygenation ◽

Bentall Procedure ◽

Valvular Surgery ◽

Extra Corporal Membrane Oxygenation

Introduction: Surgery for infective endocarditis imposes great challenges in post-operative circulatory and pulmonary support but the role of veno-arterial extra-corporal membrane oxygenation in this respect is unclear. Methods: All patients undergoing veno-arterial extra-corporal membrane oxygenation after infective endocarditis surgery were analysed for age, gender, medical history, microorganisms, clinical outcome, complications and surgical procedure. Results: Between 2012 and 2016, 13 patients received veno-arterial extra-corporal membrane oxygenation following infective endocarditis surgery. The median age was 62 years (33-73) and 8/13 were male. Previous cardiac surgery was present in nine patients. Surgery for infective endocarditis consisted of a Bentall procedure in 10 patients, 2 of which received concomitant mitral valve surgery and 2 received concomitant coronary artery bypass graft. Valvular surgery alone was performed in three patients. Mortality on veno-arterial extra-corporal membrane oxygenation was 62% (8/13). Mortality during intensive care unit stay was 77% (10/13). Survival to discharge was 23% (3/13). One patient reached the 1 year survival point. Two patients who survived to discharge have not yet reached the 1 year survival point. Patient-related complications occurred in 54% (7/13) of patients and consisted of haemorrhage at the cannula site in four patients, leg ischaemia in one patient, haemorrhage at another site in one patient and infection of the cannula in one patient. Extra-corporal membrane oxygenation hardware-related complications occurred in one case consisting of clot formation in the oxygenator. Conclusion: Veno-arterial extra-corporal membrane oxygenation in post-cardiotomy patients who were operated on for infective endocarditis is feasible, but outcome is poor.

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