Blood Product Conservation is Associated with Improved Outcomes and Reduced Costs after Cardiac Surgery
The purpose of this investigation was to determine whether a multi-institutional effort to reduce blood product use affects postoperative events aftercardiac surgical operations and to determine the influence of perioperative transfusion on risk-adjusted outcomes.
The Predictive Value of Multiple Electrode Platelet Aggregometry (Multiplate) in Adult Cardiac Surgery
The purpose of this retrospective observational study is to analyze the value of multiple electrode platelet aggregometry (Multiplate analyzer, Verum Diagnostica, Munich) as a point-of-care (POC) device in adult cardiac surgical patients.
Mini-Extracorporeal Circulation Minimizes Coagulation Abnormalities and Ameliorates Pulmonary Outcome in Coronary Artery Bypass Grafting Surgery
Our study suggests that MECC induces less coagulation disorders, leading to lower postoperative blood loss and better postoperative lung function. This approach may be advantageous in high-risk patients.
The Relationship Between Intraoperative Blood Transfusion and Postoperative Systemic Inflammatory Response Syndrome
Previous observations suggest that intraoperative blood transfusion (IBT) is a risk factor for adverse postoperative outcomes. IBT alters immune function and may predispose to systemic inflammatory response syndrome (SIRS).
Perfusion Tubing: Standardized or Modify?
I applaud our adult colleagues in trying to do what is best for the patient even if standardized tubing packs have to be modified resulting in higher prices as some would argue.
Transcatheter Aortic Valve Replacement: History and Current Status
In this review, we outline the historical development, key clinical trials, current outcomes and future directions of TAVR.
Vascular Access Complications: Diagnosis and Management
The incidence of vascular access site related complications ranges between 0.8 % to 1.8 % of diagnostic cardiac catheterization and up to 9 % of percutaneous coronary interventions.
Transcatheter Aortic Valve Replacement Requiring Staged Percutaneous Coronary Intervention in Japanese Patients with Severely Calcified Ascending Aorta: A Case Report and Institution Series Analysis
We report a first TAVR case in Japan of successful TAVR following percutaneous coronary intervention (PCI). A 75-year-old man with stable angina pectoris and severe AS was considered to be at high risk for surgical AVR because of severely calcified ascending aorta.
The ATHENS TAVR Registry of Newer Generation Transfemoral Aortic Valves: 30-Day Outcomes
Transcatheter aortic valve replacement (TAVR) is a documented treatment for patients with symptomatic aortic stenosis who are at very high or prohibitive operative risk. We sought to investigate the outcomes of transfemoral procedures with the newer generation valves in four TAVR centres in Athens, Greece.
Paravalvular Leak After Transcatheter Aortic Valve Replacement: The New Achilles’ Heel? A Comprehensive Review of the Literature
This literature review is an effort to consolidate current knowledge in this area to better understand the prevalence, progression, and impact of post-TAVR PVL and to help direct future efforts regarding the assessment, prevention, and treatment of this troublesome complication.
Clopidogrel, Aspirin and Proton Pump Inhibition after Percutaneous Valve Implants: An Update
This paper reviews literary evidence on antithrombotic therapies currently employed in TAVR to assess validity and efficacy; duration and modality are also considered. In the absence of firm guidelines and reliable trial results, we analyze current knowledge of interaction between PPI and antithrombotic drugs.
Prevalence and Effect of Myocardial Injury After Transcatheter Aortic Valve Replacement
We aimed to assess the incidence and extent of myocardial injury after TAVR performed using transfemoral and transapical approaches.