Active Bleeding after Cardiac Surgery: A Prospective Observational Multicenter Study
This article estimates the incidence of active bleeding after cardiac surgery (AB) based on a definition directly related on blood flow from chest drainage; describes the AB characteristics and its management; and identifies factors of postoperative complications.
Blood Conservation Strategies in Cardiac Surgery: More is Better
We present our results after the implementation of a more aggressive strategy for intraoperative blood conservation in cardiac surgery.
Genome-Wide Association Study of Acute Kidney Injury after Coronary Bypass Graft Surgery Identifies Susceptibility Toci
Acute kidney injury (AKI) is a common, serious complication of cardiac surgery. Since prior studies have supported a genetic basis for postoperative AKI, we conducted a genome-wide association study (GWAS) for AKI following coronary bypass graft (CABG) surgery.
Pre-Operative Anaemia
In this article, we review the incidence and impact of anaemia on the pre-operative patient. We explain how anaemia may be caused by functional iron deficiency, and how iron deficiency anaemia may be diagnosed and treated.
How Can We Identify the High-Risk Patient
Accurate and early identification of high-risk surgical patients allows for targeted use of perioperative monitoring and interventions that may improve their outcomes. This review summarizes current evidence on how information from the preoperative, operative, and immediate postoperative periods can help identify such individuals.
Diabetic Patients have Increased Perioperative Cardiac Risk in Heart-Type Fatty Acid-Binding Protein-Based Assessment
To test the potential role of heart-type fatty acid-binding protein (H-FABP) in detecting increased perioperative cardiac risk in comparison with cardiac troponin I (cTnI) in the early postoperative period.
A Retrospective Comparative Study of Minimally Invasive Extracorporeal Circulation Versus Conventional Extracorporeal Circulation in Emergency Coronary Artery Bypass Surgery Patients: A Single Surgeon Analysis
The purpose of this study was to compare the outcome of emergency coronary artery bypass grafting (CABG) operations using either minimally invasive extracorporeal circulation (MiECC) or conventional extracorporeal circulation (CECC) in patients requiring emergency CABG with regard to the perioperative course and the occurrence of major adverse cardiac and cerebral events (MACCE).
Prediction of Post-Weaning Fibrinogen Status during Cardiopulmonary Bypass: An Observational Study in 110 Patients
After cardiac surgery with cardiopulmonary bypass (CPB), acquired coagulopathy often leads to post-CPB bleeding. Though multifactorial in origin, this coagulopathy is often aggravated by deficient fibrinogen levels.
Elevated Growth Differentiation Factor 15 Levels Predict Outcome in Patients Undergoing Transcatheter Aortic Valve Implantation
Transcatheter aortic valve implantation (TAVI) has emerged as a treatment of aortic stenosis in patients at high surgicalrisk. However, risk stratification in this elderly population is challenging, as patients at extreme risk might not benefit from TAVI.
Early Outcome of Off-Pump Versus On-Pump Coronary Revascularization
The use of coronary artery bypass surgery (CABG) with cardiopulmonary bypass (CPB) or without CPB technique (off-pump) can be associated with different mortality and morbidity and their outcomes remain uncertain. The goal of this study was to evaluate the early outcome of on-pump versus off-pump CABG.
Heart valve surgery in patients with homozygous sickle cell disease: A management strategy
Patients with the homozygous sickle cell disease have increased perioperative mortality. Some indications like heart valve surgery, may justify an exchange blood transfusion to reduce the proportion of hemoglobin S (HbS) and complications.
Predicting the Risk of Death Following Coronary Artery Bypass Graft Made Simple: A Retrospective Study Using The American College of Surgeons National Surgical Quality Improvement Program Database
The objective of this study was to develop a 30-day postoperative mortality risk model for patients undergoing CABG using the American College of Surgeons National Surgical Quality Improvement Program database.