The Cost of Innovation and Evidence in Cardiac Surgery
This review summarizes a systematic analysis of 216 randomized trials of cardiovascular interventions performed during 2008–2019, according to the source of trial funding.
Overall and Cause-Specific Mortality in Randomized Clinical Trials Comparing Percutaneous Interventions With Coronary Bypass Surgery: A Meta-analysis
Percutaneous coronary intervention was associated with higher all-cause, cardiac, and noncardiac mortality compared with CABG at 5 years.
Effects of Preoperative Angiotensin-Converting Enzyme Inhibitor Therapy on Postoperative Renal Function in Cardiac Surgery
Evidence in the current literature is inconclusive that preoperative administration of angiotensin-converting enzyme inhibitor therapy affects postoperative renal dysfunction in patients undergoing cardiac surgery.
Air, Inflammation and Biocompatibility of The Extracorporeal Circuits
One of the techniques used to reduce the contact of blood with “nonself” surfaces is the “coating” of the internal surfaces of the ECC.
Impact of Stroke on Outcomes Following Cardiac Surgery: Propensity Matched Analysis
Perioperative stroke is a devastating complication following cardiac surgery. Perioperative stroke is associated with significantly inferior outcomes in terms of both morbidity and mortality.
Type-A Aortic Dissection and Cerebral Perfusion: The Society of Thoracic Surgeons Database Analysis
Cerebral perfusion should be used during arch repair for aortic dissection because antegrade and retrograde cerebral perfusion strategies are associated with reduced death and stroke risk compared with hypothermic circulatory arrest without cerebral perfusion.
Acute Type A Aortic Dissection Complicated by COVID-19 Infection
This report shows the feasibility for surgical treatment of acute aortic disease in patients with COVID-19.
Iatrogenic Extracorporeal Membrane Oxygenator Rupture: Successful Management of a Unique Crisis
This article reports a rare complication related to the mechanical circulatory support and its successful management.
Toward an Artificial Endothelium: Development of Blood-Compatible Surfaces for Extracorporeal Life Support
Here, we describe clinically approved and new investigational biomaterial solutions for thrombosis, such as immobilized heparin, nitric oxide-functionalized polymers, “slippery” nonadhesive coatings, and surface endothelialization.
Arch Surgery for Type Ia Endoleak: How to Remain Normothermic and Avoid Circulatory Arrest
Here, we present a technique for total arch replacement that, with the use of stent graft balloon endoclamping, avoids both hypothermia and circulatory arrest.
Effects of Tubing Degradation and Pump Position on Extracorporeal Circulation Performance
A shift of the pump position within the ECC setup can be recommended to prevent blood damaging negative pressures.
Comparison of Mechanical Cardiopulmonary Support Strategies During Lung Transplantation
The optimal strategy for intraoperative cardiopulmonary support during lung transplantation remains an area of debate. Current data suggest that off pump is associated with better outcomes and could be considered whenever feasible.