Interactive cardiovascular and thoracic surgery
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Interact Cardiovasc Thorac Surg · Oct 2017
Transcatheter aortic valve implantation versus surgical aortic valve replacement in patients over 85 years old.
Surgical aortic valve replacement (SAVR) for the treatment of in very old patients with severe aortic stenosis is associated with a high risk of morbidity and mortality. Transcatheter aortic valve implantation (TAVI) has become the preferred alternative. Therefore, we sought to evaluate outcomes in very old patients who underwent SAVR versus TAVI. ⋯ In patients 85 years and older, SAVR seems to offer good short- and mid-term clinical outcomes compared to TAVI. Advanced age alone would not be an indication for TAVI in old-old patients.
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Interact Cardiovasc Thorac Surg · Oct 2017
Use of an intraoperative checklist to decrease the incidence of re-exploration for postoperative bleeding after cardiac surgery.
We have implemented an intraoperative checklist aiming to reduce the incidence of re-exploration for bleeding after cardiac surgery. The present report addresses the results of adopting such a checklist regarding the incidence of postoperative bleeding. ⋯ An intraoperative checklist is feasible to implement, low cost, quick and simple to measure with a significant reduction in the incidence of re-exploration for bleeding. This report shows an example of the positive effects of transparency in publishing outcomes' data in cardiac surgery.
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Interact Cardiovasc Thorac Surg · Oct 2017
Risk model for deaths and renal replacement therapy dependence in patients with acute kidney injury after cardiac surgery.
Acute kidney injury (AKI) is a serious complication after cardiac surgery and is associated with increased in-hospital deaths. Renal replacement therapy (RRT) is becoming a routine strategy for severe AKI. Our goal was to evaluate the risk factors for death and RRT dependence in patients with AKI after cardiac surgery. ⋯ The prediction model may serve as a simple, accurate tool for predicting in-hospital RRT failure for patients with AKI following cardiac surgery.