The Journal of thoracic and cardiovascular surgery
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J. Thorac. Cardiovasc. Surg. · Apr 2017
Randomized Controlled Trial Multicenter Study Comparative StudyRandomized, multicenter trial comparing sternotomy closure with rigid plate fixation to wire cerclage.
To evaluate sternal healing, complications, and costs after sternotomy closure with rigid plate fixation or wire cerclage. ⋯ Sternotomy closure with rigid plate fixation resulted in significantly better sternal healing, fewer sternal complications, and no additional cost compared with wire cerclage at 6 months after surgery.
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J. Thorac. Cardiovasc. Surg. · Apr 2017
Comparative StudyThe impact of temperature in aortic arch surgery patients receiving antegrade cerebral perfusion for >30 minutes: How relevant is it really?
We examined the early outcomes and the long-term survival associated with different degrees of hypothermia in patients who received antegrade cerebral perfusion (ACP) for >30 minutes. ⋯ In proximal and arch operations involving ACP for >30 minutes, greater actual temperatures were associated with less stroke and reoperation for bleeding. There were no significant differences among the predicted hypothermia levels, although a trend toward a higher rate of adverse events was noticed in the deep hypothermia group. Long-term survival was better in the moderate hypothermia group.