The Journal of thoracic and cardiovascular surgery
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J. Thorac. Cardiovasc. Surg. · Aug 2020
Observational StudyPredictor of false lumen thrombosis after thoracic endovascular aortic repair for type B dissection.
Thoracic endovascular aortic repair of type B aortic dissection initiates thrombosis in the false lumen, which eventually results in aortic remodeling. We aimed to determine whether the false lumen thrombosis rate (FLTR) after thoracic endovascular aortic repair can be accurately predicted by an index that expresses the degree of aortic arch angulation. ⋯ The size of the question mark shape may be a good predictor for FLTR of acute type B aortic dissection following thoracic endovascular aortic repair. The higher the degrees of the question mark, the less likely it was to form a complete thrombus.
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J. Thorac. Cardiovasc. Surg. · Aug 2020
Multicenter Study Clinical TrialMulticenter, prospective, observational study of a novel technique for preoperative pulmonary nodule localization.
Minimally invasive surgery provides an ideal method for pathologic diagnosis and curative intent of small pulmonary nodules (SPNs); however, the main problem with thoracoscopic resection is the difficulty in locating the nodules. The goal of this study was to determine the safety and feasibility of a new localization technique tailored for SPNs. ⋯ This new device for SPNs is safe, and has a high success rate, feasibility and good tolerance.
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J. Thorac. Cardiovasc. Surg. · Aug 2020
Comparative StudyA national analysis of open versus minimally invasive thymectomy for stage I to III thymoma.
The oncologic efficacy of minimally invasive thymectomy for thymoma is not well characterized. We compared short-term outcomes and overall survival between open and minimally invasive (video-assisted thoracoscopic and robotic) approaches using the National Cancer Data Base. ⋯ In this national analysis, minimally invasive thymectomy was associated with shorter length of stay and was not associated with increased margin positivity, perioperative mortality, 30-day readmission rate, or reduced overall survival when compared with open thymectomy.