Cardiac Surgical Procedures: Surgery performed on the heart.Mitral Valve: The valve between the left atrium and left ventricle of the heart.Mammary Arteries: Arteries originating from the subclavian or axillary arteries and distributing to the anterior thoracic wall, mediastinal structures, diaphragm, pectoral muscles and mammary gland.Sternotomy: Making an incision in the STERNUM.Patents as Topic: Exclusive legal rights or privileges applied to inventions, plants, etc.Heart Valve Prosthesis: A device that substitutes for a heart valve. It may be composed of biological material (BIOPROSTHESIS) and/or synthetic material.Mitral Valve Insufficiency: Backflow of blood from the LEFT VENTRICLE into the LEFT ATRIUM due to imperfect closure of the MITRAL VALVE. This can lead to mitral valve regurgitation.Heart Valve Prosthesis Implantation: Surgical insertion of synthetic material to repair injured or diseased heart valves.Coronary Artery Bypass, Off-Pump: Coronary artery bypass surgery on a beating HEART without a CARDIOPULMONARY BYPASS (diverting the flow of blood from the heart and lungs through an oxygenator).Coronary Artery Bypass: Surgical therapy of ischemic coronary artery disease achieved by grafting a section of saphenous vein, internal mammary artery, or other substitute between the aorta and the obstructed coronary artery distal to the obstructive lesion.Cardiopulmonary Bypass: Diversion of the flow of blood from the entrance of the right atrium directly to the aorta (or femoral artery) via an oxygenator thus bypassing both the heart and lungs.Intracranial Embolism: Blocking of a blood vessel in the SKULL by an EMBOLUS which can be a blood clot (THROMBUS) or other undissolved material in the blood stream. Most emboli are of cardiac origin and are associated with HEART DISEASES. Other non-cardiac sources of emboli are usually associated with VASCULAR DISEASES.Postoperative Complications: Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.Coronary Artery Disease: Pathological processes of CORONARY ARTERIES that may derive from a congenital abnormality, atherosclerotic, or non-atherosclerotic cause.Atrial Appendage: Ear-shaped appendage of either atrium of the heart. (Dorland, 28th ed)Echocardiography, Transesophageal: Ultrasonic recording of the size, motion, and composition of the heart and surrounding tissues using a transducer placed in the esophagus.Atrial Fibrillation: Abnormal cardiac rhythm that is characterized by rapid, uncoordinated firing of electrical impulses in the upper chambers of the heart (HEART ATRIA). In such case, blood cannot be effectively pumped into the lower chambers of the heart (HEART VENTRICLES). It is caused by abnormal impulse generation.Atrial Function, Left: The hemodynamic and electrophysiological action of the LEFT ATRIUM.Embolism: Blocking of a blood vessel by an embolus which can be a blood clot or other undissolved material in the blood stream.Heart Atria: The chambers of the heart, to which the BLOOD returns from the circulation.Anticoagulants: Agents that prevent clotting.Needles: Sharp instruments used for puncturing or suturing.Equipment Design: Methods of creating machines and devices.Pericardium: A conical fibro-serous sac surrounding the HEART and the roots of the great vessels (AORTA; VENAE CAVAE; PULMONARY ARTERY). Pericardium consists of two sacs: the outer fibrous pericardium and the inner serous pericardium. The latter consists of an outer parietal layer facing the fibrous pericardium, and an inner visceral layer (epicardium) resting next to the heart, and a pericardial cavity between these two layers.Biological Therapy: Treatment of diseases with biological materials or biological response modifiers, such as the use of GENES; CELLS; TISSUES; organs; SERUM; VACCINES; and humoral agents.Biopsy, Needle: Removal and examination of tissue obtained through a transdermal needle inserted into the specific region, organ, or tissue being analyzed.Magnets: Objects that produce a magnetic field.Fibroma: A benign tumor of fibrous or fully developed connective tissue.Heart Neoplasms: Tumors in any part of the heart. They include primary cardiac tumors and metastatic tumors to the heart. Their interference with normal cardiac functions can cause a wide variety of symptoms including HEART FAILURE; CARDIAC ARRHYTHMIAS; or EMBOLISM.Aortic Valve: The valve between the left ventricle and the ascending aorta which prevents backflow into the left ventricle.Extracorporeal Circulation: Diversion of blood flow through a circuit located outside the body but continuous with the bodily circulation.Calcium Sulfate: A calcium salt that is used for a variety of purposes including: building materials, as a desiccant, in dentistry as an impression material, cast, or die, and in medicine for immobilizing casts and as a tablet excipient. It exists in various forms and states of hydration. Plaster of Paris is a mixture of powdered and heat-treated gypsum.Names: Personal names, given or surname, as cultural characteristics, as ethnological or religious patterns, as indications of the geographic distribution of families and inbreeding, etc. Analysis of isonymy, the quality of having the same or similar names, is useful in the study of population genetics. NAMES is used also for the history of names or name changes of corporate bodies, such as medical societies, universities, hospitals, government agencies, etc.Receptors, Calcium-Sensing: A class of G-protein-coupled receptors that react to varying extracellular CALCIUM levels. Calcium-sensing receptors in the PARATHYROID GLANDS play an important role in the maintenance of calcium HOMEOSTASIS by regulating the release of PARATHYROID HORMONE. They differ from INTRACELLULAR CALCIUM-SENSING PROTEINS which sense intracellular calcium levels.Parathyroid Glands: Two pairs of small oval-shaped glands located in the front and the base of the NECK and adjacent to the two lobes of THYROID GLAND. They secrete PARATHYROID HORMONE that regulates the balance of CALCIUM; PHOSPHORUS; and MAGNESIUM in the body.Calcium: A basic element found in nearly all organized tissues. It is a member of the alkaline earth family of metals with the atomic symbol Ca, atomic number 20, and atomic weight 40. Calcium is the most abundant mineral in the body and combines with phosphorus to form calcium phosphate in the bones and teeth. It is essential for the normal functioning of nerves and muscles and plays a role in blood coagulation (as factor IV) and in many enzymatic processes.Calcium Channel Blockers: A class of drugs that act by selective inhibition of calcium influx through cellular membranes.Drug Information Services: Services providing pharmaceutic and therapeutic drug information and consultation.National Library of Medicine (U.S.): An agency of the NATIONAL INSTITUTES OF HEALTH concerned with overall planning, promoting, and administering programs pertaining to advancement of medical and related sciences. Major activities of this institute include the collection, dissemination, and exchange of information important to the progress of medicine and health, research in medical informatics and support for medical library development.Ventricular Function, Right: The hemodynamic and electrophysiological action of the right HEART VENTRICLE.Ventricular Dysfunction, Right: A condition in which the RIGHT VENTRICLE of the heart was functionally impaired. This condition usually leads to HEART FAILURE or MYOCARDIAL INFARCTION, and other cardiovascular complications. Diagnosis is made by measuring the diminished ejection fraction and a depressed level of motility of the right ventricular wall.Heart Ventricles: The lower right and left chambers of the heart. The right ventricle pumps venous BLOOD into the LUNGS and the left ventricle pumps oxygenated blood into the systemic arterial circulation.Heart Septum: This structure includes the thin muscular atrial septum between the two HEART ATRIA, and the thick muscular ventricular septum between the two HEART VENTRICLES.Stroke Volume: The amount of BLOOD pumped out of the HEART per beat, not to be confused with cardiac output (volume/time). It is calculated as the difference between the end-diastolic volume and the end-systolic volume.Heart Rupture, Post-Infarction: Laceration or tearing of cardiac tissues appearing after MYOCARDIAL INFARCTION.Myocardial Contraction: Contractile activity of the MYOCARDIUM.Construction Materials: Supplies used in building.Insulator Elements: Nucleic acid regulatory sequences that limit or oppose the action of ENHANCER ELEMENTS and define the boundary between differentially regulated gene loci.Electrodes: Electric conductors through which electric currents enter or leave a medium, whether it be an electrolytic solution, solid, molten mass, gas, or vacuum.Illusions: The misinterpretation of a real external, sensory experience.Electrodes, Implanted: Surgically placed electric conductors through which ELECTRIC STIMULATION is delivered to or electrical activity is recorded from a specific point inside the body.Construction Industry: The aggregate business enterprise of building.

Cerebral injury after cardiac surgery: identification of a group at extraordinary risk. Multicenter Study of Perioperative Ischemia Research Group (McSPI) and the Ischemia Research Education Foundation (IREF) Investigators. (1/3141)

BACKGROUND AND PURPOSE: Cerebral injury after cardiac surgery is now recognized as a serious and costly healthcare problem mandating immediate attention. To effect solution, those subgroups of patients at greatest risk must be identified, thereby allowing efficient implementation of new clinical strategies. No such subgroup has been identified; however, patients undergoing intracardiac surgery are thought to be at high risk, but comprehensive data regarding specific risk, impact on cost, and discharge disposition are not available. METHODS: We prospectively studied 273 patients enrolled from 24 diverse US medical centers, who were undergoing intracardiac and coronary artery surgery. Patient data were collected using standardized methods and included clinical, historical, specialized testing, neurological outcome and autopsy data, and measures of resource utilization. Adverse outcomes were defined a priori and determined after database closure by a blinded independent panel. Stepwise logistic regression models were developed to estimate the relative risks associated with clinical history and intraoperative and postoperative events. RESULTS: Adverse cerebral outcomes occurred in 16% of patients (43/273), being nearly equally divided between type I outcomes (8.4%; 5 cerebral deaths, 16 nonfatal strokes, and 2 new TIAs) and type II outcomes (7.3%; 17 new intellectual deterioration persisting at hospital discharge and 3 newly diagnosed seizures). Associated resource utilization was significantly increased--prolonging median intensive care unit stay from 3 days (no adverse cerebral outcome) to 8 days (type I; P<0.001) and from 3 to 6 days (type II; P<0.001), and increasing hospitalization by 50% (type II, P=0.04) to 100% (type I, P<0.001). Furthermore, specialized care after hospital discharge was frequently necessary in those with type I outcomes, in that only 31% returned home compared with 85% of patients without cerebral complications (P<0.001). Significant risk factors for type I outcomes related primarily to embolic phenomena, including proximal aortic atherosclerosis, intracardiac thrombus, and intermittent clamping of the aorta during surgery. For type II outcomes, risk factors again included proximal aortic atherosclerosis, as well as a preoperative history of endocarditis, alcohol abuse, perioperative dysrhythmia or poorly controlled hypertension, and the development of a low-output state after cardiopulmonary bypass. CONCLUSIONS: These prospective multicenter findings demonstrate that patients undergoing intracardiac surgery combined with coronary revascularization are at formidable risk, in that 1 in 6 will develop cerebral complications that are frequently costly and devastating. Thus, new strategies for perioperative management--including technical and pharmacological interventions--are now mandated for this subgroup of cardiac surgery patients.  (+info)

A critical appraisal of the quality of the management of infective endocarditis. (2/3141)

OBJECTIVES: The purpose of this study was to assess the quality of the management of infective endocarditis. BACKGROUND: Although many guidelines on the management of infective endocarditis exist, the quality of this management has not been evaluated. METHODS: We collected data on all patients (116) hospitalized with infective endocarditis over 1 year in all hospitals in the Rhone-Alpes region (France). RESULTS: Prophylactic antibiotics were not given before infective endocarditis to 8/11 cardiac patients at risk and who underwent an at risk procedure. Among the 55 cardiac patients at risk and with fever and who consulted a physician, blood cultures were not performed before antibiotic therapy was initiated for 32 patients. In-hospital antibiotic therapy was incorrect for 23 patients. The portal of entry was not treated for 16/61 patients with an accessible portal of entry. Among the 19 patients who had severe heart failure or fever persisting more than 2 weeks in spite of antibiotic therapy and who could have undergone early surgery, surgery was delayed for five, and not performed for three. Overall, the average score was 15/20. CONCLUSIONS: More information on the management of infective endocarditis should be widely disseminated to the physicians' and the dentists' communities and to the patients at risk.  (+info)

Biventricular repair approach in ducto-dependent neonates with hypoplastic but morphologically normal left ventricle. (3/3141)

OBJECTIVES: Increased afterload and multilevel LV obstruction is constant. We assumed that restoration of normal loading conditions by relief of LV obstructions promotes its growth, provided that part of the cardiac output was preoperatively supported by the LV, whatever the echocardiographic indexes. BACKGROUND: Whether to perform uni- or biventricular repair in ducto dependent neonates with hypoplastic but morphologically normal LV (hypoplastic left heart syndrome classes II & III) remains unanswered. Echocardiographic criteria have been proposed for surgical decision. METHODS: Twenty ducto dependent neonates presented with this anomaly. All had aortic coarctation associated to multilevel LV obstruction. Preoperative echocardiographic assessment showed: mean EDLW of 12.4 +/- 3.03 ml/m2 and mean Rhodes score of -1.73 +/-0.8. Surgery consisted in relief of LV outflow tract obstruction by coarctation repair in all associated to aortic commissurotomy in one and ASD closure in 2. RESULTS: There were 3 early and 2 late deaths. Failure of biventricular repair and LV growth was obvious in patients with severe anatomic mitral stenosis. The other demonstrated growth of the left heart. At hospital discharge the EDLVV was 19.4+/-3.12 ml/m2 (p = 0.0001) and the Rhodes score was -0.38+/-1.01 (p = 0.0003). Actuarial survival and freedom from reoperation rates at 5 years were 72.5% and 46%, respectively. CONCLUSIONS: Biventricular repair can be proposed to ducto dependent neonates with hypoplastic but morphologically normal LV provided that all anatomical causes of LV obstruction can be relieved. Secondary growth of the left heart then occurs; however, the reoperation rate is high.  (+info)

Echocardiographic and morphological correlations in tetralogy of Fallot. (4/3141)

AIMS: Our aim was to clarify the location and structure of the outlet septum relative to the free-standing subpulmonary infundibulum in the setting of tetralogy of Fallot and to examine its relationship to the other components of the subpulmonary outflow tract, determining their potential influence on clinical outcome. METHODS AND RESULTS: We studied prospectively 41 patients with tetralogy of Fallot (mean age 14 +/- 10.9 months) prior to surgical repair, and compared them with 15 patients undergoing closure of a ventricular septal defect associated with malalignment of the outlet septum but no subpulmonary infundibular stenosis (Eisenmenger ventricular septal defect), and 20 healthy controls. We also examined available autopsied hearts from cases with uncorrected tetralogy of Fallot (8) and Eisenmenger ventricular septal defect (13). Data were indexed for body surface area, and diameter of the tricuspid valve, respectively. The overall length of the subpulmonary infundibulum, including the extent of the muscular outlet septum, was significantly greater for patients with tetralogy of Fallot compared to normals (2.34 +/- 0.6 vs 1.46 +/- 0.34 cm/BSA0.5, P<0.001), whereas the difference between those with tetralogy of Fallot and an Eisenmenger ventricular septal defect was confined to the degree of narrowing of the subpulmonary outlet (0.43 +/- 0.22 vs 2.17 +/- 0.64 cm/BSA0.5, P<0.001). Within the tetralogy of Fallot group, there were linear relationships between deviation of the outlet septum (r= -0.61, P<0.005) and the diameter of the pulmonary valvar orifice (r=0.75, P<0.001), suggesting that growth of the pulmonary arteries may be related to this feature. When patients requiring a transannular patch as part of their surgical repair were compared with those not needing this procedure, differences were found in the diameter of the pulmonary valvar orifice and the pulmonary trunk, but not in the dimensions of the outlet septum. CONCLUSION: The position of the outlet septum in relationship to the remainder of the muscular subpulmonary infundibulum represents a hallmark of tetralogy of Fallot, permitting its differentiation from Eisenmenger ventricular septal defects and normal hearts.  (+info)

Modified Fontan operation. Considerations for the determination of the appropriate procedure. (5/3141)

BACKGROUND: Although the surgical results of the modified Fontan operation continues to improve, there are various advantages and disadvantages in terms of the post operative condition associated with the Fontan modifications. Late morbidity and mortality are mainly due to arrhythmias, thromboembolic complications, systemic venous hypertension and infective endocarditis. We reported our experience of the modified Fontan operation to determine an appropriate procedure for each patient. METHODS AND RESULTS: Seven patients (ranging from the age 1-14 years) underwent a modified Fontan operation including a lateral tunnel (n = 1), extracardiac conduit (n = 2) and autogenous atrial tunnel (n = 4). There was one hospital death due to sepsis in which the patient underwent lateral tunnel procedure. The mean follow up of another six patients was 20 months (ranging from 1-39 months) and all patients were classified as NYHA class I, and remained in normal sinus rhythm without any thromboembolic complications. CONCLUSIONS: When using the autogenous atrial tunnel, there are potential advantages; it is not associated with thromboembolism or endocarditis and has growth potential. However, in high-risk patients with increased pulmonary vascular resistance, impaired ventricular function and pre-operative atrial arrhythmias, it appears reasonable to use an extracardiac conduit.  (+info)

Continuous quality improvement decreases length of stay and adverse events: a case study in an interventional cardiology program. (6/3141)

A study was performed to assess the effectiveness of continuous quality improvement in achieving a better quality of care for patients undergoing coronary interventions. Increasing utilization of new coronary interventional devices has incurred a higher incidence of complications, prolonged hospital stay, and related costs. Using a clinical information system, we adopted continuous quality improvement to control the incidence of complications and postprocedural length of stay. Multiple regression analysis and a matched case-control study were performed to detect complications related to postprocedural length of stay and their causes among 342 patients. The results led to the modification of the postprocedural heparin anticoagulation protocol, which was followed by the introduction of a ticlopidine-based poststent anticoagulation regimen. Two sequential groups of patients (n = 261, n = 266) were selected to compare postprocedural length of stay and frequency of complications with those for the first group. Adjustments were made for patients and procedural characteristics through stratification and multiple regression methods. Blood transfusion was the most important predictor of prolonged hospital stay (partial R2 = 0.26, P < 0.01). A high level of postprocedural anticoagulation and intracoronary stent use were significantly associated with blood transfusion (P = 0.01, P = 0.02, respectively). The comparison among the three groups showed that heparin protocol change reduced only postprocedural length of stay (P < 0.001) for patients without stents, whereas the stent change in anticoagulation protocol significantly reduced both transfusion and hospital stay for patients with stents (P < 0.001, P < 0.05, respectively). Continuous quality improvement based on clinical information is promising to control both complications and hospital costs. Physician involvement is necessary throughout the process.  (+info)

Primary angioplasty for the treatment of acute myocardial infarction: experience at two community hospitals without cardiac surgery. (7/3141)

OBJECTIVES: We sought to establish the safety and efficacy of primary percutaneous transluminal coronary angioplasty in patients with acute myocardial infarction (AMI) at two community hospitals without on-site cardiac surgery. BACKGROUND: Though randomized studies indicate that primary angioplasty in AMI may result in superior outcomes compared with fibrinolytic therapy, the performance of primary angioplasty at hospitals without cardiac surgery is debated. METHODS: Three experienced operators performed 506 consecutive immediate coronary angiograms with primary angioplasty when appropriate in patients with suspected AMI at two community hospitals without cardiac surgery, following established rigorous program criteria. RESULTS: Clinical high risk predictors (Killip class 3 or 4, age > or = 75 years, anterior AMI, out-of-hospital ventricular fibrillation) and/or angiographic high risk predictors (left main or three-vessel disease or ejection fraction <45%) were present in 69.6%. Angioplasty was performed in 66.2%, with a median time from emergency department presentation to first angiogram of 94 min and a procedural success rate of 94.3%. The in-hospital mortality for the entire study population was 5.3%. Of those without initial cardiogenic shock, the in-hospital mortality was 3.0%. Of 300 patients who were discharged after primary angioplasty, only four died within the first 6 months, with 97.7% follow-up. No patient died or needed emergent aortocoronary bypass surgery because of new myocardial jeopardy caused by a complication of the cardiac catheterization or angioplasty procedure. CONCLUSIONS: Immediate coronary angiography with primary angioplasty when appropriate in patients with AMI can be performed safely and effectively in community hospitals without on-site cardiac surgery when rigorous program criteria are established.  (+info)

Transcatheter closure of muscular ventricular septal defects with the amplatzer ventricular septal defect occluder: initial clinical applications in children. (8/3141)

OBJECTIVES: The aim of this study was to close muscular ventricular septal defects (MVSDs) in children, with a new device, the Amplatzer ventricular septal defect occluder (AVSDO). BACKGROUND: The design of previously used devices for transcatheter closure of MVSDs is not ideal for this purpose and their use has been limited by several drawbacks. METHODS: Six patients, aged 3 to 10 years, with MVSDs underwent transcatheter closure using the AVSDO. The device is a modified self-centering and repositionable Amplatzer device that consists of two low profile disks made of Nitinol wire mesh with a 7-mm connecting waist. The prosthesis size (connecting waist diameter) was chosen according to the measured balloon stretched VSD diameters. A 6-F or 7-F sheath was used for the delivery of the AVSDO. Fluoroscopy and transesophageal echocardiography were utilized for optimal guidance. RESULTS: The location of the defect was midmuscular in five patients and beneath the pulmonary valve in one. The balloon stretched MVSD diameter ranged from 6 to 11 mm. Device placement was successful in all patients, and complete occlusion occurred in all six patients (95% confidence interval 54.06% to 100%). Two patients developed transient complete left bundle branch block. No other complications were observed. CONCLUSIONS: This encouraging initial clinical success indicates that the AVSDO is a promising device for transcatheter closure of MVSDs in children. Further clinical trials and longer follow-up are needed before the widespread use of this technique can be recommended.  (+info)

Background: Mediastinal and pleural tubes are routinely employed following cardiac surgery to prevent accumulation of blood and fluids in the mediastinum or the pleural cavities. Recurrent pneumothorax is the most significant complication after chest tube discontinuation. We reviewed the occurrence of post pull pneumothorax after adult cardiac surgical procedures in our hospital. Methods: A retrospective study of patients undergoing various cardiac surgical procedures over a five year period was performed. The principle outcome was recurrent pneumothorax after chest tube discontinuation. Results: 8900 patients underwent cardiac surgical procedures in the five- year study period. There were 6236 males and 2542 women with a mean age of 66,5 years. One hundred and twenty-two patients suffered postoperative pneumothorax for an overall incidence of 1,4%. Twenty-one of 122 patients developed a pneumothorax of variable size following chest tube removal for an overall incidence of 0,23%. Sixteen ...
The booklet presents a transparent review of a number of the learn phases of cardiac surgical procedure, interventional cardiology, and cardiac anesthesia. It additionally offers with contemporary advances in minimally invasive surgical procedure, robot surgical procedure, and plenty of different techniques brought during this box. despite the fact that, goal of this quantity isnt just to explain the evolution of the self-discipline, but in addition to provide the party of revisiting previous and forgotten rules that may be used effectively additionally these days if supported by way of glossy applied sciences. With contributions through popular overseas specialists, the quantity can be a really great tool for college kids, citizens, cardiac surgical procedure and anesthesia pros, cardiologists, biomedical engineers, and researchers ...
Thomas Jefferson University Hospital has a busy cardiac surgery service that has been ranked as one of the best in the nation. Our residents spend a minimum of two months on the cardiac anesthesia service. During this time they acquire the knowledge and technical skills needed for the anesthetic management of complex cardiac surgery patients. Our residents are exposed to a wide variety of cardiac surgical procedures including minimally invasive techniques, repair of simple congenital heart defects, the use of biventricular assist devices as a bridge to cardiac transplantation, as well as cardiac transplantation. The cardiac rotation enables the resident to become familiar with cardiac pathopysiologic conditions including severe left ventricular dysfunction, myocardial ischemia, pulmonary hypertension, and cardiac dysrhythmias. Residents have the opportunity to gain expertise in the placement of arterial lines, central venous pressure lines, and pulmonary artery catheters. Bispectral ...
Background: Postoperative stroke occurs in up to 5% of cardiac surgery patients, contributing significantly to mortality and morbidity. Patient characteristics as well as intraoperative factors have been associated with a higher risk of stroke. We hypothesized that poor systemic blood oxygenation in the perioperative period is associated with increased risk of stroke following cardiac surgery.. Methods: This was a case-control study of 311 adult patients who underwent cardiac surgical procedures at a single center from 2003-6. Patients having a postoperative stroke were matched 1:2 with controls. Minimum and average pO2 values, as measured from arterial blood gas values during and up to 24 hours after the start of surgery, were recorded and evaluated as continuous and categorical (in quartiles) predictors. Conditional logistic regression models adjusted for hypertension, diabetes, hyperlipidemia, cardiopulmonary bypass time, and prior stroke were used to evaluate associations between minimum and ...
Background: The vascular effects of high density lipoprotein (HDL) may be highly heterogeneous. Normal HDL protects vascular function. Vascular function plays an important role in maintaining the circulation stable post-cardiac surgery. The vascular effects of HDL in valvular heart disease (VHD) and cardiac surgery remain unknown. The present study is to determine the vascular effects of HDL from VHD and cardiac surgery.. Methods: HDL was isolated from healthy subjects and patients with VHD and during cardiac surgery. HDL inflammation index was measured by cell free assay. Effects of HDL on vasodilation, protein interaction, generation of nitric oxide (NO) and superoxide anion (O2·-) were determined.. Results: HDL inflammation index significantly increased in VHD patients and post-cardiac surgery. HDL from VHD patients and post-cardiac surgery significantly impaired endothelium-dependent vasodilation, inhibited both Akt and endothelial nitric oxide synthase (eNOS) phosphorylation, eNOS ...
Dr. Carmelo Otero, Cardiothoracic and Vascular Surgeon, performed the first United States clinical case at Christus Santa Rosa Hospital in San Antonio, Texas. The 53 year old, female patient presented with paroxysmal atrial fibrillation (A-Fib), mitral and tricuspid valve and coronary artery disease. The AtriLaze surgical ablation procedure was performed as a concomitant procedure with mitral valve replacement and tricuspid valve repair. Use of the AtriLaze system added a minimal amount of time to the overall surgical procedure.. "The AtriLaze system performed well, allowing me to easily and precisely replicate Maze lesions", stated Dr. Otero. "The laser technology provides me the capability to safely and quickly create an array of cardiac lesions that enabled todays successful clinical case. The AtriLaze system facilitates a simple, reproducible technique that I believe will be very effective in concomitant cardiac surgical procedures and potentially lends itself to minimally invasive and ...
Whether you need CABG, heart valve surgery, atrial fibrillation, aortic aneurysms or other complex cardiac surgical procedures, you can count on our Cardiothoracic Surgery experts.
Clinical Topics: Arrhythmias and Clinical EP, Cardiac Surgery, Diabetes and Cardiometabolic Disease, Heart Failure and Cardiomyopathies, Invasive Cardiovascular Angiography and Intervention, Noninvasive Imaging, Prevention, Stable Ischemic Heart Disease, Atherosclerotic Disease (CAD/PAD), Implantable Devices, SCD/Ventricular Arrhythmias, Atrial Fibrillation/Supraventricular Arrhythmias, Aortic Surgery, Cardiac Surgery and Arrhythmias, Cardiac Surgery and Heart Failure, Cardiac Surgery and SIHD, Acute Heart Failure, Heart Failure and Cardiac Biomarkers, Interventions and Coronary Artery Disease, Interventions and Imaging, Interventions and Vascular Medicine, Computed Tomography, Echocardiography/Ultrasound, Nuclear Imaging, Chronic Angina Keywords: EaglesEyeView, Angina, Stable, Aortic Aneurysm, Abdominal, Atrial Fibrillation, Bariatric Surgery, Body Mass Index, Cardiac Surgical Procedures, Constriction, Pathologic, Coronary Artery Bypass, Coronary Artery Disease, Cost-Benefit Analysis, ...
Genes, which are carried on chromosomes, are the basic units of heredity. They produce proteins that directly or indirectly carry out all life functions. When genes are absent or defective, proteins are unable to carry out their normal functions, resulting in genetic disorders. In gene therapy, a functioning gene replaces an absent or faulty gene, so that the body can make the correct protein and consequently eliminate the root cause of a disease.. Using molecular cardiac surgery, Dr. Bridges group was the first in the world to convincingly demonstrate that marker genes could be efficiently inserted into the majority of heart muscle cells in large animals like dogs and sheep. What makes this approach so unique is that Dr. Bridges group uses a novel, patent-pending cardiac surgical procedure and specially designed hardware as a platform for the most efficient delivery of genes to heart muscle cells ever achieved in large animals. Prior to Dr. Bridges work, research in other laboratories had not ...
Introduction: Acute kidney injury (AKI) after cardiac surgery increases length of hospital stay and in-hospital mortality. A significant number of patients undergoing cardiac surgical procedures require perioperative intra-aortic balloon pump (IABP) support. Use of an IABP has been linked to an increased incidence of perioperative renal dysfunction and death. This might be due to dislodgement of atherosclerotic material in the descending thoracic aorta (DTA). Therefore, we retrospectively studied the correlation between DTA atheroma, AKI and in-hospital mortality. Methods: A total of 454 patients were retrospectively matched to one of four groups: -IABP/-DTA atheroma, +IABP/-DTA atheroma, -IABP/+DTA atheroma, +IABP/+DTA atheroma. Patients were then matched according to presence/absence of DTA atheroma, presence/absence of IABP, performed surgical procedure, age, gender and left ventricular ejection fraction (LVEF). DTA atheroma was assessed through standard transesophageal echocardiography (TEE) ...
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies. ...
A catheter system for use in minimally invasive cardiac surgical procedures. The catheter system diminishes certain trauma generally associated with invasive cardiac procedures while providing aortic occlusion, extracorporeal circulation, cardiac arrest, and cardiac venting. The catheter system provides a minimally invasive and simplified system that performs total cardiopulmonary bypass with ease of insertion, improved whole body profusion, and shortened recovery periods. The catheters are refined, with reduced diameters and specialized functions for maximum control of each aspect of cardiopulmonary bypass.
The cardiac surgeons at Dartmouth-Hitchcock (D-H) possess expertise in a wide range of cardiac surgical procedures. And because of D-Hs integrated, multispecialty structure and collaborative culture, the best diagnostic, consultation, and treatment advice and the best surgical skills are all focused on your specific situation. These are the primary treatments that we offer: Aortic Aneurysm Repair ...
TY - JOUR. T1 - Clinical characteristics of patients undergoing surgical ventricular reconstruction by choice and by randomization. AU - Zembala, Marian. AU - Michler, Robert E.. AU - Rynkiewicz, Andrzej. AU - Huynh, Thao. AU - She, Lilin. AU - Lubiszewska, Barbara. AU - Hill, James A.. AU - Jandova, Ruzena. AU - Dagenais, Francois. AU - Peterson, Eric D.. AU - Jones, Robert H.. PY - 2010/8/3. Y1 - 2010/8/3. N2 - Objectives: The aim of this study was to confirm the generalizability of the conclusions of the STICH (Surgical Treatment for Ischemic Heart Failure) trial. Background: Surgical ventricular reconstruction (SVR) added to coronary artery bypass grafting (CABG) did not decrease death or cardiac hospitalization in STICH patients randomized to CABG with (n = 501) or without (n = 499) SVR. Methods: Baseline clinical characteristics of 1,000 STICH SVR hypothesis patients and 1,036 STICH-eligible Society of Thoracic Surgeons (STS) National Cardiac Database patients undergoing CABG plus SVR were ...
Objectives:Healthcare-associated infections after pediatric cardiac surgery are significant causes of morbidity and mortality. We aimed to identify the risk factors for the occurrence of healthcare-associated infections after pediatric cardiac surgery.Design:Retrospective, single-center observationa
Cardiovascular Surgical Associates of St. Lukes University Health Network is seeking a board certified or board eligible cardiac surgeon. This employed position will join 3 highly regarded board certified surgeons, 6 PAs and 1 nurse practitioner. Cardiovascular Surgical Associates is a growing practice specializing in tertiary referral adult cardiac surgical procedures including, TAVR, LVADs, MitraClip, minimally invasive valve surgery, complex aortic surgery, endovascular stent grafting for thoracic aortic disease and advance heart failure treatments.. ...
Surgical procedures account for the transfusion of almost 15 million units of packed red blood cells (RBCs) every year in the United States. "There has been intense interest in blood conservation and minimizing blood transfusion over the past several years, but the number of annual transfusions is increasing," says Victor A. Ferraris, MD, PhD. "At the same time, the blood donor pool has stabilized or slightly decreased." Perioperative bleeding that requires RBC transfusion is especially common during cardiac operations, which consume as much as 10% to 15% of the nations blood supply. Evidence suggests that this figure is rising, largely because of the increasing complexity of cardiac surgical procedures.. "An important part of blood resource management is recognizing patients risk of bleeding and subsequent blood transfusion.". In the March 2011 Annals of Thoracic Surgery, the Society of Thoracic Surgeons and the Society of Cardiovascular Anesthesiologists published an update to their 2007 ...
The research, conducted at the University of Michigans C.S. Mott Childrens Hospital and Boston Childrens Hospital, was published Online First in the New England Journal of Medicine Sept. 7.. "Post-operative complications for infants and young children who have cardiac surgery remains common, so we want to identify risk factors that we can modify and interventions to help speed their recovery," says Michael G. Gaies, M.D., M.P.H., a physician in the Cardiac Intensive Care Unit at C.S. Mott, and senior author of the study.. "Tight glycemic control using insulin was shown, in some studies, to improve outcomes in adult cardiac surgery patients, but we didnt know whether children would experience similar benefits.". The researchers studied 980 children from newborn to three years old who were undergoing surgery with cardiopulmonary bypass, representing the largest clinical trial ever performed in pediatric cardiac surgical patients. Patients either received standard cardiac intensive care or ...
Cardiotonic Agents: Agents that have a strengthening effect on the heart or that can increase cardiac output. They may be CARDIAC GLYCOSIDES; SYMPATHOMIMETICS; or other drugs. They are used after MYOCARDIAL INFARCT; CARDIAC SURGICAL PROCEDURES; in SHOCK; or in congestive heart failure (HEART FAILURE).
These studies are performed in the lab at UF Health and at UF Health Cardiology - Springhill, the Divisions convenient off-campus location. UF echocardiographers monitor patients during surgery, evaluate cardiac surgical procedures, and provide monitoring support services. In addition, the echocardiographers are involved in numerous clinical investigative projects from evaluating heart disease in women to testing new therapies for heart failure.. Through collaboration with the UF Health Department of Radiology, the Division offers advanced cardiac diagnostic technologies using magnetic resonance imaging and computed tomography imaging, both of which create highly detailed images of the heart.. ...
Wednesday, September 27, 2017 Simulation of cardiac surgical procedures on low fidelity simulators. Contact Abdelmajid Faysal from J&J about more details ([email protected]) ...
We propose to further research the protective effect of MMI on myocardium ischemic rat model and H9c2 cells that underwent cell apoptosis induced by hypoxia. We established the myocardium ischemic rat model via the cardiac surgical procedures in vivo and treated the model rats with different concentration of MMI. In vitro , with the pretreatment of MMI for 12 h in the model of Na ₂S ₂O ₄-induced h ...
Outcomes following paediatric cardiac surgery have long been the subject of clinical, regulatory, media and public scrutiny. There are several reasons for this. The work is among the most technically challenging, resource intensive and emotionally charged clinical activity undertaken. In the UK, past events, public inquiries and intentions to reduce the number of centres performing this surgery provide a rich source of back-stories and a level of public awareness that make paediatric cardiac surgery ripe for political comment and productive journalism.. In this context, collection and open reporting of outcome data at a national level is as fraught with difficulties as it is inescapable. Chief among these is a reasonable expectation from the profession that audit will be fair to clinical teams. This translates to a view that, in the reporting of outcomes, account should be taken of the hugely diverse set of diagnoses and comorbid conditions that patients present with, the wide range of ...
The incidence of chronic pain following cardiac surgery can be reduced in patients when the drug pregabalin is used before surgery and for 14 days post-surgery, according to a study presented at the ANESTHESIOLOGY™ 2013 annual meeting. The study also found that patients at risk of developing long-term post-operative persistent pain can be predicted by conducting pain sensitivity tests at the time of surgery.
View details of top pediatric cardiac surgery hospitals in Worli, Mumbai. Get guidance from medical experts to select best pediatric cardiac surgery hospital in Worli
View details of top pediatric cardiac surgery hospitals in Dadar, Mumbai. Get guidance from medical experts to select best pediatric cardiac surgery hospital in Dadar
Kokilaben Hospitals Childrens Heart Centre invites you to the Paediatric Cardiac Anaesthesia Intensive Care & Perfusion Update - 2018 from 30 June - 1 July, 2018. This meeting aims to provide a platform for exchange of ideas amongst professionals drawn from Paediatric Cardiac specialties looking after sick children. We hope that this meeting will provide an impetus in this direction leading to more elaborate ones in the future. This should interest cardiac Anaesthesiologists, Paediatric Cardiac lntensivists, Paediatric Cardiac Surgeons, Cardiac Perfusionists, Paediatric Cardiologists, Paediatricians, Physician Assistants, Nurses and other allied paediatric cardiac healthcare professionals. For Registration Contact: Dr Kamlesh Tailor on +91 90229 71336 or email [email protected] Mr Manoj on +91 93238 48307 or email [email protected]
Dr. Sathyaki Nambala, senior consultant and chief of cardiac surgery at Apollo hospital, is a certified cardiac and thoracic surgeon practicing in Bangalore. He has performed more than 8000 open heart procedures and more than 1600 minimally invasive surgeries. In addition to his involvement in training surgeons in advanced and innovative surgical techniques, he has participated in national and international operative surgical symposia and has lectured nationally and internationally.. Dr. Nambala served as a Senior Fellow in Cardiac surgery at the Harvard Medical School affiliated to Brigham and Womens hospital, Boston, USA which is consistently ranked among the top 5 hospitals in the US and has the largest series in minimally invasive cardiac surgeries. Dr Nambala also trained as a Fellow at the Toronto General Hospitals The Peter Munk Cardiac Centre in Canada well known for its expertise in complex aortic valve and aneurysm surgery. He has significant experience in complex valve repairs and ...
Find best Pediatric Cardiac Anesthesia Doctors in Balasore. Book appointments with expert Pediatric cardiac anesthesia Doctors based on your medical condition. View doctor phone numbers and Consultation Timings in Clinics/Hospitals.
Turn to The James Family Heart Center at Yavapai Regional Medical Center (YRMC) West for a complete range of programs and services focused on heart health. At the Heart Center, diagnosis, treatment, surgery, rehabilitation and education come together for a program that is comprehensive in scope yet personalized in approach. At YRMC, we call this creating a Total Healing Environment. Our Heart Center team - cardiothoracic (heart and lung) surgeons, cardiologists, interventional radiologists, registered nurses, technologists and other medical professionals - is committed to this YRMC philosophy of caring. Putting this philosophy into action means we strive to improve the heart health of our patients as well as work to enrich the quality of their lives. Our Heart Center team is led by nationally acclaimed cardiothoracic surgeon Pierre Tibi, MD. Thanks to the generous support of the Harold James Family Trust and Prescott-area philanthropist, Ron James, since 2007 our community has had access to ...
Serial prenatal and post-natal brain MRI demonstrates impact of congenital heart disease and cardiac surgery on brain growth and maturity. . Biblioteca virtual para leer y descargar libros, documentos, trabajos y tesis universitarias en PDF. Material universiario, documentación y tareas realizadas por universitarios en nuestra biblioteca. Para descargar gratis y para leer online.
TY - JOUR. T1 - Patients with diabetes mellitus undergoing cardiac surgery are at greater risk for developing intraoperative myocardial acidosis. AU - Kumbhani, Dharam J.. AU - Healey, Nancy A.. AU - Thatte, Hemant S.. AU - Nawas, Sammy. AU - Crittenden, Michael D.. AU - Birjiniuk, Vladimir. AU - Treanor, Patrick R.. AU - Khuri, Shukri F.. PY - 2007/6. Y1 - 2007/6. N2 - Objective: In patients undergoing cardiac surgery, intraoperative myocardial acidosis, which quantifies regional myocardial ischemia, has been shown to increase the risk of adverse postoperative outcomes. In this study, we sought to determine the course of intraoperative myocardial acidosis and its impact on postoperative survival in patients with diabetes mellitus undergoing cardiac surgery. Methods: Intraoperative myocardial tissue pH37C was continuously measured in the anterior and posterior left ventricular walls in 264 patients undergoing cardiac surgery; 74 (28.0%) of the patients had diabetes (insulin-dependent diabetes: ...
For patients undergoing cardiac surgery, persistent postoperative pain decreases over time and is 9.5% at 24 months after surgery.
In the context of a large increase in the number of procedures submitted annually for audit, the raw 30-day mortality rate for paediatric cardiac surgical episodes in the UK fell from 4.3% in 2000 to 2.6% in 2009/2010, with a downward trend over this period. The drop in 30-day mortality was seen across the lower three bands of risk, which accounted for 92.9% of surgical episodes, but not in the highest risk band. Interestingly, the UK paediatric cardiac surgery case mix has become more rather than less complex over a decade of improving outcomes as reflected by the increased prevalence of functionally univentricular hearts, high-risk diagnoses and low weight at operation (,2.5 kg). This trend suggests that rather than turning away higher risk patients during an era when outcomes have been monitored more closely, conversely, a greater proportion of more complex patients were taken on in later years.. There was evidence that definitive surgical repairs are being performed earlier in life than was ...
International Journal of Endocrinology is a peer-reviewed, Open Access journal that provides a forum for scientists and clinicians working in basic and translational research. The journal publishes original research articles, review articles, and clinical studies that provide insights into the endocrine system and its associated diseases at a genomic, molecular, biochemical and cellular level.
Background: Brachial-ankle pulse wave velocity (baPWV), a marker of arterial stiffness (AS), is a well-known non-invasive marker of cardiovascular morbidity but its impli..
Jaundice following cardiac surgery, frequently referred to as “post-pump jaundice,†has been reported since the 1960’s with an incidence of between 3 to 40%. The incidence of jaundice following mitral valve replacement has been reported to be as high as 55%. Jaundice following cardiac surgery has been associated with prolonged mechanical ventilation, prolonged intensive care unit (ICU) stay, and a higher mortality. The causes of jaundice following cardiac surgery include acute cholecystitis, acute pancreatitis, shocked liver, and septic shock. However, a subset of patients develop hepatic dysfunction without an obvious cause. Hepatic dysfunction in these patients is characterized by hyperbilirubinemia with a mild elevation in hepatic transaminases and no evidence of biliary obstruction on imaging. This entity has been referred to as the “cholestatic post-cardiac surgery syndrome†.. ...
Heart Center, Prevention, Diagnostic, Treatment of Cardiovascular Disease. Minimally invasive Surgery - StonyBrookPhysicians.com. Heart Center - Call our heart center for treatment of cardiovascular disease, prevention, and surgery. Phone: 631-44-HEART (444-3278).
Objective: To implement routine in-house monitoring of risk-adjusted 30-day mortality following paediatric cardiac surgery. Design: Collaborative monitoring software development and implementation in three specialist centres.
... WINSTON-SALEM, N.C. - The Heart Center at Wake Forest University Baptist Medical Center has created the role of outreach coordinator - to ensure smooth access to services for referring phys
Are you looking for a specialist in the field of PAEDIATRIC CARDIAC SURGERY? Here you will find selected specialists in Germany, Austria or Switzerland
The first two days after surgery were the worst, although each day of recovery had potential for a few surprises. Immediately following open heart surgery your vital signs will be checked every hour on the hour around the clock for the first two to three days and nights. In addition to monitoring your vitals signs, the first week of recovery will focus on pain management, breathing exercises, sitting in a chair, walking down hallways, nourishment, limited leg and arm exercises, and not much else. My cardiologist and my surgeon said my recovery was ahead of schedule according to the time frame. It was several days after surgery before I could express cognitive thoughts on paper due to pain medication, repeatedly drifting to sleep, discomfort, and an occasional sense of helplessness. I had surgery on a Monday morning and was released to come home late Friday afternoon. ...
Specialty chapter, complete with index tab, to add to your Fast Facts book. Contents: Cardiopulmonary Bypass and its effects The types of Bypass Grafts Manage
Aetiology of preoperative anaemia in patients undergoing elective cardiac surgery - the challenge of pillar one of Patient Blood Management: This Anaesthesia and Intensive Care Journal article authored by SA Health staff provides the findings from a retrospective study aimed at determining the aetiology of preoperative anaemia in a cohort of patients undergoing elective cardiac surgery over two years at a tertiary hospital.. Note: the link is to the summary only. To view the full article, you will need to be a subscriber to the Anaesthesia and Intensive Care Journal or register for free access to this article. If you do not have access and wish to receive a copy, please contact Blood Organ and Tissue Programs. This article can be cited as "J Abraham, R Sinha, K Robinson, V Scotland, D Cardone. Aetiology of preoperative anaemia in patients undergoing elective cardiac surgery-the challenge of pillar one of Patient Blood Management. Anaesth Intensive Care 2017; 45:46-51.". Changing pattern of red ...
The Cardiology and Cardiothoracic Surgery team at St. Louis Childrens Hospitals Heart Center provides diagnosis and treatment of acquired heart problems and congenital heart disease or heart malfunction in children. Learn more about our Pediatric Heart Program.
Intensive Care Unit Following open heart surgery, patients are first brought to Vistas newly expanded Intensive Care Unit (ICU). It features a contemporary, functional design that keeps patients in direct view of the nurses stations. Our ICU specializes in caring for patients with myocardial infarction, cardiogenic shock and acute coronary syndrome. Each room has an over-sized glass sliding door facing one of several nurses stations in the unit. Additionally, all rooms have sophisticated monitoring e...
Pediatric Cardiac Anesthesia de Carol L. Lake en Iberlibro.com - ISBN 10: 0781751756 - ISBN 13: 9780781751759 - Wolters Kluwer Health (Lww) - 2004 - Tapa dura
The 33 bed critical care area (CCA) comprises three cardiac recovery (CRU) beds dedicated to the care and treatment of patients for the first 24 hours following open heart surgery.
Physician work hours and fatigue can impact patient safety, particularly among subspecialties focused on high-risk patients. This retrospective cohort study examined outcomes of patients undergoing nonemergent cardiac surgery occurring before or after 3pm.
Welcome to the Division of Cardiac Surgery of the Northwestern University Feinberg School of Medicine. Ranked 13th in the nation for heart and heart surgery programs by U.S. News and World Report, the Division of Cardiac Surgery at Northwestern University Feinberg School of Medicines Department of Surgery is widely respected throughout the nation as an innovator and leader. The divisions success is built upon three main areas: education, research, and clinical care through Feinberg-affiliated hospitals.. Learn more about our work via the links below.. ...
A patient s intensive care unit ICU length of stay following cardiac surgery is an important issue in Canada, where cardiovascular intensive care resources are limited and waiting lists for cardiac surgery exist. We trained a neural network with a database of 713 patients and 15 input variables to predict patients who would have a prolonged ICU...
The UC Davis Pediatric Heart Center will host its first Concepts in Congenital Cardiac Care symposium, a conference which will bring together medical experts and researchers, pediatric cardiothoracic surgeons, radiologists, sonographers and pediatric cardiac nurses to discuss the changing landscape of congenital cardiac care.
Overview The Great Falls Clinic Heart Centers philosophy is to be Montanas regional Heart Center of choice by providing state-of-the art, comprehensive cardiac services to adult and geriatric patients.
Orchid Hospital & Heart Centre in Janakpuri, Delhi. Book Appointment, Consult Doctors Online, View Doctor Fees, Contact Number, Address for Orchid Hospital & Heart Centre - Dr. Pardeep Rastogi | Lybrate
A comprehensive preadmission process for open heart surgery patients sets the stage for preventing post-operative complications and improves patient outcomes. Due to the complexity and expense of open heart surgery, it is essential for every organiza
Thursday I went to take a tour of the new CCF heart center. Its going to be absolutely incredible: ten stories tall, of which eight floors are for patient care. The top floor will have an outdoor patio and banquet area that looks out over downtown Cleveland and Lake Erie. The view is gorgeous. The nineth floor houses all of the emergency generators for the heart center and the new urological building. There are four of them, and theyre enormous. The fourth through eighth floors will have patient rooms, the third floor will be the ORs, and the second floor will have the cath labs. Its going to be absolutely state of the art, and the best part of the whole thing is that it should be opening next summer, just in time for my class to begin our rotations ...
Pneumonia after open heart surgery - What person lived longest after open heart surgery? Non likely known. Well one of my patients had the surgery in 1972 so thats about forty years. She is doing fine so maybe she will be #1 someday but I doubt if anyone knows. Im sure someone can beat 40 years.
Dialysis after open heart surgery - How common is pneumonia and the need for dialysis after open heart surgery for a torn aorta due to an aneurysm and two blocked arteries? Frequent. After such a life threatening event, it is not unusual to have complications, and renal failure needing dialysis as well as pneumonia from a prolonged intubation are actually quite common in this traumatic setting.
Transesophageal echocardiography (TEE) has opened a new window to the heart not only in adult cardiac surgery but in pediatric cardiac surgery. Its success rate in clinical decision making is impressive. It has become an important part of pediatric and adult cardiology. The combination of unique morphological and hemodynamic information of exceptional diagnostic quality and the possibility to use this diagnostic method as a bedside tool in the intensive care unit and the operating room guarantee that this diagnostic modality will maintain its firm place in the diagnostic armamentarium of cardiologists and anesthesiologists. TEE can provide an immediate gauge of surgical results and can be of help to avoid suboptimal surgical outcomes. We showed a recent advance with TEE modality including 3D TEE.
The study will enroll post-cardiac surgery subjects (CABG and/or valve) with laboratory evidence of AKI within 48 hrs of removal from cardiopulmonary bypass. Subjects will be randomly assigned (1:1 ratio) to treatment with a single administration of AC607 or placebo (approximately 100 subjects per group).. Safety and efficacy assessments will be performed daily during the post-operative hospital stay from the day randomized into the study until discharge, at 30 days, and at 90 days after study drug administration (evaluation phase). Safety and long-term clinical outcomes will be assessed at 6, 12, 24 and 36 months (long-term follow-up phase). ...
Surgery itself according to the Anesthesiologist took about 10-12 hrs (I cant remember which) this time and was much more complicated than was expected/hoped for (The Surgeon had hoped to only have to re-seat the mechanical aortic valve) due to the issues going on and scar tissue. They had to re-do everything that was done In the last surgery 7 wks ago. As far as scar tissue they where amazed to note that this was a closer equivalent at my being 6 weeks post-op to someone who had, had cardiac surgery at say 3 years old and was then having revision surgery again 10 years later!? I guess in thinking about this after I heard the information I wasnt maybe entirely surprised as my Mom reminded me when I had called her that night that with Dr. Braggs shunt surgeries she to would often comment how quickly the shunt tubing and pieces where scarred. It was always a similar issue w the shunts being so scarred, so early she typically couldnt visibly see them without dissecting down (something like that) ...
Heart surgery involves a lot of precision and requires much accuracy and performance of this surgery needs the use of cutting edge technologies like Cardiac MRI, PET scan, 256 slice CT scan SPECT thallium, robotic surgery and 3D echocardiography. These modern cardiac surgery facilities are available at world class cardiac surgery hospitals. These hospitals are the best for heart surgery. The technologies available in these hospitals are affordable in cost and have a lead to enhance the success rate of heart operations in India. One thing to remember is that cardiac procedures like open heart surgery are a major medical procedure. It is a serious surgery and has to be done in the presence of the family members of the patient. The term "heart surgery" it needs stress for most cardiac patients and their family members. It is for this reason that most cardiac patients like to get done heart surgery by the best cardiac surgeons ...
Heart surgery involves a lot of precision and requires much accuracy and performance of this surgery needs the use of cutting edge technologies like Cardiac MRI, PET scan, 256 slice CT scan SPECT thallium, robotic surgery and 3D echocardiography. These modern cardiac surgery facilities are available at world class cardiac surgery hospitals. These hospitals are the best for heart surgery. The technologies available in these hospitals are affordable in cost and have a lead to enhance the success rate of heart operations in India. One thing to remember is that cardiac procedures like open heart surgery are a major medical procedure. It is a serious surgery and has to be done in the presence of the family members of the patient. The term "heart surgery" it needs stress for most cardiac patients and their family members. It is for this reason that most cardiac patients like to get done heart surgery by the best cardiac surgeons ...
heart surgery recovery - MedHelps heart surgery recovery Center for Information, Symptoms, Resources, Treatments and Tools for heart surgery recovery. Find heart surgery recovery information, treatments for heart surgery recovery and heart surgery recovery symptoms.
The minimally invasive heart surgery procedures is a safe and broadly applicable technique for complex heart procedures, including single or multiple heart valve procedures, bypass surgery, congenital heart repairs, and reoperations.Learn more about Minimally Invasive Heart Surgery contact at Paras Hospitals, Gurgaon
Biology Assignment Help, Post-operative care of cardiac surgical patients, POST-OPERATIVE CARE OF PATIENTS The first few days following cardiac operations are the most critical in terms of the patients survival. The safety with which a patient can be conducted through this crisis period is largely dependent upon minu
Respiratory Care Services at UT Medical Center provide services throughout the entire hospital to those who require treatment or diagnosis for conditions affecting the cardiopulmonary system. Respiratory Care Services provide approximately 650,000 respiratory treatments annually.. Those served by the department range from the tiniest of premature neonates to the eldest geriatric patients that receive bedside respiratory care, counseling and treatment. Under the direction of Paul Branca, MD, FCCP, physician director, Respiratory Care Services maintains a fleet of 92 mechanical ventilators used daily for postoperative cardiac surgery patients, victims of major trauma, premature infants, those with life-threatening lung failure and a host of other problems.. Respiratory Services cover the entire geography of the medical centers campus on a round-the-clock basis, seven days a week, 365 days a year. Well-trained professionals provide vital lung treatments using state-of-the-art therapist-driven ...
The Heart Center at Sinai is one of the regions most comprehensive cardiac care centers that treats patients with post cardiac procedures or surgeries such as cardiac catheterizations, coronary artery bypass or heart valve replacement.
Spire Southampton Hospital is one of the exclusive three hospitals, and the only private hospital, to receive a letter of congratulations from the Society of Cardiothoracic Surgery in Great Britain (SCTS) for recording a survival rate higher than expected, based on a risk adjusted outcome model.. The survival rate of 99.4% is the highest of any of the 40 hospitals included in the study - the national survival rate was 98.04%. The National Adult Cardiac Surgery Audit also demonstrates that Spire Hospital Southampton cardiac surgical patients have more complex operations, with an older average age, making the risk adjusted outcomes more impressive.. Spire Southamptons Hospital Director, Margaret Da Costa praised the efforts of the Cardiac team:. "We are delighted to be one of only three hospitals to have received a letter from the National Institute for Cardiovascular Outcome Research, recognising Spire Southampton for their high survival cardiac outcomes. This audit recognises both the ...
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Regions Hospital Heart Center is located in St. Paul, Minnesota. We are led by recognized heart specialists and offer top care for all types of cardiac conditions.
The Congenital Heart Center at Helen DeVox Childrens Hospital has received the highest national recognition for having one of the most advanced facilities in the country.
The Heart Center at Nationwide Childrens is a world-class diagnostic, treatment and research facility for pediatric and adult patients with all forms of congenital heart disease and acquired cardio-myopathy.
The Heart Centre for Children at The Childrens Hospital at Westmead treats over 3500 patients with congenital heart disease each year.
Robert F. Tranbaugh, M.D., specializes in Cardiac Surgery at Weill Cornell Medicine in New York. Schedule an appointment today by calling (718) 780-7700.
Muhammad Imtiaz 37 years old was experiencing severe chest pain and was diagnosed as a case of Ischemic heart disease. His percutaneous intervention (PCI) was done as angioplasty was not possible. He was advised open heart surgery; coronary artery bypass graft (CABG). His surgery was done in National Hospital & Medical center on 09-12-16 by Dr Maqsood Elahi. His operation was successful and he was discharged in good health.. ...
With experts cardiologists and a comprehensive Heart Center, we treat heart disease and other cardiology issues with efficient, state-of-the-art practices.
Physician-scientists in Seattle Childrens Heart Center improve the lives of children by developing new ways to prevent, diagnose and treat heart problems.
Open heart surgery is any surgery where the chest is opened and surgery is done on the heart muscle, valves, arteries, or other parts of the heart
There are many times when it is inappropriate to tweet. At dinner, for one. In the middle of a movie. And, in most cases, open heart surgery. Dr. Paresh Patel, however, had a good reason to tweet during a 57-year-old patients double-coronary artery bypass - to create awareness for Heart Month, an initiative to prevent heart attacks and strokes in the United States. Be advised that this post contains graphic medical photos and videos.
In an open heart surgery, blood is diverted to a heart-lung bypass machine by means of cannulae. A patient had previous CABG so the line was put into his leg, and the other in the right ventricle I think. Why would you put it in the leg? and would it be the right ventrical that the other cannula was inserted into ...
Seeing someone go through open heart surgery can often be emotionally challenging. Here are ways that caregivers can prepare for the post-surgery recovery.
Our Path Through Open Heart Surgery; I say path because that is what it was, as we did not start out knowing that my husband would have, Open Heart Surgery
Heart rate variability (HRV) refers to the variations between consecutive heartbeats, which depend on the continuous modulation of the sympathetic and parasympathetic branches of the autonomic nervous system. HRV has been shown to be effective as a predictor of risk after myocardial infarction and an early warning sign of diabetic neuropathy, and in the cardiology setting is now recognized to be a useful tool for risk-stratification after hospital admission and after discharge. Recent evidences suggest that HRV analysis might predict complications even in patients undergoing cardiac surgery, and the present review summarizes the importance of HRV analysis in adult cardiac surgery and the perspectives for HRV use in current clinical practice ...
Annals of Cardiac Anaesthesia is Annals of Cardiac Anaesthesia is the official publication of the Indian Association of Cardiovascular Thoracic Anaesthesiologists .
Heart Care For You aim of providing comprehensive cardiac care solutions to the patients for Angioplasty Surgery, Bypass surgery, Cardiac surgery, Valve Surgery, Cardiac surgery, Heart Failure.
The idea of having cardiac surgery may seem scary and overwhelming, but preparing in advance by learning the basics of cardiac rehab can lessen anxiety.
Get this from a library! Core concepts in cardiac surgery. [David Taggart; Yasir Abu-Omar;] -- The development of new techniques and the refinement of established procedures make cardiac surgery a fast-moving field. Core concepts in cardiac surgery has been developed to make it an invaluable ...
Cardiac Surgery Associates, P.C., is a company that works within the Biotech/drugs. This Downers Grove, IL-based business. Their profile on Lead411 presents significant contact information such as cfo contacts, phone numbers, linkedin data, and Cardiac Surgery Associates, P.C. email format addresses with the @openheart.net domain as well as quality contact info regarding Cardiac Surgery Associates, P.C.s CEO . They have their head office in Downers Grove, IL. If you sign up for our free trial you will see our [email protected] addresses ...
Lanxon writes Swaroup Anand, 23, from Bangalore, was fully conscious as he underwent open-heart surgery. An epidural to the neck, administered at the city’s Wockhardt Hospital, numbed his body during the procedure. Dr Vivek Jawali pioneered the technique ten years ago and has recently release...
A 69 year old underwent open-heart surgery 48 hours ago. He was discharged to the surgical floor ... . Cardioversion c. IV amiodarone d. IV digoxin
Previous research has suggested high rates of cognitive decline following cardiac surgery, but a new study finds no such association with surgery vs cardiac catheterization.
Internet has revolutionsed the way we learn . Now, you can watch experts perfoming complex cardiac surgries sitting at any where in the globe ! The credit not only goes to the broad-band internet , but also the greatness of   European association of cardiothoracic surgery which has made it available free of cost .…
Prospective observational study to assess association between time in target Flowtrac/EV1000 data with clinical outcomes in cardiac surgery patients (Connected Insights). The new study application will investigate a minimally invasive device (Flotrac sensor with EV1000 clinical platform) from Edwards Life Science in cardiac surgery patients. The EV1000 device is already being used at Tufts Medical Center in the operating rooms and ICUs to guide fluid resuscitation and medicine administration in critically ill patients.. ...
Study finds that patients undergoing a first-time implantable cardoverter-defibrillator (ICD) procedure in the afternoon or evening or on weekends or holidays were more likely to experience adverse events.
Background: Prophylactic antibiotic therapy is given routinely in the peri-operative period to prevent surgical site infection. However, in pediatric cardiac surgery, an optimal schedule has not been defined. Pediatric recommendations follow the guidelines for adults, which might be improper because of the inherent challenges in pediatric research and the heterogeneity of the population. Implementation of an effective prophylaxis protocol is needed for children undergoing cardiac surgery, especially in view of worldwide antibiotic overuse and the development of drug resistance. In this review, we analyze the current knowledge supported by up-to-date publications about antibiotic prophylaxis in pediatric cardiac surgery.. Methods: The PubMed® database was searched for full-text journal articles describing peri-operative antibiotic prophylaxis in pediatric cardiac surgery published since 2000. Antibiotics used for standard prophylaxis with dosing schema, time of the first dose, additional dosage ...
Hwang V.J., Kim J., Rand A., Yang C., Sturdivant S., Hammock B., . . . Weiss R.H. (2015). The cpk model of recessive PKD shows glutamine dependence associated with the production of the oncometabolite 2-hydroxyglutarate. American Journal of Physiology - Renal Physiology, 309(6), F492-F498. doi:10.1152/ajprenal.00238.2015. ...
TY - JOUR. T1 - Duration of red blood cell storage and outcomes in pediatric cardiac surgery. T2 - an association found for pump prime blood.. AU - Ranucci, Marco. AU - Carlucci, Concetta. AU - Isgrò, Giuseppe. AU - Boncilli, Alessandra. AU - De Benedetti, Donatella. AU - De la Torre, Teresa. AU - Brozzi, Simonetta. AU - Frigiola, Alessandro. PY - 2009. Y1 - 2009. N2 - INTRODUCTION: Cardiac surgery using cardiopulmonary bypass in newborns, infants and small children often requires intraoperative red blood cell transfusions to prime the circuit and oxygenator and to replace blood lost during surgery. The purpose of this study was to investigate the influence of red blood cell storage time prior to transfusion on postoperative morbidity in pediatric cardiac operations. METHODS: One hundred ninety-two consecutive children aged five years or less who underwent cardiac operations using cardiopulmonary bypass and who received red blood cells for priming the cardiopulmonary bypass circuit comprised ...
BACKGROUND: Neurocognitive dysfunction remains a limitation of cardiac surgery with cardiopulmonary bypass. Intraoperative cerebral microembolization is believed to be one of the most important etiologic factors. Using a new generation of transcranial Doppler ultrasonography, we compared the number and nature of intraoperative microemboli in patients undergoing on-pump and off-pump cardiac surgery procedures. METHODS: Bilateral continuous transcranial Doppler monitoring of the middle cerebral arteries was performed in 45 patients (15 off-pump coronary artery bypass grafting, 15 on-pump coronary artery bypass grafting, and 15 open cardiac procedures). All recordings were performed using a multi-range, multifrequency system to allow both measurement of the number and discrimination of the nature of microemboli in the 3 different groups. RESULTS: The median number (interquartile range) of microemboli in the off-pump coronary artery bypass grafting, on-pump coronary artery bypass grafting, and open
This trial was designed as a randomized, double-blind, 2-arm, parallel-group, placebo-controlled study within thirteen participating cardiac surgical centers. Eligible patients included those with reduced left ventricular ejection fraction (40% or lower), undergoing CABG surgery with cardiopulmonary bypass alone or combined with valve surgery. Patients were assigned in 1:1 fashion to either levosimendan or placebo. Primary end point included a composite of 3 elements reflecting low cardiac output syndrome. These included catecholamine infusion persisting beyond 48 hours after infusion of levosimendan, need for left ventricular assist device in the post-operative period, or the need for renal replacement therapy during the intensive care unit stay. Secondary end-points included in-hospital mortality, number of days with mechanical assist device, and number of days with renal replacement therapy among others (other secondary endpoints included in text). Total of 336 patients were randomized ...
Jean-Paul Mira shares his thoughts on the LICORN trial which sought to answer the question: Does a prophylactic levosimendan infusion reduce the incidence of postoperative low cardiac output syndrome in patients with impaired left ventricular function who are undergoing isolated or combined coronary artery bypass grafting surgery under cardiopulmonary bypass?. Results from this trial were presented at LIVES 2017 in Vienna and have been published in JAMA.. Find the article in JAMA HERE.. ...
Professor of Surgery at CUMC Cardiac Surgery, Heart Surgery, Marfans Syndrome, Coronary Artery Disease, Heart Failure, Aortic Aneurysm, Thoracic/Cardiothoracic Surgery, Bicuspid Aortic Valve, Minimally Invasive Aneurysm Repair, Arterial Insufficiency, Mechanical Assist Device, Mitral Valve Surgery, Mitral Valve Prolapse, Mitral/Aortic Valve Replacement, Aneurysm Repair, Left Ventricular Assist Devices (LVAD), Mitral Valve Repair, Off Pump Coronary Bypass Surgery, Heart Valve Repair, Heart Transplantation, Coronary Artery Bypass, Minimally Invasive Heart Surgery, Minimally Invasive Valve Repair, Thoracic Aneurysm Surgery, Bloodless Surgery, Aortic Disease, Atrial Fibrillation, Valve Replacement, Valve Reconstruction/Repair, Thoracic Aneurysm, Open Heart Surgery, Pericardial Disease
November 27, 2007 - St. Jude Medical Inc. announced FDA approval of its Epic Stented Tissue Valve with Linx AC Technology. The Epic Valve, which is identical in design to the companys Biocor Valve, also incorporates patented anti-calcification technology designed to protect against tissue mineralization, or hardening.. An estimated 100,000 Americans undergo heart valve replacement annually and the majority of them receive tissue valves. Valve durability is affected by both mechanical stress and tissue calcification. The Epic Valve is designed to address both issues to deliver long-term performance.. "The Epic Valve sets a new standard for addressing tissue mineralization and potentially extending long-term valve durability," said Vibhu Kshettry, M.D., director of Cardiac Surgery at the Minneapolis Heart Institute at Abbott Northwestern Hospital, Minneapolis, and a principal investigator in the Epic clinical study. "Enhanced durability, combined with a design that facilitates the implant ...
May 8, 2014 /Press Release/ -- The Mount Sinai Health System and Mount Sinai Beth Israel are pleased to announce the appointments of Blase A. Carabello, MD, as Chair of Cardiology and John D. Puskas, MD, as Chair of Cardiothoracic Surgery at Mount Sinai Beth Israel.. "I am thrilled Dr. Carabello and Dr. Puskas have joined Mount Sinai Beth Israel," says Susan Somerville, RN, President of Mount Sinai Beth Israel. "Under our new heart teams strong expertise and leadership, we will advance Mount Sinai Beth Israel to new heights and the frontlines of cardiovascular medicine and research, growing our cardiovascular services on our downtown Manhattan campus, Mount Sinai Beth Israel Brooklyn, and in the community.". "I am excited to join Mount Sinai Beth Israel and partner with Dr. Puskas in Cardiothoracic Surgery to reignite heart care at Beth Israel with a true patient-centered care focus and no barriers between cardiology and cardiothoracic surgery services," says Dr. Blase A. Carabello, Chair of ...
A robotically assisted surgical system used for prostatectomies, cardiac valve repair and gynecologic surgical procedures ... 1,500 per procedure, the cost of the procedure is higher.[6] Additional surgical training is needed to operate the system.[7] ... "A prospective analysis of 211 robotic-assisted surgical procedures". Surgical Endoscopy. 17 (10): 1521-4. doi:10.1007/s00464- ... "da Vinci Si Surgical System". Intuitive Surgical. Retrieved 30 September 2013.. *^ Oliveira CM, Nguyen HT, Ferraz AR, Watters K ...
As with any surgical procedure, cardiac catheterizations come with a generic list of possible complications. One of the ... Mustard procedure. Senning procedure. for univentricular defect Norwood procedure. Kawashima procedure. shunt from blood vessel ... A cardiac electrophysiology study (EP test or EP study) is a minimally invasive procedure that tests the electrical conduction ... procedures. Electrophysiology. Electrocardiography Vectorcardiography. Holter monitor. Implantable loop recorder. Cardiac ...
They are trained to perform interventional and surgical procedures to treat cardiac arrhythmia. ... These include the great cardiac vein, the middle cardiac vein, the small cardiac vein and the anterior cardiac veins. ... Cardiac arrestEdit. Main article: Cardiac arrest. Cardiac arrest is a sudden stop in effective blood flow due to the failure of ... Electrophysiological procedures include electrocardiogram, cardiac monitoring, cardiac stress testing, and the ...
By December 31, 1993 there was information for 500,000 non-cardiac surgical procedures. In 1994 NVASRS was expanded to all 128 ... The name was then changed to the National Surgical Quality Improvement Program. Beginning in the mid-1990s VHA underwent what ... Khuri, SF; Daley, J; Henderson, WG (2002). "The Comparative Assessment and Improvement of Quality Surgical Care in the ... In 1991 the National VA Surgical Risk Study (NVASRS) began in 44 Veterans Administration Medical Centers. ...
TEE is very useful during many cardiac surgical procedures (e.g., mitral valve repair). It is actually an essential monitoring ... Unlike the TTE, the TEE is considered an invasive procedure and is thus performed by physicians in the U.S., not sonographers. ... Most commonly used during open heart procedures, if the patient's status warrants it, TEE can be used in the setting of any ... In addition to use by cardiologists in outpatient and inpatient settings, TEE can be performed by a cardiac anesthesiologist to ...
In 1916 he performed a delicate cardiac surgical procedure at Hospital Tricoche in Ponce; it is so registered in the records of ... and from the Chicago Laboratory of Surgical Technique in 1916. He returned to Puerto Rico and acted as medical director at the ... the Puerto Rico Medical Association as the first such procedure performed in Puerto Rico. In 1918 he took a position at the ...
They are trained to perform interventional and surgical procedures to treat cardiac arrhythmia. The training required to become ... These include the great cardiac vein, the middle cardiac vein, the small cardiac vein and the anterior cardiac veins. As the ... Electrophysiological procedures include electrocardiogram, cardiac monitoring, cardiac stress testing, and the ... An implantable cardiac defibrillator may be placed to reduce the chance of death from recurrence. In the United States, cardiac ...
Medical sergeants specialize in trauma management, infectious diseases, cardiac life support and surgical procedures, with a ... Module C - Communications Procedures: The module instructs the soldiers on basic communications fundamentals such as basic ... Course instruction includes direct- and indirect-fire systems and procedures: mortars, light/heavy weapons, sniper systems, ... The course covers: basic military construction techniques and procedures; basic and intermediate demolitions; Special Forces ...
A pericardial window is a cardiac surgical procedure to create a fistula - or "window" - from the pericardial space to the ... an untreated pericardial effusion can lead to cardiac tamponade and death. The window is usually performed by a cardiac surgeon ... The pericardial window procedure decreases the incidence of postoperative pericardial tamponade and new-onset atrial ... Zhao J (Apr 2014). "Does posterior pericardial window technique prevent pericardial tamponade after cardiac surgery?". J Int ...
A heart transplant, or a cardiac transplant, is a surgical transplant procedure performed on patients with end-stage heart ... Mustard procedure. Senning procedure. for univentricular defect Norwood procedure. Kawashima procedure. shunt from blood vessel ... procedures. Electrophysiology. Electrocardiography Vectorcardiography. Holter monitor. Implantable loop recorder. Cardiac ... Fontan procedure. left ventricle to aorta Rastelli procedure. right ventricle to pulmonary artery Sano shunt. compound ...
Treatment of this cardiac abnormality can require surgery, or non-surgical procedures like balloon valvuloplasty (widening the ... or surgical intervention, like a cochlear implant. Pulmonary, or pulmonic stenosis is an often congenital narrowing of the ...
Elisha has 140 hospital beds and six operation rooms designed to make different surgical procedures, from cardiac and plastic ... which performs 10.000 surgical procedures, and 12.000 ambulatory procedures each year, as well as in vitro fertilization ...
... is a cardiac surgical procedure in which a patient's diseased mitral valve is replaced by either a ... Since a mitral valve replacement is an open heart surgical procedure, it requires placing the patient on cardiopulmonary bypass ... Non-surgical approaches to treat heart valve disease without surgery are divided into three categories: Clinical Practice ... One wonders whether any of the patients in either group in this analysis underwent any mechanical cardiac valve replacement. If ...
Median sternotomy - This is the primary incision used for cardiac procedures. It extends from the sternal notch to the xiphoid ... In surgery, a surgical incision is a cut made through the skin and soft tissue to facilitate an operation or procedure. Often, ... Surgical positions. References[edit]. *^ Surgical Incisions - Their Anatomical Basis Section: Thoracic Incisions: http://medind ... In general, a surgical incision is made as small and unobtrusive as possible to facilitate safe and timely operating conditions ...
The East Carolina Heart Institute now performs over 1200 cardiac surgical, 3000 interventional, and 5000 diagnostic catheter- ... based procedures yearly. The center's research laboratories have been responsible for training residents and supporting ... the American Surgical Association, the American College of Cardiology, and the Cardiac Surgery Biology Club. He is on numerous ... After his chief residency at Duke in 1984, he was selected to develop and head the new cardiac surgery program at the East ...
... which most cardiac procedures require intraoperatively while the heart undergoes surgical correction. All anesthesiologists ... surgical treatment of cardiac arrhythmias, and the complete gamut of invasive cardiologic (catheter-based) and ... Manual of Cardiac Anesthsia, William A dell, chapter 15, page 387-396, 1984 Stephen J Thomas; Manual of Cardiac Anesthsia, ... Some of the cardiac surgeries they train for include the following: coronary artery bypass surgery (CABG) both on ...
... and he made significant contributions to several other cardiac surgical procedures. Johnson was born in Madison, Wisconsin. His ... Later, he joined cardiac surgeon Derward Lepley in Milwaukee to work on coronary artery bypass procedures. Johnson became known ... He also made breakthroughs in stopping the blood flow through the heart during surgery and in lowering the cardiac surgery ... By the late 1990s, Johnson was working on surgical treatments for the arrhythmia known as atrial fibrillation, and he was ...
"Multifactorial index of cardiac risk in noncardiac surgical procedures", published in 1977 in the New England Journal of ... "Policy and Procedure Governing Appointments to Distinguished Professorships". University of Pittsburgh Faculty Handbook. ...
... which could be the result of either organic heart disease or cardiac surgical procedures. It is not useful in ischemic heart ... Dobutamine is used to treat acute but potentially reversible heart failure, such as which occurs during cardiac surgery or in ... Dobutamine can be used in cases of congestive heart failure to increase cardiac output. It is indicated when parenteral therapy ... increasing contractility and cardiac output. Since it does not act on dopamine receptors to induce the release of ...
... surgical stapling MeSH E04.928.220 --- cardiac surgical procedures MeSH E04.928.220.220 --- cardiomyoplasty MeSH E04.928. ... cardiac surgical procedures MeSH E04.100.376.125 --- cardiomyoplasty MeSH E04.100.376.374 --- heart arrest, induced MeSH ... otologic surgical procedures MeSH E04.580.450.109 --- auditory brain stem implantation MeSH E04.580.450.220 --- cochlear ... pulmonary surgical procedures MeSH E04.928.600.080 --- bronchoscopy MeSH E04.928.600.220 --- collapse therapy MeSH E04.928. ...
... insights provided by the ventricular myocardial band model allows glimpses of possible advances in cardiac surgical procedures ... His work can be found in reference books on anatomy and cardiac surgery. Torrent-Guasp started his cardiac research during ... This procedure aims to improve the shape of the ventricles in dilated hearts by removing part of the excess muscle tissue ... Gómez Oliveros, he began to focus on his lifelong interest in cardiac anatomy and physiology. This motivated him to write his ...
The emergency physician requires a broad field of knowledge and advanced procedural skills often including surgical procedures ... trauma resuscitation, advanced cardiac life support and advanced airway management. They must have the skills of many ... The field of emergency medicine encompasses care involving the acute care of internal medical and surgical conditions. In many ...
... surgical procedures, stents, implantable cardiac defibrillators, neural stimulators - they didn't exist 10 years ago." In ... Artvoice wrote, "The implantable cardiac defibrillator and neural stimulators, or TENS devices, were both invented and patented ...
for examples see: Hybrid cardiac surgical procedure) Clinical benefits range from the visualization of ventricular systems, ... The CT image is usually acquired a few days or at least hours before the procedure, giving time for planning. However, the ... Accordingly, to use a preoperative CT image during the procedure, a software registration between the CT image and the life ... Changes in anatomy: During endovascular procedures, such as the grafting of an aortic aneurysm, 3D planning can be done either ...
... is commonly treated through surgical excision procedures. The removal of cardiac tumors require an open heart ... A surgical procedure was recommended due to the risk of ventricular arrhythmias and sudden cardiac death. The surgery was a ... Symptomatic cardiac fibromas may be treated by surgical resection. It is associated with Gorlin syndrome. Benign cardiac tumors ... These findings suggest that cardiac fibromas may be a congenital disorder. Successful Surgical Excision of a Large Cardiac ...
It is commonly used for prostatectomies and increasingly for cardiac valve repair and gynecologic surgical procedures. The da ... and the number of surgical procedures performed (less than 1,000 in 2002 compared with 540,000 in 2014). The da Vinci Surgical ... cardiac procedures performed with adjunctive incisions, and gynecologic procedures. Shortly before going public, Intuitive ... Surgical procedures performed with the robot take longer than traditional ones. Critics have pointed out that hospitals have a ...
Main article: Cardiac PET. Cardiology, atherosclerosis and vascular disease study: In clinical cardiology, FDG-PET can identify ... Khan, FR; Henderson, JM (2013). "Deep Brain Stimulation Surgical Techniques". In Lozano, AM; Hallet, M (eds.). Brain ... Later, the substance was used in dedicated positron tomographic scanners, to yield the modern procedure. ... radiation dosage for other medical procedures range from 0.02 mSv for a chest x-ray and 6.5-8 mSv for a CT scan of the chest.[ ...
... surgical tools for the cardiac surgeon in day-to-day surgical procedures including robotic surgery tools and products to meet ... and heart valve repair products Surgical Cryoablation - cryoablation for the treatment of cardiac arrhythmia Surgical Tools and ... NASDAQ: ATSI)is a developer and manufacturer of products for the cardiac surgery market. based in Minneapolis, Minnesota The ... The company now has a more diversified cardiac surgery business offering several categories of products: Heart Valve Therapy - ...
The surgical methodology permits procedures such as the CABG procedure without penetrating the rib cage or performing a ... made in the xyphoid area and specially designed retractors and related devices to facilitate cardiac surgical procedures. ... Specifically, coronary artery bypass graft procedures (CABG) are achieved using a vertically offsetting retractor or access ... Surgical procedures on the beating heart are enabled by an incision ...
Josephs Cardiac Services perform more than 900 open heart surgeries a year. ... Entire cardiac surgical staff extensively trained in minimally invasive procedures. Procedures. Coronary Artery Surgery. ... Achieving excellence in cardiac surgery is truly a team effort. The cardiac surgery team includes the cardiac surgeon, cardiac ... and is undergoing another cardiac surgical procedure (i.e., bypass or valve surgery). Both procedures are very safe, add very ...
Cardiac Surgical Procedures 1 Coronary Artery Disease 1 Coronary heart disease 1 Diseases 1 General more ... 1 Heart 1 MEDICAL ... Showing 1 - 1 results of 1 for search Cardiac Surgical Procedures methods. Skip to content Cardiac Surgical Procedures methods., query time: 0.93s ...
Analyses of all cardiac operations performed at Massachusetts General Hospital over a 5-year period revealed that sharp count ... This study examined whether increased team turnover raises the likelihood of sharp count errors by surgical teams and ... Impact of staff turnover during cardiac surgical procedures. J Thorac Cardiovasc Surg. 2019. doi:10.1016/j.jtcvs.2019.11.051.. ... Analyses of all cardiac operations performed at Massachusetts General Hospital over a 5-year period revealed that sharp count ...
Recruiting, Not yet recruiting, Available Studies , Cardiac Surgical Procedures. Also searched for Cardiac Surgery and Heart ...
Search of: Recruiting, Not yet recruiting, Available Studies , Cardiac Surgical Procedures - Modify Search. Fill in any or ...
... we provide you with a full range of cardiac treatment options and surgical procedures. ... we offer a range of cardiac treatments and surgical procedures for you and your loved ones performed by our expert cardiac care ... Vincents Cardiac Treatments and Surgical Procedures. At St. Vincents Regional Heart and Vascular Center, you and your heart ... We provide you with a full range of cardiac treatment options and surgical procedures. We treat you as a whole person; mind, ...
Minimally-Invasive Cardiac Surgical Procedures (MiCsp) , Dept of Surgery. St. Josephs Health Care London, Rm. E3-117, 268 ...
UC Davis surgical team performs states first robotic-assisted, multi-vessel cardiac bypass procedure. ... "These hybrid procedures provide the best of what traditional cardiac surgery and interventional cardiovascular procedures offer ... The procedure uses several very small, keyhole-sized incisions through which a tiny camera and surgical instruments are placed ... Robotic-assisted procedures represent the latest development in minimally invasive surgical technology. During an operative ...
... and Scripps Memorial Hospitals Will Begin Performing Some Catheterization Cardiac Procedures In Outpatient Surgical Buildings ... Back in 2010 I wrote about Stanford doing some cardiac procedures on an outpatient basis and this looks to be a continuation of ... and Scripps Memorial Hospitals Will Begin Performing Some Catheterization Cardiac Procedures In Outpatient Surgical Buildings ... Two prominent California hospitals will be allowed to perform some cardiac procedures in outpatient buildings thanks to ...
Surgical Procedures For Treating Congestive Heart Failure, Minor Surgeries To Life-Threatening Operations For End Stage Heart ... Surgical procedures for CHF include:. - Coronary (Heart) Angioplasty - Heart Bypass Surgery. - Valve Surgery. - Left Ventricle ... Cardiac Resynchronization. Also called biventricular pacing, cardiac resynchronization is a relatively new treatment for heart ... Cardiac resynchronization involves inserting a particular type of artificial pacemaker called a cardiac resynchronization ...
Surgical procedures. Mon, 07 May 2012 , Cardiac Output A subxiphoid pericardial window may be performed through a small ... 4 cm window of pericardium is excised and the perforation of the cardiac wall repaired. The pericardial sac may be approached ...
... a bio-surgical device and human tissue processing company, announced the presentation of clinical data results supporting pos ... BioGlue(R) Surgical Adhesive is Safe and Effective in Range of Cardiac Surgical Procedures ... BioGlue R Surgical Adhesive is Safe and Effective in Range of Cardiac Surgical Procedures ... between the ages of 23 and 85 who had undergone cardiac surgical procedures including ascending arch repairs, ascending root ...
... ... Carotid Artery Stenting and Concomitant Coronary Artery Bypass Grafting or other Cardiac Surgical Procedures. Int J Vasc Surg ... From April 2004 to December 2015, 104 patients underwent CAS and cardiac procedures in the same. In a recent article we ... 2015) Simultaneous carotid artery stenting and heart surgery: Expanded experience of hybrid surgical procedures. Ann Thorac ...
cardiac surgical procedures; cognition; delirium; neuropsychological tests. PMID:. 28854542. DOI:. 10.1093/bja/aex053. ... Association between delirium and cognitive change after cardiac surgery.. Sauër AC1, Veldhuijzen DS1,2, Ottens TH1, Slooter AJC ... Cognitive function was assessed with a neuropsychological test battery before elective cardiac surgery and 1 month and 1 yr ... We thus investigated the relationship between POD and cognitive change after cardiac surgery and assessed the relationship ...
Learn about the different procedures, and why someone might need them. ... ClinicalTrials.gov: Cardiac Surgical Procedures (National Institutes of Health) * ClinicalTrials.gov: Heart Surgery (National ... Cardiac Procedures and Surgeries (American Heart Association) * What Is Heart Surgery? (National Heart, Lung, and Blood ... Cardiac Rehabilitation: MedlinePlus Health Topic (National Library of Medicine) Also in Spanish ...
Cardiac Surgical Procedures Procedure: Acute normovolemic hemodilution (ANH) Study Design. Go to Top of Page Study Description ... All patients undergoing cardiac surgery on CPB and are determined to be suitable for ANH by the cardiac team during the huddle ... Patients who are undergoing cardiac surgery on CPB who are determined not to be suitable candidates for ANH by the cardiac team ... Procedure: Acute normovolemic hemodilution (ANH) Blood is drawn from our patients pre-bypass after obtaining the arterial line ...
... with differently configured grips in order to conduct different types of surgical procedures or to conduct surgical procedures ... Such retraction provides effective access to a surgical site with minimal invasion of the body. ... A retractor for use in various types of surgical procedures such as harvesting mammary arteries, coronary bypass surgery, heart ... Xyphoid access for cardiac surgical procedures. US6210325 *. Sep 29, 1999. Apr 3, 2001. Minnesota Scientific, Inc.. Cam- ...
... and 15 open cardiac procedures). All recordings were performed using a multi-range, multifrequency system to allow both ... the number and nature of intraoperative microemboli in patients undergoing on-pump and off-pump cardiac surgery procedures. ... The majority of microemboli occurring during cardiac surgery are gaseous, with a higher proportion of solid microemboli in the ... and open procedure groups were 40 (28-80), 275 (199-472), and 860 (393-1321), respectively (P ,.01). Twelve percent of ...
Browsing Department of Surgery by Subject "MeSH: Adult; Cardiac Surgical Procedures; Cardiopulmonary Bypass; Catheterization; ... Browsing Department of Surgery by Subject "MeSH: Adult; Cardiac Surgical Procedures; Cardiopulmonary Bypass; Catheterization; ...
Anesthesia for Cardiac Surgical Procedures. Chapter 68. Anesthesia for Correction of Cardiac Arrhythmias ... and protocols for anesthetic practice and patient safety as well as new techniques such as TEE and other monitoring procedures ...
Xyphoid access for cardiac surgical procedures. US6200303. 22 Abr 1999. 13 Mar 2001. Beth Israel Deaconess Medical Center, Inc. ... Lipped cannula and methods of introducing surgical instruments in arthroscopic surgical procedures. ... Surgical loop delivery device. US6155968. 23 Jul 1998. 5 Dic 2000. Wilk; Peter J.. Method and device for improving cardiac ... Minimally invasive direct cardiac massage device and method. US6071281. 5 May 1998. 6 Jun 2000. Ep Technologies, Inc.. Surgical ...
Xyphoid access for cardiac surgical procedures. US6358248 *. 26 May 2000. 19 Mar 2002. Medtronic, Inc.. Ball point fluid- ... A cardiac contraction sensor may be coupled to a cardiac stimulator or controller 710 which may act as a cardiac stimulator. A ... Open chest procedures allow access to a larger range of cardiac tissue and also allow the delivery of greater varieties and ... Device and method for ablation of cardiac tissue. US8453906. 14 Jul 2010. 4 Jun 2013. Ethicon Endo-Surgery, Inc.. Surgical ...
Palabras clave : Cardiac surgical procedures (MeSH); Heart valves (MeSH); Aortic valve (MeSH); Cardiac tumors (MeSH). ... Background: Cardiac tumors are an infrequent cause of an embolic source and aortic fibroelastoma is even more rare as causative ...
Keywords: Registries; Database; Cardiovascular Surgical Procedures; Cardiac Surgical Procedures. "A journey of a thousand miles ... This first report outlines the consecution of the Brazilian surgical cardiac database, intended to serve primarily as a tool ... Therefore, this first report outlines the consecution of the Brazilian surgical cardiac database, intended to serve primarily ... surgical correction of atrial fibrillation, cardiac transplantation, mechanical circulatory support (any type, from intra- ...
  • In this single-surgeon consecutive series, use of BioGlue Surgical Adhesive helped facilitate a minimal reliance on blood products and a low mortality rate for patients undergoing complex aortic valve and proximal aortic surgical procedures. (specialchem.com)
  • Additional clinical information was presented by Dr. Fehrenbacher demonstrating the use of BioGlue Surgical Adhesive during an aortic homograft implantation, which simplified the surgical procedure and resulted in an excellent clinical outcome. (specialchem.com)
  • A 22 mm aortic homograft was implanted as a full root to provide the patient with the maximum aortic outflow tract, while the adjunctive application of BioGlue Surgical Adhesive helped to prevent the intraoperative bleeding. (specialchem.com)
  • Cardiac tumors are an infrequent cause of an embolic source and aortic fibroelastoma is even more rare as causative of a stroke. (scielo.cl)
  • By guiding the computer-controlled surgical instruments, the surgeon can make highly precise movements while working within a very small area around the heart. (healthcanal.com)
  • During an operative procedure, the surgeon sits at a control console near the patient while another physician is at the patient's bedside. (healthcanal.com)
  • The results of this study reinforce the value of incorporating BioGlue as an essential component of complex cardiac procedures,' said John Fehrenbacher, M.D., cardiothoracic surgeon, Methodist Hospital of Indiana, and lead study investigator. (specialchem.com)
  • BioGlue Surgical Adhesive employs a unique delivery system, incorporating a single pre-filled cartridge and applicator device, providing the surgeon complete control of the adhesive at the surgical site. (specialchem.com)
  • Also, the anesthesiologist and perfusionist (person monitoring blood flow) have developed better techniques to preserve cardiac function during the procedure to help the surgeon achieve the desired outcome. (encyclopedia.com)
  • In this procedure, the surgeon may temporarily open a flap of bone overlaying the swelling in order to alleviate the pressure. (empowher.com)
  • Despite guidelines from the American Heart Association and the American College of Cardiology advocating for bypasses over stents, until joint decision-making between a cardiologist and cardiac surgeon is facilitated, these findings will be difficult to translate into clinical practice. (medicalxpress.com)
  • Raman, who is a cardiac and thoracic surgeon at the University of Chicago Medical Center, helped develop "the wrap procedure," or ventricular containment. (popularmechanics.com)
  • All cardiac and respiratory parameters are carefully monitored and, once the patient is under, the surgeon gets out the saw. (popularmechanics.com)
  • Left ventricular outflow tract velocity time integral (LVOT-VTI), a Doppler-derived measure of stroke distance, is used as a surrogate marker of cardiac function in adults. (stanford.edu)
  • Spann JF, Jr., Buccino RA, Sonnenblick EH, Braunwald E. Contractile state of cardiac muscle obtained from cats with experimentally produced ventricular hypertrophy and heart failure. (springer.com)
  • The cardiac electrophysiology study (EPS) typically measures the response of the injured or cardiomyopathic myocardium to PES on specific pharmacological regimens in order to assess the likelihood that the regimen will successfully prevent potentially fatal sustained ventricular tachycardia (VT) or ventricular fibrillation VF (VF) in the future. (wikipedia.org)
  • 1 1Department of Pediatric Cardiology,Section of Cardiac Critical Care Medicine,University of Alabama at Birmingham,Birmingham,Alabama,United States of America. (nih.gov)
  • Recognized sub-specialties in the United States by the ACGME are cardiac electrophysiology , echocardiography , interventional cardiology , and nuclear cardiology . (wikipedia.org)
  • In December 2001, the U.S. Food and Drug Administration (FDA) approved BioGlue Surgical Adhesive to be used as an adjunct to standard methods of achieving hemostasis (such as sutures and staples) in adult patients in open surgical repair of large vessels such as the aorta, femoral and carotid arteries. (specialchem.com)
  • The grips can be removed and replaced with differently configured grips in order to conduct different types of surgical procedures or to conduct surgical procedures on different portions of a patient's body. (google.com)
  • A second opinion can ease the patient's mind, possibly prevent an unnecessary treatment and/or procedure, or provide him/her with an alternative option to consider. (placidway.com)
  • Transradial Interventions have an entire department of their own at Stanford and the procedure goes through the wrist and not the leg. (blogspot.com)
  • Surgical interventions may be necessary to help decrease the risk of stroke. (empowher.com)
  • 1.4 Transapical transcatheter mitral valve‑in‑valve implantation for a failed surgically implanted mitral valve bioprosthesis should only be done by clinicians and teams with special training and experience in complex endovascular cardiac interventions, including regular experience in transcatheter valve implantation procedures. (nice.org.uk)
  • Faster recovery time, decreased procedure costs, and reduced morbidity and mortality are the goals of this technique. (encyclopedia.com)
  • Patient surveys indicate they chose the procedure based on expectations of decreased morbidity, improved outcomes, reduced blood loss and less pain. (wikipedia.org)
  • Cardiac morbidity is known to occur in patients previously irradiated. (springer.com)
  • The single-center study reviewed the results of 92 patients, predominantly male, between the ages of 23 and 85 who had undergone cardiac surgical procedures including ascending arch repairs, ascending root repairs and Ross procedures. (specialchem.com)
  • The medical center's Borgess Heart Institute is an innovative leader in cardiac care. (merit.edu)
  • Cardiac Surgical Procedures methods. (illinois.edu)
  • In all cases, BioGlue Surgical Adhesive was used as a hemostatic and structural adjunct to standard surgical methods. (specialchem.com)
  • METHODS: Bilateral continuous transcranial Doppler monitoring of the middle cerebral arteries was performed in 45 patients (15 off-pump coronary artery bypass grafting, 15 on-pump coronary artery bypass grafting, and 15 open cardiac procedures). (ox.ac.uk)
  • Removable cardiac implants, applicators for inserting, repositioning and/or removing them, and methods of using them are described. (freepatentsonline.com)
  • These procedures increasingly include therapeutic methods (typically radiofrequency ablation , or cryoablation ) in addition to diagnostic and prognostic procedures. (wikipedia.org)
  • Measurements of cardiac index, stroke index, heart rate, arterial and right atrial mean pressures were made either before, during, or after the administration of both drugs. (biomedsearch.com)
  • From the viewpoint of cardiologists, this cytokine is a reliable biomarker of cardiac dysfunction, occurrence of atrial fibrillation, cardiac myxoma with recurrence, remote metastasis or embolization, and atherosclerotic processes. (jle.com)
  • In Europe the device has applications in multiple general, gynecologic, urologic, thoracic and pediatric surgical procedures. (cnbc.com)
  • Our pediatric critical care specialists provide state-of-the-art care for infants, children and adolescents with life-threatening medical and surgical conditions, around the clock. (weillcornell.org)
  • As part of the NewYork-Presbyterian Phyllis and David Komansky Children's Hospital, patients receive seamless support from pediatric medical and surgical consultants. (weillcornell.org)
  • St. Vincent's Medical Center's physicians offer a comprehensive range of over 50 medical and surgical specialties and subspecialties. (stvincents.org)
  • While echocardiography and cardiac magnetic resonance imaging remain at the forefront of diagnosing and monitor. (bioportfolio.com)
  • 6. The method of claim 3 , wherein the step of sensing the infarcted tissue may be performed by a procedure selected from the group consisting of: pacing, angiography, echocardiography, and tissue Doppler. (google.es)
  • Inpatient care features two cardiac critical care units and a fully monitored 48-bed care unit. (merit.edu)
  • Includes new guidelines and protocols for anesthetic practice and patient safety as well as new techniques such as TEE and other monitoring procedures. (indigo.ca)
  • Stay current on today's most recent anesthetic drugs and guidelines/protocols for anesthetic practice and patient safety, and access expanded coverage on new techniques such as TEE and other monitoring procedures. (elsevier.com)
  • The multidisciplinary team should determine the risk level for each patient and review their suitability for alternative medical or surgical treatments. (nice.org.uk)
  • The large variability of intraoperative microembolic load in spite of the similar surgical methodology implicates unknown patient characteristics as possible contributing factors to the quantity of intraoperative microembolism. (hindawi.com)
  • Overall, procedure-related ambulatory movements (such as receiving/delivering biopsies, paperwork, scrubbing in, and checking on patient progress) were the most common, followed by miscellaneous (e.g. shift changes/breaks, washing hands), and technology-related movements (for example equipment handling, and use of computers/monitors). (noldus.com)
  • Ambulatory movements are considered potential distractions and/or obstacles to surgical flow, which makes the large amount of avoidable ambulatory movements in this study alarming for patient safety. (noldus.com)
  • An insertable cardiac monitor is a small implantable device that continuously monitors heart rhythms and records them automatically or when you use a hand-held patient activator. (medtronic.com)
  • An insertable cardiac monitor is a small implantable device that continuously monitors heart rhythms and records them automatically or with a hand-held patient activator. (medtronic.com)