Abstract
Redo aortic valve surgery (AVS) in patients with patent pedicled internal thoracic artery (ITA) grafts remains a challenging procedure because of the possibility of injury to the grafts and difficulties in optimal myocardial protection. This procedure is associated with a significant mortality and mo...
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PMID: 21560818
PDF is available here.
Abstract
Minimal access is an integral part of cardiac surgery. A personal customization is presented of the Cosgrove technique of hemisternotomy for aortic valve surgery.
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PMID: 21560821
PDF is available here.
Abstract
In cardiac surgical cases such as valve replacement, right ventricular failure caused by intracoronary air embolism sometimes occurs after aortic declamping and during weaning from cardiopulmonary bypass (CPB). The details are reported of a de-airing method which involves simply rotating the arterial...
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PMID: 21560817
PDF is available here.
Abstract
A 59-year-old male patient was diagnosed as having lung cancer with a suspected invasion of the descending aorta. A significant response was not obtained after chemotherapy. A left pneumonectomy with partial resection of the aortic wall with simple clamping was done. The postoperativ...
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PMID: 21317155
PDF is available here.
Abstract
We compared subcutaneous clamping and cauterization for hemostasis at laparotomy with Pfannenstiel incision with reference to surgical site infection, postoperative fever and time taken for incision. A total of 214 patients with consecutive hysterectomies were alternately assigned to incisional hemos...
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PMID: 21306335
PDF is available here.
Abstract
These results were confirmed on the multivariate analysis where blood transfusions, primary tumor nodal involvement, and the size of CRLM of more than 5 cm prevailed as determinants of poor outcome.
This study confirms the safety and effectiveness of HPC and demonstrates that in the human situation,...
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PMID: 21107113
PDF is available here.
Abstract
The onset of paresis or paralysis and postsurgical mortality varied as a function of cross-clamp time and core temperature that was maintained during the period of cross-clamp. Using optimal surgical parameters (7.5-min cross-clamp duration at 33°C core temperature), the onset of paralysis is delay...
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PMID: 20808212
PDF is available here.
Roien Ahmadie,
Jon-Jon Santiago,
Jonathan Walker,
Tielan Fang,
Khuong Le,
Zhaohui Zhao,
Nazila Azordegan,
Sheri Bage,
Matthew Lytwyn,
Sunil Rattan,
Ian M C Dixon,
Elissavet Kardami,
Mohammed H Moghadasian and
Davinder S Jassal
Abstract
A high-lipid diet (HLD) may lead to adverse left ventricular (LV) remodeling and endothelial dysfunction in conditions of hemodynamic stress. Although congenital absence of nitric oxide synthase 3 (NOS3) leads to adverse LV remodeling after transverse aortic constriction (TAC), the effects of a HLD...
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PMID: 20554900
PDF is available here.
Abstract
We aimed to determine whether remote ischemic preconditioning (IP) reduces renal damage following elective open infrarenal abdominal aortic aneurysm (AAA) repair. Sequential common iliac clamping was used to induce remote IP in randomized patients. Urinary retinol binding protein (RBP) and albumin-c...
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PMID: 20484066
PDF is available here.
Abstract
We investigated whether genetic or pharmacologic blockade of central melanocortin signaling attenuates cardiac cachexia in mice and rats with heart failure. Permanent ligation of the left coronary artery (myocardial infarction (MI)) or sham operation was performed in wild-type (WT) or melanocortin-4...
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PMID: 20371568
PDF is available here.
Abstract
Over the most recent 10 years there have been no significant further improvements in survival or morbidity rates of preterm infants, mostly the extremely-low-gestational-age-neonates (ELGANs, defined as less than or equal to 28 weeks' gestation).The incidence of some of the major morbidities associa...
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PMID: 21090071
PDF is available here.
Abstract
We have explored the influence on rocuronium plasma concentrations of changing the order of vascular unclamping at graft reperfusion.
Thirty patients were randomized at graft reperfusion: initial arterial revascularization (IAR; n = 14) wherein the hepatic artery was released first, and initial port...
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PMID: 20620518
PDF is available here.
Abstract
Delayed umbilical cord clamping at three minutes significantly increases serum ferritin levels in infants at 6 months of age. No significant differences were found between groups in mean hemoglobin levels....
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PMID: 20544134
PDF is available here.
Abstract
We tested mice in various dyadic or triadic conditions, including "jailed" mice-some in pain via intraperitoneal injection of 0.9% acetic acid-and test mice free to approach or avoid the jailed mice. We observed a sex-specific effect whereby female, but not male, test mice approached a familiar same...
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PMID: 19844845
PDF is available here.
Abstract
We established a pulmonary hilum clamping animal model for pulmonary damage investigation. It was determined that 120 minutes was the longest safety time for hilum clamping without lethal pulmonary injury in porcine....
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PMID: 20386277
PDF is available here.
Abstract
We report the use of wooden spoons with convex arches cut from their bases as a cheap and effective alternative. They can be used to compress the aorta or IVC against the vertebrae, giving vascular control while leaving good surgical access. This equipment requires minimal financial investment and o...
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PMID: 20517780
PDF is available here.
Abstract
The case of a 38-year old man with recurrent adenocarcinoma of the right lung and infiltration of the thoracic wall, who underwent a right pneumonectomy with thoracic wall resection, is described. Dissection of the right pulmonary hilous was extremely difficult due to the previous operations. The su...
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PMID: 20304359
PDF is available here.
Ramanan Umakanthan,
Michael R Petracek,
Marzia Leacche,
Nataliya V Solenkova,
Susan S Eagle,
Annemarie Thompson,
Rashid M Ahmad,
James P Greelish,
Stephen K Ball,
Steven J Hoff,
Tarek S Absi,
Jorge M Balaguer and
John G Byrne
Abstract
The mean ejection fraction was 45 +/- 13%, mean NYHA class 3 +/- 1, while 66 patients (73%) had previous coronary artery bypass grafting and 37 (41%) had previous valve surgery. Twenty-six patients (29%) underwent non-elective surgery. Cardiopulmonary bypass was instituted through axillary (n = 19),...
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PMID: 20369510
PDF is available here.
Abstract
We explicitly formulate educational objectives and adapt a preexisting model for the simulation of neonatal cardiovascular physiology to include essential aspects of fetal hemodynamics. From the scientific literature, we obtain model parameters that characterize these aspects quantitatively. The fet...
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PMID: 19809380
PDF is available here.
Abstract
A routine microdiscectomy was complicated by an inferior cardiac inflow obstruction caused by compression of the inferior vena cava. This was due to further upward migration of an existing hepatic hernia through a right-sided diaphragmatic defect. Understanding the pathogenesis of this problem allow...
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PMID: 20306979
PDF is available here.
Abstract
Although cardiac manipulation and changes in ventricular preload represent the most common causes of hemodynamic instability during MR without CB, in the cases presented here, hypotension and pulmonary hypertension were most likely secondary to a reduction in cardiac output due to the increase in af...
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PMID: 20169267
PDF is available here.
Abstract
The levels of liver enzymes in group 3 were significantly lower than those in group 2 (p <.01). TAC and CAT activity levels in ileum tissue were significantly higher in group 3 than in group 2. TOS, OSI, and MPO in ileum tissue were significantly lower in group 3 than group 2 (p <.05 for TOS and MPO...
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PMID: 20233001
PDF is available here.
Abstract
Active management of the third stage of labour is widely used by both obstetricians and midwives in the UK. Syntometrine(R) is usually used for vaginal births and oxytocin for caesarean births; when this is given and when the cord is clamped varies....
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PMID: 20492659
PDF is available here.
Abstract
Most obstetricians reported always or usually using active management for the third stage of labour. For timing and choice of the uterotonic drug, reported practice was similar to actual practice. Although some obstetricians reported they waited longer than one minute before clamping the cord, this...
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PMID: 20102601
PDF is available here.
Abstract
Active management of third stage reduced the risk of haemorrhage greater than 1000 ml in an unselected population, but adverse effects are identified. Women should be given information on the benefits and harms to support informed choice. Given the concerns about early cord clamping and the potentia...
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PMID: 20614458
PDF is available here.
Abstract
We hypothesized that vascular tone changes after ischemia-reperfusion injury would influence pulsatility of the blood vessels. We investigated the changes in pulsatility after ischemia-reperfusion injury using hemodynamic energy parameters-energy equivalent pressure (EEP) and surplus hemodynamic ene...
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PMID: 20559137
PDF is available here.
Abstract
We performed this study to establish a pulmonary vessel blocking model in rabbits and investigate the features of lung ischemia-reperfusion injury.
126 New Zealand rabbits were randomized into 3 groups: group I, sham group; group II, left pulmonary artery blocking, and group III, left pulmonary arte...
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PMID: 20150739
PDF is available here.
Abstract
At each time point after reperfusion, ALT, AST, and apoptosis rates were significantly higher in the PR group than in the HH group or the WH group (p < 0.01), and the pathology and hepatocyte ultrastructure at 6 hours after reperfusion were significantly worse in the PR group than in the HH group or...
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PMID: 20422868
PDF is available here.
Abstract
We hypothesized that infants with DCC would have better motor function by 7 months corrected age. STUDY DESIGN: Infants between 24 and 31 weeks were randomized to ICC or DCC and follow-up evaluation was completed at 7 months corrected age. RESULT: We found no differences in the Bayley Scales of Infa...
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PMID: 19847185
PDF is available here.
Abstract
Of the 413 patients, 68 (16.5%) had a complication. Sixty-four (15.5%) developed hematomas ranging in size from 1 to 5 cm (n = 35, 8.5%) to greater than 5 cm (n = 29, 7.0%), 6 experienced bleeding (1.5%), 4 (1%) had arteriovenous fistulas, and 3 (0.7%) developed pseudoaneurysms. There were no signif...
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PMID: 20357666
PDF is available here.
Abstract
We report a successful repair of an abdominal aortic aneurysm (AAA) in a renal transplant recipient using a femoral V-A bypass to protect the renal allograft during aortic cross-clamping. A 49-year-old male patient with renal failure had received a second allogenic renal transplantation in the right...
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PMID: 20081755
PDF is available here.
Abstract
Nitric oxide has prosurvival effects that can limit ischemia-reperfusion injuries. However, the matrix glycoprotein thrombospondin-1 is induced following ischemia-reperfusion injury and limits nitric oxide signaling by engaging its cell surface receptor CD47. In this article, the authors examine whe...
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PMID: 19952644
PDF is available here.
Abstract
Hyperhomocysteinemia and other major cardiovascular risk factors are associated with increased vascular oxidative stress. To access the effects preoperative plasma homocysteine levels and other atherosclerotic risk factors on myocardial ischemia-reperfusion injury after conventional...
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PMID: 19917790
PDF is available here.
Abstract
This study shows that epidural cooling during ACC minimized the risk of spinal cord injury, possibly by preventing delayed hypoperfusion and upregulating inducible nitric oxide synthase expression....
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PMID: 19741488
PDF is available here.
Abstract
White matter hyperintense lesions (WMHLs) are related to age, hypertension, and ischemia. They increase the risk of stroke in natural history and perioperatively during carotid endarterectomy. This may reflect an association with impaired cerebral hemodynamics. Hence, the authors stu...
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PMID: 19819913
PDF is available here.
Abstract
In both experimental groups, tissue damage was apparent. In the investigations carried out under light microscopy, it was observed that the damage caused by balloon occlusion was remarkably less than the damage caused by the cross-clamp technique. In the balloon group, eight tissue samples (66.7%) h...
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PMID: 19734837
PDF is available here.
Abstract
In mitral valve surgery, the combined superior-transseptal approach gives excellent exposure of the mitral valve, but it is lengthy and complex. A modified version of this approach was made without cutting the right atrial appendage and the dome of the right atrium. This shorter procedure was evalua...
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PMID: 19592549
PDF is available here.
Abstract
We present early results and long-term follow-up after reduction aortoplasty with external wrapping of the ascending aorta. From December 1993 to February 2008, 32 consecutive patients who had reduction aortoplasty were compared with 47 consecutive patients who underwent prosthetic graft replacement...
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PMID: 19592547
PDF is available here.
Abstract
The maxilla displaced slightly forward and downward with a counterclockwise rotation; the mandible rotated downward and backward, resulting in an increase in anterior facial height; the sagittal maxillomandibular relationship was improved; the maxillary molars and incisors were protruded and extrude...
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PMID: 19642763
PDF is available here.
Abstract
(31)P magnetic resonance spectroscopy (MRS) offers a unique means to noninvasively quantify the major cardiac high-energy phosphates, creatine phosphate (PCr) and adenosine 5'-triphosphate (ATP), that are critical for normal myocardial contractile function and viability. Spatially localized (31)P MR...
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PMID: 19448147
PDF is available here.
Abstract
We mechanically characterize a vertebral clamping strategy that enables the modeling of vertebral dislocation and distraction injuries--in addition to the standard contusion paradigm--in the rat cervical spine. These vertebral clamps have a stiffness of 83.6+/-18.9 N/mm and clamping strength 64.7+/-...
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PMID: 19383514
PDF is available here.
Abstract
Ruptured abdominal aortic aneurysm (RAAA) is the most common and devastating complication affecting a patient with abdominal aortic aneurysm (AAA). Despite advances in surgery and critical care, the mortality rate associated with RAAA remains largely unchanged. Emergency open repair is the gold stan...
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PMID: 19282811
PDF is available here.
Abstract
Significant (P<0.05) increase in MDA, AOPP, SOD and GPx and decrease in the GSH and catalase activities in sciatic nerve, spinal cord, dorsal root ganglion, dorsal root and ventral root were observed in experimental group rats compared to control group. There was no recovery in foot positioning and...
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PMID: 19675389
PDF is available here.
Abstract
Complete occlusion of the common carotid artery with blood vessel forceps may be prevented by hard atherosclerotic plaque during carotid endarterectomy. Incomplete clamping can be recognized via insertion of an elastic catheter, connected to a pressure transducer, into the common carotid artery. App...
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PMID: 19465796
PDF is available here.
Abstract
It was suggested that the application of aortic clamping or cardiopulmonary bypass was not a risk factor of cerebral emboli when the ascending aorta was evaluated using the EAS. Furthermore, the application of aortic clamping with free grafts may provide eligible bypass graft patterns, leading to su...
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PMID: 19471223
PDF is available here.
Abstract
Laparoscopic abdominal aortic surgery is feasible and may offer good postoperative recovery with excellent mid-term patency. Shorter hospital stay and simple mid-term follow-up allow more comfort for the patient and probably monetary savings for the community. A steep learning curve is needed. For t...
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PMID: 19365322
PDF is available here.
Abstract
There is no consensus amongst medical and midwifery staff on the optimum time to cut the umbilical cord following childbirth. Studies have shown that delaying cord clamping for at least 30 seconds is associated with less need for blood transfusion and respiratory support. In 2004, Rabe et al. recomm...
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PMID: 19358030
PDF is available here.
Abstract
In 99 cases with normal placentas, 49 cases were assigned to the study group, 50 cases were assigned to the control group. The third stage of labor was significantly shorter after placental cord drainage (5.1 +/- 2.4 minutes vs. 7.0 +/- 6.1 minutes). There was no postpartum hemorrhage, uterine atony...
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PMID: 19374293
PDF is available here.
Abstract
This study evaluated the effects of the reverse Trendelenburg position and additional inguinal compression on the cross-sectional area of the femoral vein in paediatric patients. Seventy subjects were allocated to two groups: the infants group and the children group. Cross-sectional area of the femo...
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PMID: 19317705
PDF is available here.
Abstract
From January 2000 to July 2007, liver resections were performed under SHVE in 246 patients; total SHVE, right partial SHVE, and left partial SHVE in 145, 54, and 47 patients, respectively. SHVE was converted to total hepatic vascular exclusion in 3 patients because the tumor invaded the wall of the...
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PMID: 19300226
PDF is available here.
Abstract
Three patients with elective indications had LPN using this novel laparoscopic clamp. The tumours were in the upper and lower pole of the kidney in one and two patients, respectively. The tumour diameter was 2.4, 2.6 and 3.2 cm, and the selective clamping time 23, 27 and 38 min. Blood loss was minim...
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PMID: 19007377
PDF is available here.
Abstract
In this experimental model, portal hyperperfusion affected Kupffer cell function more than did hepatic venous congestion....
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PMID: 19364311
PDF is available here.
Abstract
Of the 1,383 identified references, four RCTs were finally included. These trials compared PTC to selective hepatic vascular exclusion (SHVE), total hepatic vascular exclusion (THVE), and a modified technique of HVE (MTHVE), respectively. Meta-analyses revealed no significant difference in morbidity...
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PMID: 18622655
PDF is available here.
Abstract
The vascular clamp (DeBakey in 5 cases, Crile forceps [Medicon Medizin-Technik, Tuttlingen, Germany] in 2 cases, and Halsted-Mosquito forceps [Medicon Medizin-Technik, Tuttlingen, Germany] in 1 case) was used in 7 saccular middle cerebral artery aneurysms and 1 fusiform basilar bifurcation aneurysm....
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PMID: 19240560
PDF is available here.