The impact of temperature in aortic arch surgery patients receiving antegrade cerebral perfusion for >30 minutes: How relevant is it really? Ourania.

Slides:

Advertisements

Similar presentations

Max B. Mitchell, MD The Journal of Thoracic and Cardiovascular Surgery

Advertisements

Of mice and men and surgical transcatheter aortic valve insertion

Influence of diabetes on survival in patients with cystic fibrosis before and after lung transplantation Don Hayes, MD, MS, Alpa V. Patel, MD, Sylvester.

The impact of placing multiple grafts to each myocardial territory on long-term survival after coronary artery bypass grafting Danny Chu, MD, Faisal.

Open descending thoracic or thoracoabdominal aortic approaches for complications of endovascular aortic procedures: 19-year experience Konstantinos Spiliotopoulos,

Sotiris C. Stamou, MD, PhD, Michael Robich, MD, MSPH, Robert E

Midterm Survival and Quality of Life After Extent II Thoracoabdominal Aortic Repair in Marfan Syndrome Ravi K. Ghanta, MD, Susan Y. Green, MPH, Matt.

The effect of center volume on the incidence of postoperative complications and their impact on survival after lung transplantation Arman Kilic, MD,

Long-term prognosis of ascending aortic aneurysm after aortic valve replacement for bicuspid versus tricuspid aortic valve stenosis Evaldas Girdauskas,

Clinical outcomes of different surgical approaches for proximal descending thoracic aneurysm involving the distal arch Hyun-Chel Joo, MD, Young-Nam Youn,

Ourania Preventza, MD, Joseph S

The prognostic impact of microRNA sequence polymorphisms on the recurrence of patients with completely resected non–small cell lung cancer Kyong-Ah Yoon,

Bartosz Rylski, MD, Friedhelm Beyersdorf, MD, PhD, Fabian A

Influence of diabetes on survival in patients with cystic fibrosis before and after lung transplantation Don Hayes, MD, MS, Alpa V. Patel, MD, Sylvester.

Joseph S. Coselli, MD, Susan Y. Green, MPH, Matt D

Options for arterial cannulation to provide antegrade cerebral perfusion: Everything old is new again Joseph S. Coselli, MD, Ourania Preventza, MD The.

Outcomes of 3309 thoracoabdominal aortic aneurysm repairs

Surgery for acute type A aortic dissection on oral anticoagulants: Being the dispatcher of a 911 call Ourania Preventza, MD, Arthur Bracey, MD The Journal.

Ourania Preventza, MD, Katherine H. Simpson, MS, Denton A

Supracoronary ascending aortic replacement in patients with acute aortic dissection type A: What happens to the aortic root in the long run? Bartosz.

Joseph S. Coselli, MD, Hiruni S. Amarasekara, MS, Susan Y

It is still mostly about the mitral valve

How should we treat air leaks?

Harold L. Lazar, MD The Journal of Thoracic and Cardiovascular Surgery

Bicuspid aortic valve aortopathy: One size fits all?

Roland Assi, MD, MMS, Wilson Y. Szeto, MD

Risk-corrected impact of mechanical versus bioprosthetic valves on long-term mortality after aortic valve replacement Ole Lund, MD, PhD, Martin Bland,

Esophagectomy versus endoscopic resection for patients with early-stage adenocarcinoma: Mercedes versus Tesla Toni Lerut, MD The Journal of Thoracic.

In type A aortic dissection repair, an effective team approach and relational coordination are more important for patients' outcomes than surgeon volume

Patient selection could be the Holy Grail of thoracic endovascular aortic repair for chronic dissecting aneurysm Ourania Preventza, MD, Peter Chen, MD

Management of dilated ascending aorta during aortic valve replacement: Valve replacement alone versus aorta wrapping versus aorta replacement Seung Hyun.

Transcatheter aortic valve replacement in intermediate-risk patients

It's not “just a shunt” but sometimes it should be…

Fixing the supply problem

Michele Gallo, MD, Gino Gerosa, MD

Variety is the spice of life: One-stage or two-stage repair of extensive chronic thoracic aortic dissection Ourania Preventza, MD, Vicente Orozco-Sevilla,

Transcatheter aortic valve replacement and surgical aortic valve replacement: Both excellent therapies J. James Edelman, MBBS(Hons), PhD, Vinod H. Thourani,

Joseph S. Coselli, MD, Susan Y

Outcome of aortic arch reconstruction in infants with coarctation: Importance of operative approach Andreas Tulzer, MD, Rudolf Mair, MD, Michaela Kreuzer,

Innominate artery cannulation: The Toronto technique for antegrade cerebral perfusion in aortic arch reconstruction—a clinical trial opportunity for the.

Fenton H. McCarthy, MD, MS, Nimesh D. Desai, MD, PhD

Replicating the success of mitral valve repair in the aortic valve

The elephant trunk is freezing: The Hannover experience

Straight deep hypothermic circulatory arrest for cerebral protection during aortic arch surgery: Safe and effective Bulat A. Ziganshin, MD, Bijoy G.

When speed will not get you a ticket: Speedy initial peripheral reperfusion can save patients with acute type A aortic dissection and malperfusion Ourania.

Antegrade versus retrograde cerebral perfusion for hemiarch replacement with deep hypothermic circulatory arrest: Does it matter? A propensity-matched.

Commentary: Ongoing advancements in the understanding of tricuspid valve dynamics and functional geometry Daniel J.P. Burns, MD, MPhil The Journal of.

Passing the torch The Journal of Thoracic and Cardiovascular Surgery

Hans-Joachim Schäfers, MD

Concomitant replacement of the ascending aorta is free—for some

In pregnancy, aortic tissue is the issue

Jeffrey H. Shuhaiber, MD, Jeff Moore, MS, David B. Dyke, MD

The Journal of Thoracic and Cardiovascular Surgery

Discussion The Journal of Thoracic and Cardiovascular Surgery

Prophylactic stage 1 elephant trunk for moderately dilated descending aorta in patients with predominantly proximal disease Jay J. Idrees, MD, Eric E.

The future of cardiac surgery training: A survival guide

Nationwide trends and regional/hospital variations in open versus endovascular repair of thoracoabdominal aortic aneurysms Joshua M. Liao, BS, Faisal.

Permanent pacemaker insertion following transcatheter aortic valve replacement: Not infrequent, not benign, and becoming predictable Craig M. Jarrett,

Commentary: When a choice is not an echo

When should the elephant (frozen elephant trunk) enter the room (aorta)? Frank A. Baciewicz, MD The Journal of Thoracic and Cardiovascular Surgery Volume.

Elective primary aortic root replacement with and without hemiarch repair in patients with no previous cardiac surgery Ourania Preventza, MD, Joseph.

“The more things change…”: The challenges ahead

Toward a more rational approach in treating type B aortic dissection

Commentary: The importance of being earnest and ... eclectic

Preoperative PFTs: The answer is blowing in the wind

Transcatheter aortic valve implantation versus surgical aortic valve replacement: A propensity score analysis in patients at high surgical risk Lenard.

Descending thoracic and thoracoabdominal aortic aneurysms: “Busted”

Zone zero thoracic endovascular aortic repair is all about “location, location, location” Kevin L. Greason, MD The Journal of Thoracic and Cardiovascular.

Kim I. de la Cruz, MD, Faisal G

Paul Philipp Heinisch, MD, Thierry Carrel, MD

Presentation transcript:

The impact of temperature in aortic arch surgery patients receiving antegrade cerebral perfusion for >30 minutes: How relevant is it really? Ourania Preventza, MD, Joseph S. Coselli, MD, Shahab Akvan, MD, Sarang A. Kashyap, MD, Andrea Garcia, MD, Katherine H. Simpson, MS, Matt D. Price, MS, Jessica Mayor, MD, Kim I. de la Cruz, MD, Lorraine D. Cornwell, MD, Shuab Omer, MD, Faisal G. Bakaeen, MD, Ricky J.L. Haywood-Watson, MD, Athina Rammou, BS, CCP The Journal of Thoracic and Cardiovascular Surgery Volume 153, Issue 4, Pages 767-776 (April 2017) DOI: 10.1016/j.jtcvs.2016.11.059 Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Kaplan-Meier survival curves for the entire cohort. The median follow-up time is 5.12 years (95% CI 4.68-5.67). 95% CI, 95% Confidence interval. The Journal of Thoracic and Cardiovascular Surgery 2017 153, 767-776DOI: (10.1016/j.jtcvs.2016.11.059) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

In arch surgery with >30 minutes antegrade cerebral perfusion, lower actual temperature correlated with more stroke. The Journal of Thoracic and Cardiovascular Surgery 2017 153, 767-776DOI: (10.1016/j.jtcvs.2016.11.059) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Video 1 Total arch stage I elephant trunk under moderate hypothermia (24°C), followed by aortic valve replacement. Video available at: http://www.jtcvsonline.org/article/S0022-5223(16)31684-1/addons. The Journal of Thoracic and Cardiovascular Surgery 2017 153, 767-776DOI: (10.1016/j.jtcvs.2016.11.059) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions