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

Slides:



Advertisements
Similar presentations
Previous coronary stents do not increase early and long-term adverse outcomes in patients undergoing off-pump coronary artery bypass grafting: A propensity-matched.
Advertisements

Max B. Mitchell, MD  The Journal of Thoracic and Cardiovascular Surgery 
Lost in translation The Journal of Thoracic and Cardiovascular Surgery
Manuel J. Antunes, MD, PhD, DSc 
Stephen R. Broderick, MD, MPHS 
One in every 14 patients with early-stage lung cancer is not being treated!  Benny Weksler, MD, MBA  The Journal of Thoracic and Cardiovascular Surgery 
It is not just about surgery versus stereotactic ablative radiotherapy, it is about curing as many patients with lung cancer as possible  Alessandro Brunelli,
A study of brain protection during total arch replacement comparing antegrade cerebral perfusion versus hypothermic circulatory arrest, with or without.
The quest to optimize neurodevelopmental outcomes in neonatal arch reconstruction: The perfusion techniques we use and why we believe in them  Richard.
Puja Gaur, MD, Tsuyoshi Kaneko, MD, Siobhan McGurk, BS, James D
The effect of center volume on the incidence of postoperative complications and their impact on survival after lung transplantation  Arman Kilic, MD,
Surgical treatment is decisive for outcome in chondrosarcoma of the chest wall: A population-based Scandinavian Sarcoma Group study of 106 patients  Björn.
Improving health care by embracing Systems Theory
Pseudoaneurysm complicating right ventricle–to–pulmonary artery conduit surgery: Why single-center observational studies still matter  Petros V. Anagnostopoulos,
Victor van Berkel, MD, PhD 
The Journal of Thoracic and Cardiovascular Surgery
It is still mostly about the mitral valve
How should we treat air leaks?
Perioperative atrial tachycardia is associated with increased mortality in infants undergoing cardiac surgery  Pirouz Shamszad, MD, Antonio G. Cabrera,
New treatment approaches create new disease processes: A short guide on how to reduce unexpected events to a minimum  Martin Czerny, MD, MBA  The Journal.
Similar cerebral protective effectiveness of antegrade and retrograde cerebral perfusion combined with deep hypothermia circulatory arrest in aortic arch.
Bigger The Journal of Thoracic and Cardiovascular Surgery
The lord of the rings  Antonio Miceli, MD, PhD 
Esophagectomy versus endoscopic resection for patients with early-stage adenocarcinoma: Mercedes versus Tesla  Toni Lerut, MD  The Journal of Thoracic.
Does moderate hypothermia really carry less bleeding risk than deep hypothermia for circulatory arrest? A propensity-matched comparison in hemiarch replacement 
Increasing duration of circulatory arrest, but not antegrade cerebral perfusion, prolongs postoperative recovery after neonatal cardiac surgery  Selma.
Aditya K. Kaza, MD  The Journal of Thoracic and Cardiovascular Surgery 
Juan N. Pulido, MD  The Journal of Thoracic and Cardiovascular Surgery 
Support Your Specialty
John A. Elefteriades, MD, PhD (hon), Bulat A. Ziganshin, MD, PhD 
The assessment of cost effectiveness and the effectiveness of cost assessment in cardiothoracic surgery  Vinay Badhwar, MD  The Journal of Thoracic and.
It's not “just a shunt” but sometimes it should be…
Fixing the supply problem
Michele Gallo, MD, Gino Gerosa, MD 
A first start for lung transplantation?
Stephen R. Broderick, MD, MPHS 
The Journal of Thoracic and Cardiovascular Surgery
Impact of low donor to recipient weight ratios on cardiac transplantation  Senthil Nathan Jayarajan, MD, Sharven Taghavi, MD, Eugene Komaroff, PhD, Abeel.
Andreas Zierer, MD, Marc R. Moon, MD, Spencer J
Innominate artery cannulation: The Toronto technique for antegrade cerebral perfusion in aortic arch reconstruction—a clinical trial opportunity for the.
Niv Ad, MD, Lawrence M. Wei, MD 
Frank C. Spencer, MD, FACS, pioneering cardiothoracic surgeon
A fate worse than death  Jennifer S. Lawton, MD 
Straight deep hypothermic circulatory arrest for cerebral protection during aortic arch surgery: Safe and effective  Bulat A. Ziganshin, MD, Bijoy G.
Eight and counting The Journal of Thoracic and Cardiovascular Surgery
Asvin M. Ganapathi, MD, Paul J. Speicher, MD, Anthony W
Commentary: Do the right thing! Ethical versus legal
Passing the torch The Journal of Thoracic and Cardiovascular Surgery
Sutureless replacement versus transcatheter valve implantation in aortic valve stenosis: A propensity-matched analysis of 2 strategies in high-risk patients 
Patients with unbalanced atrioventricular canal defects can undergo the Fontan operation with good outcomes  Sitaram M. Emani, MD  The Journal of Thoracic.
Patrick T. Roughneen, MD, Grant T. Fankhauser, MD, Abe DeAnda, MD 
Functional tricuspid pathology: To treat or not to treat
Concomitant replacement of the ascending aorta is free—for some
Innovation in cardiothoracic surgical training
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
The future of cardiac surgery training: A survival guide
Commentary: “Isn't cardiac surgery a team sport?”
G. Chad Hughes, MD, Asvin M. Ganapathi, MD, Jeffrey E
Bicuspid aortopathy: Seeing the forest for the trees
After neoadjuvant chemoradiation therapy, predicted pulmonary function may be reduced by 10%  Benny Weksler, MD, MBA  The Journal of Thoracic and Cardiovascular.
“The more things change…”: The challenges ahead
Toward a more rational approach in treating type B aortic dissection
More than vital: Who bears the burden?
Respect the aorta The Journal of Thoracic and Cardiovascular Surgery
Long-Term Survival After Bovine Pericardial Versus Porcine Stented Bioprosthetic Aortic Valve Replacement: Does Valve Choice Matter?  Asvin M. Ganapathi,
Journal changes and initiatives
Calpain inhibitors: The aspirin of the 21st century?
Kristin A. Higgins, MD, Junzo P. Chino, MD, Neal Ready, MD, Mark W
Presentation transcript:

Antegrade versus retrograde cerebral perfusion for hemiarch replacement with deep hypothermic circulatory arrest: Does it matter? A propensity-matched analysis  Asvin M. Ganapathi, MD, Jennifer M. Hanna, MD, MBA, Matthew A. Schechter, MD, Brian R. Englum, MD, Anthony W. Castleberry, MD, MMCi, Jeffrey G. Gaca, MD, G. Chad Hughes, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 148, Issue 6, Pages 2896-2902 (December 2014) DOI: 10.1016/j.jtcvs.2014.04.014 Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Histogram demonstrating number of antegrade cerebral perfusion (ACP) and retrograde cerebral perfusion (RCP) hemiarch cases annually. (The data for 2013 included only patients treated before the study endpoint, February 2013). The Journal of Thoracic and Cardiovascular Surgery 2014 148, 2896-2902DOI: (10.1016/j.jtcvs.2014.04.014) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Kaplan-Meier curves comparing long-term survival of patients undergoing antegrade (ACP) versus retrograde cerebral perfusion (RCP). The Journal of Thoracic and Cardiovascular Surgery 2014 148, 2896-2902DOI: (10.1016/j.jtcvs.2014.04.014) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions