scholarly journals Non-cardiac surgery 2 weeks after percutaneous cardiac intervention

2009 ◽  
Vol 102 (5) ◽  
pp. 719-720
Author(s):  
K.N. Saxena ◽  
S. Kumar ◽  
B. Taneja ◽  
P. Gaba
Keyword(s):  
Cardiac Surgery ◽  
Cardiac Intervention ◽  
Percutaneous Cardiac Intervention

Does cardioplegia leave room for postconditioning in paediatric cardiac surgery?

2008 ◽  
Vol 18 (3) ◽  
pp. 282-287 ◽  
Author(s):  
Wanjun Luo ◽  
Bei Li ◽  
Guoqiang Lin ◽  
Ri Chen ◽  
Rimao Huang
Keyword(s):  
Creatine Kinase ◽  
Cardiac Surgery ◽  
Myocardial Protection ◽  
Troponin I ◽  
Control Treatment ◽  
Cardioplegic Arrest ◽  
Cardiac Intervention ◽  
Creatine Kinase Mb ◽  
Cold Blood ◽  
Percutaneous Cardiac Intervention

AbstractBackgroundPostconditioning by brief episodes of ischaemia performed just at the time of reperfusion have been shown to reduce the size of infarcts in animal models, and in the clinical setting of percutaneous cardiac intervention. The clinical applicability of postconditioning in cardiac surgery remains to be determined. We investigated the effect of postconditioning on myocardial protection in children undergoing cardiac surgery.MethodsWe randomly assigned 40 patients scheduled for surgical correction of congenitally malformed hearts under cold blood cardioplegic arrest to postconditioning or control treatment. Postconditioning was performed by two cycles of 30 seconds ischaemia and 30 seconds reperfusion using aortic reclamping, and declamping started 30 seconds after cardioplegic arrest. We assayed creatine kinase-MB, troponin I, transcardiac release of lactate and neutrophil counts.ResultsThe types of procedure, age, bypass and aortic cross-clamping times were similar in both groups. The postoperative peaks of creatine kinase-MB and troponin I were lower after aortic de-clamping in the postconditioned patients compared with their controls (128 ± 48 units per liter as opposed to 199 ± 79 units per liter, p = 0.016, and 0.34 ± 0.21 nanograms per milliliter as opposed to 0.61 ± 0.53 nanograms per milliliter, p = 0.05), with reduced inotropic scores in those submitted to postconditioning compared with their controls (4.8 ± 3.1 versus 2.3 ± 1.5, p = 0.036). Transcardiac release of lactate was reduced in the postconditioned patients compared with their controls (0.10 ± 0.27 as opposed to 0.37 ± 0.43 millimols per liter, p = 0.048). No differences between groups were found for transcardiac neutrophil count during reperfusion (10.8 ± 6.3% for postconditioning versus 14.0 ± 8.7% for controls, p = 0.48).ConclusionsOur study demonstrates that postconditioning may protect the myocardium of children undergoing cold blood cardioplegic arrest. These data support the need for a larger clinical trial of postconditiong in children undergoing cardiac surgery.

PP-074: EMERGENCY CARDIAC SURGERY AFTER PERCUTANEOUS CARDIAC INTERVENTION

2011 ◽  
Vol 147 ◽  
pp. S123-S124
Author(s):  
Y. Unlu ◽  
E. Calik ◽  
S. Diler ◽  
U. Kaya ◽  
A. Ates ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Cardiac Intervention ◽  
Percutaneous Cardiac Intervention

scholarly journals Applicability of a modified EFAST protocol (r-EFAST) to evaluate hemodynamically unstable patients after percutaneous cardiac intervention

2017 ◽  
Vol 9 (1) ◽  
Author(s):  
José Luis Vázquez Martínez ◽  
Kary Leonisa Quiñones Coneo ◽  
Tomas Villen Villegas ◽  
María Sánchez Porras ◽  
Cesar Pérez-Caballero Macarrón ◽  
...  
Keyword(s):  
Cardiac Intervention ◽  
Percutaneous Cardiac Intervention

Foetal cardiac intervention: an ethical perspective

2011 ◽  
Vol 21 (S2) ◽  
pp. 141-147 ◽  
Author(s):  
Constantine D. Mavroudis
Keyword(s):  
Cardiac Surgery ◽  
Ethical Perspective ◽  
Cardiac Intervention ◽  
Recent Advances ◽  
Course Of Action ◽  
The Future ◽  
Postmodern Philosophy ◽  
Measurement Of Success

AbstractAlthough recent advances have helped identify cases where foetal cardiac surgery might reverse the development of certain lesions, the indications and measurement of success in these procedures have yet to be established. Thus, both patients and physicians have a “burden of knowledge”, whereby a diagnosis is made without a clear course of action. The profound issues raised by foetal intervention, specifically the question of how concepts such as “patient” and “success” can be used, complicate this burden further and test the limits of language and logic. Similar issues raised in postmodern philosophy are discussed and can be incorporated into foetal cardiac surgery dialogues to produce a multi-disciplinary approach that will elucidate, not obfuscate, these issues in the future.

Evaluation of Staged TCAR and Cardiac Surgery or Structural Heart Intervention

2021 ◽  
pp. 153857442110177
Author(s):  
Maxwell Almenoff ◽  
H. Edward Garrett
Keyword(s):  
Cardiac Surgery ◽  
Cardiac Disease ◽  
Neurological Complications ◽  
Percutaneous Intervention ◽  
Reversed Flow ◽  
Cardiac Intervention ◽  
Cardiac Pathology ◽  
Risk Patients ◽  
Staged Approach ◽  
Optimal Treatment Strategy

Introduction: The optimal treatment strategy for patients with concomitant carotid and cardiac disease remains controversial. Transcarotid artery revascularization stenting with reversed flow protection (TCAR) has achieved results equivalent to carotid endarterectomy (CEA) in high risk patients. Methods: A retrospective review of all patients at a single center who received staged TCAR prior to cardiac intervention was performed. Results: 37 patients underwent 42 TCAR procedures prior to cardiac intervention (25 requiring open cardiac surgery and 12 requiring percutaneous intervention). There were no myocardial or neurological complications following TCAR prior to cardiac intervention. Three patients (8%) developed a neck hematoma which required evacuation. Conclusion: A staged approach to combined carotid and cardiac pathology with TCAR prior to cardiac intervention appears to be a safe and effective strategy.

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