tag:blogger.com,1999:blog-30963228183777761582024-03-19T21:33:49.156-07:00www.v18.com.twV18http://www.blogger.com/profile/05785309126484405880noreply@blogger.comBlogger12125tag:blogger.com,1999:blog-3096322818377776158.post-49455747529045565152016-12-20T01:17:00.000-08:002017-01-15T01:20:27.770-08:00Cor-Knot<div class="separator" style="clear: both; text-align: center;">
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comment : 省時,省力, secure<br />
儘快進用V18http://www.blogger.com/profile/05785309126484405880noreply@blogger.com0tag:blogger.com,1999:blog-3096322818377776158.post-73509208458048008132016-12-19T08:00:00.000-08:002017-02-02T05:24:43.182-08:00Clinical Results of Single-Vessel versus Multiple-Vessel Infrapopliteal Intervention根據鹿特丹醫療團隊的研究<br />
對於膝下的 CLI (critical limb ischemia)治療<br />
multi-vessel intervention 並沒有比 single-vessel intervention 的 outcome 好<br />
<br />
Journal of Vascular Surgery<br />
Vol.64 , No.6V18http://www.blogger.com/profile/05785309126484405880noreply@blogger.com0tag:blogger.com,1999:blog-3096322818377776158.post-75499134281153725102016-12-12T08:00:00.000-08:002017-02-02T05:31:46.009-08:00case report : TE fistula with ASD occluder and mitral disc impingement after TAVIcase 1. the small TEF was treated with Gore ASD occluder successfully<br />
case 2. single disc mitral prosthesis was malfunctioned after TAVI procedureV18http://www.blogger.com/profile/05785309126484405880noreply@blogger.com0tag:blogger.com,1999:blog-3096322818377776158.post-40494082659574210732016-12-05T00:57:00.000-08:002017-01-15T01:12:02.188-08:00SYNTAX score and decision making b/w PCI and CABGcardiac death from MI is 10 times higher in PCI group than CABG group in high risk patients.<br />
surgery is recommended for 3VD patients with intermediate to high SYNTAX score.<br />
surgery is recommended for LM patients with high SYNTAX score.<br />
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J of thoracic and cardiovascular surgery, volume 152, Nov 5<br />
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comment : 我們應該強裂建議 1. heart team approach <br />
2. SYNTAX scoreV18http://www.blogger.com/profile/05785309126484405880noreply@blogger.com0tag:blogger.com,1999:blog-3096322818377776158.post-12823387609024860072016-11-28T08:00:00.000-08:002017-02-02T06:14:26.074-08:00Comparison b/w antegrade and retrograde cerebral perfusion or profound hypothermia as brain protection strategies during repair of type A aortic dissectionfrom university of Iowa hospitals and clinics :<br />
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During surgical repair of type A aortic dissection, ACP,RCP, or DHCA have acceptable morbidity and mortality in selected patients.<br />
<br />
The presence of hemodynamic instability prior to surgery and prolonged CPB time increases the risk of early and late mortality regardless of cerebral protection strategy.<br />
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Ann Cardiothoracic Surg 2016;5(4): 328-335<br />
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comment : selective antegrade brain perfusion 目前為本院使用模式,請大家要熟悉V18http://www.blogger.com/profile/05785309126484405880noreply@blogger.com0tag:blogger.com,1999:blog-3096322818377776158.post-24134480793811915022016-11-21T08:00:00.000-08:002017-02-02T05:15:49.426-08:002016 ESC Heart Failure Guidelineplease search online guideline for referenceV18http://www.blogger.com/profile/05785309126484405880noreply@blogger.com0tag:blogger.com,1999:blog-3096322818377776158.post-35449976579244101262016-11-14T08:00:00.000-08:002017-02-02T05:58:58.932-08:00Tranexamic Acid in Patients Undergoing Coronary-Artery SurgeryTransamin in CABG<br />
<br />
1. lower risk of bleeding<br />
2. without higher risk of death or thrombo-embolic events in 30 days post-op<br />
3. higher risk of post-op seizure<br />
<br />
Oct 23,2016 Doi:0.1056<br />
NEJM oa1606424<br />
<br />
comment: 本院 CPB使用 transamin 的時機為 pre- and post- CPB<br />
dosage : 20mg/kg eachV18http://www.blogger.com/profile/05785309126484405880noreply@blogger.com0tag:blogger.com,1999:blog-3096322818377776158.post-24924413104164079952016-11-07T08:00:00.000-08:002017-02-02T05:41:28.587-08:00Acute Aortic Dissection and Intramural Hematoma : A systemic review根據 Columbia university medical center, New York :<br />
<br />
AAS (acute aortic syndrome)<br />
type A : surgical repair<br />
type B : TEVAR<br />
<br />
<br />
JAMA 2016 ;316(7):754-763<br />
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comment: IMH-A 可採保守治療,但要很小心觀察V18http://www.blogger.com/profile/05785309126484405880noreply@blogger.com0tag:blogger.com,1999:blog-3096322818377776158.post-51130567966155250532016-10-02T01:08:00.000-07:002017-01-15T01:09:11.146-08:00Myocardial Regeneration for Humansenhancing biology and manipulating evolutional selection of cellular properties will be critical to achieving clinically relevant and biologically meaningful cardiac regeneration.<br />
<br />
J of circulation 2016 Dec<br />
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comment: cardiac tissue engineering 還在發展早期階段 , 大家可以持續關注V18http://www.blogger.com/profile/05785309126484405880noreply@blogger.com0tag:blogger.com,1999:blog-3096322818377776158.post-40051973351023117472016-09-26T08:30:00.000-07:002016-10-02T08:30:15.095-07:00OSA 對 CABG 術後的影響根據巴西內科醫師的統計分析<br />
有OSA ( Obstructive Sleep Apnea ) 阻塞性睡眠呼吸中止症的病患<br />
其CABG術後發生 MACCEs ( major adverse cardiac or cerebrovascular events )<br />
的比例會增加, 且為獨立因子 ( independent factor )<br />
<br />
Chest 2015 JanV18http://www.blogger.com/profile/05785309126484405880noreply@blogger.com0tag:blogger.com,1999:blog-3096322818377776158.post-29800759600557707662016-09-19T08:30:00.000-07:002016-09-22T15:27:34.390-07:00TEVAR for MAS以胸主動脈支架治療主動脈瘤,以及併發性主動脈剝離,已經是目前的趨勢<br />
不意外, MAS ( Middle Aortic Syndrome ) 降主動脈狹窄<br />
也有韓國仁川的醫師用支架治療的成功案例 !<br />
<br />
annals of thoracic surgery, 2016 SepV18http://www.blogger.com/profile/05785309126484405880noreply@blogger.com0tag:blogger.com,1999:blog-3096322818377776158.post-2802717591423219252016-09-19T08:00:00.000-07:002016-09-22T15:19:49.933-07:00aortic ViV caution story隨著 TAVI 日趨普及,將來也會遇到越來越多的 case 需要做 ViV (Valve-in-Valve)<div>
如何精準定位, 避免新瓣膜彈跳到遠端或是掉入心臟</div>
<div>
將是未來心臟內外科醫師面臨的挑戰 !</div>
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annals of thoracic surgery 2016 Sep</div>
V18http://www.blogger.com/profile/05785309126484405880noreply@blogger.com0