case 1. the small TEF was treated with Gore ASD occluder successfully
case 2. single disc mitral prosthesis was malfunctioned after TAVI procedure
2016年12月12日 星期一
2016年12月5日 星期一
SYNTAX score and decision making b/w PCI and CABG
cardiac death from MI is 10 times higher in PCI group than CABG group in high risk patients.
surgery is recommended for 3VD patients with intermediate to high SYNTAX score.
surgery is recommended for LM patients with high SYNTAX score.
J of thoracic and cardiovascular surgery, volume 152, Nov 5
comment : 我們應該強裂建議 1. heart team approach
2. SYNTAX score
surgery is recommended for 3VD patients with intermediate to high SYNTAX score.
surgery is recommended for LM patients with high SYNTAX score.
J of thoracic and cardiovascular surgery, volume 152, Nov 5
comment : 我們應該強裂建議 1. heart team approach
2. SYNTAX score
2016年11月28日 星期一
Comparison b/w antegrade and retrograde cerebral perfusion or profound hypothermia as brain protection strategies during repair of type A aortic dissection
from university of Iowa hospitals and clinics :
During surgical repair of type A aortic dissection, ACP,RCP, or DHCA have acceptable morbidity and mortality in selected patients.
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.
Ann Cardiothoracic Surg 2016;5(4): 328-335
comment : selective antegrade brain perfusion 目前為本院使用模式,請大家要熟悉
During surgical repair of type A aortic dissection, ACP,RCP, or DHCA have acceptable morbidity and mortality in selected patients.
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.
Ann Cardiothoracic Surg 2016;5(4): 328-335
comment : selective antegrade brain perfusion 目前為本院使用模式,請大家要熟悉
2016年11月21日 星期一
2016年11月14日 星期一
Tranexamic Acid in Patients Undergoing Coronary-Artery Surgery
Transamin in CABG
1. lower risk of bleeding
2. without higher risk of death or thrombo-embolic events in 30 days post-op
3. higher risk of post-op seizure
Oct 23,2016 Doi:0.1056
NEJM oa1606424
comment: 本院 CPB使用 transamin 的時機為 pre- and post- CPB
dosage : 20mg/kg each
1. lower risk of bleeding
2. without higher risk of death or thrombo-embolic events in 30 days post-op
3. higher risk of post-op seizure
Oct 23,2016 Doi:0.1056
NEJM oa1606424
comment: 本院 CPB使用 transamin 的時機為 pre- and post- CPB
dosage : 20mg/kg each
2016年11月7日 星期一
Acute Aortic Dissection and Intramural Hematoma : A systemic review
根據 Columbia university medical center, New York :
AAS (acute aortic syndrome)
type A : surgical repair
type B : TEVAR
JAMA 2016 ;316(7):754-763
comment: IMH-A 可採保守治療,但要很小心觀察
AAS (acute aortic syndrome)
type A : surgical repair
type B : TEVAR
JAMA 2016 ;316(7):754-763
comment: IMH-A 可採保守治療,但要很小心觀察
2016年10月2日 星期日
Myocardial Regeneration for Humans
enhancing biology and manipulating evolutional selection of cellular properties will be critical to achieving clinically relevant and biologically meaningful cardiac regeneration.
J of circulation 2016 Dec
comment: cardiac tissue engineering 還在發展早期階段 , 大家可以持續關注
J of circulation 2016 Dec
comment: cardiac tissue engineering 還在發展早期階段 , 大家可以持續關注
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