European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery
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When the T-tube is inserted as a temporary stent, it is unclear whether keeping it longer in place has any benefit on the outcome. ⋯ Although it seems that keeping the T-tube in place for >6 months may increase the chance of successful decannulation, it was not confirmed in our study.
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Eur J Cardiothorac Surg · May 2013
Transapical aortic valve replacement in extreme-risk patients: outcome, risk factors and mid-term results.
Transcatheter aortic valve replacement (TAVR) provides good results in selected high-risk patients. However, it is unclear whether this procedure carries advantages in extreme-risk profile patients with logistic EuroSCORE above 35%. ⋯ TA-TAVR in extreme-risk patients carries a moderate risk of hospital mortality. Severe comorbidities and presence of residual paravalvular leakages affect the mid-term survival, whereas surviving patients have an acceptable quality of life without rehospitalizations for cardiac decompensation.
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Eur J Cardiothorac Surg · May 2013
Randomized Controlled TrialTreatment of complex coronary artery disease in patients with diabetes: 5-year results comparing outcomes of bypass surgery and percutaneous coronary intervention in the SYNTAX trial.
This prespecified subgroup analysis examined the effect of diabetes on left main coronary disease (LM) and/or three-vessel disease (3VD) in patients treated with percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) in the SYNTAX trial. ⋯ In both diabetic and non-diabetic patients, PCI resulted in higher rates of MACCE and repeat revascularization at 5 years. Although PCI is a potential treatment option in patients with less-complex lesions, CABG should be the revascularization option of choice for patients with more-complex anatomic disease, especially with concurrent diabetes.
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Eur J Cardiothorac Surg · May 2013
Randomized Controlled TrialRegulated tailored suction vs regulated seal: a prospective randomized trial on air leak duration.
The objective of this study was to compare the air leak duration of two regulated chest tube modes following pulmonary lobectomy. ⋯ Regulated seal is as effective and safe as regulated suction in managing chest tubes following lobectomy. This information demonstrates with objective data the non-superiority of regulated suction vs regulated seal and may assist in future investigations on regulated pleural pressure.