The Journal of thoracic and cardiovascular surgery
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J. Thorac. Cardiovasc. Surg. · Sep 2021
The use of apnea test and brain death determination in patients on extracorporeal membrane oxygenation: A systematic review.
To review practices of brain death (BD) determination in patients on extracorporeal membrane oxygenation (ECMO). ⋯ Performing AT for patients with ECMO was associated with high failure rate and hemodynamic complications. Our study highlights the variability in practice in regard to the AT and supports the use of ancillary tests to determine BD in patients on ECMO.
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J. Thorac. Cardiovasc. Surg. · Sep 2021
Technical eligibility for endovascular treatment of the aortic arch after open type A aortic dissection repair.
The objective was to report on the technical eligibility of patients previously treated for Stanford type A aorta dissection for endovascular aortic arch repair based on contemporary anatomic criteria for an arch inner-branched stent graft. ⋯ More than two-thirds of patients post-type A aorta dissection repair are technically eligible for endovascular arch inner-branched stent graft repair. The development of devices that can accommodate a mechanical aortic valve and a greater awareness of sufficient graft length would significantly increase availability.
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J. Thorac. Cardiovasc. Surg. · Sep 2021
Editorial CommentCommentary: An idea with some muscle behind it.