Publications by authors named "E Flecher"
Article Synopsis
- Predicting outcomes for patients receiving Left Ventricular Assist Devices (LVADs) is crucial, but current methods focusing on right ventricular function are lacking in prognostic value.
- The study utilized data from the ASSIST-ICD registry to evaluate right ventriculoarterial coupling as a potential predictor of all-cause mortality upon LVAD implantation.
- Findings showed that while some measures like TAPSE/sPAP and PAPi were not linked to long-term survival, the ratio of right atrial pressure to pulmonary capillary wedge pressure (RAP/PCWP) was significantly associated with increased mortality, maintaining its relevance even after adjusting for other risk factors.
Article Synopsis
- * Conducted as a retrospective cohort study at a tertiary academic center, it analyzed data from 7,662 cardiac surgery patients between 2012 and 2018, with 528 patients receiving intraoperative platelet transfusions.
- * Findings indicated that platelet transfusion was linked to a significantly higher risk of bloodstream infections, but not significantly associated with hospital-acquired pneumonia or surgical-site infections, implying a need for careful consideration when using platelet transfusions in these surgeries.
When neither surgical valve replacement nor transcatheter aortic valve implantation is possible, performing an apico-aortic conduit remains a therapeutic option. This procedure has become rare and the rigid angled apical connectors usually used to facilitate ventricular anastomosis are no longer commercially available. We described the technique that we performed on a 60-year-old patient with readily available material.
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