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Complications of cerebrospinal fluid drainage in thoracoabdominal aortic procedures.
Can J Surg
December 2024
From the Cumming School of Medicine, University of Calgary, Calgary, Alta. (Krzyzaniak, Vergouwen, Van Essen, Nixon); the Department of Surgery, Section of Vascular Surgery, University of Calgary, Calgary, Alta. (Krzyzaniak, Moore, Rommens); the Department of Cardiac Sciences, Section of Cardiac Surgery, University of Calgary, Calgary, Alta. (McClure); the Calgary Aortic Program, Calgary, Alta. (McClure, Moore, Rommens); the Department of Anesthesiology, Perioperative and Pain Medicine, University of Calgary, Calgary, Alta. (Nixon, Jadavji).
Background: Cerebrospinal fluid (CSF) drainage is used to reduce spinal cord ischemia (SCI) in patients undergoing thoracoabdominal aortic procedures. Recent literature has found high rates of complication associated with CSF drainage, which has led to changes in practice. The aim of this study was to investigate rates of CSF drain-related complications in patients undergoing a thoracoabdominal aortic procedure with perioperative placement of a CSF drain.
View Article and Find Full Text PDF[Obtaining Operative Field for the Repair of Thoracic Descending and Thoracoabdominal Aortic Aneurysms].
Kyobu Geka
September 2024
Department of Cardiovascular Surgery, The University of Tokyo, Tokyo, Japan.
Left thoracotomy with spiral incision is conventional approach for the repair of descending and thoracoabdominal aortic aneurysms. Because the aneurysms' locations and ranges are various, case-oriented approaches including body postures and the positions of thoracotomy are necessary. Preoperative computed tomography assessment of aneurysms is important for decision making of both operative indication and approach.
View Article and Find Full Text PDFInterstitial Lung Abnormalities on Unselected Abdominal and Thoracoabdominal CT Scans in 21 118 Patients.
Radiology
November 2024
From the Scienze Radiologiche, Department of Medicine and Surgery, University of Parma, Parma, Italy (N.S., G.M., V.R.P., S.E.G., E.B., F.S., C.M., F.M., R.E.L., M.S.); Department of Medicine, University of British Columbia and Center for Heart Lung Innovation, St Paul's Hospital, Vancouver, Canada (C.J.R.); Department of Radiology, Brigham and Women's Hospital, Boston, Mass (H.H.); National Heart and Lung Institute, Imperial College London, London, England (S.L.F.W.); and University Hospital of Parma, Parma, Italy (E.I.).
Article Synopsis
- Interstitial lung abnormalities (ILAs) are incidental findings on CT scans that may indicate early stages of interstitial lung disease, but data on their prevalence in routine clinical practice is limited.
- A study reviewed CT scans from patients aged 50 and older at a tertiary hospital and found that ILAs were present in 1.7% of scanned patients, with a significant number being underreported in original clinical reports.
- The presence of fibrotic ILAs significantly increased the risk of respiratory-related mortality, highlighting the importance of recognizing and reporting these abnormalities in clinical settings.
Long-Term Outcomes of Endovascular Repair of Thoracic Aortic Aneurysms.
Int J Angiol
December 2024
Division of Cardiothoracic Surgery, Department of Surgery, University of Kentucky, Lexington, Kentucky.
The thoracic aorta is a dynamic structure composed of the aortic root, ascending aorta, aortic arch, and descending aorta. It is subject to the pressure and volume of the cardiac cycle and susceptible to atherosclerotic and aneurysmal changes. With these changes, the risk for acute aortic syndromes increases, thus creating the impetus for earlier interventions.
View Article and Find Full Text PDFCustom-Made Device (CMD) for the Repair of Thoraco-Abdominal Aneurysm (TAA): Mid-Long Term Outcomes from a Single Southeast Asian Centre Experience in Singapore.
J Clin Med
October 2024
Department of Vascular Surgery, Singapore General Hospital, Outram Road, Singapore 169856, Singapore.
Given the high risk of peri-operative morbidity and mortality associated with open repair, endovascular repair for thoraco-abdominal aneurysms is increasingly performed. This study aims to describe mid to long-term results for patients who were treated with COOK Custom-Made Endograft Device at a single Southeast Asian tertiary centre. Mid to long-term results of patients treated from 2012 to 2022 were retrospectively reviewed.
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