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Aortic Root Surgery
The surgical treatment of the aortic valve and root disease, organic and ischemic mitral regurgitation, and endocarditis has made great strides. This book focuses on surgical approaches to and various trends in aortic valve repair, aortic root and valve replacement with pulmonary autograft, aortic allograft, stentless and stented bioprostheses.
Minimally Invasive Cardiac Surgery: State of the art and current challenges
As a result of the significant progress in the development of emerging technologies and improved surgical techniques in the cardiovascular field, Minimally Invasive Cardiac Surgery (MICS) has undergone a rapid evolution over the past two decades. Currently, nearly half of all cardiac surgeries are performed through small skin incisions (minithoracotomy and ministernotomy), or involve other less-invasive approaches (no involvement of cardiopulmonary bypass, valve-sparing operations, etc.). This trend continues to evolve, notably with the development of increasingly efficient endoscopic, robotic and transcatheter procedures.
Key Trials in Cardiothoracic Surgery
A concise summary of the most important clinical trials in cardiac and thoracic surgery. The focus is on how evidence-based decision making has helped to shape modern practice and guidelines. The key trials are described and an overview of their impact provided. Much research has been undertaken to study the efficacy of different drugs, techniques, and treatment strategies within cardiothoracic surgery. As a result, many randomised controlled trials have been published which discuss a wide variety of topics and with the intention of improving current practice and patient care. This volume presents a selection of the key trials and assesses their impact. Compact and easy to read, the distillation of core information will enable the reader to understand the importance of the key papers that have influenced best practice across operating theatres, clinics, multi-disciplinary meetings, and inpatient management. Including full summaries of more than 30 trials and reflecting the clinical scenarios encountered in everyday practice by cardiothoracic surgeons, this concise volume is written for both trainee and more experienced members of the surgical team.
Klinikleitfaden OP-Pflege
Aktuelles und praxisorieniertes Fachwissen im Kitteltaschenformate für die tägliche Arbeit im OP, damit Sie sicher und effektiv arbeiten können: OP-Organisation: OP-Planung, Mitarbeiteranleitung, rechtliche Aspekte Routine-Arbeitstechniken: steriles Arbeiten, Lagern und Abdecken Handhabung, Pflege, Verpackung und Aufbewahrung von Instrumenten und Geräten Detaillierte OP-Verläufe, jeweils mit Lagerung und zu richtenden Materialien und Instrumenten Neu in der 7. Auflage: Laparoskopische Sakrokolpopexie, Minimalinvasive Mitralklappenrekonstruktion, Videoassistierte Thorakoskopie (VATS), Plattenosteosynthese bei distaler Radiusfraktur, Femurnagel mit integriert verriegelnder Zug- und Kompressionsschraube, Urethroplastie bei Hypospadie mit tubularisierter indizierter Urethralplatte (TIP), Sialendoskopie, Tubendilatation, Intermaxilläre Fixation (IMF)
Prognostic Impact and Diagnostic Value of Invasively Derived Hemodynamic Measures in Patients with Severe Aortic Stenosis Undergoing TAVI
Abstract: Background Ejection time (ET), acceleration time (AT) and time between left ventricular and aortic systolic pressure peaks (T-LVAo) might be of diagnostic and prognostic use in patients with aortic stenosis (AS) undergoing transcatheter aortic valve implantation (TAVI). Aim We aimed to assess the diagnostic value and prognostic impact of invasively measured ET, AT, and T-LVAo in patients undergoing TAVI. Methods A total of 1274 patients received invasive measurement of ET, AT and T-LVAo prior to TAVI. Anatomic AS severity was assessed by CT-derived aortic valve calcification density (AVCd). Impact on all-cause mortality was retrospectively analyzed. Results In multivariable linear regression, T-LVAo showed the strongest correlation with AVCd. No prognostic impact of T-LVAo was found according to uni- and multivariable analyses. In contrast, using an individual C-statistic derived cutoff (CD), patients with ET or AT ≥ CD showed lower mortality rates compared to patients with ET or AT CD (1-year mortality: ET ≥ vs. CD: 15.01vs. 33.1%, AT ≥ vs CD 16.3 vs. 26.5%, p
Arthrogryposis
The term arthrogryposis describes a range of congenital contractures that lead to childhood deformities. It encompasses a number of syndromes and sporadic deformities that are rare individually but collectively are not uncommon. Yet, the existing medical literature on arthrogryposis is sparse and often confusing. The aim of this book is to provide individuals affected with arthrogryposis, their families, and health care professionals with a helpful guide to better understand the condition and its therapy. With this goal in mind, the editors have taken great care to ensure that the presentation of complex clinical information is at once scientifically accurate, patient oriented, and accessible to readers without a medical background. The book is authored primarily by members of the medical staff of the Arthrogryposis Clinic at Children's Hospital and Medical Center in Seattle, Washington, one of the leading teams in the management of the condition, and will be an invaluable resource for both health care professionals and families of affected individuals.
