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Intensive Care Med 2018 Dec 13. Epub 2018 Dec 13.

Department of Surgery, National Taiwan University Hospital, and College of Medicine, National Taiwan University, No. 7, Chung-Shan South Road, Taipei, 100, Taiwan.

Purpose: Caseloads of extracorporeal cardiopulmonary resuscitation (ECPR) have increased considerably, and hospital mortality rates remain high and unpredictable. The present study evaluated the effects of the interplay between age and prolonged low-flow duration (LFD) on hospital survival rates in elderly patients to identify subgroups that can benefit from ECPR.

Methods: Adult patients who received ECPR in our institution (2006-2016) were classified into groups 1, 2, and 3 (18-65, 65-75, and > 75 years, respectively). Read More

Eur Respir J 2018 Dec 13. Epub 2018 Dec 13.

Dept of Thoracic Surgery, Medical University of Vienna, Vienna, Austria.

Intensive care of patients with pulmonary hypertension (PH) and right-sided heart failure includes treatment of factors causing or contributing to heart failure, careful fluid management, and strategies to reduce ventricular afterload and improve cardiac function. Extracorporeal membrane oxygenation (ECMO) should be considered in distinct situations, especially in candidates for lung transplantation (bridge to transplant) or, occasionally, in patients with a reversible cause of right-sided heart failure (bridge to recovery). ECMO should not be used in patients with end-stage disease without a realistic chance for recovery or for transplantation. Read More

Clin J Am Soc Nephrol 2018 Dec 13. Epub 2018 Dec 13.

Nephrology Section, Department of Internal Medicine, Ghent University Hospital, Ghent, Belgium; and.

Background And Objectives: The prevalence of patients with ESKD who receive extracorporeal kidney replacement therapy is rising worldwide. We compared government reimbursement for hemodialysis and peritoneal dialysis worldwide, assessed the effect on the government health care budget, and discussed strategies to reduce the cost of kidney replacement therapy.

Design, Setting, Participants, & Measurements: Cross-sectional global survey of nephrologists in 90 countries to assess reimbursement for dialysis, number of patients receiving hemodialysis and peritoneal dialysis, and measures to prevent development or progression of CKD, conducted online July to December of 2016. Read More

Taiwan J Obstet Gynecol 2018 Dec;57(6):890-893

Department of Obstetrics and Gynecology, National Research Center of Mother and Child Health, University Medical Center, Astana, 010000, Kazakhstan.

Objective: Uterine arteriovenous malformation (AVM) is an abnormal and nonfunctional communication between uterine arteries and veins, currently managed by uterine artery embolization (UAE). Pulmonary embolism (PE) is the most severe and life-threatening complication of this procedure.

Case Report: We report a case of 27 year-old woman with heavy vaginal bleeding and abdominal pain caused by AVM. Read More

Int J Artif Organs 2018 Dec 13:391398818812601. Epub 2018 Dec 13.

1 Department of Intensive Care Medicine, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.

Objectives:: The aim of this study is to describe the in vitro adsorption of anti-infective drugs onto an extracorporeal cytokine adsorber.

Methods:: Various anti-infective drugs (β-lactams, quinolones, aminoglycosides, glycopeptides, azole antimycotics) were prepared in normal saline 0.9% and human albumin 5%, and pumped through a cytokine cartridge (CytoSorb; CytoSorbents Corporation, Monmouth Junction, NJ, USA) at a flow rate of 1. Read More

Medicine (Baltimore) 2018 Dec;97(49):e13582

Department of Critical Care Medicine, Suzhou Kowloon Hospital, Shanghai Jiao Tong University School of Medicine, Suzhou, China.

Rationale: The Epstein-Barr (EB) virus has rarely been reported as a cause of fulminant myocarditis. To our knowledge, the present case is the first report on myocardial calcification in EB viral myocarditis and rhabdomyolysis.

Patient Concerns: A 17-year-old man was admitted to the department with fever, chest tightness, and tachypnea that had been present for 2 days. Read More

Medicine (Baltimore) 2018 Dec;97(49):e13546

Department of Thoracic Surgery, The Affiliated People's Hospital of Fujian University of Traditional Chinese Medicine, Fuzhou, Fujian Province, China.

Rationale: The case of parasternal diaphragmatic hernia is relatively rare in adults. The best way for the treatment of diaphragmatic hernia is to receive operation, yet which surgical method is the best remains unclear.

Patient Concerns: An elderly woman in the hospital was complaining about upper abdominal pain that was complicated by the parasternal diaphragmatic hernia. Read More

Blood Purif 2018 Dec 13:1-8. Epub 2018 Dec 13.

Renal Unit, Department of Medical, Faculty of Medicine, Navamindradhiraj University, Bangkok, Thailand.

Background: Citrate anticoagulation is increasingly favored for preventing extracorporeal circuit clotting during renal replacement therapy. This study tested the effect of citrate compared with acetate on heparin avoidance and other parameters.

Methods: Sixty-one chronic hemodialysis (HD) patients were switched from conventional dialysis fluid (acetate) to citrate dialysis fluid and were treated in 3 phases, each lasting 4 weeks: 50%, 25%, and no heparin. Read More

A A Pract 2018 Dec 11. Epub 2018 Dec 11.

From the Division of Cardiothoracic and Vascular Anesthesia and Intensive Care Medicine, Department of Anesthesia, Intensive Care Medicine and Pain Medicine, General Hospital Vienna, Medical University of Vienna, Vienna, Austria.

Regional cerebral tissue saturation monitoring is frequently used in patients on mechanical cardiac assist devices with the intention to promptly detect critical imbalances between cerebral oxygen delivery and oxygen extraction and ultimately circumvent permanent brain injury. We report a case where an intraparenchymal bleed in the supply zone of the middle cerebral artery-followed by severe hemispherical brain edema, leading to life-threatening intracranial hypertension-escaped cerebral oximetry monitoring using near-infrared spectroscopy. Potential explanations for our observation, as well as the specific limitations of these devices, are discussed. Read More

ASAIO J 2018 Dec 12. Epub 2018 Dec 12.

Duke University Hospital, Durham, North Carolina.

Temporary continuous-flow ventricular assist devices (cfVAD) and extracorporeal membrane oxygenation (ECMO) are options for temporary mechanical circulatory support in pediatric patients. Despite the increase in temporary cfVAD use, the literature describing its use in pediatrics is limited. This was a single-center retrospective review of temporary cfVAD and a cohort of similar ECMO patients between January 1, 2011, and June 30, 2016, in patients <19 years of age. Read More

Can J Kidney Health Dis 2018 4;5:2054358118809104. Epub 2018 Nov 4.

Pfizer Essential Health, Pfizer Canada Inc, Kirkland, QC, Canada.

Background: Dalteparin sodium, a low-molecular-weight heparin, is indicated for prevention of clotting in the extracorporeal circuit during hemodialysis (HD). Product labeling recommends a fixed single-bolus dose of 5000 international units (IU) for HD sessions lasting up to 4 hours, but adjustable dosing may be beneficial in clinical practice.

Objective: The aim of the PARROT study was to investigate the safety and efficacy of an adjustable dose of dalteparin in patients with end-stage renal disease requiring 3 to 4 HD sessions per week. Read More

Exp Ther Med 2018 Dec 19;16(6):4685-4689. Epub 2018 Sep 19.

Department of Anesthesiology, The People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, Guangxi 530021, P.R. China.

Effects of dexmedetomidine on postoperative cognitive function in patients undergoing coronary artery bypass grafting were investigated. Eighty patients undergoing systemic anesthesia with extracorporeal coronary artery bypass grafting in The People's Hospital of Guangxi Zhuang Autonomous Region from January 2015 to August 2017 were selected and randomly divided into the observation group (n=40) and control group (n=40). The two groups were treated with dexmedetomidine and equal volume of normal saline, respectively. Read More

Perfusion 2018 Dec 12:267659118814691. Epub 2018 Dec 12.

2 Department of Cardiac Surgery, IRCCS San Raffaele Hospital, Milan, Italy.

Mycobacterium chimaera infections have mainly been associated with the heater-cooler unit (HCU) and, ultimately, linked to contaminated aerosols in the operation room. The contamination status of HCUs seems to be influenced by the maintenance, therefore, according to the manufacturer's recommendations, peracetic acid (Puristeril) was introduced to increase HCU cleaning and disinfection protocol maintenance. Aerosol dispersion from Puristeril during maintenance can cause adverse effects to nearby workers. Read More

Nihon Rinsho Meneki Gakkai Kaishi 2016 08;74 Suppl 6:136-40

Transpl Int 2018 Dec 7. Epub 2018 Dec 7.

Surgical Director of Lung Transplantation Surgical Director of Lung Failure Division of Cardiovascular Surgery, Temple University Health System and Lewis Katz School of Medicine.

When encountering early signs of primary graft dysfunction (PGD) at the end of the procedure following lung transplantation in operating rooms, aside from lung protective ventilation strategies, two key players as currently available therapeutic options include inhaled nitric oxide (iNO) and/or extracorporeal membrane oxygenation (ECMO) (1). While iNO plays a unique and relevant therapeutic role in the current clinical lung transplantation, its impact on posttransplant outcomes remains unclear mostly due to a large variety of iNO usage in clinical practice intra-, peri-, and post-operatively among the institutions (2-3). In the December 2018 issue of the Transplant International, Fessler and colleagues (4) from Hospital Foch in France, presented their study to aim to characterize the patients who required prolonged support of iNO following lung transplantation and evaluate the impact of such iNO dependency on posttransplant outcomes in particular with the incidences of severe PGD. Read More

Front Med (Lausanne) 2018 20;5:321. Epub 2018 Nov 20.

Department of Critical Care Medicine, The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada.

The balance between systemic anticoagulation and clotting is challenging. In normal hemostasis, the endothelium regulates the balance between anticoagulant and prothrombotic systems. It becomes particularly more challenging to maintain this physiologic hemostasis when we are faced with extracorporeal life support therapies, where blood is continuously in contact with a foreign extracorporeal circuit surface predisposing a prothrombotic state. Read More

Wideochir Inne Tech Maloinwazyjne 2018 Dec 21;13(4):507-511. Epub 2018 May 21.

Department of Urology, Faculty of Medicine, Istanbul Medeniyet University, Istanbul, Turkey.

Introduction: Managing upper ureteral stones with shock wave lithotripsy (SWL) has been done for many years. However, no conclusive data have been found on the intervals required between repeated SWL sessions.

Aim: To identify the most optimal intervals between SWL sessions. Read More

Arch Orthop Trauma Surg 2018 Dec 6. Epub 2018 Dec 6.

AUVA Trauma Hospital Lorenz Böhler - European Hand Trauma Center, Donaueschingenstrasse 13, 1200, Vienna, Austria.

Introduction: Scaphoid nonunion remains challenging for hand surgeons. Several treatment options are available such as: non-vascularized or vascularized bone grafting, with or without additional stabilization. In the last few decades, extracorporeal shockwave therapy (ESWT) has become an established procedure for treating delayed and nonunions. Read More

Eur J Cardiothorac Surg 2018 Dec 11. Epub 2018 Dec 11.

Department of Anaesthesia, Intensive Care Medicine and Pain Medicine, Division of Cardiac Thoracic Vascular Anaesthesia and Intensive Care Medicine, Medical University of Vienna, Vienna, Austria.

Exposure to heparin and protamine during cardiac surgery on cardiopulmonary bypass (CPB) may trigger heparin-induced thrombocytopaenia and/or protamine-induced thrombocytopaenia. Further surgery on CPB with heparin and protamine in the presence of these antibodies implies increased thromboembolic risk. We present the successful application of extracorporeal immunoadsorption to deplete antibodies causing heparin-induced and protamine-induced thrombocytopaenia preoperatively. Read More

Anesth Analg 2018 Dec 11. Epub 2018 Dec 11.

Department of Anesthesiology, Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York.

We surveyed Society of Cardiovascular Anesthesiologists members regarding anticoagulation practices for cardiopulmonary bypass and attitudes on heparin resistance. Of 550 respondents (18.5% response rate), 74. Read More

Perfusion 2018 Dec 11:267659118815104. Epub 2018 Dec 11.

4 Anesthesiology, Heart Institute, Children's Hospital Colorado, Anschutz Medical Campus, University of Colorado School of Medicine, Aurora, CO, USA.

The correct selection and placement of a single-site Avalon Elite Dual Lumen Cannula for veno-venous extracorporeal membrane oxygenation (ECMO) in children weighing less than 20 kg is dependent on both the mechanical characteristics of the catheter, including length and diameter, as well as the unique vascular anatomic considerations of the patient. This manuscript describes the development of a clinical strategy, over a four-year period from 2012-2016, for cannula selection to reduce the risk of migration and malposition in 20 critically ill children weighing less than 20 kg who presented for veno-venous ECMO. Read More

Int J Artif Organs 2018 Dec 11:391398818817325. Epub 2018 Dec 11.

2 ECMO Team, IRCCS Policlinico San Donato, Milan, Italy.

Introduction:: Veno-arterial extracorporeal membrane oxygenation after heart surgery is a relatively common procedure. It is easily applicable but associated with a number of complications, including bloodstream infections. The aim of this study is to determine the current rate and the risk factors related to bloodstream infections acquired during post-cardiotomy veno-arterial extracorporeal membrane oxygenation. Read More

J Cardiol Cases 2014 Jul 1;10(1):34-38. Epub 2014 May 1.

Department of Cardiology, Hospital Clínic de Barcelona, Spain.

Background: Brugada syndrome is a cardiac disorder associated with a high risk of sudden cardiac death, especially in young subjects. The incidence and prevalence are likely underestimated. The diagnosis is based on a characteristic electrocardiography (ECG) pattern. Read More

Semin Thorac Cardiovasc Surg 2018 Dec 8. Epub 2018 Dec 8.

Department of Cardio-Thoracic Surgery, Leiden University Medical Center, Leiden.

Objective: Verbal communication during coronary artery bypass graft (CABG) procedures is essential for safe and efficient cardiac surgery, yet sensitive to failure due to a current lack of standardization. The goal of this study was to improve communication during CABG by identifying critical items in verbal interaction between surgeons, anesthetists and perfusionists.

Methods: Based on 6 video recordings, a list was assembled containing items of communication in CABG procedures. Read More

J Robot Surg 2018 Dec 10. Epub 2018 Dec 10.

Division of Colon and Rectal Surgery, St. Joseph Mercy Hospital, Ann Arbor, 5325 Elliott Dr., Suite #104, Ann Arbor, MI, 48106, USA.

Intracorporeal options for sigmoid resection have been recently developed but not extensively evaluated. This study was designed to assess outcomes comparing intracorporeal and extracorporeal techniques for robotic-assisted sigmoid resection in an established enhanced recovery pathway. This is a retrospective comparison of intracorporeal and extracorporeal techniques for robotic-assisted sigmoid resection for benign and malignant disease. Read More

Intensive Care Med 2018 Dec 7. Epub 2018 Dec 7.

Department of Clinical Medicine, University of Bergen/Haukeland University Hospital, Bergen, Norway.

Eur J Cardiothorac Surg 2018 Dec 10. Epub 2018 Dec 10.

Department of Cardiology, Heart and Lung Center, Helsinki University Hospital, Helsinki, Finland.

Objectives: Our goal was to study the outcome of patients with cardiogenic shock who were treated with venoarterial extracorporeal membrane oxygenation (VA ECMO), including the subsequent long-term health-related quality of life (HRQoL).

Methods: We conducted a retrospective study of 133 consecutive patients treated in a single centre from 2007 to 2016. The HRQoL was studied using the EuroQuol-5 dimensions-3 level questionnaire and the RAND 36-Item Short Form Health Survey at a minimum of 1 year after VA ECMO. Read More

Front Neurol 2018 23;9:993. Epub 2018 Nov 23.

Department of Anesthesiology, University of Maryland School of Medicine, Baltimore, MD, United States.

Regional cerebral oxygen saturation (rScO2) measured by near-infrared spectroscopy (NIRS) can be used to monitor brain oxygenation in extracorporeal membrane oxygenation (ECMO). ECMO patients that develop acute brain injuries (ABIs) are observed to have worse outcomes. We evaluated the association between rScO2 and ABI in venoarterial (VA) ECMO patients. Read More

Hepat Med 2018 16;10:139-152. Epub 2018 Nov 16.

Department of Surgery, University of Chicago, Chicago, IL, USA.

Background: Preliminary evidence of safety and efficacy of an extracorporeal cellular therapy (ELAD) has been demonstrated in subjects with acute forms of liver failure. This study compared ELAD with standard of care in Chinese subjects with acute-on-chronic liver failure (ACLF), predominantly secondary to chronic viral hepatitis.

Subjects And Methods: Subjects meeting eligibility criteria were randomized to either the ELAD group or the control group. Read More

Angiol Sosud Khir 2018 ;24(4):151-156

Research Institute for Complex Problems of Cardiovascular Diseases, Kemerovo, Russia.

Analysed herein are the in-hospital and remote (12 months) results of transcutaneous coronary interventions (TCI) carried out in patients with non-ST elevation acute coronary syndrome (nSTE-ACS) and multivessel coronary artery disease with the use of extracorporeal membrane oxygenation (ECMO). From 2013 to 2015, the study included a total of 18 patients with nSTE-ACS and multivessel coronary artery disease who had been denied "open" surgical myocardial revascularization. The mean values (scores) of the scales in the group were as follows: GRACE - 119. Read More

Khirurgiia (Mosk) 2018 (10):76-80

Yudin State Clinical Hospital, Moscow, Russia.

It is presented the victim with severe combined injury complicated by fat embolism and acute respiratory failure. Veno-venous extracorporeal membrane oxygenation was successfully used to provide adequate extracorporeal gas exchange in refractory respiratory failure. Read More

Pediatr Crit Care Med 2018 Dec 7. Epub 2018 Dec 7.

Department of Nephrology, Dialysis and Transplantation, San Bortolo Hospital, Viale Ferdinando Rodolfi 37, Vicenza, Italy.

Objectives: Renal replacement therapy in infants and small children is the treatment of choice for severe oligoanuric renal dysfunction, with an increasing consensus that early initiation might contribute to preventing acute kidney injury complications. Safer renal replacement therapy devices specifically designed for neonates may contribute to ameliorating outcomes and increasing chances of survival. One of the crucial factors to achieve an effective renal replacement therapy in small infants is adequate vascular access. Read More

Ear Hear 2018 Dec 6. Epub 2018 Dec 6.

Department of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine in St. Louis, St. Louis, Missouri, USA.

Objectives: To (1) identify the etiologies and risk factors of the patient cohort and determine the degree to which they reflected the incidence for children with hearing loss and (2) quantify practice management patterns in three catchment areas of the United States with available centers of excellence in pediatric hearing loss.

Design: Medical information for 307 children with bilateral, mild-to-severe hearing loss was examined retrospectively. Children were participants in the Outcomes of Children with Hearing Loss (OCHL) study, a 5-year longitudinal study that recruited subjects at three different sites. Read More

J Heart Lung Transplant 2018 Nov 22. Epub 2018 Nov 22.

Department of Surgery, Columbia University Medical Center, Columbia University, New York, New York, USA. Electronic address:

Background: As the number of patients with end-stage lung disease continues to rise, there is a growing need to increase the limited number of lungs available for transplantation. Unfortunately, attempts at engineering functional lung de novo have been unsuccessful, and artificial mechanical devices have limited utility as a bridge to transplant. This difficulty is largely due to the size and inherent complexity of the lung; however, recent advances in cell-based therapeutics offer a unique opportunity to enhance traditional tissue-engineering approaches with targeted site- and cell-specific strategies. Read More

J Cardiothorac Vasc Anesth 2018 Nov 13. Epub 2018 Nov 13.

Department of Anesthesiology, University of North Carolina School of Medicine, Chapel Hill, NC; Outcomes Research Consortium, Cleveland, OH.

Heart Rhythm 2018 Dec 4. Epub 2018 Dec 4.

Department of Pediatrics, Thomas P. Graham Jr. Division of Cardiology, Vanderbilt University Medical Center.

Background: Postoperative arrhythmias following pediatric congenital heart disease (CHD) surgery are a known cause of morbidity and are associated with mortality. A comprehensive evaluation of early postoperative ventricular arrhythmias (VAs) after CHD surgery has not been reported.

Objective: We sought to determine the incidence of in-hospital VAs following CHD surgery and assess the clinical relevance of this arrhythmia during the postoperative hospital course. Read More

J Orthop Sci 2018 Dec 5. Epub 2018 Dec 5.

Department of Orthopaedic Surgery, Zhongnan Hospital, Wuhan University, Wuhan, Hubei, 430071, China. Electronic address:

Background: The aim of the study was to investigate the effects of extracorporeal fucosylation of CD44 on the homing ability of rabbit bone marrow mesenchymal stem cells (BMSCs).

Methods: The rabbit BMSCs were extracorporeal fucosylated using alpha-(1,3)-fucosyltransferase VI (FTVI), then the positive rate of sialyl-LewisX (sLe) and the binding rate of E-selectin were detected by flow cytometry, as well as the fluid adhesion of rabbit BMSCs were detected by the parallel flow chamber adhesion test. Then BMSCs were constructed to stably express enhanced green fluorescent protein (EGFP) and were injected intravenously into the model rabbits with tibial fractures. Read More

Ann Emerg Med 2018 Dec 4. Epub 2018 Dec 4.

Department of Emergency Medicine and Critical Care, Japanese Red Cross Society Kyoto Daini Hospital, Kyoto, Japan.

Instantaneous rigor is the immediate appearance of rigor mortis after cardiac arrest. To our knowledge, no previous reports exist on resuscitation of such patients. A young athlete suddenly collapsed with cardiac arrest during a marathon; his legs stiffened with instantaneous rigorlike stiffness. Read More

Br J Hosp Med (Lond) 2018 Dec;79(12):718

Consultant in Cardiothoracic Intensive Care, ECMO and Anaesthesia, Department of Anaesthesia and Intensive Care, Royal Papworth Hospital, Cambridge.

Eur Heart J Acute Cardiovasc Care 2018 Dec 10:2048872618817485. Epub 2018 Dec 10.

1 Intensive Cardiac Care Unit, Cardiology Department, Heart Disease Institute, Bellvitge University Hospital, Barcelona, Spain.

Background:: Current guidelines recommend emergency surgical correction in patients with post infarction ventricular septal rupture (PIVSR), but patients with multiorgan failure are commonly managed conservatively because of high surgical risk. We assessed characteristics and outcomes of operated PIVSR patients with or without the use of short-term ventricular assist devices (ST-VADs). We also assessed the impact of a ST-VAD on the performance of surgery. Read More

PLoS One 2018 6;13(12):e0206053. Epub 2018 Dec 6.

Department of Gynecological Endocrinology and Fertility Disorders, University of Heidelberg, Heidelberg, Germany.

Background: Local anesthetics (LAs) are increasingly used as therapeutics due to their multiple molecular effects. They may be potential agents also in gynecology and reproductive medicine. The objective of this study was to investigate the contractility response of the perfused swine uterus to different concentrations of the LAs procaine, lidocaine, and ropivacaine. Read More

Rev Med Inst Mex Seguro Soc 2018 11 30;56(4):429-433. Epub 2018 Nov 30.

Instituto Mexicano del Seguro Social, Hospital de Cardiología, Servicio de Anestesiología. Ciudad de México, México

Background: Extracorporeal membrane oxygenation is a technique indicated in cases of severe respiratory failure or in situations where pump failure or heart failure is refractory to conventional medical treatment. Our goal was to describe the results of a patient with chronic Chagas dilated cardiomyopathy treated with extracorporeal membrane oxygenation as bridging therapy for heart transplantation.

Case Report: A 62-year old male with a history of Chagas disease and severe ventricular failure who underwent veno-arterial extracorporeal membrane oxygenation as bridging therapy for heart transplantation, with good clinical evolution. Read More

Pediatr Crit Care Med 2018 Dec 4. Epub 2018 Dec 4.

Department of Critical Care, Children's National Health System, Washington, DC.

Objectives: Describe a single center experience of hemophagocytic lymphohistiocytosis in a PICU over a 10-year period, to identify clinical features that may be associated with worse outcomes, including mortality, hospital and ICU length of stay, and functional and cognitive impairments on discharge.

Design: Retrospective electronic medical record review, 2007-2017.

Setting: PICU located in a large urban academic quaternary care children's hospital. Read More

Anatol J Cardiol 2018 Dec 6. Epub 2018 Dec 6.

Department of Ultrasound Diagnosis, The Second Affiliated Hospital (Xinqiao Hospital) of Chinese People's Liberation Army Medical University; Chongqing-China.

Objective: To explore the clinical features and surgical treatment experience of primary cardiac valve tumor.

Methods: The present study retrospectively analyzed the clinical data of 11 patients with primary valvular tumors who underwent surgical treatment in our department from 1980 to 2016. Echocardiography of preoperative patients was indicated as a heart valve tumor. Read More

Sci China Life Sci 2018 Dec 3. Epub 2018 Dec 3.

Department of Cardiology, Changzheng Hospital, The Second Military Medical University, Shanghai, 200003, China.

Fulminant myocarditis is primarily caused by infection with any number of a variety of viruses. It arises quickly, progresses rapidly, and may lead to severe heart failure or circulatory failure presenting as rapid-onset hypotension and cardiogenic shock, with mortality rates as high as 50%-70%. Most importantly, there are no treatment options, guidelines or an expert consensus statement. Read More

World J Methodol 2018 Nov 29;8(3):37-39. Epub 2018 Nov 29.

Department Health Sciences, School of Sciences, European University Cyprus, Nicosia 1516, Cyprus.

Lateral elbow tendinopathy (LET) is one of the two most common tendinopathies of the upper limb. The most effective treatment in the management of LET is the exercise program. Clinicians combine exercise program with other physiotherapy, electrotherapeutic and no, techniques. Read More

Future Med Chem 2018 Dec 6;10(23):2685-2693. Epub 2018 Dec 6.

Department of General Biochemistry, Faculty of Biology & Environmental Protection, University of Łódź, Pomorska 141/3, 90-236 Łódź, Poland.

Aim: To evaluate the level of lipid peroxidation in patients with nephrolithiasis before and after extracorporeal shock wave lithotripsy (ESWL).

Materials & Methods: Isoprostane concentration (8-isoPGF) was measured in urine, and thiobarbituric acid reactive substance production in serum and erythrocytes. In addition, the concentrations of selected compounds (uric acid, glucose and creatinine) were measured in serum. Read More

Ann Thorac Surg 2018 Nov 30. Epub 2018 Nov 30.

Department of Cardiothoracic Surgery, New York University Langone Health.

Background: Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) support can be associated with significant deconditioning due to the requirement for strict bedrest as a result of femoral arterial cannulation. In order to address this issue, we evaluated our experience with ambulation in patients with peripheral femoral cannulation for VA-ECMO.

Methods: All patients that were peripherally cannulated for VA-ECMO over a two year period were retrospectively reviewed. Read More

ASAIO J 2018 Nov 28. Epub 2018 Nov 28.

From the Division of Cardiovascular and Thoracic Surgery, Department of Surgery, Duke University Medical Center, Durham, North Carolina.

Although life-saving, cardiopulmonary resuscitation (CPR) has been associated with traumatic injuries in adult patients surviving cardiac arrest. In addition to rib and sternal fractures, intraabdominal injuries have also been shown to occur, particularly after prolonged external cardiac massage. Early detection of these injuries remains difficult and is often masked by concomitant hemodynamic instability and the higher likelihood of other injuries such as retroperitoneal hemorrhage. Read More

ASAIO J 2018 Nov 28. Epub 2018 Nov 28.

Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, Texas.

Neurologic injury is a known and feared complication of extracorporeal membrane oxygenation (ECMO). Neurologic biomarkers may have a role in assisting with early identification of such. Axonal biomarker tau has not been investigated in the pediatric ECMO population. Read More