Article
Medicine, General & Internal
Chih-Hsiang Chang, Shao-Wei Chen, Jia-Jin Chen, Yi-Hsin Chan, Chieh-Li Yen, Tao Han Lee, Yu-Ting Cheng
Summary: This study found that approximately one quarter of patients undergoing surgery for acute type A aortic dissection will develop AKD. Patients with AKD, with or without AKI, are at higher risk for MAKEs and readmission. Higher-stage AKD is associated with a trend of persistent decline in kidney function.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Medicine, General & Internal
Hai Deng, Ting-Xuan Tang, Liang-Sheng Tang, Deng Chen, Jia-Liu Luo, Li-Ming Dong, Si-Hai Gao, Zhao-Hui Tang
Summary: This study found that the incidence of blunt aortic injury in patients with burst fractures of the thoracic spine is 11.3% and often missed. Risk factors for aortic injury include injury severity score, mechanism of injury (such as crush), flail chest, and neurological deficit.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Cardiac & Cardiovascular Systems
Xuelian Chen, Jiaojiao Zhou, Miao Fang, Jia Yang, Xin Wang, Siwen Wang, Linji Li, Tao Zhu, Ling Ji, Lichuan Yang
Summary: Few studies have investigated the risk factors for postoperative continuous renal replacement therapy (CRRT) in patients with acute type A aortic dissection (AAAD). This retrospective analysis found a high rate of CRRT requirement and in-hospital mortality after AAAD surgery, with baseline serum creatinine, cystatin C, lung infection, second thoracotomy, diabetes mellitus, and AKI stage 2-3 identified as independent risk factors for receiving CRRT. Further research is needed to establish the risk factors for CRRT and in-hospital mortality.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2021)
Review
Genetics & Heredity
Zhen Zhou, Alana C. Cecchi, Siddharth K. Prakash, Dianna M. Milewicz
Summary: This article discusses the main risk factors associated with thoracic aortic aneurysms and dissections (TAD), including genetic variants and environmental conditions, and explores the underlying mechanisms leading to TAD.
Article
Surgery
Takuya Ogami, George J. Arnaoutakis, Himanshu J. Patel, Chih-Wen Pai, Kim A. Eagle, Santi Trimarchi, Derek Serna-Gallegos, Ibrahim Sultan
Summary: This study aimed to characterize acute kidney injury (AKI) after thoracic endovascular aortic repair (TEVAR) in patients with acute type B aortic dissection (ATBAD). The incidence of postoperative AKI was found to be 16.2% in patients undergoing TEVAR for ATBAD. Patients with postoperative AKI had a higher rate of in-hospital morbidities and mortality than those without AKI. A history of chronic kidney disease (CKD) and preoperative AKI were independently associated with postoperative AKI.
JOURNAL OF VASCULAR SURGERY
(2023)
Article
Urology & Nephrology
Xiuping An, Xi Guo, Nan Ye, Weijing Bian, Xiaofeng Han, Guoqin Wang, Hong Cheng
Summary: This study investigated the incidence and risk factors of in-hospital AKI in TBAD patients with renal artery involvement who underwent TEVAR. The results showed a higher incidence of AKI in younger patients with higher body mass index and shorter time from onset to admission. Young age, lower eGFR, higher DBP, and higher FBG on admission were identified as independent risk factors for AKI. Renopreventive measures should be considered in high-risk patients with these characteristics.
Article
Cardiac & Cardiovascular Systems
Dashuai Wang, Sheng Le, Jingjing Luo, Xing Chen, Rui Li, Jia Wu, Yu Song, Fei Xie, Ximei Li, Hongfei Wang, Xiaofan Huang, Ping Ye, Xinling Du, Anchen Zhang
Summary: This study investigated the incidence, risk factors, and outcomes of postoperative headache (POH) after Stanford type A acute aortic dissection surgery (AADS) and developed two prediction models. By identifying independent predictors, nomograms predicting POH were constructed, providing clinical utility in risk evaluation, early prevention, and doctor-patient communication.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2021)
Article
Cardiac & Cardiovascular Systems
Ming Hao Guo, Diem Tran, David Glineur, Talal Al-Atassi, Munir Boodhwani
Summary: This study found that the severity of acute kidney injury (AKI) following thoracic aortic surgery is closely associated with the in-hospital and long-term outcomes of patients. While patients with AKIN stage 1 AKI had worse in-hospital mortality but comparable long-term survival, those with AKIN stage 2 or higher AKI experienced significantly higher in-hospital mortality and worse long-term survival. Targeting mild AKI with therapeutic intervention is emphasized as a crucial step in improving patient outcomes.
ANNALS OF THORACIC SURGERY
(2021)
Article
Surgery
Xuelian Chen, Miao Fang, Jia Yang, Siwen Wang, Xin Wang, Linji Li, Jiaojiao Zhou, Lichuan Yang
Summary: The study aimed to investigate the risk factors for acute kidney disease (AKD) after surgery for acute type A aortic dissection and its impact on early and late mortality. AKI stage 2 and AKI stage 3 were identified as independent risk factors for the development of AKD, and AKD was found to be an independent risk factor for early mortality.
ASIAN JOURNAL OF SURGERY
(2023)
Article
Multidisciplinary Sciences
Qian-hui Tang, Jing Chen, Zhen Long, Xuan-an Su, Yu-Lin Wang, Jian-ye Qiu, Zhong Qin, Han Yang, Que Li, Ming Hu, Xiao Qin
Summary: This study retrospectively evaluated the safety and efficacy of thoracic endovascular aortic repair (TEVAR) in patients with type B aortic dissection and identified risk factors for long-term mortality. The findings showed that TEVAR was associated with lower in-hospital mortality, death within 30 days, and aortic-related mortality compared to optimal medical treatment. Cox analysis also revealed that a vertical length of the dissection exceeding 150 mm increased the risk of mortality.
Article
Surgery
Mustafa Musajee, Emmanuel Katsogridakis, Yusuf Kiberu, Christopher Banerjee, Rhys George, Bijan Modarai, Athanasios Saratzis, Becky Sandford
Summary: Acute kidney injury (AKI) is common in patients with acute type B aortic dissection (TBAD) and is associated with increased mortality and adverse kidney outcomes. This study investigated the incidence and impact of AKI in patients with acute TBAD and found that AKI was significantly associated with worse outcomes.
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
(2023)
Article
Cardiac & Cardiovascular Systems
Dadi Helgason, Solveig Helgadottir, Anders Ahlsson, Jarmo Gunn, Vibeke Hjortdal, Emma C. Hansson, Anders Jeppsson, Ari Mennander, Shahab Nozohoor, Igor Zindovic, Christian Olsson, Stefan Orri Ragnarsson, Martin Sigurdsson, Arnar Geirsson, Tomas Gudbjartsson
Summary: This study examined the occurrence of AKI in patients undergoing surgery for ATAAD in 8 Nordic centers from 2005 to 2014. AKI was found to be a common complication after ATAAD surgery and independently predicted adverse long-term outcomes, emphasizing the importance of close clinical follow-up for these patients.
ANNALS OF THORACIC SURGERY
(2021)
Review
Medicine, General & Internal
Yang Yu, Shanshan Xu, Bing Yan, Xiaodong Tang, Honggang Zhang, Caifei Pan, Shengmei Zhu
Summary: This study conducted a systematic literature review and meta-analysis to evaluate the incidence and associations of acute kidney injury (AKI) as a postoperative complication of thoracic surgery. The results showed that AKI is a common complication following thoracic surgery and is associated with adverse outcomes. Therefore, AKI should be considered as an important prognostic indicator and a potential target for therapeutic interventions in perioperative care.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Cardiac & Cardiovascular Systems
Yu Xu, Shang-Tai Dai, Lin-Zhuo Liu, De-Mei Kong, Shi-Kui Guo, Kun-Mei Gong
Summary: This study aimed to analyze the clinical characteristics of patients with overweight acute type A aortic dissection and explore the risk factors of acute kidney injury in these patients. The clinical data of 71 patients with acute type A aortic dissection and BMI > 24 were retrospectively analyzed. The results showed that the incidence of acute kidney injury in patients with overweight acute type A aortic dissection was 49.30%. Multiple logistic regression analysis identified gender, CPB transit time, and intraoperative suspended red blood cell volume as independent risk factors for postoperative acute kidney injury in these patients.
JOURNAL OF CARDIOTHORACIC SURGERY
(2023)
Review
Urology & Nephrology
Lei Wang, Guodong Zhong, Xiaochai Lv, Dong Yi, Yanting Hou, Xiaofu Dai, Liangwan Chen
Summary: This meta-analysis systematically analyzed the risk factors for acute kidney injury (AKI) after Stanford type A aortic dissection (TAAD) repair. The study found that risk factors for AKI included cardiopulmonary bypass (CPB) time, prolonged operative time, advanced age, increased packed red blood cells transfusion, elevated body mass index, and preoperative kidney injury. AKI after TAAD repair surgery increased the in-hospital or 30-day mortality.
Article
Medicine, General & Internal
Min-Soo Kim, Jong Seok Lee, Sang Beom Nam, Hyo Jong Kang, Ji Eun Kim
JOURNAL OF KOREAN MEDICAL SCIENCE
(2015)
Article
Cardiac & Cardiovascular Systems
Ji Eun Kim, Suk Won Song, Jong Yeop Kim, Hyun Joo Lee, Kum-Hee Chung, Yon Hee Shim
ANNALS OF THORACIC SURGERY
(2016)
Article
Anesthesiology
Sung Yeon Ham, Yon Hee Shim, Eun Ho Kim, Min Ji Son, Won Sun Park, Jeong Soo Lee
EUROPEAN JOURNAL OF ANAESTHESIOLOGY
(2016)
Article
Medicine, General & Internal
Jin Ha Park, Jong Seok Lee, Sang Beom Nam, Jin Wu Ju, Min-Soo Kim
YONSEI MEDICAL JOURNAL
(2016)
Article
Medicine, General & Internal
Jiwon An, Sang Beom Nam, Jong Seok Lee, Jinae Lee, Hanna Yoo, Hye Mi Lee, Min-Soo Kim
Article
Medicine, General & Internal
Myung Hwa Kim, Yon Hee Shim, Min-Soo Kim, Yang-Sik Shin, Hyun Joo Lee, Jeong Soo Lee
Article
Cardiac & Cardiovascular Systems
Sung Yeon Ham, Suk Won Song, Sang Beom Nam, Soo Jung Park, Sijin Kim, Young Song
JOURNAL OF CARDIOVASCULAR SURGERY
(2018)
Article
Geriatrics & Gerontology
Sung Yeon Ham, Sang Beom Nam, Young-Lan Kwak, Tae Lim Kim, Jong-Kwang Park, Yon Hee Shim
JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES
(2020)
Article
Medicine, General & Internal
Sung Yeon Ham, Sang Beom Nam, Dong Woo Han, Ann Hee You, Won Sik Lim, Young Song
Article
Multidisciplinary Sciences
Sung Yeon Ham, Hei Jin Yoon, Sang Beom Nam, Byung Hwan Yun, Darhae Eum, Cheung Soo Shin
SCIENTIFIC REPORTS
(2020)
Article
Multidisciplinary Sciences
Seongsu Kim, Soo Jung Park, Sang Beom Nam, Suk-Won Song, Yeonseung Han, Sangmin Ko, Young Song
Summary: Dexmedetomidine did not show protective effects on the lungs, but inhibited elevation of serum MDA level, indicative of anti-oxidative stress property, and improved urine output and lower requirements of vasopressors.
SCIENTIFIC REPORTS
(2021)
Article
Medicine, General & Internal
Da Eun Ko, Hei Jin Yoon, Sang Beom Nam, Suk Won Song, Gisong Lee, Sung Yeon Ham
Summary: The study found that preoperative NLR, PLR, and MPV can predict 1-year mortality in patients undergoing open AAA repair, with NLR and PLR showing better predictive power in ruptured cases.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Multidisciplinary Sciences
Hei Jin Yoon, Da Eun Ko, Sang Beom Nam, Young Song, Byung Hwan Yun, Sung Yeon Ham
Summary: This study investigated the predictive value of preoperative serum alkaline phosphatase (ALP) levels on mortality in patients undergoing kidney transplantation. The results showed that higher ALP levels were associated with higher mortality rates. Age and history of hypertension also emerged as independent predictors of mortality.
Article
Medicine, General & Internal
Seung Hwan Song, Duk Hwan Moon, Yon Hee Shim, Hyunjoo Jung, Sungsoo Lee
Summary: This study aimed to evaluate the efficacy of intraoperative cryoanalgesia during MIRPE. The results of the retrospective analysis on 64 patients showed that cryoanalgesia group had lower pain scores, shorter postoperative hospital stay, and lower oral opioid consumption compared with the epidural analgesia group.
Article
Cardiac & Cardiovascular Systems
Soh Hosoba, Toshiaki Ito, Makoto Mori, Riku Kato, Koh Kajiyama, Shogo Maeda, Yuji Nakai, Yoshihiro Morishita
Summary: This study describes the approach and perioperative outcomes of totally endoscopic isolated and concomitant surgical aortic valve replacement (AVR) using various valve types. The results demonstrate that endoscopic AVR can safely address concomitant valve diseases.
ANNALS OF THORACIC SURGERY
(2024)