Plasma brain natriuretic peptide as a biomarker for haemodynamic outcome and mortality following pulmonary endarterectomy for chronic thromboembolic pulmonary hypertension.

Abstract:

OBJECTIVES:In chronic thromboembolic pulmonary hypertension (CTEPH), right ventricular (RV) dysfunction is associated with increased morbidity and mortality following pulmonary endarterectomy. Plasma brain natriuretic peptide (BNP) levels were previously shown to correlate with RV (dys)function. We hypothesized that BNP can be used as a non-invasive biomarker to identify patients at 'high risk' for postoperative morbidity and mortality. METHODS:We studied the postoperative outcome in 73 consecutive patients. Patients were divided into three groups based on previously determined cut-off levels: BNP <11.5, indicating normal RV function (ejection fraction [EF] ≥45%), BNP >48.5 pmol/l, indicating RV dysfunction (right ventricular ejection fraction <30%) and BNP 11.5-48.5 pmol/l. Postoperative 'bad outcome' was defined as the presence of either residual pulmonary hypertension (PH) or (all-cause) mortality. RESULTS:Plasma BNP >48.5 pmol/l was shown to be an independent predictor of 'bad outcome'. Compared with BNP <11.5 pmol/l, BNP >48.5 pmol/l identified patients at higher risk for (all-cause) mortality (17 vs 0%; P = 0.009) and residual PH (56 vs 20%; P < 0.004). Also, the durations of mechanical ventilation and intensive care unit stay were significantly longer in patients with BNP >48.5 pmol/ml. CONCLUSIONS:Plasma BNP levels may be of use as a non-invasive biomarker reflecting RV dysfunction, next to other well-recognized (invasive) parameters, for better preoperative risk stratification of CTEPH patients.

authors

Surie S,Reesink HJ,van der Plas MN,Hardziyenka M,Kloek JJ,Zwinderman AH,Bresser P

doi

10.1093/icvts/ivs415

subject

Has Abstract

pub_date

2012-12-01 00:00:00

pages

973-8

issue

6

eissn

1569-9293

issn

1569-9285

pii

ivs415

journal_volume

15

pub_type

杂志文章
  • Outcome reporting for surgical treatment of degenerative mitral valve disease: a systematic review and critical appraisal.

    abstract:OBJECTIVES:Standardized outcome reporting is of critical importance for performance monitoring, improvement of existing techniques and introduction of novel technologies. Whether outcome reporting for surgical treatment of degenerative mitral valve disease complies with the guidelines has not been assessed to date. ME...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivx370

    authors: Tomšic A,Arabkhani B,Schoones JW,van Brakel TJ,Takkenberg JJM,Palmen M,Klautz RJM

    更新日期:2018-04-01 00:00:00

  • Giant saccular aneurysm of the innominate artery.

    abstract::We report a rare case of a saccular aneurysm of innominate artery without any apparent causative history. Although the treatment choice remains debatable, due to the poor condition of the patient, the lesion was excluded by using a balloon-expandable covered stent with a satisfactory early-term outcome. ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivz244

    authors: Robaldo A,Apostolou D,Peano E,Novali C

    更新日期:2020-02-01 00:00:00

  • Rapid resolution of Ortner's syndrome with giant left atrium after double-valve replacement surgery.

    abstract::Hoarseness of voice due to recurrent laryngeal nerve palsy is an uncommon manifestation of cardiothoracic disease. Ortner's syndrome is hoarseness attributed to mechanical compression of the left recurrent laryngeal nerve in association with several cardiopulmonary disease states. We here describe a rare case of Ortne...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,评审

    doi:10.1093/icvts/ivx166

    authors: Acharya MN,Bahrami T,Popov AF,Kishore Bhudia S

    更新日期:2017-10-01 00:00:00

  • Thoracoscopic lobectomy for non-small-cell lung cancer in patients with impaired pulmonary function: analysis from a national database.

    abstract:OBJECTIVES:The objective of this retrospective multi-institutional study was to evaluate the postoperative outcomes of video-assisted thoracoscopic surgery (VATS)-lobectomy (VATS-L) for non-small-cell lung cancer (NSCLC) in patients with impaired lung function. The second end point was to illustrate the effective role ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1093/icvts/ivaa044

    authors: Bongiolatti S,Gonfiotti A,Vokrri E,Borgianni S,Crisci R,Curcio C,Voltolini L,Italian VATS Group.

    更新日期:2020-06-01 00:00:00

  • Effect of hydrogen sulfide on myocardial protection in the setting of cardioplegia and cardiopulmonary bypass.

    abstract::We investigated the impact of hydrogen sulfide (H(2)S) on myocardium in the setting of cold crystalloid cardioplegia and cardiopulmonary bypass (CP/CPB). Eighteen male Yorkshire pigs underwent 1 h CP/CPB followed by 2 h of reperfusion. Pigs received either: placebo (control, n=9), or H(2)S (as NaHS) as a bolus/infusio...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2009.219535

    authors: Osipov RM,Robich MP,Feng J,Chan V,Clements RT,Deyo RJ,Szabo C,Sellke FW

    更新日期:2010-04-01 00:00:00

  • Pectus excavatum in relief from Ancient Egypt (dating back to circa 2400 BC).

    abstract::Pectus excavatum is one of the most common congenital deformities of the chest wall. The aim of the study was to analyse 621 artefacts (reliefs, sculptures, paintings) from Ancient Egypt in terms of anatomical defects of the chest. The team which analysed artefacts consisted of historians of medicine and thoracic surg...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 历史文章,杂志文章

    doi:10.1093/icvts/ivu440

    authors: Bialas AJ,Kaczmarski J,Kozak J,Kempinska-Miroslawska B

    更新日期:2015-04-01 00:00:00

  • Poor awareness of symptoms of oesophageal cancer.

    abstract::Oesophageal cancer presents as advanced disease; in the majority of patients the symptoms are present for many months prior to diagnosis. Dysphagia has been described as the key to an early diagnosis of oesophageal cancer. This study aims to assess the public perception of the importance of this symptom. Ninety-six pa...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2010.247213

    authors: Tentzeris V,Lake B,Cherian T,Milligan J,Sigurdsson A

    更新日期:2011-01-01 00:00:00

  • Stented balloon fenestration before entry repair using the frozen elephant trunk technique for chronic aortic dissection.

    abstract::Endovascular fenestration on the abdominal aorta is effective for preventing visceral malperfusion in aortic dissection. We report a case of stented balloon fenestration before residual entry repair using the frozen elephant trunk technique for chronic aneurysmal dissection after ascending aortic replacement for DeBak...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivx339

    authors: Uchida N,Yamane Y,Furukawa T

    更新日期:2018-02-01 00:00:00

  • Mid-term outcomes of the modified Cox-maze procedure for elderly patients: a risk analysis for failure.

    abstract::Although the maze procedure is highly effective for most patients with atrial fibrillation (AF), its standardized application to elderly patients is controversial. Between 2004 and 2007, 143 patients with a mean age of 65 years of age or older underwent the modified Cox-maze procedure concomitant with other cardiac pr...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2010.263491

    authors: Nakamura T,Izutani H,Sawa Y

    更新日期:2011-06-01 00:00:00

  • Rescue mitral valve repair one hour after birth.

    abstract::Congenital mitral regurgitation is rare and usually part of complex cardiac anomalies. When needed, early surgery represents a great challenge. In small babies avoiding valve replacement is desirable, but valve repair may be extremely complex. We describe an isolated congenital mitral regurgitation, successfully treat...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2010.241828

    authors: Deorsola L,Chiappa E,Agnoletti G,Abbruzzese PA

    更新日期:2010-11-01 00:00:00

  • Repair of isolated aortic coarctation over two decades: impact of surgical approach and associated arch hypoplasia.

    abstract:OBJECTIVES:A variety of surgical approaches and techniques are used for isolated coarctation repair. We have retrospectively reviewed our results of isolated repair of coarctation over the last 20 years, to establish whether the approach affects clinical outcome and the need for re-intervention. METHODS:Two hundred an...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivs265

    authors: Sakurai T,Stickley J,Stümper O,Khan N,Jones TJ,Barron DJ,Brawn WJ

    更新日期:2012-11-01 00:00:00

  • Sinus of Valsalva aneurysms with concomitant aortic insufficiency: how should the aortic valve be managed?

    abstract:OBJECTIVES:Sinus of Valsalva aneurysms (SVAs) are rare and are often complicated by aortic insufficiency (AI). Treating AI is important for achieving good long-term results in patients with SVA. Here, we have summarized our experience with the surgical management of patients with SVA with concomitant AI. METHODS:Patie...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivx302

    authors: Lin Y,Yin K,Wang Y,Guo C,Tian Z,Xie Q,Zhang Z,Wang C

    更新日期:2018-02-01 00:00:00

  • Factors associated with deep sternal wound infection and haemorrhage following cardiac surgery in Victoria.

    abstract::Serious non-fatal complications of cardiac surgery include deep sternal wound infection (DSWI) and haemorrhage. Understanding the factors associated with these complications (both pre-operatively and intra-operatively) may aid in the prevention and avoidance of such complications. The aim of the current report is to i...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1510/icvts.2006.132191

    authors: Robinson PJ,Billah B,Leder K,Reid CM,ASCTS Database Committee.

    更新日期:2007-04-01 00:00:00

  • Mediastinoscopy-assisted oesophagectomy in T1 oesophageal cancer patients with serious comorbidities: a 5-year long-term follow-up.

    abstract:OBJECTIVES:Transthoracic oesophagectomy is associated with high morbidity and mortality. Some oesophageal cancer (OC) patients with serious comorbidities cannot tolerate transthoracic oesophagectomy. Therefore, we have adopted a minimally invasive approach to oesophagectomy for such patients. METHODS:Eighty-five OC pa...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivu433

    authors: Wang J,Jiang NQ,Jiang B,Wang ZL,Zhang XY

    更新日期:2015-04-01 00:00:00

  • Right atrial solitary fibrous tumor - a new cardiac neoplasm?

    abstract::Heart tumors are very rare neoplasms. Solitary fibrous tumors are mesenchymal neoplasms first described as pleura-based lesions. We are the first to describe the clinical symptoms, surgical technique for removal, histology, and exact location as well as medium-term follow-up of a solitary fibrous tumor in the heart. ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2005.108068

    authors: Bothe W,Goebel H,Kunze M,Beyersdorf F

    更新日期:2005-10-01 00:00:00

  • Recovery of severe neurological dysfunction after restoration of cerebral blood flow in acute aortic dissection.

    abstract::Emergency repair has been successfully performed in acute type A aortic dissection complicated by cerebral malperfusion. Despite the lack of criteria to define irreversible brain damage, immediate surgery is often denied in case of stroke or coma. We report two patients presenting with coma and altered brainstem refle...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2009.228908

    authors: Pocar M,Passolunghi D,Moneta A,Donatelli F

    更新日期:2010-05-01 00:00:00

  • Which is the best tissue valve used in the pulmonary position, late after previous repair of tetralogy of Fallot?

    abstract::A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was: which is the best tissue valve for use in the pulmonary position, late after previous repair of tetralogy of Fallot? Altogether 141 papers were found using the reported search, of which 13 represented t...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,评审

    doi:10.1093/icvts/ivt332

    authors: Abbas JR,Hoschtitzky JA

    更新日期:2013-11-01 00:00:00

  • Sex-specific outcome after minimally invasive direct coronary artery bypass for single-vessel disease.

    abstract:OBJECTIVES:Female gender is reported as an independent risk factor for a poor outcome after coronary artery bypass grafting. We analysed the influence of gender on surgical outcome in patients with single-vessel disease undergoing minimally invasive direct coronary artery bypass (MIDCAB). METHODS:From January 1998 to ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivz279

    authors: Friedrich C,Berndt R,Haneya A,Rusch R,Petzina R,Freitag-Wolf S,Cremer J,Hoffmann G

    更新日期:2020-03-01 00:00:00

  • Repair of incompetent truncal valves: early and mid-term results.

    abstract:OBJECTIVES:To analyse the factors associated with in-hospital mortality and mid-term significant neoaortic valve regurgitation (AR) after truncal valve (TV) repair. METHODS:Eleven children underwent TV repair at our institution from July 1999 to March 2012. All children presented significant preoperative TV regurgitat...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivt098

    authors: Perri G,Filippelli S,Polito A,Di Carlo D,Albanese SB,Carotti A

    更新日期:2013-06-01 00:00:00

  • Antiplatelet therapy and coronary artery bypass grafting: a systematic review and network meta-analysis.

    abstract:OBJECTIVES:Acetylsalicylic acid (ASA) monotherapy is the standard of care after coronary artery bypass grafting (CABG), but the benefits of more intense antiplatelet therapy, specifically dual antiplatelet therapy (DAPT), require further exploration in CABG patients. We performed a network meta-analysis to compare the ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivaa115

    authors: Gupta S,Belley-Cote EP,Panchal P,Pandey A,Basha A,Pallo L,Rochwerg B,Mehta S,Schwalm JD,Whitlock RP

    更新日期:2020-09-01 00:00:00

  • Assessment of paediatric thoracic robotic surgery.

    abstract:OBJECTIVES:Many studies have reported that robotic-assisted surgery is safe and feasible for paediatric cases. However, very few paediatric thoracic robotic cases have been described. The aim of this study was to share our preliminary experience with robot-assisted thoracic surgery (RATS). METHODS:We reviewed our firs...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1093/icvts/ivu406

    authors: Ballouhey Q,Villemagne T,Cros J,Vacquerie V,Bérenguer D,Braik K,Szwarc C,Longis B,Lardy H,Fourcade L

    更新日期:2015-03-01 00:00:00

  • Is it possible to predict the risk of ischaemic bowel after cardiac surgery?

    abstract::A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was 'Is it possible to predict the risk of ischaemic bowel after cardiac surgery?' Altogether 80 papers were found as a result of the reported search, of which 7 represented the best evidence to answer the c...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,评审

    doi:10.1093/icvts/ivu145

    authors: Yap KH,Chua KC,Lim SL,Sin YK

    更新日期:2014-09-01 00:00:00

  • Does clopidogrel rather than aspirin plus a proton-pump inhibitor reduce the frequency of gastrointestinal complications after cardiac surgery?

    abstract::A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was whether clopidogrel rather than aspirin plus a proton-pump inhibitor reduce the frequency of gastrointestinal complications after cardiac surgery. Altogether 40 publications were identified using the bel...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,meta分析

    doi:10.1510/icvts.2007.157941

    authors: Ziegelin M,Hoschtitzky A,Dunning J,Hooper T

    更新日期:2007-08-01 00:00:00

  • Blood cardioplegia for cardiac surgery in acute myocardial infarction: rat experiments with two widely used solutions.

    abstract:OBJECTIVES:Blood cardioplegia (BCP) can be used in different ways to protect the heart from ischaemia-reperfusion injury during cardiac surgery. Because there could be differences between warm and cold intermittent cardioplegia with or without warm reperfusion, we investigated the influence of 2 blood cardioplegia solu...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivy011

    authors: Boening A,Assling-Simon L,Heep M,Boengler K,Niemann B,Schipke J,Mühlfeld C,Grieshaber P

    更新日期:2018-07-01 00:00:00

  • Can epiaortic ultrasound reduce the incidence of intraoperative stroke during cardiac surgery?

    abstract::A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was whether changing operative technique based on epiaortic ultrasound reduces the incidence of intra-operative stroke during cardiac surgery? Altogether 179 papers were found using the reported search, of w...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1016/S1569-9293(03)00220-2

    authors: Das S,Dunning J

    更新日期:2004-03-01 00:00:00

  • Venous obstruction and cerebral perfusion during experimental cardiopulmonary bypass.

    abstract::To investigate the effects on cerebral perfusion by experimental venous congestion of the superior vena cava (SVC) during bicaval cardiopulmonary bypass (CPB) at 34 °C, pigs were subjected to SVC obstruction at levels of 75%, 50%, 25% and 0% of baseline SVC flow at two arterial flow levels (low, LQ, high, HQ). The cer...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2010.238535

    authors: Tovedal T,Jonsson O,Zemgulis V,Myrdal G,Thelin S,Lennmyr F

    更新日期:2010-11-01 00:00:00

  • Is microwave ablation an alternative to stereotactic ablative body radiotherapy in patients with inoperable early-stage primary lung cancer?

    abstract::A best evidence topic was written according to a structured protocol. The question addressed was: in patients with inoperable early-stage primary lung cancer does microwave ablation (MWA) or stereotactic ablative body radiotherapy (SBRT) achieve improved outcomes in terms of local control, recurrence, survival and com...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,评审

    doi:10.1093/icvts/ivz123

    authors: Watson RA,Tol I,Gunawardana S,Tsakok MT

    更新日期:2019-10-01 00:00:00

  • Late erosion of Amplatzer septal occluder device resulting in cardiac tamponade.

    abstract::Transcatheter device closure of atrial septal defects (ASDs) is a minimally invasive technique that offers an alternative to conventional surgical repair. There are risks imposed by this technique; however, they compare favourably with risks of surgical closure. Here, we present a case of a 59-year old male with late ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivu271

    authors: Tchantchaleishvili V,Melvin AL,Ling FS,Knight PA

    更新日期:2014-12-01 00:00:00

  • Annular dilatation and loss of sino-tubular junction in aneurysmatic aorta: implications on leaflet quality at the time of surgery. A finite element study.

    abstract:OBJECTIVES:In the belief that stress is the main determinant of leaflet quality deterioration, we sought to evaluate the effect of annular and/or sino-tubular junction dilatation on leaflet stress. A finite element computer-assisted stress analysis was used to model four different anatomic conditions and analyse the co...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivt116

    authors: Weltert L,de Tullio MD,Afferrante L,Salica A,Scaffa R,Maselli D,Verzicco R,De Paulis R

    更新日期:2013-07-01 00:00:00

  • Leaflet tear in a Trifecta aortic bioprosthesis 34 months after implantation.

    abstract::Bioprosthetic valves are used in aortic valve replacement to avoid lifelong anticoagulation. Bovine pericardial valves have excellent haemodynamics and equivalent freedom from reoperation compared with a porcine bioprosthesis [ 1]. However, early failure (parastent post-cusp tear) can take place due to mechanical stre...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivu384

    authors: Piñón M,Durán D,Pazos P,Pradas G

    更新日期:2015-02-01 00:00:00