Surgery
RSSArticles
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What’s the Best Way to Fix ‘Leaky’ Heart Valves?
Researchers scrutinized common surgical techniques.
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Surgical Approaches to Decompression in Degenerative Lumbar Spondylolisthesis
For patients with symptomatic lumbar stenosis and single-level spondylolisthesis who were refractory to conservative treatment, there was no significant difference between outcomes in those who underwent decompression surgery with instrumented fusion vs. decompression surgery without fusion.
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Long-Term Post-TAVR Survival and Permanent Pacemaker Implantation
An analysis of a real-world database revealed 14% of patients undergoing routine transfemoral transcatheter aortic valve replacement required permanent pacemaker implantation within 30 days of the valve procedure. There was no difference in long-term survival between patients who did and did not undergo pacemaker implant.
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Antibiotics for Appendicitis, Revisited
One year later, researchers present updated data that strengthen the alternative to surgery approach.
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A Simple Way to Measure Frailty Before Aortic Valve Replacement
An analysis of transcatheter vs. surgical aortic valve implantation showed modified BMI, a measure of frailty, predicted one-year all-cause mortality and postoperative complications.
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The Difficulty of Showing Benefit of Cerebral Protection Devices During TAVR
In this trial of cerebral protection in transcatheter aortic valve replacement, the TriGUARD device was safe vs. historical controls, but failed to meet its primary efficacy endpoint. -
When in Doubt, Take It Out: Left Atrial Appendage Occlusion
In a randomized trial of patients with atrial fibrillation, left atrial appendage occlusion during elective cardiac surgery was associated with lower rates of ischemic stroke or systemic embolism after 30 days. -
Important Lessons About Edge-to-Edge Repair
This analysis of mitral surgery after failed transcatheter edge-to-edge repair demonstrates high rates of valve replacement as opposed to repair. Surgical mortality was higher than predicted but was significantly lower in high-volume centers. -
The Unique Characteristics of Surgical Consults
Ethics consults called by surgical specialties differ somewhat from consults called by other hospital specialties. -
Fortune Favors the Bold
Long-time columnist bids farewell, offers final thoughts.