JTCVS Techniques,
Journal Year:
2024,
Volume and Issue:
26, P. 52 - 60
Published: June 4, 2024
A
sternum-sparing
approach
of
minimally
invasive
total
coronary
revascularization
via
left
anterior
thoracotomy
demonstrated
promising
early
outcomes
in
unselected
patients
with
artery
multivessel
disease.
Follow-up
data
are
still
missing.
European Journal of Cardio-Thoracic Surgery,
Journal Year:
2023,
Volume and Issue:
65(2)
Published: Dec. 20, 2023
A
clinical
guideline
aims
to
apply
all
patients
with
a
specific
condition.However,
there
will
inevitably
be
situations
where
its
recommendations
aren't
suitable
for
particular
patient.While
healthcare
professionals
and
others
are
encouraged
consider
these
guidelines
in
their
professional
judgement,
they
don't
override
the
responsibility
of
make
decisions
tailored
each
patient's
unique
circumstances.Such
should
aligned
latest
official
recommendations,
from
relevant
public
health
authorities,
applicable
rules
regulations.It
is
important
that
made
collaboration
with,
agreed
upon
by,
patient
and/or
guardian
or
carer.
Intensive Care Medicine,
Journal Year:
2024,
Volume and Issue:
50(7), P. 1075 - 1085
Published: July 1, 2024
After
cardiac
surgery,
fluid
bolus
therapy
(FBT)
with
20%
human
albumin
may
facilitate
less
and
vasopressor
administration
than
FBT
crystalloids.
We
aimed
to
determine
whether,
after
reduces
the
duration
of
compared
crystalloid
FBT.
conducted
a
multicentre,
parallel-group,
open-label,
randomised
clinical
trial
in
six
intensive
care
units
(ICUs)
involving
surgery
patients
deemed
require
240
receive
up
400
mL
albumin/day
as
FBT,
followed
by
4%
for
any
subsequent
on
that
day,
or
at
least
first
1000
mL,
use
thereafter.
The
primary
outcome
was
cumulative
therapy.
Secondary
outcomes
included
balance.
Of
480
patients,
466
provided
consent
contributed
(mean
age
65
years;
median
EuroSCORE
II
1.4).
7
(interquartile
range
[IQR]
0–19.6)
hours
10.8
(IQR
0–22.8)
crystalloids
(difference
−
3.8
h,
95%
confidence
interval
[CI]
8
0.4;
P
=
0.08).
Day
one
balance
difference
701
CI
872
530).
In
when
crystalloid-based
associated
reduced
positive
but
did
not
significantly
reduce
EClinicalMedicine,
Journal Year:
2024,
Volume and Issue:
68, P. 102364 - 102364
Published: Jan. 8, 2024
BackgroundRBT-1
is
a
combination
drug
of
stannic
protoporfin
(SnPP)
and
iron
sucrose
(FeS)
that
elicits
preconditioning
response
through
activation
antioxidant,
anti-inflammatory,
iron-scavenging
pathways,
as
measured
by
heme
oxygenase-1
(HO-1),
interleukin-10
(IL-10),
ferritin,
respectively.
Our
primary
aim
was
to
determine
whether
RBT-1
administered
before
surgery
would
safely
effectively
elicit
in
patients
undergoing
cardiac
surgery.MethodsThis
phase
2,
double-blind,
randomised,
placebo-controlled,
parallel-group,
adaptive
trial,
conducted
19
centres
across
the
USA,
Canada,
Australia,
enrolled
scheduled
undergo
non-emergent
coronary
artery
bypass
graft
(CABG)
and/or
heart
valve
with
cardiopulmonary
bypass.
Patients
were
randomised
(1:1:1)
receive
either
single
intravenous
infusion
high-dose
(90
mg
SnPP/240
FeS),
low-dose
(45
or
placebo
within
24–48
h
surgery.
The
outcome
preoperative
response,
composite
plasma
HO-1,
IL-10,
ferritin.
Safety
assessed
adverse
events
laboratory
parameters.
Prespecified
criteria
permitted
early
stopping
enrichment.
This
trial
registered
ClinicalTrials.gov,
NCT04564833.FindingsBetween
Aug
4,
2021,
Nov
9,
2022,
135
who
randomly
allocated
study
group
(46
high-dose,
45
low-dose,
44
placebo),
132
(98%)
included
analysis
42
placebo).
At
interim,
proceeded
full
enrollment
without
led
greater
than
did
at
(geometric
least
squares
mean
[GLSM]
ratio,
3.58;
95%
CI,
2.91–4.41;
p
<
0.0001)
(GLSM
2.62;
2.11–3.24;
0.0001).
generally
well
tolerated
patients.
drug-related
event
dose-dependent
photosensitivity,
observed
12
(26%)
46
treated
six
(13%)
(safety
population).InterpretationRBT-1
demonstrated
statistically
significant
cytoprotective
manageable
safety
profile.
Further
research
needed.
A
3
planned.FundingRenibus
Therapeutics,
Inc.
JAMA,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Nov. 11, 2024
Calcific
aortic
stenosis
(AS)
restricts
the
valve
opening
during
systole
due
to
calcification
and
fibrosis
of
either
a
congenital
bicuspid
or
normal
trileaflet
valve.
In
US,
AS
affects
1%
2%
adults
older
than
65
years
approximately
12%
75
years.
Worldwide,
leads
more
100
000
deaths
annually.