Effect of novel bicaval anastomosis technique for transplantation with and without prior cardiac surgery history
Background: To evaluate the graft outcomes after orthotopic heart transplantation (HTx) with a novel bicaval anastomosis technique between recipients with and without a history of prior cardiac surgery. Methods: Of 70 patients who underwent HTx with a novel four-corners traction bicaval anastomosis...
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| Veröffentlicht in: | Annals of translational medicine 2021-07, Vol.9 (13), p.1064-1064, Article 1064 |
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| creator | Shi, Feng Ren, Zongli Zhang, Min Wang, Zhiwei Wu, Zhiyong Hu, Xiaoping Hu, Zhipeng Wu, Hongbing Ren, Wei Li, Luocheng Ruan, Yongle Hu, Rui |
| description | Background: To evaluate the graft outcomes after orthotopic heart transplantation (HTx) with a novel bicaval anastomosis technique between recipients with and without a history of prior cardiac surgery.
Methods: Of 70 patients who underwent HTx with a novel four-corners traction bicaval anastomosis technique from August 2017 to November 2019, 60 recipients underwent the HTx procedure as their first cardiac surgery (group A), while 10 recipients underwent HTx after prior cardiac surgery (group B). Patients in the two groups were compared in terms of their preoperative baseline variables such as etiological categories, history of blood transfusion and panel reactive antibody (PRA), intraoperative operation time and blood infusion volume, postoperative treatment time, and complications such as acute rejection and 30-day mortality as well as survival rates.
Results: Preoperative variables were comparable in group A and group B except for the history of blood transfusion (0% vs. 90.0%, P |
| doi_str_mv | 10.21037/atm-21-317 |
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| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8339843</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2563710010</sourcerecordid><originalsourceid>FETCH-LOGICAL-c269t-c51de040912481844185ab33087db4c2b7f6659f2a3ebd29c878986082b0bfe23</originalsourceid><addsrcrecordid>eNqNkc9vFCEYhonR2Kb25N1wNDGjHz9mBi4mZlOtSRMveibAQBczAysw2-x_L3bbtd488SU8vLzwIPSawHtKgI0fdF06SjpGxmfonDLou14w-fzJfIYuS_kJAIQSyQBeojPGOaVyHM7R7sp7ZytOHse0dzM2weq9nrGOutS0pBIKrs5uY_i1OuxTxjXrWHazjlXXkCK-C3Xb8Ol-SGvFuxwaZnWegra4rPnW5QPehpaXD6_QC6_n4i4f1gv04_PV9811d_Pty9fNp5vO0kHWzvZkcsBBEsoFEZwT0WvDGIhxMtxSM_ph6KWnmjkzUWnFKKQYQFADxjvKLtDHY-5uNYubrIut96xat0Xng0o6qH93Ytiq27RXgjEpOGsBbx8CcmpPL1UtoVg3t4e7tBZF-4GNpP0qNPTdEbU5lZKdP11DQN1rUk1Tm1TT1Og3T5ud2EcpDRBH4M6Z5IsNLlp3wprIQXIggv1RCptw1LBJa6x_m_zPUfYbnfuxWg</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2563710010</pqid></control><display><type>article</type><title>Effect of novel bicaval anastomosis technique for transplantation with and without prior cardiac surgery history</title><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>Web of Science - Science Citation Index Expanded - 2021<img src="https://exlibris-pub.s3.amazonaws.com/fromwos-v2.jpg" /></source><source>PubMed Central</source><creator>Shi, Feng ; Ren, Zongli ; Zhang, Min ; Wang, Zhiwei ; Wu, Zhiyong ; Hu, Xiaoping ; Hu, Zhipeng ; Wu, Hongbing ; Ren, Wei ; Li, Luocheng ; Ruan, Yongle ; Hu, Rui</creator><creatorcontrib>Shi, Feng ; Ren, Zongli ; Zhang, Min ; Wang, Zhiwei ; Wu, Zhiyong ; Hu, Xiaoping ; Hu, Zhipeng ; Wu, Hongbing ; Ren, Wei ; Li, Luocheng ; Ruan, Yongle ; Hu, Rui</creatorcontrib><description>Background: To evaluate the graft outcomes after orthotopic heart transplantation (HTx) with a novel bicaval anastomosis technique between recipients with and without a history of prior cardiac surgery.
Methods: Of 70 patients who underwent HTx with a novel four-corners traction bicaval anastomosis technique from August 2017 to November 2019, 60 recipients underwent the HTx procedure as their first cardiac surgery (group A), while 10 recipients underwent HTx after prior cardiac surgery (group B). Patients in the two groups were compared in terms of their preoperative baseline variables such as etiological categories, history of blood transfusion and panel reactive antibody (PRA), intraoperative operation time and blood infusion volume, postoperative treatment time, and complications such as acute rejection and 30-day mortality as well as survival rates.
Results: Preoperative variables were comparable in group A and group B except for the history of blood transfusion (0% vs. 90.0%, P<0.001, respectively); the level of PRA was 7.5%+/- 5.8% and 9.5%+/- 10.9% for group A and B, respectively (P=0.583), but the time of the operation was nearly 1 hour longer for group B than group A (all P<0.05). No cases of left atrial thrombosis and donor heart distortion were observed in either group. Reoperation (1.7% vs. 10.0%, P=0.267), infection (0% vs. 10.0%, P=0.142), other postoperative complications as well as the 30-day mortality (1.7% vs. 10.0%, P=0.267), and postoperative survival rates (91.5% vs. 90.0%, P=0.805) were comparable between the two groups (all P>0.05).
Conclusions: Four-corner traction bicaval anastomosis combined with a continuous everting suture technique may result in approximately comparable prognoses for heart recipients with a history of cardiac surgery when compared with those without a history of cardiac surgery and this technique may reduce the incidence of left atrial thrombosis and distortion. Further follow-up of the long-term outcomes will be required to validate these results.</description><identifier>ISSN: 2305-5839</identifier><identifier>EISSN: 2305-5839</identifier><identifier>DOI: 10.21037/atm-21-317</identifier><identifier>PMID: 34422976</identifier><language>eng</language><publisher>SHATIN: AME PUBLISHING COMPANY</publisher><subject>Life Sciences & Biomedicine ; Medicine, Research & Experimental ; Oncology ; Original ; Research & Experimental Medicine ; Science & Technology</subject><ispartof>Annals of translational medicine, 2021-07, Vol.9 (13), p.1064-1064, Article 1064</ispartof><rights>2021 Annals of Translational Medicine. All rights reserved.</rights><rights>2021 Annals of Translational Medicine. All rights reserved. 2021 Annals of Translational Medicine.</rights><oa>free_for_read</oa><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>1</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000694018300010</woscitedreferencesoriginalsourcerecordid><cites>FETCH-LOGICAL-c269t-c51de040912481844185ab33087db4c2b7f6659f2a3ebd29c878986082b0bfe23</cites><orcidid>0000-0003-0364-7902 ; 0000-0001-8884-5670 ; 0000-0001-5643-9344</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8339843/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8339843/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,728,781,785,886,27929,27930,39263,53796,53798</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34422976$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shi, Feng</creatorcontrib><creatorcontrib>Ren, Zongli</creatorcontrib><creatorcontrib>Zhang, Min</creatorcontrib><creatorcontrib>Wang, Zhiwei</creatorcontrib><creatorcontrib>Wu, Zhiyong</creatorcontrib><creatorcontrib>Hu, Xiaoping</creatorcontrib><creatorcontrib>Hu, Zhipeng</creatorcontrib><creatorcontrib>Wu, Hongbing</creatorcontrib><creatorcontrib>Ren, Wei</creatorcontrib><creatorcontrib>Li, Luocheng</creatorcontrib><creatorcontrib>Ruan, Yongle</creatorcontrib><creatorcontrib>Hu, Rui</creatorcontrib><title>Effect of novel bicaval anastomosis technique for transplantation with and without prior cardiac surgery history</title><title>Annals of translational medicine</title><addtitle>ANN TRANSL MED</addtitle><addtitle>Ann Transl Med</addtitle><description>Background: To evaluate the graft outcomes after orthotopic heart transplantation (HTx) with a novel bicaval anastomosis technique between recipients with and without a history of prior cardiac surgery.
Methods: Of 70 patients who underwent HTx with a novel four-corners traction bicaval anastomosis technique from August 2017 to November 2019, 60 recipients underwent the HTx procedure as their first cardiac surgery (group A), while 10 recipients underwent HTx after prior cardiac surgery (group B). Patients in the two groups were compared in terms of their preoperative baseline variables such as etiological categories, history of blood transfusion and panel reactive antibody (PRA), intraoperative operation time and blood infusion volume, postoperative treatment time, and complications such as acute rejection and 30-day mortality as well as survival rates.
Results: Preoperative variables were comparable in group A and group B except for the history of blood transfusion (0% vs. 90.0%, P<0.001, respectively); the level of PRA was 7.5%+/- 5.8% and 9.5%+/- 10.9% for group A and B, respectively (P=0.583), but the time of the operation was nearly 1 hour longer for group B than group A (all P<0.05). No cases of left atrial thrombosis and donor heart distortion were observed in either group. Reoperation (1.7% vs. 10.0%, P=0.267), infection (0% vs. 10.0%, P=0.142), other postoperative complications as well as the 30-day mortality (1.7% vs. 10.0%, P=0.267), and postoperative survival rates (91.5% vs. 90.0%, P=0.805) were comparable between the two groups (all P>0.05).
Conclusions: Four-corner traction bicaval anastomosis combined with a continuous everting suture technique may result in approximately comparable prognoses for heart recipients with a history of cardiac surgery when compared with those without a history of cardiac surgery and this technique may reduce the incidence of left atrial thrombosis and distortion. Further follow-up of the long-term outcomes will be required to validate these results.</description><subject>Life Sciences & Biomedicine</subject><subject>Medicine, Research & Experimental</subject><subject>Oncology</subject><subject>Original</subject><subject>Research & Experimental Medicine</subject><subject>Science & Technology</subject><issn>2305-5839</issn><issn>2305-5839</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>HGBXW</sourceid><recordid>eNqNkc9vFCEYhonR2Kb25N1wNDGjHz9mBi4mZlOtSRMveibAQBczAysw2-x_L3bbtd488SU8vLzwIPSawHtKgI0fdF06SjpGxmfonDLou14w-fzJfIYuS_kJAIQSyQBeojPGOaVyHM7R7sp7ZytOHse0dzM2weq9nrGOutS0pBIKrs5uY_i1OuxTxjXrWHazjlXXkCK-C3Xb8Ol-SGvFuxwaZnWegra4rPnW5QPehpaXD6_QC6_n4i4f1gv04_PV9811d_Pty9fNp5vO0kHWzvZkcsBBEsoFEZwT0WvDGIhxMtxSM_ph6KWnmjkzUWnFKKQYQFADxjvKLtDHY-5uNYubrIut96xat0Xng0o6qH93Ytiq27RXgjEpOGsBbx8CcmpPL1UtoVg3t4e7tBZF-4GNpP0qNPTdEbU5lZKdP11DQN1rUk1Tm1TT1Og3T5ud2EcpDRBH4M6Z5IsNLlp3wprIQXIggv1RCptw1LBJa6x_m_zPUfYbnfuxWg</recordid><startdate>20210701</startdate><enddate>20210701</enddate><creator>Shi, Feng</creator><creator>Ren, Zongli</creator><creator>Zhang, Min</creator><creator>Wang, Zhiwei</creator><creator>Wu, Zhiyong</creator><creator>Hu, Xiaoping</creator><creator>Hu, Zhipeng</creator><creator>Wu, Hongbing</creator><creator>Ren, Wei</creator><creator>Li, Luocheng</creator><creator>Ruan, Yongle</creator><creator>Hu, Rui</creator><general>AME PUBLISHING COMPANY</general><general>AME Publishing Company</general><scope>BLEPL</scope><scope>DTL</scope><scope>HGBXW</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-0364-7902</orcidid><orcidid>https://orcid.org/0000-0001-8884-5670</orcidid><orcidid>https://orcid.org/0000-0001-5643-9344</orcidid></search><sort><creationdate>20210701</creationdate><title>Effect of novel bicaval anastomosis technique for transplantation with and without prior cardiac surgery history</title><author>Shi, Feng ; Ren, Zongli ; Zhang, Min ; Wang, Zhiwei ; Wu, Zhiyong ; Hu, Xiaoping ; Hu, Zhipeng ; Wu, Hongbing ; Ren, Wei ; Li, Luocheng ; Ruan, Yongle ; Hu, Rui</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c269t-c51de040912481844185ab33087db4c2b7f6659f2a3ebd29c878986082b0bfe23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Life Sciences & Biomedicine</topic><topic>Medicine, Research & Experimental</topic><topic>Oncology</topic><topic>Original</topic><topic>Research & Experimental Medicine</topic><topic>Science & Technology</topic><toplevel>online_resources</toplevel><creatorcontrib>Shi, Feng</creatorcontrib><creatorcontrib>Ren, Zongli</creatorcontrib><creatorcontrib>Zhang, Min</creatorcontrib><creatorcontrib>Wang, Zhiwei</creatorcontrib><creatorcontrib>Wu, Zhiyong</creatorcontrib><creatorcontrib>Hu, Xiaoping</creatorcontrib><creatorcontrib>Hu, Zhipeng</creatorcontrib><creatorcontrib>Wu, Hongbing</creatorcontrib><creatorcontrib>Ren, Wei</creatorcontrib><creatorcontrib>Li, Luocheng</creatorcontrib><creatorcontrib>Ruan, Yongle</creatorcontrib><creatorcontrib>Hu, Rui</creatorcontrib><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>Web of Science - Science Citation Index Expanded - 2021</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Annals of translational medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shi, Feng</au><au>Ren, Zongli</au><au>Zhang, Min</au><au>Wang, Zhiwei</au><au>Wu, Zhiyong</au><au>Hu, Xiaoping</au><au>Hu, Zhipeng</au><au>Wu, Hongbing</au><au>Ren, Wei</au><au>Li, Luocheng</au><au>Ruan, Yongle</au><au>Hu, Rui</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of novel bicaval anastomosis technique for transplantation with and without prior cardiac surgery history</atitle><jtitle>Annals of translational medicine</jtitle><stitle>ANN TRANSL MED</stitle><addtitle>Ann Transl Med</addtitle><date>2021-07-01</date><risdate>2021</risdate><volume>9</volume><issue>13</issue><spage>1064</spage><epage>1064</epage><pages>1064-1064</pages><artnum>1064</artnum><issn>2305-5839</issn><eissn>2305-5839</eissn><abstract>Background: To evaluate the graft outcomes after orthotopic heart transplantation (HTx) with a novel bicaval anastomosis technique between recipients with and without a history of prior cardiac surgery.
Methods: Of 70 patients who underwent HTx with a novel four-corners traction bicaval anastomosis technique from August 2017 to November 2019, 60 recipients underwent the HTx procedure as their first cardiac surgery (group A), while 10 recipients underwent HTx after prior cardiac surgery (group B). Patients in the two groups were compared in terms of their preoperative baseline variables such as etiological categories, history of blood transfusion and panel reactive antibody (PRA), intraoperative operation time and blood infusion volume, postoperative treatment time, and complications such as acute rejection and 30-day mortality as well as survival rates.
Results: Preoperative variables were comparable in group A and group B except for the history of blood transfusion (0% vs. 90.0%, P<0.001, respectively); the level of PRA was 7.5%+/- 5.8% and 9.5%+/- 10.9% for group A and B, respectively (P=0.583), but the time of the operation was nearly 1 hour longer for group B than group A (all P<0.05). No cases of left atrial thrombosis and donor heart distortion were observed in either group. Reoperation (1.7% vs. 10.0%, P=0.267), infection (0% vs. 10.0%, P=0.142), other postoperative complications as well as the 30-day mortality (1.7% vs. 10.0%, P=0.267), and postoperative survival rates (91.5% vs. 90.0%, P=0.805) were comparable between the two groups (all P>0.05).
Conclusions: Four-corner traction bicaval anastomosis combined with a continuous everting suture technique may result in approximately comparable prognoses for heart recipients with a history of cardiac surgery when compared with those without a history of cardiac surgery and this technique may reduce the incidence of left atrial thrombosis and distortion. Further follow-up of the long-term outcomes will be required to validate these results.</abstract><cop>SHATIN</cop><pub>AME PUBLISHING COMPANY</pub><pmid>34422976</pmid><doi>10.21037/atm-21-317</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0003-0364-7902</orcidid><orcidid>https://orcid.org/0000-0001-8884-5670</orcidid><orcidid>https://orcid.org/0000-0001-5643-9344</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Life Sciences & Biomedicine Medicine, Research & Experimental Oncology Original Research & Experimental Medicine Science & Technology |
| title | Effect of novel bicaval anastomosis technique for transplantation with and without prior cardiac surgery history |
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