Direct measurement of ascending aortic diameter by intraoperative caliper assessment

Vinholo, Thais Faggion; Zafar, Mohammad A.; Papanikolaou, Dimitra; Chung, Juyeon; Ellauzi, Hesham; Ziganshin, Bulat A.; Elefteriades, John A.

doi:10.1016/j.jtcvs.2020.08.001

Cited by 5 publications

(3 citation statements)

References 8 publications

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“…In conclusion, AAD is an available preoperative cardiac ultrasound parameter, considering cardiac surgery patients usually undergo preoperative cardiac ultrasound measurements [4,5,7] . Patients with higher preoperative AAD values are more likely to have postoperative AKI.…”

Section: Discussionmentioning

confidence: 99%

“…Accurate assessment of the ascending aortic diameter is crucial for surgical planning and postoperative prognosis [3,4] . Measurement of the ascending aortic diameter becomes more precise based on medical imaging technologies [5] . The dilation and constriction of the ascending aortic diameter can result in decreased perfusion of organs such as the kidney, brain, liver, and patients' outcomes [6] .…”

Section: Introductionmentioning

confidence: 99%

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Prognostic value of preoperative ascending aortic diameter on postoperative acute kidney injury in adult cardiac surgery

Dou,

Yuan,

Jia

et al. 2024

Preprint

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Background The ascending aortic diameter (AAD) is common in ultrasound examinations of cardiac surgery patients, and it is important for the prognosis of cardiac patients. The ascending aortic diameter has effect on renal perfusion. However, the impact of AAD on the incidence of postoperative acute kidney injury (AKI) in cardiac surgery patients is still unknown. This study aims to explore the prognostic value of ascending aortic diameter on the incidence of postoperative AKI in cardiac adult patients. Method This retrospective study included patients aged ≥18 years who underwent cardiac operations between April 2023 to July 2023 in Fuwai Hospital, China. Patients were divided into two groups: AKI group and non-AKI group. The values of cardiac ultrasound the day before surgery were collected. The end point was the rate of acute kidney injury. Univariable and multivariable logistic regression analyses were performed to identify the independent risk factors for postoperative AKI. The receiver operating characteristic curve was used to assess model performance. Using another model without AAD, the effect of the addition of AAD was assessed. Result 442 patients were included in this study. Univariable and multivariable results suggested that AAD was an independent factor of postoperative AKI for both on-pump and off-pump cardiac patients (P<0.05). To avoid CPB time confounding factor, we went subgroup analysis of the area under the curve of CPB time further. The addition of AAD improved the area under the curve from 0.67 to 0.72 (P<0.05) in on-pump patients. Conclusion AAD represents a prognostic value of postoperative AKI in adult cardiac surgery. The prognostic value of AAD was higher in on-pump patients.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Prognostic value of preoperative ascending aortic diameter on postoperative acute kidney injury in adult cardiac surgery

Dou,

Yuan,

Jia

et al. 2024

Preprint

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“…Deep learning techniques integrating the imaging data, the electronic health record data, and genetic sequences [ 62 , 63 , 64 , 65 , 66 , 67 , 68 ] are expected to contribute to breakthroughs in the aortic disease. They allow for increasing the sample size and improving the timeframe of the discoveries.…”

Section: Machine Learningmentioning

confidence: 99%

Existing and Emerging Approaches to Risk Assessment in Patients with Ascending Thoracic Aortic Dilatation

et al. 2022

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Ascending thoracic aortic aneurysm is a life-threatening disease, which is difficult to detect prior to the occurrence of a catastrophe. Epidemiology patterns of ascending thoracic aortic dilations/aneurysms remain understudied, whereas the risk assessment of it may be improved. The electronic databases PubMed/Medline 1966–2022, Web of Science 1975–2022, Scopus 1975–2022, and RSCI 1994–2022 were searched. The current guidelines recommend a purely aortic diameter-based assessment of the thoracic aortic aneurysm risk, but over 80% of the ascending aorta dissections occur at a size that is lower than the recommended threshold of 55 mm. Moreover, a 55 mm diameter criterion could exclude a vast majority (up to 99%) of the patients from preventive surgery. The authors review several visualization-based and alternative approaches which are proposed to better predict the risk of dissection in patients with borderline dilated thoracic aorta. The imaging-based assessments of the biomechanical aortic properties, the Young’s elastic modulus, the Windkessel function, compliance, distensibility, wall shear stress, pulse wave velocity, and some other parameters have been proposed to improve the risk assessment in patients with ascending thoracic aortic aneurysm. While the authors do not argue for shifting the diameter threshold to the left, they emphasize the need for more personalized solutions that integrate the imaging data with the patient’s genotypes and phenotypes in this heterogeneous pathology.

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Treatment of Abdominal Aortic Aneurysm Utilizing Adipose-Derived Mesenchymal Stem Cells in a Porcine Model

Zilberman¹,

Kooragayala²,

Lou³

et al. 2022

Journal of Surgical Research

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Direct measurement of ascending aortic diameter by intraoperative caliper assessment

Cited by 5 publications

References 8 publications

Prognostic value of preoperative ascending aortic diameter on postoperative acute kidney injury in adult cardiac surgery

Prognostic value of preoperative ascending aortic diameter on postoperative acute kidney injury in adult cardiac surgery

Existing and Emerging Approaches to Risk Assessment in Patients with Ascending Thoracic Aortic Dilatation

Treatment of Abdominal Aortic Aneurysm Utilizing Adipose-Derived Mesenchymal Stem Cells in a Porcine Model

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