Researches of Novel Cardiovascular Surgery in District General Hospital: Clinical Application of Endovascular Aortic Repair and Heart Rate Variability

博士 === 國立交通大學 === 生物科技學系 === 105 === Research 1: Selective Using Perclose ProGlide® Device of Percutaneous Endovas-cular Aortic Aneurysm Repair in a District General Hospital Experience This study evaluated the safety and efficacy of percutaneous endovascular aortic aneu-rysm repair (EVAR) with Perc...

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Bibliographic Details
Main Authors: Lee, Chih-hsien, 李志賢
Other Authors: Yang, Ten-Fang
Format: Others
Language:en_US
Published: 2016
Online Access:http://ndltd.ncl.edu.tw/handle/06417997472522445500
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Summary:博士 === 國立交通大學 === 生物科技學系 === 105 === Research 1: Selective Using Perclose ProGlide® Device of Percutaneous Endovas-cular Aortic Aneurysm Repair in a District General Hospital Experience This study evaluated the safety and efficacy of percutaneous endovascular aortic aneu-rysm repair (EVAR) with Perclose ProGlide® device compared with surgical cut down of common femoral artery in patients at a district general hospital. Selective percutaneous access of the femoral arteries for EVAR is safe and effective in this population. Research 2: Experience of Endovascular Repair of Thoracic Aortic Dissection after Blunt Trauma Injury in a District General Hospital Traumatic thoracic aortic dissection is uncommon in clinical practice; however, it is associated with higher morbidity and mortality. Thoracic aortic dissection is usually caused by sudden deceleration resulting from a traffic accident or fall. The injury severity score (ISS) of the patients ranged from 17 to 66. Endovascular repair is a rapid and minimally invasive therapy for patients with traumatic aortic injury and associated with favorable outcome. Research 3: Clinical Outcomes of Infrarenal Abdominal Aortic Aneurysms that Underwent Endovascular Repair in a District General Hospital The purpose of this study was to compare the outcomes of elective endovascular ab-dominal aortic aneurysm repair (EVAR) and ruptured abdominal aortic aneurysm (rAAA) in patients at a district general hospital. The results confirm that EVAR surgery can be safely performed in a district general hospital with an integrated health care system. Research 4: Posture and Gender Differentially Affect Heart Rate Variability of Symptomatic Mitral Valve Prolapse and Normal Adults Heart rate variability (HRV) has been shown to be a useful measure of autonomic activity in healthy and mitral valve prolapsed (MVP) subjects. The obtunded postural effects on frequency domain measures testified to the autonomic dysregulation of MVP subjects. Research 5: Emergency Coronary Artery Bypass Grafting were Associated with a High In-hospital Mortality Rate for All Patients with Preoperative Cardiopulmonary Resuscitation- a Single Hospital Observational Study Emergency coronary artery bypass grafting (CABG) is a major challenge to cardiovas-cular junior surgeons, especially with cardiogenic shock patients. Emergency CABGs were associated with a high in-hospital mortality rate for all patients with preoperative CPR. AMI patients with cardiogenic shock without preoperative CPR had an acceptable survival rate (90%). Research 6: Results of Coronary Artery Bypass Grafting in Patients with Acute Coronary Syndrome versus Those with Stable Angina Pectoris: a Single Institution Experience Acute coronary syndrome was an independent predictor of early mortality in these pa-tients undergoing CABG, which provides revascularization of most of the epicardial vessels, including the culprit lesion.