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  1. Article ; Online: Reply to Thomas Seisen, Morgan Rouprêt, Quoc-Dien Trinh, and Joaquim Bellmunt's Letter to the Editor re: Martin Swinton, Neethu Billy Graham Mariam, Jean Ling Tan, et al. Bladder-Sparing Treatment with Radical Dose Radiotherapy Is an Effective Alternative to Radical Cystectomy in Patients with Clinically Node-positive Nonmetastatic Bladder Cancer. J Clin Oncol 2023;41:4406-15.

    Swinton, Martin / Hoskin, Peter / Choudhury, Ananya

    European urology

    2023  Volume 85, Issue 1, Page(s) e22–e23

    MeSH term(s) Humans ; Urinary Bladder ; Cystectomy ; Urinary Bladder Neoplasms/drug therapy ; Urinary Bladder Neoplasms/surgery ; Patients
    Language English
    Publishing date 2023-10-19
    Publishing country Switzerland
    Document type Letter ; Research Support, Non-U.S. Gov't ; Comment
    ZDB-ID 193790-x
    ISSN 1873-7560 ; 1421-993X ; 0302-2838
    ISSN (online) 1873-7560 ; 1421-993X
    ISSN 0302-2838
    DOI 10.1016/j.eururo.2023.10.004
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Diversifying cardiac intensive care unit models: Successful example of an operating surgeon-led unit.

    Choi, Perry S / Pines, Katharine C / Swaminathan, Akshay / Nilkant, Riya / Mendez, Michael A / He, Hao / Woo, Y Joseph / Martin, Billie-Jean

    JTCVS open

    2023  Volume 16, Page(s) 524–531

    Abstract: Objective: The intensivist-led cardiovascular intensive care unit model is the standard of care in cardiac surgery. This study examines whether a cardiovascular intensive care unit model that uses operating cardiac surgeons, cardiothoracic surgery ... ...

    Abstract Objective: The intensivist-led cardiovascular intensive care unit model is the standard of care in cardiac surgery. This study examines whether a cardiovascular intensive care unit model that uses operating cardiac surgeons, cardiothoracic surgery residents, and advanced practice providers is associated with comparable outcomes.
    Methods: This is a single-institution review of the first 400 cardiac surgery patients admitted to an operating surgeon-led cardiovascular intensive care unit from 2020 to 2022. Inclusion criteria are elective status and operations managed by both cardiovascular intensive care unit models (aortic operations, valve operations, coronary operations, septal myectomy). Patients from the surgeon-led cardiovascular intensive care unit were exact matched by operation type and 1:1 propensity score matched with controls from the traditional cardiovascular intensive care unit using a logistic regression model that included age, sex, preoperative mortality risk, incision type, and use of cardiopulmonary bypass and circulatory arrest. Primary outcome was total postoperative length of stay. Secondary outcomes included postoperative intensive care unit length of stay, 30-day mortality, 30-day Society of Thoracic Surgeons-defined morbidity (permanent stroke, renal failure, cardiac reoperation, prolonged intubation, deep sternal infection), packed red cell transfusions, and vasopressor use. Outcomes between the 2 groups were compared using chi-square, Fisher exact test, or 2-sample
    Results: A total of 400 patients from the surgeon-led cardiovascular intensive care unit (mean age 61.2 ± 12.8 years, 131 female patients [33%], 346 patients [86.5%] with European System for Cardiac Operative Risk Evaluation II <2%) and their matched controls were included. The most common operations across both units were coronary artery bypass grafting (n = 318, 39.8%) and mitral valve repair or replacement (n = 238, 29.8%). Approximately half of the operations were performed via sternotomy (n = 462, 57.8%). There were 3 (0.2%) in-hospital deaths, and 47 patients (5.9%) had a 30-day complication. The total length of stay was significantly shorter for the surgeon-led cardiovascular intensive care unit patients (6.3 vs 7.0 days,
    Conclusions: In its first 2 years, the surgeon-led cardiovascular intensive care unit demonstrated comparable outcomes to the traditional cardiovascular intensive care unit with significant improvements in total length of stay, postoperative transfusions in the cardiovascular intensive care unit, and vasopressor use. This early success exemplifies how an operating surgeon-led cardiovascular intensive care unit can provide similar outcomes to the standard-of-care model for patients undergoing elective cardiac surgery.
    Language English
    Publishing date 2023-10-14
    Publishing country Netherlands
    Document type Journal Article
    ISSN 2666-2736
    ISSN (online) 2666-2736
    DOI 10.1016/j.xjon.2023.09.040
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Acute kidney injury and renal recovery following Fontan surgery.

    Marosi, Anna / Conway, Jennifer / Morgan, Catherine / Yaskina, Maryna / Foshaug, Rae / Chappell, Alyssa / Ryerson, Lindsay / Martin, Billie-Jean / Ash, Alanna / Al-Aklabi, Mohammed / Myers, Kim / Mackie, Andrew S

    JTCVS open

    2023  Volume 17, Page(s) 248–256

    Abstract: Objectives: Acute kidney injury has been described after Fontan surgery, but the duration and outcomes are unknown. We sought to describe the incidence of and risk factors for acute kidney injury and the phenotype of renal recovery, and evaluate the ... ...

    Abstract Objectives: Acute kidney injury has been described after Fontan surgery, but the duration and outcomes are unknown. We sought to describe the incidence of and risk factors for acute kidney injury and the phenotype of renal recovery, and evaluate the impact of renal recovery phenotype on outcomes.
    Methods: All children who underwent a Fontan operation at a single center between 2009 and 2022 were included. Data collected included Fontan characteristics, vasopressor use, all measures of creatinine, and postoperative outcomes. Logistic regression models were used to assess predictors of acute kidney injury and the association between acute kidney injury and outcomes.
    Results: We enrolled 141 children (45% female). Acute kidney injury occurred in 100 patients (71%). Acute kidney injury duration was transient (<48 hours) in 77 patients (55%), persistent (2-7 days) in 15 patients (11%), more than 7 days in 4 patients (3%), and unknown in 4 patients (3%). Risk factors for acute kidney injury included higher preoperative indexed pulmonary vascular resistance (odds ratio, 3.90;
    Conclusions: Acute kidney injury after the Fontan operation is common. The occurrence and duration of acute kidney injury have significant implications for postoperative outcomes.
    Language English
    Publishing date 2023-11-30
    Publishing country Netherlands
    Document type Journal Article
    ISSN 2666-2736
    ISSN (online) 2666-2736
    DOI 10.1016/j.xjon.2023.11.015
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Repair of recoarctation after the Norwood operation: The right-sided posterior approach.

    Martin, Billie-Jean / Maruyama, Michiko / Rebeyka, Ivan M

    The Journal of thoracic and cardiovascular surgery

    2016  Volume 152, Issue 6, Page(s) 1622–1624

    MeSH term(s) Aorta, Thoracic/surgery ; Aortic Coarctation/surgery ; Cardiopulmonary Bypass ; Humans ; Hypoplastic Left Heart Syndrome/surgery ; Infant ; Infant, Newborn ; Norwood Procedures ; Recurrence ; Reoperation
    Language English
    Publishing date 2016
    Publishing country United States
    Document type Journal Article
    ZDB-ID 3104-5
    ISSN 1097-685X ; 0022-5223
    ISSN (online) 1097-685X
    ISSN 0022-5223
    DOI 10.1016/j.jtcvs.2016.06.035
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Insights from 3D Echocardiography in Hypoplastic Left Heart Syndrome Patients Undergoing TV Repair.

    Mah, Kandice / Khoo, Nee Scze / Martin, Billie-Jean / Maruyama, Michiko / Alvarez, Silvia / Rebeyka, Ivan M / Smallhorn, Jeffrey / Colen, Timothy

    Pediatric cardiology

    2021  Volume 43, Issue 4, Page(s) 735–743

    Abstract: Background: Tricuspid regurgitation (TR) in hypoplastic left heart syndrome (HLHS) is associated with morbidity and mortality. TR mechanisms and the impact of tricuspid valve repair (TVR) are unclear. We examined HLHS TR mechanisms, TVR's impact on ... ...

    Abstract Background: Tricuspid regurgitation (TR) in hypoplastic left heart syndrome (HLHS) is associated with morbidity and mortality. TR mechanisms and the impact of tricuspid valve repair (TVR) are unclear. We examined HLHS TR mechanisms, TVR's impact on tricuspid valve (TV), and features of poor TVR durability.
    Methods: We retrospectively compared 35 HLHS TVR cases and 35 age/stage-matched HLHS controls who do not undergo TVR. Pre-operative 3-dimensional echocardiography (3DE) assessed overall TV morphology (prolapse, normal, tethered), leaflet morphology, vena contracta area, and TR location. Two-dimensional echocardiography measured TV annulus diameter, RV fractional area change (RVFAC), sphericity, and TR grade at three time points (pre-op, early post-op, and latest follow-up).
    Results: Pre-op, TVR group, and controls had no difference in age, RV function or shape, or TV dimension. TVR group most commonly had anterior leaflet prolapse followed by septal leaflet prolapse or tethering. TR jet arises centrally (63%) and anterior septally (26%). Posterior annuloplasty (69%), commissuroplasty (37%), and leaflet repair (37%) were surgical techniques commonly performed. At early post-op, TR grade and TV annulus decreased. At latest follow-up, TV annulus remained reduced; however, 50% had significant TR. 25% required TV reoperation. Larger vena contracta at TVR was associated with significant TR.
    Conclusion: HLHS patients undergoing TVR had more anterior leaflet prolapse and central TR. While TVR initially reduces annular size and TR grade, 50% redevelop significant TR despite maintained annular reduction. The association of greater TR severity prior to repair with post-op recurrence raises the consideration for earlier repair of TR in HLHS patients.
    MeSH term(s) Echocardiography, Three-Dimensional/methods ; Humans ; Hypoplastic Left Heart Syndrome/complications ; Hypoplastic Left Heart Syndrome/diagnostic imaging ; Hypoplastic Left Heart Syndrome/surgery ; Retrospective Studies ; Treatment Outcome ; Tricuspid Valve/diagnostic imaging ; Tricuspid Valve Insufficiency/complications ; Tricuspid Valve Insufficiency/diagnostic imaging ; Tricuspid Valve Insufficiency/surgery
    Language English
    Publishing date 2021-11-23
    Publishing country United States
    Document type Journal Article
    ZDB-ID 800857-7
    ISSN 1432-1971 ; 0172-0643
    ISSN (online) 1432-1971
    ISSN 0172-0643
    DOI 10.1007/s00246-021-02780-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Shunt Lesions Part II: Anomalous Pulmonary Venous Connections and Truncus Arteriosus.

    Martin, Billie-Jean / Karamlou, Tara B / Tabbutt, Sarah

    Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies

    2016  Volume 17, Issue 8 Suppl 1, Page(s) S310–4

    Abstract: Objectives: The objectives of this review are to describe the anatomy, pathophysiology, perioperative therapeutic strategies, and operative procedures for patients with anomalous pulmonary venous connections and truncus arteriosus.: Data source: ... ...

    Abstract Objectives: The objectives of this review are to describe the anatomy, pathophysiology, perioperative therapeutic strategies, and operative procedures for patients with anomalous pulmonary venous connections and truncus arteriosus.
    Data source: MEDLINE and PubMed.
    Conclusions: An understanding of the anatomy and pathophysiology of anomalous pulmonary venous connections and truncus arteriosus is essential for the optimal perioperative management of these complex and challenging congenital lesions.
    MeSH term(s) Cardiac Surgical Procedures/adverse effects ; Cardiac Surgical Procedures/methods ; Heart Defects, Congenital/physiopathology ; Heart Defects, Congenital/surgery ; Humans ; Infant ; Infant, Newborn
    Language English
    Publishing date 2016
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2052349-X
    ISSN 1947-3893 ; 1529-7535
    ISSN (online) 1947-3893
    ISSN 1529-7535
    DOI 10.1097/PCC.0000000000000822
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Delirium and cardiac surgery: progress - and more questions.

    Martin, Billie-Jean / Arora, Rakesh C

    Critical care (London, England)

    2013  Volume 17, Issue 2, Page(s) 140

    Abstract: Post-operative delirium is a common and dangerous complication of cardiac surgery. Many risk factors for delirium have been identified, but its pathogenesis remains largely elusive. A study by Kazmierski and colleagues investigates a more recently ... ...

    Abstract Post-operative delirium is a common and dangerous complication of cardiac surgery. Many risk factors for delirium have been identified, but its pathogenesis remains largely elusive. A study by Kazmierski and colleagues investigates a more recently considered risk factor for delirium: perturbations in the hypothalamic pituitary axis and depression. This and further work may help define novel prevention and treatment strategies for delirium.
    MeSH term(s) Delirium/blood ; Delirium/psychology ; Female ; Humans ; Hydrocortisone/blood ; Male ; Postoperative Complications/blood ; Postoperative Complications/psychology ; Psychiatric Status Rating Scales
    Chemical Substances Hydrocortisone (WI4X0X7BPJ)
    Language English
    Publishing date 2013-04-30
    Publishing country England
    Document type Journal Article ; Comment
    ZDB-ID 2041406-7
    ISSN 1466-609X ; 1364-8535
    ISSN (online) 1466-609X
    ISSN 1364-8535
    DOI 10.1186/cc12610
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  8. Article ; Online: An Unusual Cause of Hemopericardium 22 Years After a Fontan Procedure.

    Martin, Billie-Jean / Seaman, Cameron / Windram, Jonathan D / Rebeyka, Ivan M

    The Annals of thoracic surgery

    2017  Volume 103, Issue 2, Page(s) e187–e189

    Abstract: Late tamponade after cardiac operations is rare but reasonably well described. We report a case of exceedingly late tamponade secondary to a spontaneous coronary bleed 22 years after a Fontan operation, which was repaired with catheter intervention. ...

    Abstract Late tamponade after cardiac operations is rare but reasonably well described. We report a case of exceedingly late tamponade secondary to a spontaneous coronary bleed 22 years after a Fontan operation, which was repaired with catheter intervention.
    MeSH term(s) Adult ; Cardiac Tamponade/diagnosis ; Cardiac Tamponade/etiology ; Coronary Angiography ; Follow-Up Studies ; Fontan Procedure/adverse effects ; Forecasting ; Heart Defects, Congenital/surgery ; Humans ; Imaging, Three-Dimensional ; Male ; Pericardial Effusion/complications ; Pericardial Effusion/diagnosis ; Tomography, X-Ray Computed
    Language English
    Publishing date 2017-02
    Publishing country Netherlands
    Document type Case Reports ; Journal Article
    ZDB-ID 211007-6
    ISSN 1552-6259 ; 0003-4975
    ISSN (online) 1552-6259
    ISSN 0003-4975
    DOI 10.1016/j.athoracsur.2016.06.108
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Tricuspid Valve Repair in Infancy Using Neochordae: Three-Dimensional Echocardiographic Imaging.

    Martin, Billie-Jean / Khoo, Nee S / Smallhorn, Jeffrey / Aklabi, Mohammed Al

    World journal for pediatric & congenital heart surgery

    2017  Volume 8, Issue 6, Page(s) 740–742

    Abstract: Tricuspid regurgitation (TR) in infancy poses a surgical challenge. Both two- and three-dimensional echocardiography (3DE) can provide detailed information about the mechanism(s) of valve failure and insights into valve adaptation during follow-up. We ... ...

    Abstract Tricuspid regurgitation (TR) in infancy poses a surgical challenge. Both two- and three-dimensional echocardiography (3DE) can provide detailed information about the mechanism(s) of valve failure and insights into valve adaptation during follow-up. We report two patients who underwent tricuspid valve repair using Gore-Tex neochordae, repairs which were facilitated by and assessed with 3DE. Both infants had less than mild residual TR and no valve tethering at hospital discharge. Furthermore, follow-up 3DEs have helped to confirm valve competence, lack of tethering, and growth of the valve and valve apparatus.
    MeSH term(s) Cardiac Surgical Procedures/methods ; Chordae Tendineae ; Echocardiography, Three-Dimensional/methods ; Humans ; Infant ; Polytetrafluoroethylene ; Prostheses and Implants ; Prosthesis Design ; Tricuspid Valve/abnormalities ; Tricuspid Valve/diagnostic imaging ; Tricuspid Valve/surgery ; Tricuspid Valve Insufficiency/congenital ; Tricuspid Valve Insufficiency/diagnosis ; Tricuspid Valve Insufficiency/surgery
    Chemical Substances Polytetrafluoroethylene (9002-84-0)
    Language English
    Publishing date 2017
    Publishing country United States
    Document type Case Reports ; Journal Article ; Video-Audio Media
    ZDB-ID 2550261-X
    ISSN 2150-136X ; 2150-1351
    ISSN (online) 2150-136X
    ISSN 2150-1351
    DOI 10.1177/2150135117736286
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Neonatal Tracheal and Intracardiac Repair in a High-Risk Premature Infant Requiring Preoperative ECMO Transport.

    Martin, Billie-Jean / Holinski, Paula / Noga, Michelle / El-Hakim, Hamdy / Aklabi, Mohammed Al

    World journal for pediatric & congenital heart surgery

    2017  Volume 10, Issue 3, Page(s) 380–383

    Abstract: Congenital tracheal stenosis is an uncommon malformation that portends a poor outcome in children who are symptomatic in the neonatal period. Over time, the management of significant tracheal disease has been consolidated at high-volume centers, and ... ...

    Abstract Congenital tracheal stenosis is an uncommon malformation that portends a poor outcome in children who are symptomatic in the neonatal period. Over time, the management of significant tracheal disease has been consolidated at high-volume centers, and increasingly complex patients have undergone surgical repair. We present a premature newborn boy who was diagnosed with critical multi-level airway and cardiac disease who decompensated at a remote site, requiring extracorporeal membrane oxygenation support for transport. He underwent a complete repair including a slide tracheoplasty and was successfully discharged home, with no residual stenosis at follow-up.
    MeSH term(s) Adult ; Bronchoscopy ; Extracorporeal Membrane Oxygenation/methods ; Female ; Humans ; Imaging, Three-Dimensional ; Infant, Newborn ; Infant, Premature ; Male ; Preoperative Care/methods ; Reconstructive Surgical Procedures/methods ; Risk Factors ; Tomography, X-Ray Computed ; Trachea/diagnostic imaging ; Trachea/surgery ; Tracheal Stenosis/congenital ; Tracheal Stenosis/diagnosis ; Tracheal Stenosis/surgery ; Transportation of Patients/methods
    Language English
    Publishing date 2017-08-20
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 2550261-X
    ISSN 2150-136X ; 2150-1351
    ISSN (online) 2150-136X
    ISSN 2150-1351
    DOI 10.1177/2150135117696490
    Database MEDical Literature Analysis and Retrieval System OnLINE

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