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  1. Article ; Online: Approaches to ventricular assist device exchange: Resternotomy versus limited incisions.

    Osho, Asishana A / D'Alessandro, David A

    JTCVS techniques

    2022  Volume 12, Page(s) 94–99

    Language English
    Publishing date 2022-01-17
    Publishing country United States
    Document type Editorial
    ISSN 2666-2507
    ISSN (online) 2666-2507
    DOI 10.1016/j.xjtc.2021.10.062
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Operative Management for Type A Acute Aortic Dissection: No Harm in Coming Back.

    Divya, Aabha / Osho, Asishana Avo / Hosseini, Motahar

    The Annals of thoracic surgery

    2023  Volume 117, Issue 5, Page(s) 922

    MeSH term(s) Humans ; Aortic Dissection/surgery ; Aortic Aneurysm, Thoracic/surgery ; Aortic Aneurysm, Thoracic/diagnosis ; Acute Disease
    Language English
    Publishing date 2023-12-23
    Publishing country Netherlands
    Document type Editorial ; Journal Article
    ZDB-ID 211007-6
    ISSN 1552-6259 ; 0003-4975
    ISSN (online) 1552-6259
    ISSN 0003-4975
    DOI 10.1016/j.athoracsur.2023.12.002
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    Zs.A 252: Show issues Location:
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  3. Article ; Online: Interventional Therapies for Acute Pulmonary Embolism.

    Osho, Asishana A / Dudzinski, David M

    The Surgical clinics of North America

    2022  Volume 102, Issue 3, Page(s) 429–447

    Abstract: Pulmonary embolism (PE) is the third leading cause of cardiovascular mortality in the United States. Unfortunately, significant gaps exist in outcome data around many interventional therapies, a fact that is reflected in the low strength of management ... ...

    Abstract Pulmonary embolism (PE) is the third leading cause of cardiovascular mortality in the United States. Unfortunately, significant gaps exist in outcome data around many interventional therapies, a fact that is reflected in the low strength of management recommendations found in consensus major society guidelines. In addition to careful risk stratification, therapeutic anticoagulation generally should be an early part of PE management in all cases. For patients presenting with acute high-risk PE or intermediate-risk PE with higher risk features, consideration should be given to systemic thrombolysis after careful evaluation for potential bleeding complications. In patients with contraindications to systemic thrombolysis, failure of this therapy, or significant ongoing cardiopulmonary distress, consideration should be given to interventional therapies like catheter-directed lysis, catheter-directed embolectomy, surgical embolectomy, and mechanical circulatory support. Until more robust comparative outcome data are put forward, pulmonary embolism response teams (PERT) should be considered for multi-disciplinary patient evaluation and management.
    MeSH term(s) Acute Disease ; Embolectomy ; Humans ; Pulmonary Embolism/etiology ; Pulmonary Embolism/therapy ; Risk Factors ; Thrombolytic Therapy ; Treatment Outcome
    Language English
    Publishing date 2022-04-21
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 215713-5
    ISSN 1558-3171 ; 0039-6109
    ISSN (online) 1558-3171
    ISSN 0039-6109
    DOI 10.1016/j.suc.2022.02.004
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  4. Article ; Online: Commentary: Moving the Dial on DOAC use Early After Cardiac Surgery.

    Osho, Asishana A / Vlahakes, Gus J

    Seminars in thoracic and cardiovascular surgery

    2021  Volume 34, Issue 3, Page(s) 960–961

    MeSH term(s) Anticoagulants ; Atrial Fibrillation/surgery ; Cardiac Surgical Procedures/adverse effects ; Humans ; Treatment Outcome
    Chemical Substances Anticoagulants
    Language English
    Publishing date 2021-06-15
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 1038278-1
    ISSN 1532-9488 ; 1043-0679
    ISSN (online) 1532-9488
    ISSN 1043-0679
    DOI 10.1053/j.semtcvs.2021.06.007
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  5. Article ; Online: Directed Hypercapnia for Weaning From ECMO to Mechanical Ventilation-Progress or Just a Process?

    Megna, Dominick / Osho, Asishana / Catarino, Pedro

    The Annals of thoracic surgery

    2022  Volume 114, Issue 5, Page(s) e311

    MeSH term(s) Humans ; Respiration, Artificial ; Hypercapnia/therapy ; Extracorporeal Membrane Oxygenation ; Ventilator Weaning ; Time Factors
    Language English
    Publishing date 2022-06-01
    Publishing country Netherlands
    Document type Journal Article ; Comment
    ZDB-ID 211007-6
    ISSN 1552-6259 ; 0003-4975
    ISSN (online) 1552-6259
    ISSN 0003-4975
    DOI 10.1016/j.athoracsur.2022.05.029
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  6. Article ; Online: 10 Commandments of Robotic Lobectomy.

    Onwugbufor, Michael T / Predina, Jarrod D / Osho, Asishana A / Schumacher, Lana Y

    Innovations (Philadelphia, Pa.)

    2021  Volume 16, Issue 2, Page(s) 123–126

    MeSH term(s) Humans ; Lung Neoplasms/surgery ; Pneumonectomy ; Robotic Surgical Procedures ; Robotics ; Thoracic Surgery, Video-Assisted
    Language English
    Publishing date 2021-04-08
    Publishing country United States
    Document type Editorial
    ISSN 1559-0879
    ISSN (online) 1559-0879
    DOI 10.1177/15569845211003547
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  7. Article: Surgical management of tracheoesophageal fistula.

    Osho, Asishana / Sachdeva, Uma / Wright, Cameron / Muniappan, Ashok

    Annals of cardiothoracic surgery

    2018  Volume 7, Issue 2, Page(s) 314–316

    Language English
    Publishing date 2018-04-12
    Publishing country China
    Document type Editorial
    ZDB-ID 2713627-9
    ISSN 2304-1021 ; 2225-319X
    ISSN (online) 2304-1021
    ISSN 2225-319X
    DOI 10.21037/acs.2018.03.06
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  8. Article ; Online: One Year Outcomes Following Transplantation with COVID-19-Positive Donor Hearts: A National Database Cohort Study.

    Wolfe, Stanley B / Singh, Ruby / Paneitz, Dane C / Rabi, Seyed Alireza / Chukwudi, Chijioke C / Asija, Richa / Michel, Eriberto / Ganapathi, Asvin M / Osho, Asishana A

    Journal of cardiovascular development and disease

    2024  Volume 11, Issue 2

    Abstract: The current understanding of the safety of heart transplantation from COVID-19+ donors is uncertain. Preliminary studies suggest that heart transplants from these donors may be feasible. We analyzed 1-year outcomes in COVID-19+ donor heart recipients ... ...

    Abstract The current understanding of the safety of heart transplantation from COVID-19+ donors is uncertain. Preliminary studies suggest that heart transplants from these donors may be feasible. We analyzed 1-year outcomes in COVID-19+ donor heart recipients using 1:3 propensity matching. The OPTN database was queried for adult heart transplant recipients between 1 January 2020 and 30 September 2022. COVID-19+ donors were defined as those who tested positive on NATs or antigen tests within 21 days prior to procurement. Multiorgan transplants, retransplants, donors without COVID-19 testing, and recipients allocated under the old heart allocation system were excluded. A total of 7211 heart transplant recipients met the inclusion criteria, including 316 COVID-19+ donor heart recipients. Further, 290 COVID-19+ donor heart recipients were matched to 870 COVID-19- donor heart recipients. Survival was similar between the groups at 30 days (
    Language English
    Publishing date 2024-01-31
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2777082-5
    ISSN 2308-3425 ; 2308-3425
    ISSN (online) 2308-3425
    ISSN 2308-3425
    DOI 10.3390/jcdd11020046
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  9. Article ; Online: Vasoplegic syndrome during heart transplantation: A systematic review and meta-analysis.

    Kumar, Nicolas / Fitzsimons, Michael G / Iyer, Manoj H / Essandoh, Michael / Kumar, Julia E / Dalia, Adam A / Osho, Asishana / Sawyer, Tamara R / Bardia, Amit

    The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation

    2024  

    Abstract: Background: Vasoplegic syndrome (VS) is a common occurrence during heart transplantation (HT). It currently lacks a uniform definition between transplant centers, and its pathophysiology and treatment remain enigmatic. This systematic review summarizes ... ...

    Abstract Background: Vasoplegic syndrome (VS) is a common occurrence during heart transplantation (HT). It currently lacks a uniform definition between transplant centers, and its pathophysiology and treatment remain enigmatic. This systematic review summarizes the available published clinical data regarding VS during HT.
    Methods: We searched databases for all published reports on VS during HT. Data collected included the incidence of VS in the HT population, patient and intraoperative characteristics, and postoperative outcomes.
    Results: Twenty-two publications were included in this review. The prevalence of VS during HT was 28.72% (95% confidence interval: 27.37%, 30.10%). Factors associated with VS included male sex, higher body mass index, hypothyroidism, pre-HT left ventricular assist device or venoarterial extracorporeal membrane oxygenation (VA-ECMO), pre-HT calcium channel blocker or amiodarone usage, longer cardiopulmonary bypass time, and higher blood product transfusion requirement. Patients who developed VS were more likely to require postoperative VA-ECMO support, renal replacement therapy, reoperation for bleeding, longer mechanical ventilation, and a greater 30-day and 1-year mortality.
    Conclusions: The results of our systematic review are an initial step for providing clinicians with data that can help identify high-risk patients and avenues for potential risk mitigation. Establishing guidelines that officially define VS will aid in the precise diagnosis of these patients during HT and guide treatment. Future studies of treatment strategies for refractory VS are needed in this high-risk patient population.
    Language English
    Publishing date 2024-02-28
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1062522-7
    ISSN 1557-3117 ; 1053-2498
    ISSN (online) 1557-3117
    ISSN 1053-2498
    DOI 10.1016/j.healun.2024.02.1458
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    Zs.A 2056: Show issues Location:
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  10. Article ; Online: What is the value of preoperative prophylactic heparin in reducing venous thromboembolism in major non-cardiac thoracic surgery?

    Odewade, Niyi / Enofe, Nosayaba / Soni, Monica / Wolfe, Stanley / Yang, Chi-Fu / Osho, Asishana

    American journal of surgery

    2022  Volume 224, Issue 4, Page(s) 1086–1089

    Abstract: Background: Studies have investigated the utility of preoperative heparin to mitigate venous thromboembolism risk after surgery. However, whether heparin reduces the risk of VTE following major thoracic surgery is undetermined. A national heparin ... ...

    Abstract Background: Studies have investigated the utility of preoperative heparin to mitigate venous thromboembolism risk after surgery. However, whether heparin reduces the risk of VTE following major thoracic surgery is undetermined. A national heparin shortage beginning in September 2019 provided the opportunity for a natural experiment to explore this question.
    Methods: A retrospective analysis was conducted including all major thoracic surgery cases at a single center from March 2019 to April 2020. The primary outcome was VTE. Two sample t-tests, Chi-Square analyses, and multivariable regressions were performed.
    Results: The study consisted of 890 patients, 391 before the heparin shortage and 499 afterwards. 398 total patients received heparin, 340 before the heparin shortage and 58 afterwards. On univariate analyses, there was no association between VTE and preoperative heparin (p > 0.90). This remained consistent on multivariable analyses (p > 0.1).
    Conclusion: In this single center analysis, there was no association between preoperative heparin and the occurrence of postoperative VTE. Analyses in larger cohorts will provide additional evidence to guide policies on the use of preoperative prophylactic heparin.
    MeSH term(s) Anticoagulants/therapeutic use ; Heparin/therapeutic use ; Humans ; Retrospective Studies ; Thoracic Surgery ; Venous Thromboembolism/etiology ; Venous Thromboembolism/prevention & control
    Chemical Substances Anticoagulants ; Heparin (9005-49-6)
    Language English
    Publishing date 2022-05-27
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2953-1
    ISSN 1879-1883 ; 0002-9610
    ISSN (online) 1879-1883
    ISSN 0002-9610
    DOI 10.1016/j.amjsurg.2022.05.034
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