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  1. Article ; Online: Is beating heart coronary artery bypass grafting on or off?

    Gudbjartsson, Tomas

    European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery

    2016  Volume 50, Issue 3, Page(s) 536

    MeSH term(s) Coronary Artery Bypass/methods ; Coronary Artery Bypass, Off-Pump/methods ; Coronary Artery Disease/surgery ; Global Health ; Humans ; Incidence ; Postoperative Complications/epidemiology ; Survival Rate/trends
    Language English
    Publishing date 2016-09
    Publishing country Germany
    Document type Editorial
    ZDB-ID 639293-3
    ISSN 1873-734X ; 1010-7940 ; 1567-4258
    ISSN (online) 1873-734X
    ISSN 1010-7940 ; 1567-4258
    DOI 10.1093/ejcts/ezw131
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 2303: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  2. Article: Surgical lung biopsy for suspected interstitial lung disease with video-assisted thoracoscopic surgery is safe, providing exact histological and disease specific diagnosis for tailoring treatment.

    Thrainsson, Leifur / Halldorsson, Arnljotur Bjorn / Ingason, Arnar Bragi / Isaksson, Helgi J / Gudmundsson, Gunnar / Gudbjartsson, Tomas

    Journal of thoracic disease

    2024  Volume 16, Issue 1, Page(s) 99–112

    Abstract: Background: Surgical lung biopsy (SLB) is required for diagnosis in patients with suspected interstitial lung disease (ILD) if other less invasive diagnostic methods are non-conclusive. We evaluated the outcome of SLB by using centralized databases in a ...

    Abstract Background: Surgical lung biopsy (SLB) is required for diagnosis in patients with suspected interstitial lung disease (ILD) if other less invasive diagnostic methods are non-conclusive. We evaluated the outcome of SLB by using centralized databases in a whole-nation patient-cohort.
    Methods: A population-based retrospective study on 68 consecutive patients (mean age 58 years, 58.8% males) that underwent SLB in Iceland between the years 2008 and 2020. Patient information was obtained from patient charts and peri- and postoperative complications were registered together with 30- and 90-day mortality. Computed tomography (CT) scans, histological biopsies and spirometry results were reviewed, and overall survival (Kaplan-Meier) estimated. Mean follow-up was 61.3 months (range, 3-155 months).
    Results: Out of 68 SLB-patients 41 (60.3%) had preoperatively undergone non-conclusive transbronchial biopsies (TBB) obtained with bronchoscopy. Spirometry showed forced vital capacity (FVC) 3.0 L and forced expiratory volume in 1 second (FEV1) 2.3 L, or 73.0% and 71.6% of predicted value, respectively. Video-assisted thoracoscopic surgery (VATS) technique was used in all cases and provided a histologic and disease specific diagnosis in 92.6% of cases; most often being nonspecific interstitial pneumonia (NSIP) (29.4%) and usual interstitial pneumonia (UIP) (23.5%). One patient (1.5%) sustained a major postoperative complication (excessive bleeding) and seven patients (10.3%) minor complications. Median chest tube time and length of stay was 1 and 2 days, respectively. No patients died <90 days postoperatively. Overall survival at 1 and 5 years was 95.6% and 73.5%, respectively, and 5-year survival for NSIP and UIP was 85% and 43.7%, respectively. Long-term mortality for UIP was four times higher when compared with NSIP and other diagnosis.
    Conclusions: Lung biopsy with VATS-technique provided a definitive histological and disease specific diagnosis in majority of cases. The procedure is safe, reflected in low complication-rates and short hospital stay, and can therefore be used to diagnose and tailor treatment of ILD patients.
    Language English
    Publishing date 2024-01-11
    Publishing country China
    Document type Journal Article
    ZDB-ID 2573571-8
    ISSN 2077-6624 ; 2072-1439
    ISSN (online) 2077-6624
    ISSN 2072-1439
    DOI 10.21037/jtd-23-1107
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: [Incidence and outcomes of perioperative myocardial infarction associated with coronary artery bypass surgery].

    Heidarsdottir, Sunna Run / Heitmann, Leon Arnar / Gunnarsdottir, Erla Liu Ting / Gunnarsdottir, Sunna Lu Xi / Thorsteinsson, Egill Gauti / Johnsen, Arni / Jeppsson, Anders / Gudbjartsson, Tomas

    Laeknabladid

    2024  Volume 110, Issue 2, Page(s) 85–92

    Abstract: Introduction: Perioperative myocardial infarction (PMI) after CABG can contribute to in-hospital morbidity and mortality, however, its clinical significance on long-term outcome, remains inadequately addressed. We studied both 30-day mortality and long- ... ...

    Abstract Introduction: Perioperative myocardial infarction (PMI) after CABG can contribute to in-hospital morbidity and mortality, however, its clinical significance on long-term outcome, remains inadequately addressed. We studied both 30-day mortality and long-term effects of PMI in Icelandic CABG-patients.
    Materials and methods: A retrospective nationwide-study on 1446 consecutive CABG-patients operated at Landspitali in Iceland 2002-2018 without evidence of preoperative myocardial infarction. PMI was defined as a tenfold elevetion in serum-CK-MB associated with new ECG changes or diagnostic imaging consistent with ischemia. Patients with PMI were compared to a reference group with uni- and multivariate analyses. Long-term and MACCE-free survival were estimated with the Kaplan-Meier method and logistic regression used to determine factors associated with PMI. The mean follow-up time was 8.3 years.
    Results: Out of 1446 patients 78 (5.4%) were diagnosed with PMI (range: 0-15.5%) with a significant annual decline in the incidence of PMI (12.7%, p<0.001). Over the same period preoperative aspirin use increased by 22.3% (p<0.018). PMI patients had a higher rate of short-term complications and a 11.5% 30-day mortality rate compared to 0.4% for non-PMI patients. PMI was found to be a predictor of 30-day mortality (OR 15.44, 95% CI: 6.89-34.67). PMI patients had worse 5-year MACCE-free survival (69.2% vs. 84.7, p=0,01), although overall survival was comparable between the groups.
    Conclusions: Although PMI after CABG is associated with significantly higher rates of short-term complications and 30-day mortality, long-term survival was similar to the reference group. Therefore, the mortality risk attributable to PMI appears to diminish after the immediate postoperative period.
    MeSH term(s) Humans ; Incidence ; Retrospective Studies ; Myocardial Infarction/epidemiology ; Coronary Artery Bypass/adverse effects ; Aspirin
    Chemical Substances Aspirin (R16CO5Y76E)
    Language Icelandic
    Publishing date 2024-01-30
    Publishing country Iceland
    Document type English Abstract ; Journal Article
    ZDB-ID 806661-9
    ISSN 1670-4959 ; 0023-7213
    ISSN (online) 1670-4959
    ISSN 0023-7213
    DOI 10.17992/lbl.2024.02.781
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 6323: Show issues Location:
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  4. Article: [Bilateral pneumothoraces in a pregnant woman following acupuncture - a case report].

    Valgardsson, Atli Steinn / Gudbjartsson, Tomas

    Laeknabladid

    2019  Volume 105, Issue 1, Page(s) 19–21

    Abstract: A woman in her thirties, 15 weeks pregnant, underwent acupuncture therapy because of pregnancy-related nausea and vomiting. Several hours later she experienced shortness of breath and therefore came to the emergency room. Physical examination revealed ... ...

    Abstract A woman in her thirties, 15 weeks pregnant, underwent acupuncture therapy because of pregnancy-related nausea and vomiting. Several hours later she experienced shortness of breath and therefore came to the emergency room. Physical examination revealed tachypnea and reduced breath sounds bilaterally but normal oxygen saturation and blood pressure. Chest X-ray showed bilateral subtotal pneumo-thoraces. Chest tubes were inserted into both pleural cavities and the patient recovered successfully and was discharged in good health 3 days after admission. This case report emphasizes the risks of acupuncture to the chest cavity that in this case resulted in bi---- l-ateral pneumothoraces, a condition that can become life threatening in this case to both mother and fetus.
    MeSH term(s) Acupuncture Therapy/adverse effects ; Adult ; Chest Tubes ; Female ; Humans ; Morning Sickness/therapy ; Pneumothorax/diagnostic imaging ; Pneumothorax/etiology ; Pneumothorax/therapy ; Pregnancy ; Pregnancy Trimester, Second ; Treatment Outcome
    Language Icelandic
    Publishing date 2019-01-02
    Publishing country Iceland
    Document type Case Reports
    ZDB-ID 806661-9
    ISSN 1670-4959 ; 0023-7213
    ISSN (online) 1670-4959
    ISSN 0023-7213
    DOI 10.17992/lbl.2019.01.212
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 6323: Show issues Location:
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  5. Article ; Online: [Case of the month: Sudden chest pain and changed voice after the use of an electronic cigarette].

    Thoroddsen, Ulfur / Gudbjartsson, Tomas

    Laeknabladid

    2019  Volume 105, Issue 6, Page(s) 283–284

    MeSH term(s) Chest Pain/diagnostic imaging ; Chest Pain/etiology ; Electronic Nicotine Delivery Systems ; Humans ; Mediastinal Emphysema/diagnostic imaging ; Mediastinal Emphysema/etiology ; Tomography, X-Ray Computed ; Vaping/adverse effects ; Voice ; Voice Disorders/diagnostic imaging ; Voice Disorders/etiology ; Voice Disorders/physiopathology
    Language Icelandic
    Publishing date 2019-06-13
    Publishing country Iceland
    Document type Case Reports
    ZDB-ID 806661-9
    ISSN 1670-4959 ; 0023-7213
    ISSN (online) 1670-4959
    ISSN 0023-7213
    DOI 10.17992/lbl.2019.06.237
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 6323: Show issues Location:
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  6. Article ; Online: [Wound infections following open heart surgery - review].

    Gudbjartsson, Tomas / Jeppsson, Anders

    Laeknabladid

    2019  Volume 105, Issue 4, Page(s) 177–182

    Abstract: Wound infections are common complications after open heart surgery, both in the sternotomy and vein harvest wound. Fortunately, most of these infections are superficial and respond to minor wound debridement and antibiotics, however, 1-3% of patients ... ...

    Abstract Wound infections are common complications after open heart surgery, both in the sternotomy and vein harvest wound. Fortunately, most of these infections are superficial and respond to minor wound debridement and antibiotics, however, 1-3% of patients develop deep sternal wound infection with mediastinis; an infection that can be fatal. Late infections with sternocutaneous fistulas are encountered less often, but also represent a complex surgical problem. The vein harvest site is the most common site for wound infections after cardiac surgery and these infections result in significant patient morbidity and increases health-care costs. This evidence-based review covers etiology, risk factors, prevention and treatment of wound infections following open heart surgery with special focus on advances in treatment, especially negative-pressure wound therapy.
    MeSH term(s) Anti-Bacterial Agents/therapeutic use ; Cardiac Surgical Procedures/adverse effects ; Cardiac Surgical Procedures/mortality ; Debridement ; Humans ; Negative-Pressure Wound Therapy ; Risk Factors ; Sternotomy/adverse effects ; Sternotomy/mortality ; Surgical Wound Infection/diagnosis ; Surgical Wound Infection/microbiology ; Surgical Wound Infection/mortality ; Surgical Wound Infection/therapy ; Tissue and Organ Harvesting/adverse effects ; Tissue and Organ Harvesting/mortality ; Treatment Outcome
    Chemical Substances Anti-Bacterial Agents
    Language Icelandic
    Publishing date 2019-03-30
    Publishing country Iceland
    Document type Journal Article ; Review
    ZDB-ID 806661-9
    ISSN 1670-4959 ; 0023-7213
    ISSN (online) 1670-4959
    ISSN 0023-7213
    DOI 10.17992/lbl.2019.04.227
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 6323: Show issues Location:
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  7. Article ; Online: Invited commentary.

    Gudbjartsson, Tomas

    The Annals of thoracic surgery

    2013  Volume 95, Issue 2, Page(s) 452

    MeSH term(s) Anesthesia, Conduction ; Female ; Humans ; Lung Diseases, Interstitial/pathology ; Male ; Thoracic Surgery, Video-Assisted ; Wakefulness
    Language English
    Publishing date 2013-02
    Publishing country Netherlands
    Document type Comment ; Journal Article
    ZDB-ID 211007-6
    ISSN 1552-6259 ; 0003-4975
    ISSN (online) 1552-6259
    ISSN 0003-4975
    DOI 10.1016/j.athoracsur.2012.11.004
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    Zs.A 252: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    Jg. 1995 - 2021: Lesesall (1.OG)
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  8. Article ; Online: Editorial comment to effect of number and location of distant metastases on renal cell carcinoma mortality in candidates for cytoreductive nephrectomy: implications for multimodal therapy.

    Gudbjartsson, Tomas

    International journal of urology : official journal of the Japanese Urological Association

    2013  Volume 20, Issue 6, Page(s) 579

    MeSH term(s) Carcinoma, Renal Cell/mortality ; Carcinoma, Renal Cell/pathology ; Carcinoma, Renal Cell/secondary ; Carcinoma, Renal Cell/surgery ; Combined Modality Therapy ; Humans ; Kidney Neoplasms/mortality ; Kidney Neoplasms/pathology ; Kidney Neoplasms/surgery ; Nephrectomy/methods
    Language English
    Publishing date 2013-06
    Publishing country Australia
    Document type Editorial
    ZDB-ID 1328401-0
    ISSN 1442-2042 ; 0919-8172
    ISSN (online) 1442-2042
    ISSN 0919-8172
    DOI 10.1111/iju.12035
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    Zs.A 4460: Show issues Location:
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    Zs.MO 278: Show issues

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  9. Article: Rekjanleiki ígrssda í skurdlsskningum.

    Gudbjartsson, Tomas

    Laeknabladid

    2012  Volume 98, Issue 3, Page(s) 141

    Title translation The traceability of implants in surgery.
    MeSH term(s) Humans ; Materials Management, Hospital ; Product Surveillance, Postmarketing ; Prostheses and Implants ; Prosthesis Design ; Prosthesis Implantation/instrumentation ; Registries
    Language Icelandic
    Publishing date 2012-03
    Publishing country Iceland
    Document type Editorial
    ZDB-ID 806661-9
    ISSN 1670-4959 ; 0023-7213
    ISSN (online) 1670-4959
    ISSN 0023-7213
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Surgical resection is an effective treatment of bronchiectasis in selected patients.

    Gudbjartsson, Tomas

    Journal of thoracic disease

    2011  Volume 5, Issue 3, Page(s) 216

    Language English
    Publishing date 2011-10-03
    Publishing country China
    Document type Journal Article
    ZDB-ID 2573571-8
    ISSN 2077-6624 ; 2072-1439
    ISSN (online) 2077-6624
    ISSN 2072-1439
    DOI 10.3978/j.issn.2072-1439.2013.06.21
    Database MEDical Literature Analysis and Retrieval System OnLINE

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