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Journal Cover   Journal of Cardiovascular Surgery
  [SJR: 0.848]   [H-I: 41]   [3 followers]  Follow
    
   Full-text available via subscription Subscription journal
   ISSN (Print) 0021-9509 - ISSN (Online) 1827-191X
   Published by Minerva Medica Homepage  [1 journal]
  • New frontiers in thoracic and thoracoabdominal aortic repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Chiesa R PMID: 26088009 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 22 Jun 2015 07:42:09 +010
       
  • Management of inferior vena cava aneurysm.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: IVC aneurysms are rare with only 54 cases reported in the literature. Associated vascular anomalies and iliocaval thrombosis should be expected in approximately 20% of cases. Type I aneurysms can be managed expectantly with close surveillance unless symptomatic. For type II-IV, surgical consideration should be given based on high rates of thromboembolic complications and non-negligible risk of rupture. PMID: 26088010 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 22 Jun 2015 07:42:07 +010
       
  • Aortic valve stenosis: non-invasive preoperative evaluation using 64-slice
           CT angiography.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Preoperative evaluation of patients undergoing surgical replacement for AS with 64-SCTA is feasible. 64-SCTA can rule out CAD and evaluate the status of the aortic valve and thoracic aorta in the same examination, obtaining relevant information for surgical planning. PMID: 26088011 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 22 Jun 2015 07:42:05 +010
       
  • Long-term results of coronary artery bypass grafting in patients with
           dialysis-dependent renal failure.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: CABG in dialysis patients is associated with a higher incidence of complications, but has acceptable mortality. CABG is beneficial in this population. Internal mammary artery grafting may provide more favorable long term outcomes. PMID: 26088012 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 22 Jun 2015 07:42:03 +010
       
  • Coronary artery bypass graft surgery in patients with left ventricular
           dysfunction.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Congestive heart failure aggravates the outcome after coronary artery bypass surgery in patients with left ventricular dysfunction. PMID: 25968408 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 16 May 2015 15:14:03 +010
       
  • Effect of preoperative oral pravastatin reload in systemic inflammatory
           response and myocardial damage after coronary artery bypass grafting. A
           pilot double-blind placebo-controlled study.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Oral pravastatin reloading before non-emergent CABG significantly attenuates postoperative SIR and systemic NO/iNOS concentrations with no effect in perioperative myocardial damage. Highest pravastatin doses increase CPK levels and must be avoided in susceptible patients. PMID: 25968407 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 16 May 2015 15:14:03 +010
       
  • Deficiencies with current aortic endografts.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Buckley CJ, Buckley SD Endovascular aortic aneurysm repair (EVAR) has currently replaced open surgical repair as the primary method for treating aneurysm disease of the abdominal aorta and common iliac artery. Current EVAR devices, despite undergoing multiple improvement iterations, continue to have relatively high secondary intervention rates. Device migration, endoleak and limb occlusion continue to be challenges not completely met by any of the current devices. Investigational devices presently in clinical trials may provide significant resolution for many of the identified endograft deficiencies. PMID: 25729915 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 05 Mar 2015 09:14:10 +010
       
  • Proangiogenic potency of MUC18 in arteriosclerotic disease.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: In peripheral stenotic arteriosclerotic disease the proangiogenic potency of MUC18 may play a role in angiogenesis of collaterals, whereas in dilatative aortic diseases the induction of collaterals is typically not evident. The results support the hypothesis of a role in angiogenesis of MUC18 in stenotic arteriosclerotic disease. PMID: 25729916 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 05 Mar 2015 09:14:08 +010
       
  • Catheter-directed thrombolysis for acute upper extremity ischemia.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: These results show that catheter-directed thrombolysis is effective in over 60% of patients as first-line treatment of extensive acute upper extremity ischemia and can prevent surgical intervention in these patients. PMID: 25729917 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 05 Mar 2015 09:14:07 +010
       
  • Performance of the EuroSCORE II and the Society of Thoracic Surgeons Score
           in patients undergoing aortic valve replacement for aortic stenosis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion. Good calibration ability of the EuroSCORE II for low-risk patients and that of the STS score for high-risk are observed. However, the EuroSCORE II underestimates the operative mortality in high-risk patients and the STS score overestimates the risk in low-risk patients. PMID: 25729918 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 05 Mar 2015 09:14:06 +010
       
  • Endovascular treatment of true and false aneurysms in hemodialysis access.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Hedin U, Engström J, Roy J Formation of true and false aneurysms in vascular access for hemodialysis is a complication associated with an immediate or chronic threat to the patient, which jeopardizes access function for further dialysis. Although open surgical repair remains the established treatment of choice, during the last decade, endovascular procedures, largely utilizing stent grafts, have emerged as a viable option for treatment in emergencies as well as for elective cases. Here, basic concepts in vascular access aneurysm management are recapitulated and strategies for endovascular treatment of these complications discussed. PMID: 25731859 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 03 Mar 2015 00:00:00 +010
       
  • Safety and efficacy of the EPIC™ Nitinol Vascular Stent System for
           the treatment of lesions located in the Superficial Femoral Artery:
           prospective and multicentric trial.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: In conclusion, this study demonstrates the safety and efficacy of the EPIC™ Nitinol Vascular Stent System for the treatment of SFA lesions. PMID: 25731858 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 03 Mar 2015 00:00:00 +010
       
  • Acute type A aortic dissection repair with mild-to-moderate hypothermic
           circulatory arrest and selective cerebral perfusion.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Circulatory arrest at more than 28 °C offered sufficient cerebral and distal organ protection for acute type A aortic dissection. PMID: 25723762 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 27 Feb 2015 00:00:00 +010
       
  • Short-term clinical outcomes between intermittent cold versus intermittent
           warm blood cardioplegia in 2200 adult cardiac surgery patients.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The comparison of IWC and ICC blood cardioplegia in different cardiosurgical procedures showed no statistical significant difference in myocardial protection. The use of ICC, however, appeared overall associated with a slightly better clinical outcome except in patients undergoing urgent/emergent CABG where IWC led to a reduction in 30--day--mortality. PMID: 25673099 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 12 Feb 2015 00:00:00 +010
       
  • The routine use of a surgical exposure approach for trans-femoral
           implantation of the balloon expandable aortic prosthesis is associated to
           a low rate of vascular complications. Results from a multicenter registry.
           
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: In this registry, the systematic use of a surgical exposure of the femoral artery for TAVR has been associated with a lower rate of vascular complications. PMID: 25673098 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 12 Feb 2015 00:00:00 +010
       
  • Eversion carotid endarterectomy without shunt: concerning 1,385
           consecutive cases.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: E--CEA can be performed safely, as a routine technique, based on the surgeon's evaluation of arterial back-bleeding and an increase in ipsilateral arterial perfusion with standard anesthetic procedures. Also e--CEA may be considered a cost effective method of reducing the frequency of intraarterial shunt placement and adjuncts used to assess adequate cerebral perfusion of the ipsilateral carotid artery during e--CEA. PMID: 25673097 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 12 Feb 2015 00:00:00 +010
       
  • Thoracic endovascular aortic repair or best medical therapy for
           uncomplicated type b aortic dissection' a meta-analysis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: TEVAR did not provide obvious early survival advantage for uncomplicated TBAD over BMT, especially in the patients using TEVAR alone. It may remain a treatment option in uncomplicated TBAD patients with high risks for later complications. More randomized, prospective, long--term studies are needed to further clarify whether TEVAR could be a better first--line treatment strategy vs BMT for uncomplicated TBAD. PMID: 25658975 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 06 Feb 2015 00:00:00 +010
       
  • Rationale and design of the extracranial carotid artery aneurysm registry.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: DISCUSSION: The aim of the registry is to prospectively collect follow--up data on patients with an ECAA, being either treated conservatively or by invasive aneurysm exclusion strategies. The CAR database will be used to address diagnostic and therapeutic research questions. Collecting and analyzing the data gained from the registry could be the first step towards development of treatment guidelines and expert consensus for the management of ECAA. PMID: 25658976 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 06 Feb 2015 00:00:00 +010
       
  • Pushing forward the limits of evar: new therapeutic solutions for
           extremely challenging aaas using the ovation® stent graft.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Our limited and preliminary experience seems to show that Ovation stent-graft may widen the range of AAAs suitable for standard EVAR. Early results, even in patients with challenging anatomies, are encouraging but a longer follow-up is mandatory. PMID: 25658977 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 06 Feb 2015 00:00:00 +010
       
  • Current and future perspectives in the repair of aneurysms involving the
           aortic arch.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Maurel B, Sobocinski J, Spear R, Azzaoui R, Koussa M, Prat A, Tyrrell MR, Hertault A, Haulon S The repair of aneurysms involving the aortic arch is technically and physiologically demanding. Historically, these aneurysms have been treated using open surgical techniques that require cardiopulmonary bypass and deep hypothermic circulatory arrest. Many patients have been deemed "untreatable" and among those selected for surgery there are reported risks of death of 2 to 16.5% and stroke rates ranging from 2% to 18%. "Hybrid arch repair" combines one of a number of open surgical procedures (to secure a proximal landing zone for an endograft) with subsequent or immediate placement of an endograft in the arch and descending aorta. Although this concept is described as "m...
      PubDate: Tue, 03 Feb 2015 00:00:00 +010
       
  • Carotid artery: overview on current trials -selecting the low-risk
           patient.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Brown MM, Czuriga-Kovács KR The ultimate goal of carotid stenosis treatment is the long--term prevention of stroke. While a large number of studies focusing on patients with symptomatic carotid stenosis have been carried out, less data are available from trials on asymptomatic and low--risk patients. Currently existing information on the optimal management of these patients are inconclusive and contradictory. Our aim was to review previous major trials conducted on carotid disease with a main focus on asymptomatic patients with carotid stenosis. Efforts to present currently ongoing trials involving asymptomatic carotid patients, to survey recent studies determining patients' risk for future stroke or peri--procedural events, as well as to summarize data on promis...
      PubDate: Tue, 03 Feb 2015 00:00:00 +010
       
  • Choosing the correct treatment for acute type b dissection.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Singh MJ, Hager E, Avgerinos ED, Genovese E, Mapara K, Makaroun M Acute type B aortic dissection (TAD) is a life threatening disease process, which remains a clinical dilemma despite advances in technology, surgical technique and postoperative management. The variability of presenting symptoms, lack of a consensus of indications for treatment and differing opinions about the optimal timing for repair have added to the management confusion. Medical management has been the standard of care for acute uncomplicated type B dissection. Surgical repair and endovascular intervention are reserved for those who present with, or subsequently develop, dissection related complications. Complicated dissections occur in 25% of cases and may include organ malperfusion, aortic rup...
      PubDate: Tue, 03 Feb 2015 00:00:00 +010
       
  • Surgical and endovascular interventions for chronic mesenteric ischemia.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Verma H, Oderich GS, Tripathi RK The aim of this manuscript was to describe and discuss the rationale and conduct of currently available endovascular and open surgical techniques to treat chronic mesenteric ischemia and thus support the process of decision--making in mesenteric revascularization. PMID: 25644829 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 03 Feb 2015 00:00:00 +010
       
  • Fenestrated endografts: are they the solution for visceral and aortic neck
           issues'"
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Fenestrated endografts: are they the solution for visceral and aortic neck issues'" J Cardiovasc Surg (Torino). 2015 Feb 3;
      Authors : Purcell S, Bohannon WT, Atkins M Many patients with short neck or no neck juxtarenal abdominal aortic aneurysms are not candidates for open surgical repair. Current treatment options for such patients include fenestrated endograft repair, placement of chimneys and snorkels (parallel grafts) or use of physician modified endografts. The purpose of this review is to examine the reported literature on the use of fenestrated aortic endografts for juxtarenal aortic aneurysms. A systematic review of the literature, to include clinical trials, case series, and meta--analyses was performed to report the outcomes of the use of fenestrated ...
      PubDate: Tue, 03 Feb 2015 00:00:00 +010
       
  • Re-interventions after open and endovascular AAA repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Malina M Reinterventions seem to occur more frequent after endovascular aneurysm repair than after open surgical repair, encountered in about 20 and 10 percent of the cases, respectively. However, reinterventions following endovascular repair are predominantly endoluminal and early reinterventions are more frequent after open repair. The indications for reintervention after EVAR have changed over time. The incidence and type of reintervention depends on the complexity of the primary procedure, irrespective of whether it was open or endovascular. The use of a device outside instructions for use is associated with a higher complication rate but it may nevertheless be fully justified. Advanced stentgrafts such as the fenestrated and branched devices require secondary...
      PubDate: Tue, 03 Feb 2015 00:00:00 +010
       
  • State-of-the-art treatment of common femoral artery disease.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Nasr B, Kaladji A, Vent PA, Chaillou P, Costargent A, Patra P, Quillard T, Gouëffic Y Atherosclerotic common femoral artery (CFA) disease is a well--known and frequent cause of symptomatic peripheral artery disease (PAD). Not so long ago, surgical treatment was considered the gold standard and the main treatment option. Therapeutic advances have, however, provided a wide and suitable armamentarium. These advances concern medical treatment and the direct treatment of lesions by open surgery or endovascular treatment. The aim of this manuscript is to summarize therapeutic updates and to describe the current endovascular and open surgical procedures used to treat common femoral artery disease. PMID: 25644828 [PubMed - as supplied by publisher] (Source: The Journ...
      PubDate: Tue, 03 Feb 2015 00:00:00 +010
       
  • Percutaneous endovascular thrombosuction for acute lower limb ischemia: A
           5-year single center experience.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: PET in selected patients with ALLI provides high initial technical success, low mortality and morbidity rates, and favorable early and mid--term limb salvage rates. PMID: 25644825 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 03 Feb 2015 00:00:00 +010
       
  • Advantages to Indigo mechanical thrombectomy for ALI: device and
           technique.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Yamada R, Adams J, Guimaraes M, Schonholz C Catheter--directed thrombolysis (CDT) has been used as the first therapeutic option for acute limb ischemia (ALI) due to its less invasive nature, however recent systematic review showed higher incidence of major complications related to lytic infusion, including hemorrhagic stroke. In this setting, aspiration thrombectomy with Indigo has the greatest advantage of not increasing systemic risk of bleeding. The Indigo™ system from Penumbra® (Alameda, CA) promotes active thrombectomy using a vacuum pump that generates substantial suction, enabling aspiration of clots of varying sizes and lengths. The device has three components: aspiration catheter, separator and pump. There are 2 aspiration catheter sizes: CAT 3 and CAT...
      PubDate: Tue, 03 Feb 2015 00:00:00 +010
       
  • Combining superficial femoral artery endovascular treatment with distal
           vein bypass.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: ​The endovascular treatment of SFA associated with surgical distal vein bypass is a useful and effective strategy in patients with severe lower extremity arterial disease. This strategy allows a good inflow on SFA in selected patients with the opportunity to perform shorter bypass, use of limited autologous conduit and good expectation of patency. PMID: 25644823 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 03 Feb 2015 00:00:00 +010
       
  • Optimizing Imaging for AAA Repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Törnqvist P, Dias NV, Resch T Imaging is an integral part of an aortic program. Careful preoperative planning is essential to successful evaluation and treatment of aortic pathology. CTA is the dominant modality for such preoperative planning. The use of a dedicated workstation for 3D post--processing is very favourable and is considered mandatory when treating complex aortic pathology. Intraoperative imaging during aortic repair still depends heavily on standard fluoroscopy and angiography. However, the introduction of image fusion has the potential to reduce the use of both contrast and radiation, for the benefit of both patients and operators. Using cross sectional imaging intraoperatively also has the potential to reduce the need for early imaging follow up a...
      PubDate: Tue, 03 Feb 2015 00:00:00 +010
       
  • Endovascular challenges for complex lower extremity lesions'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Deloose K PMID: 25579472 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 15 Jan 2015 13:45:06 +010
       
  • Endovascular Sac Sealing Concept: Will the Endologix Nellix Device Solve
           the Deficiencies'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Holden A The deficiencies in current endovascular aneurysm repair include limited applicability to treat aneurysm anatomies, a significant re-intervention rate to manage post-procedural complications and a requirement for post-procedural surveillance. Endovascular aneurysm sealing with the Nellix device offers the potential to address these issues by directly treating the aneurysm sac and minimizing the risk of endoleak of any type as well as device migration. The unique sealing technology of polymer filled endobags also provides an opportunity to treat aneurysm anatomies that could not be effectively treated with conventional endografts. The early clinical experience with Nellix supports these concepts but long-term durability is yet to be established. PMID: ...
      PubDate: Tue, 13 Jan 2015 00:00:00 +010
       
  • Strategies to prevent spinal cord ischemia in TAA(A) repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Schurink GW, Peppelenbosch A, Mees B, de Haan M, Jacobs MJ Spinal cord ischemia (SCI) after thoracic (DTAA) and thoracoabdominal aortic aneurysm (TAAA) repair is a devastating complication, which happens both after open and endovascular repair. Incidence of SCI varies widely in literature. Many factors during preoperative, operative and postoperative phase influence this incidence. Purpose of this article is to give an overview of all factors influencing SCI and to report on evidence in the literature to reducing SCI. PMID: 25573444 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 09 Jan 2015 00:00:00 +010
       
  • Carotid artery stenting: high-risk interventionist versus high-risk
           center.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This article discusses the current shortfalls of CAS, as well as the various options available to improve CAS results. The majority of studies suggest that there is an inverse relationship between caseload volume and CAS outcomes that defines high--risk interventionists and high--risk centers. Centralizing CAS procedures to high--volume centers is essential for optimization of CAS outcomes. PMID: 25573442 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 09 Jan 2015 00:00:00 +010
       
  • The pros and cons of endovascular and open surgical treatments for
           patients with acute limb ischemia.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This report includes 20 years of published data to evaluate the efficacy and safety profile of thrombolytic agents and adjunctive endovascular techniques when compared to open surgical revascularization. PMID: 25573443 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 09 Jan 2015 00:00:00 +010
       
  • Thrombolysis and Expedited Carotid Revascularization.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Naylor AR With the move towards expedited carotid endarterectomy (CEA) in patients presenting with a TIA/minor stroke and for offering intravenous thrombolysis <3 hours to patients with acute ischemic stroke, it is inevitable that surgeons will be asked to consider CEA in patients who have made a good recovery from their stroke after thrombolysis and who have a 50-99% ICA stenosis. The key question is; 'how long after thrombolysis should I delay CEA to minimise the peri--operative risk (especially intracranial hemorrhage (ICH)), whilst also minimizing the risks of further embolization and stroke'' Thirteen series have published outcomes in 361 patients. Only a very small proportion of all thrombolysis patients (<5%) might be considered for expedited CEA and ...
      PubDate: Fri, 09 Jan 2015 00:00:00 +010
       
  • Asymptomatic carotid stenosis in patients with intermittent claudication:
           epidemiological study.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Patients with claudication and ischemic miocardiopathy, especially when myocardial revascularization is needed, must be explored with carotid ultrasonography. In this patients, probably of hemodynamically significant carotid stenosis that requires treatment is more frequent. PMID: 22051985 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 06 Nov 2011 18:52:35 +010
       
  • Endovascular abdominal aortic aneurysm repair: methods of radiological
           risk reduction.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The optimum strategy, including equipment-related factors, procedure-conduct factors and follow-up procedures, has to be studied, justified and optimized in each medical facility. PMID: 22051986 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 06 Nov 2011 18:52:25 +010
       
  • Carotid stents: which is the best option'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Nikas DN, Kompara G, Reimers B Nowadays, carotid artery stenting (CAS) offers a potential alternative to carotid endarterectomy (CEA). CAS main advantages over CEA are the less invasive approach and the almost equal performance to CEA in terms of stroke prevention and complications. One of the most important factors which played significant role to CAS evolution is the progress in design of modern materials, especially stents. Today, several types of dedicated carotid stents have specific mechanical properties, which provide stents with individual characteristics making each of them suitable for specific carotid lesions and anatomies. The present review analyses the specific design and construction of modern stents, trying to point out their particular mechanical ...
      PubDate: Sun, 06 Nov 2011 18:52:15 +010
       
  • Imaging for carotid stenting.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Lee CJ, Eskandari MK Carotid artery stenting (CAS) using embolic protection devices (EPD) has emerged as a viable alternative to carotid endarterectomy (CEA) in select patients. Imaging plays a critical role in the selection of patients for CAS. Duplex ultrasonography alone is insufficient to assess patients for CAS suitability. Advancements in computed tomography angiography (CTA) and magnetic resonance angiography (MRA) techniques are helping to identify lesions vulnerable to cerebral embolization during carotid interventions - a more prevalent event during CAS in comparison to CEA. Here we review the relevant data on the various imaging techniques available to improve patient selection and minimize neurologic adverse events during carotid artery stenting. P...
      PubDate: Sun, 06 Nov 2011 18:52:05 +010
       
  • Medical treatment in carotid artery intervention.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Kolkert JL, Meerwaldt R, Lefrandt JD, Geelkerken RH, Zeebregts CJ Medical treatment has a pivotal role in the treatment of patients with occlusive carotid artery disease. Large trials have provided the justification for operative treatment besides medical treatment in patients with recent significant carotid artery stenosis two decades ago. Since then, medical therapy has evolved tremendously. Next to aspirin, antiplatelet regimens acting on a different level in the modulation of platelet aggregation have made their entry. Moreover, statin therapy has been introduced. These changes among others in secondary stroke prevention, along with better understanding in life-style adjustments and perioperative medical management, have led to a decrease in stroke recurrence....
      PubDate: Sun, 06 Nov 2011 18:51:54 +010
       
  • New embolic protection devices: a review.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Macdonald S The use of embolic protection (EPD) during carotid artery stenting (CAS) has always made intuitive sense. There is no randomized trial evidence in favour of the use of EPDs and this results from the statistical challenge posed when attempting to compare variations in technique based on the outcome measure all stroke/death/myocardial infarction (MI) for a procedure such as CAS which, in experienced units, is associated with such a low baseline hazard. In order to detect a statistically meaningful difference between protected and unprotected populations, many thousands of patents would have to be recruited and this would entail a concerted effort amongst a population of physicians who are largely beyond uncertainty or equipoise regarding this particular ...
      PubDate: Sun, 06 Nov 2011 18:51:44 +010
       
  • A review of the main trials and registries: what we think we do and do not
           know about carotid artery stenting.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Brightwell RE, Van Herzeele I, Cheshire NJ Despite many randomised controlled trials there are none that recommend carotid artery stenting (CAS) replaces carotid endarterectomy (CEA) for preventing stroke in patients with atherosclerotic carotid artery stenosis. CAS continues to be attractive due to its minimally-invasive nature and potential benefit in those patients at 'high risk' during open surgery. The belief that CAS will replace CEA is likely misplaced; a complimentary role for each mode of treatment is a more realistic vision for the future. Assessment of the existing data may provide useful information as to the subgroups that have most to benefit from each treatment type, therefore allowing a patient-specific approach to the management of individual lesi...
      PubDate: Sun, 06 Nov 2011 18:51:33 +010
       
  • How to manage complications in CAS'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Mathias K The different types of complications which might occur during CAS are described. Recommendations are given how to avoid and how to handle complications. PMID: 22051992 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 06 Nov 2011 18:51:23 +010
       
  • Stroke and pulmonary embolism following manual and bandage compression
           after bleeding from a common femoral artery access site.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Chisci E, Setacci F, Giubbolini M, De Donato G, Setacci C Manual compression (MC) is required to seal a common femoral artery (CFA) access site after endovascular intervention unless a mechanical closure device is used. Herein we report previously unpublished complications following MC of a CFA access site: stroke (embolism through a patent foramen ovale) and pulmonary embolism. These were a T thrombosis of the internal carotid artery combined with multi pulmonary embolisms and a case of pulmonary embolism. No thrombophilic conditions or other possible causes of venous emboli could be demonstrated in either case by laboratory tests or color-Duplex ultrasound. These were the only two cases of pulmonary and cerebral embolism seen at our university tertiary referral ...
      PubDate: Sun, 06 Nov 2011 18:51:14 +010
       
  • First clinical use of a novel neurovascular access and neuroprotection
           system demonstrates complete absence of emboli by transcranial Doppler
           during carotid artery stenting.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This article focuses on the first use of the MICHI™ Neuroprotection System in a transcervical carotid artery stenting procedure. The patient presented with an asymptomatic, 80% stenosis of the right internal carotid artery extending into the common carotid artery. The lesion was successfully treated with transcervical carotid access and reverse flow embolic protection and the successful placement of a carotid stent followed by balloon post-dilatation. Transcranial Doppler monitoring was performed throughout the procedure and a total of two micro embolic signals were recorded over the 30 minute procedural period. There were no neurologic complications reported during the 30-day follow-up period. PMID: 22051994 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 06 Nov 2011 18:51:04 +010
       
  • Risk stratification of coronary revascularization patients by using
           clinical and angiographic data.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The constructed risk stratification scheme stratified patients into groups at low, intermediate, and high risk of death within three years. Stenosis of the pLCX seems to be an important prognostic factor for patients with a history of HF. PMID: 22051995 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 06 Nov 2011 18:50:54 +010
       
  • Hypertension in adult after operation of aortic coarctation.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Surgical repair of coarctation of the aorta in adults can lead to regression of systolic hypertension and a decreased requirement for antihypertensive medication. PMID: 22051996 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 06 Nov 2011 18:50:44 +010
       
  • Relative importance of patient, procedural and anatomic risk factors for
           early vein graft thrombosis after coronary artery bypass graft surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Small target vessel diameter, female gender and low mean graft blood flow are significant risk factors for SVG thrombosis within six months of CABG surgery in patients on postoperative aspirin therapy. This information may be useful in guiding revascularization strategies in selected patients. PMID: 22051997 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 06 Nov 2011 18:50:34 +010
       
  • Gender-related differences in patients undergoing mechanical aortic valve
           replacement with the Carbo-Medics valve.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Gender per se is an independent risk factor of survival after mechanical aortic valve replacement. Severely impaired LVEF independently predicts survival in males whereas additional CABG and redo surgery do in females. Age affects survival in both sexes. These findings may serve as a basis for further improving gender related outcome. PMID: 22051998 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 06 Nov 2011 18:50:23 +010
       
  • Surgical thromboembolectomy for a massive pulmonary embolism after several
           venous thromboembolic episodes caused by congenital antithrombin III
           deficiency.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Scandura S, Mangiafico S, Capodanno D, Varone E, Castello C, Ctamburino C, Calafiore A PMID: 22051999 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 06 Nov 2011 18:50:12 +010
       
  • Zenith Low Profile AAA endovascular graft and global pivotal clinical
           trial.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Fairman R PMID: 21894136 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 15 Sep 2011 00:09:28 +010
       
  • Cordis INCRAFT™ ultra-low profile AAA stent-graft system.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Torsello G, Brunkwall J, Scheinert D Endovascular repair was originally introduced as a less invasive alternative in less healthy patients, but potentially lower morbidity has been balanced by limited anatomic applicability, as well as inferior long-term device durability. The INCRAFT™ endograft was developed with surgical repair in mind, in an attempt to capitalize on the anatomic flexibility of traditional procedures. The INCRAFT system was designed to address durability issues of older generation devices. At the same time it provides a solution for a broad range of patients using a limited number of codes needed. The 3-pieces modular system allows precise placement at level of the iliacs and aortic neck reducing the risk of unintentional coverage of the hypog...
      PubDate: Thu, 15 Sep 2011 00:09:20 +010
       
  • Infrainguinal disease treatment: to stent or not to stent.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Dosluoglu H, Lall P Infrainguinal endovascular interventions have increasingly played a central role in relieving symptoms of claudication and limb salvage over the last decade. Multiple modalities currently exist for treating these arteries; however, balloon angioplasty with or without stenting still remains the most commonly used technique. Despite the concerns regarding the use of stents with stent fractures and in-stent restenosis, there is increased evidence from randomized and non-randomized studies that use of nitinol stents improves patency rates in most patients with >5 cm long lesions. However, the optimal endovascular treatment of the longest lesions is still debated. Infrapopliteal vessels are still mostly treated with balloon angioplasty, but selec...
      PubDate: Thu, 15 Sep 2011 00:09:11 +010
       
  • The International E-vita Open Registry: data sets of 274 patients.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Favorable single center results could be confirmed by an International community of cardiac surgical centers in regard to hospital mortality and morbidity, as well as a low postoperative complication rate and exclusion of false lumen in aortic dissection. PMID: 21894139 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 15 Sep 2011 00:09:02 +010
       
  • Comparison between autogenous brachial-basilic upper arm transposition
           fistulas and prosthetic brachial-axillary vascular accesses for
           hemodialysis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: BBAVF offer patency and accessibility rates similar to BAPTFE, but lower infectious complications. Thus, we consider them as the preferred hemodialysis access when fistulas using the cephalic vein have failed or are not possible. PMID: 21894140 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 15 Sep 2011 00:08:54 +010
       
  • Endoscopic versus direct vision for saphenous vein graft harvesting in
           coronary artery bypass surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The outcomes captured by the number of postoperative morbidities, incidence of myocardial infarction and/or the rate of death for the endoscopic technique were comparable to patients in whom the open techniques was used. There was a trend towards a decrease in leg infections with the use of the endoscopic device. Based on this study we consider the device safe and effective with experienced operators. PMID: 21894141 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 15 Sep 2011 00:08:45 +010
       
  • Pericardial synovial sarcoma of the heart; is it always worth
           operating'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We report the case of a 37 year old male patient who presented with intermittent fever, nocturnal sweating and asthenia. Chest X-ray revealed an enlarged cardiac silhouette. Echocardiography identified pericardial effusion and a mass compressing the right ventricle. After percutaneous drainage of the effusion, the mass was not visible and deemed to have been septations of the effusion. Chest computed tomography (CT) did not show the mass visible on the X-ray. At one month follow-up, the pericardial mass was again visible on echocardiography and confirmed by magnetic resonance imaging (MRI). CT-guided biopsy showed malignant mesenchymal cells. Complete resection was attempted, but not possible due to diffuse infiltration of the epicardium. Histological examination of the resected tissue rev...
      PubDate: Thu, 15 Sep 2011 00:08:37 +010
       
  • Transient loss of binocular vision caused by painless aortic dissection in
           high-risk abdominal aortic aneurysm surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Bulut M, Bicer M, Durmus O, Aydin S PMID: 21894143 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 15 Sep 2011 00:08:28 +010
       
  • Long term results of percutaneous aortic valve implant in a 90-year-old
           patient.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Ripa A, Fusari M, Alamanni F, Biglioli P, Caraceni D, Capparuccia C, Antonicelli R PMID: 21894144 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 15 Sep 2011 00:08:20 +010
       
  • A case of heterotopic heart transplantation with evaluation of cardiac CT
           angiography.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Shirani S, Sadeghian H, Hossein Mandegar M, Goodarzynejad G PMID: 21894145 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 15 Sep 2011 00:08:11 +010
       
  • Advances in the treatment of acute thrombotic and chronic critical limb
           ischemia.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Zeller T PMID: 21792152 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 31 Jul 2011 23:00:00 +010
       
  • Value of drug-eluting stents after failed percutaneous transluminal
           angioplasty in the infrapopliteal vessels for the treatment of critical
           limb ischemia: favorable mid-term patency and limb salvage results.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Lookstein R, Ward T, Kim E, Fischman A, Nowakowksi F, Ellozy S, Teodorescu V, Vouyouka A, Faries P, Weintraub J The endovascular treatment of infrapopliteal arterial disease in the setting of critical limb ischemia (CLI) is increasing in use. In patients in whom percutaneous transluminal angioplasty (PTA) resulted in suboptimal angiographic results, flow limiting dissection or re-coil is thought to limit clinical success. This single-center experience examines the angiographic and clinical results when Drug-Eluting Stents (DES) were placed in a large cohort of patients with CLI after immediate infrapopliteal PTA failure. PMID: 21792153 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 31 Jul 2011 23:00:00 +010
       
  • Ultrasound-accelerated thrombolysis for lower extremity ischemia:
           multicenter experience and literature review.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This study evaluates the short-term outcome of ultrasound-accelerated thrombolysis in patients with lower extremity ischemia caused by thromboembolic occlusions. PMID: 21792154 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 31 Jul 2011 23:00:00 +010
       
  • Percutaneous mechanical thrombectomy: advantages and limitations.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Wissgott C, Kamusella P, Andresen R Acute and subacute ischemia of the lower limb are still a common reason for amputation. Surgical thrombectomy according to Fogarty has declined in importance, due to the increased incidence of perioperative complications, while local intraarterial lysis is also associated with an increased rate of hemorrhagic complications, beside the prolonged time up to revascularisation, which additionally results in the need for intensive care monitoring. As an endovascular therapeutic option, various mechanical thrombectomy systems have been available over the past few years that studies have shown to have a low rate of complications, accompanied by a high technical success rate and low amputation rate. This review article will present the mechanism of ...
      PubDate: Sun, 31 Jul 2011 23:00:00 +010
       
  • Endovascular techniques for limb salvage in diabetics with crural and
           pedal disease.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Manzi M, Palena L, Cester G Diabetics with critical limb ischemia (CLI) usually have significant multilevel arterial disease, very often with compromised outflow on the foot arteries. The combination of severe peripheral arterial occlusion with the increased blood flow requirement, necessary to achieve the healing of the skin lesions or surgical incisions, makes this population particularly challenging. Additionally, diabetics and CLI patients have a high rate of comorbities, that increase the surgical risks or contraindicate surgical by-pass. Since its initial applications, endovascular recanalization for tibial vessels and foot arteries has proven to be feasible and safe, especially in diabetics with CLI. Actually, it is an established treatment option for limb salvage, avoi...
      PubDate: Sun, 31 Jul 2011 23:00:00 +010
       
  • Evolution of atherectomy devices.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This article will review the evolution of current atherectomy devices and the associated literature. PMID: 21792157 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 31 Jul 2011 23:00:00 +010
       
  • Management of acute type B aortic dissections and acute limb ischemia.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Khoynezhad A, Rao R, Trento A, Gewertz B AIM: The aim of this study was to review the management of acute type B aortic dissection (TBAD) with acute limb ischemia. A search using the "Pubmed" resulted in 254 records by combining the Medical Subject Heading keywords (listed separately). The articles were assessed for their validity, correct pathology and patient cohort. Inclusion criteria included all patients with complicated acute TBAD who were candidates for open of thoracic endovascular aortic repair (TEVAR). The exclusion criteria included type A, asymptomatic acute or chronic TBAD, penetrating ulcer or intramural hematoma. TBAD with limb ischemia has a poor prognosis if not diagnosed, triaged and treated promptly. Clinical presentation and diagnostic strategy as well as v...
      PubDate: Sun, 31 Jul 2011 23:00:00 +010
       
  • Uncomplicated type B dissection: are there any indications for early
           intervention'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : De Rango P, Estrera A Currently thoracic endovascular repair (TEVAR) has a limited role in uncomplicated type B aortic dissection. Aggressive medical therapy is deemed appropriate for most of these patients allowing one-year survival rate of 80-90%. Outcomes are less than optimal in the long term, however, since aorta related complications (disease progression, rapid deterioration, acute rupture and elevated mortality) may occur in up to 50% of patients at five years. Subgroups of patients with uncomplicated type B dissection may benefit from early stent-graft placement, but identification of these remains difficult. Only future studies, especially randomized trials, will clarify the utility of early TEVAR in the setting of uncomplicated acute type B dissection. PMID: 2179...
      PubDate: Sun, 31 Jul 2011 23:00:00 +010
       
  • Do branched and fenestrated devices have a role in chronic type B aortic
           dissection'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: In this report, we discuss the role of fenestrated and branched stent-grafts as feasible treatment of post-dissecting TAAA. PMID: 21792160 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 31 Jul 2011 23:00:00 +010
       
  • One stage carotid artery stenting and open heart surgery: a novel
           approach.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This study evaluated the feasibility and safety of angioplasty and stenting for the treatment of carotid stenoses combined with cardiac operations in order to reduce the risk of perioperative stroke. PMID: 21792161 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 31 Jul 2011 23:00:00 +010
       
  • Proteomic analyses of aortic wall in patients with abdominal aortic
           aneurysm.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Ando T, Nagai K, Chikada M, Okamoto K, Kurokawa M, Kobayashi T, Kato T, Makuuchi H The mechanisms underlying the formation of abdominal aortic aneurysms have yet to be fully clarified. To identify key proteins generally involved in aneurysmal formation, proteomic profiles were compared between aneurysmal and non-aneurysmal regions of aortic walls from patients with abdominal aortic aneurysm. PMID: 21792162 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 31 Jul 2011 23:00:00 +010
       
  • Visceral artery : management of 48 cases.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Piffaretti G, Lomazzi C, Carrafiello G, Tozzi M, Mariscalco G, Castelli P The purpose of this study was to review the outcomes of endovascular treatment and open repair of visceral artery aneurysms, and to compare their results. PMID: 21792163 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 31 Jul 2011 23:00:00 +010
       
  • Role of oxidative stress in hypoxia preconditioning of cells transplanted
           to the myocardium: a molecular imaging study.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Aly A, Peterson K, Lerman A, Lerman L, Rodriguez-Porcel M Cell-based therapies are a potential therapeutic alternative for the treatment of coronary artery disease (CAD). However, transplanted cells undergo significant death in the living subject. Hypoxic preconditioning (HPC) is a potential intervention to increase transplanted cell survival. However, the biological mechanisms of this benefit remain unclear. We hypothesize that the beneficial effect of HPC on stem cell survival is in part due to preservation of oxidant status, an effect that will be monitored using state-of-the-art molecular imaging. PMID: 21792164 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 31 Jul 2011 23:00:00 +010
       
  • Quality of life one year post myocardial revascularization and aortic
           valve replacement in patients aged 70 year or older.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Markou AL, Selten K, Krabbe PF, Noyez L The aim of this study was to investigate changes of health-related quality of life (HRQOL) at one year post myocardial revascularization (CABG) and post aortic valve replacement (AVR) in patients aged 70 years or older. PMID: 21792165 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 31 Jul 2011 23:00:00 +010
       
  • Coronary artery bypass grafting in a patient with hereditary hemorrhagic
           telangiectasia.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We present a patient with HHT and coronary artery disease, who underwent coronary artery bypass grafting with a successful outcome. PMID: 21792166 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 31 Jul 2011 23:00:00 +010
       
  • Combined treatment of non-small cell lung cancer with synchronous brain
           metastases: a single center experience.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Melloni G, Bandiera A, Gregorc V, Carretta A, Ciriaco P, Viganò M, Franzin A, Bolognesi A, Picozzi P, Zannini P The aim of this study was to analyze our experience with combined treatment of non-small cell lung cancer with synchronous brain metastases. PMID: 21792167 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 31 Jul 2011 23:00:00 +010
       
  • Role of total endoluminal superficial femoral artery bypass.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Gable D The superficial femoral artery (SFA) is a common site of atherosclerosis and peripheral vascular disease. Many times this disease can be treated with medical management alone; however, as the disease process advances, it may require further action. Therapies for occlusive disease include lifestyle modification, pharmacologic agents, and revascularization by either a percutaneous or an open surgical approach. Surgical bypass using autogenous vein (the "gold standard") or synthetic graft has been the traditional treatment for severe SFA disease, but the use of minimally invasive endovascular techniques, which entail less morbidity than the traditional surgical approach, has increased markedly in recent years. The most commonly employed endovascular procedure is percutane...
      PubDate: Thu, 28 Jul 2011 23:00:00 +010
       
  • First experience with the new repositionable C3 excluder stent-graft.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION:With the new deployment system it is possible to reposition the Excluder to achieve optimal fixation and sealing. A global registry has been set into place to report real life results including longer term performance of the graft. PMID: 21799475 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 28 Jul 2011 23:00:00 +010
       
  • Worldwide experience with the Endurant Stent Graf: review of the
           literature.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Böckler D, Riambau V, Fitridge R, Wolf Y, Hayes P, Silveira P, Numan F The Endurant Stent-graft System (Medtronic Vascular, Santa Rosa, CA) is a next-generation device intended to expand the applicability of endovascular aortic repair (EVAR). To date, the Endurant has been evaluated in 9 short- and intermediate-term studies, several in patients presenting with challenging aneurysm anatomies. Consistently, the device in these studies has been shown to be safe and effective, with an excellent rate of deployment success and with very low rates of type I/III endoleaks and reinterventions. Single center experience with Endurant in chalenging anatomies with short kinked necks and calcified angulated iliac arteries in patients unfit for open repair and challenging anatomies show pro...
      PubDate: Wed, 27 Jul 2011 23:00:00 +010
       
  • Percutaneous endovascular abdominal aortic aneurysm repair: methods and
           initial outcomes from the first prospective, multicenter trial.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION:PEVAR with adjunctive 'pre-close' techniques using the ProGlide or Prostar XL devices is safe and feasible as applied in this multicenter experience. Continued evaluation in the prospective, randomized trial is warranted. PMID: 21796092 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 27 Jul 2011 23:00:00 +010
       
  • Trans-collateral angioplasty for the treatment of long chronic total
           occlusions of superficial femoral arteries: a novel wiring technique.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We present one representative case, and describe the technical tips and appropriate device selection criteria for the TCA procedure. The outcomes of TCA for long SFA-CTO performed last year at our institution are also summarized and discussed. PMID: 21796093 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 27 Jul 2011 23:00:00 +010
       
  • AnacondaTM: The Italian Registry.Study protocol and preliminary
           perioperative results.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION:This is an interim report on the study protocol and on the preliminary early results. Presently there are no definitive conclusions, however the perioperative results show that the AnacondaTM endograft seems to be safe and effective in the treatment of AAA, even in a high risk cohort of patients. Definitive and long-term results are needed. PMID: 21772244 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 19 Jul 2011 23:00:00 +010
       
  • Iliac branched device implantation in tortuous iliac anatomy after
           previous open ruptured aortic aneurysm repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Vourliotakis G, Bracale U, Sondakh A, Tielliu IF, Prins T, Verhoeven EL The aim of this paper was to present iliac branched device (IBD) implantation in a fit 67-year-old man with tortuous iliac anatomy after previous emergent open abdominal aortic aneurysm (AAA) repair. The patient underwent open treatment for a ruptured abdominal aortic aneurysm in another hospital. The procedure was complicated by extreme blood loss which prevented concommitant treatment of two large iliac aneurysms. Later, the patient underwent stent-grafting of a right common iliac artery aneurysm (CIAA) with coil embolization of the internal iliac artery (IIA). He was then refferred to our institute for treatment of the left CIAA with preservation of the left IIA. An IBD was used to this purpose. The int...
      PubDate: Mon, 18 Jul 2011 23:00:00 +010
       
  • Management of symptomatic carotid stenosis after IV thrombolysis: a word
           of caution.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Bartoli M, Squarcioni C, Nicoli F, Magnan P PMID: 21769083 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 18 Jul 2011 23:00:00 +010
       
  • Cryopreserved aortic allograft for the treatment of a thoracic stent graft
           infection.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We report a case of an infected descending thoracic aorta endograft, presenting itself several years after placement, with hemoptysis and back pain as referred symptoms. The patient was successfully treated by removing the thoracic aorta and replacing the infected endografts with a cryopreserved aortic allograft, running from the left subclavian artery to the aortic diaphragmatic hiatus. PMID: 21769084 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 18 Jul 2011 23:00:00 +010
       
  • Aseptic polyurethane carotid patch rejection: complication, allergy or
           miraculous healing'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We present the case of a polyurethane (PU) carotid patch rejection three years after its implant, with no evident arterial discontinuity and no sign of infection. Histopathological analysis on hematoxylin-eosin stained sections of the regenerated arterial wall tissue removed revealed plasma cell infiltration and clusters of foreign body giant cells. PU patch rejection has been seldom described in literature. This is an unusual late complication that should be considered at long-term follow-up evaluation of these patients. PMID: 21750481 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 12 Jul 2011 23:00:00 +010
       
  • Biventricular decompression by trans-septal positioning of venous ECMO
           cannula through patent foramen ovale.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Madershahian N, Salehi-Gilani S, Naraghi H, Stoeger E, Wahlers T PMID: 21712763 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 28 Jun 2011 23:00:00 +010
       
  • Use of modified Sandwich-graft technique to preserve hypogastric artery in
           EVAR treatment of complex aortic aneurysm anatomy.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION:The initial experience shows that the Sandwich technique with the Aorfix™ stent-graft demonstrated to be effective in endovascular repair of abdominal aortic aneurysms in patients with aortoiliac anatomy hostile to preserving hypogastric artery patency. This graft allows a broader group of patients to be treated with endovascular repair without potential complications of hypogastric artery occlusion; however, further studies are needed to evaluate long-term results in larger numbers of patients. PMID: 21712764 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 28 Jun 2011 23:00:00 +010
       
  • Comparison of anesthesia technique on outcomes of endovascular repair of
           abdominal aortic aneurysms: a five-year review of monitored anesthesia
           care with local anesthesia vs. general or regional anesthesia.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The results of this study suggest that use of MAC with local anesthesia during EVAR of AAAs is comparable to general and regional anesthesia in terms of safety and efficacy. Furthermore, MAC with local anesthesia confers additional outcome benefits versus general and regional anesthesia, as it is less invasive, offers greater hemodynamic stability, and enables better communication with the patient. PMID: 21712765 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 28 Jun 2011 23:00:00 +010
       
  • The combined treatment of aortic stenosis and abdominal aortic aneurysm
           using transcatheter techniques: a case report.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We describe the case of an 85 year old lady with symptomatic aortic stenosis (AS) with a history of previous coronary artery bypass grafting (CABG), who was referred for consideration of aortic valve replacement (AVR). Echocardiography revealed severe AS with peak gradient of 92 mmHg, orifice area of 0.6 cm2 and preserved left ventricular function. Computed tomography (CT) aortogram revealed a diffusely calcified aorta and an infrarenal abdominal aortic aneurysm (AAA) measuring 6.5 cm. For symptomatic and prognostic reasons she needed treatment of both the AAA and AS. Her calculated logistic EuroSCORE for AVR was 39%. Following discussion at a multidisciplinary forum, it was agreed that the best way to offer her treatment with the lowest risk was by using transcatheter techniques for both ...
      PubDate: Tue, 28 Jun 2011 23:00:00 +010
       
  • The concomitant cryosurgical Cox-Maze procedure using Argon Based
           Cryoprobes: 12 month results.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION:The one year results of the CryoCox-Maze III procedure when performed concomitantly with another cardiac surgical procedure demonstrate reasonable safety and efficacy. However, operator experience may be related to better outcome. The ablation of atrial fibrillation may be associated with improved quality of life and symptoms relief. PMID: 21623336 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 29 May 2011 23:00:00 +010
       
  • Endovascular treatment of an early arch aneurysm rupture after open
           thoracoabdominal aortic repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We present the case of a patient with a ruptured aortic arch aneurysm after open-surgery for a type III thoracoabdominal aortic aneurysm. Our therapeutic decision is described and discussed, with all the related advantages and disadvantages. PMID: 21555986 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 09 May 2011 23:00:00 +010
       
  • Primary aortoduodenal fistula in combination with aortoiliac occlusive
           disease: report of a rare case.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We report the case of a 62-year-old woman presenting with massive gastrointestinal bleeding with hematemesis and melaena. This case is unique in that the primary aortoduodenal (PADF) fistula formed as a result of complex atherosclerotic disease of the abdominal aorta and both iliacal arteries, also known as Leriche's syndrome, and not primarily due to an aneurysm. We will give a brief summary of the difficulties and challenges which the surgeon faced during the operation and a surprisingly uneventful postoperative course. PMID: 21555987 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 09 May 2011 23:00:00 +010
       
  • Effects of different proton pump inhibitors on cardiac contractility in
           isolated human failing myocardium.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: We conclude that proton pump inhibitors show significant negative inotropic effects on isolated human failing myocardium. There is no apparent difference seen in the magnitude of the effects of each PPI-group. Further, in-vivo investigations are necessary to reveal the clinical evidence of PPI's negative inotropic effects, e.g. in cardio-surgical patients with heart failure. PMID: 21499223 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 13 Apr 2011 23:00:00 +010
       
  • Fast-track pulmonary conditioning before urgent cardiac surgery in
           patients with insufficiently treated chronic obstructive pulmonary
           disease.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Short-term treatment with budenoside, salbutamol and ambroxol significantly improved lung function parameters. If surgery can be delayed for several days, pulmonary conditioning should be considered for patients with insufficiently treated COPD. PMID: 21499224 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 13 Apr 2011 23:00:00 +010
       
  • Which imaging modality is best for predicting stroke during carotid artery
           stenting'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Winston B, Wholey M PMID: 21499225 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 13 Apr 2011 23:00:00 +010
       
  • Evaluation ECMO in adult cardiac transplantation: can outcomes of marginal
           donor hearts be improved'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The salvage of failing cardiac allograft with ECMO allows effective stabilization of the hemodynamic and leads toward myocardial recovery. Extending ECMO into postoperative period provides early, continues and effective support for donor hearts with LITs and maximizes the use of such marginal organs. PMID: 21499226 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 13 Apr 2011 23:00:00 +010
       
  • Short longitudinal versus transverse skin incision for carotid
           endarterectomy: impact on cranial and cervical nerve injuries and esthetic
           outcome.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: The objective of this retrospective study was to compare the results between the short longitudinal with the short transverse cervical incision and to evaluate their impact on cranial and cervical nerves and aesthetic outcomes. PMID: 21460763 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 31 Mar 2011 23:00:00 +010
       
  • Does medical specialty influence the treatment of asymptomatic carotid
           stenosis' A Belgian multidisciplinary survey.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Schrooten M, Fourneau V, Thijs V, Verhamme P, Nevelsteen A The aim of this study was to supplement the few data that exist regarding the potential effect of the referring medical specialty on the proposed treatment for asymptomatic carotid stenosis. PMID: 21460764 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 31 Mar 2011 23:00:00 +010
       
  • A nanotechnology-based delivery system: Nanobots. Novel vehicles for
           molecular medicine.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Jacob T, Hemavathy K, Jacob J, Hingorani A, Marks N, Ascher E We previously demonstrated that adenovirus-mediated p53 gene transfer following balloon angioplasty, decreased neointimal hyperplasia. However, safety concerns arise because viral promoters can cause unrestricted transgene expression. The paucity of safe and efficient vehicles for gene transfer thus limits the potential for clinical utilization of gene therapy. Our objective was to design and clone a virus-free p53 construct, targeted to express specifically in vascular smooth muscle cells (SMCs), via a nanoparticle-based delivery system for therapeutic modulation in vascular wall. PMID: 21460765 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 31 Mar 2011 23:00:00 +010
       
  • Endovascular repair of abdominal aortic aneurysms. Challenges and
           opportunities.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Thompson M PMID: 21460766 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 31 Mar 2011 23:00:00 +010
       
  • Should the role of EVAR be re-evaluated in light of the 10 year results of
           EVAR-1'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This article presents and examines the EVAR-1 data and reports the additional wealth of evidence supporting EVR from prospective registries. It proposes that EVR should be re-evaluated, but not as a consequence of the long-term EVAR-1 results. Clinicians' expertise, understanding and the technology of EVR have progressed significantly since the establishment of the EVAR-1 trial, such that the results, though valuable, may not translate to modern practice. It is essential to maintain excellence in vascular surgery and the evidence-base now demonstrates that best practice in AAA management is in specialist vascular centres, performing high volume surgery offering EVR to all patients who are morphologically suitable. PMID: 21460767 [PubMed - in process] (Source: The Journal of Cardiovascu...
      PubDate: Thu, 31 Mar 2011 23:00:00 +010
       
  • Complications and reinterventions after EVAR: are they decreasing in
           incidence'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Donas KP, Torsello G Endovascular repair of infrarenal abdominal aortic or aortoiliac aneurysms (EVAR) using currently available stent-grafts has proven to be a safe, effective, and durable method with great acceptance among vascular surgeons. Comparison of elective EVAR versus "open" elective abdominal aortic aneurysm (AAA) repair showed significant advantages for EVAR in terms of perioperative complications, postoperative care, and early patient recovery. However, a remarkable incidence of mid- and long-term EVAR-related complications remains. Additionally, several strategies have been investigated to overcome limitations related to very short aortic neck anatomies such as fenestrated or chimney grafts expanding the application of endografts in hostile anatomies. The outcome...
      PubDate: Thu, 31 Mar 2011 23:00:00 +010
       
  • Is it time to eliminate CT after EVAR as routine follow-up'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Verhoeven EL, Oikonomou K, Ventin FC, Lerut P, Fernandes E Fernandes R, Mendes Pedro L Growing concerns regarding radiation exposure, contrast induced nephropathy and increasing costs lead us to reconsider the necessity of CTA for all EVAR patients. The purpose of this study is to compare the results of different follow-up imaging modalities with the aim of finding a rationale to the optimal follow-up imaging protocol. We reviewed recent literature regarding post EVAR imaging modalities and compared it to our experience with different follow-up protocols. Modalities compared were CTA, DUS, CEUS, and plain abdominal X-ray with regard to detection of complications, cost, overall impact to the patient, and on decision making regarding reintervention. CTA is related to increased f...
      PubDate: Thu, 31 Mar 2011 23:00:00 +010
       
  • Long-term effects of EVAR. Suprarenal versus infrarenal fixation.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Noorani A, Walsh SR, Boyle JR Endovascular aortic aneurysm repair (EVAR) is the first line management of abdominal aortic aneurysms in many institutions. The relationship between EVAR and renal impairment, especially in the longer term remains unclear. Suprarenal graft fixation is widely used in order to achieve stable graft anchorage. Numerous studies have tried to answer the question about whether suprarenal fixation affects renal outcome. We reviewed the literature to investigate the relationship between endograft fixation and post-operative renal function. PMID: 21460770 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 31 Mar 2011 23:00:00 +010
       
  • Management of endograft infections.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Numan F, Gulsen F, Solak S, Cantasdemir M Endovascular abdominal aortic aneurysm repair (EVAR) and thoracic endovascular aneurysm repair (TEVAR) have become well-accepted alternatives to traditional open surgery because of the diminished perioperative complications. Aortic stent-graft infection is an uncommon complication and little is known about the general features of and potential risk factors for aortic stent-graft infection, and treatment is administered on a case-by-case basis with no consensus guidelines. Despite a low infection rate, the associated mortality rates are extremely high and the morbidity rate, even with aggressive surgical interventions, is also high. Since 1991 only 117 cases of thoracic and abdominal endograft infections have been reported in the litera...
      PubDate: Thu, 31 Mar 2011 23:00:00 +010
       
  • Drug-eluting stents above the knee.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Minar E There are only very few trials concerning use of drug-eluting stents (DES) in the femoropopliteal segment. While earlier trials using a sirolimus-eluting polymer-coated stent and an everolimus-eluting stent failed to demonstrate improved mid-term patency compared with a bare-metal stent, the recently presented ‑ however still unpublished - data with the Zilver PTX stent using a polymer-free paclitaxel coating are very promising. Before we can make definite conclusions and recommendations, we have to see longer-term follow-up data. A potential future improvement of local drug application for the necessary time span without the disadvantages of permanent stent implantation can be expected by the development of completely bioabsorbable DES. PMID: 21460772 [PubMed - ...
      PubDate: Thu, 31 Mar 2011 23:00:00 +010
       
  • Drug-eluting stents below the knee.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Bosiers M, Deloose K, Callaert J, Keirse K, Verbist J, Peeters P The fear that early thrombosis and late luminal loss due to intimal hyperplasia formation potentially leads to insufficient long-term patency rates can explain the reluctance on implanting stents in small diameter below-the-knee (BTK) arteries. Drug-eluting stent (DES) technology was developed to prevent early thrombosis and late luminal loss to potentially improve long-term patency rates. Currently, the first level 1 evidence from prospective, randomized, controlled DESTINY and ACHILLES studies indicate that the implantation of DES in short lesion lenghts in the infrapopliteal vasculature leads to favorable outcomes with high primary patency rates. This makes that primary DES placement can be recommended as trea...
      PubDate: Thu, 31 Mar 2011 23:00:00 +010
       
  • Drug-coated balloons in the lower limb.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This article gives an overview upon already published and presented data and still ongoing trials on drug releasing balloons in the peripheral arteries. PMID: 21460774 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 31 Mar 2011 23:00:00 +010
       
  • A new idea for a safer approach to the supra-aortic trunks: the PitonTM
           catheter.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Setacci C, Moratto R, Sirignano P, Setacci F, Silingardi R, Coppi G Carotid artery disease is among the most common causes of stroke, and stroke is the third leading cause of death in industrialized countries. Thus the personal health and socioeconomic burden of carotid artery disease is significant. Carotid artery disease accounts for approximately 5-12% of new strokes in patients amenable to revascularization therapy. Atherosclerosis is the main reason for stroke and accounts for approximately one third of all cases. Carotid stenting is nowadays considered a valid standard alternative to surgical carotid endarterectomy, especially in patients having a high perioperative risk. The first carotid balloon angioplasty was carried out in 1979 and the first carotid balloon-expandab...
      PubDate: Thu, 31 Mar 2011 23:00:00 +010
       
  • Veins are no arteries: even moderate arterial pressure induces significant
           adhesion molecule expression of vein grafts in an ex vivo circulation
           model.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This study enlightens the influence of an even moderate arterial pressure on the gene expression of adhesion molecules in venous grafts which play a decisive role for the early induction of atherogenesis. PMID: 21460776 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 31 Mar 2011 23:00:00 +010
       
  • Heparin- and basic fibroblast growth factor-incorporated degradable stent:
           comparison with traditional transmyocardial revascularization.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Wei Zhang G, Liu XC, Luan Mphil Y, Zhao J, Shi RF, Bin Zhao X, Liu TJ, Lü F, Yang Q, He GW We have recently developed a novel method transmyocardial drilling revascularization (TMDR) combined with heparinized bFGF-incorporating degradable tubular stent implantation to revascularize ischemic myocardium. The aim of the present study was to compare the effect of this new method on left ventricular (LV) remodeling and global function to traditional transmyocardial revascularization (TMR) in acute myocardial ischemia. PMID: 21460777 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 31 Mar 2011 23:00:00 +010
       
  • Immediate and 5-year outcome after coronary artery bypass surgery in very
           high risk patients (additive EuroSCORE ≥10).
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Mosorin MA, Heikkinen J, Pokela M, Anttila V, Mosorin M, Lahtinen J, Juvonen T, Biancari F We have evaluated the outcome after coronary artery bypass surgery in very high risk patients (additive EuroSCORE≥10). The impact of beating heart coronary artery bypass surgery (BHCAB) on their outcome has been evaluated. PMID: 21460778 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 31 Mar 2011 23:00:00 +010
       
  • Determination of flow profiles of different mechanical aortic valve
           prostheses using phase-contrast MRI.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Pennekamp W, Geyhan N, Soeren P, Volkmar N After heart valve replacement in aortic position turbulences may occur in the aortic outflow tract. Valve-induced turbulences and retrograde flow represent a loss of efficiency of cardiac output in respect to antegrade kinetic energy of blood flow. Aim of this study is the evaluation of the flow profiles of monoleaflet and bileaflet valves after aortic valve replacement. PMID: 21460779 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 31 Mar 2011 23:00:00 +010
       
  • Bovine valved venous xenograft in pulmonary position: medium term
           evaluation of risk factors for dysfunction and failure after 156 implants.
           
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This study evaluated risk factors for dysfunction and failure of the bovine Contegra valved conduit for right ventricle outflow tract reconstruction. PMID: 21460780 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 31 Mar 2011 23:00:00 +010
       
  • Acute dissection of the left anterior descending after contusio cordis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We report a case of acute dissection of the left anterior descending (LAD) after contusio cordis that presented at our institution. In our case we performed the off pump coronary artery bypass operation (OPCAB) procedure with left internal mammary artery (LIMA) on LAD by a partial lower sternotomy approach. There were no operative or perioperative complications and the patient was discharged from hospital 6 days postoperatively. OPCAB operation through the partial lower sternotomy is a safe and effective technique for the treatment of patients with acute dissection of a coronary artery after blunt chest trauma. PMID: 21460781 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 31 Mar 2011 23:00:00 +010
       
  • Cryopreserved homograft and autologous deep vein replacement for
           infrarenal aorto and iliaco-femoral graft infection: early and late
           results.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Bíró G, Szeberin Z, Nemes A, Acsády G The aim of the study was to evaluate the early and late results of aortic replacement using cryopreserved homografts and autologous deep veins for infected infrarenal prosthetic reconstructions and the influence of type of bacteria on the mortality. PMID: 21464818 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 31 Mar 2011 23:00:00 +010
       
  • The need of a new training paradigm.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Torsello G, Torsello GF PMID: 21224804 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 14 Jan 2011 08:46:14 +010
       
  • The role of the UEMS vascular surgery in Europe.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Cairols MA PMID: 21224805 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 14 Jan 2011 08:46:10 +010
       
  • Open vascular surgery as a starting point for endovascular surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : de Donato G, Setacci F, Chisci E, Cappelli A, Palasciano G, Setacci C What distinguishes vascular surgeons from other specialists who treat patients with vascular disease is their ability to combine skills in both open and endovascular treatments. Open vascular surgery should be considered the "starting point" for endovascular surgery, since training and practice in vascular surgery require extensive knowledge of the basic science and a thorough education in general surgical techniques. In addition, surgeons must possess detailed specialized knowledge of the anatomy and physiology of arteries, veins and lymphatics and of the pathological processes which may affect them. This scientific and technical background is also imperative for endovascular surgery. Open vascular surgery ...
      PubDate: Fri, 14 Jan 2011 08:46:07 +010
       
  • Training with simulation versus operative room attendance.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This article reviews the evidence and the limitations for this adjunctive tool, the implementation in current training programmes and future applications to maintain the highest standards of care for treatment of vascular disease. PMID: 21224807 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 14 Jan 2011 08:46:04 +010
       
  • Importance of exchange of vascular trainees among centers.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Bosiers M, Moreels N, Callaert J, Deloose K Training in surgery has for a long time been based on the classical model of master-apprentice, leading to the creation of "schools" comparable to the famous painter schools of Rubens, Rembrandt and many others during the Middle Ages. Although it may offer some advantages, this model is no longer suitable today. Modern vascular surgery covers several fields, including not only open vascular and endovascular treatment, but also non-invasive diagnosis and medical treatment of vascular diseases in different parts of the human body. However, the goal of training remains the formation of a "holistic vascular surgeon", with knowledge of and experience in all these areas. As most training centers are more focused on and have more expertise ...
      PubDate: Fri, 14 Jan 2011 08:46:01 +010
       
  • Vascular surgery training and its relationship to other surgical
           specialties.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Tsekouras N, Avgerinos ED, Moulakakis K, Papasideris C, Giannakopoulos T, Liapis CD During the last 50 years vascular surgery has met an enormous evolution, paving the way for the development of modern vascular and endovascular surgery. Although, vascular surgery (VS) has emerged from general (GS) and cardiothoracic surgery (CTS), the need for specialized training has been recognized and gradually practice patterns are shifting towards vascular independence, but yet not in all countries. In these countries VS training is either permitted only after prerequisite GS certification, or as a non accredited surgical specialty, VS might be included in GS or CTS training and certification. Such a policy raises two main issues: the efficiency of vascular training within the GS or CTS c...
      PubDate: Fri, 14 Jan 2011 08:45:57 +010
       
  • The role of leading centers for endovascular surgery in education and
           training for endovascular treatment of peripheral vascular disease.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Krajcer Z, Ghosheh B The field of peripheral vascular disease (PVD) management is rapidly evolving with the advent of new endovascular techniques. These new techniques frequently involve hybrid approaches for treating complex aortic pathologies. Like many new procedures, endovascular techniques present new challenges for physicians who care for patients with complex vascular pathologies. Physicians must not only understand the disease entity, but the knowledge, expertise in and all available therapeutic options, including the new techniques being employed. To enable physicians to meet these requirements for endovascular techniques and stent-graft technology and to become credentialed to perform them, specific training requirements must be established for peripheral vascular tr...
      PubDate: Fri, 14 Jan 2011 08:45:54 +010
       
  • Training of vascular surgeons by interventional radiologists.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Cefali P, Rosso R, Van Den Berg JC This paper will discuss the potential role of interventional radiologists in teaching of endovascular skills to vascular surgical trainees. Prerequisites and advantages of such a training will be discussed, as well as the secondary effect this kind of training program may have on developing multidisciplinary teams. PMID: 21224811 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 14 Jan 2011 08:45:50 +010
       
  • Proctorship for CAS training: a pilot study of safety and reproducibility.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Cappelli A, Chisci E, Setacci F, De Donato G, Iacoponi F, Gaggiano A, Ferri M, Giudice R, Nessi F, Setacci C The literature continues reporting a high complication rate for carotid artery stenting (CAS) during the learning-curve phase (LCP). The aim of this study was to report a simple and reproducible method designed to improve CAS results during the LCP. PMID: 21224812 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 14 Jan 2011 08:45:46 +010
       
  • Incidence of systemic inflammatory response syndrome after endovascular
           aortic repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : De La Motte L, Vogt K, Panduro Jensen L, Groenvall J, Kehlet H, Veith Schroeder T, Lönn L The aim of this study was to estimate the incidence of the post-implantation syndrome/systemic inflammatory response syndrome (SIRS) after endovascular aortic repair. PMID: 21224813 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 14 Jan 2011 08:45:43 +010
       
  • Heparin-induced thrombocytopenia: what a vascular surgeon needs to know.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This article aims in a comprehensive review of the literature for newly emerged data in the pathogenesis, diagnosis and management of heparin-induced thrombocytopenia. PMID: 21224814 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 14 Jan 2011 08:45:39 +010
       
  • Successful percutaneous endovascular treatment of symptomatic infrarenal
           aortic stenosis caused by soft-plaque with the endurant stent-graft.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Donas KP, Schönefeld T, Schwindt A, Troisi N, Torsello G Focal stenosis or occlusion of the infrarenal aorta is a relatively rare entity. In particular, soft-plaque of atherothrombotic origin in the aortic segment is linked to high-risk for peripheral embolisation. To our knowledge, the present case report describes for first time in the literature successful percutaneous treatment of a symptomatic soft-plaque infrarenal aortic stenosis with severe calcification of the iliac vessels by stent-graft, in particular by the new Endurant. Endovascular exclusion of the thrombotic lesion by endoprosthesis covers the atherosclerotic wall treating the potential underlying cause of the thrombus formation. The radial force of the endoprosthesis seems to be sufficient achieving complete e...
      PubDate: Fri, 14 Jan 2011 08:45:36 +010
       
  • Double renal chimney graft using only femoral approach.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We describe a case of a successful positioning of the chimney graft using only the femoral approach. The only femoral approach to position a renal chimney graft isn't recommended for the routine procedure but it is proved to be useful in selected case and when other treatment options are excluded. PMID: 21224816 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 14 Jan 2011 08:45:33 +010
       
  • Incidence and predictors of infection in patients undergoing primary
           isolated coronary artery bypass grafting: a report from a tertiary care
           hospital in a developing country.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Ahmed D, Cheema FH, Ahmed YI, Schaefle KJ, Azam SI, Sami SA, Sharif HM Infection following coronary artery bypass grafting (CABG) is a leading cause of morbidity, mortality, and increased length of hospital stay. Many studies have investigated the predictive value of known risk factors for infection in patients following CABG and conclusions have been variable and may reveal regional or institution-specific influence. The purpose of this prospective study was to determine the pre- and peri-operative risk factors for infection in patients undergoing coronary artery bypass surgery in a developing country. PMID: 21224817 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 14 Jan 2011 08:45:30 +010
       
  • Evaluation of aortic cannula jet lesions in a porcine cardiopulmonary
           bypass (CPB) model.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Schnürer C, Hager M, Györi G, Velik-Salchner C, Moser PL, Laufer G, Lorenz IH, Kolbitsch C In cardiosurgery patients atherosclerotic debris displaced from the cannulation site but also from the opposite aortic wall by the "sandblast-like" effect of the high-pressure jet emanating from the cannula is a potential source of intraoperative arterial embolization and consequently postoperative neurologic dysfunction. The present study examined the extent to which shear stress exerted on the intact aortic intima by an aortic cannula jet stream can cause endothelial lesions that promote thrombogenesis and consequently thrombembolism. A single-stream, straight-tip aortic cannula was used in a porcine cardiopulmonary bypass (CPB) model. Following a 120-minute CPB pump run, a 60-minute...
      PubDate: Fri, 14 Jan 2011 08:45:26 +010
       
  • Laparatomy due to gastrointestinal complications after open heart surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Movahedi N, Karimi A, Ahmadi H, Davoodi S, Marzban M, Abbasi K, Salehi Omran A, Shirzad M, Yazdanifard P Abdominal complications following open heart surgery remain rare but fatal events with mortality rates of 14.5% up to 100%. Manifestations and managements of these complications are varying. Approximately, 25% of patients with gastrointestinal complications require surgical management with obviously higher mortality risks. The aim of this study was to determine the perioperative prognostic factors of gastrointestinal complications with surgical consequences after cardiac surgery. PMID: 21224819 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 14 Jan 2011 08:45:23 +010
       
  • Diffusion-weighted magnetic resonance imaging for the detection of
           ischemic brain lesions in coronary artery bypass graft surgery: relation
           to extracorporeal circulation and heparinization.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Mirow N, Zittermann A, Körperich H, Börgermann J, Koertke H, Knobl H, Gieseke J, Ostertun B, Coskun T, Kleesiek K, Burchert W, Gummert JF Cognitive decline is a well recognized complication after on-pump coronary artery bypass graft (CABG) surgery. We investigated whether the design of extracorporeal circulation (ECC) and the extent of perioperative heparinization have an impact on neurological dysfunction. PMID: 21224820 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 14 Jan 2011 08:45:20 +010
       
  • Enhancement of non-coronary collateral blood flow from the internal
           thoracic arteries: the theoretical and practical basis of an alternative
           method of myocardial blood supply.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Picichè M, Kingma JJ, Fadel E, Dagenais F, Mathieu P, Simard D, Demaria RG, Voisine P Non-coronary collateral blood flow arrives to the heart from mediastinal, bronchial, and pericardial channels. These enter the heart through the pericardial reflections surrounding the pulmonary and systemic veins, as well as from the vasa vasorum of the aorta and the pulmonary artery leading to and from the myocardium. Before the advent of cardiopulmonary bypass surgery, surgical bilateral ligature of the internal thoracic arteries (ITAs) was performed in patients with ischemic heart disease to increase the perfusion pressure within the channels leading to the heart. Nowadays, the occurrence of natural collaterals between coronary and extracardiac arteries including the ITAs, the potential ...
      PubDate: Fri, 14 Jan 2011 08:45:16 +010
       
  • Clinical management of doxorubicin-induced heart failure.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Christiansen S Doxorubicin-induced heart failure is a rare but serious illness due to the well-known treatment difficulties. Prevention strategies have not demonstrated the expected success and unfortunately, this specific type of heart failure does not respond well to the usual medical therapy as other kinds of heart failure. Therefore, surgical procedures may be necessary in some patients. Cardiac transplantation is performed in most cases but it requires the cure of the neoplastic disease. This usually requires a recurrence-free interval of several years which is associated with a high attrition rate in these patients due to their cardiac disease. Therefore, ventricular assist devices were implanted in selected patients. This review presents the most common procedures and d...
      PubDate: Fri, 14 Jan 2011 08:45:13 +010
       
  • Paraganglioma of the hypoglossal nerve. A really rare location suggesting
           embryonic origin.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Santovito D, Varetto G, Conforti M, Tallia C, Rispoli P PMID: 21224823 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 14 Jan 2011 08:45:10 +010
       
  • Epidemiology of opium use in 4398 patients admitted for coronary artery
           bypass graft in Tehran Heart Center.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Sadeghian S, Dowlatshahi S, Karimi A, Tazik M PMID: 21224824 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 14 Jan 2011 08:45:07 +010
       
  • District-based abdominal aortic aneurysm screening in population aged 65
           years and older.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The prevalence of patients with AAA (6.2%) was similar to previously published estimates. Nevertheless, AAA resulted very high in males. This observation is likely due to screening in a city with a very high percentage of elderly subjects. Family predisposition to cardiovascular disease resulted significant risk factor for AAA. Results of our epidemiological study provide evidence of the usefulness of AAA screening thanks to early diagnosis and appropriate treatment of AAA. PMID: 21124273 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Dec 2010 00:00:00 +010
       
  • Performance of ePTFE-covered endograft in patients with occlusive disease
           
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: ePTFE-covered endografts have excellent properties for treatment of SFA stenosis or occlusions. There was no intimal hyperplasia inside endografts, and graft occlusion occurred due to progression of atherosclerotic disease outside the graft. PMID: 21124274 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Dec 2010 00:00:00 +010
       
  • From puncture to closure of the common femoral artery in endovascular
           aortic repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Lönn L, Larzon T, Van Den Berg JC In all fields of surgery there is a trend towards less invasive procedures reducing hospital stay, complications and mortality. Open surgery in the treatment of aortic diseases is gradually less applied, and instead endovascular aortic repair - EVAR - is a widely accepted treatment modality of today. The traditional approach in EVAR involves surgical exposure of the femoral arteries with bilateral groin incisions. Through the groin access, and under fluoroscopy, a special insertion sheath introducer is used to position a stent graft in the desired location with the patient in general or epidural anesthesia. The evolving stent-technology with smaller sheath sizes has broadened the scenario for alternative approaches for access and closure of t...
      PubDate: Wed, 01 Dec 2010 00:00:00 +010
       
  • Impact of stent design on the outcome of intervention for carotid
           bifurcation stenosis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Hart JP, Bosiers M, Deloose K, Uflacker R, Schönholz CJ Over the past several years, there has been continued significant interest in refinement of patient selection, devices, procedures and protocols in an effort to optimize the outcome of percutaneous intervention for carotid bifurcation stenosis, including: ongoing National Institutes of Health and manufacturer trials and registries; the further refinement of existing devices and emergence of new platforms to attain distal embolic protection; ongoing study of what really constitutes a high-risk carotid surgery or stenting patient; and attention to device characteristics and patient-device matching. Within the latter area, considerable interest has focused on stent characteristics that have the potential to impact short and...
      PubDate: Wed, 01 Dec 2010 00:00:00 +010
       
  • Hybrid procedures for the treatment of aortic arch aneurysms.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Eagleton MJ, Greenberg RK Aortic arch aneurysms present a significant clinical challenge. Historically, open repair has been the mainstay of therapy, but it is associated with significant morbidity and mortality. In particular, the risk of stroke is not insignificant. The development of endovascular therapies has allowed for the less invasive treatment of thoracic aortic aneurysms using endograft therapy. This treatment is limited by the need for "healthy" aorta proximal and distal to the aneurysm in order to get an appropriate seal. This limits use of endografts in the aortic arch as treatment of aneurysms in this location would necessitate coverage of critical brachiocephalic vessels including the innominate and left carotid arteries. To overcome these limitations, hybrid ap...
      PubDate: Wed, 01 Dec 2010 00:00:00 +010
       
  • Hybrid procedures for the treatment of thoracoabdominal aortic aneurysms
           and dissections.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Chiesa R, Tshomba Y, Marone EM, Logaldo D, Bertoglio L, Kahlberg A, Melissano G The search for less invasive therapeutic approaches to thoracoabdominal aortic aneurysms (TAAAs) brought endovascular procedures to establish themselves as alternatives to open surgery in high-risk patients. Aim of this study is to illustrate the hybrid - open and endovascular - treatment of dissecting and non-dissecting TAAAs, and to analyze short and midterm results at our Center. We analyzed 41 high-risk patients who underwent hybrid TAAA repair (dissecting TAAA in 17% of cases) with a variety of visceral rerouting configuration and of commercially available thoracic endografts. Thirty-one simultaneous (76%) and 10 staged procedures (24%) were performed with a four-vessel revascularization in 13...
      PubDate: Wed, 01 Dec 2010 00:00:00 +010
       
  • Hybrid procedures for peripheral obstructive disease.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Schrijver AM, Moll FL, De Vries JP The incidence and prevalence of high-risk patients suffering from critical limb ischemia due to multilevel arterial obstructive disease is growing rapidly. Invasive surgical procedures to restore inflow to the crural and pedal circulation in case of TransAtlantic InterSociety Consensus C and D (TASC) lesions of the iliacofemoral arteries are related with substantial morbidity and mortality. The mid-term and long-term outcomes of sole percutaneous revascularization procedures are disappointing for TASC C and D lesions. Hybrid endovascular and open surgical revascularization procedures might be of benefit because of its less invasive character, no need for extensive venous graft material, and the ability to overcome long-segment arterial obstru...
      PubDate: Wed, 01 Dec 2010 00:00:00 +010
       
  • Hybrid procedures for acute limb ischemia.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : de Donato G, Setacci F, Sirignano P, Galzerano G, Raucci A, Palasciano G, Setacci C The most efficient treatment for acute arterial embolism is operative embolectomy using Fogarty's balloon catheter, especially if a single large artery is involved. Unfortunately, although the early surgical success of arterial thromboembolectomy often seems acceptable, the early clinical outcome still remains unsatisfactory. This may be related to the incomplete restoration of perfusion (i.e., residual thrombus in distal vessels not reached by the balloon catheter thromboembolectomy), propagation of residual thrombi or presence of underlying steno-occlusive lesions. In such a situation a meticulous intraoperative assessment of the adequacy of clot removal is decisive. Residual thrombus, chroni...
      PubDate: Wed, 01 Dec 2010 00:00:00 +010
       
  • Size does matter! Small-cell-stents are protection enough.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Tiekte M PMID: 21124281 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Dec 2010 00:00:00 +010
       
  • Hybrid procedures in vascular surgery: converging technique to improve
           results.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Choke E, McCarthy M PMID: 21124282 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Dec 2010 00:00:00 +010
       
  • Embolic protection in carotid artery stenting: "a
           no-brainer"'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Embolic protection in carotid artery stenting: "a no-brainer"' J Cardiovasc Surg (Torino). 2010 Dec;51(6):861-4
      Authors : Macdonald S PMID: 21124283 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Dec 2010 00:00:00 +010
       
  • Catheter aspiration thrombectomy during carotid stenting is safe and
           potentially efficacious: a pilot retrospective study.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Aspiration thrombectomy recovers large to moderate amounts of debris and is safe and does not increase adverse periprocedural events. A large scale, randomized trial with magnetic resonance imaging (MRI) is needed to further investigate our findings. PMID: 21124284 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Dec 2010 00:00:00 +010
       
  • How do I select cerebral protection devices today'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Schneider PA, Ansel G The establishment of cerebral protection has matured conceptually and clinically in recent years. We have accepted that some type of cerebral protection is desirable. We have some choices in whether to use filters, proximal occlusion, or proximal occlusion with reversed flow. There are anatomical and clinical factors that drive the choice of cerebral protection devices. Certain practical applications of cerebral protection technologies can be made based upon clinical experience. Making carotid artery stenting (CAS) safer is the key to a broader application of CAS as a treatment method and optimal selection of atherosclerosis new cerebral protection devices helps to achieve that goal. PMID: 21124285 [PubMed - in process] (Source: The Journal of Cardiov...
      PubDate: Wed, 01 Dec 2010 00:00:00 +010
       
  • CD34 positive cells seeded on small caliber man-made vascular grafts
           exhibit increased antithrombogenic property compared with unfractioned
           mononuclear cells.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: CD34+ cell exerted better antithrombogenic property than unfractioned MNCs after seeding onto the small caliber vessel grafts. PMID: 21124286 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Dec 2010 00:00:00 +010
       
  • Myocardial protection in cardiac surgery patients requiring prolonged
           aortic cross-clamp times: a single-center evaluation of clinical outcomes
           comparing two blood cardioplegic strategies.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: ICC results in less myocardial damage and reduced postoperative cardiac mortality and morbidity in patients requiring extended periods of aortic-cross-clamping during on-pump cardiac surgery, suggesting superior cardioprotection when compared to IWC. PMID: 21124287 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Dec 2010 00:00:00 +010
       
  • Respiratory tract infections after cardiac surgery: impact on hospital
           morbidity and mortality.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: NP after cardiac surgery is associated with severe outcomes. Independent risk markers for respiratory tract infection were left ventricular ejection fraction <30%, chronic renal failure and urgent surgery. PMID: 21124288 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Dec 2010 00:00:00 +010
       
  • Pulmonary function and immediate and late outcome after coronary artery
           bypass surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: This study confirmed the significant, negative prognostic impact of pulmonary disease on the immediate and long-term survival after isolated CABG. PMID: 21124289 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Dec 2010 00:00:00 +010
       
  • Unchanged heat-shock protein 70 expression in myocardium of patients with
           permanent atrial fibrillation.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The unchanged expression of Hsp70 may indicate that the cytoplasmic stress response in permanent AF is exhausted. PMID: 21124290 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Dec 2010 00:00:00 +010
       
  • Minimally invasive partial inferior sternotomy for congenital heart
           defects in children.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The partial inferior sternotomy approach to congenital heart operations is less invasive than and cosmetically superior to full sternotomy with reduced postoperative pain and discomfort for the patients. This approach ensures a safe procedure with excellent exposure without additional incisions. It is our standard approach in infants/children with septal defects. PMID: 21124291 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Dec 2010 00:00:00 +010
       
  • Pleural opening impairs respiratory system compliance and resistance in
           off-pump coronary artery bypass grafting.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Pleura opening and need of chest tube insertion induced significant reduction in static lung compliance and increase in total respiratory system resistance, furthermore contributing to impair pulmonary dysfunction in the early postoperative period after OPCAB. PMID: 21124292 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Dec 2010 00:00:00 +010
       
  • The mystery of aortic dissection: a 250-year evolution.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Criado FJ PMID: 20924321 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 30 Sep 2010 23:00:00 +010
       
  • Recent advances in the management of thoracic dissection.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Krajcer Z, Ghouri MA PMID: 20924322 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 30 Sep 2010 23:00:00 +010
       
  • Outcome of patients with open and endovascular repair in acute complicated
           type B aortic dissection: a systematic review and meta-analysis of case
           series and comparative studies.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: This summary analysis suggests that endovascular treatment of complicated acute type B aortic dissection produces favourable initial outcomes and would seem to be a great addition to the treatment options for this condition. Further study of long-term outcomes is required. PMID: 20924323 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 30 Sep 2010 23:00:00 +010
       
  • DeBakey type I dissection: when hybrid stent-grafting is indicated'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: This hybrid approach in patients with AAD and CAD type I is safe when indicated and renders stable results over time down to the stent-graft end. Secondary TEVAR can be easily performed downstream when necessary. The international E-vita open registry data supports this single center results. PMID: 20924324 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 30 Sep 2010 23:00:00 +010
       
  • Acute aortic dissection: natural history and classification.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This article aims to review our current understanding of the natural history and classification of acute aortic dissection. PMID: 20924325 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 30 Sep 2010 23:00:00 +010
       
  • Arterial elastic fiber structure. Function and potential roles in acute
           aortic dissection.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Pratt B, Curci J The lethality of acute aortic dissection is well recognized. Successful treatment and prevention of aortic dissection is going to be dependent upon an improved understanding of the molecular and physiologic events which predispose to dissection development and propagation. In this review, we will focus on the elastic fiber, one of the critical elements of the aortic wall matrix. Mechanical or functional failure of the elastin in the wall of the aorta likely predisposes to dissection as well as the post-dissection aortic degeneration with aneurysm formation. Insight into the role of the elastin and the elastic fiber in aortic dissection has recently been accelerated by research into the molecular mechanisms associated with hereditary propensity for aortic disse...
      PubDate: Thu, 30 Sep 2010 23:00:00 +010
       
  • Decision-making in type-B dissection: current evidence and future
           perspectives.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Bastos Gonçalves F, Metz R, Hendriks JM, Rouwet EV, Muhs BE, Poldermans D, Verhagen HJ Aortic dissection is a devastating cardiovascular condition with an incidence of 3,5:100 000. It is classified according to anatomic extent, mechanism of lesion, duration from index event and course (uncomplicated vs. complicated). Intramural hematoma and penetrating aortic ulcers share many of the features of classic dissections, but tend to occur in older patients with advanced atherosclerosis. In uncomplicated type-B dissection, conservative treatment with tight blood pressure and heart rate control is safe and effective. Early stent-graft implantation may, however, result in more favorable aortic remodeling and reduced late complications. For acute complicated cases intervention is usua...
      PubDate: Thu, 30 Sep 2010 23:00:00 +010
       
  • Aortic dissection and sport: physiologic and clinical understanding
           provide an opportunity to save young lives.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Mayerick C, Carré F, Elefteriades J Understanding the relationship between acute type A aortic dissection and sport is crucial to prevent sudden cardiac death in seemingly healthy young individuals. Aerobic exercise produces only a modest rise in arterial blood pressure (140-160 mmHg) except at the highest levels of exertion, at which pressures between 180-220 mmHg are reached. Weight training, on the other hand, routinely produces acute rises in blood pressure to over 300 mmHg. This presents a danger for individuals with an unknown aortic aneurysm; the deteriorated mechanical properties of the aortic wall resulting from aneurysmal enlargement increase the susceptibility to aortic rupture when the high wall coincident with exertion exceeds the tensile strength of the aortic w...
      PubDate: Thu, 30 Sep 2010 23:00:00 +010
       
  • Stent-graft in dissected aorta: aspects on seal and risk for disrupture of
           the dissection membrane.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Malina M, Resch T, Dias N, Sonesson B PMID: 20924329 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 30 Sep 2010 23:00:00 +010
       
  • Marfan Syndrome: when to operate TAA(A)s'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Greiner A, Grommes J, Lancer S, Autschbach R, Jacobs MJ Marfan Syndrome is a heritable disorder of connective tissue leading to aortic aneurysms and other cardiovascular complications associated with reduced life expectancy. Marfan patients with thoracic aortic aneurysms (TAAs) or with thoracoabdominal aortic aneurysms (TAAAs) should be treated by means of open surgery, requiring an extensive protocol, including extracorporeal circulation, neuromonitoring and adjunctive modalities to provide organ protection. Then, open surgical repair of TAA(A)s are associated with excellent results. However, in the last time a gradual change to endovascular treatment in Marfan patients is observable. Particularly in patients with an increased surgical risk due to redo sternotomy or thoracoto...
      PubDate: Thu, 30 Sep 2010 23:00:00 +010
       
  • Renal angioplasty and stenting: is it still indicated after Astral and
           Star studies'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Henry M, Benjelloun A, Henry I, Polydorou A, Hugel M A renal artery stenosis (RAS) is common among patients with atherosclerosis, up to a third of patients undergoing cardiac catheterization. Fibromuscular dysplasia is the next cause of RAS, commonly found in young women. Atherosclerosis RAS generally progresses overtime and is often associated with loss of renal mass and worsening renal function (RF). Percutaneous renal artery stent placement is the preferred method of revascularization for hemodynamically significant RAS according to ACC and AHA guidelines. Several randomized trials have shown the superiority of endovascular procedures to medical therapy alone. However, two studies ASTRAL and STAR studies were recently published and did not find any difference between renal ...
      PubDate: Thu, 30 Sep 2010 23:00:00 +010
       
  • Catheter-based renal sympathectomy.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Id D, Bertog SC, Wunderlich N, Sievert H The sympathetic nervous system via its effect on the kidney maintains a key role in blood pressure regulation and in the pathogenesis of hypertension. In turn, the kidney receives a dense innervation of afferent sympathetic fibers allowing it to effectively modulate the sympathetic tone. Hence, the kidney can be both culprit and victim of increased sympathetic activity. In addition, conditions such as congestive heart failure, chronic renal failure or the metabolic syndrome are associated with an increased sympathetic activity whether or not hypertension is present. On this account, both the sympathetic nervous system and the kidney were identified as potential therapeutic targets in the treatment of hypertension and other conditions as...
      PubDate: Thu, 30 Sep 2010 23:00:00 +010
       
  • Upper extremity access for renal artery stenting: radial, brachial and
           axillary access: how to do them safely and pitfalls to avoid.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Sos TA This manuscript traces the history of changes in preferred upper extremity puncture sites for renal artery stenting as our understanding of anatomy, techniques, technology and pharmacology, each separately and their confluence, has improved. A very detailed description of each technique is beyond the scope of this review; the references should allow the reader to readily access this information. PMID: 20924333 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 30 Sep 2010 23:00:00 +010
       
  • Efficacy of embolic protection devices in renal artery stenting.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Campbell JE, Stone PA, Bates MC The efficacy of embolic protection devices (EPDs) have been studied extensively in coronary saphenous vein grafts and extra cranial cerebrovascular disease. Recent ex-vivo and in-vivo renal artery stenting studies suggest atheroembolism is not unique to the coronary and cerebrovascular domain and it seems intuitive, renal EPDs may be beneficial. In an attempt to better understand the current objective evidence regarding renal protection efficacy we systematically reviewed the contemporary literature and summarize the findings herein. There is increasing observational data suggesting the use of embolic protection devices decrease the risk of continued decline in renal function after renal artery stenting. There is also prospective randomized data...
      PubDate: Thu, 30 Sep 2010 23:00:00 +010
       
  • Evidence-based medicine in renal artery stenting.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This article summarizes the background and the limitations of the so far published and still ongoing controlled trials. PMID: 20924335 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 30 Sep 2010 23:00:00 +010
       
  • Postoperative mediastinitis in open heart surgery patients. Treatment with
           unilateral or bilateral pectoralis major muscle flap'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Mediastinal infection after cardiac surgery can be effectively managed by surgical debridement followed by plastic coverage with a single pectoralis muscle flap. In our experience, this unilateral pectoralis muscle flap technique showed similar results to the classic closure with both pectoralis muscle flaps. The unilateral technique represents a relative low aggressive operation and preserves intact the contralateral pectoralis muscle. Comparing the single pectoralis muscle flap technique with the bilateral pectoralis musle technique, the former is faster, the extubation is earlier and there is less need of postoperative blood transfusions. PMID: 20924336 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 30 Sep 2010 23:00:00 +010
       
  • Patient's home care management in persistent air leaks and chronic
           pneumothorax using a new drainage system.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We describe the case of a patient with chronic PALs and pneumothorax due to pulmonary fibrosis secondary to rheumatoid arthritis, with diffuse pulmonary nodules, in which surgical attempts to manage air leaks were ineffective. He was successfully home-assisted with a new chest drainage system with automatic constant negative suction pressure. PMID: 20924337 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 30 Sep 2010 23:00:00 +010
       
  • Use of the AorfixTM stent graft in patients with tortuous iliac anatomy.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The rate of early iliac limb occlusion following EVAR in patients with angulated iliac anatomy can be substantially reduced by using the flexible Aorfix stent graft system. PMID: 20671629 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 31 Jul 2010 12:51:54 +010
       
  • Ring-stents supported infrarenal aortic endograft fits well in abdominal
           aortic aneurysms with tortuous anatomy.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Aneurysms with severe neck or iliac arteries angulation can be treated by a ring-stent endograft with results similar to those of AAA with more favourable anatomy. PMID: 20671630 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 31 Jul 2010 12:51:51 +010
       
  • New results with 100 Excluder cases.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: EVAR using the EXCLUDER-Device is a safe, effective, and durable method to prevent AAA rupture and aneurysm-related death. Assuming suitable AAA anatomy, these data justify a broad application within a wide spectrum of patients. PMID: 20671631 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 31 Jul 2010 12:51:47 +010
       
  • Rationale and design of the Endurant Stent Graft Na-tural Selection Global
           Postmarket Registry (ENGAGE): interim analysis at 30 days of the first 180
           patients enrolled.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The interim results through 30 days of the first 180 patients enrolled are promising. Longer-term follow-up for more patients will be reported. PMID: 20671632 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 31 Jul 2010 12:51:44 +010
       
  • Totally percutaneous aortic aneurysm repair: methods and outcomes using
           the fully integrated IntuiTrak endovascular system.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: PEVAR using the IntuiTrak System with 19Fr introducer sheath with vessel closure facilitated by the Prostar XL device is feasible, even in patients with challenging access anatomy. Further evaluation in a prospective, multicenter, randomized trial is warranted. PMID: 20671633 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 31 Jul 2010 12:51:41 +010
       
  • New results with the Zenith graft in the treatment of aortic aneurysms.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Qureshi MA, Greenberg RK Aneurysmal disease of the arterial vasculature has been reported since ancient times. Regarding aneurysms of the aorta, a steady progress has been made ranging from making such pathology amenable to surgical treatment to making the procedure much less invasive. There have been a number of stent grafts, introduced by different companies, used to exclude different segments of the aneurysmal aorta and the Zenith devices are one of them. The safety and efficacy of these devices to exclude infrarenal and descending thoracic aortic aneurysms has been well documented. The early and late complications associated with these procedures and the methods used to manage such complications have also been elucidated in different publications. In dealing with pararenal...
      PubDate: Sat, 31 Jul 2010 12:51:38 +010
       
  • Device-specific outcomes after endovascular abdominal aortic aneurysm
           repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Bastos Goncalves F, Rouwet Ellen V, Metz R, Hendriks JM, Vrancken Peeters MP, Muhs BE, Verhagen HJ Over the last decade, endovascular aneurysm repair (EVAR) has been used extensively for the elective treatment of infra-renal abdominal aneurysms. However, it remains unclear how specific devices perform and how they compare to others. We provide an overview of currently used endografts, and discuss the current evidence regarding device-specific outcomes. Published literature confirms differences in results according to endograft selection. These differences were more pronounced with older generations of devices, in comparison to newer models. Contemporary results are generally good and one should remember that no randomized data exist regarding individual device performance. Mor...
      PubDate: Sat, 31 Jul 2010 12:51:35 +010
       
  • Current knowledge on E-vita abdominal endograft.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Moulakakis KG, Avgerinos ED, Giannakopoulos T, Papapetrou A, Brountzos EN, Liapis CD The field of endovascular abdominal aortic repair has changed remarkably compared to what it was prior to 1993, the year of the first commercial endograft deployment in the United States. Over the years of endovascular aneurysm repair experience, various companies have attempted to construct an ideal stent-graft for exclusion of an abdominal aortic aneurysm (AAA). However, it has become evident that not all abdominal aortic anatomies are amenable to endovascular treatment and that the rationale "one device fits all AAAs" can lead to disastrous results. Different endografts have dissimilar properties and characteristics. Type of graft material, configuration and type of stent structural support...
      PubDate: Sat, 31 Jul 2010 12:51:31 +010
       
  • Recent advances in peripheral in-stent restenosis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Minar E PMID: 20671637 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 31 Jul 2010 12:51:28 +010
       
  • Mechanical thrombectomy in in-stent restenosis: preliminary experience at
           the iliac and femoropopliteal arteries with the Rotarex System.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: This treatment seems promising in terms of technical success and embolization risk. Reinterventions are frequently required but mid-term limb salvage rates are encouraging. Larger, randomised studies are needed to determine the cost/benefit advantage and long-term results. PMID: 20671638 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 31 Jul 2010 12:51:25 +010
       
  • Safety and efficacy of directional atherectomy for the treatment of
           in-stent restenosis of the femoropopliteal artery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Although atherectomy of in-stent restenosis as a first line treatment yields a high initial success rate with a low requirement for adjunctive PTA and stent implantation, long term patency rates are low. In our study the theoretical advantage of avoiding barotauma did not result in prevention of recurrent intimal hyperplasia. PMID: 20671639 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 31 Jul 2010 12:51:22 +010
       
  • The potential role of DES in peripheral in-stent restenosis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Zeller T, Macharzina R, Tepe G In-stent restenosis (ISR) after non-coronary interventions is becoming an increasing clinical and technical problem in daily practice due to the more liberal use of stents particularly in femoro-popliteal and infra-popliteal interventions. Whereas in the coronaries the role of drug eluting stents (DES) in the treatment of ISR is already well defined, very limited data exist about the use of DES in the treatment of ISR in non-coronary arteries. So far little data is published on the potential role of DES in in-stent restenosis except in renal artery interventions. The concept of DES in femoro-popliteal lesions even excluding ISR so far failed for sirolimus and everolimus eluting self-expanding stents. In infra-popliteal lesions promising single ce...
      PubDate: Sat, 31 Jul 2010 12:51:19 +010
       
  • Paclitaxel-coated balloon angioplasty for lower extremity
           revascularization: a new way to fight in-stent restenosis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Manzi M, Cester G, Palena LM In the last years the development of new techniques and technologies for the endovascular treatment of peripheral arterial occlusive disease has allowed to treat a vast array of lesions with high technical success and low complications. Despite these advances, restenosis, and in particular in-stent restenosis, is a problem that significantly affects middle and long-term results and remains to be solved. Drug-eluting balloons (DEB) have shown good results in the treatment of coronary in-stent restenosis in experimental and clinical trials, but only few experimental and clinical trials focus on the peripheral district. This review summarizes the available experimental and clinical data in support of DEB in the treatment of ISR in the peripheral distr...
      PubDate: Sat, 31 Jul 2010 12:51:16 +010
       
  • Endovascular brachytherapy with 192Ir and 188Re to treat de novo and
           recurrent infrainguinal reste-noses.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We present a review of the literature on endovascular brachytherapy (EVBT) after percutaneous transluminal angioplasty (PTA) in the femoropopliteal and tibial arteries. The pathophysiological changes induced by PTA and EVBT within the vessel wall, technical considerations regarding 192Ir and 188Re, the results of clinical trials, and the medication required before, during, and after EVBT are summarized. PMID: 20671642 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 31 Jul 2010 12:51:13 +010
       
  • The role of stent-grafts for prevention and treatment of restenosis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Kwa AT, Yeo KK, Laird JR Restenosis rates in the superficial femoral artery remain high in patients treated with balloon angioplasty or bare metal stents. Stent-grafts represent an alternative endovascular treatment modality for these patients. In the US, the only FDA-approved stent-graft for femoral use is the Viabahn endoprosthesis (W.L. Gore, Flagstaff, AZ). The Viabahn is constructed of nitinol and ePTFE and has a proprietary heparin bioactive surface. Stent-grafts have the potential to reduce restenosis by impeding intimal hyperplasia and reducing tissue in-growth; however, the problem of edge restenosis has not been eliminated. Graft thrombosis remains an important mode of stent-graft failure. The Viabahn has been shown in observational studies and randomized trials to b...
      PubDate: Sat, 31 Jul 2010 12:51:09 +010
       
  • Prevention and treatment of in-stent restenosis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Bosiers M, Deloose K, Keirs K, Verbist J, Peeters P In-stent restenosis has always been an important issue, since the launch of the first stents on the market. The occurrence of in-stent restenosis (ISR) is due to two main reasons. First, the presence of stent fractures significantly influences restenosis rates. Second, the continuous interaction between the permanently implanted artificial material and the vessel tissue, leads to physical irritation, long-term endothelial dysfunction, or chronic inflammatory reactions. In the Literature only very limited data on ISR treatment in the peripheral arteries are available. There are no peer-reviewed publications or studies with in-depth follow-up on this specific indication. The underlying reason for this probably being that curren...
      PubDate: Sat, 31 Jul 2010 12:51:06 +010
       
  • The need to improve results of vascular emergencies.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Schönholz C PMID: 20523277 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 31 May 2010 23:00:00 +010
       
  • The role of carotid artery stenting for recent cerebral ischemia.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Bosiers M, Callaert J, Deloose K, Verbist J, Keirse K, Peeters P Patients with cerebral ischemia as a result of acute cervical internal carotid artery occlusion are generally considered to have a poor prognosis. Despite maximal medical treatment, a better treatment for patients with acute ischemic stroke who present with serious neurologic symptoms on admission or continue to deteriorate neurologically due to a total occlusion, a dissection or a high-grade stenosis of the internal carotid artery is required. An effective intervention to improve their neurologic symptoms and clinical outcome has not yet been established and represents a challenging and complex problem. Treatment of acute symptomatic occlusion of the cervical internal carotid artery includes intravenous administ...
      PubDate: Mon, 31 May 2010 23:00:00 +010
       
  • Endovascular approach for acute aortic syndrome.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Di Eusanio M, Russo V, Buttazzi K, Lovato L, Di Bartolomeo R, Fattori R Acute aortic syndrome (AAS) refers to the spectrum of aortic emergencies that include aortic dissection, intramural hematoma and penetrating atherosclerotic ulcer. These aortic pathologies may lead to aortic rupture and a timely treatment is crucial to obtain clinical success and benefit on survival. Endovascular strategies have gained wide acceptance in the management of AAS and currently represent the new minimally invasive alternative to traditional surgery. In particular in acute complicated aortic dissection endovascular therapy demonstrated a better survival and limited complications with respect to open surgery. Aim of the present study was to provide an overview of AAS and to assess the current rol...
      PubDate: Mon, 31 May 2010 23:00:00 +010
       
  • Endovascular approach for ruptured abdominal aortic aneursyms.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: In conclusion only larger study or registry could assest the real role ov EVAR in the management of rAAA. PMID: 20523280 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 31 May 2010 23:00:00 +010
       
  • Is EVAR the treatment of choice for aortoenteric fistula'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Lonn L, Dias N, Veith Schroeder T, Resch T Aortoenteric fistula formation is a devastating condition regardless of whether it is primary or secondary (i.e. after previous aneurysm repair) in nature. Patients present with signs and symptoms of gastrointestinal bleeding with or without signs of systemic infection and are often in a very poor clinical condition. Conventional treatment consists of extensive open surgery (extra-anatomical bypass or aortic ligation), closure of fistula tract and complete removal of any prosthetic material. This treatment is associated with high morbidity and mortality and therefore more minimally invasive options with endovascular repair have been attempted. Endovascular repair is often successful in the short-term achieving favorable immediate outc...
      PubDate: Mon, 31 May 2010 23:00:00 +010
       
  • Endovascular management of acute limb ischemia.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Peeters P, Verbist J, Keirse K, Deloose K, Bosiers M Acute limb ischemia (ALI) refers to a rapid worsening of limb perfusion resulting in rest pain, ischemic ulcers or gangrene. With an estimated incidence of 140 million/year, ALI is serious limb-threatening and life-threatening medical emergency demanding prompt action. Three prospective, randomized clinical trials provide data on trombolytic therapy versus surgical intervention in patients with acute lower extremity ischemia. Although they did not give us the final answer, satisfactory results are reported for percutaneous thrombolysis compared with surgery. Moreover, they suggest an important advantage of thrombolysis in acute bypass graft occlusions. Therefore, we believe thrombolytic therapy should be a part of the vascul...
      PubDate: Mon, 31 May 2010 23:00:00 +010
       
  • Endovascular surgery as a bridge solution for selected vascular
           emergencies.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: The objectives of this review article are to highlight the utility of endovascular surgery in vascular emergencies and to compare current treatment options of urgent clinical entities, based on the literature. PMID: 20523283 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 31 May 2010 23:00:00 +010
       
  • The surgical and endovascular management of deep venous thrombosis of the
           lower extremity.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Giovannacci L, Cefali P, Rosso R, Van Den Berg JC This paper will discuss the clinical sequelae of deep venous thrombosis of the lower extremity and will deal briefly with conservative therapy. The (endo)vascular modalities that are currently used will be described more in detail, and includes systemic thrombolysis, surgical thrombectomy, catheter directed thrombolysis and other catheter based therapies like ultrasound assisted thrombolysis, pharmacomechanical thrombolysis and percutaneous mechanical thrombectomy. Results, advantages and disadvantages of each technique will be dealt with. PMID: 20523284 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 31 May 2010 23:00:00 +010
       
  • The role of vena cava filters in the management of venous thromboembolism.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Pons M, Riglietti A, Van Den Berg JC This paper will deal with the role of vena cava filters in the management of venous thromboembolism. The role of medical therapy, indications and contraindications for the placement of caval filters will be discussed. An overview of the currently available filters will be given, and technical aspects, as well as complications related to the procedure will be discussed. Finally the management of patients with a filter in situ and indications for caval filter removal shall be dealt with. PMID: 20523285 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 31 May 2010 23:00:00 +010
       
  • First ItAlian RegistRy for Open and EndOvascular Management of RAAA
           (FARO).
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Setacci C, Sirignano P, Setacci F, Cannizzaro A, Chisci E, De Donato G, Palasciano G, Cappelli A PMID: 20523286 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 31 May 2010 23:00:00 +010
       
  • Early control of distal internal carotid artery during carotid
           endarterectomy: does it reduce cerebral microemboli'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: In this prospective, randomised trial early control of the distal internal carotid artery did not reduce the occurrence of MES during dissection of the carotid bifurcation. Also, the total number of MES throughout the procedure and postoperatively was comparable between both groups. The procedure related times as well as the clinical outcome did not differ significantly. Thus, early control of the distal internal carotid artery has got no advantage but also no disadvantage as compared to the traditional CEA technique. However, a limitation of the study is the small number of patients included. PMID: 20523287 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 31 May 2010 23:00:00 +010
       
  • Hybrid treatment of aortic arch aneurysms.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Hybrid approaches to the treatment of complex aortic lesions involving the arch can be successfully used. However, perioperative complications remain still not irrelevant and long-term efficacy has to be proved. PMID: 20523288 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 31 May 2010 23:00:00 +010
       
  • Fenestrated stent-grafting after previous endovascular abdominal aortic
           aneurysm repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Fenestrated endovascular stent-grafts can be used to repair juxta- and pararenal AAA after previous EVAR. However, several technical challenges have to be overcome due to the presence of a previous stent-graft. PMID: 20523289 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 31 May 2010 23:00:00 +010
       
  • A comparison of the Doppler-derived maximal systolic acceleration versus
           the ankle-brachial pressure index or detecting and quantifying peripheral
           arterial occlusive disease in diabetic patients.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: DUS-derived ACCmax is an accurate marker that could offer significant benefits for the diagnosis of PAOD, especially in diabetic patients. PMID: 20523290 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 31 May 2010 23:00:00 +010
       
  • Ultrasonographic and DSCT scan analysis of single lima versus arterial T
           grafts 12 years after surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Ultrasonography cannot distinguish between string sign and patent single LIMA or T-grafts nor demonstrate distal anastomosis patency in T-grafts 12 years after surgery. PMID: 20523291 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 31 May 2010 23:00:00 +010
       
  • Cardiac valve surgery and myocardial damage: the role of cardiac troponin
           I.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The absence of cardiac events and the association of valve surgery with higher early release of cTnI compared to CABG suggest that the type of surgery strongly affects the induction of myocardial damage. PMID: 20523292 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 31 May 2010 23:00:00 +010
       
  • Minimally invasive versus conventional aortic valve replacement: a 10-year
           experience.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: MIAVR is a safe and effective procedure resulting in significant reduction of allogeneic blood transfusions and a shorter length of hospital stay. PMID: 20523293 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 31 May 2010 23:00:00 +010
       
  • Does hypothermic circulatory arrest or prolonged cardiopulmonary bypass
           time affect early outcome in reoperative aortic surgery'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The use of DHCA or prolonged CPB time do not affect early outcome in reoperations of the thoracic aorta. PMID: 20523294 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 31 May 2010 23:00:00 +010
       
  • Digital air leak monitoring after lobectomy for primary lung cancer in
           patients with moderate COPD: can a fast-tracking algorithm reduce
           postoperative costs and complications'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The digital and continuous air leak measurement reduces the hospital length of stay by a more accurate and reproductive air leaks measurement. Further studies are mandatory to corroborate our preliminary results. PMID: 20523295 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 31 May 2010 23:00:00 +010
       
  • Optimal pulmonary artery perfusion mode and perfusion pressure during
           cardiopulmonary bypass.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The perfusion pressure is an important factor that determines the extent of lung protection, and the use of pressures below 30 mmHg is optimal, with the safest and most effective range being 15-20 mmHg. PMID: 20523296 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 31 May 2010 23:00:00 +010
       
  • Improved patency and reduced intimal hyperplasia in PTFE grafts with
           luminal immobilized heparin compared with standard PTFE grafts at six
           months in a sheep model.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: PTFE grafts with luminal coating containing immobilized heparin had significantly better patency and recruited less intimal hyperplasia than standard PTFE grafts at six months. PMID: 20523297 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 31 May 2010 23:00:00 +010
       
  • Human or animal homograft: could they have a future as a biological
           scaffold for engineered heart valves'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Dainese L, Biglioli P Tissue-engineered heart valves (TEHVs) promise to be the ideal heart valve replacement: they have the potential to grow and repair within the host, to minimise inflammatory and immunological responses and to limit thromboembolism. Viable cells included in TEHVs can theoretically adapt to a growing and changing environment exactly as a native biological structure. This could be extremely important in case of paediatric applications, where reoperations are frequently required to replace failed valve substitutes or to accommodate the growth of the patient. At present time the biological matrix from allogenic or xenogenic decellularized valves represents an appropriate valve scaffold in TEHVs, showing theoretically an ability to grow and repair within the hos...
      PubDate: Mon, 31 May 2010 23:00:00 +010
       
  • Paraganglioma of the hypoglossal nerve. A really rare location suggesting
           embryonic origin.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Santovito D, Varetto G, Conforti M, Tallia C, Rispoli P PMID: 20508585 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 26 May 2010 23:00:00 +010
       
  • Thoraco-abdominal aortic aneurysm branched repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Verhoeven EL, Tielliu IF, Ferreira M, Zipfel B, Adam DJ Open thoraco-abdominal aortic aneurysm repair is a demanding procedure with high impact on the patient and the operating team. Results from expert centres show mortality rates between 3-21%, with extensive morbidity including renal failure and paraplegia. Endovascular repair of abdominal aortic aneurysms initially required an undilated portion of the aorta below the renal arteries to safely fixate the stent-graft. More complex abdominal artic aneurysms (i.e., short-necked, juxta- and suprarenal aneurysms) were later successfully treated with fenestrated grafts. The development of branched grafts opened the way to treat thoraco-abdominal aneurysms endovascularly. In this review, a comprehensive overview of technical aspect...
      PubDate: Wed, 31 Mar 2010 23:00:00 +010
       
  • Comparison of CE approved TEVAR devices.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Gawenda M, Brunkwall J The indications for endovascular therapy of thoracic aortic pathologies are expanding. The complexity of cases is increasing. The individual anatomy and pathology of the thoracic aorta alone and in combination create specific difficulties in stent graft delivery, deployment, and fixation. Graft design has evolved, and several new iterations of stent grafts have been introduced into clinical practice. The assessment of these new grafts is difficult, due to the changing indications for their use and a lack of large-scale clinical trials. Currently, a number of thoracic stent graft devices are available in Europe. Variable amounts of clinical data are available to support their use. PMID: 20354485 [PubMed - in process] (Source: The Journal of Cardiovasc...
      PubDate: Wed, 31 Mar 2010 23:00:00 +010
       
  • Endovascular thoracic aortic repair and risk of spinal cord ischemia: the
           role of previous or concomitant treatment for aortic aneurysm.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Setacci F, Sirignano P, De Donato G, Chisci E, Galzerano G, Massaroni R, Setacci C Spinal cord ischemia (SCI) is one of the most devastating complications undergoing surgical or endovascular repair of the thoracic aorta. The incidence of SCI after thoracic aorta open repair varies from 2% to 21%, depending on the extent of the descending thoracic aorta replacement 1-5 compared with as high as 12% of cases after endovascular aortic repair.6-13 Endoluminal repair allows the avoidance of aortic cross clamping and its sequelae;9 however, the intercostal arteries covered by the stent graft cannot be reimplanted. Perioperative risk factors contributing to SCI have been reported to include length of aortic coverage,8, 14-16 prior abdominal aortic aneurysm (AAA) repair,10, 17, 18 hypo...
      PubDate: Wed, 31 Mar 2010 23:00:00 +010
       
  • TEVAR and covering the celiac artery. Is it safe or not'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Falkenberg M, Lönn L, Schroeder T, Delle M Thoracic endovascular aortic repair (TEVAR) is the treatment of choice for descending thoracic aortic aneurysms (TAA). However, not all patients with TAA can be treated with the endovascular technique. Insufficient proximal and/or distal sealing zone is the most common reason for open surgery in these patients. If the distal sealing zone above the celiac axis is too short, several endovascular alternatives are possible; hybrid procedures with TEVAR and open by-pass to the celiac artery, custom made stent-grafts with scallop or fenestration for the celiac artery, or intentional coverage of the celiac artery. In the latter case, adequate collateral supply to the upper gastrointestinal tract is crucial. Collateral arteries joining t...
      PubDate: Wed, 31 Mar 2010 23:00:00 +010
       
  • Percutaneous interventions below the knee in patients with critical limb
           ischemia using drug eluting stents.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Drug-eluting stent (DES) angioplasty in infrapopliteal arteries is a safe and effective technique for the treatment of patients with CLI. The use of a DES results in favorable technical and clinical outcome in the midterm follow-up. PMID: 20354488 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 31 Mar 2010 23:00:00 +010
       
  • The use of the cryoplasty technique in the treatment of infrapopliteal
           lesions for Critical Limb Ischemia patients in a routine hospital setting:
           one-year outcome of the Cryoplasty CLIMB Registry.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The cryoplasty technique is effective for the treatment of infrapopliteal lesions in CLI patients. The results seem to be within the range of those of conventional PTA. Especially for shorter lesion (<50.0 mm), the wide-spread use of cryoplasty is not recommended. For lesions with a minimal length of 50.0 mm, the results are encouraging. PMID: 20354489 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 31 Mar 2010 23:00:00 +010
       
  • Drug eluting stents versus PTA with GP IIb/IIIa blockade below the knee in
           patients with current ulcers. The BELOW Study.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Tepe G, Schmehl J, Heller S, Brechtel K, Heuschmid M, Fenchel M, Kramer U, Miller S, Claussen CD The study was designed as a feasibility trial to evaluate the use of GP IIb/IIIa blockade in connection with drug eluting stents, bare stents and PTA only. Sixty patients with current ulcers were randomly assigned to receive abciximab plus a Sirolimus coated stent (N.=14), abciximab plus a bare stent (N.=16), abciximab plus PTA (N.=14) and PTA alone (N.=19). Angiographic control was performed at two and six months. Recanalization was successful in all cases. Two month restenosis rate was 9%, 45.5%, 67% and 46%. At six month follow-up restenosis rate was 9%, 67%, 75% and 58%, respectively; 14% of all patients had major amputations within six months. Adjunctive administration of abci...
      PubDate: Wed, 31 Mar 2010 23:00:00 +010
       
  • Developments in subintimal angioplasty in the infrainguinal segment.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This article aims to review the indications of SIA, variations and developments in the technique, outcomes and factors affecting patency, and complications associated with the procedure. PMID: 20354491 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 31 Mar 2010 23:00:00 +010
       
  • Ischemic foot: definition, etiology and angiosome concept.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Setacci C, De Donato G, Setacci F, Chisci E Ischemic foot is a condition of decreased arterial perfusion. It has several etiologies, atherosclerotic peripheral arterial disease, including that secondary to diabetes mellitus, being the most common. Other potential causes of ischemic foot are acute embolism from cardiac, arterial or paradoxical sources, and thrombosis secondary to arterial blood clots due to procoagulative states (e.g. vasculitis and hematologic disorders), arterial spasms or injury resulting from drug use or from external or iatrogenic trauma. Prompt diagnosis and revascularization of the affected limb play a crucial role in the treatment of ischemic foot. The angiosome principle, defined by Ian Taylor's landmark anatomic study in 1987, divides the body into th...
      PubDate: Wed, 31 Mar 2010 23:00:00 +010
       
  • Update on the TURBO BOOSTER spectranetics laser for lower extremity
           occlusive disease.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Micari A, Vadalà G, Biamino G In the last two decades the endovascular treatment of peripheral arterial occlusive disease (PAOD) has gained a widespread and predominant role. New technologies have developped in the last years as atherectomy devices, self expandible nitinol stents, drug eluting devices (stent and balloons), absorbable stents. In recent years, growing interest has been dedicated to laser technology due to device improvements and literature data reporting safety and efficacy of excimer laser. The role of this new endovascular technique for the treatment of atherosclerotic arterial deseases should be considered with regard to two fields of interest: the claudicatio intermittens (CI) and the critical limb ischemia (CLI). A 20-year history with medical lasers h...
      PubDate: Wed, 31 Mar 2010 23:00:00 +010
       
  • Association of plaque echostructure and cardiovascular risk factors with
           symptomatic carotid artery disease.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Besides the severity of carotid stenosis, the presence of an echolucent plaque appears as an important factor associated with symptomatic ICA disease. Also young patients are more likely to have an echolucent plaque suggesting an age-related association with plaque maturation. PMID: 20354494 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 31 Mar 2010 23:00:00 +010
       
  • Validation of the Simulator for Testing and Rating Endovascular SkillS
           (STRESS)-machine in a setting of competence testing.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: We demonstrated that it is possible to determine an optimal cut-off value for competence testing with the STRESS machine. PMID: 20354495 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 31 Mar 2010 23:00:00 +010
       
  • Application of low-volume zero-balanced ultrafiltration and its effect on
           blood propofol concentration: a randomized controlled trial.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Low-volume zero-balanced ultrafiltration performed during cardiopulmonary bypass surgery significantly decreased post-bypass levels of the cytokines, TNF-a, IL-6, IL-10, and postoperative cardiac troponin I. Blood propofol concentration was also decreased; however, the depth of anesthesia was not affected significantly. PMID: 20354496 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 31 Mar 2010 23:00:00 +010
       
  • Clinical relevance of eNOS T-786C polymorphism for hospital mortality and
           morbidity in cardiac surgical patients.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The present study demonstrates that this polymorphism contributes to a higher prevalence of postoperative mortality after emergency cardiac surgery. Thus, the eNOS T-786C polymorphism could serve as a possibility to differentiate high risk subgroups in heterogeneous population of individuals with cardiac diseases who need cardiac surgery with CPB. PMID: 20354497 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 31 Mar 2010 23:00:00 +010
       
  • Deep pericardial sling versus lateral pericardial sutures in off-pump
           coronary artery bypass surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: LPS technique is as effective as DPS technique and allows complete revascularization with a postoperative outcome similar to the latter technique. PMID: 20354498 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 31 Mar 2010 23:00:00 +010
       
  • The effects of load on systolic mitral annulus movements by tissue Doppler
           imaging in cardiac surgery patients.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION:Only SIVA seems to be an independent index of cardiac functionality in cardiac surgery patients and appears to be an optimum index in the clinical evaluation of these patients. PMID: 20354499 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 31 Mar 2010 23:00:00 +010
       
  • L-arginine supplemented nondiluted blood cardioplegia: a clinical trial.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Nondiluted blood cardioplegic solution supplemented with 4 mmol/L of L-arginine was associated with a significant decrease of myocardial lactate release after aortic cross-clamping and reperfusion during CABG surgery. PMID: 20354500 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 31 Mar 2010 23:00:00 +010
       
  • Complications of endovascular aortic repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : May J PMID: 20081757 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 01 Jan 2010 00:00:00 +010
       
  • Epidemiology and diagnosis of endograft infection.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Hobbs SD, Kumar S, Gilling-Smith GL Endograft infection is reported to occur in between 0.2 and 0.7 of patients and in general presents either within four months of endograft implantation of after more than 12 months. Review of all cases reported to date reveals three modes of presentation: approximately one third of patients present with evidence of an aorto-enteric fistula (although less than half of these present with gastrointestinal haemorrhage), one third present with non specific signs of low grade sepsis (malaise, weight loss) and the remainder with evidence of severe systemic sepsis. Infection is most commonly attributed to Staphylococcus aureus. Diagnosis relies on a high index of suspicion, imaging of the aorta and periaortic tissues (computed tomography or magnetic...
      PubDate: Fri, 01 Jan 2010 00:00:00 +010
       
  • Management of thoracic endograft infection.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Chiesa R, Tshomba Y, Kahlberg A, Marone EM, Civilini E, Coppi G, Psacharopulo D, Melissano G Thoracic endovascular aortic repair (TEVAR) has emerged as a promising, less invasive alternative to conventional open surgery for the treatment of thoracic aortic pathology. Most surveillance after TEVAR concentrates on the technical aspects of the procedure, including endoleak, device migration and endograft rupture; so far, the knowledge on endograft infectious complications is limited to anecdotal reports. Several etiopathogenetic factors may play a role in thoracic endograft infections (TEIs), including perioperative contamination, hematogenous seeding, and local bacterial translocation. Moreover, fistulization with the esophagus or the bronchial tree is a common mechanism of seco...
      PubDate: Fri, 01 Jan 2010 00:00:00 +010
       
  • Management of abdominal endograft infection.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Setacci C, De Donato G, Setacci F, Chisci E, Perulli A, Galzerano G, Siringano P Incidence, clinical presentation and management of aortic grafts infection after open surgical repair are well described in the literature. Infective complications involving endografts after endovascular aneurysm repair (EVAR) have been scarcely investigated, since more attention has been given to the technical aspects of the procedure, including endoleaks, device migration, neck dilatation, endotension and aneurysm rupture. Nevertheless, that is a rare but severe complication occurring after EVAR; potentially difficult to diagnose and treat. Since 1991 only 102 cases of abdominal endograft infections have been reported in the literature. Treatment of infected abdominal endografts is controversial...
      PubDate: Fri, 01 Jan 2010 00:00:00 +010
       
  • Access complications during endovascular aortic repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This article will discuss a multitude of access related complications and their treatment. Preoperative imaging is paramount to the success of endovascular procedures. Intraoperative adjuncts, such as iliac artery angioplasty/stenting, the "pull-down" technique, and aorto mono iliac/femoral systems will be discussed. Occasionally, challenging iliac or femoral anatomy may preclude access through these vessels and the endovascular specialist may need to gain direct access through the aorta or via the carotid artery. In addition, the advantages and disadvantages of an entirely percutaneous technique will be discussed. Finally, peri-operative complications such as rupture, dissection, pseudoaneurysm and infection will be discussed and various treatment modalities reviewed. As stent graft techn...
      PubDate: Fri, 01 Jan 2010 00:00:00 +010
       
  • Endoleak after endovascular aortic repair: classification, diagnosis and
           management following endovascular thoracic and abdominal aortic repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Cao P, De Rango P, Verzini F, Parlani G Endoleak is a common and unique complication of endovascular aortic repair (EVAR) and its persistence represents a failure of the endovascular treatment. Accurate detection and classification is essential for the proper management since the method of endoleak treatment is determined by the different source. In general, high-pressure leaks (type I and type III) require urgent management because of the relatively high short-term risk of sac rupture. Although precise differentiation between type I and type III endoleaks may not be possible at cross- sectional imaging, differentiation is often unnecessary because both lesions are considered high-risk and require angiographic evaluation and subsequent treatment. Low-pressure lesions (types II...
      PubDate: Fri, 01 Jan 2010 00:00:00 +010
       
  • Spinal and visceral ischemia after endovascular aortic repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This article will review our current understanding of the incidence, pathophysiology, preventive and treatment options for spinal cord and visceral ischemia associated with endograft surgery of the aorta. PMID: 20081763 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 01 Jan 2010 00:00:00 +010
       
  • Retrograde type A aortic dissections after endovascular stent-graft
           placement for type B dissection.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Bellos JK, Petrosyan A, Abdulamit T, Trastour JC, Bergeron P Thoracic endovascular aortic repair (TEVAR) has emerged as promising and a less invasive alternative to open surgery for high risk patients (HRP) with type B thoracic aortic dissection (TAD). One of the most serious complication of TEVAR is the retrograde type A TAD (rATAD). This review will focus on an interesting rATAD case and will review the literature, regarding the true incidence, mortality, causes, diagnosis, complications and management of rATAD. Until the development of a specific device for TAD, efforts must be made for better patient and device selection, careful and precise instrumentation, and life-long surveillance to minimize this lethal complication. PMID: 20081764 [PubMed - in process] (Source: T...
      PubDate: Fri, 01 Jan 2010 00:00:00 +010
       
  • Estimating risk associated with radiation exposure during follow-up after
           endovascular aortic repair (EVAR).
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : White HA, Macdonald S Late rupture incidence following endovascular repair (EVAR) of abdominal aortic aneurysm does not appear to decrease with time, mandating life-long surveillance. Popular regimes based on computed tomography (CT) originated in early registry and randomised trial protocols and are not evidence-based. We evaluated the radiation burden (and implications) associated with "conventional" CT surveillance and explored alternative surveillance paradigms. An EVAR program comprising planning CT, EVAR and surveillance CT at 1, 3, 6 and 12 months and yearly thereafter, equates to a total effective radiation dose of around 145-205 mSv over five years. A 70-year-old exposed to 145 mSv has a lifetime attributable cancer risk of 0.42% (i.e., odds of 1 in 240). Similarly, f...
      PubDate: Fri, 01 Jan 2010 00:00:00 +010
       
  • Incidence and management of complications after branched and fenestrated
           endografting.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Resch T, Sonesson B, Malina M Endovascular treatment of complex aortic aneurysms with fenestrated and branched stentgrafts is in rapid development. Early and midterm results from centers of excellence are very promising but the technique is still in its infancy. With the introduction of EVAR for complex aneurysms a new set of failure modes have also been introduced. These relate both to the specific deployment techniques of the devices and to their intrinsic design characteristics. Procedural planning is of utmost importance for success. Failure to accomplish this may result in disastrous and uncorrectable perioperative failure. The endograft must be correctly tailored to the patient with regards to branch and fenestration positioning and design. Migration of stent-graft compo...
      PubDate: Fri, 01 Jan 2010 00:00:00 +010
       
  • Are drug-eluting stents the future of SFA treatment'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Bosiers M, Deloose K, Keirse K, Verbist J, Peeters P Drug-eluting stent (DES) technology was developed to prevent early thrombosis and late luminal loss to potentially improve long-term patency rates. Although favorable DES results have recently become available with the Zilver(R) PTX and STRIDES studies, the high price of DES is a major drawback for this technology to become the golden standard for peripheral endovascular therapy in de novo femoro-popliteal (FP) lesions. Nevertheless, DES has the potential to make the difference and to establish itself as an important treatment option in patients presenting with TASC C&D FP lesions who are at high-risk for surgery and for the treatment of in-stent restenosis, where until now, no valuable treatment option has proven to be ...
      PubDate: Fri, 01 Jan 2010 00:00:00 +010
       
  • Are bio-absorbable stents the future of SFA treatment'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Peeters P, Keirse K, Verbist J, Deloose K, Bosiers M Several limitations inherent to the implantation of a metallic device, such as the occurrence of in-stent re-stenosis, in an arterial lumen intiutively explain the interest for developing bio-absorbable stents. Two main types of bio-absorbable stents currently exist: polymer stents and metallic stents. To date, no studies with bio-absorbable stents have been conducted in the superficial femoral artery (SFA). Because of their strut thickness and lack of radial force, polymer stents are no good candidates for endovascular use. Absorbable metal stents (AMS) do have the potential to perform well for artery treatment, although current evidence from in-human coronary and infrapopliteal studies yield unsatisfactory results. Drastic...
      PubDate: Fri, 01 Jan 2010 00:00:00 +010
       
  • Advances on drug-coated balloons.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This article reviews the rationale for the use of paclitaxel-coated balloons, data from preclinical and clinical studies, and the perspective of drug-coated balloons in peripheral arterial disease. PMID: 20081769 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 01 Jan 2010 00:00:00 +010
       
  • Carotid artery stenting: still alive'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Van Den Berg JC PMID: 19935601 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 27 Nov 2009 21:26:49 +010
       
  • Invasive and non-invasive modalities of imaging carotid stenosis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This article will not cover imaging of carotid atheroma morphology, function and other emerging imaging modalities of assessing plaque risk, which look beyond simple luminal measurements. PMID: 19935602 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 27 Nov 2009 21:26:47 +010
       
  • Use of intravascular ultrasound as a "Quality Control" technique
           during carotid stent-angioplasty: are there risks to its use'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Use of intravascular ultrasound as a "Quality Control" technique during carotid stent-angioplasty: are there risks to its use' J Cardiovasc Surg (Torino). 2009 Dec;50(6):727-33
      Authors : Bandyk DF, Armstrong PA Intravascular ultrasound (IVUS) provides high-resolution vessel imaging and has been shown to improve clinical outcomes when used to assess the technical result of peripheral angioplasty procedures. Our vascular group compared anatomic and clinical outcomes of carotid artery stent-angioplasty (CAS) performed with angiogram monitoring alone, or in combination with IVUS imaging to select stent/balloon diameter and interrogate stent deployment region for residual stenosis. A retrospective review of our carotid stent registry (N=306) identified 220 CAS procedures performed wi...
      PubDate: Fri, 27 Nov 2009 21:26:44 +010
       
  • Can IVUS-virtual histology improve outcomes of percutaneous carotid
           treatment'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Inglese L, Fantoni C, Sardana V Several previous studies focusing on comparison between outcomes of carotid artery stenting (CAS) and carotid endoarterectomy (CEA) have put forward conflicting results about the non-inferiority of CAS compared to CEA. Likely outcomes after CAS have been greatly limited by incomplete knowledge of atherosclerotic carotid pathology and probably inappropriate patient selection criteria. In the current practice, only the degree of lumen obstruction is indication to an invasive treatment (CEA or CAS) in symptomatic or asymptomatic patients, but it has been recently demonstrated that histology of carotid plaques also plays a major role. Indeed, plaque morphology and composition seem to influence more importantly outcomes of CAS than those of CEA. Angi...
      PubDate: Fri, 27 Nov 2009 21:26:42 +010
       
  • Transcervical carotid artery stenting with flow reversal eliminates emboli
           during stenting: why does it work and what are the advantages with this
           approach.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Flores A, Doblas M, Criado E Carotid artery stenting (CAS) remains under scrutiny because of the controversial results of major trials that compared it with carotid endarterectomy. However, the question of how the results of carotid stenting are influenced by the access technique and cerebral protection methods has not been properly addressed in any trial. Most unresolved technical weaknesses of transfemoral carotid stenting are related to instrumentation of the arch and proximal supra-aortic trunks, crossing of the carotid lesion without protection, and use of distal filter protection devices of unproven benefit. All these problems can be avoided by using a transcervical approach with carotid flow reversal for protection. The potential advantage of transcervical carotid arter...
      PubDate: Fri, 27 Nov 2009 21:26:35 +010
       
  • Cerebral protection vs no cerebral protection: timing of stroke with CAS.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We present a review of mono- or oligocentre studies with greater collectives, one review study and multi centre studies SPACE I, EVA-3S and preliminary data from the ICSS-trial, in which subgroups of patients were treated with or without protection devices. Despite the results of several retrospective studies mostly with historic comparator cohorts rather than concurrent the results of the most recent multi centre prospective randomized trials seem to show a benefit for unprotected stenting. The complication rates for protected vs. unprotected groups in SPACE I showed 8.3% vs. 6.5% and the pooled data from SPACE I and EVA-3S 8.1% vs. 7.3%. A subgroup analysis of SPACE I aiming at the impact of the stent design on peri-interventional complication rate shows that the pOE rate was significant...
      PubDate: Fri, 27 Nov 2009 21:26:33 +010
       
  • Urgent CAS for patients in high neurologic risk.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Avgerinos ED, Brountzos EN, Ptohis N, Giannakopoulos T, Papapetrou A, Liapis CD Patients with residual carotid stenosis discovered following an acute ischemic insult represent a new subset of patients eligible for early carotid intervention that may decrease the risk of recurrent stroke by new emboli and improve cerebral blood flow. Short-term clinical outcomes of patients undergoing urgent CAS appear favorable, indicating that endovascular management may be a reasonable treatment option, particularly when combined with endovascular interventions for intracranial lesions. Data on indication and complication profiles are still limited. This review focuses on current knowledge, advantages and pitfalls of urgent and/or early (up to 2 weeks) carotid stenting in those presenting wi...
      PubDate: Fri, 27 Nov 2009 21:26:30 +010
       
  • CAS: which stent for which lesion.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Müller-Hülsbeck S, Preuß H, Elhöft H Current carotid stent designs and their attributes like scaffolding to reduce plaque prolapses and embolization, flexibility, adaptability and conformability to the vessel vary largely. Knowing that differences in behaviour due to stent design exist, especially due to the open cell design (which show high flexibility and therefore adaptability to the vessel but allows in theory easy particle penetration due to open structure) and closed cell designs (which show low flexibility and therefore low adaptability to the vessel but show high resistance to particle penetration due to closed cell design and high scaffolding), physicians have to be aware of these differences when planning carotid artery stenting procedures. The in...
      PubDate: Fri, 27 Nov 2009 21:26:28 +010
       
  • The importance of initiating "best medical therapy" and
           intervening as soon as possible in patients with symptomatic carotid
           artery disease: time for a radical rethink of practice.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: The importance of initiating "best medical therapy" and intervening as soon as possible in patients with symptomatic carotid artery disease: time for a radical rethink of practice. J Cardiovasc Surg (Torino). 2009 Dec;50(6):773-82
      Authors : Naylor AR Most Health Services are not capable of offering expedited investigation and treatment to the majority of patients presenting with transient ischaemic attack (TIA) or minor stroke. The reasons for this are multifactorial. However, there is now compelling evidence that the risk of stroke after TIA/minor stroke is significantly higher than was previously thought, with one recent study suggesting the stroke risk might be as high as 17% at 72 hours in patients with a clinically significant carotid stenosis. There is also good evidence t...
      PubDate: Fri, 27 Nov 2009 21:26:25 +010
       
  • Percutaneous cervical approach and closing for carotid artery stenting.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Markatis F, Petrosyan A, Abdulamit T, Trastour JC, Berge-Ron P The standard route for carotid artery stenting (CAS) is the femoral one, leaving the brachial access as a secondary option. Various anatomic specifications, or occlusions of the routing arteries, make carotid stenting impossible. Percutaneous cervical puncture of the common carotid artery, is a method which can solve access problems. We are presenting the experience from 191 CAS procedures through cervical puncturing and closure of the puncture site in order to prove its safety and efficacy. PMID: 19935610 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 27 Nov 2009 21:26:23 +010
       
  • Advancements in the Mo.Ma system procedure during carotid artery stenting.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: The new variations of the standard Mo.Ma technique seem rational in the improvement of the safety and efficacy of CAS using an EPD, in reducing the incidence of clamping intolerance and asystolia, immediate mortality and neurological complications. This series indicates a positive trend for this revised technique, but a multicentre registry is required to validate these promising results. PMID: 19935611 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 27 Nov 2009 21:26:20 +010
       
  • Emergency coronary artery bypass surgery after failed percutaneous
           coronary intervention.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Emergency coronary artery bypass grafting among patients with PCI complications and those patients not related to PCI is associated with high mortality and morbidity. Although, the percentage of mortality and morbidity was more among PCI patients the difference between both groups was not significant. Surgical backup and collaboration between cardiologist and surgeons is needed to reduce delay in management and patients transfer to obtain the best surgical outcome. PMID: 19935612 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 27 Nov 2009 21:26:18 +010
       
  • Biventricular pacing concomitant to on-pump heart surgery: a case series.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Epicardial lead placement during cardiac surgery of severe HF patients is safe and effective. A clear evaluation of the effect of BEP alone is precluded because of the interference of the concomitant indications for cardiac surgery and the absence of randomization. The high rate of sudden death noticed in this study raises the important question of whether implantation of a defibrillator would be warranted in such population. PMID: 19935613 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 27 Nov 2009 21:26:15 +010
       
  • Typical and atypical carcinoid tumours: 20-year experience with 89
           patients.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Anatomical resection, including formal lobectomy (or pneumonectomy when indicated) and radical mediastinal lymphadenectomy, should be performed in carcinoid tumours. PMID: 19935614 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 27 Nov 2009 21:26:13 +010
       
  • Reduction of postoperative hypothermia with a new warming device: a
           prospective randomized study in off-pump coronary artery surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Calcaterra D, Ricci M, Lombardi P, Katariya K, Panos A, Salerno TA Hypothermia has been used for decades in cardiac surgery to limit the ischemic insult to the heart. With the diffusion of off-pump coronary artery surgery, the practice of arresting and cooling the heart has been abandoned. At University of Miami Miller School of Medicine, we tested a new warming device by performing a prospective study in which 50 patients were randomized to either the use of the Kimberly-Clark warming system or to standard methods of control of body temperature. The two groups were compared in terms of core body temperature (CBT), intra- and postoperative blood loss, blood products transfusions, extubation time, intensive care unit (ICU) and hospital length of stay and incidence of infections...
      PubDate: Fri, 27 Nov 2009 21:26:10 +010
       
  • Effectiveness of a temporary bypass in high-risk abdominal aortic aneurysm
           surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Ohtake H, Kimura K, Kato H, Yamaguchi S, Tomita S, Watanabe G PMID: 19935616 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 27 Nov 2009 21:26:08 +010
       
  • Conservative management of left atrial thrombus after CABG in a patient
           with normal mitral valve.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Darwazah AK PMID: 19935617 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 27 Nov 2009 21:26:05 +010
       
  • The management of ruptured abdominal aortic aneurysms.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Veith FJ PMID: 19741571 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 13 Sep 2009 00:32:35 +010
       
  • Stent-graft use in urgent and emergent AAA management.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Trani JL, Farber MA The use of stent grafts in the treatment of ruptured aortic aneurysm, abdominal (AAA) may reduce mortality associated with this process through its dramatic alteration of the surgical technique employed. Advantages of endovascular repair include the ability to perform the procedure under local anesthesia, decreased physiologic stress of avoiding a laparotomy and avoiding collateral damage during open repair. Criticisms of this technique include additional preoperative time spent obtaining appropriate imaging, the necessity for specialized products and personnel required to perform the procedure, and late complications such as abdominal compartment syndrome. Current data regarding a survival advantage appear favorable but flawed, highlighting the need for pr...
      PubDate: Sun, 13 Sep 2009 00:32:32 +010
       
  • Mortality of ruptured abdominal aortic aneurysm with selective use of
           endovascular repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Verhoeven EL, Kapma MR, Bos WT, Vourliotakis G, Bracale UM, Bekkema F, Vahl AC, Van Den Dungen JJ The aim of this review was to examine the results over a seven-year period of treatment for ruptured abdominal aortic aneurysm (RAAA). From 2002 on, our tertiary referral centre offered both open and endovascular (EVAR) treatment modalities for RAAA. All patients with a proven RAAA who were admitted into our hospital were included. Primary outcome measure was surgical mortality. In total 261 patients were admitted with suspicion of acute AAA. Of these, 175 (67%) had a RAAA, confirmed by computed tomography-scanning or at laparotomy. One hundred and fifty-nine patients (90.9%) were treated, 114 by open repair and 45 by EVAR. Overall mortality of patients treated was 25.2%, with an ...
      PubDate: Sun, 13 Sep 2009 00:32:30 +010
       
  • Choice of treatment for the patient with urgent AAA: practical tips.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Mayer D, Rancic Z, Pfammatter T, Veith FJ, Lachat M Since the first successful attempts of emergency endovascular aneurysm repair (eEVAR) for patients with ruptured AAAs in the mid 1990s, surgeons have had to decide whether to treat patients by conventional open surgery or by minimally invasive but technically more demanding eEVAR. To date, selection of patients for eEVAR is still heavily debated and factors like hemodynamic instability, fear of treatment delay for patient transfer or imaging procedures and logistic issues often lead to the exclusion of anatomically suitable patients from eEVAR. However, these adverse factors may be overcome by adherence to an appropriate (intention-to-treat) protocol employing the use of a hypotensive hemostatic approach, transfemoral aortic ...
      PubDate: Sun, 13 Sep 2009 00:32:27 +010
       
  • The influence of statins on the expansion rate and rupture risk of
           abdominal aortic aneurysms.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Van Kuijk JP, Flu WJ, Witteveen OP, Voute M, Bax JJ, Poldermans D Abdominal aortic aneurysms (AAA) have a prevalence between 1.3-8.9% in men and 1.0-2.2% in women aged above 55 years. Furthermore, AAA cause 1-3% of all deaths among men aged 65-85 years in developed countries. As the disorder is invariably associated with severe atherosclerotic damage of the arterial wall, it has traditionally been regarded as a direct consequence of generalized atherosclerotic disease. In patients with occlusive aortic disease, dyslipidemia is a well established risk factor. However, in patients with aneursymatic aortic disease, the association between dyslipidemia and the development of AAA is less clear. Large clinical trials in patients with cardiac and peripheral arterial disease have show...
      PubDate: Sun, 13 Sep 2009 00:32:25 +010
       
  • Endovascular treatment for ruptured abdominal aortic aneurysm. Review of
           literature.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Palombo D, Lucertini G, Pane B, Spinella G Endovascular repair (EVAR) has produced increasing interest in the treatment of ruptured abdominal aortic aneurysms (rAAAs). Experiences to support EVAR as first approach for patients with rAAA is drawn from three sources: results of single-centre series, systematic reviews, and population-based studies. In order to validate EVAR, this technique was compared to open repair (OR), considered as the conventional treatment. These studies are heterogeneous, and often failed to demonstrate any significant difference between EVAR and OR. More recently, some population-based studies from the USA suggested advantages of EVAR over OR with regard to 30-day mortality and morbidity. Some bias have influenced the reported RESULTS: Criteria for choi...
      PubDate: Sun, 13 Sep 2009 00:32:22 +010
       
  • EVAR for ruptured AAAs Do we need randomized controlled trials'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Nordon IM, Hinchliffe RJ, Holt PJ, Morgan R, Loftus IM, Thompson MM Endovascular abdominal aortic aneurysm (EVAR) repair has an established role in elective management of abdominal aortic aneurysms (AAA). The application of EVAR to ruptured AAAs (rAAA) is evolving and developing a strong evidence base in selected patients. Although EVAR has been utilized to manage rAAA for greater than ten years, to-date no randomized study has been completed to confirm superiority over traditional open surgical repair. Randomized controlled trials (RCTs) allow unbiased objective comparison of two techniques and are the most powerful scientific instrument available for clinical assessment; they form the corner-stone of surgical evidence-based practice. In light of current understanding, the ro...
      PubDate: Sun, 13 Sep 2009 00:32:19 +010
       
  • Below-the-knee revascularization. Advanced techniques.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Schwarzwälder U, Zeller T This review summarizes new developments in revascularization and advanced techniques to treat lesions below the knee (BTK). The primary goal of endovascular therapy is the re-establishment of pulsatile, straight-line flow to the foot. This treatment results in relieving ischemic pain, healing of (neuro)ischemic ulcers, preventing limb loss, improving quality of life and potentially prolong survival. Balloon angioplasty is the currently established therapy, bare-metal stents are reserved for failed percutaneous transluminal angioplasty (PTA). Novel devices such as laser, excisional and rotational atherectomy systems, drug eluting stents or drug coated balloons still lack data demonstrating improved efficacy compared to conventional balloon angiopl...
      PubDate: Sun, 13 Sep 2009 00:32:16 +010
       
  • New stents for SFA.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Minar E, Schillinger M Endovascular stent implantation was introduced to femoropopliteal procedures almost two decades ago. Initial results with balloon-expandable stainless steel stents and self expanding Elgiloy stents, however, were disappointing. In particular, recurrence rates after long-segment femoropopliteal stenting were rather high, in the range of 60% to 80% at 1 year. After years of stagnation, recent developments in femoropopliteal stent technology have been promising. Self-expanding nitinol stents have been evaluated in several prospective studies. Initial problems with stent fractures seem to be resolved using second-generation devices. The second generation of Nitinol stents have an enhanced flexibility particularly also in axial direction due to a reduction of...
      PubDate: Sun, 13 Sep 2009 00:32:13 +010
       
  • Chronic critical limb ischemia: European experiences.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Diehm N, Silvestro A, Baumgartner I, Do DD, Diehm C, Schmidli J, Dick F Chronic critical limb ischemia still poses a substantial threat to both limb and life of the affected patients since these patients suffer typically also from associated cardiac and cerebrovascular disease and other severe comorbidities. Due to improved secondary prevention strategies and dedicated technical innovation, however, clinical outcomes have improved in the recent years. Purpose of this article is to provide a balanced discussion of contemporary treatment concepts for patients with critical limb ischemia with a focus on arterial revascularization. PMID: 19741580 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 13 Sep 2009 00:32:11 +010
       
  • Effects of simvastatin on systemic inflammatory responses after
           cardiopulmonary bypass.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: In patients undergoing coronary artery bypass grafting with cardiopulmonary bypass, the administration of simvastatin doses not produce any changes in the inflammatory response as measured by the levels of IL-6, IL-8, TNF-alfa and SIRS score, nor does it reduce the complications after cardiac surgery. PMID: 19741581 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 13 Sep 2009 00:32:08 +010
       
  • Impact of the definition of renal dysfunction on EuroSCORE performance.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: The use of creatinine as a continuous variable or glomerular filtration rate as a categorical or continuous variable improves the predictive accuracy of the EuroSCORE model for hospital mortality. Given the increasing incidence of preoperative renal dysfunction and its impact on hospital mortality, future risk stratification models should include continuous creatinine or glomerular filtration rate rather than creatinine as a binary variable. PMID: 19741582 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 13 Sep 2009 00:32:05 +010
       
  • Unresolved issues of thoracic endografting.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Hollier LH PMID: 19734827 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 31 Jul 2009 23:00:00 +010
       
  • Endovascular aneurysm repair: state-of-art imaging techniques for
           preoperative planning and surveillance.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Truijers M, Resch T, Van Den Berg JC, Blankensteijn JD, Lönn L Endovascular aneurysm repair (EVAR) represents one of the greatest advances in vascular surgery over the past 50 years. In contrast to conventional aneurysm repair, EVAR requires accurate preoperative imaging and stringent postoperative surveillance. Duplex ultrasound (DUS), transesophageal echocardiography, intravascular ultrasound, computed tomography (CT) and magnetic resonance (MR), each provide useful information for patient selection, choice of endograft type and surveillance. Today most interventionists and surgeons will rely on CT or MR to assess aortic morphology, evaluate access artery patency and locate side branch orifices. However, recent developments in cross-sectional imaging, including advanced...
      PubDate: Fri, 31 Jul 2009 23:00:00 +010
       
  • Endovascular thoracoabdominal aortic aneurysm repair: a literature review
           of early and mid-term results.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : D'Elia P, Tyrrell M, Sobocinski J, Azzaoui R, Koussa M, Haulon S Successful endovascular repair of abdominal aortic aneurysms (AAA) requires undilated proximal (infrarenal neck) and distal landing zones (common or external iliac arteries). A range of approved endografts are available to exclude such aneurysms. Recent multicentric prospective randomized trials have demonstrated a short and midterm decrease in aneurysm-related deaths of the endovascular technique compared to open surgery. These results have induced an overall increase in the rate of endovascular repair of AAA. Patients with more complex aortic aneurysms, involving the visceral vessels (juxta, para and thoraco-abdominal aneurysms (TAAA), have increased perioperative morbidity and mortality after open repair compa...
      PubDate: Fri, 31 Jul 2009 23:00:00 +010
       
  • Endovascular repair of thoracoabdominal aneurysms: design options, device
           construct, patient selection and complications.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: In conclusion, endovascular TAAA repair is an evolving technique that is developing increasing consistency in device design and implantation technique. It is effective in eliminating aneurysm flow and in preserving visceral branch perfusion. These early outcomes are better than the results achieved with open TAAA repair in population-based studies and are at least equal to the results of open TAAA repair reported from centers of focused expertise. These results support expanding the indications for endovascular TAAA repair to include standard risk patients. PMID: 19734830 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 31 Jul 2009 23:00:00 +010
       
  • Hybrid approach for arch and thoracoabdominal pathologies.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Böckler D, Nassar J, Kotelis D, Geisbüsch P, Hyhlik-Dürr A, Von Tengg-Kobligk H, Weber TF, Schumacher H The endovascular era began about 20 years ago and subsequently revolutionized vascular surgery as a less invasive treatment option, especially for high risk patients. In the late 1990s, a new hybrid approach for arch and thoracoabdominal pathologies was developed. Debranching and rerouting supra-aortic and visceral aortic branches with extra-anatomic bypass grafting was performed in order to achieve sufficient landing zones demanding for subsequent stent grafting. The initial single-center results of small series up to 20 patients were encouraging with acceptable complication rates. Hybrid arch procedures are feasible but seem to carry risks. However, the late...
      PubDate: Fri, 31 Jul 2009 23:00:00 +010
       
  • The applicability of chimney grafts in the aortic arch.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Chimney grafts in the supra-aortic branches seem feasible and may facilitate urgent TEVAR in patients with an inadequate proximal neck. PMID: 19734832 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 31 Jul 2009 23:00:00 +010
       
  • Different types of thoracic endografts.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Cao P, Verzini F, De Rango P, Maritati G, De Pasquale F, Parlani G The emerging role of stent-graft strategies for the management of thoracic aortic diseases has attracted growing acceptance, especially in considering the sobering results of open repair in thoracic high-risk settings (e.g., acute dissection, trauma, rupture). Aortic endograft technology for thoracic diseases has rapidly improved after the early use of first generation devices, and the new models show very promising early and mid-term success rates. To date there is no evidence of the superiority of any single device model over the others. Indeed, each device has some peculiarities that makes it more useful in specific settings. Current limitations in thoracic stent-grafts will hopefully be addressed with new d...
      PubDate: Fri, 31 Jul 2009 23:00:00 +010
       
  • Hybrid surgical and endovascular therapy in multifocal peripheral TASC D
           lesions: up to three-year follow-up.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Hybrid surgical and endovascular therapy, such as aortoiliac and/or superficial femoral artery stenting as an adjunct to common femoral artery endarterectomy, can provide a less invasive yet effective and durable option to patients with multifocal peripheral artery disease. PMID: 19734834 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 31 Jul 2009 23:00:00 +010
       
  • Imaging of the endoleak after endovascular aneurysm repair procedure by
           using multidetector computer tomography angiography.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Saba L, Montisci R, Sanfilippo R, Mallarini G Abdominal aortic aneurysms (AAA) are an important cause of death in elderly men. Most used treatment options are endovascular aneurysm repair (EVAR) and open surgical repair. After the endovascular stent graft placement, however, several complications may occur and an important complication of EVAR is endoleak formation which occurs in approximately one-fourth of patients. Endoleak represents a blood flow outside the stent graft lumen but within the aneurysm sac. For these reasons, unlike the minimal imaging follow-up that is typically performed after surgical repair, patients undergoing EVAR require a life-long postoperative surveillance imaging. In the last years, with the advent of multidetector-row CT (MDCT) scanners and the us...
      PubDate: Fri, 31 Jul 2009 23:00:00 +010
       
  • Prognosis of perioperative myocardial infarction after off-pump coronary
           artery bypass surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: PMI (CKMB>20 UNL) was a strong predictor of operative mortality. QMI and EMI were predictors of long-term mortality and cardiac morbidity after OPCAB surgery. CKMB 10-20 UNL affected long-term cardiac survival but not overall survival. PMID: 19734836 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 31 Jul 2009 23:00:00 +010
       
  • Histopathological comparison of vascular wall damage created by external
           cross-clamp and endoluminal balloon occlusion techniques.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: External clamp and internal balloon occlusion techniques applied to the aorta were compared, and widespread intimal and medial damage were observed in both techniques. However, endoluminal occlusion of the aorta should be the technique of choice in properly selected cases, since it results in lower damage grades, and it should also be used if application of an external clamp is technically difficult. PMID: 19734837 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 31 Jul 2009 23:00:00 +010
       
  • Open heart surgery in a developing country: why, who, how and when to
           operate on.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Donegani E PMID: 19734838 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 31 Jul 2009 23:00:00 +010
       
  • Multiple cysts involving heart, brain and kidney.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Actis Dato G, Cappuccio GF, Zingarelli E, Salizzoni S, El Qarra S, Valesio R, Casabona R PMID: 19734839 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 31 Jul 2009 23:00:00 +010
       
  • Retraction of article published in the journal of cardiovascular surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Uflacker R PMID: 19734840 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 31 Jul 2009 23:00:00 +010
       
  • Right ventricular hydatid cyst: a case report.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Donegani E, Pisani P, Radaelli S, Pula G, Portella G PMID: 19339960 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 31 May 2009 23:00:00 +010
       
  • A 43-year follow-up after mitral valve repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Actis Dato GM, Zingarelli E, Flocco R, Tomasello A, Del Ponte S, Punta G, Forsennati P, Casabona R PMID: 19339961 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 31 May 2009 23:00:00 +010
       
  • The effect of cotinine on telomerase activity in human vascular smooth
           muscle cells.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Cotinine causes abnormal cell proliferation as demonstrated by increased cell numbers and reactivation of telomerase in a dose dependent manner. This study demonstrated cotinine's stimulatory effect on human SMC proliferation in vitro at low doses while high doses of cotinine had a toxic effect. These data correlate with the results of other studies concerning the mitogenic effect of cotinine and telomerase activation during cellular proliferative response. PMID: 19339962 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 31 May 2009 23:00:00 +010
       
  • Synchronous abdominal aortic aneurysm and colorectal cancer. The
           therapeutic dilemma in the era of endovascular aortic aneurysm repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This study attempts a historical review of the surgical practice during the past decades by reviewing the existing English literature on this topic. The dilemma between one or two stage treatment has remained as both options offer advantages but also carry some substantial risks. The current practice gives priority to the life threatening disease (AAA>5.5 cm, symptomatic or complicated CRC) (two stage treatment) or suggest simultaneous management (one stage) when both diseases require urgent surgical treatment. The evolution of vascular endografts and the reported efficacy of endovascular aortic repair (EVAR) provide an alternative method for treating these high risk patients, by surpassing some significant obstacles. If the anatomical criteria are satisfied, EVAR could become the optim...
      PubDate: Sun, 31 May 2009 23:00:00 +010
       
  • Surgical removal of an infected aortic endoprosthesis using a wire cutter.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: In conclusion, infected endoprostheses should be surgically removed according to the medical literature. We recognize that removing a Zenith endoprostheses requires a dangerous operation because the hooks of the bare stent are engaged into the supra-renal aorta. This case report documents a new technique to safely remove an infected endoprosthesis with the help of a wire cutter. PMID: 19455093 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 31 May 2009 23:00:00 +010
       
  • Postoperative cardiac troponin I is an independent predictor of
           in-hospital death after coronary artery bypass grafting.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Our study indicates that cTnI concentration 20 hours after the end of surgery is an independent predictor of in-hospital death after CABG. Furthermore, high concentrations of cTnI were associated with a cardiac cause of death and major clinical outcomes. PMID: 19455094 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 31 May 2009 23:00:00 +010
       
  • Diabetic limb salvage.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Bell PR PMID: 19543187 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 31 May 2009 23:00:00 +010
       
  • Diabetic patients: epidemiology and global impact.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Setacci C, de Donato G, Setacci F, Chisci E Definition of the exact epidemiology and the global impact of diabetes is not easy, being strictly related to the availability of data in developing countries and to the use in the existing population-based investigations of common criteria for the diagnosis and definition of diabetes. According to the World Health Organization (WHO) the total number of people with diabetes was 171 million in 2000, and is projected to rise up to 366 million in 2030. The true prevalence of peripheral arterial disease (PAD) in people with diabetes has been difficult to determine, as most patients are asymptomatic, many do not report their symptoms, screening modalities have not been uniformly agreed upon, and pain perception may be blunted by the prese...
      PubDate: Sun, 31 May 2009 23:00:00 +010
       
  • Treatment of diabetic foot ulcers.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Vuorisalo S, Venermo M, Lepäntalo M Diabetic foot ulcers are a major health care problem. Complications of foot ulcers are a leading cause of hospitalization and amputation in diabetic patients. Diabetic ulcers result from neuropathy or ischemia. Neuropathy is characterized by loss of protective sensation and biomechanical abnormalities. Lack of protective sensation allows ulceration in areas of high pressure. Autonomic neuropathy causes dryness of the skin by decreased sweating and therefore vulnerability of the skin to break down. Ischemia is caused by peripheral arterial disease, not by microangiopathy. Poor arterial inflow decreases blood supply to ulcer area and is associated with reduced oxygenation, nutrition and ulcer healing. Necrotic tissue is laden with bacteri...
      PubDate: Sun, 31 May 2009 23:00:00 +010
       
  • Surgical treatment of the neuroischemic foot.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Simms M As many as 1% of older people in the Western world are at risk of developing a foot ulcer as a complication of diabetes mellitus. The resultant debility and disability constitutes a burden for both individuals and their health services. When peripheral arterial insufficiency complicates neuropathy there is a tenfold risk of ulceration progressing to infection, gangrene and amputation. Patient education and the vigilant implementation of preventive measures offer the best prospects for containment of the problem. Patients faced with ulceration and limb loss require access to a co-ordinated and comprehensive diabetic foot service offering detailed assessment and a full range of social, medical and surgical therapies. PMID: 19543190 [PubMed - in process] (Source: The ...
      PubDate: Sun, 31 May 2009 23:00:00 +010
       
  • Other endovascular methods of treating the diabetic foot.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Peeters P, Keirse K, Verbist J, Deloose K, Bosiers M Critical limb ischemia (CLI) is an endstage manifestation of peripheral artery disease (PAD) and typically describes patients with ischemic rest pain (Rutherford Category 4), or patients with ischemic skin lesions, either ulcers or gangrene (Rutherford Category 5-6). CLI due to infrapopliteal lesions is often not a good indication for infrageniculate bypass surgery placement, due to the presence of prohibitive comorbidities, inadequate conduit, and lack of suitable distal targets for revascularization. Therefore, CLI patients due to blockage of below-the-knee arteries are in benefit of the endovascular approach. Infrapopliteal PTA became feasible with the introduction of low-profile peripheral balloon systems and the use of ...
      PubDate: Sun, 31 May 2009 23:00:00 +010
       
  • Below the knee angioplasty among diabetic patients.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Markose G, Bolia A The treatment of below knee arterial disease has undergone a gradual shift over the last few years to incorporate a greater proportion of endovascular treatments. Not only does this include patients who now have endovascular therapy rather than surgery, but also patients who in the past would have been offered supportive treatment only, due to factors such as being medically unfit for surgery, lacking sufficient donor vein for bypass grafting, or swelling. Diabetes mellitus is becoming increasingly common, potentially causing numerous comorbidities in patients. It tends to have a more distal pattern of peripheral vascular disease, presenting later and with generally high complication and failure rates following therapy (surgical or endovascular) and higher a...
      PubDate: Sun, 31 May 2009 23:00:00 +010
       
  • Clinical results of below-the knee intervention using pedal-plantar loop
           technique for the revascularization of foot arteries.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Percutaneous revascularization of foot arteries in patients with CLI is feasible and safe, and appears to provide positive clinical results at both acute and mid-term follow-up. PMID: 19543193 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 31 May 2009 23:00:00 +010
       
  • Heparin-bonded expanded polytetrafluoroethylene graft for infragenicular
           bypass: five-year results.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: The heparin-bonded ePTFE graft provided good long-term results in infragenicular bypasses in patients with severe PAD. PMID: 19543194 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 31 May 2009 23:00:00 +010
       
  • Carotid highly-calcified de novo stenosis and cutting-balloon angioplasty:
           a tool to prevent haemodynamic depression'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: HD is a common occurrence after CAS, especially in patients with both long and calcified plaque. Only a tailored procedure with a correct remodelling of the plaque allows to avoid both HD and elastic recoil of the target lesion. PMID: 19543195 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 31 May 2009 23:00:00 +010
       
  • Applicability and clinical results of percutaneous transluminal
           angioplasty with a novel, long, conically shaped balloon dedicated for
           below-the knee interventions.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Infra-popliteal PTA with this new, BTK dedicated, long tapered balloon in patients with CLI was feasible and safe, and was associated favorable clinical results at both acute and mid-term follow-up. PMID: 19543196 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 31 May 2009 23:00:00 +010
       
  • The effects of calcium dobesilate on the mechanical function of rat
           hearts.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: This study showed that calcium dobesilate may have cardio-protective effects in isolated, perfused rat hearts. In hearts perfused by calcium dobesilate, the increase in mean P may be explained by the increase in endothelium-derived vasodilator substances. Further studies are needed to better characterize the myocardial protective effects of calcium dobesilate. PMID: 19543197 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 31 May 2009 23:00:00 +010
       
  • Choice of access for percutaneous carotid angioplasty and stenting: a
           comparative study on cervical and femoral access.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Mathieu X, Piret V, Bergeron P, Petrosyan A, Abdulamit T, Trastour JC Carotid angioplasty and stenting (CAS) is a well established technique. CAS indications currently still limited are yet evolving. The choice of the access is defined by the risk factors of the patient among whom ''the vascular anatomy'' is essential. The authors will focus here on the accesses, their advantages and their drawbacks. They made a retrospective study relating 314 patients treated by CAS. No significant difference in term of morbidity or mortality between the cervical or femoral access was found but a clear tendency in favor of the cervical access which avoids the arch manipulations. It can be concluded that various access offer better options for CAS and must be discussed depending on the patien...
      PubDate: Mon, 18 May 2009 23:00:00 +010
       
  • Outcome of open versus endovascular revascularization for chronic
           mesenteric ischemia: review of comparative studies.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This study aimed at comparing the outcomes of these two treatment modalities. The literature was searched using the MEDLINE database through the PubMed search engine for relevant articles that compared the outcomes after OR and ER for chronic mesenteric ischemia. Review of the selected articles revealed that patients had lower postoperative mortality and morbidity, and shorter intensive care unit and hospital stay after ER. However, early and long-term symptomatic relief and significantly lower restenosis rate were characteristic of OR. Although no level 1 evidence governs the treatment of chronic mesenteric ischemia, the durability and efficacy of OR is such that this modality should remain the procedure of choice for patients who are fit or whose fitness could be improved before surgery....
      PubDate: Mon, 18 May 2009 23:00:00 +010
       
  • Fenestrated stent-grafting after previous endovascular abdominal aortic
           aneurysm repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Fenestrated endovascular stent-grafts can be used to repair juxta- and pararenal AAA after previous EVAR. However, several technical challenges have to be overcome due to the presence of a previous stent-graft. PMID: 19455086 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 18 May 2009 23:00:00 +010
       
  • Biventricular pacing concomitant to on-pump heart surgery: a case series.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Epicardial lead placement during cardiac surgery of severe HF patients is safe and effective. A clear evaluation of the effect of BEP alone is precluded because of the interference of the concomitant indications for cardiac surgery and the absence of randomization. The high rate of sudden death noticed in this study raises the important question of whether implantation of a defibrillator would be warranted in such population. PMID: 19455087 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 18 May 2009 23:00:00 +010
       
  • One stage carotid artery stenting and open heart surgery:a novel approach.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: The low complication rate suggests that CAS and cardiac surgery in one stage offers a safer therapeutic option compared to combined carotid endarterectomy and cardiac surgery. It may also be safer than with the staged CAS and coronary artery bypass grafting approach as well. PMID: 19455088 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 18 May 2009 23:00:00 +010
       
  • Outcome of carotid artery stenting at 2 years follow-up: comparison of
           nitinol open cell versus stainless steel closed cell stent design.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: At 2-year follow-up after carotid artery stenting, there is no difference in clinical outcome or in stent patency among patients treated with open versus closed cell design stents. Subsequently the type of carotid stent design does not seem to impact the overall midterm outcome after carotid artery stenting. PMID: 19455089 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 18 May 2009 23:00:00 +010
       
  • Aortoenteric fistula after endovascular abdominaaortic aneurysm treatment
           with the original Gore Excluder endoprosthesis and Cook aortouniiliac
           converter for endotension.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We report a case of aortoenteric fistula (AEF) that occurred four years after endovascular abdominal aortic aneurysm repair (EVAR) with the original Gore Excluder endoprosthesis despite uncomplicated stent graft placement without endoleaks or migration on postoperative imaging studies; the patient was reoperated with a Cook aortouniiliac converter for endotension three months before the diagnosis of AEF. To our knowledge, this is the first reported case in the literature of an AEF after EVAR with the Excluder stent graft. Our case demonstrates that EVAR is not a guarantee against the development of AEF, and we suggest that all the patients with the first generation Excluder device should be closely followed-up; if sac enlargement is detected, early conversion to open repair or reinforcemen...
      PubDate: Mon, 18 May 2009 23:00:00 +010
       
  • Prognosis of perioperative myocardial infarction after off-pump coronary
           artery bypass surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: PMI (CKMB>20 UNL) was a strong predictor of operative mortality. QMI and EMI were predictors of long-term mortality and cardiac morbidity after OPCAB surgery. CKMB 10-20 UNL affected long-term cardiac survival but not overall survival. PMID: 19455092 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 18 May 2009 23:00:00 +010
       
  • Histopathological comparison of vascular wall damage created by external
           cross-clamp and endoluminal balloon occlusion techniques.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: External clamp and internal balloon occlusion techniques applied to the aorta were compared, and widespread intimal and medial damage were observed in both techniques. However, endoluminal occlusion of the aorta should be the technique of choice in properly selected cases, since it results in lower damage grades, and it should also be used if application of an external clamp is technically difficult. PMID: 19347004 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 05 Apr 2009 23:00:00 +010
       
  • Endograft differences: do they matter clinically'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Lonn L, Schroeder TV PMID: 19329907 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Apr 2009 04:00:00 +010
       
  • From clinical trials to clinical practice: 612 cases treated with the
           Powerlink stent-graft for endovascular repair of AAA.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Results from multiple clinical trials and our clinical practice proved that the Powerlink device is simple to implant, effective to endovascular repair, durable to mid- and long-term follow up. The implanting technique of combination of an anatomically-fixed unibody Powerlink device and proximal extension sealing leads to a superior outcome, even in challenging anatomy cases deemed unsuitable for endovascular repair. With this intuitive approach, migration and the associated sequelae were virtually eliminated. PMID: 19329908 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Apr 2009 04:00:00 +010
       
  • The advantages of Aorfix for endovascular repair of abdominal aortic
           aneurysm.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Early data with the Aorfix stent-graft shows favorable results. The device's flexible design allows safe and accurate aneurysm sac exclusion in patients with highly challenging anatomy. This is likely to increase the number of patients considered suitable for endovascular aneurysm repair, who were previously excluded from this type of treatment and also reduce the levels of endoleaks. PMID: 19329909 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Apr 2009 04:00:00 +010
       
  • The advantages of Anaconda endograft for AAA.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: As evidenced in this clinical study, the mid-term outcomes of Anaconda endograft are satisfactory concerning the treatment of AAA with a minimum neck length of 15 mm. This device proved in the mid-term to effectively protect the patient treated from aneurysm rupture. Presence of even severe tortuosity of the proximal neck and of the iliac arteries did not affect outcomes. Considering these results showing the safety of Anaconda endograft, the authors suggest its employment also in cases with difficult anatomy. PMID: 19329910 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Apr 2009 04:00:00 +010
       
  • Endurant stent-graft system: preliminary report on an innovative treatment
           for challenging abdominal aortic aneurysm.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Verhagen HJ, Torsello G, De Vries J PP, Cuypers PH, Van Herwaarden JA, Florek H J, Scheinert D, Eckstein H H, Moll FL The evolution of stent-grafts and endovascular delivery systems has substantially improved the application rate for and patient outcomes with endovascular aneurysm repair (EVAR) of abdominal aortic aneurysm (AAA), but further development is needed in order to reduce the continuing incidence of complications and secondary re-interventions. Severe angulations at the proximal aneurysm neck and tortuous, calcified, and small iliac arteries are still recognized as important risk factors for successful EVAR of AAA and hence as criteria for exclusion of many potential patients. The Endurant stent-graft is part of a next-generation system that was designed with the cle...
      PubDate: Wed, 01 Apr 2009 04:00:00 +010
       
  • Results of endovascular abdominal aortic aneurysm repair with selective
           use of the Gore Excluder.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Selective use of the Gore Excluder demonstrates excellent short- and long-term results. Despite being used in challenging iliac anatomy no graft limbs occluded. PMID: 19329912 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Apr 2009 04:00:00 +010
       
  • Zenith(R) abdominal aortic aneurysm endovascular graft: a literature
           review.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This article comprises a review of the English literature detailing the endovascular treatment of abdominal aortic aneurysms using the Zenith(R) endograft. It focuses on clinical studies or trials with intermediate to long-term follow-up, and related the literature to our own experience. In the series examined (N.=2 017 patients) the early mortality rate ranged from 0% to 4.1% and the technical success rate from 97.7% to 100%. The re-intervention rate was related to the length of follow-up (6.8% to 14%). Conversion rates were consistently <1%. There was a low incidence of device migration, limb thrombosis, component separation and stent fracture. These data support the ongoing use of the Zenith(R) endovascular graft in patients with abdominal aortic aneurysms suitable for EVAR. PMID...
      PubDate: Wed, 01 Apr 2009 04:00:00 +010
       
  • SPREAD Italian Guidelines for stroke. Indications for carotid
           endarterectomy and stenting*.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Setacci C, Lanza G, Ricci S, Cao PG, Castelli P, Cremonesi A, Inzitari D, Novali C, Pratesi C, Speziale F, Mangiafico S, Zaninelli A, Gensini GF This multidisciplinary guideline provides an overview of the current evidence on the benefits obtained by endoarterectomy and stenting for the surgical treatment of patients with symptomatic and asymptomatic carotid stenosis. A hundred forty-six authors, 37 Italian scientific societies and two Italian patients' associations participated in drafting the Stroke Prevention and Educational Awareness Diffusion (SPREAD) document, which has become the national guideline for the prevention and treatment of stroke in Italy. For the surgical therapy section of this document, the main trials on carotid endoarterectomy and stenting were criticall...
      PubDate: Wed, 01 Apr 2009 04:00:00 +010
       
  • Temporal approach: a good way to provide cerebral protection for proximal
           carotid stenosis, the last chance for trackability in CAS.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: The temporal approach proved to be feasible and at low risk; it represents a new possibility to increase the feasibility of carotid artery stenting in patients with difficult anatomy but, above all, it is a good way to obtain cerebral protection during endovascular treatment of proximal lesions of the supraortic vessels. PMID: 19329915 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Apr 2009 04:00:00 +010
       
  • PEPE II - A multicenter study with an end-point heparin-bonded expanded
           polytetrafluoroethylene vascular graft for above and below knee bypass
           surgery: determinants of patency.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Present data show that the end-point heparin-bonded polytetrafluoroethylene graft yields patency rates comparable to those obtained with other graft material in above-knee locations. The encouraging results for BK bypasses suggests that this graft is an excellent option for small diameter vascular reconstructions when autologous vein is unavailable. PMID: 19329916 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Apr 2009 04:00:00 +010
       
  • Should octogenarians be denied access to surgery for acute type A aortic
           dissection'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Surgery for acute type A aortic dissection in the octogenarian shows high hospital mortality but satisfactory long-term survival among discharged patients. A less aggressive approach should increase the outcomes of surgically managed patients. PMID: 19329917 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Apr 2009 04:00:00 +010
       
  • The role of branched endografts in preserving internal iliac arteries.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: An IBD provides a totally endovascular option to preserve the IIA in selected aortoiliac and isolated CIA aneurysms. Anatomical application rate for the use of an IBD was 52.5% in our series. Further studies are needed to determine the indications for use of this device. PMID: 19329918 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Apr 2009 04:00:00 +010
       
  • A look into the endovascular crystal ball.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Schroeder TV This paper summarizes the highlights of the 15th International Workshop of Endovascular Surgery, held in Ajaccio in June 2008. This is an annual event that attracts leading endovascular tharapists from both sides of the Atlantic Ocean as well as a contingecy from downunder. The layout of this meeting followed the previous events with sessions on carotid artery disease and abdominal and thoracic aortic aneurysms topped up with clinical cases, lower limb ischemia and venous disease. Genreally the session takes off by summarising new evidence, followed by questions and dissussion. This workshops gives the participants an excellent opportunity to get an updated perspective within these fast developing areas. PMID: 19329919 [PubMed - in process] (Source: The Journa...
      PubDate: Wed, 01 Apr 2009 04:00:00 +010
       
  • An unusual late complication after SFA stenting: the artery rupture.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Chisci E, De Donato G, Setacci F, Raucci A, Giubbolini M, Setacci C Peripheral artery rupture as a late complication of an endovascular stenting, due to the protrusion of a stent, has never been described in the literature in thigh arteries. Here we describe two anecdotic cases of artery rupture after superficial femoral artery (SFA) stenting. In both cases the endovascular procedure was performed as a reintervention at 2 and 27 months after a failed surgical or hybrid procedure for limb revascularization. The stent had been delivered in the first part of the SFA and the rupture occurred at the junction between the common femoral artery and SFA, which is one of the most flexible parts of the femoral artery. The cause of Rupture was probably caused by an ulcer of the stent agai...
      PubDate: Wed, 01 Apr 2009 04:00:00 +010
       
  • Hypothermia exerts negative inotropy in human atrial preparations: in
           vitro-comparison to rabbit myocardium.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: In contrast to rabbit ventricular and atrial myocardium, human atrial myocardium showed a negative inotropic effect when exposed to hypothermia. This alteration could be secondary to a declined SR-Ca++ storage and decreased atrial calcium sensitivity. Calcium dependent inotropy is suppressed at temperatures below 34 degrees C. PMID: 19329921 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Apr 2009 04:00:00 +010
       
  • Results of open heart surgery in Jehovah's Witnesses patients.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: The decrease of hematocrit serum levels is significantly characterizing the postoperative period of open heart surgery in JW. In patients undergoing CABG without CPB and in patients undergoing isolated valve replacement, decrease of hematocrit serum levels was lowest. Therefore, these techniques should be considered for first choice when appropriate. Furthermore, highly normal preoperative hematocrit serum levels and a meticulous surgical technique remain the mainstay of therapy in these patients. PMID: 19329922 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Apr 2009 04:00:00 +010
       
  • Isolated radiation-induced mitral stenosis: a yet undescribed
           valvulopathy.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Anselmino M, Lupia E, Goffi A, Montrucchio G, Rinaldi M, Orzan F PMID: 19329923 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Apr 2009 04:00:00 +010
       
  • Synchronous aneurysms of the abdominal aorta and profunda femoris artery:
           simultaneous repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Brandão D, Correia Simões J, Brandão P, Canedo A, Maia M, Ferreira J, Braga S, Vaz G PMID: 19329924 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Apr 2009 04:00:00 +010
       
  • Usefulness and method in peer review: a simple advice for young reviewers.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Piciché M, Demaria RG PMID: 19329925 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Apr 2009 04:00:00 +010
       
  • Carotid endarterectomy: results of the Italian Vascular Registry.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: These results are very good and are comparable to what has been reported in the literature during the last few years. This observation provides further proof of the effectiveness of CEA in the management of extracranial carotid disease. Moreover, these results have to be taken into account when evaluating any new therapeutic options, such as carotid stenting, before accepting them as valid alternatives. PMID: 19282808 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 12 Mar 2009 04:00:00 +010
       
  • Early control of distal internal carotid artery during carotid
           endarterectomy does it reduce cerebral microemboli'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: In this prospective, randomised trial early control of the distal internal carotid artery did not reduce the occurrence of MES during dissection of the carotid bifurcation. Also, the total number of MES throughout the procedure and postoperatively was comparable between both groups. The procedure related times as well as the clinical outcome did not differ significantly. Thus, early control of the distal internal carotid artery has got no advantage but also no disadvantage as compared to the traditional CEA technique. However, a limitation of the study is the small number of patients included. PMID: 19282809 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 12 Mar 2009 04:00:00 +010
       
  • The role of procalcitonin as predictor for neurological deficits after
           carotid endarterectomy.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: The present study demonstrates that there is still not sufficient evidence to recommend PCT measurement as a predictor for perioperative neurological deficit during CEA. PMID: 19282810 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 12 Mar 2009 04:00:00 +010
       
  • Endovascular proximal control of ruptured abdominal aortic aneurysms: the
           internal aortic clamp.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Assar AN, Zarins CK Ruptured abdominal aortic aneurysm (RAAA) is the most common and devastating complication affecting a patient with abdominal aortic aneurysm (AAA). Despite advances in surgery and critical care, the mortality rate associated with RAAA remains largely unchanged. Emergency open repair is the gold standard conventional treatment of RAAA but is associated with a high mortality rate. The physiologic challenges associated with general anaesthetic induction such as loss of the sympathetic vasoconstrictor tone with consequent hypotension, and the anatomic challenges associated with external aortic cross-clamping such as calcification, friability, or poor visualisation of the aneurysm neck, have led to the adoption of endovascular techniques in the surgical treatmen...
      PubDate: Thu, 12 Mar 2009 04:00:00 +010
       
  • Temporal approach: a good way to provide cerebral protection for proximal
           carotid stenosis, the last chance for trackability in CAS.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: The temporal approach proved to be feasible and at low risk; it represents a new possibility to increase the feasibility of carotid artery stenting in patients with difficult anatomy but, above all, it is a good way to obtain cerebral protection during endovascular treatment of proximal lesions of the supraortic vessels. PMID: 19265778 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 06 Mar 2009 05:00:00 +010
       
  • Inflammatory response after cardiopulmonary bypass: a randomized
           comparison between conventional hemofiltration and steroids.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Anti-inflammatory action of CUF was comparable to steroids, thus determining a similar proinflammatory response to CPB. However, hemodynamics was slightly impaired by CUF. Therefore, there is no reason to prefer CUF to steroids in patients undergoing elective CABG. PMID: 19262457 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 04 Mar 2009 05:00:00 +010
       
  • Foreword.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Castellani L PMID: 19179984 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 01 Feb 2009 05:00:00 +010
       
  • Current trends in cardiovascular therapy.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Palmaz JC PMID: 19179985 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 01 Feb 2009 05:00:00 +010
       
  • Cardiac CT for CAD. Do we still need angiography'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Garcia MJ Recent technological advances have led to a substantial increase in image quality in multi-detector computed tomography (MDCT). Over the last few years, there has been significant interest and controversy about the clinical application of CT angiography for the evaluation of the coronary anatomy in patients with suspected coronary artery disease (CAD). Unlike invasive coronary angiography, CT coronary angiography provides both visualization of the lumen and the coronary vessel wall. Calcified plaques can be detected without contrast administration and easily quantified. MDCT has largely replaced lectron beam computerized tomography for calcium scoring. Growing evidence suggests that measurement of coronary calcium may be particularly valuable in therapy decisions for...
      PubDate: Sun, 01 Feb 2009 05:00:00 +010
       
  • Indications for coronary artery bypass grafting in 2009: what is left to
           surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Caparrelli DJ, Ghazoul M, Diethrich EB Coronary artery bypass grafting (CABG) remains the most common procedure performed by cardiac surgeons, yet it is clear that the landscape of coronary intervention is constantly changing as new technology is introduced and data from countless studies continues to be published. However, no single study will be able to clearly define the indications for surgical versus percutaneous revascularization in every clinical scenario given the complexity of this disease as well as that of the patients it afflicts. Moreover, the significant improvements in percutaneous therapy, medical therapy management, perioperative care and secondary prevention after revascularization have decreased the morbidity and mortality of coronary artery disease making c...
      PubDate: Sun, 01 Feb 2009 05:00:00 +010
       
  • Current status in cervical carotid artery stent placement.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Carotid artery stent placement has met the CMS targets 3% for MAE for asymptomatic patients and 6% for symptomatic patients with numerous registries and trials. CAS has also proven outcomes at 3 years with restenosis rates and stroke-free rates comparable or better than CEA. CAS provides an option for patients not suited for medical therapy and who were high-risk for CEA, especially for those symptomatic patients. It is still controversial with the role of stenting asymptomatic patients as well as for octogenarians. However, forthcoming trials will be helpful in providing more insight. Despite questionable studies and bad press, carotid stenting in the right hands with good patient selection is an excellent procedure. Finally, it is important to remember, carotid stenting is s...
      PubDate: Sun, 01 Feb 2009 05:00:00 +010
       
  • Carotid artery stenosis: what is left to surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Chaer RA, Makaroun MS While carotid angioplasty and stenting has been clearly established as a minimally invasive alternative to endarterectomy for patients with carotid occlusive disease, its indications continue to evolve, being refined as more controlled data of large studies are being accumulated. The purpose of this article is to review the current evidence supporting the application of either technique in certain subsets of patients, and the relative contraindications for their use. PMID: 19179989 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 01 Feb 2009 05:00:00 +010
       
  • Safety and effectiveness of combining carotid artery stenting with cardiac
           surgery: preliminary results of a single-center experience.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Combined carotid stenting and cardiac surgery, performed in the same operating room under only heparin and aspirin, seems a safe and effective strategy for the treatment of patients with concomitant carotid and cardiac disease. PMID: 19179990 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 01 Feb 2009 05:00:00 +010
       
  • Revascularization strategy in patients with severe concurrent severe
           carotid and coronary artery disease: ''Failure to move forward is reason
           to regress''.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Van Der Heyden J, Suttorp MJ, Schepens MA In the absence of randomized trials, the optimal management of patients with concomitant carotid and coronary artery disease remains disputable. The initial studies of combined or staged carotid endarterectomy in these patients were conceived in an attempt to reduce perioperative mortality. Although encouraging results have been reported with combined carotid endarterectomy and cardiac surgery, this combination requires long operative times and remains a surgical challenge. Recent studies have shown that carotid angioplasty and stenting prior to cardiac surgery is a feasible and effective minimal invasive technique. However, the effect of carotid stenting on the incidence of death and stroke after cardiac surgery is indistinct. Carotid...
      PubDate: Sun, 01 Feb 2009 05:00:00 +010
       
  • Stroke after coronary artery bypass grafting. Is there place for a
           stroke-risk stratification model'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: With the used protocol, in the described patient population, perioperative stroke incidence is low. on the other hand, the complexity of the mechanism of perioperative stroke is confirmed and the use of a stroke-risk stratification model seems us justified for a better identification of patients at risk. PMID: 19179992 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 01 Feb 2009 05:00:00 +010
       
  • Does the risk of post-CABG stroke merit staged or synchronous
           reconstruction in patients with symptomatic or asymptomatic carotid
           disease'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Naylor AR The management of patients undergoing coronary artery bypass grafting (CABG) who are found to have co-existent carotid artery disease remains controversial. Management options include performing an isolated CABG, synchronous carotid endarterectomy (CEA) plus CABG, staged CEA-CABG, reverse staged CABG-CEA, synchronous CEA+CABG off bypass (OFFCAB) and staged carotid angioplasty with stenting (CAS) followed by CABG. For any of these combined or staged interventions to be clinically effective, the following conditions must be met; (1) CABG must be a proven intervention for ischaemic heart disease, (2) stroke must be an important cause of peri-operative morbidity and mortality, (3) the incidence of post-CABG stroke must be high enough to justify a programme of prevention,...
      PubDate: Sun, 01 Feb 2009 05:00:00 +010
       
  • Off-pump concomitant coronary revascularization and carotid
           endarterectomy.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Carter R Combined coronary artery bypass surgery and carotid endarterectomy is a controversial topic. With the recent revival of off-pump coronary artery surgery the question remains very actual. The aim of this study was to present a comprehensive review of the topic focusing on current strategies, including off-pump coronary artery bypass surgery. PMID: 19179994 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 01 Feb 2009 05:00:00 +010
       
  • Coronary artery disease in patients with abdominal aortic aneurysm: a
           review article.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Van Kuijk JP, Flu WJ, Dunckelgrun M, Bax JJ, Poldermans D Abdominal aortic aneurysms (AAA) and coronary artery disease (CAD) have traditionally been regarded as two separate vessel disorders with a common background. Atherosclerosis has always been considered as the basic pathophysiologic process. However, during the last decade, evidence has emerged with differences between AAA and CAD. Firstly, data regarding the prevalence of AAA and CAD are different. Secondly, the risk profiles between AAA and CAD differ, mainly regarding gender, age and diabetes mellitus. Thirdly, despite the intensive treatment of CAD and improved outcome, the prevalence of AAA has not changed during the last decade. In this review we will discuss the characteristics of CAD in patients with AAA. In the ...
      PubDate: Sun, 01 Feb 2009 05:00:00 +010
       
  • Prognosis of patients with peripheral arterial disease.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Welten GM, Schoutern O, Chonchol M, Hoeks SE, Bax JJ, Van Domburg RT, Poldermans D The incidence of peripheral arterial disease (PAD) is on the increase and is associated with a major health concern in current practical care. The most common disease process underlying PAD is atherosclerosis. Atherosclerosis is a complex generalized disease affecting several arterial beds, including the peripheral and coronary circulation. Especially in patients with PAD, high incidences of coronary artery disease (CAD) have been observed, which may be asymptomatic or symptomatic. The prognosis of patients with PAD is related to the presence and extent of underlying CAD. In patients with PAD undergoing major vascular surgery, cardiac complications are the major cause of perioperative morbidity ...
      PubDate: Sun, 01 Feb 2009 05:00:00 +010
       
  • Carotid stenting is a valuable alternative to carotid endarterectomy.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Bosiers M, Deloose K, Verbist J, Peeters P PMID: 19043383 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 01 Dec 2008 05:00:00 +010
       
  • Interim report of the SENTIS trial: cerebral perfusion augmentation via
           partial aortic occlusion in acute ischemic stroke.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The SENTIS trial was designed to test the hypothesis that the NeuroFlo(TM) system is safe to be used in humans and able to produce cerebral perfusion augmentation, based on imaging and neurological assessment at 24 hours and at 90 days. The preliminary data yielded by the interim analysis showed that the population enrolled in the trial was rather homogeneous regarding age, baseline NIHSS scores, and other risk factors, suggesting that the treated and control cohorts were similar. The analysis also showed that the adverse events were rather comparable between the two groups, suggesting the treatment procedure to be safe enough for continuation of the trial. The NeuroFlo(TM) system so far proved to be safe enough for clinical use and seems to be promising in improving survival i...
      PubDate: Mon, 01 Dec 2008 05:00:00 +010
       
  • Matching carotid anatomy with carotid stents.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Schillinger M, Minar E Carotid artery stenting (CAS) has emerged as a promising minimal invasive treatment alternative to carotid arterectomy for patients with symptomatic and asymptomatic carotid artery stenosis. Complication rates of CAS continuously decreased during recent years. Operator experience and technical improvements equally contributed to the improved safety of the procedure. Today, devices specifically designed to fit the requirements of carotid interventions are available and allow a lesion-tailored interventional strategy. The choice of stents seems to play an important role in achieving optimal outcomes with the endovascular technique. Basically, three major types of stents are currently available: open cell nitinol stents, closed cell nitinol stents, and clos...
      PubDate: Mon, 01 Dec 2008 05:00:00 +010
       
  • The expanding indications for virtual histology intravascular ultrasound
           for plaque analysis prior to carotid stenting.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Schiro BJ, Wholey MH Complications of carotid artery stenting (CAS), including stroke, remain relatively high when compared with carotid endarterectomy (CEA). Current selection criteria for patients undergoing CAS are based predominately on surgical risk related to other comorbidities. Little attention is given to the morphology of the atherosclerotic plaque, although studies have shown that extensive variability exists which confers certain risks for plaque vulnerability. Virtual HistologyTM intravascular ultrasound (VH IVUS) offers a unique method of assessing plaque morphology prior to CAS. Herein, the authors review the concepts of atherosclerotic plaque morphology and discuss the background of VH IVUS and illustrate its use in the carotid system. With selection of the app...
      PubDate: Mon, 01 Dec 2008 05:00:00 +010
       
  • Rationale and design of Emergent/Urgent Carotid Artery Stenting (EUCAS)
           Registry.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Setacci C, de Donato G, Chisci E, Setacci F EUCAS is a multicenter Registry of carotid artery stenting (CAS) in patients with acute cerebral ischemia (TIA or minor stroke), designed to determine the role of early endovascular intervention in a selected population with a vulnerable lesion of carotid bifurcation. The aim of the registry is to study the safety and efficacy of emergent/urgent CAS and to improve patient selection and consequently reduce the time loss between the index event and the intervention. Secondary aim is to study the plasma levels of plaque vulnerability biomarkers before and after carotid intervention in high risk patients to compare these value with a control group of patients with asymptomatic severe carotid stenosis, and to test the hypothesis that caro...
      PubDate: Mon, 01 Dec 2008 05:00:00 +010
       
  • Factors influencing restenosis after carotid aretery stenting.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Van Laanen J, Hendriks JM, Van Sambeek MR Many studies have published perioperative clinical results, but the incidence of restenosis and late stroke after carotid artery stenosis is poorly documented. Duplex ultrasonography is the most commonly used technique to follow in-stent restenosis after carotid aretery stenting (CAS), but, the ultrasound criteria for determining a restenosis after stent implantation are very heterogeneous. This review of the literature showed that the long-term in-stent restenosis rate after CAS appears to be acceptable and that restenosis is mainly asymptomatic. Suggested predictors of in-stent restenosis after CAS are advanced age, female gender, implantation of multiple stents, prior revascularization treatment, suboptimal result with residual sten...
      PubDate: Mon, 01 Dec 2008 05:00:00 +010
       
  • Efficacy of perfusion cooling of the epidural space and cerebrospinal
           fluid drainage during repair of extent I and II thoracoabdominal aneurysm.
           
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The combination of EPC and CSFD was effective in lowering the incidence of postoperative spinal cord injury in the repair of extent I and II thoracoabdominal aortic aneurysm. PMID: 19043389 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 01 Dec 2008 05:00:00 +010
       
  • Meta-analysis of transilluminated powered phlebectomy for superficial
           varicosities.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Further randomized trials are needed to determine the benefit of this procedure. PMID: 19043390 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 01 Dec 2008 05:00:00 +010
       
  • Thoracic endografting is rapidly approaching trim time.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Diethrich EB Thoracic aortic endografting is proving to be extremely useful for correcting a variety of lesions with few complications, and several devices have recently been approved by the Food and Drug Administration (FDA). Endovascular intervention avoids sternotomy or thoracotomy, chest tubes, respirators, general anesthesia, and blood loss is limited. Compared with traditional open surgery, complications such as paraplegia, renal failure, and cardiac and pulmonary difficulties are minimized; hospital and rehabilitation times are also reduced. There is no Level-1 evidence of endografting's efficacy in the thoracic aorta, and the pathologies encountered in this vascular territory are complex and often associated with other injuries or lesions, making randomized comparisons...
      PubDate: Mon, 01 Dec 2008 05:00:00 +010
       
  • Changes in natriuretic peptides, apelin and adrenomedullin after off-pump
           and on-pump coronary artery bypass surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: A marked, sustained and similar increase in these five markers of cardiac adaptation was detected after OPCAB and CCAB. The upregulation of these peptides should be further investigated to evaluate their potential beneficial/harmful impact on the outcome after coronary surgery. PMID: 19043392 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 01 Dec 2008 05:00:00 +010
       
  • Minimally invasive direct coronary artery bypass grafting: a
           meta-analysis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Clinical outcomes and immediate graft patency after MIDCAB are acceptable. However, long-term follow-up results and further randomized prospective clinical trials comparing this new technique with standard revascularization procedures in large patient cohorts are needed. PMID: 19043393 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 01 Dec 2008 05:00:00 +010
       
  • The systemic inflammatory response in coronary artery bypass grafting:
           what is the role of the very low ejection fraction (EF =/
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: A greater activation of systemic inflammatory reaction occurred in patients with depressed left ventricular function than in patients with normal cardiac function when they underwent CABG with extracorporeal circulation. PMID: 19043394 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 01 Dec 2008 05:00:00 +010
       
  • Exploring at the molecular level the effects of blood and blood-insulin
           cardioplegias used during open-heart surgeries on myocardial prevention.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Supplementation of blood cardioplegia with insulin did not yield a significant improvement in adhesion molecules. Therefore, superiority of one cardioplegia over the other in delivering myocardial protection during open-heart surgery has not been shown. PMID: 19043395 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 01 Dec 2008 05:00:00 +010
       
  • Impact of valve calcification on systolic and diastolic valvular function
           - an in vitro model.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: In vitro pericardial valves calcified faster and more severe than porcine valves leading to impaired diastolic function with prolongation of closing times and higher closing volume. Systolic function remained almost undisturbed by the calcification process. As a consequence in clinical settings, follow-up examinations for structural valve deterioration in porcine valves should focus on systolic performance, in pericardial valves on diastolic function. PMID: 19043396 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 01 Dec 2008 05:00:00 +010
       
  • Complex repair of the thoracic aorta with the E-vita open prosthesis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The Frozen Elephant trunk technique with the new E-vita open prosthesis combines surgical and interventional technologies and it represents a feasible and efficient option in the treatment of complex aortic pathologies. However long term follow up is required. PMID: 19043397 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 01 Dec 2008 05:00:00 +010
       
  • Strategies for endovascular mitral valve repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Davidson MJ, Cohn LH Technological advances have recently enabled mitral valve repair to be performed using endovascular techniques and thus open the possibility of nonsurgical treatment of mitral valve disease. While balloon valvotomy has been applied to mitral stenosis for over 20 years, a number of devices aimed at correcting mitral regurgitation are currently in preclinical and clinical development. While some of these, such as edge-to-edge repair, are catheter adaptations of established surgical techniques, others represent true departures from the current surgical paradigms of correcting mitral regurgitation. This review will summarize the current status of percutaneous transcatheter techniques for mitral valve repair. Included are balloon mitral valvotomy, indirect annu...
      PubDate: Mon, 01 Dec 2008 05:00:00 +010
       
  • Usefulness and method in peer review: a simple advice for young reviewers.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Piciché M, Demaria RG PMID: 18948861 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 24 Oct 2008 04:00:00 +010
       
  • A thousand pericardial valves in aortic position: risk factors for
           postoperative acute renal function impairment in elderly.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Few factors are liable for therapeutic intervention, especially in elderly and patients with comorbidity. In patients with risk factors, shortening of cross clamping time or installation of minimal extracorporeal circulation might be beneficial. PMID: 18948862 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 24 Oct 2008 04:00:00 +010
       
  • Red blood cell accumulation in a rat model of pulmonary
           ischemia/reperfusion injury.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: After warm ischemia/reperfusion, a significant early increase in accumulation of RBC was observed. PMID: 18948863 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 24 Oct 2008 04:00:00 +010
       
  • Isolated radiation-induced mitral stenosis: a yet undescribed
           valvulopathy.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Anselmino M, Lupia E, Goffi A, Montrucchio G, Rinaldi M, Orzan F PMID: 18948864 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 24 Oct 2008 04:00:00 +010
       
  • Hybrid treatment of aberrant subclavian artery aneurysm. Case report.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Rispoli P, Varetto GF, Conforti M, Tallia C, Rossato D, Gandini G A 62-year-old man was incidentally diagnosed with a completely asymptomatic aberrant right subclavian artery (ARSA) aneurysm with a maximum diameter of 4.5 cm. This condition presents a postrupture mortality rate of 50% and the morbidity-mortality rates reported in the literature with traditional open repair procedures are of 25%. In our patient we planned a hybrid procedure and excluded the aneurysm by performing, first, a right carotid-subclavian bypass with ligation of the subclavian artery upstream from the vertebral artery and the internal mammary artery and, the day after, by covering its origin from the aortic arch with the placement of a thoracic endoprosthesis. A third session was necessary, three days ...
      PubDate: Fri, 24 Oct 2008 04:00:00 +010
       
  • Should octogenarians be denied access to surgery for acute type A aortic
           dissection'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Surgery for acute type A aortic dissection in the octogenarian shows high hospital mortality but satisfactory long-term survival among discharged patients. A less aggressive approach should increase the outcomes of surgically managed patients. PMID: 18948866 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 24 Oct 2008 04:00:00 +010
       
  • Staged hybrid treatment of complex ascending aortic and distal aortic arch
           pseudoaneurysm after repair of aortic coarctation.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : De Filippo C, Modugno MP, Inglese L, Rossi M, Centritto EM, Sallustio G, Calvo E, Spatuzza P, Testa N, Alessandrini F A 49-year-old operated for aortic coartaction patient presented with thoracic and ascending aortic aneurysm. He was asymptomatic. Angio-magnetic resonance nuclear scan and angiography revealed an ascending aortic aneurysm (5.2 cm), bicuspid aortic valve, 6-cm proximal descending aortic pseudoaneurysm at the site of the previous operation with involvement of the left subclavian artery. Restenosis at the original site of coarctation and aortic arch hypoplasia distally to the brachiocefalic trunk was also found. The operation performed was a ''modified Bentall - De Bono''. The pseudoaneurysm was not accessible through median sternotomy due to the massive lung adhe...
      PubDate: Fri, 24 Oct 2008 04:00:00 +010
       
  • Late spontaneous recanalization of a symptomatically occluded internal
           carotid artery two years after extra-intracranial bypass. Case report and
           review of the literature.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Kniemeyer HW, Voshege M, Soliman A, Abu Al Nasr TM, Beckmann H, Edelmann M Spontaneous recanalization of the internal carotid artery (ICA) is rarely observed. Mainly case reports are published. Most often early recanalization occurs within days or weeks and only a few cases of late recanalization months or years after detected occlusion are reported. Symptomatic bilateral ICA occlusion is regarded as an acceptable indication for extra-intracranial (EC-IC) bypass. The authors report on a case with bilateral symptomatic ICA occlusion and EC-IC bypass >2 years prior to detected spontaneous leftsided recanalization. Spontaneous recanalization unmasking a high degree ICA stenosis at the carotid bifurcation allowed a successful subsequent surgical recanalization in this patients....
      PubDate: Fri, 24 Oct 2008 04:00:00 +010
       
  • Spinal cord ischemia after endovascular treatment of infrarenal aortic
           aneurysm Case report and literature review.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Freyrie A, Testi G, Gargiulo M, Faggioli GL, Mauro R, Stella A Spinal cord ischemia is a rare but catastrophic complication after endovascular treatment of infrarenal aortic aneurysm: only 14 cases are reported in the literature. A patient with a 6 cm infrarenal aortic aneurysm extending to both common iliac arteries and high surgical risk was submitted to endovascular repair with exclusion of both hypogastric arteries and surgical revascularization of the right hypogastric artery. The patient presented paraplegia, apallesthesia and superficial hyposensitivity immediately after the procedure. A spinal cord drainage was positioned with little improvement of superficial sensitivity. We undertook a systematic review of the literature on this topic. PMID: 18948869 [PubMed - as...
      PubDate: Fri, 24 Oct 2008 04:00:00 +010
       
  • Typical and atypical carcinoid tumours: 20-year experience with 89
           patients.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Anatomical resection, including formal lobectomy (or pneumonectomy when indicated) and radical mediastinal lymphadenectomy, should be performed in carcinoid tumours. PMID: 18948870 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 24 Oct 2008 04:00:00 +010
       
  • Transcatheter thrombin embolization of a giant visceral artery aneurysm.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Carmo M, Mercandalli G, Rampoldi A, Roveri S, Rivolta R, Rignano A, Settembrini PG A 9.5-cm visceral artery aneurysm was found during a computed tomography (CT) scan performed for abdominal pain. Subsequent selective angiography showed the aneurysm arising from the second branch of the superior mesenteric artery (SMA). The celiac trunk was occluded at its origin and blood supply to the splenic artery was provided through the pancreatic-duodenal arcade. Two injections of 5.000 U of thrombin were delivered transcatheter to produce complete thrombosis. No major complications occurred. After 32 months the aneurysm decreased to 3.7 cm in diameter. Transcatheter thrombin injection seems to be a safe and durable option in the treatment of visceral aneurysms. PMID: 18948871 [PubMe...
      PubDate: Fri, 24 Oct 2008 04:00:00 +010
       
  • Effective surgical treatment of the carotid sinus syndrome.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Toorop RJ, Scheltinga MR, Bender MH, Charbon JA, Huige MC Elderly patients frequently suffer from dizziness and syncope; however, an underlying disease may not always be identified. Three patients aged 69, 71 and 56, respectively, experienced spells of dizziness and syncope. Massage of the carotid sinus demonstrated the presence of a carotid sinus syndrome (CSS), an abnormal baroreflex response of the carotid sinus that leads to asystole and extreme hypotension. Conventional treatment is generally by insertion of a pacemaker. These patients, however, were referred to the vascular surgery department of our hospital for removal of adventitial layers of proximal portions of the internal carotid artery. Recovery was uneventful; all three are now free of symptoms. CSS should be con...
      PubDate: Fri, 24 Oct 2008 04:00:00 +010
       
  • Treatment of a large postsurgical para-anastomotic aortic aneurysm using
           endovascular stent grafts. A case report with four-year follow-up.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: In conclusion, the use of straight endografts seems to be effective and lasting, even in large para-anastomotic aneurysmatic lesions. PMID: 18948873 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 24 Oct 2008 04:00:00 +010
       
  • Recombinant activated factor VII for treatment of refractory hemorrhage
           after surgery for acute aortic dissection.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Grubitzsch H, Vargas-Hein O, Von Heymann C, Konertz W Despite appropriate treatment, surgery for aortic dissection is frequently associated with bleeding problems. In these series we report on the employment of recombinant activated factor VII (rFVIIa) for refractory hemorrhage after emergency surgery for acute type A aortic dissection, used to face the problems of postoperative blood loss and transfusion requirements. Despite the good results of the therapy, a patient presented with thrombosis of the left cavernous sinus. Although a risk of thromboembolic complications has to be considered, rFVIIa is a reasonable rescue option in life-threatening hemorrhage and enlarges our hemostatic armamentarium in surgery for acute aortic dissection. PMID: 18948874 [PubMed - as suppli...
      PubDate: Fri, 24 Oct 2008 04:00:00 +010
       
  • Use of extracorporeal circulation and selective renal perfusion during the
           surgical correction of abdominal aortic coarctation.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We present the case of a patient with coarctation of the abdominal aorta associated with stenosis of the celiac trunk, the superior mesenteric and the right renal arteries. Distal aortic perfusion by extracorporeal circulation and selective right renal perfusion techniques were used during the operation to protect the spinal cord and kidney against hypoperfusion and ischemia. PMID: 18948875 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 24 Oct 2008 04:00:00 +010
       
  • Surgical treatment of celiac artery aneurysm associated with median
           arcuate ligament.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We report three cases of post-stenotic celiac artery aneurysm with median arcuate ligament compression admitted to our hospital over the past two years. Although the incidence is rare with only 8 cases reported in the literature, a median arcuate ligament may have a role in the development of celiac artery aneurysms and its presence can influence the surgical strategy. PMID: 18948876 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 24 Oct 2008 04:00:00 +010
       
  • Aortocaval fistula after endovascular stent-grafting of abdominal aortic
           aneurysm.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Fujisawa Y, Kurimoto Y, Morishita K, Fukada J, Saito T, Ohori S, Abe T The authors present a case report of a 79-year-old man with insufficient cardiac contractile function who underwent endovascular stent-grafting for an abdominal aortic aneurysm. Thirty months later, the aneurysm ruptured into the inferior vena cava and subsequently formed an aortocaval fistula caused by migration of the stent-graft. Urgent secondary endovascular stent-grafting successfully excluded the blood flow into the vena cava. Endovascular stent-grafting is deemed suitable for treating this serious disorder, especially in severely debilitated or compromised patients who might not withstand a standard surgical intervention. Furthermore, in patients with previous stent-grafting, since the primary stent-...
      PubDate: Fri, 24 Oct 2008 04:00:00 +010
       
  • A case of carotid artery resection and replacement in advanced laryngeal
           carcinoma.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Caldarelli C, Ghilardi P, Matteucci F, Caramella D Carotid involvement in head and neck tumours carries a poor prognosis and poses an additional challenge to patient management. Tumor fixity and high-definition imaging modalities can suggest, but not determine, carotid wall invasion, which can be proven only by perioperative observation. Conservative management offers no hope of cure or palliation. While radical tumor excision with carotid peeling or resection seems the only chance for prolonging survival, this strategy has not yet unequivocally improved short-term survival. A 74-year-old man with advanced laryngeal carcinoma presented to our unit with preoperative computed tomographic (CT) signs of neoplastic carotid involvement. Radical surgery was planned and partial hypoph...
      PubDate: Fri, 24 Oct 2008 04:00:00 +010
       
  • Invasive treatment for renovascular disease. A twenty year experience from
           a population based registry.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Using nation-wide registry data it is possible to analyze time-trends also concerning rare diseases or interventions. The changing pattern toward endovascular treatment of renovascular disease is obvious. Follow-up data at one year are incomplete. PMID: 18670374 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 02 Aug 2008 17:05:02 +010
       
  • Stenting of transplant renal artery stenosis: outcome in a single center
           study.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The treatment of the TRAS with selective or primary stenting is safe with a long-term patency rate. The efficacy of the stenting in this retrospective study is suggested by a decrease in mean systolic and diastolic blood pressure, serum creatinine levels and number of blood pressure medications. PMID: 18670375 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 02 Aug 2008 17:04:57 +010
       
  • Embolic protection for renal artery stenting.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: In conclusion 99% of the patients were stabilized or improved. After 2 years (84 patients) 95% of the patients remained stabilized (N=60) or showed improvements (N=20), and 4 patients had deterioration of RF (5%). The preliminary results suggest the feasibility and safety of distal protection during renal interventions to protect against atheroembolism and consequential deterioration of RF after the procedure. The beneficial effects of this technique should be evaluated further in randomized studies. PMID: 18670376 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 02 Aug 2008 17:04:53 +010
       
  • Revascularization for atherosclerotic renal artery stenosis: the treatment
           of choice'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Corriere MA, Edwards MS Atherosclerotic renal artery stenosis (ARAS) is an important cause of renal dysfunction and secondary hypertension, and is associated with adverse cardiovascular events and increased mortality. The natural history of ARAS is characterized by anatomic disease progression and/or renal dysfunction in only a minority of patients. Medical therapy for ARAS is directed primarily toward blood pressure control and cardiovascular risk factor reduction. Renal artery revascularization is an additional treatment option for ARAS associated with ischemic nephropathy or severe, poorly controlled hypertension despite aggressive medical therapy. Unfortunately, the benefits associated with revascularization versus medical therapy alone remain unproven. Renal artery revasc...
      PubDate: Sat, 02 Aug 2008 17:04:48 +010
       
  • Transcatheter therapy for the treatment of atherosclerotic renal artery
           stenosis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Campbell JE, Bates MC The preemptory challenge in this invited review was to provide a contemporary evidence-based analysis of how renal artery intervention effects renal function and hypertension while also addressing the efficacy in transplanted kidneys. The authors tailored the paper architecture in a way that provides a systematic review of the randomized and observational data relating to the impact of renal stenting in each of these clinical domains. When appropriate the aujthors include data from their experience with over 1 200 renal stent procedures. This contemporary literature review provides objective insight into the procedural risk and early outcomes following renal intervention based on observational study RESULTS: However, well-controlled randomized trials and ...
      PubDate: Sat, 02 Aug 2008 17:04:43 +010
       
  • Single-center prospective, randomized analysis of conventional and
           eversion carotid endarterectomy.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: EEA has an advantage over the conventional procedure. The authors recommend CEA in cases when retrograde pressure indicated the use of the intraluminal shunting. PMID: 18670379 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 02 Aug 2008 17:04:37 +010
       
  • Protective effect of sivelestat sodium (Eraspol(R)) on postoperative lung
           dysfunction in patients with type A acute aortic dissection: a pilot
           study.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The present study demonstrated the protective effect of sivelestat sodium on postoperative lung injury in patients with acute type A aortic dissection undergoing aortic arch surgery under CPB with DHCA. PMID: 18670380 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 02 Aug 2008 17:04:33 +010
       
  • The 30-day mortality of ruptured abdominal aortic aneurysms: influence of
           gender, age, diameter and comorbidities.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: In this study, age was the only significant risk factor of 30-day mortality after open repair in patients with ruptured AAA. PMID: 18670381 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 02 Aug 2008 17:04:30 +010
       
  • Secondary rupture of abdominal aortic aneurysm following endovascular
           repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: This study showed how little is actually known about rupture of stented AAA. The available data were provided by studies sponsorized by companies in 47.4% of the cases, and had usually too short follow-up considering the average of duration of implantation at rupture. Rupture mechanisms were not reported in all cases, but a failure of the ASG was considered as responsible for the rupture in a majority of the cases. The absence of warning signs of rupture emphasizes the need of caution about the durability of ASG and also the need to undertake further studies with longer follow-ups. PMID: 18670382 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 02 Aug 2008 17:04:27 +010
       
  • The autologous superficial femoral artery as a substitute for the carotid
           axis in oncologic surgery. Three new cases and a review of the literature.
           
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Lozano FS, Muñoz A, Gómez JL, Barros MB When neck cancer affects the carotid artery, the best therapeutic option is to remove the tumor en bloc, including the affected vessels. When the carotid artery is revascularized, the usual practice according to the literature is to replace the defective carotid artery with an autologous graft from the saphenous vein, although it is also possible to use an autologous superficial femoral artery (SFA). The use of the SFA in oncologic surgery does not seem to be widespread; in fact, we only found 7 references (67 cases). Here we report three cases in which the SFA was employed and offer a review of the literature. The SFA has advantages and disadvantages in comparison with the saphenous vein. The need for interdisciplinary collabo...
      PubDate: Sat, 02 Aug 2008 17:04:25 +010
       
  • A case of gastroduodenal artery aneurysm in a HIV-positive patient treated
           by combined percutaneous thrombin injection and endovascular coil
           embolization.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We report a case of a young patient affected by a HIV-related gastroduodenal artery aneurysm which was treated with a combined percutaneous and endovascular approach. PMID: 18670384 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 02 Aug 2008 17:04:22 +010
       
  • EuroSCORE predicts poor health-related physical functioning six month
           postcoronary artery bypass graft surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: EuroSCORE is a predictor of poor self-reported physical functioning six months after CABG and is not a predictor of mental functioning. PMID: 18670385 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 02 Aug 2008 17:04:19 +010
       
  • Endoscopic versus minimally invasive vein harvesting. Impact on
           leg-related morbidity in coronary artery bypass surgery: one-year
           follow-up of a prospective trial.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: EVH is superior to MIVH in terms of reduction in pain intensity, residual leg edema and saphenous neuropathy at seven days and again at three months postoperative. A significantly lower incidence of neurological disturbances is still presented one year after surgery. PMID: 18670386 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 02 Aug 2008 17:04:17 +010
       
  • Intraoperative coagulation was more interfered by HES 200/0.5 than normal
           saline in off-pump coronary artery bypass surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: A rapid infusion of either normal saline or HES solution to maintain intraoperative intravascular volume induce a significant diluted hypocoagulation during OPCAB. The use of HES solution has a prolonged dilutional hypocoagulation and a significant decrease of MA by specific platelet inhibition effects and more transfusion of blood components. All the above changes were not shown in standard coagulation tests. PMID: 18670387 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 02 Aug 2008 17:04:14 +010
       
  • Valve preservation in acute type A aortic dissection: 13-year experience.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The experience with this technique demonstrates the effectiveness of valve conservative treatment within a vascular graft. The reconstruction of the sinotubular junction reducing annular dilatation with appropriated sized graft is obviously mandatory. Although this procedure is not applicable to every patient, we firmly believe that is a valid option when a morphologically intact valve is present. PMID: 18670388 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 02 Aug 2008 17:04:07 +010
       
  • Video recording of cardiac surgical procedures: what the surgeon needs to
           know.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Massetti M, Neri E, Banfi C, Buklas D, Gerard JL, Vigano M, Chitwood RW In the past, rudimentary devices were used to record surgical operations. Currently, the introduction of technologic advances such as high-definition television and the miniaturization of high-resolution digital video cameras provides an opportunity for making significantly enhanced surgical records. These enhancements, coupled with the recent advances in telemedicine and surgical simulation, will improve cardiac surgery training and skill acquisition, decrease operative times and costs, minimize morbidity, and improve overall patient care. The present paper provides a discussion of the media technology offered to surgeons for recording a surgical procedure on video. Hardware technology, including differen...
      PubDate: Sat, 02 Aug 2008 17:04:04 +010
       
  • Neuroleptic malignant syndrome and cardiac surgery. A case report.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Sirois F Aortic valve replacement complicated with protracted agitation in an obese man was treated with 36 mg of haloperidol in the first 36 hours after surgery. Five days after surgery, Neuroleptic Malignant Syndrome was diagnosed. PMID: 18670390 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 02 Aug 2008 17:03:57 +010
       
  • Pattern of recurrence and survival of c-Ia NSCLC diagnosed by transpleural
           methods.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: FNAB and tumour wedge resection by VATS represent valuable diagnostic methods for lung cancers, since they do not seem to increase the risk of local recurrence. On the other hand, tumours diagnosed by bronchoscopy have a worse prognosis, that may be related to their higher metastatic potential rather than to diagnostic procedure itself. PMID: 18670391 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 02 Aug 2008 17:03:54 +010
       
  • Embolization of a true huge facial artery aneurysm.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Setacci F, Sirignano P, De Donato G, Palasciano G, Setacci C PMID: 18670392 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 02 Aug 2008 17:03:52 +010
       
  • Mini-invasive thoracotomic drainage of pericardial effusion with a new
           device: a ''circular retractor'' (Morpheus).
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Punta G, Parisi F, Zingarelli E, Flocco R, Forsennati PG, Actis Dato G, Casabona R PMID: 18670393 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 02 Aug 2008 17:03:49 +010
       
  • European experience with Relay: a new stent graft and delivery system for
           thoracic and arch lesions.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Relay provides a safe and accurate thoracic stent grafting for different aortic pathologies with acceptable mortality and morbidity. Associated stroke rate was clearly inferior to the expected. PMID: 18665104 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 31 Jul 2008 13:44:27 +010
       
  • Early clinical experience with the E-vita thoracic stent-graft system: a
           single center study.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: All forms of thoracic aortic disease can be treated with this new stent-graft. It has proved particularly valuable in cases of difficult conditions in the aortic arch and extended aneurysms. In particular, it is possible to cover the entire thoracic aorta with two or three stent-graft segments, thus considerably reducing the number of connections. PMID: 18665105 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 31 Jul 2008 13:44:24 +010
       
  • Imaging modalities for the thoracic aorta.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Von Tengg-Kobligk H, Weber TF, Rengier F, Kotelis D, Geisbüsch P, Böckler D, Schumacher H, Ley S Almost 50 years after its introduction intra-arterial digital subtraction angiography (DSA) has been passed as the gold standard for diagnostic imaging of the aorta. Today's performance of multi-detector-row computed tomography angiography (CTA) as well as magnetic resonance imaging (MRI) and magnetic resonance angiography (MRA) offer remarkable improvements in the field of diagnostic cardiovascular imaging. The racy developments not only concerning image acquisition but also image postprocessing offer a multidimensional approach to assess anatomy and pathology of individual patients in a few minutes. Four-dimensional visualization assists us to select the ''adequate'' pa...
      PubDate: Thu, 31 Jul 2008 13:44:19 +010
       
  • Aortic dissection and its endovascular management.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Hinchliffe RJ, Halawa M, Holt PJ, Morgan R, Loftus I, Thompson MM involving the aorta, affecting 5-10 per million people per year. Without treatment, half of patients with acute proximal aortic dissections die within 24 hours, and 60% of patients with acute distal aortic dissections die within 1 month. Only 10% of patients with proximal dissections and 40% of those with distal dissections will be alive at 1 year. Patients with chronic distal dissections are at risk of aortic rupture with nearly 20% requiring intervention. The aim of management of aortic dissection is to reduce propagation of the dissection plane and prevent the fatal complications of this condition. A paradigm shift in the surgical management of these patients began in the late 1990s with the reporting of two ...
      PubDate: Thu, 31 Jul 2008 13:44:14 +010
       
  • Surgical bypass procedures to facilitate endovascular repair of aortic
           arch pathology.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Riesenman PJ, Tamaddon HS, Farber MA Thoracic aortic aneurysms and other thoracic aortic lesions may become life-threatening conditions if they remain untreated. Conventional open surgical reconstruction with placement of an interposition graft is regarded as a definitive form of treatment, but is associated with considerable operative morbidity and mortality. Thoracic aortic lesions involving the aortic arch require more complex surgical interventions necessitating cardiopulmonary bypass, and hypothermic circulatory arrest. Outcomes from this form of treatment have a reported early stroke and death rate of up to 25%. Thoracic endovascular aortic repair is a less invasive alternative for the treatment of many thoracic aortic lesions. The application of a thoracic endoprosthesi...
      PubDate: Thu, 31 Jul 2008 13:44:09 +010
       
  • When is safe to cover the left subclavian and celiac arteries. Part I:
           left subclavian artery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Gawenda M, Brunkwall J Over the last 15 years the endovascular repair of thoracic aortic pathologies has been developing as the treatment of choice, but it requires appropriate anatomy. Proximal and distal landing zones are essential for fixation and sealing. In order to extend the proximal landing zone for the stent-graft and achieve an adequate seal, the left subclavian artery (LSA) is often covered, with or without concomitant subclavian artery revascularization. In this article the authors review the LSA anatomy and consequences of LSA coverage as scenery for a discussion of the ramifications of LSA coverage during endovascular thoracic aortic repair (TEVAR). Summari-zing the currently available literature, the authors reveal that there is no consensus regarding a preparat...
      PubDate: Thu, 31 Jul 2008 13:44:02 +010
       
  • When is safe to cover the left subclavian and celiac arteries. Part II:
           celiac arter.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Gawenda M, Brunkwall J Endovascular repair of thoracic and thoraco-abdominal aortic aneurysms became apparent as an alternative to open repair. When the distal landing zone proximal to celiac artery is inadequate, a traditional open surgical approach with thoracoabdominal aortic replacement concomitant with visceral and renal bypasses is necessary. Alternatively, either an abdominal hybrid procedure with debranching of the visceral vessels with subsequent thoracic stent graft placement or complete endovascular aneurysm exclusion with branched stent grafts is required. Extending the distal landing zone might be possible by covering the celiac artery origin. In this article, the authors review the anatomy of the celiac artery (SA) and the superior mesenteric artery (SMA) and con...
      PubDate: Thu, 31 Jul 2008 13:43:58 +010
       
  • Endovascular surgery by means of a Talent endoprosthesis implant in adult
           patients with thoracic aorta coarctation.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Endovascular treatment of thoracic aorta coarctation with protected dilatation is a safe and effective procedure. PMID: 18665111 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 31 Jul 2008 13:43:51 +010
       
  • Below-knee revascularization in patients with critical limb ischemia:
           long-term comparison of redo vs primary interventions.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Redo below-knee revascularization in patients with critical limb ischemia provides acceptable long-term results in terms of primary and secondary patency; however, limb salvage appeared to be slightly worse in patients undergone redo surgery. PMID: 18665112 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 31 Jul 2008 13:43:49 +010
       
  • Cerebral perfusion patterns in patients with extracranial carotid
           atherosclerosis and the impact of carotid stenting. A review.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Sfyroeras GS, Karkos CD, Gerassimidis TS Patients with extracranial carotid atherosclerosis, either symptomatic or asymptomatic, demonstrate altered cerebral perfusion. Carotid revascularization procedures, such as carotid endarterectomy or stenting, aim mainly at stroke prevention from thromboembolic events, whereas their effects on cerebral perfusion, particularly those seen after carotid stenting, have not been extensively examined. Moreover, ischemia and reperfusion injury have been recognized as devastating complications of these procedures. The present work is a literature review of cerebral perfusion patterns in normal individuals and in patients with carotid artery stenosis prior to and after carotid stenting. PMID: 18665113 [PubMed - in process] (Source: The Journ...
      PubDate: Thu, 31 Jul 2008 13:43:44 +010
       
  • The history and current status of thoracic endovascular aneurysm repair in
           Japan.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Kato M, Kuratani T Japan has a long and successful history of performing thoracic endovascular aneurysm repair (TEVAR). While commercial endovascular grafts were being used worldwide, Japan developed and distributed custom and semi-order made triple-branched one-piece grafts and fenestrated devices for the treatment of arch aneurysms. Historically, Japan also innovated and proposed hybrid procedures such as debranching with stent grafting to treat arch aneurysms and thoracoabdominal aneurysms. Since its introduction, Japan has been at the forefront of performing TEVAR for complicated acute aortic dissection and uncomplicated chronic aortic dissection for patients with predicted aortic enlargement. In this review, the authors discuss the many issues surrounding successful TEVAR...
      PubDate: Thu, 31 Jul 2008 13:43:41 +010
       
  • From retroperitoneoscopic lumbar sympathectomy to total laparoscopic
           abdominal aorta surgery: how to learn.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Debing E, De Brabandere K, Vanhulle A, Van Den Brande P The aim of this report is to describe the steps we followed to build up laparoscopic experience progressively towards total laparoscopic aorta surgery. The techniques of retroperitoneoscopic lumbar sympathectomy, hand-assisted laparoscopic aorta surgery and total laparoscopic aorta surgery are discussed and illustrated. Surgical tips and tricks and advice concerning selection of patients and surgical techniques are proposed. The 30-day morbidity and mortality rates of laparoscopic, standard open and endovascular abdominal aorta aneurysm repair were compared. PMID: 18665115 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 31 Jul 2008 13:43:38 +010
       
  • Off-pump coronary artery bypass in multi-vessel disease: effect of
           ejection fraction on early and midterm mortality and morbidity.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Off-pump bypass can be used safely among patients with different degrees of myocardial function. The results of surgery were better than the preoperative predicted euroSCORE. Early mortality and morbidity were directly related to ejection fraction .This is true only when LVEF is below 30%. Midterm mortality was similar among different risk groups. PMID: 18665116 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 31 Jul 2008 13:43:33 +010
       
  • Effects of intravenous N-acetylcysteine on periprocedural myocardial
           injury after on-pump coronary artery by-pass grafting.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Results of this study indicated that periprocedural use of NAC as intravenously did not attenuate myocardial damage after on-pump CABG surgery. PMID: 18665117 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 31 Jul 2008 13:43:27 +010
       
  • Histological changes in a model of chronic heart failure induced by
           multiple sequential coronary microembolization in sheep.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Multiple sequential intracoronary microembolization can effectively induce myocardial dysfunction with histological signs of chronic ischemic cardiomyopathy and pathological changes of lung, liver and kidney, which can directly be coursed by chronic heart failure. Thus, the present model may be suitable in experimental work on heart failure and LV assist devices, e.g. for studying the impact of mechanical unloading, mechanisms of recovery and reverse remodeling. PMID: 18665118 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 31 Jul 2008 13:43:14 +010
       
  • Patient-prosthesis mismatch and left ventricular remodelling after
           implantation of Shelhigh SuperStentless aortic valve prostheses.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Patient-prosthesis mismatch after implantation of SuperStentless Shelhigh(TM) prosthesis is rare. A significant regression of left ventricular hypertrophy could be shown after six months. Hemodynamic valve function assessed by echocardiography may be predicted early after surgery. PMID: 18665119 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 31 Jul 2008 13:43:08 +010
       
  • Surgery for infective endocarditis: determinate factors in the outcome.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Operative results of NVE were good after complete resection of infective sites including valve annulus. Both valve replacement and plasty were available for NVE patients. In PVE, new strategies are indispensable and aortic root translocation or the Ross procedure should be a treatment of choice. PMID: 18665120 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 31 Jul 2008 13:43:03 +010
       
  • Supracoronary myotomy for myocardial bridges in the setting of
           hypertrophic cardiomyopathy: off-pump experience.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Bakir I, Riza Karaci A, Altin F, Aydemir NA, Akdeniz C, Erdem A, Celebi A, Salih Bilal M Myocardial bridges (MB) are rarely observed but well known pathology of the major epicardial coronary arteries which are embedded in the overlying myocardial tissue. It is most frequently found in young patients with hypertrophic cardiomyopathy (HCM). Myocardial bridges are associated with myocardial ischemia and infarction, cardiac arrythmias and sudden death. The present case series report the outcomes of three symptomatic patients with hypertrophic cardiomyopathy who underwent myocardial muscle debridges. They were operated using beating heart technique without cardiopulmonary bypass. The authors conclude that off-pump supracoronary muscle myotomy is a feasible treatment modality in the...
      PubDate: Thu, 31 Jul 2008 13:42:56 +010
       
  • Endovascular aneurysm repair with Zenith graft. Complications caused by
           leg extensions.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION:
      Authors observed that nine out of 12 complications which required reintervention were due to problems with one of the leg extensions. This is the first study that specifies clearly the percentage of problems with leg extensions in EVAR (75%). When placing a Zenith endovascular graft extra attention should be paid to optimal placement of the leg extensions. PMID: 18446115 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 01 Jun 2008 04:00:00 +010
       
  • Endovascular aneurysm repair with Zenith(R) graft. Complications caused by
           leg extensions.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION:
      Authors observed that nine out of 12 complications which required reintervention were due to problems with one of the leg extensions. This is the first study that specifies clearly the percentage of problems with leg extensions in EVAR (75%). When placing a Zenith(R) endovascular graft extra attention should be paid to optimal placement of the leg extensions. PMID: 18446115 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 01 May 2008 21:53:44 +010
       
  • Top-fenestrating technique in stentgrafting of aortic diseases with
           mid-term follow-up.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The top-fenestrating technique is feasible in short aortic necks and results are durable in a mid-term follow-up perspective. PMID: 18446116 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 01 May 2008 21:53:41 +010
       
  • Surgical treatment of tumors involving the inferior vena cava. Personal
           experience.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Leiomyosarcoma of the IVC is an uncommon tumor that produces non-specific symptoms. In the absence of distant malignancy, an aggressive approach can obtain late survival free of recurrence. PMID: 18446117 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 01 May 2008 21:53:37 +010
       
  • Excimer laser assisted angioplasty for complex infrainguinal peripheral
           artery disease: a 2008 update.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Tan JW, Yeo KK, Laird JR Conventional percutaneous transluminal angioplasty (PTA) for complex or long segment infrainguinal occlusive arterial disease is limited by elastic recoil, dissection and restenosis, with high rates of intermediate and long term restenosis . Debulking with excimer laser has been advocated as a useful adjunctive strategy to improve procedural success and long term patency. This paper reviews the technological development of excimer laser, the studies supporting its use in infrainguinal arterial disease, effective and safe lasing techniques, its advantages, limitations and disadvantages. Case examples will be presented to illustrate its use in infrainguinal arterial disease. Although randomized controlled trials are lacking, existing registry and case se...
      PubDate: Thu, 01 May 2008 21:53:33 +010
       
  • First report of an ilio-popliteal bypass through the greater sciatic
           foramen. Case report.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Picquet J, Thouveny F, Abilez O, Pégis JD, Blin V, Enon B A 47 year-old man, who had a history of pelvic radiotherapy for the treatment of testicular tumour 30 years ago, was referred with minor tissue loss of the right lower extremity, grade III, category 5 of the Rutherford classification. His groin region presented with severe radiation damage. Arteriography demonstrated the occlusion of external iliac and femoral arteries. Revascula-risation was performed in the lateral decubitus position, with a ringed polytetrafluoroethylene (PTFE) graft bypass between normal common iliac and popliteal arteries through the greater sciatic foramen. Quick healing was observed. Patient is well 6 months postoperatively. Immediate and 6 month postoperative imaging demonstrated the good p...
      PubDate: Thu, 01 May 2008 21:53:28 +010
       
  • Use of percutaneous closure devices in the removal of central venous
           catheters from inadvertent arterial catheterizations.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Guimaraes M, Uflacker R, Schonholz C, Hannegan C, Selby B Although rare, misplacement of central venous catheters in supra-aortic arteries is potentially fatal. Five patients had safe catheters removal using percutaneous closure devices. Three patients were coagulopathic, 3 under intensive care and 1 in immediate postoperative limb amputation. Patients were treated successfully, with immediate hemostasis and without complications in a mean follow-up of 12.5 months. Although the number of patients is small, the closure devices proved to be safe. This is a minimally invasive alternative technique in the management of large bore catheters removed from non-compressible puncture sites such as subclavian and brachiocephalic arteries. PMID: 18446120 [PubMed - in process] (Source:...
      PubDate: Thu, 01 May 2008 21:53:22 +010
       
  • Extending the boundaries of no-touch aorta technique usage for coronary
           artery bypass grafting in patients with diseased ascending aorta.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Any degree of atherosclerotic disease on the ascending aorta can potentially cause CVA upon manipulation during CABG. Use of CABG with NAT to eliminate the risk of CVA is associated with low rates of morbidity, stroke and mortality during hospital stay and at mid-term follow-up. PMID: 18446121 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 01 May 2008 21:53:17 +010
       
  • An assessment of the potential use of transthoracic impedance measurement
           
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Transthoracic Impedance does not appear to reflect extravascular lung water and is therefore unlikely to be useful in the routine monitoring of cardiac surgical patients. PMID: 18446122 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 01 May 2008 21:53:13 +010
       
  • Reduced transfusion requirements with a closed cardiopulmonary bypass
           system.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: In patients with preoperative conditions predictive for the need of transfusions, the use of a closed cardiopulmonary bypass circuit can diminish the amount of transfused blood products. PMID: 18446123 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 01 May 2008 21:53:08 +010
       
  • Comparison of harmonic scalpel and high-frequency electrocautery in radial
           artery harvesting.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Ultrasonic dissection with harmonic scalpel of the radial artery is associated with a decreased use of hemostatic clips. Moreover, the harmonic scalpel has a positive effect on endothelial preservation and it was associated with increased free blood flow of the radial artery. PMID: 18446124 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 01 May 2008 21:53:02 +010
       
  • A retrospective analysis of Terlipressin infusion in patients with
           refractory hypotension after cardiac surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Terlipressin given continuously is a potent vasopressor in patients with norepinephrine-resistant postcardiotomy hypotension; however, Terlipressin treatment failed in patients who developed refractory hypotension during sepsis. We cannot recommend this therapy in such patients as it proved to be hemodynamicaly ineffective and may even worsen the circulatory situation. PMID: 18446125 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 01 May 2008 21:52:56 +010
       
  • Should pregnancy be considered a risk factor for aortic dissection'
           Two cases of acute aortic dissection following cesarean section in
           non-Marfan nor bicuspid aortic valve patients.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We describe the cases of two women with no history of cardiovascular disease who developed an acute aortic type A dissection within a few days after term delivery. Surgical repair was performed with ascending aorta replacement and aortic valve sparing. In both cases, the dissection was diagnosed within a few days following cesarean section done neither because of fetal or maternal distress. To date, only one case of type A and two cases of type B aortic dissection following cesarean section have been reported. Compared with spontaneous delivery, scheduled cesarean section, as in our cases, allows for better control of hemodynamic parameters and should protect against aortic dissection. Postopera-tive screening for inherent connective tissue disorders detected no mutations within the fibril...
      PubDate: Thu, 01 May 2008 21:52:52 +010
       
  • Aortic tube grafts wrapping with hemostatic fleeces reduces postoperative
           pericardial effusions.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Onorati F, Pasceri E, Scalas C, Santarpino G, Mastroroberto P, Indolfi C, Renzulli A Pericardial effusions often complicate the postoperative course of ascending aortic surgery. We evaluated whether an unconventional use of hemostatic fleeces (TachoSil(R), Nycomed; Austria), wrapped around aortic tube grafts, may reduce such complication. Twenty-nine consecutive patients undergoing button-Bentall were submitted - according to surgeon's choice - to 360 degrees wrapping of the aortic grafts with hemostatic fleeces immediately before sternal wiring (11 patients - group A) or sternal wiring without any wrapping of the prosthesis (18 patients - group B). Hospital outcome was recorded. No differences were recorded in hospital mortality and major organ morbidity. When pericardial com...
      PubDate: Thu, 01 May 2008 21:52:46 +010
       
  • Primary malignant tumors of the aorta: clinical and prognostic aspects of
           two treated cases.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Freyrie A, Ferri M, Testi G, Paragona O, Faggioli GL, Stella A PMID: 18446128 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 01 May 2008 21:52:40 +010
       
  • Percutaneous treatment of aortic graft infection.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : De Jong GM, Blankensteijn JD, Schultze Kool LJ, Van Der Vliet JA PMID: 18446129 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 01 May 2008 21:52:37 +010
       
  • The management of lower limb ischemia.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Bell P PMID: 18431332 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 01 Apr 2008 04:00:00 +010
       
  • Heparin-bonded expanded polytetrafluoroethylene grafts for infragenicular
           bypass in patients with critical limb ischemia: 2-year results.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: These results are encouraging for a prosthetic graft, especially in the light of the severity of the vascular disease in the limbs treated. PMID: 18431333 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 01 Apr 2008 04:00:00 +010
       
  • Duplex-guided infrainguinal balloon angioplasty and stenting. A 4-year
           experience.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Duplex guided balloon angioplasty and stent placement appears to be a safe and effective technique for treatment of femoral-popliteal and infrapopliteal arterial occlusive disease. PMID: 18431334 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 01 Apr 2008 04:00:00 +010
       
  • Present and future of endovascular SFA treatment: stents, stent-grafts,
           drug coated balloons and drug coated stents.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Bosiers M, Deloose K, Verbist J, Peeters P The current evolution towards treating more complex femoropopliteal lesions as seen in the renewed TASC II recommendations clearly reflects the continuous evolutions in femoropopliteal stent design. Recent stent design improvements focus on decreasing stent fractures rates which can negatively impact patency rates. By rearranging strut alignment towards helical connecting bridges or full helical stent designs, stent designers have successfully improved the fracture resistance of their stents. The superior fracture resistance of the latest stent generation in combination with the production of long nitinol stents of up to 20 cm in length allow that more difficult and complex lesions can be treated endovascularly. The continuous perfect...
      PubDate: Tue, 01 Apr 2008 04:00:00 +010
       
  • Recent advances in atherectomy and devices for treatment of infra-inguinal
           arterial occlusive disease.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Nguyen MC, Garcia LA The prevalence of peripheral arterial disease (PAD) continues to rise in an ever ageing society and consumes a significant part of health resources. Percutaneous revascularization has revolutionized the treatment of lower extremity peripheral vascular disease over the past 10 years. Additionally, novel devices have allowed improved endovascular treatment of femoropopliteal as well as infrapopliteal disease. Although percutaneous transluminal angioplasty (PTA) can be an effective modality for focal lesions in the iliac arteries, the results for complex infra-inguinal arterial disease have been disappointing. One class of new technology has concentrated on debulking the plaque, while others focus to improve safety (distal embolic protection devices) or are d...
      PubDate: Tue, 01 Apr 2008 04:00:00 +010
       
  • What is the evidence for the efficacy of cryoplasty'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This article is a critical review of the technique of cryoplasty. The reader will be able to: describe expected outcomes from balloon angioplasty; describe the theoretical role for cold injury as a component of angioplasty; recognize the need to adhere to well defined standards when reporting the results of new techniques for treating vascular disease; critically review the results of cryoplasty; understand the limitations and relevance of the published clinical results of cryoplasty. PMID: 18431337 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 01 Apr 2008 04:00:00 +010
       
  • Revascularization strategies in below the knee interventions.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Abdelsalam H, Markose G, Bolia A Until recently the role of endovascular revascularization in the infrapopliteal arteries was limited. Endo-vascular management including percutaneous transluminal angioplasty and subintimal angioplasty is now being considered as a primary alternative in critical limb ischaemia revascularization with a decreasing number of major amputations (above the ankle) performed. Endovascular treatment has been shown to have reduced morbidity and hospital stay compared to revascularization surgery with greater cost-effectiveness and better patient quality of life compared with major amputation. PMID: 18431338 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 01 Apr 2008 04:00:00 +010
       
  • Remote superficial femoral artery endarterectomy.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Derksen WJ, Gisbertz SS, Pasterkamp G, De Vries JP, Moll FL Remote superficial femoral artery endarterectomy (RSFAE) is an effective minimal invasive treatment modality of TransAtlantic Inter-Society Consensus (TASC) C and D atherosclerotic lesions of the superficial femoral artery (SFA) with at least equal patency rates as supragenicular synthetic bypass grafts. This procedure is performed through a single femoral arteriotomy and the intima core in the SFA is dissected using the Vollmar ring and the Mollring cutter devices, respectively. The intimal core distally of the transaction zone is secured by an expandable polytetrafluoroethylene-covered nitinol stent. By its minimal invasive character, RSFAE will lead to lower rate of postoperative complications and shorter hospital ...
      PubDate: Tue, 01 Apr 2008 04:00:00 +010
       
  • Abdominal aortic aneurysm sac behavior following Cook Zenith graft
           implantation: a five-year follow-up assessment of 212 cases.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The CZ grafts offered satisfactory overall results up to five years of follow-up; nevertheless, sac diameter increased in 4.25% of patients. Endoleak was a predictive factor of a lack of sac shrinkage, while aortouniliac graft configuration was predictive of sac shrinkage. PMID: 18431340 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 01 Apr 2008 04:00:00 +010
       
  • Carotid bifurcation atherosclerosis in the over-65s: a prevalence study.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Approximately one in every 5 subjects over 65 years of age presents with CS; CS prevalence was higher in the over-75s and among males, although the differences were not statistically significant. PMID: 18431341 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 01 Apr 2008 04:00:00 +010
       
  • Systematic review and meta-analysis of endovenous radiofrequency
           obliteration, endovenous laser therapy, and foam sclerotherapy for primary
           varicosis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: EVLT, RFO, and FS seem to be safe and effective modalities with good short and mid-term RESULTS: Acquisition of comparative long-term and very long-term data on clinical efficacy (particularly with regard to the formation of recurrent varicose veins), safety, quality of life outcomes and costs is needed by large high-quality prospective randomized trials of endovenous techniques versus each other and versus surgery before considering endovenous techniques as the standard treatment. PMID: 18431342 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 01 Apr 2008 04:00:00 +010
       
  • Advential cystic disease of the popliteal artery: experience of a single
           vascular and endovascular center.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Setacci F, Sirignano P, de Donato G, Chisci E, Palasciano G, Setacci C Adventitial cystic disease (ACD) is an uncommon condition with only around 300 cases reported in the literature. ACD consists of a collection of gelatinous material within a cyst, that is adjacent or surrounding a vessel. In the last five years three cases of ACD have been observed: the first case was a 48-year-old man, ex nicotine abuser, with a four-month history of progressive claudication; the second case was a 55-year-old man, ex nicotine abuser, with ischemic heart failure and a one-year history of progressive claudication; the third case was a 70-year-old man, with diabetes, dislipidemia and current nicotine abuser with a few-day history of acute pain in the right leg. In two cases the cysts were inc...
      PubDate: Tue, 01 Apr 2008 04:00:00 +010
       
  • A rare vascular tumour with distinctive clinical findings.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Chisci E, de Donato G, Setacci F, Perulli A, Galzerano G, Setacci C Subungual glomus tumours are rare benign hamartomas arising from the arterial end of the glomus body (an arteriovenous shunt related to thermoregulation). A combination of clinical examination, Color-Doppler ultrasonography and magnetic resonance imaging (MRI) is used to support the diagnosis confirmed by histology. A 45 year old male patient with a three-year-old swelling of the proximal thumbnail presented himself at the Surgery Department. A slightly bluish nail plate and tenderness under the thumbnail were evident at clinical examination. He suffered the classic trilogy of sensitivity to pain, pressure and temperature of the thumb lesion. Ultrasound and MRI revealed the presence of a small oval-shaped mass...
      PubDate: Tue, 01 Apr 2008 04:00:00 +010
       
  • Infected ruptured popliteal artery aneurysm by Listeria monocytogenes A
           case report and review of the literatures.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We describe a case of a voluminous infected aneurysm of the popliteal artery, with Listeria monocytogenes (LM) associated with rupture, in a 72-year old man. After radical resection of the aneurysm a reconstruction was not necessary, because of the sufficient blood supply, due to the pre-existent good development of collateral circulation. The patient was discharged on the 12th postoperative day with primary healing of the wound and viable leg. Adequate antibiotic treatment was continued for 4 weeks. In the following 18 months the serial clinical examinations, laboratory tests and ultrasound scans have shown no evidence of reinfection. PMID: 18431345 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 01 Apr 2008 04:00:00 +010
       
  • Protective effect of pyridoxal-5-phosphate (MC-1) on perioperative
           myocardial infarction is independent of aortic cross clamp time: results
           from the MEND-CABG trial.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: MC-1 decreased the incidence of CV death and MI (CK-MB 100 ng/mL) during the first 90 days after CABG in the MEND-CABG trial. Although longer aortic clamping time increased the risk of cardiovascular events, the protective effect of MC-1 was independent of ischemic time during CABG. PMID: 18431346 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 01 Apr 2008 04:00:00 +010
       
  • Influence of angiotensin-I-converting-enzyme insertion/deletion gene
           polymorphism on perioperative hemodynamics after coronary bypass graft
           surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: ACE-I/D had no influence on perioperative systemic hemodynamics. However, transitory differences in pulmonary hemodynamic were observed after CPB. These differences may have been due to changes in serum ACE activity during CPB. PMID: 18431347 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 01 Apr 2008 04:00:00 +010
       
  • Is use of temporary pacing wires following coronary bypass surgery really
           necessary'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: TEPW implantation is overused in cardiac surgery and by identifying independent predictors for pacing we conclude that TEPW use should be limited to a select few. PMID: 18431348 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 01 Apr 2008 04:00:00 +010
       
  • Connective tissue changes in a mouse model of vein graft disease.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Early vein graft disease is characterised by an accumulation of acid mucopolysaccharides and elastic fibers in the thickened neointima. Paclitaxel treatment increases the neointimal hyperplasia in mouse vein grafts in vivo. PMID: 18431349 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 01 Apr 2008 04:00:00 +010
       
  • Heparin-coated extracorporeal circulation in combination with low dose
           systemic heparinization reduces early postoperative blood loss in cardiac
           surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The combined use of heparin-coated circuits and low dose systemic heparinization is able to reduce early postoperative blood loss without enhancing the risk of complications. PMID: 18431350 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 01 Apr 2008 04:00:00 +010
       
  • Concomitant carotid endarterectomy and coronary artery bypass grafting
           versus staged carotid stenting followed by coronary artery bypass
           grafting.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Concomitant carotid endarterectomy and CABG is as safe as carotid stenting and CABG, with fewer neurologic events and less hypotension, bradycardia, cost and shorter hospital stay. PMID: 18431351 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 01 Apr 2008 04:00:00 +010
       
  • Unilateral diaphragm paralysis: etiology, impact, and natural history.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The conclusion is drawn that: 1) UDP may be traumatic, tumor-related, iatrogenic, or idiopathic; 2) UDP decreases pO(2) substantially and breathing capacity by more than 1/3; 3) spontaneous recovery is possible; 4) UDP is not intrinsically lethal; 5) occasional patients are incapacited; 6) diaphragm resection produces clinical improvement via lower lobe re-expansion; 7) the incapacity incurred by UDP is mild compared to the clinical spectrum of bilateral diaphragm paralysis. PMID: 18431352 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 01 Apr 2008 04:00:00 +010
       
  • Aortic valve stenosis and regurgitation: an overview of management.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Svensson LG There are few cardiovascular disease entities that have as an impressive contribution to improved quality and duration of life as aortic valve disease correction. Although aortic valve stenosis is fairly common, particularly in elderly patients, between one third and two thirds go untreated, despite operative survival rates with the minimal invasive J incision approach of 99%. For those patients with high risk co-morbidity or technical inoperable reasons, the percutaneous transfemoral or transapical approaches are now available with good initial RESULTS: For younger patients with tricuspid valves or bicuspid valves and aortic regurgitation, aortic valve repair should be the first choice procedure and with careful selection of the appropriate approach based on analy...
      PubDate: Tue, 01 Apr 2008 04:00:00 +010
       
  • Aneurysmal expansion of the aortic patch after thoracoabdominal aortic
           aneurysm repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Palombo D, Mambrini S, Lucertini G PMID: 18431354 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 01 Apr 2008 04:00:00 +010
       
  • Tracheal stenosis following intubation: is it an early problem'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Davini F, Gonfiotti A, Dragotto A, Salani A, Janni A PMID: 18431355 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 01 Apr 2008 04:00:00 +010
       
  • Venous therapy in 2008.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Gloviczki P PMID: 18212682 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 24 Jan 2008 21:58:48 +010
       
  • Percutaneous interventions for pulmonary embolism.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Uflacker R, Schönholz C Venous thromboembolism and pulmonary embolism (PE) is the third most common cardiovascular disease and a leading cause of death in the US. There are many risk factors related to PE. Traditional treatments are anticoagulation, systemic thrombolysis, and surgical thrombectomy. More recently, several minimally invasive procedures were introduced, which includes catheter-directed thrombolysis, percutaneous embolectomy, embolus fragmentation techniques, pulmonary artery stent placement or association of two or more of those techniques. In the present study the
      Authors review the role of the different techniques for the treatment of PE, and provide some guidelines and indications for treatment. The most popular devices and techniques are described in det...
      PubDate: Thu, 24 Jan 2008 21:58:47 +010
       
  • Options in the management of varicose veins, 2008.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Hirsch SA, Dillavou E Modern management of varicose veins requires knowledge of the principal procedures currently utilized, which are compression sclerotherapy, foam sclerotherapy, endovenous laser therapy, radiofrequency closure, microincision phlebectomy, transilluminated powered phlebectomy, radiofrequency closure of perforating veins, perforation invagination stripping, subfascial endoscopic perforator surgery, saphenous valvuloplasty and external laser therapy. A review of the above procedures is presented with a brief description of their indications, performance and RESULTS: PMID: 18212684 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 24 Jan 2008 21:58:45 +010
       
  • Endovenous treatment of patients with iliac-caval venous obstruction.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Raju S Liberal use of intravascular ultrasound in symptomatic chronic venous disease (CVD) patients and the advent of venous stent technology have introduced a new paradigm of treatment for these conditions that often required open surgery in the past. Iliac outflow obstruction is present in >90% of limbs with CVD symptoms including in ''primary'' cases. In the latter, the obstructive lesion appears to function as a permissive lesion, provoking symptoms when additional secondary pathology is added. Like other known permissive lesions in human disease, symptom relief occurs after correction of the permissive lesion with a stent even when the secondary pathology is left uncorrected. Long-term stent patency is astonishingly high in ''primary'' disease and only slightly less in...
      PubDate: Thu, 24 Jan 2008 21:58:43 +010
       
  • Vena cava filters: why, when, what and how'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This article proposes to make a state of the art about caval filtration, while reminding that cava filters remain only an additional tool in the prevention of pulmonary embolism (PE) and the decision of filtering a patient must be taken individually within a multidisciplinary team. All the previous opinions concerning caval filtration were disrupted by the arrival in the 1990s of a new type of vena cava filter: the optional filters or with retrieval option which allow to prevent the appearance of a PE during a more or less long time and which can be retrieved from the patient, thus avoiding the long-term complications of the cava filters. Still they can be left in place as permanent filter if necessary. After analyzing the pros and cons for the caval filtration, the
      Authors suggest some or...
      PubDate: Thu, 24 Jan 2008 21:58:41 +010
       
  • Intramuscular or combined intramuscular/intra-arterial administration of
           bone marrow mononuclear cells: a clinical trial in patients with advanced
           limb ischemia.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Both IM and combined IM/IA delivery of autologous BMC are safe, and result in relevant and sustained improvement in a considerable proportion of patients with severe PAD who are not amenable for conventional treatment. PMID: 18212687 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 24 Jan 2008 21:58:39 +010
       
  • Long-term surveillance is paramount after implantation of the Vanguard
           stent-graft for abdominal aortic aneurysms.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The importance of life-long strict surveillance of patients treated with a Vanguard endograft was confirmed. Patients with graft-related complications should be treated accordingly. PMID: 18212688 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 24 Jan 2008 21:58:37 +010
       
  • Laparoscopic hybrid techniques for ectopic or accessory renal arteries
           debranching in complex endovascular aneurysm repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Bakoyiannis C, Cagiannos C, Wasilljew S, Puerschel A, Pinter L, Kolvenbach R The aim of this study was to report an assisted or totally laparoscopic approach for renal revascularization in patients with congenital renal vascular anomalies during endovascular abdominal aneurysm repair (EVAR). In three patients with an ectopic main or a large accessory renal artery (>3mm) arising from the aneurysm, laparoscopic exposure of the target renal artery and the ipsilateral iliac bifurcation was performed. In two patients a small incision was made over the area between the iliac bifurcation and the renal target vessel in order to facilitate the anastomotic procedure. In the third patient a totally laparoscopic bypass between a big left inferior renal polar artery and the left common ...
      PubDate: Thu, 24 Jan 2008 21:58:35 +010
       
  • Saccular aneurysms of the extracranial internal carotid artery. Experience
           and review of the literature.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We report on indications for treatment, surgical technique and results in terms of morbidity-mortality and also review the pertinent literature. Surgical treatment was indicated on the grounds of the patients being symptomatic: 2 had a history of cerebral ischemia, and 1 showed local compression symptoms. The surgical approach was presternocleidomastoid cervicotomy extended distally, and in 2 patients was accompanied by nasotracheal intubation to achieve adequate exposure. In 2 cases, we performed an aneurysmectomy with end-to-end anastomosis. In the third patient, the aneurysm neck was ligated from within the sac followed by aneurysmectomy. There was no mortality or neurological morbidity (local or general). The patients remain free from neurological symptoms with a patent carotid axis. O...
      PubDate: Thu, 24 Jan 2008 21:58:33 +010
       
  • Adrenocortical tumor with left renal vein, vena cava and intrahepatic
           venous extension.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Wright CB, Brennan L, Brophy P, Kirsh G, Shapiro M, Potter B, Giss S, Lindeman KE, Obial R, Fannin E A 41 year old white female presented with upper respiratory distress and shortness of breath appeared on initial computed tomography (CT) scan to have a large left retroperitoneal mass with left renal vein extension including a mass up to the level of the atrium. This presentation suggested hypernephroma. She proved, however, to have an adrenal cortical carcinoma which displaced the kidney, exhibiting vascular invasion within the gland and non-adherent extension into the vena cava, atrium, common hepatic vein and left renal vein, where some adherence was present. This unusual tumor required extensive surgery for removal, including use of cardiopulmonary bypass, with good RESULT...
      PubDate: Thu, 24 Jan 2008 21:58:31 +010
       
  • Chronic atrial fibrillation: decreased actin expression in patients with
           chronic atrial fibrillation.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The decrease in actin concentration via myolysis, might decrease energy consumption and be an additional mechanism for contractile dysfunction in chronic AF. PMID: 18212692 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 24 Jan 2008 21:58:29 +010
       
  • The effect of combined preinduction thoracic epidural anaesthesia and
           glucocorticoid administration on perioperative interleukin-10 levels and
           hyperglycemia. A randomized controlled trial.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The study results show that preinduction TEA improves glucose homeostasis during the perioperative 24-h period in CABG surgery. In addition, we found that while preinduction TEA reduced blood IL-10 levels, preinduction glucocorticoid and TEA+S increased the circulating levels of IL-10. PMID: 18212693 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 24 Jan 2008 21:58:27 +010
       
  • Cardiac troponin I versus creatine kinase-MB in the detection of
           postoperative cardiac events after coronary artery bypass grafting
           surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: CTnI seems to be more valuable compared to CK-MB in the detection of PCEs in patients undergoing coronary surgery. PMID: 18212694 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 24 Jan 2008 21:58:25 +010
       
  • Early mortality predictors in coronary artery bypass grafting patients
           required intra-aortic balloon pump in perioperative and postoperative
           periods.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: According to our study the mortality of IABP group is low compared to other studies, as well as IABP-associated complications. Also it revealed that there is no correlation between IABP-associated complications and early mortality. PMID: 18212695 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 24 Jan 2008 21:58:22 +010
       
  • The effect of milrinone on metabolism after cardiopulmonary bypass.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: These findings suggest that milrinone has a beneficiary effect on aerobic tissue metabolism after extracorporeal circulation, reflected on serum lactate, base excess and glucose levels, possibly due to a combination of positive inotropic and peripheral vasodilatory effect of the drug. PMID: 18212696 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 24 Jan 2008 21:58:20 +010
       
  • Rheumatic mitral valve surgery in the fifth decade: our experience.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: With improving life expectancy and early interventions, the number of =/<50-year old rheumatic valvular disease patients is increasing. The present study showed a marked improvement for this subset of patients, although age still remains the main risk factor along with atrial fibrillation, repeat surgery, stroke and tricuspid valve disease. PMID: 18212697 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 24 Jan 2008 21:58:18 +010
       
  • Single proximal anastomosis for multiple vein coronary artery bypasses in
           diseased ascending aorta.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We describe in this paper a novel method in which a single proximal anastomosis has been performed in the same ostium on the ascending aorta for multiple coronary artery vein grafts. PMID: 18212698 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 24 Jan 2008 21:58:16 +010
       
  • Portal vein thrombosis associated with coronary artery bypass surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Katz MG, Shimonov M, Elias S, Ben Eli M, Hauptman E, Sasson L Portal vein thrombosis is a rare but well-known complication after abdominal surgery. To our knowledge, there have been no reports about this complication after cardiopulmonary bypass surgery. This can probably be explained by the variety of clinical pictures and difficulties in the establishment of a diagnosis of portal vein thrombosis. Among the possible trigger factors, bacteremia, that is usually caused by Bacteroides fragilis or by Escherichia coli, has been assessed. In this case, several blood culture specimens and fluid from abdominal paracentesis consistently grew coagulase-negative staphylococci which have been proved to be one of the most common pathogens in postoperative infection after cardiac surgery. ...
      PubDate: Thu, 24 Jan 2008 21:58:15 +010
       
  • Separate visceral vessels revascularization during thoraco-abdominal
           aortic aneurysm repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Totaro P, Rammohan KS, Degno N, Argano V PMID: 18212700 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 24 Jan 2008 21:58:13 +010
       
  • Iatrogenic aortic dissection after coronary artery bypass grafting.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Marasco SF, Lim K, New G, Esmore DS PMID: 18212701 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 24 Jan 2008 21:58:11 +010
       
  • Fresh pericardial conduit for brachiocephalic vein injury during
           sternotomy.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Pocar M, Pirelli L, Moneta A, Casini A, Mattioli R, Donatelli F PMID: 18212702 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 24 Jan 2008 21:58:09 +010
       
  • Carotid Artery Stump Pressure (CASP) in 1135 consecutive endarterectomies
           under general anesthesia: an old method that survived the test of times.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: CASP =/>45 mmHg was a reliable predictor of adequate cerebral perfusion during 1 135 consecutive CEAs performed under general anesthesia. The percentage of indwelling shunts utilized in this series was not significantly different from the ones using more expensive and sophisticated techniques. PMID: 17947923 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 26 Oct 2007 01:26:36 +010
       
  • Cerebral embolization in patients undergoing protected carotid-artery
           stenting and carotid surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: CAS is associated with a significantly higher rate of cerebral embolization than CEA. Even though the clinical meaning of new postoperative ischemic lesions remains debatable, it seems prudent to reduce the embolic load by improving procedural techniques and cerebral protection devices. PMID: 17947924 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 26 Oct 2007 01:26:34 +010
       
  • Setting up of a multicentric European registry dealing with type B
           
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The DEDICATED is the first prospective data collection registry focusing on the role of tapered stentgrafts in chronic aortic dissection and their efficacy in excluding the dissected thoracic false lumen. PMID: 17947925 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 26 Oct 2007 01:26:32 +010
       
  • Abdominal aortic aneurysm repair in octogenarians: mith or reality'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The introduction of EVAR has considerably changed the balance of risks and benefits for AAA treatment. Our study confirms the high mortality rate for octogenarians with rAAA and haemodynamic instability, and supports the value of an active EVAR approach for octogenarians with AAA to prevent rupture. Moreover, the introduction of endovascular techniques as part of an overall treatment algorithm for ruptured AAAs appears to be potentially associated with improved outcomes in terms of mortality and morbidity as compared to open surgical repairs alone. PMID: 17947926 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 26 Oct 2007 01:26:31 +010
       
  • Surgical treatment of pararenal aortic aneurysms in the elderly.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Pararenal aortic aneurysms in the elderly can be surgically repaired with results that are similar to those obtained in younger patients. PMID: 17947927 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 26 Oct 2007 01:26:29 +010
       
  • Endovascular treatment for para-anastomotic abdominal aortic and iliac
           aneurysms following aortic surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Our experience confirms that endovascular stent-grafts can be used successfully to exclude anastomotic aortic aneurysms after open surgery. Endovascular repair seems to be effective at mid-term follow-up. PMID: 17947928 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 26 Oct 2007 01:26:28 +010
       
  • Non-randomized, prospective, multi-centre evaluation of the ABSOLUTE .035
           peripheral self-expanding stent system for occluded or stenotic
           superficial femoral or proximal popliteal arteries (ASSESS Trial): acute
           and 30-day results.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The treatment of TASC B and C femoro-popliteal lesions with use of the ABSOLUTE stent is safe and feasible. Short-term follow-up documents persistent improvement of hemodynamics. The 6- and 12-month data have to be awaited for further CONCLUSIONS: PMID: 17947929 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 26 Oct 2007 01:26:26 +010
       
  • Differences of venous thromboembolic risks in vascular general and trauma
           surgery patients.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The VTE-risk for surgical patients remains high, despite all efforts for prophylaxis. The main reason may be that risk-assessment is time consuming and not standardized. We demonstrated that VTE-risk for patients in vascular surgery is significantly higher than the VTE-risk for patients in general and trauma surgery. We also showed that the VTE-risk in some patients was underestimated and prophylaxis was inadequate. Therefore, it is recommended to emphasize more on short risk-assessment, adequate prophylaxis and optimal dosage in order to prevent deep venous thrombosis and embolism disease. PMID: 17947930 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 26 Oct 2007 01:26:25 +010
       
  • Risk factor awareness in patients with peripheral arterial disease.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: RF awareness amongst patients with PAD is suboptimal. Intensive efforts need to be undertaken to educate this patient cohort in order to improve consciousness for best medical therapy. PMID: 17947931 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 26 Oct 2007 01:26:23 +010
       
  • Thoracic endovascular aortic repair of traumatic injuries involving the
           descending thoracic aorta.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Riesenman PJ, Farber MA Acute traumatic thoracic aortic transection is a devastating injury that often occurs in the context of multiple associated traumatic injuries. Patients who survive the initial trauma and present to the hospital experience progressive hospital mortality and remain at risk for rupture of the contained injury. Conventional open surgical repair is regarded as a definitive form of treatment with long-term durability. Unfortunately, the stress subjected upon the multitrauma patient during the operative intervention is believed to contribute to considerable operative morbidity and mortality. Despite advancements in the management and treatment of this condition, hospital and operative mortality remains high. Thoracic endovascular aortic repair (TEVAR) has eme...
      PubDate: Fri, 26 Oct 2007 01:26:22 +010
       
  • Effects of fructose-1,6-diphosphate on endo- and myocardial purine
           metabolism during coronary artery bypass grafting surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: These data suggest that FDP may contribute to myocardial cytoprotection during cardiopulmonary bypass. Moreover, myocardial nucleotide metabolite levels showed no evidence for a protective effect of FDP on nucleotide degradation between the treated and the control groups. PMID: 17947933 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 26 Oct 2007 01:26:20 +010
       
  • Cardiac surgery in nonagenarians.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Despite higher morbidity and mortality, in carefully selected nonagenarians referred for cardiac surgery, short-term complication rates and long-term outcomes appear to be acceptable. PMID: 17947934 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 26 Oct 2007 01:26:19 +010
       
  • Aprotinin and perioperative complications in cardiac surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Our analysis suggests that aprotinin use in either a high or low dose regimen was not associated with an increase in adverse end-organ complications. PMID: 17947935 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 26 Oct 2007 01:26:17 +010
       
  • Risk of retinal microembolism after off-pump and on-pump coronary artery
           bypass surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The risk of retinal embolism can be minimized by the use of OPCAB and, most likely, by adequate epiaortic ultrasound scanning of the ascending aorta and avoiding clamping in case of severely diseased aorta. PMID: 17947936 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 26 Oct 2007 01:26:16 +010
       
  • Types of reconstructive surgery of the aortic valve.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Misfeld M, Bechtel M, Sievers HH The aortic valve is part of the aortic root which is wedged between the heart and the ascending aorta, maintaining a directional flow throughout life-span. Beside different types of aortic valve replacements, reconstructive techniques are increasingly performed to restore normal aortic valve function. To apply these operations, understanding of normal and pathological valve anatomy and physiology is of basic importance. In addition, a widely accepted uniform aortic valve and root terminology is desirable for a proper scientific communication. Reconstructive techniques themselves can be divided into isolated reconstruction of aortic valve/root structures and the isolated replacement of one or more structures. Examples for the former ones are com...
      PubDate: Fri, 26 Oct 2007 01:26:14 +010
       
  • Reoperative surgery on the aortic valve.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Ali A, Pepper J The number of patients presenting for reoperative valve surgery is set to rise because of the increased longevity of the population. International trends indicate a shift towards the use of tissue valves in North America and Europe. In recent years, improved techniques have reduced the early mortality of these procedures, such that age, alone, is no longer an incremental risk factor. It is the co-morbidity which largely determines the fate of these patients. Percutaneous valve replacement is evolving and is likely to be a useful form of management especially in those with significant associated disease. PMID: 17947938 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 26 Oct 2007 01:26:13 +010
       
  • Influence of concomitant mitral valve dysfunction on survival after aortic
           valve replacement.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Torracca L, Verzini A, De Bonis M, Alfieri O Aortic valve pathology is the most common acquired valvular heart disease in the adults of western countries, and mitral regurgitation (MR) is often clinically present in patients with degenerative aortic stenosis or insufficiency. Many studies report an incidence of MR between 65-75% in patients evaluated for aortic valve replacement. Severe aortic valve disease may be associated with functional mitral regurgitation (FMR) defined as the failure of mitral valve to prevent systolic backward flow in the absence of any significant structural or intrinsic valvular disease. Increased afterload and left ventricular remodeling have been implicated to explain FMR in patients with aortic valve disease. Moreover, organic mitral valve disease ...
      PubDate: Fri, 26 Oct 2007 01:26:11 +010
       
  • Mitral tendon prolapsing into the left ventricular outflow tract.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We report a case and management. A 68 year-old asymptomatic female who had undergone coronary angioplasty and stent placement in the left anterior descending artery for acute myocardial infarction four years earlier, was shown to have, on routine follow-up, an intracardiac mass originating from the anterior leaflet of the mitral valve and prolapsing into the left ventricular outflow tract (LVOT). The patient underwent surgical excision of the mass under cardiopulmonary bypass, to prevent cerebral or coronary embolization and sudden death due to the highly sensitive location of the mass, in the high-velocity flow LVOT. A transverse aortotomy provided exposure of the ventricular surface of the anterior mitral leaflet and revealed a fusiform mass attached to the medial segment of the anterior...
      PubDate: Fri, 26 Oct 2007 01:26:10 +010
       
  • Identification of proximal landing zone limit for proper eployment of
           aortic arch stentgraft after supra-aortic great vessels transposition.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We report an intraoperative technique during total aortic arch transposition that facilitates subsequent endovascular arch exclusion thanks to a reliable radio-opaque marker. In patients who require an endovascular exclusion of the aortic arch, a total arch transposition can be performed through a median sternotomy prior to stentgraft deployment. During the surgical stage, a radio-opaque thread is pull out of a surgical sponge pad, looped around the ascending aorta just distal to the ostium of the aorto-innominate bypass and fixed in place by means of metal clips. The technique we describe increases the accuracy of stentgraft deployment in the ascending aorta after total arch transposition. It will potentially improve the outcome. PMID: 17947941 [PubMed - in process] (Source: The Journ...
      PubDate: Fri, 26 Oct 2007 01:26:08 +010
       
  • Thirty years of revascularisation of renal artery stenosis. Increasing
           experience but still limited evidence.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Zeller T PMID: 17653001 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Aug 2007 04:00:00 +010
       
  • Renovascular hypertension. Eigth years experience of a vascular surgery
           centre.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The complete resolution of RVH associated with severe RAS appears unrealistic in several cases. Early and long-term results in terms of technical success and restenosis were acceptable and similar for surgical and endovascular renal intervention. An early diagnosis of RVH could improve the control of hypertension after successful renal revascularization. PMID: 17653002 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Aug 2007 04:00:00 +010
       
  • Recent advances in renal artery stenting.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Henry M, Henry I, Polydorou A, Polydorou AD, Hugel M Renal artery stenosis (RAS) is frequent and increasingly recognized thanks to technical improvements in duplex ultrasound, magnetic resonance angiography, computed tomography (CT) scanning, systematic renal angiography during cardiac catheterisation, coronary procedures and particularly in hypertensive or multivascular diseased patients. Renal artery angioplasty and stenting is the first treatment to be proposed for patients suffering from RAS. This procedure is largely performed with very good technical results, good anatomical results, a low complication rate and a good long-term patency. The technique has proven to be beneficial for preserving RF and stabilizating or improving BP in a large number of patients. Nevertheles...
      PubDate: Wed, 01 Aug 2007 04:00:00 +010
       
  • Is embolic protection during renal artery intervention really
           necessary'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Corriere MA, Crutchley TA, Edwards MS Atherosclerotic renovascular disease is an increasingly recognized cause of both renal function impairment and hypertension, and its presence is associated with increased cardiovascular mortality and dialysis dependence. Although surgical renal revascularization is associated with the most favorable reported renal function outcomes, the significant perioperative mortality and complication rates have resulted in a shift to renal artery percutaneous transluminal angioplasty and stenting (RA-PTAS) as the most frequently performed method of revascularization. Renal function outcomes following RA-PTAS are less favorable, with patients experiencing functional improvement and deterioration with approximately equal frequency in reported series. Di...
      PubDate: Wed, 01 Aug 2007 04:00:00 +010
       
  • Nitinol stenting for treatment of ''below-the-knee'' critical limb
           ischemia: 1-year angiographic outcome after Xpert stent implantation.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Our results suggest that treatment with nitinol Xpert stents in CLI patients is effective and yields satisfactory angiographic and clinical outcome. PMID: 17653005 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Aug 2007 04:00:00 +010
       
  • Effect on vein graft intimal hyperplasia of nuclear factor-kB decoy
           transfection using the second generation of HVJ vector.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: NF-kB binding activity in vein grafts increases after implantation, and transfection of NF-kB decoy before implantation may reduce IH through the inhibition of ICAM-1 expression. PMID: 17653006 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Aug 2007 04:00:00 +010
       
  • A single arm, prospective study of an absorbable cyanoacrylate surgical
           sealant for use in vascular reconstructions as an adjunct to conventional
           techniques to achieve haemostasis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The time to haemostasis in this study was comparable to that reported in a previous publication. The cyanoacrylate surgical sealant was found to be safe and effective in a variety of vascular reconstruction procedures. PMID: 17653007 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Aug 2007 04:00:00 +010
       
  • Vacuum assisted wound closure in postoperative periprosthetic groin
           infections: a new gold standard'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Even in the presence of synthetic vascular graft material, negative pressure therapy can greatly simplify challenging wound healing problems under maintenance of the alloplastic grafts. These preliminary results demonstrate the safety and effectiveness of VAWC for the treatment of deep alloplastic graft infections. PMID: 17653008 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Aug 2007 04:00:00 +010
       
  • Clinical and hemodynamical findings in legs with previous surgery of the
           great saphenous vein: role of the small saphenous vein.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Small saphenous vein (SSV) reflux is common in legs with recurrent varicose veins and previous stripping of the GSV. SSV reflux alone is frequent in complicated legs, and SSV reflux is typically associated with segmental deep reflux. Clinical and hemodynamical findings stress the role of SSV reflux in this selected venous population. PMID: 17653009 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Aug 2007 04:00:00 +010
       
  • Endovascular repair of ruptured aneurysms of the infrarenal abdominal
           aorta: feasibility and results.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Our initial results using endografts for the repair of ruptured AAA were satisfactory, with a feasibility of 59% and an operative mortality of 20%. Randomized studies are necessary to determine the true value of endovascular repair of ruptured AAA compared to conventional open repair. PMID: 17653010 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Aug 2007 04:00:00 +010
       
  • Effects of urinary protease inhibitor on inflammatory response during
           on-pump coronary revascularisation. Effect of ulinastatin on inflammatory
           response.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Results suggest that ulinastatin may inhibit proinflammatory cytokine (PMNE, TNF-alfa, IL-6 and IL-8) release, reduce reperfusion lung injury and preserve pulmonary function but it fails to inhibit platelet activation and to prevent blood loss during CPB. PMID: 17653011 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Aug 2007 04:00:00 +010
       
  • What factors influence the results of coronary artery bypass grafting in
           aged patients'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Preoperative poor LVEF, diabetes mellitus and peripheral vascular disease were significant contributory factors to operative death. When feasible, CABG in octogenarians should be performed electively. PMID: 17653012 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Aug 2007 04:00:00 +010
       
  • Is short-term amiodarone use post cardiac surgery a cause of acute
           respiratory failure'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The short-term administration of amiodarone under the conditions of the present study does not seem to affect respiratory function. PMID: 17653013 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Aug 2007 04:00:00 +010
       
  • Redo valve surgery with on-pump beating heart technique.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Normothermic on-pump beating heart valve replacement offers a safe alternative to cardioplegic arrest in high-risk group. Complication rates are low and perioperative mortality is lower than with conventional surgery. Beating heart technique has the advantage of maintaining physiologic condition of the heart throughout the procedure. PMID: 17653014 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Aug 2007 04:00:00 +010
       
  • A modified cannulating technique for the BVS5000.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Luo XJ, Hu SS, Sun HS, Liu P, Zhang Y The aim of this study was to report on a modified cannulating method for the BVS5000 left ventricular assist device. From April 2005 to April 2006, a BVS5000 device was implanted using a modified cannulating method in 7 postcardiotomy male patients after coronary artery bypass grafting for left ventricular support. The inflow cannula was inserted into the left atrial artery through a segment of bovine jugular vein and the arterial cannula into the femoral artery. Five patients were successfully weaned from the BVS5000 after recovery of heart function and were discharged from hospital. The BVS5000 was explanted using a minimally invasive technique. The weaning procedure was completed bedside in the intensive care unit under local anesthesia...
      PubDate: Wed, 01 Aug 2007 04:00:00 +010
       
  • Saving space for less invasive direct-vision, mitral valve surgery with
           altered cannulation protocol.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We present a modification of the venous cannulation protocol we use in less invasive, directvision mitral valve surgery through a half-lower partial sternotomy. The superior vena cava is drained with a right jugular vein cannula. For inferior vena cava drainage we use an oval venous cannula which is exteriorized through another small skin incision. These modifications, together with the use of a smaller diameter aortic cannula, provide vital space for surgical maneuvers through a small (810 cm) skin incision. PMID: 17653016 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Aug 2007 04:00:00 +010
       
  • Type I aneurysmosis: an arteriographic index for diagnosis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Belardi P, Lucertini G PMID: 17653017 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Aug 2007 04:00:00 +010
       
  • A splenic injury due to ruptured abdominal aortic aneurysm.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Gur O, Canbaz S, Halici U, Duran E PMID: 17653018 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Aug 2007 04:00:00 +010
       
  • A rare association of the common carotid trunk and aberrant
           retroesophageal subclavian artery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Bini A, Dolci G, Grani G, Petrella F, Zompatori M PMID: 17653019 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Aug 2007 04:00:00 +010
       
  • Popliteal aneurysms.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Watelet J PMID: 17505428 [PubMed - indexed for MEDLINE] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 01 Jun 2007 04:00:00 +010
       
  • Endovascular treatment of asymptomatic popliteal aneurysms: 8-year
           concurrent comparison with open repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Within the power limitations of this study, ET for asymptomatic PA in patients with suitable anatomy can be considered safe, with long-term results comparable with those of OR. PMID: 17505429 [PubMed - indexed for MEDLINE] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 01 Jun 2007 04:00:00 +010
       
  • Endovascular treatment of popliteal artery aneurysms: is the technique a
           valid alternative to open surgery'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Results of endovascular repair of popliteal artery aneurysms are improving and in range with those of open repair. PMID: 17505430 [PubMed - indexed for MEDLINE] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 01 Jun 2007 04:00:00 +010
       
  • Surgical and endovascular treatment of atherosclerotic popliteal artery
           aneurysms.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This article reviews short-term and long-term results of surgical and endovascular treatment for mainly elective repair of popliteal artery aneurysms. A systemic review was conducted of data in the English literature from 1990. The review included 1 prospective randomized trial, 6 prospective studies, and 42 retrospective studies on the management of popliteal artery aneurysms. These studies contained 2 197 patients with 2 882 popliteal artery aneurysms. Short-term results are acceptable, with average 1-year patency rates of 90% for surgical treatment and 75% for endovascular treatment, and respective limb salvages rates of 95% and 100%. Endovascular treatment lacks long-term follow-up, whereas venous surgical repair has an average 5-year patency rate of up to 85% (prosthetic grafts, 40-80...
      PubDate: Fri, 01 Jun 2007 04:00:00 +010
       
  • Emergency intervention for thrombosed popliteal artery aneurysm: can the
           limb be salvaged'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We present a review and our own experience of the demographic aspects of popliteal artery aneurysms (PAAs), their clinical presentation, the treatment alternatives and associated outcome. The incidence of PAA:s varies between 0,1-1%. 95% of the patients are male. 50% are asymptomatic at the time of diagnosis. Annually, 5-24% of PAAs develop symptoms. The clinical presentation varies widely with an amputation rate of up to 78% in acute ischemic cases. The main indication for PAA repair is prevention of embolisation but acute revascularisation is the primary task in the emergency setting. Open surgery and endovascular techniques are described and can be combined with intraarterial thrombolysis as pre- or intraoperative treatment. The literature proves often inconclusive due to small numbers ...
      PubDate: Fri, 01 Jun 2007 04:00:00 +010
       
  • Can carotid ultrasound predict plaque histopathology'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: In routine clinical practice, ultrasound can identify with reasonable accuracy, plaques that are predominantly haemorrhagic or fatty, and therefore potentially unstable. This may have future implications in selection of patients for surgery. PMID: 17505433 [PubMed - indexed for MEDLINE] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 01 Jun 2007 04:00:00 +010
       
  • Inflammatory abdominal aortic aneurysms. A 20-year experience.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Overall surgical outcome of these patients, in terms of short-term and long-term is good. A high rate of pseudoaneurysm formation was observed. PMID: 17505434 [PubMed - indexed for MEDLINE] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 01 Jun 2007 04:00:00 +010
       
  • Clinical outcome after re-occlusion of initially successful remote
           endarterectomy of the superficial femoral artery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The clinical consequences of re-occlusion after remote endarterectomy for long occlusive disease of the superfricial femoral artery, from a mixed patient population with 27% ischemic rest pain and gangrene, were mild with 31 elective and only five acute re-interventions and two below-knee amputations. PMID: 17505435 [PubMed - indexed for MEDLINE] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 01 Jun 2007 04:00:00 +010
       
  • The endovascular management of open aortic surgery complications with
           emergency stent-graft repair in high-risk patients.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Ascoli Marchetti A, Gandini R, Ippoliti A, Pampana E, Ventoruzzo G, Romagnoli A, Simonetti G, Pistolese GR The aim of the study was to demonstrate the utility of endovascular stent-graft repair for emergency management of aorto-iliac surgery complications. Between 1997 and 2004, in our institute, 201 patients underwent transluminal endovascular graft placement. In 3 patients (1.4%), previously submitted to conventional aortic surgery, endovascular treatment was carried out due to the occurrence of late complications: 1 secondary aortocaval fistula, 1 impending rupture of aortic pseudoaneurysm and 1 secondary aorto-enteric fistula. All candidates were high surgical risk patients (ASA III-IV) suitable for endoprosthesis positioning by endovascular stent-graft implantation presen...
      PubDate: Fri, 01 Jun 2007 04:00:00 +010
       
  • Evaluation of the topical hemostatic efficacy and safety of TISSEEL VH S/D
           fibrin sealant compared with currently licensed TISSEEL VH in patients
           undergoing cardiac surgery: a phase 3, randomized, double-blind clinical
           study.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: TISSEEL VH S/D is safe and effective for use as an adjunct to hemostasis in patients undergoing cardiac surgery. PMID: 17505437 [PubMed - indexed for MEDLINE] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 01 Jun 2007 04:00:00 +010
       
  • Robotically enhanced minimally invasive direct coronary artery bypass
           surgery: a winning strategy'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Robotically assisted takedown of the IMA and direct off-pump anastomosis through a small anterolateral thoracotomy with no rib retraction appears to be safe, with minimal morbidity, little blood loss, and a reasonable ventilation time, ICU and hospital stay. It is recommended as the preferred method of revascularization for a growing number of indications and certainly an acceptable alternative to percutaneous transluminal coronary angioplasty. PMID: 17505438 [PubMed - indexed for MEDLINE] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 01 Jun 2007 04:00:00 +010
       
  • Aortocoronary bypass grafting in high-risk patients over 75 years.
           Propensity score analysis of on versus off-pump, early and midterm
           results.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: OPCABG is safe in the high risk elderly population and significantly reduces postoperative mortality and morbidity. There are no differences in midterm results between the 2 groups of patients in our study. PMID: 17505439 [PubMed - indexed for MEDLINE] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 01 Jun 2007 04:00:00 +010
       
  • Impact of complications on outcomes following aortic and mitral valve
           replacements in the United States.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Complications are prevalent and exert a considerable influence on outcomes following aortic and mitral valve replacements. Quality initiatives should focus on minimizing complications and improving processes of care that would enable complications to be better resolved if they occur. PMID: 17505440 [PubMed - indexed for MEDLINE] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 01 Jun 2007 04:00:00 +010
       
  • Acute aortic insufficiency after blunt chest trauma: a case report.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We describe a case of a 21 year old man with blunt chest trauma who was diagnosed with aortic valve regurgitation due to rupture of the right coronary cusp one month after falling from a high place. Rupture of aortic valve cusp was treated successfully with aortic valve replacement. PMID: 17505441 [PubMed - indexed for MEDLINE] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 01 Jun 2007 04:00:00 +010
       
  • Prosthetic replacement and tangential resection of the superior vena cava
           in chest tumors.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: SVC replacement, associated with pulmonary resection or removal of mediastinal masses, can be performed in selected cases. It should not be considered as palliative treatment because of the important perioperative risks. SVC tangential resection involves fewer surgical problems. However, since this procedure is used mostly for N2 NSCLC subjects, patients have a low mean survival in spite of adjuvant therapy. PMID: 17505442 [PubMed - indexed for MEDLINE] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 01 Jun 2007 04:00:00 +010
       
  • IIIB-T4 non-small cell lung cancer: indications and results of surgical
           treatment.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Surgery for T4 NSCLC may be effective in those patients without mediastinal (N2) lymph node involvement. The prognosis was neither affected by the subtype of T4 tumor nor by the use of adjuvant therapies and/or neoadjuvant chemotherapy but only by the N status. In the preoperative work-up, every possible effort should be made to achieve a careful evaluation of lymph-nodal status (primarily by mediastinoscopy and video operative staging). PMID: 17505443 [PubMed - indexed for MEDLINE] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 01 Jun 2007 04:00:00 +010
       
  • Risk of mortality from cardiovascular and respiratory causes in patients
           with chronic obstructive pulmonary disease submitted to follow-up after
           lung resection for non-small cell lung cancer.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The findings suggest that postoperative CVR death may be expected in patients with COPD and advanced stage NSCLC or in those undergoing completion pneumonectomy or partial resection of the other lung for a second primary tumor. Other risk factors are previous coronary artery disease and/or heart failure, exertional dyspnea and predicted postoperative FEV1 <1000 mL. PMID: 17505444 [PubMed - indexed for MEDLINE] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 01 Jun 2007 04:00:00 +010
       
  • Pneumocephalus after Pancoast's tumor surgery: to be or not to be
           conservative'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We report a case of a 62-year-old man affected by Pancoast's tumor who developed pneumocephalus 17 days after right upper lobectomy with en bloc resection of the first three ribs and C8-D1 branches of the brachial plexus. The patient complained of aphasia, disorientation and sphincterial release. A chest and brain-CT scan showed a right apical pneumothorax associated with a massive pneumocephalus of the ventricles and of the subarachnoidal spaces. A pneumoperitoneum was also seen. The patient was treated using pleural drainages, Trendelenburg's position and antibiotic therapy. Clinical and radiological remission was achieved after 12 days of additional hospital stay. PMID: 17505445 [PubMed - indexed for MEDLINE] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 01 Jun 2007 04:00:00 +010
       
  • A surgical case of pulmonary adenocarcinoma complicated with pulmonary
           infarction presenting as an intrapulmonary metastasis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We present a case of pulmonary infarction manifesting as intrapulmonary metastases of lung cancer. A previously healthy 59-year-old woman was admitted to our hospital on May 16, 2002 for evaluation of multiple abnormal radiographic shadows in the right lower lung field. Laboratory tests showed no abnormalities except for a slight elevation of carcinoembryonic antigens. Computed tomography of the chest revealed a hilar mass lesion with parenchymal lesions in the periphery of the right lower lobe, highly suspected to be a pulmonary adenocarcinoma with intrapulmonary metastases. A diagnosis of pulmonary adenocarcinoma was confirmed by a transbronchial brushing examination. A right middle and lower bilobectomy with mediastinal lymph node dissection was needed by hilum lymphadenopathy and a low...
      PubDate: Fri, 01 Jun 2007 04:00:00 +010
       
  • Therapy of chronic end-stage heart failure: where do we go'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Christiansen S, Autschbach R PMID: 17505447 [PubMed - indexed for MEDLINE] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 01 Jun 2007 04:00:00 +010
       
  • Pyoderma gangrenosum after sternotomy: an early presentation of lung
           carcinoma.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Jutley RS, Varughese V, Sulley I, Richens D PMID: 17505448 [PubMed - indexed for MEDLINE] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 01 Jun 2007 04:00:00 +010
       
  • Talc pleurodesis in the treatment of chylothorax following mitral valve
           replacement.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Buyukates M, Turan SA, Altunkaya SA PMID: 17505449 [PubMed - indexed for MEDLINE] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 01 Jun 2007 04:00:00 +010
       
  • What's new in carotid angioplasty and stenting.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Schönholz C PMID: 17410058 [PubMed - indexed for MEDLINE] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 01 Apr 2007 04:00:00 +010
       
  • Initial 200 cases of carotid artery stenting using a reversal-of-flow
           cerebral protection device.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Our experience indicates that CAS using the PAES is safe and effective. The protection device may prevent the debris released by angioplasty from entering the cerebral circulation. Additional studies of this device are warranted. PMID: 17410059 [PubMed - indexed for MEDLINE] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 01 Apr 2007 04:00:00 +010
       
  • Are there predictive risk factors for complications after carotid artery
           stenting'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: CAS is a safe technique in experienced hands. Preprocedural neurological complaints and hypercholesterolemia can be defined as predisposing factors for 30-day neurological complications after CAS. PMID: 17410060 [PubMed - indexed for MEDLINE] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 01 Apr 2007 04:00:00 +010
       
  • How to optimize carotid artery stenting.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This article presents a review of the information available on how to optimize carotid stenting. PMID: 17410061 [PubMed - indexed for MEDLINE] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 01 Apr 2007 04:00:00 +010
       
  • Dealing with complications related to carotid artery stenting.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : van den Berg JC This paper will describe the complications that can occur during and after carotid artery angioplasty and stenting. Etiology, prevention and treatment of procedure related complications will be dealt with. PMID: 17410062 [PubMed - indexed for MEDLINE] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 01 Apr 2007 04:00:00 +010
       
  • What is the current status of angioplasty vs endarterectomy in patients
           with asymptomatic carotid artery disease'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Naylor AR Most national and/or specialty driven guidelines recommend against the use of carotid angioplasty/stenting (CAS) in the management of otherwise low or standard risk patients with asymptomatic carotid disease outwith the protection of randomised trials. Despite this relatively clear advice, however, an increasing number of registries and single-centre series now include an ever increasing proportion of low-risk asymptomatic patients within their study cohort. Can this practice currently be justified in the absence of any quality randomised trial evidence' This paper reviews the primary and secondary analyses from the two major randomised trials in asymptomatic patients, discusses the current status of CAS and endarterectomy and highlights areas of controversy and cons...
      PubDate: Sun, 01 Apr 2007 04:00:00 +010
       
  • Risk factors and management of arterial emboli of the upper and lower
           extremities.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: The main risk factor for EE is AF. Hospital mortality is determined by comorbidity and cerebral or visceral embolism. For this reason, effective oral anticoagulation is required, but is possible in only one-third of the patients after discharge. PMID: 17410064 [PubMed - indexed for MEDLINE] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 01 Apr 2007 04:00:00 +010
       
  • Open surgery of infrarenal aortic aneurysms with iliac involvement: repair
           should be entirely intra-abdominal.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: In this series of AAAs extending to the iliac axes, AFB was used selectively (1.6%), even when the AAA extended to the EIA. This allowed us to maintain direct vascularization of the hypogastric arteries and eliminate the risk of complications associated with inguinal access. We feel, therefore, that for the repair of aortoiliac aneurysms, AFB is rarely indicated. PMID: 17410065 [PubMed - indexed for MEDLINE] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 01 Apr 2007 04:00:00 +010
       
  • Endovascular treatment of a ruptured aneurysm of the inferior thyroid
           artery. Case report and literature review.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We present a patient who developed dysphagia and respiratory distress caused by a ruptured aneurysm of the right inferior thyroid artery. Successful coil embolization of the aneurysm is described along with a review of the literature. Despite the very rare data of these aneurysms, all reported cases of endovascular treatment (n=3) showed favourable results, therefore aneurysm embolization seems to be a feasible and safe alternative to open surgery, especially in emergency cases. PMID: 17410066 [PubMed - indexed for MEDLINE] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 01 Apr 2007 04:00:00 +010
       
  • Axillary artery aneurysm following closure of haemodialysis fistula. A
           case report.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We describe a case report of delayed aneurysm formation following closure of a haemodialysis fistula. A 57 year-old man was found to have a left axillary artery aneurysm 10 years after closure of a brachio-cephalic arterio-venous fistula. Though he was initially asymptomatic, 6 years later, he developed a progressive sense of coldness in the left hand and an increase in size of the aneurysm. The patient underwent an uncomplicated reversed saphenous vein bypass to replace the aneurysm. The possible aetiological factors and management options are discussed and pertinent literature reviewed. PMID: 17410067 [PubMed - indexed for MEDLINE] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 01 Apr 2007 04:00:00 +010
       
  • Physical activity post myocardial revascularization. ''Will surgery
           improve my mobility'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Sedentary patients are likely to show an improvement, however, a sedentary lifestyle is a predictor of no increase in PA. Patients with an active level are unlikely to benefit from surgery. PMID: 17410068 [PubMed - indexed for MEDLINE] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 01 Apr 2007 04:00:00 +010
       
  • Determinants of late outcome after minimally invasive direct coronary
           artery bypass.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: A key factor in the long-term success of MIDCAB seems to be appropriate patient selection. Special attention should be reserved for female patients, as they appear to have a worse cardiac outcome and a higher probability of repeated revascularization on LAD. MIDCAB may represent a viable option for treating multivessel disease when complete revascularization is unfeasible or a hybrid procedure is envisaged. PMID: 17410069 [PubMed - indexed for MEDLINE] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 01 Apr 2007 04:00:00 +010
       
  • Surgical management of aortic valve disease in elderly patients with and
           without coronary artery disease: influence on quality of life.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Despite the presence of severe coronary artery disease, CABG preserved the long-term QoL in elderly patients undergoing AVR. PMID: 17410070 [PubMed - indexed for MEDLINE] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 01 Apr 2007 04:00:00 +010
       
  • Lung cancer and cardiovascular diseases: occurrence, comorbidity and
           surgical timing.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: In 17% of cases, surgical treatment by the simultaneous and the differentiated approach for cancer and cardiovascular disease proved essential; comorbidity as an identifier of the strong correlation between the two diseases had a major impact on prognosis. PMID: 17410071 [PubMed - indexed for MEDLINE] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 01 Apr 2007 04:00:00 +010
       
  • Inducible HSP70 levels in thoracic wound fluid indicate myocardial damage
           after open heart surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Inducible HSP70 is present in postoperative thoracic drainage fluid. Drainage levels are higher in patients after open heart surgery and are correlated with blood CK-MB levels, indicating cardiomyocyte damage. Our data further suggest that extracellular HSP70 is released also by white blood cells. Additional studies are needed to examine the role of extracellular HSP70 in wound healing processes and myocardial damage. PMID: 17410072 [PubMed - indexed for MEDLINE] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 01 Apr 2007 04:00:00 +010
       
  • Body mass index and outcome after coronary artery bypass surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: The results suggest that low BMI is associated with increased morbidity and mortality after CABG. Overweight is associated with more postoperative complications and longer hospitalisation but not with an increased early or long-term mortality. PMID: 17410073 [PubMed - indexed for MEDLINE] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 01 Apr 2007 04:00:00 +010
       
  • Selective antegrade cardioplegic perfusion complicated by left main stem
           dissection.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This report describes a patient operated for severe aortic valve stenosis and insufficiency, mitral valve and tricuspid insufficiency. Cardioplegia was administered by selective antegrade coronary artery blood perfusion. Antegrade blood cardioplegia was complicated by dissection of the left coronary main stem. The dissection induced a myocardial infaction and the patient finally died due to heart failure. PMID: 17410074 [PubMed - indexed for MEDLINE] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 01 Apr 2007 04:00:00 +010
       
  • Lower extremity compartment sindrome following coronary artery bypass.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Papas TT, Mikroulis D, Papanas N, Lazarides MK, Bougioukas G Compartment syndrome is a constellation of symptoms and signs associated with abnormally elevated tissue pressure in the skeletal muscle of the extremities. It is manifested in anatomic locations where muscles are enveloped in fasciae. The case of a lower extremity compartment syndrome in a 71-year-old male patient who underwent coronary artery bypass grafting (CABG) and simultaneous aortic valve surgery is reported. Preoperative evaluation revealed severe peripheral vascular disease. The patient underwent triple CABG using the left internal thoracic artery and two vein grafts. The right great saphenous vein was used for these vein grafts. The aortic valve was replaced with a biologic prosthesis. On postoperative day...
      PubDate: Sun, 01 Apr 2007 04:00:00 +010
       
  • Selective use of right retroperitoneal approach for abdominal aortic
           aneurysm repair according to anatomical characteristics revealed by
           abdominal computerized tomography.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Hayashi Y, Ohtani M, Hiraishi T, Akedo H, Kobayashi Y PMID: 17410076 [PubMed - indexed for MEDLINE] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 01 Apr 2007 04:00:00 +010
       
  • Intra-aortic balloon entrapment in the descending aorta.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Uwabe K, Kurihara H, Koyanagi H PMID: 17410077 [PubMed - indexed for MEDLINE] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 01 Apr 2007 04:00:00 +010
       
  • Use and misuse of life-tables in vascular surgery reporting: insight by
           serendipity.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Coppi G, Ciardullo AV PMID: 17410078 [PubMed - indexed for MEDLINE] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 01 Apr 2007 04:00:00 +010
       
  • Iatrogenic femoral arterio-venous fistula and pseudoaneurysm following
           catheter insertion for hemodialysis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Gur O, Canbaz S, Karaca OG, Duran E PMID: 17410079 [PubMed - indexed for MEDLINE] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 01 Apr 2007 04:00:00 +010
       
  • Familial secundum type atrial septal defect with normal karyotypes.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Buyukates M, Turan SA, Altunkaya SA, Imirzalioglu N PMID: 17410080 [PubMed - indexed for MEDLINE] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 01 Apr 2007 04:00:00 +010
       
  • Endovascular repair of the descending thoracic aorta: mid-term results and
           evaluation of magnetic resonance angiography.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Endovascular treatment of the various localized diseases of the descending thoracic aorta is a promising, feasible, alternative technique to open surgery in well selected patients. MRA is well adapted to diagnose postoperative endoleaks. PMID: 17308515 [PubMed - indexed for MEDLINE] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 01 Feb 2007 05:00:00 +010
       
  • Flemish experience using the Advanta V12 stent-graft for the treatment of
           iliac artery occlusive disease.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Implantation of Advanta V12 PTFE-covered stent for iliac occlusive disease shows to be safe and feasible with excellent clinical results at 1 year in the investigated patient cohort. PMID: 17308516 [PubMed - indexed for MEDLINE] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 01 Feb 2007 05:00:00 +010
       
  • Seven years' single center experience of Powerlink unibody bifurcated
           endograft for endovascular aortic aneurysm repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: The Powerlink device is safe and effective in preventing AAA rupture in mid-term. It proved simple and easy for size choice. The unique design of this device may confer some advantages in terms of durability. The distinct anatomic fixation of stent-graft sitting on the aortic bifurcation simplifies the deployment procedures and minimizes the potential of distal migration. Prospective longer follow-up in multicenter randomized controlled larger series is necessary to confirm the encouraging outcomes. PMID: 17308517 [PubMed - indexed for MEDLINE] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 01 Feb 2007 05:00:00 +010
       
  • Intermediate-term results of angioscopy-assisted anterior valve sinus
           plication for primary deep venous insufficiency.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Angioscopy-assisted anterior valve sinus plication may be a surgical technique that results in intermediate-term clinical and hemodynamic improvement in patients with primary deep venous insufficiency. PMID: 17308518 [PubMed - indexed for MEDLINE] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 01 Feb 2007 05:00:00 +010
       
  • Strategies for avoidance of nonembolic stroke during carotid artery
           stenting.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : MacDonald S Over the last decade many technical and pharmacological advances were made in order to improve the safety profile of carotid artery stenting (CAS). These advances largely addressed the issue of embolic stroke. It is clear, however, that despite each of these advances, which include dedicated carotid stents in place of adapted peripheral or coronary designs, low-profile rapid-exchange 0.014''-compatible equipment, cerebral protection devices and improvements in pharmacological support, there remains a finite risk of stroke and death associated with CAS. For example, the influence of one of these factors, the use of cerebral protection, employed in order to prevent embolic stroke, cannot be seen to be a panacea against procedural stroke. The 30-day results from the r...
      PubDate: Thu, 01 Feb 2007 05:00:00 +010
       
  • Stem cell use in critical limb ischemia.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Kolvenbach R, Kreissig C, Ludwig E, Cagiannos C The following paper gives an overview of the current status of stem cell use in vascular medicine. The role of endothelial progenitor cells (EPCs) is discussed. Different approaches to use cellular based concepts are outlined: among these are the treatment of patients with critical ischemia with bone marrow derived mononuclear cells as well as our own experience with purified and highly selected CD133 and CD34 cells. The pro and cons of these different treatment regimens are discussed. An outlook is given discussing a combination of gene therapy and stem cell injections. The clinical and laboratory results of 15 patients with end-stage critical ischemia are discussed with implications for future clinical trials. We conclude that,...
      PubDate: Thu, 01 Feb 2007 05:00:00 +010
       
  • Subintimal angioplasty.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Ascher E, Hingorani A While the technique of subintimal dissection was described almost 2 decades ago, initial adoption of the technique was quite slow. Recently, a growing number of centers have embraced the technique as a valuable adjunct to standard endovascular and open revascularizations. During our experience with over 100 duplex guidance subintimal angioplasties (SIA) and over 100 flouroscopically guided SIA, we have encountered that persistence can be greatest ally. Fortunately, this is a trait that is common among vascular surgeons. Herein, we will describe the technique with focus on its limitations and advantages. PMID: 17308521 [PubMed - indexed for MEDLINE] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 01 Feb 2007 05:00:00 +010
       
  • Surgical repair of thoracoabdominal aortic aneurysms.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Jacobs MJ, Mommertz G, Koeppel TA, Langer S, Nijenhuis RJ, Mess WH, Schurink GW Morbidity and mortality following thoracoabdominal aortic aneurysm (TAAA) repair are tremendous. Preoperative assessment is essential in detecting cardiac and pulmonary risk factors in order to reduce cardiopulmonary complications. Paraplegia and renal failure are main determinants of postoperative mortality and therefore gained substantial attention during the last decades. Left heart bypass, cerebrospinal fluid (CSF) drainage and epidural cooling have significantly reduced paraplegia rate, however, this dreadful event still occurs in up to 25% of patients undergoing type II repair. Renal failure has been partly prevented by means of retrograde aortic perfusion and cooling but renal failure still ...
      PubDate: Thu, 01 Feb 2007 05:00:00 +010
       
  • Preserved hyperaemic response in supraclavicular ultrasonography
           demonstrates function on demand of the LIMA to LAD string sign graft after
           CABG.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Both groups showed a shift towards coronary type diastolic blood velocities at rest and at hyperaemic response. Significant hyperemic response was also present in string sign LIMA grafts and demonstrates response capacity to increased myocardial oxygen demand. PMID: 17308523 [PubMed - indexed for MEDLINE] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 01 Feb 2007 05:00:00 +010
       
  • Coronary revascularization in transition from on-pump to off-pump: the
           effect of the off-pump coronary artery bypass on medium-term outcome.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS:The trend toward improved medium-term outcome variables among patients treated with OPCAB may have owed to the reduced cardiac ischemic injury associated with OPCAB compared with CPB. PMID: 17308524 [PubMed - indexed for MEDLINE] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 01 Feb 2007 05:00:00 +010
       
  • Aortic valve replacement after previous coronary artery bypass grafting:
           experience with a simplified approach.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: We believe that the indication for AVR in patients scheduled for CABG should be re-evaluated. In those in which Redo-surgery for new or increased valve stenosis is indicated, a simple and safe surgical option is presented. PMID: 17308525 [PubMed - indexed for MEDLINE] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 01 Feb 2007 05:00:00 +010
       
  • Late ventricular arrhythmias in patients with mechanical heart valves and
           their relation to associated factors.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: This study suggests that early valve replacement before cardiac anatomy critically impairs may decrease the incidence of complex ventricular arrhythmias. However, the longer duration of prosthesis may cause the more complex ventricular arrhythmias. This may reveal some controversy about the timing of surgery. PMID: 17308526 [PubMed - indexed for MEDLINE] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 01 Feb 2007 05:00:00 +010
       
  • Minimally invasive aortic root replacement: a bridge too far'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Our results indicate that minimally invasive aortic root replacement is a challenging but feasible procedure with a lower observed mortality than predicted mortality. We continue to perform this procedure in good risk patients. PMID: 17308527 [PubMed - indexed for MEDLINE] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 01 Feb 2007 05:00:00 +010
       
  • The cardioprotective effects of thoracal epidural anestesia are induced by
           the expression of vascular endothelial growth factor and inducible nitric
           oxide synthase in cardiopulmonary bypass surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: The results of the present study indicate that TEA plus GA in coronary surgery preserve cardiac function via increased expression of VEGF and i-NOS, improved hemodynamic function and reduced arrhythmias after ACC release. PMID: 17308528 [PubMed - indexed for MEDLINE] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 01 Feb 2007 05:00:00 +010
       
  • Cooling catheter for spinal cord preservation in thoracic aortic surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Effective topical cooling of the spinal cord can be achieved via a specially designed, self-contained cooling catheter placed into the intra-thecal space. This catheter holds promise for spinal cord protection in aortic surgery. Also, this catheter may be useful as well in mitigating injury to the spinal cord in cases of traumatic spinal column injury. PMID: 17308529 [PubMed - indexed for MEDLINE] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 01 Feb 2007 05:00:00 +010
       
  • Congenital intrapericardial left atrial appendage aneurysm.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We report here the surgically-corrected case of a patient with congenital left atrial appendage aneurysm. PMID: 17308530 [PubMed - indexed for MEDLINE] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 01 Feb 2007 05:00:00 +010
       
  • Comparison of a beta-blocker and an If current inhibitor in rabbits with
           myocardial infarction.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Met and Iva seem suited for the treatment of chronic myocardial infarction. PMID: 17043621 [PubMed - indexed for MEDLINE] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 01 Dec 2006 05:00:00 +010
       
 
 
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