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Journal Cover Journal of Cardiovascular Surgery
  [SJR: 0.723]   [H-I: 44]   [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]
  • Peripheral artery disease: breakthroughs in techniques and treatments.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Jaff MR PMID: 28696081 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 12 Jul 2017 13:02:02 +010
       
  • A tribute to Edward B. Diethrich, MD, 1935-2017.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Castellani L PMID: 28696082 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 12 Jul 2017 13:02:02 +010
       
  • Artificial neural network for prediction of in-hospital mortality after
           open repair of ruptured abdominal aortic aneurysm.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Luebke T, Majd P, Mylonas SN, Brunkwall J PMID: 28696083 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 12 Jul 2017 13:02:02 +010
       
  • Do we have enough evidence for minimally-invasive cardiac surgery' A
           critical review of scientific and non-scientific information.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Doenst T, Lamelas J Reducing surgical trauma by minimizing skin incisions has transformed abdominal surgery resulting in significant improvements in outcome. In cardiac surgery, such efforts have also been made, but similar benefits could not be demonstrated. In addition, any potential benefit comes at the cost of increased cardiopulmonary bypass and clamp times, leading to questions regarding the safety of minimally invasive cardiac surgery (MICS). Nevertheless, outcomes have been equivalent to matched sternotomy cases and there is no doubt that the number of patients undergoing minimally-invasive mitral or aortic procedures is slowly increasing. To date almost half of all isolated mitral cases in Germany and roughly one fourth in the USA are performed through a ...
      PubDate: Tue, 06 Jun 2017 21:37:02 +010
       
  • The frontline in the battle to eliminate major amputation from the
           landscape of treatment for CLI.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Varcoe RL PMID: 28353328 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 31 Mar 2017 13:27:02 +010
       
  • Planning endovascular aortic repair with standard and fenestrated-branched
           endografts.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This article summarizes the most important aspects on planning standard and complex EVAR to treat aortic aneurysms and dissections. PMID: 28245643 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 03 Mar 2017 15:07:02 +010
       
  • Infrapopliteal calcification patterns in critical limb ischemia:
           diagnostic, pathologic and therapeutic implications in the search for the
           endovascular holy grail.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This article attempts to review the implications of the diverse pathologic patterns of calcium distribution in infrapopliteal vessels of CLI patients, on the diagnostic modalities, technological developments, and the evolution of therapeutic approaches to improve outcomes among these patients. A critical analysis of the currently available data is provided, pointing to the surprising omission on the role of calcium on outcomes, and future directions are discussed. Is infrapopliteal calcium a roadblock or the avenue towards new paths' Necessity remains the mother of invention. PMID: 28240525 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 26 Feb 2017 23:00:00 +010
       
  • INNOVATION: Four-year safety and effectiveness of the INCRAFT ® AAA Stent
           Graft for endovascular repair of abdominal aortic aneurysms.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: The INCRAFT® AAA Stent Graft System provides a minimally invasive and durable solution for patients undergoing EVAR that has been associated with a low frequency of device related events through 4 years of follow-up. PMID: 28215061 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 16 Feb 2017 23:00:00 +010
       
  • Left atrial appendage occlusion for stroke prevention in patients with
           atrial fibrillation: a systematic review and network meta-analysis of
           randomized controlled trials.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: LAA occlusion appears to preserve the benefits of oral anticoagulation therapy for stroke prevention in patients with AF, but the current evidence is of low quality. PMID: 28215062 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 16 Feb 2017 23:00:00 +010
       
  • The tibiopedal retrograde vascular access for challenging popliteal and
           below-the-knee chronic total occlusions, literature-review and description
           of the technique.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This article attempts to summarize the development of this technique, present the available data and to give some recommendations on how to perform a tibiopedal retrograde intervention. PMID: 28206725 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 14 Feb 2017 23:00:00 +010
       
  • The Petticoat concept for endovascular treatment of Type B aortic
           dissection.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Analysis of the literature data, not only does it demonstrate that the PETTICOAT technique is safe and feasible but also that it is able to enhance the effect of the proximal TEVAR improving the re-expansion of the true lumen of the distal thoracoabdominal aorta possibly improving end-organ perfusion. However, since there is no evidence of improved short and mid-term survival as well as positive remodelling of the false lumen in the distal aorta, when compared to a simple proximal stent-grafting, a widespread use of the PETTICOAT technique is not justified and it should be limited to cases complicated by dynamic malperfusion as a bailout adjunctive tool. PMID: 28183174 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 08 Feb 2017 23:00:00 +010
       
  • Carotid endarterectomy has significantly lower risk in the last two
           decades: should the guidelines now be updated'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Radak D, de Waard D, Halliday A, Neskovic M, Tanaskovic S Carotid endarterectomy (CEA) carries a significant risk of procedural stroke and death Guidelines recommend keeping this risk below 6% and below 3% for symptomatic and asymptomatic patients respectively. After analysing our Institute's CEA results during the past 25 years, we found the rate of postoperative complications was now well below Guideline thresholds. Accordingly, we studied temporal changes in procedural risks in randomized controlled trials (RCTs) and in large observational studies in order to compare these against Guidelines. We found a clear temporal trend towards improving procedural outcomes, which can be explained by improvements in medical therapy, more appropriate timing of CEA, the use o...
      PubDate: Wed, 08 Feb 2017 23:00:00 +010
       
  • Surgical and endovascular venous arterialization: ready to take on the
           "Desert" by storm'"
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Surgical and endovascular venous arterialization: ready to take on the "Desert" by storm'" J Cardiovasc Surg (Torino). 2017 Feb 02;:
      Authors : Schreve MA, Ünlü Ç, Kum S, Tan YK Patients with critical limb ischemia have a poor life expectancy, and aggressive revascularization is accepted to maintain their independence in the end stage of life. Bypass surgery and, more recently, endovascular interventions with angioplasty and stenting have become the treatment of choice to prevent amputation and resolve rest pain. Up to 20% of patients with critical limb ischemia are not suitable candidates for a vascular intervention because of extensive occlusions of the outflow in the crural and pedal vessels. This "desert foot" can be treated with a venous arterialization....
      PubDate: Wed, 01 Feb 2017 23:00:00 +010
       
  • Rome wasn't built in a day: the slow but steady evolution of carotid
           artery stenting.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Reimers B, Ferrante G, Torsello G PMID: 28052661 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 06 Jan 2017 21:14:06 +010
       
  • Successful covered stent-graft repair in symptomatic renal artery aneurysm
           early after childbirth.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Siani A, Gabrielli R, Accrocca F, Marcucci G Renal artery aneurysm (RAA) rupture during pregnancy is a rare but life-threatening event and few cases have been reported in literature. Currently the best approach, endovascular or surgical, seems to be under discussion. A case of a 31-year-old woman with a symptomatic right RAA detected three days after childbirth is reported. A successful endovascular repair by a covered stent-graft was performed. PMID: 28052662 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 06 Jan 2017 21:14:06 +010
       
  • Acute single leaflet dysfunction and spontaneous recovery of a previously
           implanted bi-leaflet mechanical mitral prosthesis during unrelated
           isolated minimally invasive aortic valve replacement: a surgical decision
           making dilemma in a high risk patient.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : VAN DER Merwe J, Coddens J, Casselman F PMID: 28052663 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 06 Jan 2017 21:14:06 +010
       
  • Are transcatheter procedures the treatment of choice for all patients with
           severe aortic stenosis'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Hernandez-Vaquero D, Díaz R, Álvarez-Cabo R, Callejo F, Morales C, Silva J PMID: 28052664 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 06 Jan 2017 21:14:06 +010
       
  • Graft replacement as a method in treatment of symptomatic carotid in stent
           restenosis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Davidovic LB, Koncar IB, Kostic DM, Sladojevic MM, Markovic DM PMID: 28052665 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 06 Jan 2017 21:14:06 +010
       
  • Failure modes and secondary endovascular interventions after endovascular
           aortic repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Resch T Endovascular repair has a firmly established role in the treatment of aortic disease. The development of endovascular devices to treat even complex aortic disease has broadened the panorama of repair significantly but has also introduced new forms of repair failure. Standard devices for EVAR and TEVAR have also been enhanced, providing better adaptation to the anatomy treated, smaller delivery systems, more intuitive delivery designs as well as improved features to facilitate precise delivery of the device. Improved imaging techniques also contribute to improved outcomes. The main subtypes of complications are still related to either endoleaks or stentgraft stenosis/occlusions. With more complex repairs also follow more complex failure modes. Choosing and ...
      PubDate: Tue, 03 Jan 2017 23:00:00 +010
       
  • Arterial pathologies in athletes.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Peach G, Sinha S, Hinchliffe RJ Identification and treatment of arterial pathologies in athletes can present a significant challenge because symptoms may be nonspecific and standard examination is often unremarkable. Sportspeople frequently experience long delays to diagnosis, during which time their ability to exercise and their quality of life may be severely impacted. Though the conditions that affect this young patient group may not be widely seen in the general population, knowledge of their existence and recognition of the need for specialist referral can aid early identification and appropriate management. Due to the relatively low number of reported cases, there is a paucity of robust evidence regarding optimal management of these conditions and treatment ...
      PubDate: Tue, 03 Jan 2017 23:00:00 +010
       
  • Biobanking in carotid artery disease: translation to clinical practice.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : VAN Koeverden ID, Vrijenhoek JE, DE Borst GJ, DEN Ruijter HM, Pasterkamp G Biobanking of atherosclerotic tissue samples has contributed to our understanding of vascular occlusive disease. The careful examination of atherosclerotic plaques derived during vascular surgery or autopsies helped shape our minds in understanding the underlying substrate of arterial thrombosis. This review will outline concepts of progression of atherosclerotic disease that have been based on descriptions of human plaque pathology. In addition, we will discuss the current shift in clinical presentation and underlying pathology of acute cerebral and coronary events that asks for a careful consideration of the currently widely applied description of the "vulnerable plaque". The shift in ath...
      PubDate: Tue, 03 Jan 2017 23:00:00 +010
       
  • What should we expect from the hybrid room'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Hertault A, Sobocinski J, Spear R, Azzaoui R, Delloye M, Fabre D, Haulon S The concept of hybrid room was defined as an optimized surgical theater, offering the best compromise between asepsis criteria from standard surgical rooms and high quality imaging equipment from fixed radiological suites. This review aimed at summarizing what vascular surgeons should expect from hybrid rooms in daily practice and in the near future. PMID: 28045240 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 02 Jan 2017 23:00:00 +010
       
  • Evidence for and risks of endovascular treatment of asymptomatic acute
           type B aortic dissection.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Clough RE, Nienaber CA Acute aortic dissection is a challenging disease to manage. Type B aortic dissection has traditionally been divided temporally into acute and chronic cases but more recently this classification has been modified to include a sub-acute phase. Computed tomography is the imaging technique used most frequently in diagnosis and management. Active management of blood pressure is essential and should include beta-blockade unless contra-indicated. In-hospital outcomes are generally acceptable in patients with medically managed acute uncomplicated type B aortic dissection, with up to 90% of patients surviving to hospital discharge but by 5-years up to 50% of patients are dead with a significant proportion dying from aortic rupture. The aim of endovas...
      PubDate: Mon, 02 Jan 2017 23:00:00 +010
       
  • Evidence for periprocedural antiplatelet therapy, heparinization and
           bridging of coumarin therapy in carotid revascularization.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Brand A, DE Borst GJ Thromboembolism prevention is a crucial factor determining both the natural outcome and outcome of intervention of stenotic atherosclerotic carotid artery pathology. Roughly 80% of all natural course cerebral ischemic events are caused by thromboembolism, versus 20% due to hemodynamic insufficiency. The risk of periprocedural cerebral (micro) thromboembolization during carotid revascularization is considered to be even higher, with a higher rate in carotid artery stenting (CAS) as compared to carotid endarterectomy (CEA). Guidelines on CEA and CAS are unanimous in advizing perioperative continuation of antiplatelet therapy (APT) for all patients to prevent thromboembolization without specification of the type of APT. Recommendations on dual an...
      PubDate: Mon, 02 Jan 2017 23:00:00 +010
       
  • Planning for EVAR: the role of modern software.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Rolls AE, Riga CV, Rudarakanchana N, Lee SL, Albayati M, Hamady M, Bicknell CD, Cheshire NJ Endovascular intervention has revolutionized the treatment of aortic disease, extending the cohort of patients eligible for repair. Accurate planning for endovascular aortic repair is essential. Recent advances in modern software have demonstrated potential for improving outcomes and enhancing the decision making process beyond 3D measurements and intraoperative navigation techniques. With increasing uptake and complexity of endovascular therapies requiring multidisciplinary collaborations, it has become apparent that planning must extend to the preparation of entire interventional teams and support the early identification and prevention of potentially harmful events. This...
      PubDate: Sat, 21 Dec 2013 23:15:07 +010
       
  • Current results of total endovascular repair of thoracoabdominal aortic
           aneurysms.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Verzini F, Loschi D, De Rango P, Ferrer C, Simonte G, Coscarella C, Pogany G, Cao P Minimally invasive surgical solutions for patients with extensive aortic disease are eagerly awaited, since open repair is often associated with high rates of morbidity and mortality. In the last decade, the development of fenestrated and branched aortic endografts has offered a therapeutic option to patients deemed unsuitable for major surgery. Preliminary studies showed promising early results, while mid- and long- term data are scarce. The aim of this paper was to review current results of total endovascular repair of thoracoabdominal aortic aneurysms (TAAA) with a single model of endograft in the published literature. A literature search was conducted, and our two-center experi...
      PubDate: Sat, 21 Dec 2013 23:15:07 +010
       
  • Early mid-term results of the first 103 cases of multilayer flow modulator
           stent done under indication for use in the management of thoracoabdominal
           aortic pathology from the independent global MFM registry.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: Increasing sac volume, thrombus or diameter size was not associated with rupture. MFM implantation instigates a process of aortic remodeling involving initial thrombus deposition, which slows between six and twelve months. This Global MFM Registry data has demonstrated the proof of concept of this disruptive technology. PMID: 24356043 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 21 Dec 2013 23:15:06 +010
       
  • Ultra-low profile Ovation device: is it the definitive solution for
           EVAR'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : de Donato G, Setacci F, Sirignano P, Galzerano G, Borrelli M, Di Marzo L, Setacci C When Juan Parodi implanted an endograft in a human body for the first time on September 7, 1990 in Buenos Aires, Argentina, the delivery system of the handmade device was primitive, extremely rigid, and had a bulky profile of 27 French (F). Since then, stent-graft technology has evolved rapidly, limitations of earlier-generation devices have been overtaken, and endovascular aneurysm repair (EVAR) eligibility has increased enormously. Nevertheless (still) challenging aortoiliac anatomy such as short and complex proximal aortic neck seal zones and narrow access vessels are responsible for EVAR ineligibility in up to 50% of cases. The Ovation Prime abdominal stent-graft system (TriVas...
      PubDate: Sat, 21 Dec 2013 23:15:06 +010
       
  • The Gore Excluder AAA endoprosthesis with C3 delivery system: results in
           high-volume centers.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Krajcer Z The use of endovascular aortic aneurysm repair (EVAR) has increased dramatically, chiefly because of its low perioperative morbidity compared with open surgery. Challenges to the success of EVAR remain, however, with the most important being features of the patient's infrarenal aortic neck anatomy that make optimal placement of the endoprosthesis difficult. These features include a short, wide, severely angulated, or reverse-tapered neck and the presence of calcifications or thrombus. Suboptimal endograft positioning may necessitate use of aortic cuffs, thereby increasing the time and cost of an EVAR procedure, or increase the likelihood of graft migration, which can lead to endoleaks and additional interventions. Efforts to improve outcomes of EVAR and ...
      PubDate: Sat, 21 Dec 2013 23:15:06 +010
       
  • INCRAFT® Stent-Graft System: one-year outcome of the INNOVATION
           Trial.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: The results of the INNOVATION study with the INCRAFT® Stent-Graft are encouraging, with satisfactory clinical outcome and device durability through one-year of follow-up. The INCRAFT® device is a novel ultra-low-profile endograft that holds promise to broaden the patient population eligible for endovascular aneurysm repair. PMID: 24356046 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 21 Dec 2013 23:15:06 +010
       
  • Aorfix™ device for abdominal aortic aneurysm with challenging
           anatomy.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Sbarzaglia P, Grattoni C, Oshoala K, Castriota F, D'Alessandro G, Cremonesi A Anatomical characteristics of abdominal aortic aneurysms (AAA) are the most critical factors for successful endovascular aortic repair (EVAR). Of these, severe proximal aortic neck angulation and iliac axis tortuosity increase the complexity of EVAR. Neck angulation seems to have a pivotal potential for fixation failure, a situation that may lead to complications, including endoleak and late rupture. Bench-test studies identified that the relative stiffness of a stent-graft was responsible for its inability to conform to neck angulation, therefore creating leaks through gaps between the stent graft and the neck. AorfixTM stent graft (Lombard Medical, Didcot, UK) is a flexible stent-graft...
      PubDate: Sat, 21 Dec 2013 23:15:05 +010
       
  • New possibility of AAA treatment with E-vita abdominal device.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Moulakakis KG, Papapetrou A, Kakisis J, Sfyroeras GS, Liapis CD The most dramatic shift in the management of abdominal aortic aneurysms (AAAs) occurred in 1991, when the first endovascular AAA repair was reported. Endovascular aneurysm repair has revolutionized the treatment of infrarenal AAAs. In the last few years, the companies have developed renewed models of grafts and have modified delivery systems tending to make them more atraumatic and flexible in order to deal with difficult anatomies and severely atheromatous and tortuous vessels. The aim of the present paper was to analyze the technical characteristics and properties of the new stent-graft system E-vita abdominal XT and to review the current literature. The E-vita abdominal XT stent-graft seems to be s...
      PubDate: Sat, 21 Dec 2013 23:15:05 +010
       
  • The Bolton Treovance endograft: single center experi.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: Initial personal experience with the Treovance abdominal stent-graft was satisfactory with regard to technical success and short-term clinical results. This new-generation endovascular device performed well even in angulated or heavily calcified anatomies. PMID: 24356049 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 21 Dec 2013 23:15:05 +010
       
  • Two-year-results of Endurant stent-graft in challenging aortic neck
           morphologies versus standard anatomies.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: Treatment with the Endurant stent-graft is technically feasible and safe, yielding satisfactory results even in challenging anatomies. Mid-term results are promising and challenge current opinion concerning the negative influence of challenging neck anatomy on EVAR especially after a longer follow-up. PMID: 24356050 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 21 Dec 2013 23:15:05 +010
       
  • Novel sealing concept in the Endologix AFX unibody stent-graft.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This article reviews the approaches taken to enhance the device's ability to reduce type I endoleaks and provides some insight into the challenges of creating the perfect seal for an aortic stent-graft. PMID: 24356051 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 21 Dec 2013 23:15:04 +010
       
  • Rationale of EndoAnchors in abdominal aortic aneurysms with short or
           angulated necks.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : De Vries JP, Van De Pavoordt HD, Jordan WD Diseased pararenal aortic anatomy including thrombus, calcification, and progressive dilatation, may impact the long-term durability of endovascular aortic aneurysm repair. EndoAnchors have been shown to mimic the security of a hand sewn aortic anastomosis. Several investigators have evaluated the use of EndoAnchors to repair endograft problems or repair type 1 endoleaks in the abdominal or the thoracic position. The ANCHOR Registry is designed to evaluate up to 2000 patients at multiple sites in North America and Europe who have been treated with the Aptus Heli-FX EndoAnchor System to secure an aortic endograft. The registry collects important clinical characteristics of patients (1000) who are treated at the initial end...
      PubDate: Sat, 21 Dec 2013 23:15:04 +010
       
  • Type II endoleak: a problem to be solved.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Larzon T, Fujita S Type II endoleak is a common phenomenon after endovascular aortic aneurysm repair (EVAR). The majority of type II endoleaks are considered benign, since approximately one third of them resolve spontaneously and they have no influence on mortality and rupture rate after EVAR. Thus, type II endoleak without sac expansion is recommended to be observed conservatively. Treatment for type II endoleak with sac expansion is still controversial. It has been reported that a certain type II endoleak causes sac expansion and late aneurysm rupture. Type II endoleak is often treated with solid agents as coils and vascular plugs or with liquid agents as different glues and thrombin. Onyx™ is a relatively new liquid embolic agents and it seems promising due t...
      PubDate: Sat, 21 Dec 2013 23:15:04 +010
       
  • Guidelines on the diagnosis and treatment of extracranial carotid artery
           stenosis from the Italian Society for Vascular and Endovascular Surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Setacci C, Argenteri A, Cremonesi A, de Donato G, Galzerano G, Lanza G, Navarretta F, Pulli R, Ricci S, Sbarigia E, Setacci F, Sirignano P, Peinetti F, Speziale F PMID: 24356054 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 21 Dec 2013 23:15:03 +010
       
  • Ventilation during cardiopulmonary bypass: impact on heat shock protein
           release.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: Significantly less HSP70 was detectable in patients receiving uninterrupted mechanical lung ventilation on CPB, indicating either different inflammatory response, cellular stress or cell damage between the ventilated and non-ventilated group. These data suggest that continued mechanical ventilation has a modulatory effect on the immune response in patients after CABG surgery. PMID: 24343370 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 17 Dec 2013 05:00:00 +010
       
  • Coronary artery bypass graft type and outcomes in maintenance dialysis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: Although overall survival rates were low, IMA was associated with lower risk of mortality and cardiovascular morbidity compared to SVG in patients on dialysis. PMID: 24343371 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 17 Dec 2013 05:00:00 +010
       
  • David operation: single center 10-year experience.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: The durability of valve reimplantation was found to be excellent in patients with tricuspid aortic valve and normal or nearly normal cusps. Cusp prolapse and complication after cusp repair turned out to be the main causes for early failure. PMID: 24343372 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 17 Dec 2013 05:00:00 +010
       
  • Ex vivo characterization of carotid plaques by intravascular
           ultrasonography and virtual histology: concordance with real plaque
           pathomorphology.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: In the present study, our findings demonstrated significant correlation between true plaque composition determined by histology and VH-IVUS. Thus, IVUS might be useful as an additional diagnostic method to detect patients with unstable rupture-prone plaques. PMID: 24326894 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 10 Dec 2013 05:00:00 +010
       
  • Endovascular versus surgical revascularization in proximal subclavian
           artery obstruction.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: Although with its less invasive character endovascular treatment has gained preference over surgical treatment of proximal subclavian obstruction in many cases, extrathoracic surgical reconstruction can be performed with a higher technical success rate, similar patency and a comparable number of complications. PMID: 24326895 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 10 Dec 2013 05:00:00 +010
       
  • Deformation and distensibility distribution along the abdominal aorta in
           the presence of aneurysmal dilatation.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: Aneurysmal wall deforms significantly less than non-aneurysmal wall and aneurysmal lumen, due to altered elastic properties and reduced loading. In large AAAs with larger amounts of ILT, the lumen deformation is comparable or even exceeds that of NAA and subsequently so does the distensibility of the Wall-ILT composite, an observation suggesting a thrombus cushioning effect. DNORM may provide insight in the estimation of AAA evolution and assist in rupture risk assessment. PMID: 24326896 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 10 Dec 2013 05:00:00 +010
       
  • Angioseal VIP® vs. Starclose SE® closure devices: a comparative analysis
           in non-cardiological procedures.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusions: Both Angioseal VIP® and Starclose SE® systems can be considered safe and effective in providing hemostasis following a variety of interventional vascular procedures. PMID: 24309473 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 05 Dec 2013 05:00:00 +010
       
  • Meta-analysis of the prevalence, incidence and natural history of critical
           limb ischemia.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: The incidence of CLI in the elderly is rather high. Series reporting on treatment strategies in these patients showed that a revascularization is attempted in 70% of cases. Conservative treatment in patients with unreconstructable CLI, high operative risk and/or refusing any revascularization procedure is associated with acceptable one year leg salvage. PMID: 24126504 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 18 Oct 2013 02:05:04 +010
       
  • Medical therapy for critical limb ischemia and the diabetic foot: an
           update.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Lobo R, Kiernan TJ, Jaff MR Critical limb ischemia is the most severe manifestation of chronic peripheral artery disease (PAD). The goal of medical care is to provide symptomatic relief in patients who are unsuitable for percutaneous or surgical revascularization and to reduce systemic cardiovascular risk. PAD is a common manifestation of systemic atherosclerosis and is associated with significant morbidity and mortality. PAD represents a marker for premature cardiovascular events. Patients with PAD, even in the absence of a history of myocardial infarction or ischemic stroke, have approximately the same relative risk of death from cardiovascular causes as do patients with a history of coronary or cerebrovascular disease alone. The PARTNERS study demonstrated that...
      PubDate: Fri, 18 Oct 2013 02:05:04 +010
       
  • Endovascular first as "preliminary approach" for critical limb
           ischemia and diabetic foot.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Endovascular first as "preliminary approach" for critical limb ischemia and diabetic foot. J Cardiovasc Surg (Torino). 2013 Dec;54(6):679-84
      Authors : Setacci C, Sirignano P, Galzerano G, Mazzitelli G, Sauro L, de Donato G, Benevento D, Cappelli A, Setacci F The treatment of the critical limb ischemia (CLI) and diabetic foot (DB) is still object of discussion and the gold standard for revascularization has not yet been identified. In these two decades the introduction of endovascular procedures had a large impact on the surgical revascularization and were added to the practice of vascular surgeons in patients who cannot be candidates for a bypass. This may be due to significant comorbidities, a reduced life expectancy, infection or gangrene in the possible sites of ...
      PubDate: Fri, 18 Oct 2013 02:05:03 +010
       
  • Tips and tricks for a correct "endo approach".
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We describe the following topics: 1) targets of the revascularization therapy: "complete" versus "partial" revascularization and the concept of wound related artery. Every procedure must be tailored on technically realistic strategies and on the general patient status; 2) the antegrade femoral access using both, the X-ray and the ultrasound guided techniques; 3) the chronic total occlusions crossing strategy proposing a step-by-step approach: endoluminal, subintimal, retrograde approaches. Particular attention has been given to the different retrograde approaches: pedal-plantar loop technique, trans-collateral approaches and the different types of retrograde puncture. For each step we provide a complete description of the technical details and of the suitable devices. Eventually we in brie...
      PubDate: Fri, 18 Oct 2013 02:05:03 +010
       
  • New devices for a better endovascular approach.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Bosiers M, Deloose K, Callaert J, Maene L, Beelen R, Keirse K, Verbist J, Peeters P The endovascular approach has known a great evolution in terms of vessel patency and treatment possibilities. Longer and more complex lesions with a difficult anatomy can be addressed by a range of endovascular tools. However, to maintain the patency of the treated lesion is the true challenge. In order to fulfill these long-term expectations, newer devices have been developed. The drug-coated balloon combines local drug uptake with no residual material after treatment. To maintain patency and prevent recoil of the arterial wall, the drug-eluting stent has been created to offer stent support with an antiproliferative drug. The main drawbacks of the drug-coated balloon and the drug-...
      PubDate: Fri, 18 Oct 2013 02:05:03 +010
       
  • Open surgery for chronic limb ischemia: a review.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: In conclusion, this review demonstrates that neither an endo- first nor a bypass-first attitude is appropriate in patients with CLI and suggests that these patients should be cared for by specialists in a multidisciplinary center in order to preserve their life and limbs, to conduct clinical trials and to control costs. PMID: 24126509 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 18 Oct 2013 02:05:03 +010
       
  • The role of hybrid procedures in the treatment of critical limb ischemia.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Setacci C, Galzerano G, Sirignano P, Mazzitelli G, Sauro L, de Donato G, Benevento D, Cappelli A, Setacci F Patients affected by critical limb ischemia (CLI) represent a complex and high risk clinical problem, and a multidisciplinary approach is often demanded. The amputation rate in patients affected by CLI is still high. Introduction of endovascular procedure shook up the CLI concept of treatment. The increasing experience of Vascular Surgeons in endovascular technique forced these specialist to match classic surgical skills and endovascular tools in order to achieve the best treatment for each patients. The combination of the two techniques identifies the hybrid procedure. Aim of this paper is to define indication, necessity and results of the hybrid procedure ...
      PubDate: Fri, 18 Oct 2013 02:05:03 +010
       
  • Management of ischemic diabetic foot.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Caravaggi C, Ferraresi R, Bassetti M, Sganzaroli AB, Galenda P, Fattori S, De Prisco R, Simonetti D, Bona F Diabetic foot pathology represent the more disabling complication of diabetes. More the 1 million of diabetes patients undergo a lower limb amputation per year; 85% of these amputation are preceded by un ulcer that can be avoided by a prevention program. Critical limb ischemia (CLI), the only independent cause of major amputation in diabetic population, can be correctly treated when an early diagnosis is made. Both endoluminal and surgical revascularization procedures can be applied in diabetes with high rate of success when performed by skilled operator. Infection of diabetic foot, in particular in patients suffering from peripheral artery disease (PVD), ma...
      PubDate: Fri, 18 Oct 2013 02:05:03 +010
       
  • The diabetic foot: a review.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Ricco JB, Thanh Phong L, Schneider F, Illuminati G, Belmonte R, Valagier A, Régnault De La Mothe G Diabetic foot ulceration (DFU) is among the most frequent complications of diabetes. Neuropathy and ischaemia are the initiating factors and infection is mostly a consequence. We have shown in this review that any DFU should be considered to have vascular impairment. DFU will generally heal if the toe pressure is >55 mmHg and a transcutaneous oxygen pressure (TcPO2) <30 mmHg has been considered to predict that a diabetic ulcer may not heal. The decision to intervene is complex and made according to the symptoms and clinical findings. If both an endovascular and a bypass procedure are possible with an equal outcome to be expected, endovascular treatments shoul...
      PubDate: Fri, 18 Oct 2013 02:05:03 +010
       
  • The multilayer flow modulator stent for the treatment of arterial
           aneurysms.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: Clinical experience with the MFM is increasing. The MFM has been used to treat many types of aneurysms including peripheral, visceral and aortic. Early results suggest that use of the MFM can help prevent aneurysm-related mortalities while maintining branch vessel patency. Additional study and investigation is needed. PMID: 24126513 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 18 Oct 2013 02:05:02 +010
       
  • Current status of Hemobahn/Viabahn endografts for treatment of popliteal
           aneurysms.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Möllenhoff C, Katsargyris A, Steinbauer M, Tielliu I, Verhoeven EL The aim of the present study was to review the literature reporting the use of the Hemobahn/Viabahn endograft (W. L. Gore and Assoc Inc., Flagstaff, AZ, USA) for endovascular treatment of popliteal artery aneurysms (PAA). A PubMed database search was performed looking for studies reporting endovascular treatment of PAA with the Hemobahn/Viabahn endograft within the period January 2000-December 2012. All relevant studies were independently assessed and all references were examined for potentially missed relevant reports. Studies were included if they reported experience with five patients or more. Eight studies with 222 patients (mean age 72.4 years, 92.3% male) and 251 PAA (mean diameter 2.9 mm, 1...
      PubDate: Fri, 18 Oct 2013 02:05:02 +010
       
  • Long-term outcome of abdominal aortic aneurysm repair via a
           retroperitoneal approach.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: The elective management of infrarenal aortic aneurysms with open repair via a retroperitoneal approach offers a good prognosis demonstrated with up to 5 year follow up. PMID: 24104586 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 09 Oct 2013 04:00:00 +010
       
  • Successful revascularization of chronic total occlusion of lower extremity
           arteries: a wire only and bail out use of re-entry device approach.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: In more than 90% of all cases with chronic total occlusion of peripheral lower extremity arteries, endovascular intervention has been successful following a "wire only" strategy. When deciding to use a re-entry device, in case of a failure of a proper wire re-entry at the reconstitution point, a technical success rate of 100% was achieved. Therefore following a strict wire algorithm and considering the use of a re-entry system as a bail out strategy will lead to a successful minimal invasive management of chronic total occlusion in nearly 100% of the cases with TASC II A - D lesions. PMID: 24002383 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 06 Sep 2013 11:15:04 +010
       
  • Ischemic Charcot foot: different disease with different treatment'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: Patients with Charcot foot deformity can be affected by critical limb ischemia and revascularization therapy is necessary, to support surgical and orthopedic treatment, avoiding amputation and leading to limb and foot salvage. PMID: 24002384 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 06 Sep 2013 11:15:04 +010
       
  • The angiosome concept in clinical practice: implications for
           patient-specific recanalization procedures.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Brodmann M Below-the-knee (BTK) disease with the clinical presentation of critical limb ischemia is associated with a high rate of limb loss due to minor and major amputations. The main problem is to find a way to optimize blood flow to the critical limb area. BTK joint the down-stream diverges into 3 arms which supply different areas. Different concepts exist how optimal blood flow to the critical ischemic areas BTK can be achieved, either by treating as many vessels as can be reopened by an endovascular procedure, or by going for the two main BTK vessels, or in an outstanding situation also to treat the inflow of collaterals to achieve as much blood flow down the foot as possible. Derived from plastic surgery for the purpose of healing of flaps, the angiosome co...
      PubDate: Fri, 06 Sep 2013 11:15:04 +010
       
  • Early outcome of endovascular aneurysm repair in challenging aortic neck
           morphology based on experience from the great C3 registry.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: GORE® EXCLUDER® AAA Endoprosthesis featuring C3 Delivery System allows re-positioning to be performed safely in cases outside IFU. Repositioning is an effective operative manoeuvre and facilitates EVAR in challenging anatomy. Longer follow-up is required to evaluate the durability of these results at 30 days. PMID: 24002386 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 06 Sep 2013 11:15:04 +010
       
  • Percutaneous endovascular aneurysm repair with the ultra-low profile
           Ovation Abdominal Stent-Graft System.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: PEVAR with the OvationTM endograft is feasible and safe in patients with unfavorable anatomy. PMID: 24002387 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 06 Sep 2013 11:15:04 +010
       
  • Influence of gender on EVAR outcomes with new low-profile devices.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Bendermacher BL, Grootenboer N, Cuypers W, Teijink JA, Van Sambeek MR Women have not benefitted to the same extent as men of endovascular abdominal aortic repair (EVAR). Besides differences in hormones and the higher rate of undiagnosed cardiovascular disease, there are anatomical differences between men and women influencing the outcome of endovascular treatment of abdominal aortic aneurysms (AAA). After the first decade of EVAR procedures, only 28% of women with an elective AAA were treated by EVAR due to their poor anatomical suitability for this technique. The anatomical challenges and their associated poorer outcomes suggest the need for advances in device design to better meet the specific female aneurysm anatomy and physiology. Most of the newer-generation ...
      PubDate: Fri, 06 Sep 2013 11:15:04 +010
       
  • How to manage infected aortic endografts.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Herdrich BJ, Fairman RM Aortic endografts have become the preferred treatment for aneurysms of the descending thoracic aorta and the infrarenal aorta. The prevalence of endograft infections is about 0.6%, and with the growing number of patients with aortic endografts, the number of patients with endograft infections has also increased. It is important for physicians who treat aneurysmal disease with endografting to understand the pathophysiology, work-up, and treatment options available. Currently, the mainstay of treatment is prolonged antibiotic therapy, explant of all prosthetic material, and reconstruction of the vasculature with either an in situ or extra-anatomic bypass. However, there is a growing experience of less invasive treatment strategies that can be...
      PubDate: Fri, 06 Sep 2013 11:15:03 +010
       
  • Practical experience with the TAG and conformable TAG devices: lessons
           learned in about 100 cases.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: This single-center study demonstrates acceptable rates for operative mortality and major adverse events after endovascular repair of various thoracic aortic pathologies with both generations of Gore TAG device. However, a better knowledge in long-term results is necessary to define target populations. PMID: 24002390 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 06 Sep 2013 11:15:03 +010
       
  • Long-term outcome of femoropopliteal stenting. Results of a prospective
           study.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: The endovascular-first line treatment with use of nitinol stents for patients with femoropopliteal artery lesions is associated with acceptable long-term patency rates, even in patients with long lesions. PMID: 24002391 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 06 Sep 2013 11:15:03 +010
       
  • Acute limb ischemia in nonagenarians.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: The over 90 years old patient represent a challenging case for vascular surgeon. Vascular procedures involve high mortality rate but emergent revascularization by Fogarty Embolectomy in ALI is safe and effective even in older patient. PMID: 24002392 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 06 Sep 2013 11:15:03 +010
       
  • What is the present situation of vascular surgery' Considerations and
           reflections based on real practice.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Sirignano P, Setacci F, Galzerano G, Sirignano A, Fineschi V, Setacci C "For the best vascular care to every patient, every day" is the goal of our practice, but is it a possible goal' Where are we now' The general idea is that we are pursuing the right way. The evolution of our discipline in the last two decades has been extraordinary and we reaffirm that we are the leaders in diagnose and treatment of the arterial pathology. Unfortunately, we can find some cases in which reality has to be faced as hardly as it can be, remembering us that we still have to go further with our job. The delay in the diagnose and treatment could lead to a permanent deficit and a money loss for the national health system due to prolonged hospitalization, multiple re-hospitalizations, ...
      PubDate: Fri, 06 Sep 2013 11:15:02 +010
       
  • Fluid balance and conventional and novel biomarkers of acute kidney injury
           in cardiovascular surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion. At 24 hours postoperatively, the performance of FB to predict AKI was comparable to that of preoperative conventional and postoperative 24-hour novel biomarkers. PMID: 24002394 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 06 Sep 2013 11:15:02 +010
       
  • Patency of the saphenous vein conduit anastomosed to the aortic dacron
           graft.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: The saphenous vein conduit anastomosed to the aortic dacron graft may have negative effects on graft patency. The placement of saphenous vein on a native tissue like the innominate artery may have beneficial effects of graft patency by slowing down neointimal hyperplasia. PMID: 24002395 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 06 Sep 2013 11:15:02 +010
       
  • Increased risk of late aortic events after isolated aortic valve
           replacement in patients with bicuspid aortic valve insufficiency versus
           stenosis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: BAV patients with isolated valve insufficiency are at increased risk of late aortic events, as compared with BAV stenosis patients at 15 years after AVR. PMID: 24002396 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 06 Sep 2013 11:15:02 +010
       
  • Concomitant heart transplantation and replacement of ascending aorta and
           proximal aortic arch.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Rudež I, Planinc M, Unić D, Barić D, Blažeković R, Radolović P, Varvodić J, Sutlić Z PMID: 24002397 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 06 Sep 2013 11:15:02 +010
       
  • Treatment options for visceral artery aneurysms: ten year experience.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: Both OSR and ET offered a safe way to treat VAAs in our experience. PMID: 23867859 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 18 Jul 2013 04:00:00 +010
       
  • Cross-flow determination by transcranial Doppler predicts clamping
           ischemia in patients undergoing carotid endarterectomy.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: TCD scanning is highly reliable to detect cross-flow prior to carotid surgery and thus helpful to identify patients at risk for clamping ischemia and need for shunting. PMID: 23867860 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 18 Jul 2013 04:00:00 +010
       
  • Symptomatic abdominal aortic aneurysm repair: to wait or not to wait.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: In a substantial amount of patients with an alleged symptomatic AAA, delayed surgery with patient optimisation might be justified. However, specific criteria in order to select patients that might benefit from delayed surgery need further investigation. PMID: 23867861 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 18 Jul 2013 04:00:00 +010
       
  • Spontaneous preoperative microembolic signals detected with transcranial
           Doppler are associated with vulnerable carotid plaque characteristics.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: Spontaneous MES were detected in 26% of symptomatic patients scheduled for CEA and were associated with unstable carotid plaque characteristics. TCD might be a useful tool to help identify patients with vulnerable plaques. PMID: 23817452 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 01 Jul 2013 04:00:00 +010
       
  • Treatment of significant carotid artery stenosis in 1824 patients.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: In our experience, CAS offered a valid alternative for both symptomatic and asymptomatic patients who were poor candidates for CEA, with results that compared favourably to those of CEA both at 30-day and at long-term. Patients who couldn't be operated on neither with CAS nor with CEA had a lower risk of MI at 30-day but a higher risk of stroke during the first year, especially if they had previously experienced neurological symptoms. PMID: 23752670 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 11 Jun 2013 04:00:00 +010
       
  • Modified total arch replacement using a four-branched arch graft for acute
           type a aortic dissection with minimal brain and spinal cord ischemic time.
           
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: Modified total arch replacement using a four-branched arch graft with stented elephant trunk and innovative organ protection is a useful and safe alternative technique for the treatment of acute type A aortic dissection and the results are encouraging. PMID: 23752671 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 11 Jun 2013 04:00:00 +010
       
  • Nitinol stents with polymer-free paclitaxel coating for stenosis of
           failing infrainguinal bypass grafts.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: DES implantation in failing infrainguinal bypass grafts can be safely performed and provides satisfactory clinical outcomes. The patency rate of 91% favourably compares with those obtained with other endovascular treatments such as plain balloon or cutting balloon angioplasty. PMID: 23752672 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 11 Jun 2013 04:00:00 +010
       
  • Total blood volume of Asian patients undergoing cardiac surgery is far
           from that predicted by conventional methods.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: Total blood volume of Asian patients calculated by the authors differs markedly from that estimated by Nadler and classic reference book formulas, which suggests that more accurate calculation of TBV is needed for Asian cardiac patients requiring CPB, especially patients with valvular disease. PMID: 23486261 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 24 May 2013 03:10:03 +010
       
  • Drug eluting stents in the treatment of below the knee arterial occlusive
           disease.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This article reviews this body of research, explores the use of these devices in more complex lesions, speculates on their future development and examines their cost-effectiveness. PMID: 23640354 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 24 May 2013 03:10:02 +010
       
  • First- and second-generation drug-eluting balloons for femoro-popliteal
           arterial obstructions: update of technique and results.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : De Vries JP, Karimi A, Fioole B, Van Leersum M, Werson DA, Van Den Heuvel DA The use of drug-eluting balloons for treatment of long-segment femoropopliteal artery obstructions has become widespread in recent years. The possibility to deliver a drug into the arterial wall with sustained antiproliferative effects, without leaving behind metal scaffolding, seems very promising. The current generation of drug-eluting balloons differs in the formulation of the drug (usually paclitaxel), technique of coating, and the elution excipients. Results of published randomized trials are reviewed in this report. A new innovative coating technique has been introduced recently. The PRIMUS® coronary drug-eluting balloon and the Legflow® peripheral drug-eluting balloon consist of ...
      PubDate: Fri, 24 May 2013 03:10:02 +010
       
  • Femoropopliteal in-stent restenosis: review and potential for drug based
           therapy.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This article reviews restenosis rates for the major treatment modalities used in the FP segment. Use of drug-elution for restenosis is also reviewed, including the use of drug-eluting balloons and drug-eluting stents. PMID: 23640356 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 24 May 2013 03:10:02 +010
       
  • Covered endovascular reconstruction of aortic bifurcation (CERAB)
           technique: a new approach in treating extensive aortoiliac occlusive
           disease.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Goverde PC, Grimme FA, Verbruggen PJ, Reijnen MM Endovascular treatment of occlusive disease of the aortic bifurcation is challenging. We developed the Covered Endovascular Reconstruction of Aortic Bifurcation or CERAB-technique, as a new approach for extensive and/or recurrent aortoiliac occlusive disease using three covered balloon expandable stents to reconstruct the aortic bifurcation. This configuration provides the ability to deal with TransAtlantic Inter-Society Consensus (TASC II) C and D lesions, simulating a neo-bifurcation or flow divider in combination with the benefits of covered stents. The intervention can be performed percutaneously or as a hybrid procedure. Initial results are encouraging and further studies are indicated. PMID: 23640357 [PubM...
      PubDate: Fri, 24 May 2013 03:10:02 +010
       
  • Glutathionyl-hemoglobin levels in carotid endarterectomy: a pilot study on
           12 cases clinically uneventful.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: Although effective routine drug management allowed brain safety during carotid clamping time, a number of patients showed a fast modification over time of the HbSSG levels in jugular blood, suggesting that "resident" cerebral biochemical protection mechanisms could play some role to compensate clinically silent brain oxidative stress. PMID: 23594507 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 18 Apr 2013 04:00:00 +010
       
  • Smooth muscle cell phenotypic diversity between dissected and unaffected
           thoracic aortic media.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: We have established a simple and potent method to acquire SMCs from the dissected and unaffected aortic media. Compared to the contractile SMCs in the unaffected media, those in the dissected media manifest phenotypic switching from the contractile to the synthetic type. The primary cultures can be subsequently used as in vitro models and contribute to further elucidating the etiopathogenesis of TAD. PMID: 23594508 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 18 Apr 2013 04:00:00 +010
       
  • How to calculate the main aortic graft-diameter for a chimney-graft.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: Geometric approximation can be used to calculate the required main aortic graft-diameter. For parallel running chimney-grafts a significant degree of oversizing is necessary to allow the main aortic body to surround the chimney and to prevent the occurrence of gutters, which may cause type-1 endoleaks. PMID: 23563974 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 05 Apr 2013 04:00:00 +010
       
  • Midterm results of the transarterial use of Onyx in the treatment of
           persisting type II endoleaks after EVAR.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: Use of Onyx in the endovascular treatment of type II endoleaks after EVAR is feasible, safe when accurately deployed and efficient. Further studies are necessary to evaluate the value of the different treatment modalities (translumbar vs transarterial). PMID: 23563975 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 05 Apr 2013 04:00:00 +010
       
  • Endovascular treatment of symptomatic true-lumen collapse of the
           downstream aorta after open surgery for acute aortic dissection type A.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: After proximal aortic repair for AADA, early postoperative computed tomography should be demanded in all patients to exclude a TLC of the descending aorta. Mortality is still substantial in these patients despite instant TEVAR application. Thus, in case of TLC and malperfusion syndrome of the downstream aorta, TEVAR should be performed early to alleviate or even prevent ischemic injury. PMID: 23558651 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 01 Apr 2013 04:00:00 +010
       
  • Experience with early TEVAR treatment of uncomplicated type B aortic
           dissection.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Lin J, Marrocco C, Galovich J, Kopchok G, Khoynezhad A, Walot I, Haji F, Jaber R, Donayre C, White R The current paradigm for the treatment of chronic type B aortic dissection involves primarily medical treatment. The patients are then followed for sequelae like progressive dissection or aneurysmal degeneration, selecting this subgroup for further intervention. The European Collaborator Registry, the Talent Thoracic Retrospective Registry, and several meta-analysis showed that the uncomplicated type B dissection patients who underwent thoracic endovascular aortic repair (TEVAR) outperformed their counterpart in the complicated group. The INSTEAD trial, the first randomized trial to examine whether TEVAR is better than medical management in the chronic stable disse...
      PubDate: Mon, 01 Apr 2013 04:00:00 +010
       
  • New insights in (acute) endovascular abdominal aneurysm repair: when
           fenestrated devices fall short.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Pol RA, Tielliu IF, Zeebregts CJ The suitability for endovascular aneurysm repair (EVAR) is determined primarily by abdominal aortic aneurysm (AAA) anatomy. For patients unsuitable for standard EVAR, due to proximal neck anatomy, fenestrated aortic stent-grafting (FEVAR) is a viable alternative to open repair surgery. Initially FEVAR stent-grafts were custom-made to fit the unique anatomical characteristics of each treated individual. This customization leads to production delays therefore excluding acute aneurysms from endovascular treatment. For patients in need for more urgent treatment, several alternatives have currently been developed. The aim of this review is to provide an overview on current developments and results in acute endovascular abdominal aortic ...
      PubDate: Mon, 01 Apr 2013 04:00:00 +010
       
  • Are concerns about EVAR durability relevant with modern devices'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Nordon IM, Thompson MM, Loftus IM Endovascular aneurysm repair (EVAR) is now universally adopted as first-line therapy for the management of large abdominal aortic aneurysms (AAA). The applicability has broadened such that up to 80% of patients are morphologically suitable for EVAR. In-spite of the evidence base demonstrating improved early outcomes following EVAR compared to open surgery, and informed patients' preference, EVAR-sceptics remain. The doubters voice anxieties regarding the durability of an endovascular repair and cite evidence of graft failures from the EVAR-1 trial results. Historically, graft migration and endoleak development have been the Achilles heel of EVAR. However, EVAR is an evolving technology that over the last 10 years has seen signific...
      PubDate: Mon, 01 Apr 2013 04:00:00 +010
       
  • Unique demands of the femoral anatomy and pathology and the need for
           unique interventions.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Otsuka F, Nakano M, Sakakura K, Ladich E, Kolodgie FD, Virmani R With the aging of the population the incidence of peripheral artery disease (PAD) is increasing, which is histologically characterized by fibrocalcific intimal plaques as well as underlying Mönckeberg's medial calcinosis as compared to coronary and carotid artery disease. Superficial femoral artery (SFA) is one of the longest and most dynamically active vessels in the body undergoing torsion, compression, flexion, and extension from leg motion, and is known to be more susceptible to atherosclerosis because of low shear stress or spiral flow, best appreciated in the long segment in its lesser curvature. Endovascular interventions are now considered the first-line strategy for the treatment of PAD pat...
      PubDate: Mon, 01 Apr 2013 04:00:00 +010
       
  • Femoral stenting: what do the guidelines tell us.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Minar E Recommendations in guidelines should reflect current knowledge due to results of well-designed randomized clinical trials. However, one of the main problems with guidelines concerning revascularization in patients with peripheral arterial disease (PAD) is the lack of such clinical trials with a paucity of so called level I data. Furthermore, vascular interventions are practiced by physicians with different medical, surgical and radiologic speciality training background. An inter-society consensus statement by its very nature coalesces into one document the divergent experiences, interests and also interpretation of the literature by the participating parties, in our case mainly vascular surgeons and non-surgical interventionists. Therefore the recommendati...
      PubDate: Mon, 01 Apr 2013 04:00:00 +010
       
  • Drug-eluting technologies in femoral artery lesions.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Deloose K, Lauwers K, Callaert J, Maene L, Keirse K, Verbist J, Peeters P, Bosiers M The treatment of femoropopliteal lesions has known an important evolution in the last years. An important limitation of current endovascular therapy remains the occurrence of restenosis. In order to minimize restenosis rates, drug eluting technologies are evolving. The use of drug-eluting stents (DES) in coronary arteries shows beneficial results, leading to investigation of DES in femoropopliteal arteries. In this article, we give an overview of current available data on treatment with drug eluting technologies in the superficial femoral artery (SFA). This paper summarizes also the current available data of the use of drug-coated balloons (DCB) in the femoropopliteal tract. Curre...
      PubDate: Mon, 01 Apr 2013 04:00:00 +010
       
  • Role of bioresorbable stents in the superficial femoral artery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This article gives an overview of the existing evidence, the available devices, the clinical studies that have been performed in different areas and the preliminary results of a large multicenter study with a bioresorbable stent in the SFA. PMID: 23558658 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 01 Apr 2013 04:00:00 +010
       
  • BRAVISSIMO: 12-month results from a large scale prospective trial.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Bosiers M, Deloose K, Callaert J, Maene L, Beelen R, Keirse K, Verbist J, Peeters P, Schroë H, Lauwers G, Lansink W, Vanslembroeck K, D'archambeau O, Hendriks J, Lauwers P, Vermassen F, Randon C, Van Herzeele I, De Ryck F, De Letter J, Lanckneus M, Van Betsbrugge M, Thomas B, Deleersnijder R, Vandekerkhof J, Baeyens I, Berghmans T, Buttiens J, Van Den Brande P, Debing E, Rabbia C, Ruffino A, Tealdi D, Nano G, Stegher S, Gasparini D, Piccoli G, Coppi G, Silingardi R, Cataldi V, Paroni G, Palazzo V, Stella A, Gargiulo M, Muccini N, Nessi F, Ferrero E, Pratesi C, Fargion A, Chiesa R, Marone E, Bertoglio L, Cremonesi A, Dozza L, Galzerano G, De Donato G, Setacci C The BRAVISSIMO study is a prospective, non-randomized, multi-center, multi-national, monitored trial, co...
      PubDate: Mon, 01 Apr 2013 04:00:00 +010
       
  • Iliofemoral venous stenting extending into the femoral region: initial
           clinical experience with the purpose-designed Zilver Vena stent.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The Zilver Vena stent performed favorably in this challenging patient population; these results need to be confirmed in multicenter studies. PMID: 23558660 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 01 Apr 2013 04:00:00 +010
       
  • Endovenous 1470 nm laser treatment of the saphenous vein: early report of
           pain assessment.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Endovenous laser ablation for chronic venous insufficiency with a 1470-nm diode laser appears to be effective and safe. The procedure is simple to perform, well accepted by patients and relatively atraumatic. PMID: 23558661 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 01 Apr 2013 04:00:00 +010
       
  • New HTK-N46B cardioplegia provides superior protection during
           ischemia/reperfusion in failing hearts.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: HTK-N46b showed superior cardioprotective properties according to postischemic hemodynamic recovery and biochemical markers compared to HTK in failing rat hearts. PMID: 23389583 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 06 Feb 2013 05:00:00 +010
       
  • Introduction of embryonic stem cells into vein grafts reduces intimal
           hyperplasia in mice.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: This study demonstrates that embryonic stem cells have a therapeutic competence to favourably modulate intimal hyperplasia in vivo. PMID: 23369946 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 01 Feb 2013 05:00:00 +010
       
  • Extensive endovascular repair of thoracic aorta: observational analysis of
           the results and effects on spinal cord perfusion.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusions: The coverage of the entire thoracic aorta is an effective procedure with high probability of success. Spinal cord malperfusion remains a serious complication especially in patients with prior aortic surgery but if collateral blood supply is maintained the occlusion of intercostal arteries do not determine paraplegia or paraparesis. In order to consider acute or chronic occlusion of subclavian, lumbar or hypogastric arteries so preventing spinal cord ischemia, strong preoperative evaluation including analysis of previous surgery for abdominal aortic aneurysm repair and avoidance of T12 aortic segment coverage if feasible is mandatory. PMID: 23369947 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 01 Feb 2013 05:00:00 +010
       
  • Comparison of the efficacy of the cardiac hypothermia and normothermia to
           myocardial damage in coronary artery bypass graft surgery with systemic
           normothermic cardiopulmonary bypass.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion.:Myocardial damage was less than in normothermia group according to hypothermia group. The results show that ice-cold blood cardioplegia and local ice treatment of the heart during CPB seems to harm the heart more than warm blood cardioplegia. PMID: 23369948 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 01 Feb 2013 05:00:00 +010
       
  • History of carotid artery stenting.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Roffi M, Mathias K The history of carotid artery stenting (CAS) was made by brave men and women who believed in a less invasive treatment modality than carotid endarterectomy (CEA) to treat carotid stenosis despite the risk - which was obviously present also with surgery - to cause a stroke, the very event that the procedure aimed to prevent. The bulky equipment, the lack of knowledge about the appropriate antithrombotic regimen, and the impossibility at early stage to influence distal embolization added to the pressure on the investigators. At times, the confrontation with the surgical community has been hard. The technique evolved with the inputs of multiple disciplines on both sides of the Atlantic including radiology, cardiology, neuroradiology and vascular su...
      PubDate: Wed, 30 Jan 2013 01:11:17 +010
       
  • Tips and tricks to avoid periprocedural neurological complications in
           carotid artery stenting.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Setacci C, de Donato G, Setacci F, Sirignano P, Galzerano G, Kamargianni V, Cappelli A Execution of carotid artery stenting (CAS) requires not only excellent manual dexterity, and a high level of competence, but also in-depth knowledge of the carotid pathology, of the materials available on the market and of the different techniques to apply in given situations. Actually each individual moment of the procedure can be determining for the final result. This review describes each individual step of CAS, including arterial access, carotid engagement, pre-dilatation, the characteristics and use of cerebral protection devices, stent selection and deployment, and post-dilatation. Technical notes and some suggestions are provided on how to minimize the event of periproced...
      PubDate: Wed, 30 Jan 2013 01:11:17 +010
       
  • How to simplify the approach to the supra-aortic trunks.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Moratto R, Veronesi J, Silingardi R, Nicolosi E, Gennai S, Coppi G Carotid artery stenting (CAS) represents a valid alternative to carotid endarterectomy (CEA). Possible embolization during the approach and the cannulation of the supra-aortic arterial trunks remains an important obstacle to CAS. This risk is increased in elderly patients and complex anatomies. In order to achieve satisfactory technical and clinical outcomes, a thorough understanding of the patients' individual anatomy of the arch and the access vessels is essential. The cannulation of the common carotid artery represents the key maneuver for the entire CAS procedure. This review article will present the currents techniques and devices actually use in order to facilitate the approach to the supra-a...
      PubDate: Wed, 30 Jan 2013 01:11:17 +010
       
  • Carotid artery stenting with filters.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Mathias K Filters are a valuable aid for safe carotid artery stenting, but require good knowledge of their function, and their shortcomings. Filters capture visible particles in 5-20% and microscopically in about 70% of the cases. Transcranial Doppler ultrasound and diffusion weighted MRI investigations have shown that particles are released during filter placement and also during the next steps of the procedure. They can pass through the filter pores when they are small enough and through unprotected areas when the filter is not completely apposed to the arterial wall. Therefore, they do not reliably prevent transient ischemic attacks and minor strokes, but major strokes. They are easier to handle than proximal balloon protection in normal anatomy and are safe in...
      PubDate: Wed, 30 Jan 2013 01:11:17 +010
       
  • Proximal endovascular occlusion for carotid artery stenting.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This study also demonstrates that the excellent outcomes achieved using proximal EPDs are independent of patient gender, symptomatic status, and other baseline clinical characteristics including the presence of a contralateral carotid occlusion. PMID: 23296414 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 30 Jan 2013 01:11:17 +010
       
  • Current concepts on the management of concomitant carotid and coronary
           disease.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Roffi M, Cremonesi A In the absence of randomized data, the optimal management of patients with severe carotid and coronary artery disease (CAD), especially those undergoing coronary bypass grafting (CABG), remains unsettled. As a general rule, in patients with multilevel atherosclerotic disease the symptomatic vascular discrict should be treated first. The entirely surgical approach with carotid endarterectomy (CEA) and CABG is associated with high event rates. Therefore, whenever in the work-up prior to cardiac surgery severe carotid disease is identified, the indication for CABG should be reassessed and the feasibility of percutaneous coronary intervention (PCI) as an alternative treatment should be explored. If PCI is not an option, carotid artery stenting (CA...
      PubDate: Wed, 30 Jan 2013 01:11:17 +010
       
  • Carotid stenting in asymptomatic patients: how to identify patients
           without symptoms and at high risk for neurologic events.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Yamada R, Anderson MB, Guimaraes M, Schönholz C During the last 20 years, asymptomatic patients with high-grade carotid stenosis have been treated with carotid endarterectomy and more recently with carotid artery stenting in order to prevent stroke. New, best medical treatment including statins, beta-blockers, antiplatelet therapies, and better diabetes and blood pressure control might reduce the incidence of stroke in this patient population making invasive treatment unnecessary. However, patients with asymptomatic carotid stenosis cannot be considered a homogenous population, and therefore, the therapeutic approach should take into consideration a subgroup of patients with greater risk of cerebrovascular event. Unfortunately, these risk factors are not well cat...
      PubDate: Wed, 30 Jan 2013 01:11:17 +010
       
  • Carotid artery stenting in recently symptomatic patients.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Setacci C, de Donato G, Setacci F, Sirignano P, Galzerano G, Borrelli MP, Cappelli A Treatment of acute stroke is time-dependent, with the best outcomes resulting from the earliest interventions. However, for patients with acute ischemic stroke due to a high-grade stenosis of the internal carotid artery, despite maximal medical treatment, an effective intervention to improve their neurologic symptoms and clinical outcome has not yet been established. There are two major concerns: first, cerebral revascularization in the acute stage remains challenging because of the possibility that hemorrhagic infarction or hyperperfusion syndrome will occur after revascularization; second, alarms about carotid artery stenting in patients with acute symptoms are related to the fa...
      PubDate: Wed, 30 Jan 2013 01:11:16 +010
       
  • Complications during carotid artery stenting.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Bertog SC, Grunwald IQ, Kühn AL, Franke J, Vaskelyte L, Hofmann I, Id D, Hornung M, Sievert H Carotid stenting has become a commonly used procedure for the treatment of carotid artery stenosis. Though equipment and techniques have improved tremendously over the recent 3 decades, complications do occur. It is important for carotid operators to be familiar with potential complications and adverse events. In this article complications and adverse events of carotid stenting including those that are related to the vascular access site, vessel spasm, dissection, perforation, thrombotic occlusion and hemodynamic instability and arrhythmias are reviewed. In addition, management strategies are discussed. PMID: 23296418 [PubMed - in process] (Source: The Journal of Car...
      PubDate: Wed, 30 Jan 2013 01:11:16 +010
       
  • New ischemic brain lesions after carotid artery stenting.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Rosenkranz M, Gerloff C Carotid artery stenting is associated with the risk of periprocedural stroke. Moreover, modern magnetic resonance (MR) imaging techniques have found high rates of clinically silent ischemic brain lesions on post-treatment diffusion-weighted MR imaging (DWI) scans. The clinical significance of procedure-related DWI lesions, however, is still a matter of debate. This review article considers the frequency, location and pathophysiology of new DWI lesions on post-treatment MR images and summarizes available data on their clinical significance. PMID: 23296419 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 30 Jan 2013 01:11:16 +010
       
  • Endovascular management of acute stroke.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Simonetti G, Stefanini M, Konda D, Marziali S, Da Ros V, Chiaravalloti A, Pampana E, Gandini R Ischemic stroke is the third leading cause of death and most common cause of permanent disability in industrialized nations. Eighty-five percent of strokes are ischemic in nature, with an associated mortality between 53% and 92%. The focus of treatment for acute stroke starts with prompt and accurate diagnosis of ischemic brain tissue at risk, followed by time sensitive delivery of therapy that effectively and safely restores flow to that vascular territory. Time-dependent reperfusion therapy is the only proven treatment for Acute Ischemic Stroke. In this paper, we review the clinical and imaging factors that are relevant to guide endovascular treatment decisions; the di...
      PubDate: Wed, 30 Jan 2013 01:11:16 +010
       
  • The Zilver® PTX® Single Arm Study: 12-month results from the
           TASC C/D lesion subgroup.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The primary patency rates in the analysis of the TASC C/D de novo lesion subgroup of the Zilver PTX Single Arm Study indicate that endovascular therapy outcomes with a paclitaxel eluting stent may equal those of bypass surgery. Endovascular treatment with DES may play an important role for treatment of patients who present with TASC C or D femoropopliteal lesions. PMID: 23296421 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 30 Jan 2013 01:11:16 +010
       
  • Single-center experience with endovascular treatment of acute blunt
           thoracic aortic injuries.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: In our experience, endovascular treatment of acute traumatic thoracic aortic injuries using different commercially available stent-grafts allows to obtain satisfactory short term results. PMID: 23296422 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 30 Jan 2013 01:11:16 +010
       
  • Are there fewer complications with third generation endografts in
           endovascular aneurysm repair'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: In conclusion, the third generation endografts in challenging anatomy has yielded encouraging results. With regards to short and midterm outcome and need for secondary interventions, evaluations shows comparable results with all devices performing well. PMID: 23296423 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 30 Jan 2013 01:11:16 +010
       
  • An original technique for the treatment of symptomatic common carotid
           artery occlusion and concomitant ipsilateral internal carotid artery
           stenosis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Chisci E, Michelagnoli S, Frosini P, Ercolini L, Romano E, Setacci C Successful hybrid treatment of the total symptomatic acute occlusion of a common carotid artery (CCA) concomitant to ipsilateral internal carotid artery (ICA) stenosis has only been described once in the literature to date. The management of this anatomic distribution of disease can be a challenge both to plan and perform. The aim of this paper is to report an original hybrid revascularization technique for the treatment of two patients with symptomatic CCA acute occlusion and ipsilateral ICA stenosis. Details of the surgical technique and mid-term follow-up are provided. PMID: 23296424 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 30 Jan 2013 01:11:16 +010
       
  • Influence of intracoronary shunt on myocardial ischemic injury during
           off-pump coronary artery bypass surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion. Intracoronary shunt may have beneficial effects due to the reduction of postoperative troponin I levels and myocardial edema during grafting of the left anterior descending coronary artery. However, further trials need to be performed for the documentation of their impacts precisely. PMID: 23337405 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 22 Jan 2013 05:00:00 +010
       
  • Perioperative prophylactic antithrombotic strategies in vascular surgery:
           current practice in the Netherlands.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion. This survey showed a recognizable pattern of variation for perioperative arterial thrombosis prophylaxis amongst Dutch vascular surgeons, in agreement with reports from other countries over the past 20 years. Although a higher percentage of surgeons complied in 2011 with existing guidelines than in 2004, guidelines were not completely met. Possibly because current guidelines are not fully supported by evidence and do not cover all aspects of perioperative arterial thrombosis prophylaxis. Clearly there is need for (more) convincing data based on RCT's concerning the various aspects of perioperative arterial thrombosis prophylaxis. PMID: 23337406 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 22 Jan 2013 05:00:00 +010
       
  • Surgical treatment of infected aortic grafts.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Berger P, Van Herwaarden JA, Harkisoen S, De Vries JP, Ekkelenkamp M, Moll FL An infection of an aortic prosthesis is a severe condition with high morbidity and mortality rates. Surgical treatment of an infected aortic graft or infected aortic stent-graft focuses on treatment of the infection and maintaining or restoring perfusion of the lower limbs. Over the years various reconstruction options have been introduced, each claiming to be the most successful in securing lower limb perfusion. Consensus about the optimum treatment strategy is lacking. The frail patient population and the relative rarity of the disease limits research on this topic which is an important reason for this lack of consensus. In order to determine which of the various treatment options is t...
      PubDate: Sat, 01 Dec 2012 05:00:00 +010
       
  • Restenosis: a challenge for vascular surgeon.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Setacci C, Castelli P, Chiesa R, Grego F, Simoni GA, Stella A, Galzerano G, Sirignano P, De Donato G, Setacci F From the beginning of the cardiovascular surgery to the endovascular era restenosis represents the main problem of several spreading vascular disciplines. It can be considered as an excessive wound healing reaction of target vessel of revascularization procedures, that leads to a new narrowing of the vascular lumen. Restenosis still represents the main limiting factor of the long-term success of revascularization procedures. Prevention and strict follow-up are well established techniques in order to reduce restenosis rate and clinical impact of this condition. New drugs as cilostazol have been proven beneficial for patients with de novo lesions of periph...
      PubDate: Sat, 01 Dec 2012 05:00:00 +010
       
  • Advantages and limitations of robotic endovacular catheters for carotid
           artery stenting.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Riga CV, Rolls A, Rippel R, Shah C, Hamady M, Bicknell C, Cheshire N Carotid artery stenting (CAS) is an important development in the treatment of carotid artery stenosis and prevention of stroke. However, despite advances in technology, including embolic protection devices (EDPs), there are concerns that the embolic stroke risk is still too high in many reports, including a number of randomized controlled trials. Robotic technology has the potential to reduce the embolic risk by facilitating accurate and safe navigation to place sheaths in the common carotid artery, reducing the embolic load during this phase of the procedure prior to EDP placement. This paper identifies the embolic risk associated with different phases of the CAS procedure and predisposing facto...
      PubDate: Sat, 01 Dec 2012 05:00:00 +010
       
  • Proximal embolic protection during carotid stenting: current devices and
           outcomes.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Kiang SC, De Rubertis BG Carotid angioplasty and stenting (CAS) has become established as a safe and effective treatment strategy for patients at high risk for carotid endarterectomy (CEA). The adjunctive use of embolic protection devices has been associated with decreased rates of adverse neurologic events with CAS. Compared to other embolic protection strategies, the use of proximal protection devices during CAS has shown superior outcomes in regards to adverse events at 30 days. In this manuscript, we will compare and contrast the differences between distal embolic protection (EPD) and proximal embolic protection devices (PPD) in terms of procedural techniques, device advantages and limitations, and outcome data from prospective and retrospective clinical studi...
      PubDate: Sat, 01 Dec 2012 05:00:00 +010
       
  • Role of transcranial Doppler in cerebral hyperperfusion syndrome.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Pennekamp CW, Moll FL, De Borst GJ The benefit of carotid revascularization is hampered by occurrence of periprocedural cerebrovascular complications. Cerebral hyperperfusion syndrome (CHS) is a potentially life threatening complication occurring in approximately 3% of all patients following either carotid endarterectomy (CEA) or carotid angioplasty with stenting (CAS). CHS generally is defined as a transcranial Doppler (TCD) derived increase in cerebral blood flow of >100% over baseline. To reduce related morbidity and mortality early identification of patients at risk is essential. As such, TCD offers a technique for cerebral blood flow measurement that is nowadays the only applied and useful clinical monitoring tool for CHS prediction. Several studies have a...
      PubDate: Sat, 01 Dec 2012 05:00:00 +010
       
  • Novel chimney-graft technique for preserving hypogastric flow in complex
           aortoiliac aneurysms.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We describe the feasibility and result of a novel approach to preserve pelvic perfusion during endovascular aortoiliac aneurysm repair (EVAR) in patients with aortoiliac aneurysms extending to the iliac bifurcation. The iliac chimney-graft technique consists of the deployment of a ViaBahn™ graft into the hypogastric artery in combination with standard abdominal aortic stent-grafts. The chimney graft was deployed using a transsubclavian access and placed parallel with the iliac limb into the standard aortic stent graft, which was deployed directly before. The technical procedure was successful. Postoperative control showed a sufficiently excluded aneurysm without evidence of endoleak and good distal perfusion of both iliac arteries. The CT-scan after 6 months confirmed the result. The chi...
      PubDate: Sat, 01 Dec 2012 05:00:00 +010
       
  • A new self-expandable aortic valved stent deployed above native leaflets
           for aortic insufficiency: an in vitro study.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Two kinds of stents deployed in native leaflets affect left and right coronary flows significantly. No significant effect was found when the new self-expandable aortic valved stent deployed above native leaflets. This new self-expandable aortic valved stent can be deployed above the native leaflets, which avoids the obstruction of native leaflets on coronary flow. PMID: 23207561 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 01 Dec 2012 05:00:00 +010
       
  • Use of antispastic nicardipine and nitroglycerin (NG) cocktail solution
           increases graft flow during off-pump coronary artery bypass grafting.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Use of NG solution for LITA graft preparation is a choice of antispastic protocol. NG solution used either topically or intraluminally significantly increases the blood flow of IMA grafts with the best effect obtained by intraluminal injection. The present study provides an additional anti-spastic method by using second generation of calcium antagonists and nitric oxide donor in coronary artery bypass surgery. PMID: 23207562 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 01 Dec 2012 05:00:00 +010
       
  • Clenbuterol favorably remodels neonatal cardiac cells via activation of
           p38 MAPK signalling pathway.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Clenbuterol induces favorable changes in neonatal cardiomyocyte shape and geometry without affecting MHC isoform expression. Activation of p38 MAPK signaling seems, at least in part, to be implicated in this response. PMID: 23207563 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 01 Dec 2012 05:00:00 +010
       
  • The definition of chronic lung disease in patients undergoing cardiac
           surgery: a comparison between the Society of Thoracic Surgeons and the
           American Thoracic Society/European Respiratory Society Classifications.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The current STS spirometry driven definitions for CLD did not perform as well as the ATS/ERS definitions in diagnosing and classifying the degree of CLD. Consideration should be given to using the ATS/ERS definitions. PMID: 23207564 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 01 Dec 2012 05:00:00 +010
       
  • Neutrophil gelatinase-associated lipocalin as emerging biomarker of acute
           renal failure in renal transplant patient after coronary artery bypass
           surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We present an interesting case of renal transplant patient under long-term immunosuppressive therapy. He had already renal impairment of the transplant kidney (GFR 29.3 mL/min/1.73 m2). He suffered from coronary artery disease without history of myocardial infraction and underwent elective coronary artery bypass grafting (CABG). Renal function was monitored also with NAGL, in order to avoid potential renal graft failure postoperatively. PMID: 23207565 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 01 Dec 2012 05:00:00 +010
       
  • Lung volume reduction surgery 10 years later.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: We conclude that LVRS can lead to a very long survival (10 years or more) in a small subgroup of patients, with improvement of pulmonary functional data. Some preoperative data (upper lobe distribution of emphysema and pulmonary arterial pressure) appear to predict survival. Lung transplantation can be offered to these patients, showing a trend to improved life expectancy. PMID: 23207566 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 01 Dec 2012 05:00:00 +010
       
  • Pulmonary hypertension is associated with higher mortality in cystic
           fibrosis patients awaiting lung transplantation.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Pulmonary hypertension of mild degree is frequently found in CF patients with advanced lung disease and its presence significantly worsens survival. PMID: 23207567 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 01 Dec 2012 05:00:00 +010
       
  • Pulmonary vein stenosis requiring lobectomy after radiofrequency catheter
           ablation for atrial fibrillation.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We report a case of a 17-year-old boy with acquired left inferior pulmonary vein stenosis following radiofrequency catheter ablation for atrial fibrillation, conditioning recurrent pneumonia. Despite three attempts of vein dilation by means of angioplasty, the stenosis always recurred with worsening of symptoms. A left inferior lobectomy was then performed and after 33 months the patient is well and with no symptoms. PMID: 23207568 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 01 Dec 2012 05:00:00 +010
       
 
 
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