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Journal Cover Journal of Cardiovascular Surgery
  [SJR: 0.848]   [H-I: 41]   [3 followers]  Follow
    
   Full-text available via subscription Subscription journal
   ISSN (Print) 0021-9509 - ISSN (Online) 1827-191X
   Published by Minerva Medica Homepage  [1 journal]
  • The use of cilostazol in patients with peripheral arterial disease:
           results of a national physician survey.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Among physicians who habitually prescribe cilostazol adherence to the recommended drug dosage and length of treatment is high. The prescription of cilostazol is particularly appreciated in patients with symptomatic intermittent claudication, even before any non-invasive diagnosis of PAD, and before any invasive therapy. Finally a relevant number of physicians regularly prescribe cilostazol also after revascularization, advocating the anti-restenotic properties of the drug. PMID: 27094424 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 21 Apr 2016 12:31:02 +010
       
  • Balloon expandable transcatheter heart valves for native mitral valve
           disease with severe mitral annular calcification.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Guerrero M, Urena M, Pursnani A, Wang DD, Vahanian A, O'Neill W, Feldman T, Himbert D Patients with mitral annular calcification (MAC) have high surgical risk for mitral valve replacement due to associated comorbidities and technical challenges related to calcium burden, precluding surgery in many patients. Transcatheter mitral valve replacement (TMVR) with the compassionate use of balloon expandable aortic transcatheter heart valves has been used in this clinical scenario. The purpose of this review was to summarize the early experience including successes and failures reported. TMVR might evolve into an acceptable alternative for selected patients with severe MAC who are not candidates for conventional mitral valve surgery. However, this field is at a very early...
      PubDate: Thu, 21 Apr 2016 12:31:02 +010
       
  • Bare metal stent in the peripheral endovascular world… is this
           history' The iliac field.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Deloose K PMID: 27094422 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 21 Apr 2016 12:31:02 +010
       
  • TAArget versus EndoFit thoracic stent-grafts in thoracic endovascular
           aortic repair: a retrospective comparison of early and mid-term results in
           a single center.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Better clinical outcomes are highly dependent on accumulated learning curve and improved newer-generation devices and delivery systems. The second generation device TAArget's new featuring uniform external fixation and TTTM Tortuous tracker delivery system allow better external fixation and precise deployment. PMID: 27094425 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 21 Apr 2016 12:31:02 +010
       
  • Initial experience with the inspire MD C-Guard stent in the treatment of
           carotid artery disease.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We report our experience about the use of this novel stent in the endovascular treatment of carotid artery stenosis, with some technical considerations. Data about patients in whom the Inspire MD C-Guard was used for the treatment of carotid artery diseases were retrospectively collected and analyzed. The procedure was completed in all patients without any intraoperative complications. Postoperative course was uneventful in all cases and no complications have been recorded till now. In our limited experience, the Inspire MD C-Guard has proven to be a safe stent for the treatment of carotid artery diseases. However large studies are needed to better explain strengths and weaknesses of this device. PMID: 27094426 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 21 Apr 2016 12:31:02 +010
       
  • The inflatable-rings fixation mechanism of the Trivascular Ovation®
           Stent Graft System: every revolution comes at a price!
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Georgakarakos E, Trellopoulos G, Kontopodis N, Tsetis D, Ioannoub CV PMID: 27094427 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 21 Apr 2016 12:31:02 +010
       
  • Double-tract vein graft of the lower limb and its efficacy as a conduit
           for tibial bypass.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Komai H, Shindo S, Shigematsu H, Ogino H PMID: 27094428 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 21 Apr 2016 12:31:02 +010
       
  • Aortic rupture after thoracic endovascular repair in a patient with
           familial thoracic aortic aneurysm and dissections type 6 (FTAAD6).
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Parisi R, Goffi L, Ritelli M, Marinucci L, Secco GG, Uguccioni L, Cocco G, Colombi M, Fattori R PMID: 27094429 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 21 Apr 2016 12:31:02 +010
       
  • Comparison of peri-procedural and mid-term stroke rates and outcomes
           between surgical aortic valve replacement and transcatheter aortic valve
           replacement patients: a single center real world experience.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Even with significant differences in patients' baseline characteristics; in-hospital and mid-term stroke rates are not significantly higher following TAVR than SAVR. Although peri-procedural stroke is not uncommon in TAVR, mid-term stroke rate is low. PMID: 27078127 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 13 Apr 2016 22:00:00 +010
       
  • Mitral valve repair versus replacement - is it a different story for
           percutaneous compared to surgical valve therapy'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Inderbitzin DT, Taramasso M, Nietlispach F, Maisano F The complementary role of mitral valve repair versus replacement is based on evidence of long-term results in open surgery. Transcatheter mitral valve repair and replacement are both under rapid development but subject to clinical feasibility and first in-human short- and midterm outcome studies. The present article aims to review mitral valve repair and replacement by both techniques and to elucidate similar and potentially different aspects among the open and interventional approach. PMID: 27035893 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 31 Mar 2016 22:00:00 +010
       
  • The use of cilostazol in patients with peripheral arterial disease:
           results of a national physician survey.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Among physicians who habitually prescribe cilostazol adherence to the recommended drug dosage and length of treatment is high. The prescription of cilostazol is particularly appreciated in patients with symptomatic intermittent claudication, even before any non-invasive diagnosis of PAD, and before any invasive therapy. Finally a relevant number of physicians regularly prescribe cilostazol also after revascularization, advocating the anti-restenotic properties of the drug. PMID: 27035891 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 31 Mar 2016 22:00:00 +010
       
  • Bare metal stenting of the iliac arteries.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Kim T, Schneider P A significant subset of patients with peripheral artery disease (PAD) has iliac artery involvement that requires treatment. The development of bare metal stents has improved the short- and long-term outcomes of endovascular repair and has become first line therapy. Open surgical bypass has been reserved for extremely complex anatomic morphologies or endovascular failures. It is unclear whether primary stenting is superior to angioplasty with provisional stenting but if angioplasty is used alone, it is likely only appropriate for the most focal lesions. In addition, stent placement at the time of iliac intervention has become so safe that there is no significant added risk when primary stenting is performed. Self-expanding and balloon-expandable ...
      PubDate: Thu, 31 Mar 2016 22:00:00 +010
       
  • Development of parallel graft for arch lesions.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The results of parallel graft in the aortic arch are promising, but of major concern is still the high rate of Type I endoleaks as well as the neurological complication rate, most probably due to catheter manipulation in patients with severe atherosclerotic arch lesions. PMID: 27029672 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 30 Mar 2016 22:00:00 +010
       
  • Covered stents in iliac artery occlusive: what is the evidence'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Mwipatayi BP, Suthers E, Thomas SD, Altaf N The last two decades have seen a revolution in the treatment of Aortoiliac Occlusive Disease (AIOD). Acceptable safety and durability outcomes have now been realized with endovascular treatments, which is increasingly finding a place in the treatment of AIOD. Evolution of stent technologies and endovascular techniques is seeing an expansion of AIOD lesions indicated for primary endovascular treatment. The literature evidence basis is continuously evolving, and questions remain as to the optimal form of vessel treatment. Covered stents have been increasingly promoted for their long-term durability, particularly in extensive, challenging AIOD lesions. Here, we explore the seminal evidence basis for covered stents in the tr...
      PubDate: Wed, 30 Mar 2016 22:00:00 +010
       
  • Computed tomography assessment for transcatheter mitral valve
           interventions.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Narang A, Guerrero M, Feldman T, Pursnani A Multidetector cardiac computerized tomography (CT) is a robust advanced imaging modality with high spatial resolution that has emerged as an essential tool for the planning of structural heart and electrophysiology interventions. The most notable example has been its important role in the pre-procedural planning of transcatheter aortic valve replacement (TAVR), which has developed to the point that commercial software packages are commonly used for this application. More recently several novel approaches and devices have been developed for transcatheter mitral valve replacement (TMVR). Given the greater complexity of mitral valve anatomy, CT has at least an equally important role for pre-procedural planning of TMVR. Simi...
      PubDate: Tue, 29 Mar 2016 22:00:00 +010
       
  • Defining the clinical need and indications: who are the right patients for
           transcatheter mitral valve replacement'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Baumgarten H, Squiers JJ, Arsalan M, Dimaio JM, Mack MJ Mitral regurgitation (MR) can be divided into two major etiologies, primary and secondary MR. Primary MR, also termed degenerative or organic MR, is a disease of the valve itself and is treated routinely by surgical repair in all but prohibitive risk patients. In these patients, transcatheter repair techniques, including edge to edge repair with the MitraClip device have been largely successful and widely adopted. Transcatheter placement of artificial chords has also been performed. The potential role for transcatheter mitral valve replacement (TMVR) in primary MR will likely be quite limited. Secondary or functional MR is due to a disease of the left ventricle and not the valve itself. The MR is a result of ...
      PubDate: Tue, 29 Mar 2016 22:00:00 +010
       
  • Anatomical challenges for transcatheter mitral valve intervention.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : DE Backer O, Luk NH, SøNDERGAARD L Following the success of transcatheter aortic and pulmonary valve implantation, there is a large interest in transcatheter mitral valve interventions to treat severe mitral regurgitation (MR). With the exception for the MitraClipTM (Abbott, USA) edge-to-edge leaflet plication system, most of these transcatheter mitral valve interventions are still in their early clinical or pre-clinical development phase. Challenges arising from the complex anatomy of the mitral valve and the interplay of the mitral apparatus with the left ventricle (LV) have contributed to a more difficult development process and mixed clinical results with these novel technologies. This review aims to discuss the several anatomical aspects and challenges relat...
      PubDate: Tue, 29 Mar 2016 22:00:00 +010
       
  • The CERAB technique: tips, tricks and results.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: The CERAB and C-CERAB techniques may change the treatment algorithm of extensive aortoiliac occlusive disease in the near future and appears to be a safe and feasible alternative with promising results, together with a more anatomical and physiological reconstruction of the aortic bifurcation, being a valid alternative for surgery and/orkissing stents. Critical issues that still needs to be solved, include cost-effectiveness, patient selection, fine-tuning of the technique and defining the optimal medical support. PMID: 27012930 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 23 Mar 2016 23:00:00 +010
       
  • Mitral regurgitation after previous aortic valve surgery for bicuspid
           aortic valve insufficiency.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: The risk of new-onset MR is significantly increased in patients with BAV regurgitation and aortic root dilatation who undergo isolated AVR rather than root replacement. The mechanism by which aortic root replacement may prevent the occurrence of late MR in BAV root phenotype patients is to be determined. PMID: 27012929 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 23 Mar 2016 23:00:00 +010
       
  • Single-centre experience with the Gore C3 Excluder stent-graft in 200
           consecutive patients.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: In this patient cohort, the C3 Excluder stent-graft provided excellent early and mid-term outcomes with null 30-day mortality in elective cases, and null type I endoleak and limb occlusion during follow-up. The option for repositioning was frequently utilized. Excessive repositioning resulted in three adverse events, all three successfully treated by endovascular means. PMID: 26981705 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 16 Mar 2016 00:00:00 +010
       
  • Which surgical risk score is best for predicting outcome in patients
           undergoing trans-catheter aortic valve implantation: comparison of
           additive EuroScore, logistic EuroScore, EuroScore II, and the society of
           thoracic surgery global scoring systems.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Surgical risk scores are poor at predicting outcomes in patients undergoing TAVI, particularly in the short term. PMID: 26981704 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 16 Mar 2016 00:00:00 +010
       
  • The spectrum of transcatheter mitral valve replacement devices.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Dudiy Y, Brownlee A, Ruiz CE Mitral regurgitation is the most common valvular heart disease. The gold standard for patients not suitable for valve repair is a surgical valve replacement. A significant proportion of patients, however are not referred for surgery due to comorbidities, advanced age or severe LV dysfunction. Transcatheter mitral valve replacement may be a viable therapeutic option for these high risk patients. With improvements in technology and data on the durability of the transcatheter mitral valve, this technology has the potential to be used in a lower risk population. A number of transcatheter systems have emerged recently and are at different stages of investigation. In this review, we outline the key elements and challenges of the transcathete...
      PubDate: Wed, 09 Mar 2016 00:00:00 +010
       
  • Techniques for aortic arch endovascular repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This article reviews endovascular strategies for aortic arch repair. Open repair remains the gold standard particularly for good risk patients. Endovascular treatment potentially offers a less invasive repair. Principles, technical considerations, devices and outcomes of each technique are discussed and summarized. Hybrid repair combines less invasive revascularization options, instead of arch replacement while extending stent graft into the arch. Outcomes vary with regard to extent of repair and aortic arch pathologies treated. Results of arch chimney and other parallel graft techniques perhaps make it a less preferable choice for elective cases. However, they are very appealing options for urgent or bailout situations. Fenestrated stent grafting is subjected to many technical challenges ...
      PubDate: Fri, 04 Mar 2016 00:00:00 +010
       
  • "Obesity paradox" in transcatheter aortic valve implantation.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: BMI as continuous data may be associated with better early and mid-term post-TAVI survival. Whereas, overweight or obesity as categorized BMI may be associated with early, not mid-term, post-TAVI survival. PMID: 26939045 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 03 Mar 2016 00:00:00 +010
       
  • Current management of aortic arch lesions with hybrid procedures: a
           tailored approach to a progressive disease.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: The objective of this article is to review the current options for hybrid arch repair and the indications for choosing the various techniques based on pathologic presentation. PMID: 26939046 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 03 Mar 2016 00:00:00 +010
       
  • Mitral valve-in-valve and valve-in-ring for failing surgical bioprosthetic
           valves and rings.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Ghosh-Dastidar M, Narayana A, Boix R, Bapat V The transcatheter valve-in-valve (VIV) procedure for failed aortic bioprostheses is recognised as an alternative treatment to conventional surgery in high-risk patients. This less invasive option has now been applied to failed mitral bioprostheses (VIV) or failed repairs i.e. valve-in-ring (VIR). In this emerging field, to get an optimal result, a good understanding of the design features of the failed surgical heart valve/ring, the transcatheter heart valve being used and their compatibility, is of paramount importance. Although similar in many ways to the aortic counterpart, a mitral VIV/VIR procedure can pose certain different challenges such as delayed migration and left ventricular outflow tract obstruction. This ...
      PubDate: Mon, 29 Feb 2016 00:00:00 +010
       
  • Carotid artery stenting versus carotid endarterectomy. Updated
           meta-analysis, metaregression and trial sequential analysis of short-term
           and intermediate to long-term outcomes of randomized trials.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: In this largest and most comprehensive meta-analysis to date using outcomes that are standard in contemporary studies, CAS was associated with an increased risk of both periprocedural and intermediate to long-term outcomes. PMID: 26883249 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 17 Feb 2016 00:00:00 +010
       
  • The explosion of percutaneous mitral valve therapies.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Feldman T PMID: 26883145 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 16 Feb 2016 00:00:00 +010
       
  • Endovascular treatment of complex abdominal and thoracoabdominal type IV
           aortic aneurysms with fenestrated technology.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Fenestrated EVAR (fEVAR) has been shown to be safe and effective in the short and mid-term follow-up. Remaining issues including secondary interventions and the need for follow-up are still within the range of those reported for EVAR. These, continue to plague fEVAR for complex abdominal or type IV thoracoabdominal aortic aneurysms. PMID: 26845537 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 04 Feb 2016 00:00:00 +010
       
  • Precision medical and surgical management for thoracic aortic aneurysms
           and acute aortic dissections based on the causative mutant gene.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Milewicz DM, Hostetler E, Wallace S, Mellor-Crummey L, Gong L, Pannu H, Guo DC, Regalado E Almost one-quarter of patients presenting with thoracic aortic aneurysms or acute aortic dissections have an underlying mutation in a specific gene. A subset of these patients will have systemic syndromic features, for example, skeletal features in patients with Marfan syndrome. It is important to note that the majority of patients with thoracic aortic disease will not have these syndromic features but many will have a family history of the disease. The genes predisposing to these thoracic aortic diseases are inherited in an autosomal dominant manner, and thirteen genes have been identified to date. As the clinical phenotype associated with each specific gene is defined, the...
      PubDate: Tue, 02 Feb 2016 00:00:00 +010
       
  • Vein harvesting and techniques for infrainguinal bypass.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : ALBäCK A, Saarinen E, Venermo M To achieve good long term results after bypass surgery, in addition to good inflow and outflow arteries, the bypass graft material has an important role. The best patency and limb salvage rates are achieved with autologous vein. If great saphenous vein is not available, acceptable long term results can be achieved with arm veins and lesser saphenous vein. The quality and size of the vein are important. A small-caliber vein, increased wall thickness, postphlebitic changes and varicosities are associated with a risk of early failure. Preoperative vein mapping with ultrasound reduces readmissions and postoperative surgical site infections. During the mapping, the vein to be used and its main tributaries are marked with a permanent mar...
      PubDate: Tue, 02 Feb 2016 00:00:00 +010
       
  • Drug-coated balloons: what is the evidence'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Marques L, Hopf-Jensen S, Müller-Hülsbeck S Having evolved at a rapid pace, the therapy options for percutaneous treatment of peripheral arterial disease in the lower limbs, especially percutaneous transluminal angioplasty in combination with stent-technology, are able to deliver a rate where at least 80% of the treated patients remain free from reintervention after the first years under ideal study conditions, meaning that defined and often restrict in- and exclusion criteria were fulfilled and mid-term dual platelet therapy is warranted. This is somewhat a huge leap when compared to the 50-60% in the 1980s and 1990s, but we now face an era of an increasingly demanding clientele, where the industry also strives to cover this final 20% with newer technologies. A...
      PubDate: Sat, 16 Jan 2016 14:50:09 +010
       
  • How does a drug-coated balloon work' Overview of coating techniques
           and their impact.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Paclitaxel continues to be the drug of choice, the dose varies between 2 and 3.5 µg/mm² balloon surface. Neither animal experiments nor clinical trials have demonstrated problems in vessel segments treated with overlapping balloons. Future developments are expected to improve efficacy in additional disease conditions (e.g., calcified vessels) and vessel territories. PMID: 26771720 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 16 Jan 2016 14:50:09 +010
       
  • New developments with drug-coated balloons.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Tepe G PMID: 26771719 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 16 Jan 2016 14:50:09 +010
       
  • Outcome of extensive descending aorta repair adopting present concepts of
           spinal cord preservation.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Even without the Adamkiewicz artery identification and neuromonitoring, the incidence of immediate paraplegia could be kept low by applying the strategy based on the modern concept of cord perfusion. The relatively high incidence of delayed deficit suggests the importance of postoperative hemodynamic management and prevention of cardiopulmonary complications. PMID: 26771728 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 16 Jan 2016 14:50:09 +010
       
  • Transcranial Doppler and diffusion-weighted magnetic resonance evaluation
           of cerebral embolization occurring during transfemoral carotid stenting
           with proximal flow blockage.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: While achieving good technical and clinical results, CAS with proximal flow blockage is still accompanied by a non-negligible cerebral embolization. The detection of MES during ICA flow blockage suggests the need for a better selection of patients. PMID: 26771727 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 16 Jan 2016 14:50:09 +010
       
  • Acute stroke: balloon-tipped catheter in thrombectomy.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Mathias K The management of acute stroke has changed in the recent past due to the superior results of thrombectomy in patients with occlusion of larger brain supplying arteries in comparison to intravenous thrombolysis. This progress is mainly based on the use of stent retrievers for thrombectomy. The combination of stent retrievers with balloon-tipped catheters has increased the efficacy of the procedure. PMID: 26771726 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 16 Jan 2016 14:50:09 +010
       
  • Endovascular intracranial treatment of acute ischemic strokes.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Rangel-Castilla L, Snyder KV, Siddiqui AH, Levy EI, Hopkins NL Acute ischemic stroke (AIS) is the leading cause of long-term disability and the second cause of death worldwide. Intravenous (IV) tissue plasminogen activator (tPA) remains the only FDA-approved treatment for AIS. The use of IV tPA in AIS related to large-vessel occlusion (LVO) has shown low recanalization rates and poor clinical outcomes. Over the last decade, endovascular treatment has demonstrated safety and effectiveness in the management of LVO-associated AIS due to the evolution of endovascular techniques and technologies, beginning with intraarterial thrombolysis, aspiration, self-expanding intracranial stents, and now retrievable stents. With the recent publication of the results of five rando...
      PubDate: Sat, 16 Jan 2016 14:50:09 +010
       
  • Carotid interventions (CEA and CAS) in acute stroke patients: which
           procedure on which patient.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Darling RC, Warner C, Yeh CC, Shah MD, Hnath JC, Shah DM Treatment of carotid bifurcation disease in patients presenting with acute stroke has been a controversial issue over the past four decades. Classically, patients were asked to wait four to six weeks before intervention was entertained in order for the brain to stabilize and the risks of intervention to be minimized. Unfortunately, up to 20% of patients will have a secondary event after their index event and the window of opportunity to save potentially salvageable ischemic tissue will be missed. Early reports had demonstrated poor results with intervention. However, more recently, institutions such as ours have demonstrated excellent results with early intervention in patients who present with stable mild t...
      PubDate: Sat, 16 Jan 2016 14:50:09 +010
       
  • What are the potential limitations of drug coated balloons and possible
           ways to overcome.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Werk M In several independent randomized clinical studies, it has been shown that drug-coated balloons (DCBs) cause persistent clinically meaningful and statistically significant inhibition of restenosis in femoropopliteal arteries in comparison to percutaneous transluminal angioplasty with uncoated balloon catheters. The potential benefits of delivering an antiproliferative drug into the vessel wall using a balloon as transporter are manifold: 1) widespread applicability: balloon angioplasty is suitable for use in a wide range of lesions. The use of DCBs is technically less demanding and offers greater flexibility compared with stenting techniques. 2) Maintaining options: minimizing the use of durable implants is providing more options for following and complemen...
      PubDate: Sat, 16 Jan 2016 14:50:09 +010
       
  • Drug coated balloons below-the-knee: just too early'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Fanelli F, Cannavale A Patients with infrapopliteal arterial disease are generally considered challenging due to the usual presence of multivessel atherosclerotic disease. Several treatment options have been used by different authors but none of them can be considered ideal. In the last few years drug coated balloons have gained popularity especially due to the extraordinary results in the femoro-popliteal region. Following the great success, physicians started to use this promising device also in the below-the-knee (BTK) region. The initial enthusiasm correlated to some studies is not confirmed by the largest randomized trial, IN.PACT Deep, comparing In.Pact DCB to standard PTA. This trial failed completely to show the superiority of drug coated balloon (DCB). Th...
      PubDate: Sat, 16 Jan 2016 14:50:09 +010
       
  • Abdominal aortic aneurysm.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Setacci F, Galzerano G, DE Donato G, Benevento D, Guerrieri MW, Ruzzi U, Borrelli MP, Setacci C Endovascular repair of abdominal aortic aneurysms has become a milestone in the treatment of patients with abdominal aortic aneurysm. Technological improvement allows treatment in more and more complex cases. This review summarizes all grafts available on the market. A complete review of most important trial on this topic is provided to the best of our knowledge, and technical tips and tricks for standard cases are also included. PMID: 26771730 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 16 Jan 2016 14:50:08 +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: 26771729 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 16 Jan 2016 14:50:08 +010
       
  • Mitral valve replacement in the elderly is associated with low mortality
           and similar survival to the general population.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Mitral valve replacement is a feasible option for elderly patients with mitral valve disease in centers with lack expertise in valve repair. Actual surgical results provide low operative mortality and similar survival to general the population (mainly in females). PMID: 26771735 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 16 Jan 2016 14:50:07 +010
       
  • Right miniparasternotomy may be a good minimally invasive alternative to
           full sternotomy for cardiac valve operations: a propensity-adjusted
           analysis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The propensity-adjusted analysis demonstrated encouraging safety and quality outcomes for mini-parasternotomy valve operation in carefully selected patients. PMID: 26771734 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 16 Jan 2016 14:50:07 +010
       
  • Eptifibatide infusion versus placebo in high risk patients with non-ST
           segment elevation acute coronary syndromes managed with urgent coronary
           artery bypass graft surgery. A prospective multicenter randomized
           placebo-controlled clinical trial.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Preoperative use of eptifibatide vs. placebo is linked to significantly reduced 12-month MACCE rate in patients with NSTE-ACS requiring urgent CABG, while it simultaneously seems not to confer a greater risk of postoperative bleeding. PMID: 26771733 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 16 Jan 2016 14:50:07 +010
       
  • Is low anticoagulation intensity more beneficial for patients with
           bileaflet mechanical mitral valves' A meta-analysis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Compared with the recommended high intensity, low anticoagulation intensity (median INR<2.5) may be more beneficial for the MVR patients using the lowest thrombogenic risk bileaflet valves. We recommended an INR between 2.0 and 2.5, with a median INR of 2.3 for these MVR patients. PMID: 26771732 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 16 Jan 2016 14:50:07 +010
       
  • Endovascular treatment of an early arch aneurysm rupture after open
           thoracoabdominal aortic repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We present the case of a patient with a ruptured aortic arch aneurysm after open-surgery for a type III thoracoabdominal aortic aneurysm. Our therapeutic decision is described and discussed, with all the related advantages and disadvantages. PMID: 26771731 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 16 Jan 2016 14:50:07 +010
       
  • Treatment options for post-dissection aortic aneurysms.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Sobocinski J, Patterson BO, Clough R, Spear R, Martin Gonzalez T, Azzaoui R, Hertault A, Haulon S Aortic dissection is one of the most devastating catastrophes that can affect the aorta. Surgical treatment is proposed only when complications such as rupture or malperfusion occur. No clear consensus has been reached regarding the best therapy to prevent aortic rupture after the acute phase. We have performed a thorough review of the most recent literature on the strategies to treat patients in the chronic phase of aortic dissection. PMID: 26771869 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 15 Jan 2016 00:00:00 +010
       
  • Management of in-stent restenosis in the superficial femoral artery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : VAN DEN Berg JC This manuscript will provide a description of the process of (in-stent) restenosis and the histopathological changes involved. Furthermore it will give an overview of the current status of the literature of the various therapeutic options that are available for the treatment of in-stent restenosis. PMID: 26771868 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 15 Jan 2016 00:00:00 +010
       
  • Is a history of radiation therapy a contra-indication for carotid
           surgery'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Vos JA, VAN Leersum M, DE Vries JP Advances in surgical and medical oncology have seen a significant increase in survival of patients suffering from head and neck malignancies. Many of these patients are treated with radiotherapy to the neck, including the cervical carotid artery. Cervical irradiation (CI) may induce carotid stenosis. Prior CI in association with carotid artery stenosis poses potential challenges, when revascularization is considered. As the focus of radiotherapy determines the level of the resultant obstruction it may be in a location that is difficult to reach surgically. Also scar tissue from CI may increase the risk of cranial nerve injury. Carotid angioplasty and stenting (CAS) may be an alternative for CEA in post CI cases. This manuscript a...
      PubDate: Fri, 15 Jan 2016 00:00:00 +010
       
  • Vessel involvement in giant cell arteritis: an imaging approach.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Holm PW, Sandovici M, Slart R, Glaudemans AW, Rutgers A, Brouwer E Vasculitis is classified based on the size of the involved vessels. The two major forms are small vessel vasculitis (SVV) and large vessel vasculitis (LVV). Main forms of LVV are Takayasu Arteritis (TA), Giant Cell Arteritis (GCA), Isolated Aortitis (IA) and Chronic Periaortitis (PC). This manuscript will focus on giant cell arteritis (GCA), named after the presence of giant cells in the artery vessel wall. A positive biopsy of the temporal artery is the gold standard for making a diagnosis of GCA. In the past 10 years the introduction of new imaging techniques in GCA patients has revealed a variable prevalence of extra cranial involvement, challenging the temporal artery biopsy as gold standard. A...
      PubDate: Tue, 12 Jan 2016 00:00:00 +010
       
  • Towards individualized follow-up protocols after endovascular aortic
           aneurysm repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Laturnus J, Oliveira N, Gonçalves FM, Schurink GW, Verhagen H, Jacobs MJ, Mees B Endovascular aneurysm repair (EVAR) has become the primary treatment option for elective abdominal aortic aneurysms. However, a significant number of patients require secondary interventions to maintain adequate aneurysm exclusion and ultimately prevent death from AAA rupture. To maintain success and offer timely secondary intervention, intensive image surveillance has been recommended. These rigorous surveillance regimens are costly and may have deleterious effects from radiation and contrast exposure. Improvements in patient selection, operative technique and devices have caused a decline in complications after EVAR. Therefore, there is a need to reduce surveillance after EVAR for ...
      PubDate: Fri, 08 Jan 2016 00:00:00 +010
       
  • Diagnostic algorithms and treatment strategies in primary aortic and
           aortic graft infections.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Schurink GW, Peppelenbosch N, Mees B, Jacobs MJ Aortic infections and aortic graft infections are one of the most dreadful clinical entities that a vascular surgeon can face. Clinical presentation of the patient can vary greatly and diagnosis can be difficult to make. In this manuscript, diagnostic modalities are reviewed and a diagnostic algorithm suggested. Further, results of present treatment options are evaluated and treatment strategies for different clinical scenarios suggested. PMID: 26745263 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 08 Jan 2016 00:00:00 +010
       
  • Spinal cord ischemia is multifactorial: what is the best protocol'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Melissano G, Bertoglio L, Mascia D, Rinaldi E, Del Carro U, Nardelli P, Chiesa R Despite the improved understanding of spinal cord anatomy and spinal cord ischemia pathophysiology, the rate of debilitating postoperative paraparesis or paraplegia is still not negligible after procedures for thoracic or thoracoabdominal aortic disease. Single studies have demonstrated the role of different treatment modalities to prevent or treat spinal cord ischemia. A multimodal approach, however, is advocated by most authors. Even after the employment of endovascular techniques become routine, the rate of spinal cord ischemia after treatment of thoracoabdominal aortic pathology remained unchanged over time. Spinal cord ischemia is often treatable by different means that concur to...
      PubDate: Tue, 05 Jan 2016 00:00:00 +010
       
  • Carotid interventions (CEA and CAS) in acute stroke patients: which
           procedure on which patient.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Darling RC, Warner C, Yeh CC, Shah MD, Hnath JC, Shah DM Treatment of carotid bifurcation disease in patients presenting with acute stroke has been a controversial issue over the past four decades. Classically, patients were asked to wait four to six weeks before intervention was entertained in order for the brain to stabilize and the risks of intervention to be minimized. Unfortunately, up to 20% of patients will have a secondary event after their index event and the window of opportunity to save, potentially salvageable ischemic tissue will be missed. Early reports had demonstrated poor results with intervention. However, more recently, institutions such as ours have demonstrated excellent result in early intervention in patients who present with stable mild to ...
      PubDate: Wed, 23 Dec 2015 00:00:00 +010
       
  • Techniques to reduce radiation for patients and operators during aortic
           endografting.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Resch T, Törnqvist P, Sonesson B, Dias NV Endovascular aortic repair of aortic pathologies has become widely spread among vascular surgeons. Much focus has been directed at perfecting and developing endovascular procedures to treat evermore-complex issues. Much less focus has been directed at the radiation hazards to patients as well as operators and staff when such procedures are performed. Radiation exposure must be used according to the ALARA (As low As Reasonably Achievable) principle to avoid short- and long-term negative side effects. Modern imaging technology offers many technological developments to reduce radiation such as low dose programs, pulsed imaging, flat-panel technology and advanced intraoperative imaging techniques. But beside this, simple meas...
      PubDate: Wed, 23 Dec 2015 00:00:00 +010
       
  • Acute stroke-balloon-tipped catheter in thrombectomy.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Matthias KD The management of acute stroke has changed in the recent past due to the superior results of thrombectomy in patients with occlusion of larger brain supplying arteries in comparison to intravenous thrombolysis. This progress is mainly based on the use of stent retrievers for thrombectomy. The combination of stent retrievers with balloon- tipped catheters has increased the efficacy of the procedure. PMID: 26698034 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 23 Dec 2015 00:00:00 +010
       
  • Risk assessment and risk scores in the management of aortic aneurysms.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: This new risk score can help to identify patients that would not benefit from repair, but it can also potentially identify patients who would benefit and therefore lower turndown rates. The challenge for further research is to expand on validation of already existing promising risk scores in order to come to a risk model with optimal discrimination and calibration. PMID: 26698033 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 23 Dec 2015 00:00:00 +010
       
  • Drug coated balloons - What is the evidence'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Marques L, Hopf-Jensen S, Müller-Hülsbeck S PMID: 26683824 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 18 Dec 2015 00:00:00 +010
       
  • Vein arterialization for lower limb revascularization.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Houlind K, Christensen JK, Jepsen JM Conventional bypass surgery is only possible when patent distal arterial outflow vessels are available. In patients with critical limb ischemia and occluded distal arteries, attempts have been made to establish retrograde perfusion through either deep or superficial pedal veins. Though historical results were disappointing, more recently limb salvage has been achieved after adopting a principle of 1) placing the anastomosis distally and 2) actively destroying the distal valves. Experimental, para-clinical, and clinical data confirm that direct tissue nutrition is improved, angiogenesis stimulated, and collaterals opened. Only a limited number of cases have been reported in the literature and a number of different operative tech...
      PubDate: Fri, 18 Dec 2015 00:00:00 +010
       
  • Endovascular intracranial treatment of acute ischemic strokes.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Rangel-Castilla L, Snyder KV, Siddiqui AH, Levy EI, Hopkins LN Acute ischemic stroke (AIS) is the leading cause of long-term disability and the second cause of death worldwide. Intravenous (IV) tissue plasminogen activator (tPA) remains the only FDA-approved treatment for AIS. The use of IV tPA in AIS related to large-vessel occlusion (LVO) has shown low recanalization rates and poor clinical outcomes. Over the last decade, endovascular treatment has demonstrated safety and effectiveness in the management of LVO-associated AIS due to the evolution of endovascular techniques and technologies, beginning with intraarterial thrombolysis, aspiration, self- expanding intracranial stents, and now retrievable stents. With the recent publication of the results of 5 randomi...
      PubDate: Fri, 18 Dec 2015 00:00:00 +010
       
  • Drug coated balloons in BTK - just too early'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Fanelli F, Cannavale A Patients with infra-popliteal arterial disease are generally considered challenging due to the usual presence of multi-vessel atherosclerotic disease. Several treatment options have been used by different authors but none of them can be considered ideal. In the last few years drug coated balloons have gained popularity especially due to the extraordinary results in the femoro-popliteal region. Following the great success, phisicians started to use this promising device also in the below-the-knee (BTK) region. The initial enthusiasm correlated to some studies is not confirmed by the largest randomized trial, IN.PACT Deep, comparing In.Pact DCB vs. standard PTA. This trial failed completely to show the superiority of DCB.The negative outcome w...
      PubDate: Thu, 17 Dec 2015 00:00:00 +010
       
  • What are the potential limitations of drug coated balloons (DCBs) and
           possible ways to overcome.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Werk M In several independent randomized clinical studies, it has been shown that DCBs cause persistent clinically meaningful and statistically significant inhibition of restenosis in femoropopliteal arteries in comparison to percutaneous transluminal angioplasty with uncoated balloon catheters (1-6). The potential benefits of delivering an antiproliferative drug into the vessel wall using a balloon as transporter are manifold: • Widespread applicability: Balloon angioplasty is suitable for use in a wide range of lesions. The use of DCBs is technically less demanding and offers greater flexibility compared with stenting techniques. • Maintaining options: Minimizing the use of durable implants is providing more options for following and complementary revascular...
      PubDate: Thu, 17 Dec 2015 00:00:00 +010
       
  • How does a drug-coated balloon work' Overview about coating
           technologies and their impact.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: For the time being paclitaxel remains the drug of choice, the dose varies between 2 and 3.5 μg/mm² balloon surface. Neither in animal experiments nor in clinical trials problems have been detected in vessel segments treated with overlapping balloons. Future developments are expected improving efficacy in additional disease conditions (e.g., calcified vessels) and vessel territories. PMID: 26681536 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 17 Dec 2015 00:00:00 +010
       
  • For which peripheral lesions could we consider drug eluting stents'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Tessarek J Intimal hyperplasia is a physiologic response to wall injury and represents the essential weak point of endovascular treatment. In the coronary segment, drug eluting stents (DES) have shown their effectiveness in suppressing this response and the transfer of this technique into the peripheral vasculature was mandatory, but the available data are conflictive and necessitate critical analysis. Peripheral DES related data from randomized or non randomized trials, published or presented , have been reviewed concerning the outcome in terms of "primary patency", "clinical benefit" and "limb salvage". Further inquiry was performed concerning data from material testing. The majority of study endpoints e.g. primary patency and freedom from Target Lesion Revascul...
      PubDate: Wed, 16 Dec 2015 00:00:00 +010
       
  • Radial access for endovascular ilio-femoral procedures.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Touma J, Coscas R, Javerliat I, Lamas H, Coggia M, Goëau-Brissonniere O Common femoral artery puncture for ilio-femoral angioplasty can be hazardous or cumbersome in specific situations that require upper limb access (presence of a hostile groin, previous femoral surgery, cross-over maneuver in the setting of bifurcated aortic graft or pre- existing iliac kissing stents). The brachial artery is an alternative access site that is burdened with significant local complication rates. As in the coronary setting, feasibility and safety of transradial peripheral angioplasty has been reported in the recent literature. Procedural success rates ranged from 87% to 100%. No major access site bleeding was observed. Procedure and fluoroscopy time were not substantially increas...
      PubDate: Wed, 16 Dec 2015 00:00:00 +010
       
  • Management of carotid near-occlusion and acute carotid occlusion.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Fisch L, Brown MM As a stenosis becomes more severe, blood flow through it increases in velocity to maintain volume, flow and pressure. But there is a critical point beyond which further increase in stenosis no longer allows sufficient blood to pass through to maintain volumetric flow, and the carotid artery beyond the stenosis begins to decrease in diameter. This is the near occlusion. To maintain a sufficient blood flow in affected area, there is a progressive recruitment of collaterals followed by an activation of cerebral autoregulation with dilatation of resistance vessels. When this process fails to maintain normal cerebral blood flow, oxygen extraction fraction of the affected brain tissue increases to maintain normal cerebral metabolism. Near occlusion has...
      PubDate: Wed, 16 Dec 2015 00:00:00 +010
       
  • Management of prosthetic patch infection after CEA.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Naylor R 0.5-1% of patients undergoing carotid endarterectomy with prosthetic patch closure of the arteriotomy will develop patch infection. One third occur within the first 2 months after surgery, while two-thirds occur after >6 months have elapsed. Wound infection/abscess formation is the commonest mode of presentation in early cases, while chronic sinus discharge and false aneurysm formation are the commonest presentations in late cases. The commonest infecting organisms are Staphylococci/Streptococci (90%) and this should be borne in mind when planning antibiotic therapy before cultures are available. Most patch infections present (semi)-electively and patch rupture is relatively rare (10%), thereby enabling the surgeon to undertake careful evaluation of th...
      PubDate: Fri, 04 Dec 2015 00:00:00 +010
       
  • Management of critical limb ischemia in the patient with diabetes.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Forsythe RO, Hinchliffe R Management of peripheral artery disease (PAD) and critical limb ischemia (CLI) in the patient with diabetes is an ever-important challenge for the vascular specialist. Patients with diabetes and CLI represent a unique subset - due to the different etiology, clinical presentation and outcomes compared to patients with CLI but no diabetes - and are at a high risk for the development of diabetic foot ulceration. The presence of PAD in a patient with diabetic foot ulceration is in turn associated with much poorer outcomes, including failure to heal wounds and, ultimately, increased risk of limb loss, as well as increased overall cardiovascular mortality. There remains a paucity of robust evidence as to the appropriate first-line method of rev...
      PubDate: Wed, 02 Dec 2015 00:00:00 +010
       
  • Editorial.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Eckstein HH PMID: 26509392 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 30 Oct 2015 17:08:06 +010
       
  • Initial results of the management of aortoiliac aneurysms with GORE®
           Excluder® Iliac Branched Endoprosthesis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The GORE® IBE provides a new and safe alternative for the management of complete endovascular repair of an extensive aortoiliac or common iliac aneurysm while maintaining pelvic blood flow in iliac branched devices. Due to the lower complexity if compared to previous endovascular or hybrid methods, it should be performed in every anatomically suitable case. PMID: 26509393 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 30 Oct 2015 17:08:04 +010
       
  • Five classes Euroscore modification improves accuracy of prediction of
           postoperative mortality and possibly the length of mechanical ventilation
           of cardiac surgery patients.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The proposed modification of additive EuroSCORE can presumably increase its discrimination ability in predicting mortality of cardiac patients handled in a low volume cardiac center. The need for prolonged mechanical ventilation could be predicted with acceptable accuracy, possibly providing support in resource management. PMID: 26509394 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 30 Oct 2015 17:08:03 +010
       
  • Endovascular repair of delayed giant iliac pseudoaneurysm following
           simultaneous pancreas-kidney transplantation with preserved allografts
           function.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We present a case of endovascular repair of a giant iliac artery pseudoaneurysm following simultaneous pancreas-kidney transplantation. A 64-year-old female presented to the emergency room with right flank pain 10 months after kidney and pancreas transplantation on the right iliac axis. Investigations revealed a 9.5 cm pseudoaneurysm originating from the anastomosis between the graft renal artery and the external iliac artery. The pseudoaneurysm was successfully excluded emergently with a covered stent graft preserving the normal perfusion and function of both transplanted organs. Endovascular repair may be a good and low-invasive option in selected patients with transplant renal artery pseudoaneurysm. PMID: 26505147 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovas...
      PubDate: Tue, 27 Oct 2015 00:00:00 +010
       
  • Cystic adventitial pathology as an entity in peripheral arterial disease.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: CAD must be considered as en entity in peripheral arterial disease and considered in the differential diagnosis, in particular for middle-aged male patients who show no evidence of atherosclerotic disease. A better understanding of the pathogenesis of CAD will allow a consensus on treatment strategy and improve outcomes by reducing recurrence rates. PMID: 26471959 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 16 Oct 2015 00:00:00 +010
       
  • New frontiers in thoracic and thoracoabdominal aortic repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Chiesa R PMID: 26088009 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 22 Jun 2015 07:42:09 +010
       
  • Management of inferior vena cava aneurysm.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: IVC aneurysms are rare with only 54 cases reported in the literature. Associated vascular anomalies and iliocaval thrombosis should be expected in approximately 20% of cases. Type I aneurysms can be managed expectantly with close surveillance unless symptomatic. For type II-IV, surgical consideration should be given based on high rates of thromboembolic complications and non-negligible risk of rupture. PMID: 26088010 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 22 Jun 2015 07:42:07 +010
       
  • Aortic valve stenosis: non-invasive preoperative evaluation using 64-slice
           CT angiography.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Preoperative evaluation of patients undergoing surgical replacement for AS with 64-SCTA is feasible. 64-SCTA can rule out CAD and evaluate the status of the aortic valve and thoracic aorta in the same examination, obtaining relevant information for surgical planning. PMID: 26088011 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 22 Jun 2015 07:42:05 +010
       
  • Long-term results of coronary artery bypass grafting in patients with
           dialysis-dependent renal failure.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: CABG in dialysis patients is associated with a higher incidence of complications, but has acceptable mortality. CABG is beneficial in this population. Internal mammary artery grafting may provide more favorable long term outcomes. PMID: 26088012 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 22 Jun 2015 07:42:03 +010
       
  • Coronary artery bypass graft surgery in patients with left ventricular
           dysfunction.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Congestive heart failure aggravates the outcome after coronary artery bypass surgery in patients with left ventricular dysfunction. PMID: 25968408 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 16 May 2015 15:14:03 +010
       
  • Effect of preoperative oral pravastatin reload in systemic inflammatory
           response and myocardial damage after coronary artery bypass grafting. A
           pilot double-blind placebo-controlled study.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Oral pravastatin reloading before non-emergent CABG significantly attenuates postoperative SIR and systemic NO/iNOS concentrations with no effect in perioperative myocardial damage. Highest pravastatin doses increase CPK levels and must be avoided in susceptible patients. PMID: 25968407 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 16 May 2015 15:14:03 +010
       
  • Deficiencies with current aortic endografts.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Buckley CJ, Buckley SD Endovascular aortic aneurysm repair (EVAR) has currently replaced open surgical repair as the primary method for treating aneurysm disease of the abdominal aorta and common iliac artery. Current EVAR devices, despite undergoing multiple improvement iterations, continue to have relatively high secondary intervention rates. Device migration, endoleak and limb occlusion continue to be challenges not completely met by any of the current devices. Investigational devices presently in clinical trials may provide significant resolution for many of the identified endograft deficiencies. PMID: 25729915 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 05 Mar 2015 09:14:10 +010
       
  • Proangiogenic potency of MUC18 in arteriosclerotic disease.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: In peripheral stenotic arteriosclerotic disease the proangiogenic potency of MUC18 may play a role in angiogenesis of collaterals, whereas in dilatative aortic diseases the induction of collaterals is typically not evident. The results support the hypothesis of a role in angiogenesis of MUC18 in stenotic arteriosclerotic disease. PMID: 25729916 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 05 Mar 2015 09:14:08 +010
       
  • Catheter-directed thrombolysis for acute upper extremity ischemia.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: These results show that catheter-directed thrombolysis is effective in over 60% of patients as first-line treatment of extensive acute upper extremity ischemia and can prevent surgical intervention in these patients. PMID: 25729917 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 05 Mar 2015 09:14:07 +010
       
  • Performance of the EuroSCORE II and the Society of Thoracic Surgeons Score
           in patients undergoing aortic valve replacement for aortic stenosis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion. Good calibration ability of the EuroSCORE II for low-risk patients and that of the STS score for high-risk are observed. However, the EuroSCORE II underestimates the operative mortality in high-risk patients and the STS score overestimates the risk in low-risk patients. PMID: 25729918 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 05 Mar 2015 09:14:06 +010
       
  • Endovascular treatment of true and false aneurysms in hemodialysis access.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Hedin U, Engström J, Roy J Formation of true and false aneurysms in vascular access for hemodialysis is a complication associated with an immediate or chronic threat to the patient, which jeopardizes access function for further dialysis. Although open surgical repair remains the established treatment of choice, during the last decade, endovascular procedures, largely utilizing stent grafts, have emerged as a viable option for treatment in emergencies as well as for elective cases. Here, basic concepts in vascular access aneurysm management are recapitulated and strategies for endovascular treatment of these complications discussed. PMID: 25731859 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 03 Mar 2015 00:00:00 +010
       
  • Safety and efficacy of the EPIC™ Nitinol Vascular Stent System for
           the treatment of lesions located in the Superficial Femoral Artery:
           prospective and multicentric trial.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: In conclusion, this study demonstrates the safety and efficacy of the EPIC™ Nitinol Vascular Stent System for the treatment of SFA lesions. PMID: 25731858 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 03 Mar 2015 00:00:00 +010
       
  • Acute type A aortic dissection repair with mild-to-moderate hypothermic
           circulatory arrest and selective cerebral perfusion.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Circulatory arrest at more than 28 °C offered sufficient cerebral and distal organ protection for acute type A aortic dissection. PMID: 25723762 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 27 Feb 2015 00:00:00 +010
       
  • Short-term clinical outcomes between intermittent cold versus intermittent
           warm blood cardioplegia in 2200 adult cardiac surgery patients.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The comparison of IWC and ICC blood cardioplegia in different cardiosurgical procedures showed no statistical significant difference in myocardial protection. The use of ICC, however, appeared overall associated with a slightly better clinical outcome except in patients undergoing urgent/emergent CABG where IWC led to a reduction in 30--day--mortality. PMID: 25673099 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 12 Feb 2015 00:00:00 +010
       
  • Eversion carotid endarterectomy without shunt: concerning 1,385
           consecutive cases.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: E--CEA can be performed safely, as a routine technique, based on the surgeon's evaluation of arterial back-bleeding and an increase in ipsilateral arterial perfusion with standard anesthetic procedures. Also e--CEA may be considered a cost effective method of reducing the frequency of intraarterial shunt placement and adjuncts used to assess adequate cerebral perfusion of the ipsilateral carotid artery during e--CEA. PMID: 25673097 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 12 Feb 2015 00:00:00 +010
       
  • The routine use of a surgical exposure approach for trans-femoral
           implantation of the balloon expandable aortic prosthesis is associated to
           a low rate of vascular complications. Results from a multicenter registry.
           
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: In this registry, the systematic use of a surgical exposure of the femoral artery for TAVR has been associated with a lower rate of vascular complications. PMID: 25673098 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 12 Feb 2015 00:00:00 +010
       
  • Pushing forward the limits of evar: new therapeutic solutions for
           extremely challenging aaas using the ovation® stent graft.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Our limited and preliminary experience seems to show that Ovation stent-graft may widen the range of AAAs suitable for standard EVAR. Early results, even in patients with challenging anatomies, are encouraging but a longer follow-up is mandatory. PMID: 25658977 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 06 Feb 2015 00:00:00 +010
       
  • Rationale and design of the extracranial carotid artery aneurysm registry.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: DISCUSSION: The aim of the registry is to prospectively collect follow--up data on patients with an ECAA, being either treated conservatively or by invasive aneurysm exclusion strategies. The CAR database will be used to address diagnostic and therapeutic research questions. Collecting and analyzing the data gained from the registry could be the first step towards development of treatment guidelines and expert consensus for the management of ECAA. PMID: 25658976 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 06 Feb 2015 00:00:00 +010
       
  • Thoracic endovascular aortic repair or best medical therapy for
           uncomplicated type b aortic dissection' a meta-analysis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: TEVAR did not provide obvious early survival advantage for uncomplicated TBAD over BMT, especially in the patients using TEVAR alone. It may remain a treatment option in uncomplicated TBAD patients with high risks for later complications. More randomized, prospective, long--term studies are needed to further clarify whether TEVAR could be a better first--line treatment strategy vs BMT for uncomplicated TBAD. PMID: 25658975 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 06 Feb 2015 00:00:00 +010
       
  • Choosing the correct treatment for acute type b dissection.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Singh MJ, Hager E, Avgerinos ED, Genovese E, Mapara K, Makaroun M Acute type B aortic dissection (TAD) is a life threatening disease process, which remains a clinical dilemma despite advances in technology, surgical technique and postoperative management. The variability of presenting symptoms, lack of a consensus of indications for treatment and differing opinions about the optimal timing for repair have added to the management confusion. Medical management has been the standard of care for acute uncomplicated type B dissection. Surgical repair and endovascular intervention are reserved for those who present with, or subsequently develop, dissection related complications. Complicated dissections occur in 25% of cases and may include organ malperfusion, aortic rup...
      PubDate: Tue, 03 Feb 2015 00:00:00 +010
       
  • Carotid artery: overview on current trials -selecting the low-risk
           patient.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Brown MM, Czuriga-Kovács KR The ultimate goal of carotid stenosis treatment is the long--term prevention of stroke. While a large number of studies focusing on patients with symptomatic carotid stenosis have been carried out, less data are available from trials on asymptomatic and low--risk patients. Currently existing information on the optimal management of these patients are inconclusive and contradictory. Our aim was to review previous major trials conducted on carotid disease with a main focus on asymptomatic patients with carotid stenosis. Efforts to present currently ongoing trials involving asymptomatic carotid patients, to survey recent studies determining patients' risk for future stroke or peri--procedural events, as well as to summarize data on promis...
      PubDate: Tue, 03 Feb 2015 00:00:00 +010
       
  • Current and future perspectives in the repair of aneurysms involving the
           aortic arch.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Maurel B, Sobocinski J, Spear R, Azzaoui R, Koussa M, Prat A, Tyrrell MR, Hertault A, Haulon S The repair of aneurysms involving the aortic arch is technically and physiologically demanding. Historically, these aneurysms have been treated using open surgical techniques that require cardiopulmonary bypass and deep hypothermic circulatory arrest. Many patients have been deemed "untreatable" and among those selected for surgery there are reported risks of death of 2 to 16.5% and stroke rates ranging from 2% to 18%. "Hybrid arch repair" combines one of a number of open surgical procedures (to secure a proximal landing zone for an endograft) with subsequent or immediate placement of an endograft in the arch and descending aorta. Although this concept is described as "m...
      PubDate: Tue, 03 Feb 2015 00:00:00 +010
       
  • Fenestrated endografts: are they the solution for visceral and aortic neck
           issues'"
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Fenestrated endografts: are they the solution for visceral and aortic neck issues'" J Cardiovasc Surg (Torino). 2015 Feb 3;
      Authors : Purcell S, Bohannon WT, Atkins M Many patients with short neck or no neck juxtarenal abdominal aortic aneurysms are not candidates for open surgical repair. Current treatment options for such patients include fenestrated endograft repair, placement of chimneys and snorkels (parallel grafts) or use of physician modified endografts. The purpose of this review is to examine the reported literature on the use of fenestrated aortic endografts for juxtarenal aortic aneurysms. A systematic review of the literature, to include clinical trials, case series, and meta--analyses was performed to report the outcomes of the use of fenestrated ...
      PubDate: Tue, 03 Feb 2015 00:00:00 +010
       
  • Surgical and endovascular interventions for chronic mesenteric ischemia.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Verma H, Oderich GS, Tripathi RK The aim of this manuscript was to describe and discuss the rationale and conduct of currently available endovascular and open surgical techniques to treat chronic mesenteric ischemia and thus support the process of decision--making in mesenteric revascularization. PMID: 25644829 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 03 Feb 2015 00:00:00 +010
       
  • State-of-the-art treatment of common femoral artery disease.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Nasr B, Kaladji A, Vent PA, Chaillou P, Costargent A, Patra P, Quillard T, Gouëffic Y Atherosclerotic common femoral artery (CFA) disease is a well--known and frequent cause of symptomatic peripheral artery disease (PAD). Not so long ago, surgical treatment was considered the gold standard and the main treatment option. Therapeutic advances have, however, provided a wide and suitable armamentarium. These advances concern medical treatment and the direct treatment of lesions by open surgery or endovascular treatment. The aim of this manuscript is to summarize therapeutic updates and to describe the current endovascular and open surgical procedures used to treat common femoral artery disease. PMID: 25644828 [PubMed - as supplied by publisher] (Source: The Journ...
      PubDate: Tue, 03 Feb 2015 00:00:00 +010
       
  • Re-interventions after open and endovascular AAA repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Malina M Reinterventions seem to occur more frequent after endovascular aneurysm repair than after open surgical repair, encountered in about 20 and 10 percent of the cases, respectively. However, reinterventions following endovascular repair are predominantly endoluminal and early reinterventions are more frequent after open repair. The indications for reintervention after EVAR have changed over time. The incidence and type of reintervention depends on the complexity of the primary procedure, irrespective of whether it was open or endovascular. The use of a device outside instructions for use is associated with a higher complication rate but it may nevertheless be fully justified. Advanced stentgrafts such as the fenestrated and branched devices require secondary...
      PubDate: Tue, 03 Feb 2015 00:00:00 +010
       
  • Advantages to Indigo mechanical thrombectomy for ALI: device and
           technique.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Yamada R, Adams J, Guimaraes M, Schonholz C Catheter--directed thrombolysis (CDT) has been used as the first therapeutic option for acute limb ischemia (ALI) due to its less invasive nature, however recent systematic review showed higher incidence of major complications related to lytic infusion, including hemorrhagic stroke. In this setting, aspiration thrombectomy with Indigo has the greatest advantage of not increasing systemic risk of bleeding. The Indigo™ system from Penumbra® (Alameda, CA) promotes active thrombectomy using a vacuum pump that generates substantial suction, enabling aspiration of clots of varying sizes and lengths. The device has three components: aspiration catheter, separator and pump. There are 2 aspiration catheter sizes: CAT 3 and CAT...
      PubDate: Tue, 03 Feb 2015 00:00:00 +010
       
  • Percutaneous endovascular thrombosuction for acute lower limb ischemia: A
           5-year single center experience.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: PET in selected patients with ALLI provides high initial technical success, low mortality and morbidity rates, and favorable early and mid--term limb salvage rates. PMID: 25644825 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 03 Feb 2015 00:00:00 +010
       
  • Optimizing Imaging for AAA Repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Törnqvist P, Dias NV, Resch T Imaging is an integral part of an aortic program. Careful preoperative planning is essential to successful evaluation and treatment of aortic pathology. CTA is the dominant modality for such preoperative planning. The use of a dedicated workstation for 3D post--processing is very favourable and is considered mandatory when treating complex aortic pathology. Intraoperative imaging during aortic repair still depends heavily on standard fluoroscopy and angiography. However, the introduction of image fusion has the potential to reduce the use of both contrast and radiation, for the benefit of both patients and operators. Using cross sectional imaging intraoperatively also has the potential to reduce the need for early imaging follow up a...
      PubDate: Tue, 03 Feb 2015 00:00:00 +010
       
  • Combining superficial femoral artery endovascular treatment with distal
           vein bypass.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: ​The endovascular treatment of SFA associated with surgical distal vein bypass is a useful and effective strategy in patients with severe lower extremity arterial disease. This strategy allows a good inflow on SFA in selected patients with the opportunity to perform shorter bypass, use of limited autologous conduit and good expectation of patency. PMID: 25644823 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 03 Feb 2015 00:00:00 +010
       
  • Endovascular challenges for complex lower extremity lesions'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Deloose K PMID: 25579472 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 15 Jan 2015 13:45:06 +010
       
  • Endovascular Sac Sealing Concept: Will the Endologix Nellix Device Solve
           the Deficiencies'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Holden A The deficiencies in current endovascular aneurysm repair include limited applicability to treat aneurysm anatomies, a significant re-intervention rate to manage post-procedural complications and a requirement for post-procedural surveillance. Endovascular aneurysm sealing with the Nellix device offers the potential to address these issues by directly treating the aneurysm sac and minimizing the risk of endoleak of any type as well as device migration. The unique sealing technology of polymer filled endobags also provides an opportunity to treat aneurysm anatomies that could not be effectively treated with conventional endografts. The early clinical experience with Nellix supports these concepts but long-term durability is yet to be established. PMID: ...
      PubDate: Tue, 13 Jan 2015 00:00:00 +010
       
  • Strategies to prevent spinal cord ischemia in TAA(A) repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Schurink GW, Peppelenbosch A, Mees B, de Haan M, Jacobs MJ Spinal cord ischemia (SCI) after thoracic (DTAA) and thoracoabdominal aortic aneurysm (TAAA) repair is a devastating complication, which happens both after open and endovascular repair. Incidence of SCI varies widely in literature. Many factors during preoperative, operative and postoperative phase influence this incidence. Purpose of this article is to give an overview of all factors influencing SCI and to report on evidence in the literature to reducing SCI. PMID: 25573444 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 09 Jan 2015 00:00:00 +010
       
  • The pros and cons of endovascular and open surgical treatments for
           patients with acute limb ischemia.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This report includes 20 years of published data to evaluate the efficacy and safety profile of thrombolytic agents and adjunctive endovascular techniques when compared to open surgical revascularization. PMID: 25573443 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 09 Jan 2015 00:00:00 +010
       
  • Carotid artery stenting: high-risk interventionist versus high-risk
           center.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This article discusses the current shortfalls of CAS, as well as the various options available to improve CAS results. The majority of studies suggest that there is an inverse relationship between caseload volume and CAS outcomes that defines high--risk interventionists and high--risk centers. Centralizing CAS procedures to high--volume centers is essential for optimization of CAS outcomes. PMID: 25573442 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 09 Jan 2015 00:00:00 +010
       
  • Thrombolysis and Expedited Carotid Revascularization.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Naylor AR With the move towards expedited carotid endarterectomy (CEA) in patients presenting with a TIA/minor stroke and for offering intravenous thrombolysis <3 hours to patients with acute ischemic stroke, it is inevitable that surgeons will be asked to consider CEA in patients who have made a good recovery from their stroke after thrombolysis and who have a 50-99% ICA stenosis. The key question is; 'how long after thrombolysis should I delay CEA to minimise the peri--operative risk (especially intracranial hemorrhage (ICH)), whilst also minimizing the risks of further embolization and stroke'' Thirteen series have published outcomes in 361 patients. Only a very small proportion of all thrombolysis patients (<5%) might be considered for expedited CEA and ...
      PubDate: Fri, 09 Jan 2015 00:00:00 +010
       
 
 
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