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Journal of Cardiovascular Surgery    Journal TOC RSS feeds Export to Zotero Follow    
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     ISSN (Print) 0021-9509 - ISSN (Online) 1827-191X
     Published by Minerva Medica Homepage  [1 journal]
  • 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
       
  • Results of the Cox-Maze III/IV procedure in patients over 75 years old who present for cardiac surgery with a history of atrial fibrillation.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Addition of the Cox-Maze III/IV procedure in patients ≥75 years may add to the complexity of the surgical procedure, but does not increase the operative risk. Age should not be the only discriminating factor when considering the Cox-Maze III/IV procedure for patients aged ≥75 years who present for cardiac surgery while experiencing atrial fibrillation. PMID: 23172375 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 22 Nov 2012 05:00:00 +010
       
  • Females do not have increased risk of early or late mortality after isolated aortic valve replacement: results from a multi-institutional Australian study.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Female patients undergoing isolated AVR do not have an increased risk of early and late mortality. Further investigation is required to delineate the impact of gender on early and late outcomes following AVR. PMID: 23172376 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 22 Nov 2012 05:00:00 +010
       
  • The use of N-terminal pro-brain natriuretic peptide as a predictor of atrial fibrillation after cardiac surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: An early Nt pro BNP at H0 or H4, respectively, and with thresholds of 353 and 307 pg/mL could predict the occurrence of the AF. In this case, a primary prevention could be envisaged. PMID: 23172377 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 22 Nov 2012 05:00:00 +010
       
  • The effects of guided imagery on sleep and inflammatory response in cardiac surgery: a pilot randomized controlled trial.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Casida JM, Yaremchuk KL, Shpakoff L, Marrocco A, Babicz G, Yarandi H PMID: 23138645 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 09 Nov 2012 05:00:00 +010
       
  • Clinical outcome of the PAS-Port® proximal anastomosis system in off-pump coronary artery bypass grafting in 201 patients.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: The objective of the present study was to evaluate the clinical outcome of the PAS-Port® Proximal Anastomosis System. METHODS:All the patients who underwent off-pump coronary artery bypass grafting in the Catharina Hospital Eindhoven between August 2006 and April 2010 were included in a non-randomized retrospective case-control study, if they had at least one proximal vein graft anastomosis. Study end-points consisted of overall survival, coronary reintervention and postoperative stroke. RESULTS:The study included 312 patients (201 cases, 111 controls). After 36 months of follow-up there was no difference in survival between cases and controls (92.2% vs. 93.7%, P=0.52). No significant difference could be detected between cases and controls with respect to overall coronary reintervention-f...
      PubDate: Fri, 09 Nov 2012 05:00:00 +010
       
  • Claimants in vascular surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION:Our experience demonstrates that the "time factor" plays a primary role in the genesis of errors in vascular surgery. This delay in deciding and acting probably depends on the fact that the vascular surgeon was the patient's first contact in only one of the cases examined. This should emphasize the need to equip all emergency departments with a Vascular Surgery Unit. PMID: 23138647 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 09 Nov 2012 05:00:00 +010
       
  • Transaortic aortic valve implantation: an alternative treatment option in a patient with lipomatosis of the heart.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Chaubey S, Khan H, Dworakowski R, Maccarthy P, Monaghan M, Deshpande R, Bapat V, Wendler O PMID: 23143164 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 09 Nov 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: 23138598 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 08 Nov 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: Thu, 08 Nov 2012 05:00:00 +010
       
  • Single-center experience of percutaneous abdominal aortic aneurysm repair with local anesthesia and conscious sedation: technique and results.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: PEVAR with local anesthesia and intravenous sedation is safe and feasible and should be considered for patients for whom general anesthesia poses a high risk. PMID: 23138600 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 08 Nov 2012 05:00:00 +010
       
  • Reinterventions following endovascular abdominal aortic aneurysm repair, the learning curve of time.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: In our center, continued experiences with EVAR, improvement of graft design and a different management of complications have led to a significant decrease in reinterventions after EVAR. These findings and a review of the literature suggests that current need for reintervention after EVAR is substantially less than reported in the early trials. PMID: 23138601 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 08 Nov 2012 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: Thu, 08 Nov 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: 23138603 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 08 Nov 2012 05:00:00 +010
       
  • Outcome of extensive descending aorta repair adopting present concepts of spinal cord preservatio.
    • 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: 23138604 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 08 Nov 2012 05:00:00 +010
       
  • Fate of aorta and clinical outcomes in patients with chronic type B aortic dissection: over 20-year experience.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION:In type B chronic aortic dissection, the affected aortas have a high incidence of AD-related events during the follow-up period. Prophylactic surgery or endovascular treatment for patients at high risk may reduce the AD-related events. PMID: 23138605 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 08 Nov 2012 05:00:00 +010
       
  • Mitral valve repair for the treatment of degenerative mitral valve disease with or without prosthetic ring annuloplasty: long-term outcomes.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION:Prosthetic annuloplasty in association with standardized techniques confers over 10 years survival advantage and better durability. PMID: 23138606 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 08 Nov 2012 05:00:00 +010
       
  • Management of bicuspid aortic valve with or without involvement of ascending aorta and aortic root.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Siyamek N Patients with a bicuspid aortic valve (BAV) constitute a heterogeneous population with variable clinical presentation and complications. More than 50% of the patients who require aortic valve replacement have a BAV, a condition that may be associated with dilation of ascending aorta and aortic insufficiency caused by cusp disease or aortic root pathology. Of the potential BAV-related complications, dilation of the aortic root and ascending aorta are among the most serious. The dilation of ascending aorta and aortic root have been the subject of controversy. Whereas some surgeons believe that the dilation of the aorta is caused by the hemodynamic properties of the BAV, others believe that the dilation of the aortic root is secondary to genetic defects ass...
      PubDate: Thu, 08 Nov 2012 05:00:00 +010
       
  • Results of surgical repair of carotid in-stent restenosis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The surgical management of carotid ISR appears feasible and effective leading to good long-term outcome. PMID: 23138608 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 08 Nov 2012 05:00:00 +010
       
  • High versus standard clopidogrel loading in patients undergoing carotid artery stenting prior to cardiac surgery to assess the number of microemboli detected with transcranial Doppler: results of the randomized IMPACT trial.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: A loading dose of 300 mg of clopidogrel in combination with aspirin is as effective as 600 mg of clopidogrel in achieving adequate platelet inhibition and preventing periprocedural events in asymptomatic patients undergoing CAS prior to cardiac surgery. PMID: 23138609 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 08 Nov 2012 05:00:00 +010
       
  • Excimer laser atherectomy after unsuccessful angioplasty of TASC C and D lesions in femoropopliteal arteries.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION:According to these results, ELA recanalization provides a low stent rate alternative to surgical procedures for refractory occlusions. This would offer patients, with increased operative risks, a promising and low-risk therapeutic procedure. The option of a subsequent vascular operation would not be compromised. PMID: 23138610 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 08 Nov 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: Thu, 08 Nov 2012 05:00:00 +010
       
  • New EVAR devices: pros and cons.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Donas KP, Torsello G, Bisdas T The first randomized controlled trials comparing the two procedures (EVAR versus open repair) for the treatment of abdominal aortic aneurysms showed considerably better short-term outcomes and on the other side higher rates of device-associated reinterventions and remarkable financial burden in the endovascular arm. In the meantime, specialists experience and expertise have been improved significantly. To solve the reported drawbacks and to prevent endografts-associated complications, safer fixation features, lower profile, more flexible design and new revolutionary release and deployment mechanisms of stent-grafts have been also developed and established over the last years. In this review, we present the new EVAR devices and attemp...
      PubDate: Sat, 15 Sep 2012 14:15:05 +010
       
  • The use of the Anaconda stent graft for abdominal aortic aneurysms.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Bungay P The AnacondaTM is a modular bifurcated stent-graft of woven polyester and nitinol ring stents that has been commercially available since 2005. It was the first truly repositionable stent-graft and features a magnet wire contralateral limb cannulation system. It has excellent fixation and sealing properties and its ring stent construction results in it being highly conformable and therefore applicable in angulated and tortuous anatomy. PMID: 22955552 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 15 Sep 2012 14:15:05 +010
       
  • The use of Endurant stent-graft for abdominal aortic aneurysm: the story about extension of Instruction for Use with persistent good results of stent-graft latest generation.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Rancic Z, Pecoraro F, Pfammatter T, Banzic I, Klein H, Kyriakidis K, Mayer D, Lachat M The Endurant stent-graft (Medtronic, Inc., Minneapolis, MN, USA) is a latest generation device for the treatment of abdominal aortic aneurysm. The idea behind designing such a graft came from the intention to broad the instruction for use (IFU) and to enable it to treat more challenging anatomy including the 10mm neck lengths, and more severe suprarenal and infrarenal angulations. Endurant stent-graft has active fixation through suprarenal stent with anchoring pins to provide migration resistance, optimized heights of stents and spacing between them for improved flexibility and conformability, low-profile delivery system with hydrophilic coating and controlled simple deployment ...
      PubDate: Sat, 15 Sep 2012 14:15:04 +010
       
  • The Bolton Treovance abdominal stent-graft: European clinical trial design.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Chiesa R, Riambau V, Coppi G, Zipfel B, Llagostera S, Marone EM, Kahlberg A Endovascular aortic repair (EVAR) has emerged as a promising, less invasive alternative to conventional open surgery for the treatment of infrarenal abdominal aortic aneurysms (AAAs). In the last 20 years, the application rate of EVAR and its clinical results have significantly improved thanks to the evolution of stent-grafts and endovascular delivery systems. However, further development is still needed to reduce the incidence of complications and secondary re-interventions. The Treovance abdominal aortic stent-graft (Bolton Medical, Barcelona, Spain) is a new-generation endovascular device, developed to increase flexibility, lower profile, improve deployment and sealing mechanisms. In pa...
      PubDate: Sat, 15 Sep 2012 14:15:04 +010
       
  • Body of knowledge around the diabetic foot and limb salvage.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Edmonds M Body of knowledge around the There has been considerable progress in the care of the diabetic foot over the last three decades. The development of multidisciplinary diabetic foot care has provided specialist management of the neuropathic foot and the neuroischemic foot. Significant progress has been made in the treatment of both of these entities. The crucial aspects of therapy are the treatment of infection, relief of ischemia and promotion of wound healing. The multidisciplinary, hospital-based diabetic foot clinic has proved to be a successful way of reducing amputations and improving outcomes. This review summarises the major advances in the care of the diabetic neuroischaemic foot. These have greatly improved the outlook and prognosis for diabetic p...
      PubDate: Sat, 15 Sep 2012 14:15:03 +010
       
  • Endovascular preservation of pelvic circulation with external iliac-to-internal iliac artery "cross-stenting" in patients with aorto-iliac aneurysms: a case report and literature review.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We report an endovascular technique for complete preservation of the hypogastric arteries of an aorto-iliac aneurysm extending into the iliac bifurcation and hypogastric artery. A left CIA aneurysm involving the iliac bifurcation was excluded with a covered Fluency stent-graft (Bard Inc., New Jersey, USA) deployed from the EIA into the IIA followed by the internal deployment of a Luminex uncovered stent (Bard Inc.) extended into one branch of the hypograstric artery. IVUS evaluation was essential in determining precise aneurysm and sealing zone measurements. Complete preservation of hypogastric circulation was achieved. The placement of the uncovered stent effectively extended the sealing zones without covering either of the hypogastric distal branches and concurrently corrected the Fluenc...
      PubDate: Sat, 15 Sep 2012 14:15:03 +010
       
  • Long-term survival (>20 years) following heart transplantation.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The long-term outcome of heart transplantation is noteworthy. The main limiting factor for survival is the allograft vasculopathy. Considering the tremendous advances in the immunosuppressive therapy and in the understanding of CAV pathophisyology, we can hope for even better results in the next years. PMID: 22955557 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 15 Sep 2012 14:15:02 +010
       
  • Physical activity of patients undergoing isolated or combined aortic valve replacement.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : De Jager MJ, Markou AL, Noyez L PMID: 22955558 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 15 Sep 2012 14:15:02 +010
       
  • Two-stage treatment of a secondary aortoesophageal fistula after thoracic endovascular aneurysm repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Rispoli P, Bertoldo U, Oliaro A, Mossetti C, Varetto GF, Tallia C, Campanella A, Rinaldi M Secondary aortoesophageal fistula is a relatively rare but very often lethal complication that may develop after thoracic endovascular aneurysm repair (TEVAR). The clinical syndrome is well explained by the Chiari triad: midthoracic pain and/or dysphagia, and sentinel minor hematemesis followed by massive hematemesis. The incidence of this serious complication has increased with the growing number of patients undergoing TEVAR. This case report describes a patient who was seen in the emergency department at this hospital because of fever, sepsis and thoracic pain radiating to the back and unresponsive to drug therapy, diagnosed with a secondary aortoesophageal fistula and sub...
      PubDate: Wed, 01 Aug 2012 04:00:00 +010
       
  • Endovascular management of peripheral arterial trauma in patients presenting in hemorrhagic shock.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Endo-R of traumatic non-aortic arterial injuries or spontaneous ruptures might be considered as a treatment option-in preference to open repair-even in emergency settings such as in shock patients. However, the safety of endovascular treatment in unstable trauma patients must be proved after comparison with open surgical treatment. PMID: 22269892 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Aug 2012 04:00:00 +010
       
  • Stepwise valve deployment decreases the risk of incorrect valve positioning during transapical aortic valve implantation.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Madershahian N, Scherner M, Strauch J, Wahlers T PMID: 22669099 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Aug 2012 04:00:00 +010
       
  • Anticoagulation for atrial fibrillation after coronary artery bypass grafting: how soon is soon enough'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Acharjee S, Dewanwala A, Piccone AL, Iyer VS PMID: 22713484 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Aug 2012 04:00:00 +010
       
  • EVAR reintervention management strategies in contemporary practice.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: In conclusion, the first treatment options for reinterventions after EVAR are catheter based nowadays. PMID: 22854520 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Aug 2012 04:00:00 +010
       
  • The use of endoanchors in repair EVAR cases to improve proximal endograft fixation.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The use of endoanchors to secure migrated endografts to the aortic wall is safe and feasible and might help to overcome persistent migration of primary failed endografts. In combination with the use of sole extender cuffs the majority of proximal EVAR failures can be solved. PMID: 22854521 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Aug 2012 04:00:00 +010
       
  • Current knowledge on EVAR with the ultra-low profile Ovation Abdominal Stent-Graft System.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Moulakakis KG, Dalainas I, Kakisis J, Giannakopoulos TG, Liapis CD Endovascular aneurysm repair (EVAR) has revolutionized the treatment of infrarenal abdominal aortic aneurysms (AAAs). The continuous collaboration of surgeons and bioengineers in the improvement of the devices the last two decades, lead to a continuous redesigning and improvement of the various endografts. In the last few years, the majority of companies have developed renewed models of grafts and have modified delivery systems tending to lower profile in order to deal with difficult anatomies. The ultra low profile 14F OD Ovation (Trivascular) Abdominal Stent-graft System with innovative sealing technology achieved through inflatable sealing rings, allows treatment of AAAs with small in diameter a...
      PubDate: Wed, 01 Aug 2012 04:00:00 +010
       
  • Evidence for endovascular aneurysm repair in patients with highly angulated neck anatomy.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Weale AR, Beckitt T, Collin N, Hardman J Patients with highly angulated neck anatomy may account for up to a fifth of all patients treated by endovascular repair. However there is evidence that these patients have worse early and long-term outcomes, including sac expansion. This review explores the evidence supporting the use of endovascular repair in the setting of severe neck angulation, with particular emphasis on new technology with devices that have expanded the anatomical criteria for endovascular aneurysm repair such as the Lombard Aorfix and Medtronic Endurant endografts. PMID: 22854523 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Aug 2012 04:00:00 +010
       
  • The role of superficial femoral artery endoluminal bypass in long de novo lesions and in-stent restenosis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The use of an endoprosthesis for SFA occlusive disease is an effective and safe treatment strategy for long de novo lesions. Patient selection and adequate medical support appear to be important in achieving long term patency. Data focusing on the effectiveness of endoprosthesis for ISR are still limited. PMID: 22854524 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Aug 2012 04:00:00 +010
       
  • Standard balloon angioplasty versus angioplasty with paclitaxel-eluting balloons for femoropopliteal artery stenosis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Several clinical trials have demonstrated promising early results with the use of DCB in treating femoropopliteal stenosis. However, long term results, exact indications, and optimal applications are yet to be determined. PMID: 22854525 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Aug 2012 04:00:00 +010
       
  • Refining stent technologies for femoral interventions.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Bosiers M, Deloose K, Callaert J, Maene L, Keirse K, Verbist J, Peeters P Stents were created as a mechanical scaffold to prevent vessel recoil and luminal renarrowing after percutaneous transluminal angioplasty (PTA). In femoropopliteal arteries, indication for stent implantation remains a topic much debated on, especially in long lesion configurations. Ever since the first stents were introduced on the market, in-stent restenosis (ISR) has been an important issue. The evolution in stent design has known a major progression in the last decades from the first generation of stents, plagued with high fracture rates and low primary patency rates, to the design of newer stents to tackle these outcomes. More flexible and longer stents decreased the high fracture rates ...
      PubDate: Wed, 01 Aug 2012 04:00:00 +010
       
  • Treatment for long-segment femoro-popliteal obstructions: initial experience with a 4-F compatible self-expanding nitinol stent and review of the literature.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Endovascular stenting of long femoro-popliteal lesions using the Pulsar-18 stent provides acceptable results with patency and restenosis rates comparable with data from literature for stenting of long femoro-popliteal obstructions. PMID: 22854527 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Aug 2012 04:00:00 +010
       
  • Innovative technologies for SFA occlusions: drug coated balloons in SFA lesions.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Minar E, Schillinger M The concept of using a balloon catheter to directly deliver an antiproliferative drug at the site of injury has become one of the most interesting technological developments in endovascular therapy. There have been important advances in knowledge concerning balloon-based drug delivery technologies during the last years, and different methods have been developed by different companies to coat the balloon with the antiproliferative agent. Currently there is a rapidly increasing clinical study program using drug coated balloons (DCB) in different locations and indications. There are four already finished randomized studies in patients with superficial femoral artery lesions investigating the efficacy of paclitaxel release by DCB, and all demons...
      PubDate: Wed, 01 Aug 2012 04:00:00 +010
       
  • Latest recanalization techniques for complex superficial femoral artery occlusions.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Gonzalez L, Chen A, Lin PH, Pisimisis G, Barshes NR, Bechara CF, Kougias P Complex, long segment lesions of the superficial femoral artery (SFA) are common, occurring in 40% of patients with peripheral vascular disease. In particular, chronic total occlusions (CTOs) continue to pose a challenge in the endovascular management of SFA disease. Several conventional wire and catheter based techniques have been described including subintimal recanalization and retrograde techniques. In addition, advances in endovascular technology have led to the development of a series of new devices aimed specifically at facilitating the crossing of long segment SFA occlusions or establishing re-entry of the true lumen. Here we present an overview of the minimally invasive techniques ...
      PubDate: Wed, 01 Aug 2012 04:00:00 +010
       
  • Medical treatment of small abdominal aortic aneurysm.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Assar AN Conventional open repair or endovascular aneurysm repair is indicated for infrarenal abdominal aortic aneurysm (AAA) when the diameter of the latter is ≥5.5 cm. This therapeutic strategy is based on results of randomized trials of open repair versus ultrasound surveillance of small AAA (<5.5 cm). Studies of screening for AAA have shown that >90% of aneurysms detected are small aneurysms (<5.5 cm). Despite the low annual risk of rupture of these aneurysms, patients with small AAA are left with a potentially life-threatening disease for which no immediate treatment is available. Hence, medical treatment directed at limiting the expansion of small AAA has emerged as an alternative therapeutic strategy. Randomized trials of doxycycline, roxithromyc...
      PubDate: Wed, 01 Aug 2012 04:00:00 +010
       
  • Flow characteristics of LIMA radial composite sequential bypass grafting and single LIMA and saphenous vein sequential bypass grafting performed under OPCAB.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The results of the present data suggest the hemodynamic flow characteristics of composite bypass grafting to be inferior to the single LIMA and separate aorta-saphenous vein bypass grafting strategy. However, a longer follow up is warranted to assess the implications of these findings on graft durability. PMID: 22854531 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Aug 2012 04:00:00 +010
       
  • Spherical dilatation of the apex in failing left ventricles: a target for surgical remodelling techniques.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Apical compression improved ventricular geometry and ventricular function in patients with dialatation of the left ventricular apex. PMID: 22854532 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Aug 2012 04:00:00 +010
       
  • Hemodynamic determinants of aortic dissection propagation by 2D computational modeling: implications for endovascular stent-grafting.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The hemodynamic mechanism for dissection propagation demonstrated in these models support the use of β-blockers in medical management. Endovascular stent-graft treatment of dissection should ideally cover both entry and re-entry tears to reduce risk of retrograde propagation of aortic dissection. PMID: 22820737 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 23 Jul 2012 04:00:00 +010
       
  • Acute type A aortic dissection intimal tears by 64-slice computed tomography: a role for endovascular stent-grafting'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Location of intimal tear, aortic valve insufficiency, aortic diameter>38mm are major factors limiting use of ESG for acute type A dissection. Available stents used to treat type B aortic dissection do not address anatomic constraints present in type A aortic dissection in the majority of cases, such that development of new devices would be required. PMID: 22820738 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 23 Jul 2012 04:00:00 +010
       
  • Treatment of a splenic artery aneurysm with concomitant malignancy.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Festa V, Costanzo D, Contessa L, Varetto G, Festa F, Cavuoti G, Rispoli P PMID: 22240555 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 01 Jun 2012 04:00:00 +010
       
  • Effect of postoperative landiolol administration for atrial fibrillation after off pump coronary artery bypass surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Postoperative intravenous landiolol therapy followed by oral carvedilol may be more effective than oral carvedilol alone for prevention of atrial fibrillation after off-pump CABG. We also found that intravenous landiolol is well tolerated after cardiac surgery. PMID: 22249647 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 01 Jun 2012 04:00:00 +010
       
  • Early results of synchronous carotid endarterectomy and off-pump coronary revascularization.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Synchronous CEA and off-pump CABG may reduce the high surgical risk of patients who actually require combined carotid and coronary revascularization. This opinion has to be substantiated by larger studies and randomized trial. PMID: 22269891 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 01 Jun 2012 04:00:00 +010
       
  • Validity and reliability of VEINES-QOL/Sym questionnaire in chronic venous disorders.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Conclusively, the Turkish version of VEINSES-QOL/Sym questionnaire is reliable and valid; thus, it is highly recommended to use Turkish version of VEINSES-QOL/Sym to evaluate the quality of life and symptoms of patients with venous insufficiency in Turkey. PMID: 22269893 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 01 Jun 2012 04:00:00 +010
       
  • Can the opportunity of cardio-pulmonary bypass be useful in complex general thoracic surgery problems' A report of nine cases.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: CPB provides the possibility of safely resecting intrathoracic tumors invading cardiac structures that were previously inoperable. This can be achieved with an acceptable level of risk and - in very selected cases - may achieve long-term survival. PMID: 22406965 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 01 Jun 2012 04:00:00 +010
       
  • MitroFast® annuloplasty ring for complete posterior mitral leaflet destruction: a novel approach in active endocarditis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We report the successful use of MitroFast® annuloplasty ring in the setting of active endocarditis to preserve the native valve mechanism despite complete posterior leaflet destruction. This patient remained well at 20 month follow-up after her surgery. PMID: 22669094 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 01 Jun 2012 04:00:00 +010
       
  • Early outcomes of intra-aortic balloon pump in cardiac surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The use of IABP is a safe option to support heart failure in cardiac surgery. Improved IABP technology and better surveillance have lead to increased use with lower complication rates. PMID: 22669096 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 01 Jun 2012 04:00:00 +010
       
  • Covered stents for aortoiliac reconstruction of chronic occlusive lesions.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Covered stents improve results of endovascular treatment of extensive iliac occlusive lesions and are related to excellent results in isolated aortic lesions. They may provide a valid alternative for surgery in patients with extensive aortoiliac disease. PMID: 22695260 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 01 Jun 2012 04:00:00 +010
       
  • Long term data of endovascularly treated patients with severe and complex aortoiliac occlusive disease.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: This study shows the feasibility of solely endovascular management of severe aortoiliac occlusive disease with a high rate of success and low rate of complications. Significant clinical improvement of patients in long term follow up makes the endovascular approach a viable alternative to open surgery. PMID: 22695261 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 01 Jun 2012 04:00:00 +010
       
  • Endovascular approach to Leriche syndrome.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Setacci C, Galzerano G, Setacci F, De Donato G, Sirignano P, Kamargianni V, Cannizzaro A, Cappelli A The chronic obstruction of the aortic bifurcation and iliac axis was definide by the French surgeon Rene Leriche, whose name it bears today. The advancing age of the population move the definition from a syndrome, as reported from Leriche, to complex aortoiliac vascular lesions current multidisciplinary guidelines recommend to treat extensive aortoiliac occlusive disease by surgical revascularization. Surgery provides good long-term patency, but at the cost of substantial perioperative morbidity. Development of new technologies and techniques has led to increased use of endovascular therapy for extensive aortoiliac disease. This review article summarized current mu...
      PubDate: Fri, 01 Jun 2012 04:00:00 +010
       
  • The best treatment of juxtarenal aortic occlusion is and will be open surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Marrocco-Trischitta MM, Bertoglio L, Tshomba Y, Kahlberg A, Marone EM, Chiesa R Occlusion of the infrarenal aorta (IAO) represents from 3% to 8.5% of aortoiliac occlusive diseases, and is a variant of TransAtlantic Inter-Society Consensus (TASC) Type D lesions. Two different patterns of IAO can be identified: Distal and proximal, or iuxtarenal. The former typically spares the origin of the inferior mesenteric artery, and is associated with the classic Leriche clinical triad. The latter extends cephalad approaching the level of the renal arteries, and may also cause acute renal failure, intestinal infarction, and even paraplegia due to the proximal propagation of aortic thrombosis. Endovascular treatment for TASC Type C and D lesions as a whole provides impressive ...
      PubDate: Fri, 01 Jun 2012 04:00:00 +010
       
  • Re-entry device use in the endovascular treatment of aorto-iliac occlusive disease.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Varcoe RL The treatment of peripheral arterial occlusive disease with endovascular therapy is rapidly becoming the standard of care. Akin to the movement towards percutaneous coronary interventions that occurred with gusto throughout the 1980s and 1990s, treatment for the peripheral vasculature has undergone its own paradigm shift. Such that many feel that a first-line catheter-based approach is justified for the majority of patients in 2012. Extensive occlusive disease of the aorto-iliac segment is an area where open surgery has historically been preferred over endovascular therapy. This is partly because the open surgical standard of aorto-bi-femoral bypass has durability unrivalled by other forms of peripheral revascularisation surgery. Furthermore, some have a...
      PubDate: Fri, 01 Jun 2012 04:00:00 +010
       
  • How to avoid and manage complications in aorto-iliac interventions.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Fourneau I Although less invasive than the open surgical alternatives by far, endovascular surgery is not free of complications. In a systematic review of endovascular treatment of extensive aorto-iliac occlusive disease mortality ranged from 1.2% to 6.7%. Complications were reported in 3% to 45% of the patients. In this article we give a systematic overview of the most frequent complications of endovascular aorto-iliac interventions, including suggestions how to manage and how to avoid them. Careful case selection, a high level of expertise of the operator and continuous monitoring of outcome are factors that can help to reduce complications, but also the alternative of open and laparoscopic surgery should kept in mind. The lowest complication rate will result fr...
      PubDate: Fri, 01 Jun 2012 04:00:00 +010
       
  • High-risk patients for carotid endarterectomy: turned down cases are rare.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: CEA is a safe procedure in patients at high-risk carotid artery disease. A better classification of high-risk patients may be necessary because trials criteria appear ineffective to define the patients at real high surgical risk. Long-term outcome was affected by the presence of severe comorbidities. PMID: 22695266 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 01 Jun 2012 04:00:00 +010
       
  • Aortic debranching from the ascending aorta: a novel surgical approach for extended TAAA and chronic type B dissections in high risk patients.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Our early and mid term results are promising and similarly to other series. This new approach for rerouting the supraaortic and visceral arteries before stent grafting in extended TAAA, lowers the surgical injury and is particularly designed for HRP who cannot benefit from conventional surgery under CPB. Larges series and longer follow-up are needed. PMID: 22695267 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 01 Jun 2012 04:00:00 +010
       
  • Surgical treatment of the isolated left ostial stenosis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The results after surgical reconstruction with patch-angioplasty are good and comparable with those after CABG. The endarterectomy and reconstruction should be avoided in the case of distal stenosis of LMCA and excessive calcification. Almost one third of the study group had no really LMCA stenosis. These patients have benefited of the plan to perform a reconstruction: antegrade flow pattern remained sustained and the arterial grafts have been spared. PMID: 22695268 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 01 Jun 2012 04:00:00 +010
       
  • Minimal influence of traditional surgical risk factors on mortality in contemporary aortic valve replacement.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Contemporary aortic valve replacement is a low risk procedure for most patients. Historical risk factors which have been used to define high risk and inoperability, such as pulmonary disease, reoperations, decreased left ventricular ejection fraction and vascular disease, may not be relevant in the current era. This observation should be considered if such criteria are used to define patients for transcatheter aortic valve implantation. PMID: 22695269 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 01 Jun 2012 04:00:00 +010
       
  • Plaque-infiltrating T lymphocytes in patients with carotid atherosclerosis: an insight into the cellular mechanisms associated to plaque destabilization.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Our data provide new information on the presence of increased percentages of pro-inflammatory T lymphocytes in complicated plaques with respect to uncomplicated ones and support the concept of the key role played by activated T cells in the progression of atherosclerotic lesions. PMID: 22669090 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 28 May 2012 04:00:00 +010
       
  • Long-term outcome after acute type A aortic dissection: does an age limit still exist'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION:Patients might not be excluded from surgical intervention for acute type A aortic dissection (ATAAD) only due to age. It is important to consider biological age and the clinical features of the patients at the time of surgery. Age is a relative but not absolute contraindication for surgery in ATAAD. Long-term survival was not statistically different between males and females. PMID: 22669091 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 28 May 2012 04:00:00 +010
       
  • Morphological, immunohistochemical and biochemical effects of non-pulsatile ex vivo perfusion with crescent pressures in human saphenous veins.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Non-pulsatile ex vivo perfusion during 3h caused morphological alterations in human saphenous veins (HSVs), which were not accompanied by immunohistochemical and biochemical alterations. Even with mechanical lesions, HSVs maintained the ability of express nitric oxide synthase (NOS) and release nitric oxide. PMID: 22669092 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 28 May 2012 04:00:00 +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: 22669093 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 28 May 2012 04:00:00 +010
       
  • Thrombin injection and compression with removable guidewire in the treatment of postcatheterization femoral pseudoaneurysm.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Preliminary data suggest that US-guided percutaneous thrombin injection is a safe and effective method to treat iatrogenic pseudoaneurysms. Simple iatrogenic femoral pseudoaneurysms benefit a single injection of up to 500 units of topical thrombin. We recommend more caution in complex pseudoaneurysms treatment; it is preferable to perform thrombin injection first into the lobe which is not directly joined to the femoral artery. A longer bed rest and closer observation are mandatory during the subsequent 24 hours. If the lobe communicating with the femoral artery is still patent, it can be retreated. Alternatively, we propose a new strategy approach through compression assisted removable "guidewire". PMID: 22669095 [PubMed - as supplied by publisher] (Source: The Journal of ...
      PubDate: Mon, 28 May 2012 04:00:00 +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: 22669097 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 28 May 2012 04:00:00 +010
       
  • In vitro effects of lidocaine hydrochloride on coronary artery bypass grafts.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Based on the results of our study, we conclude that, increasing doses of lidocaine in the perioperative period may cause vasospasm in IMA, RA and SV grafts. Thus, avoiding high doses may have a role in improving perioperative and long term mortality. PMID: 22669098 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 28 May 2012 04:00:00 +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: 22669100 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 28 May 2012 04:00:00 +010
       
  • Bypass to the ankle and foot in the era of endovascular therapy of tibial disease.Results and factors influencing the outcome.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: BPG may be a reasonable first treatment for CLI patients with TAD unfit for ET; female gender, hyperlipidemia, use of reversed saphenous, composite vein or alternative grafts, foot infection and renal disease are associated with worse outcome. PMID: 22522410 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 20 Apr 2012 04:00:00 +010
       
  • Left subclavian artery coverage during TEVAR: is revascularization necessary'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Dexter D, Maldonado TS Thoracic endovascular aortic repair (TEVAR) has rapidly become a viable and accepted treatment option for atherosclerotic aortic aneurysms as well as a variety of other aortic pathologies including ulcers, dissection, coarctation and disruption. Left subclavian artery (LSA) coverage is often necessary to achieve proximal seal in up to 40% of patients treated with TEVAR. The management of the LSA in this cohort of patients remains controversial. Studies in support of routine pre-operative LSA revascularization show that coverage of the LSA during TEVAR is associated with an increased risk of stroke, paraplegia and arm ischemia. Other studies show that intentional coverage of the LSA without revascularization is not associated with increased m...
      PubDate: Sat, 31 Mar 2012 12:52:08 +010
       
  • Unusual inflow sources and device introduction sites in aortic arch debranching.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Hybrid procedures on aortic arch represent a possible treatment for cases unfit for open surgery despite the complication rates and mortality are not negligible. In selected cases, the endografting can be extended up to beyond the landing zone 0 where an antegrade transventricular endograft deployment and a supra-aortic perfusion from descending thoracic aorta represent a feasible option. PMID: 22456635 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 31 Mar 2012 12:51:57 +010
       
  • Zenith® TX2®LowProfile TAA Endovascular Graft: a next generation thoracic stent-graft.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The ongoing Zenith® TX2® Low-Profile Endovascular Graft trial will build further understanding of the performance of the device allowing for treatment of a wider patient population. PMID: 22456636 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 31 Mar 2012 12:51:47 +010
       
  • Influence of clinical presentation on the outcome of acute B aortic dissection: evidences from IRAD.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: ABAD is a heterogeneous disease that produces dissimilar clinical subsets, each of which can have specific clinical signs, management and in-hospital results. In IRAD ABAD uncomplicated patients, medical therapy was associated with best hospital outcome, while endovascular interventions were associated with better results than surgery when invasive treatments were required. Although selection bias may be possible, and irrespective of treatments, knowledge of significant risk factors for mortality may contribute to a better management and a more defined risk-assessment in patients affected by ABAD. PMID: 22456637 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 31 Mar 2012 12:51:35 +010
       
  • New C-TAG device and overcome of compression events.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This article describes the modifications made to the TAG thoracic device (WL Gore, Flagstaff, AZ, USA) to better accommodate to anatomies seen in young trauma patients and patients with dissections. The device was initially approved and tested for degenerative thoracic aneurysms. The newer conformable-TAG (cTAG) is better able to accommodate to tight aortic arches and smaller aortic diameter with circumferential aortic wall opposition. PMID: 22456638 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 31 Mar 2012 12:51:24 +010
       
  • When is embolic protection needed in lower extremity interventions and how should it be done.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Morrissey NJ Distal embolization (DE) during lower extremity arterial intervention is a potentially devastating complication which could lead to limb loss. The use of a distal embolic protection device (EP) may prevent significant DE during intervention. Studies investigating the incidence and impact of DE suggest that it is a rare event with low impact on clinical outcomes. The use of EP during peripheral interventions has only been studied in uncontrolled small series with no comparison to unprotected interventions. In spite of the absence of good quality studies, there may be situations where EP is helpful. These situations may be when lesions or devices are particularly prone to produce emboli. The EP device may produce its own serious complications which must...
      PubDate: Sat, 31 Mar 2012 12:51:12 +010
       
  • Treatment of femoropopliteal stenoses and occlusions with mechanical rotational catheters: comparison of results with the Rotarex and Pathway devices.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The atherectomy of lesions of the femoropopliteal arteries using the Rotarex and Pathway systems is safe. The low stent rate peri-interventionally and the low restenosis rate after 12 months, with a significantly longer lesion length, indicate a better effectiveness of the Rotarex system as a whole. PMID: 22456640 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 31 Mar 2012 12:51:01 +010
       
  • Results from an Italian multicentric registry comparing heparin-bonded ePTFE graft and autologous saphenous vein in below-knee femoro-popliteal bypasses.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Data from this large, retrospective registry confirmed that the indexed heparin-bonded ePTFE graft provides satisfactory early and mid-term results in patients undergoing surgical below-knee revascularization. While autologous saphenous vein maintains its superiority in terms of primary patency, secondary patency and limb salvage rates are comparable. PMID: 22456641 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 31 Mar 2012 12:50:49 +010
       
  • Does below-the-knee placement of drug-eluting stents improve clinical outcomes'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Katsanos K, Spiliopoulos S, Krokidis M, Karnabatidis D, Siablis D Modern critical limb ischemia management algorithms endorse an "endovascular first" strategy of treatment. The advent of stents coated with anti-restenotic agents that are gradually eluted to the vessel wall has revolutionized modern endovascular therapies. Several single-center, non-randomized cohort series have provided compelling data about the short- to mid-term safety and effectiveness of drug-eluting stents in below-the-knee lesions and have fuelled further large-scale research. Three multicenter randomized trials (the YUKON-BTX, the DESTINY and the ACHILLES trials) are now available and have paved the way for level I-A evidence about infrapopliteal use of drug-eluting stents. Amassed evidence...
      PubDate: Sat, 31 Mar 2012 12:50:38 +010
       
  • Advances in below-the-knee drug-eluting balloons.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Ferraresi R, Centola M, Biondi-Zoccai G The management of critical limb ischemia due to below-the-knee disease remains challenging due to the frequent patient comorbidities, diffuse vascular involvement, and high rates of restenosis and disease progression. The BASIL study has established the substantial equivalence between bypass surgery and percutaneous transluminal angioplasty in this setting, at least at mid-term follow-up, but percutaneous techniques and devices have seen major developments since the publication of this pivotal trial in 2005. A major breakthrough has indeed been the introduction of drug-eluting balloons, which have several theoretical advantages in comparison to standard balloons and metallic stents for infra-popliteal lesions. Two clinical t...
      PubDate: Sat, 31 Mar 2012 12:50:28 +010
       
  • Endovascular treatment of in-stent restenosis using excimer laser angioplasty and drug eluting balloons.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Van Den Berg JC, Pedrotti M, Canevascini R, Chimchila Chevili S, Giovannacci L, Rosso R In-stent restenosis after endovascular treatment of stenotic and occlusive disease of the infrainguinal arteries is still a clinical challenge. In this paper an overview of the current status of drug-eluting balloon technology and results of clinical trials with drug-eluting balloon angioplasty is given. Furthermore a case series of 10 patients with in-stent restenosis that were treated with excimer laser angioplasty and drug eluting balloons is described. In this case series the mean lesion length treated was 115 mm, and the mean time to occurrence of restenosis after initial treatment was 7.2 months. At a mean follow-up (of all patients) of 7.6 months no target vessel revascu...
      PubDate: Sat, 31 Mar 2012 12:50:17 +010
       
  • In lower extremity PTAs intraluminal is better than subintimal.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Bosiers M, Deloose K, Callaert J, Maene L, Keirse K, Verbist J, Peeters P With subintimal recanalization, a channel is deliberately created by dissecting the vessel wall in order to replace the native occluded lumen. This is opposed to intraluminal recanalization, where passage of an arterial obstructive lesion is performed by central luminal navigation. Both intraluminal and subintimal treatment has its proponents and adversaries. The appreciation of an investigator for a certain technique is commonly related to the training received and the personal experience. Yet, the intraluminal technique uses the clinically preferred route for adjunctive treatment, such as balloon angioplasty or stent deployment. A wide variety of devices designed to obtain intraluminal les...
      PubDate: Sat, 31 Mar 2012 12:50:05 +010
       
  • Siena EVAR Score.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Our Score could be an useful tool to predict patients individual risk after EVAR but, to be validated, needs to be analyzed in independents cohorts in different Center. PMID: 22456646 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 31 Mar 2012 12:49:53 +010
       
  • Early and mid-term results of total laparoscopic bypass for aortoiliac occlusive lesions.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Early and mid-term results of total laparoscopic bypass are good in selected patients and comparable to these of conventional surgery. PMID: 22456647 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 31 Mar 2012 12:49:41 +010
       
  • Late spontaneous recanalization of a symptomatically occluded internal carotid artery two years after extra-intracranial bypass. Case report and review of the literature.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Kniemeyer HW, Voshege M, Soliman A, Abu Al Nasr TM, Beckmann H, Edelmann M Spontaneous recanalization of the internal carotid artery (ICA) is rarely observed. Mainly case reports are published. Most often early recanalization occurs within days or weeks and only a few cases of late recanalization months or years after detected occlusion are reported. Symptomatic bilateral ICA occlusion is regarded as an acceptable indication for extra-intracranial (EC-IC) bypass. The authors report on a case with bilateral symptomatic ICA occlusion and EC-IC bypass >2 years prior to detected spontaneous leftsided recanalization. Spontaneous recanalization unmasking a high degree ICA stenosis at the carotid bifurcation allowed a successful subsequent surgical recanalization in t...
      PubDate: Sat, 31 Mar 2012 12:49:29 +010
       
  • Dual-Source computed tomography of the chest in the surgical planning of repeated cardiac surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: DSCT of the heart and thorax is an effective, non-invasive tool for the preoperative planning of repeated cardiac surgery. The technique provides significant information to modify the surgical approach and may increase the safety of the procedure. PMID: 22456649 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 31 Mar 2012 12:49:17 +010
       
  • Endoscopic versus open radial artery harvesting for coronary artery bypass grafting.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Compared with conventional open harvesting, endoscopic radial artery harvesting was associated with better wound appearance and less pain. Occurrence of neurologic deficits and wound infection was infrequent in both groups. PMID: 22456650 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 31 Mar 2012 12:49:05 +010
       
  • Anatomic repair of interrupted aortic arch in adult.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Palma G, Giordano R, Russolillo V, Cioffi S, Palumbo S, Mucerino M, Poli V, Vosa C PMID: 22456651 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 31 Mar 2012 12:48:53 +010
       
  • Popliteal artery pseudoaneurysms after total knee arthroplasty.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Schouten Van Der Velden AP, Van Der Vijver RJ, Van Der Vliet JA, Schulter Kool LJ, Berger P PMID: 22456652 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 31 Mar 2012 12:48:40 +010
       
  • Percutaneous closure of iatrogenic atrial septal defect due to implantation of a left-left "Tandem Heart" ventricle assistance device in a postcardiotomy cardiac failure: six-year follow-up.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Percutaneous closure of iatrogenic atrial septal defect due to implantation of a left-left "Tandem Heart" ventricle assistance device in a postcardiotomy cardiac failure: six-year follow-up. J Cardiovasc Surg (Torino). 2012 Apr;53(2):270-2
      Authors : Agrifoglio M, Trabattoni D, Rossi F, Alamanni F, Bartorelli A, Biglioli P PMID: 22456653 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 31 Mar 2012 12:48:27 +010
       
  • Minimally invasive right mini-thoracotomy for reoperative mitral valve replacement after deep sternal wound infection.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Hirota M, Omoto T, Kawaura H, Ohno M, Fukuzumi M, Oi M, Miyauchi T, Ishikawa N, Tedoriya T PMID: 22456654 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 31 Mar 2012 12:48:15 +010
       
  • Readmission to the intensive care unit after cardiac surgery: a single-center experience with 7105 patients.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: ICU readmission was related to complex surgery and associated with impaired outcome. Respiratory complications were the most common reasons for readmission. Predictive renal and pulmonary risk factors indicate the need of preoperative preconditioning and patient selection. PMID: 22406963 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 12 Mar 2012 04:00:00 +010
       
  • Conventional carotid endarterectomy versus stenting: comparison of restenosis rates in arteries with identical predisposing factors.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: In this selected group of patients, CEA and CAS were associated with a similar incidence of restenosis. Only 25% of the patients who developed restenosis did so after both procedures. These preliminary findings indicate that individual predisposition does not play a crucial role in the pathogenesis of restenosis. To confirm this conclusion, an analysis of a much larger, multicenter cohort is essential. PMID: 22406964 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 12 Mar 2012 04:00:00 +010
       
  • Can the opportunity of cardio-pulmonary bypass be useful in complex general thoracic surgery problems' A report of nine cases.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: CPB provides the possibility of safely resecting intrathoracic tumors invading cardiac structures that were previously inoperable. This can be achieved with an acceptable level of risk and - in very selected cases - may achieve long-term survival. PMID: 22406965 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 12 Mar 2012 04:00:00 +010
       
  • Abdominal aortic aneurysms with short proximal neck: comparison between standard endograft and open repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION:These results show that EVAR with standard endograft is an effective and reliable option in AAA with neck length ≤1 cm in short and mid-term follow-up. Long-term follow-up results are needed. PMID: 22406966 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 12 Mar 2012 04:00:00 +010
       
  • Results from an Italian multicentric registry comparing heparin-bonded ePTFE graft and autologous saphenous vein in below-knee femoro-popliteal bypasses.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Dorigo W, Pulli R, Piffaretti G, Castelli P, Grisella F, Corrucci V, Ferilli F, Ottavi P, De Blasis G, Scalasi L, Monaca V, Battaglia G, Vecchiati E, Casali G, Pratesi C AIM: The aim of this study was to evaluate early and follow-up results of below-knee bypasses performed with a bioactive heparin-treated ePTFE graft in patients with peripheral arterial obstructive disease (PAOD) in a multicentric retrospective registry involving seven Italian vascular centers and to compare them with those obtained in patients operated on with autologous saphenous vein (ASV) in the same centres in the same period of time. METHODS:Over a nine-year period, ending in 2010, a heparin bonded prosthetic graft (Propaten Gore-Tex®, W.L. Gore & Associates Inc, Flagstaff, AZ, USA) was...
      PubDate: Wed, 07 Mar 2012 05:00:00 +010
       
  • Expression of interleukin-18 in a rat model of deep vein thrombosis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Serum IL-18 level increased in the process of DVT, which might impair venous endothelial cells and result in venous thrombosis. IL-18 might be a new potential therapeutic target of DVT prevention. PMID: 22318348 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 08 Feb 2012 05:00:00 +010
       
  • New developments in diabetic limb salvage.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Bosiers M, Deloose K PMID: 22231523 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 11 Jan 2012 12:56:49 +010
       
  • The challenging topic of diabetic foot revascularization: does the angiosome-guided angioplasty may improve outcome.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Alexandrescu V, Hubermont G The angiosome model was first pioneered by Jan Taylor in 1987 by his influential anatomical works in the plastic reconstructive surgery field. The concept depicts the human body into three-dimensional blocks of tissue, fed by specific arterial and venous irrigation sources, the "angiosomes". Adjacent angiosomes are linked by a vast compensatory collateral web "the choke vessels". This collateral network provides a remarkable "rescue system" in non-atherosclerotic and non-diabetic patients. However, it could be dramatically damaged in chronic limb ischemia (CLI) subjects witnessing miscellaneous systemic arterial disease. The angiosome concept may provide useful information on the human vascular anatomy and related pathology, with specif...
      PubDate: Wed, 11 Jan 2012 12:56:38 +010
       
  • How paclitaxel can improve results in diabetics.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Cafasso D, Schneider P Despite advances in endovascular techniques, the success of these revascularization procedures is limited by neointimal hyperplasia and subsequent restenosis or occlusion. Infrainguinal interventions have higher rates of restenosis after intervention in comparison to other vascular beds, and this is likely due to a host of anatomic, mechanical, biological and rheological factors that create a relatively hostile environment for the restoration of lower extremity perfusion through endovascular means. In addition, outcomes in the diabetic subpopulation are even worse, with a higher risk of amputation, re-interventions, and failed procedures in critical limb ischemia. Novel techniques for antiproliferative drug release into the vessel wall at th...
      PubDate: Wed, 11 Jan 2012 12:56:26 +010
       
  • Integrated surgical protocol for the treatment of the infected diabetic foot.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Caravaggi C Diabetes is a chronic disease with a worldwide increasing trend. Feet complication, closely related to neuropathy and obstructive peripheral vascular disease, are responsible for more than 1 million of leg amputations every year. Foot infection can dramatically improve the risk of amputation. Although many ulcer classification systems have been proposed to stratify the severity of infectious process the problem of the definition of a correct therapeutic approach to different clinical pictures still remains unresolved. A diabetic foot triage and an integrated surgical protocol are proposed to try identifying a diagnostic flowchart and a step-by-step surgical protocol that can be applied in the treatment of diabetic foot infection. Goals and technical as...
      PubDate: Wed, 11 Jan 2012 12:56:15 +010
       
  • Endovascular procedures and new insights in diabetic limb salvage.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Peeters P, Verbist J, Keirse K, Callaert J, Deloose K, Bosiers M Critical limb ischemia (CLI) is affecting an increasing number of patients, mainly due to an ageing population and the growing number of diabetics. Clinically, CLI is characterized by rest pain, non-healing foot wounds and gangrene, due to insufficient arterial blood supply. Limb preservation should be the goal in patients with diabetic foot due to tibial occlusive disease. As surgery is associated with considerable morbidity and mortality rates, endovascular therapy can offer a valuable alternative. Small-diameter below-the-knee arteries that were previously unamenable to surgical methods, can now be reached and treated. Currently, many endovascular techniques are available, from regular PTA and bar...
      PubDate: Wed, 11 Jan 2012 12:56:03 +010
       
  • Pharmacological interventions on critical limb ischemia in diabetic patients.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Parekh N, Nanjundappa A, Dieter RS Peripheral arterial disease is highly prevalent in patients with diabetes mellitus. Critical limb ischemia is an important component of this disease entity. Early diagnosis, identification of risk factors, and appropriate therapeutic management strategies are needed to aggresively treat this disease. This paper reviews risk factors for critical limb ischemia and discusses updates on pharmacologic therapies with a specific focus on the diabetic population. PMID: 22231528 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 11 Jan 2012 12:55:52 +010
       
  • Lesion characteristics of patients with chronic critical limb ischemia that determine choice of treatment modality.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Van Den Berg J, Waser S, Trelle S, Diehm N, Baumgartner I This paper will review the literature in order to define lesion characteristics that determine decision for surgical or endovascular therapy in patients with chronic critical limb ischemia (CLI). The typical pattern of disease is multilevel, infrainguinal disease. The great majority of patients with CLI can be treated by endovascular means, and the pathoanatomical pattern of disease dictates the choice of treatment modality. Long iliac artery occlusions, in particular, if associated with common femoral artery pathology and long superficial femoral artery occlusions crossing the knee joint so far remain a domain of surgery. However, there is an ongoing shift from surgery to endovascular treatment. PMID: ...
      PubDate: Wed, 11 Jan 2012 12:55:42 +010
       
  • Primary amputation: is there still a place for it'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Setacci F, Sirignano P, De Donato G, Galzerano G, Cappelli A, Palasciano G, Setacci C Diabetic foot (DF) continues to present a significant challenge to the vascular surgeon. Despite great advances in the treatment of DF, including open revascularization and endovascular techniques, significant numbers of amputations are still performed. The effect of aggressive revascularization on ultimate limb salvage rates continues to be debated. In the US the amputation rate has increased from 19 to 30 per 100000 persons years over the last two decades primarily due to an increase in diabetes and advancing age. Despite advances in cardiovascular treatment, in patients over 85 year of age an amputation rate of 140 per 100000 persons/year has been reported with a primary amput...
      PubDate: Wed, 11 Jan 2012 12:55:33 +010
       
  • Is digital arteries recanalization useful to preserve the foot functionality and avoid toes amputation, after pedal recanalization' Clinical results.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Endovascular recanalization of digital branches in patients with CLI and distal wounds on the toes is feasible and safe; represent a support to avoid minor amputations or surgical skin lesion healing. PMID: 22231531 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 11 Jan 2012 12:55:24 +010
       
  • The management of ruptured abdominal aortic aneurysms: screening for abdominal aortic aneurysm and incidence of rupture.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Von Allmen RS, Powell JT Twenty-five years have passed since the first randomised controlled trial began its recruitment for screening for abdominal aortic aneurysm (AAA) in men aged 65 and above. Since this and other randomised trials, all launched in the late 80s and 90s of the last century, the epidemiologic profile of abdominal aortic aneurysm may have changed. The trials reported an AAA prevalence in the range of 4-7% for men aged 65 years or more. AAA-related mortality was significantly improved by screening, and after 13 years, the largest trial showed a benefit for all-cause mortality. Screening also was shown to be cost-effective. Today, there are studies showing a substantial decrease of AAA prevalence to sometimes less than 2% in men aged ≥65 years an...
      PubDate: Wed, 11 Jan 2012 12:55:15 +010
       
  • Systematic approach to ruptured abdominal aortic aneurysm in the endovascular era: Intention-to-treat eEVAR protocol.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Willigendael EM, Cuypers PW, Teijink JA, Van Sambeek MR Emergency endovascular aneurysm repair (eEVAR) for ruptured abdominal aortic aneurysms (rAAA) is still a relatively new treatment option. A pre-defined strategy of an eEVAR first approach for rAAA is associated with improved mortality rates. After establishing and implementing the Intention-to-treat eEVAR protocol for rAAAs the mortality and morbidity rates improved significantly. The presented Intention-to-treat eEVAR protocol starts at the first telephone call to the ambulance department and lasts until the post-operative care unit. The protocol involves the close collaboration between the ambulance department, vascular surgeon, emergency department physicians, anaesthesiologists, operating room staff and, ...
      PubDate: Wed, 11 Jan 2012 12:55:06 +010
       
  • Endovascular treatment of ruptured abdominal aortic aneurysm: is there a long-term benefit at follow-up'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Our study shows that rEVAR is feasible irrespective of hemodynamic condition and that it is associated with relative low mortality rates. Challenging rAAA anatomy may not affect overall long-term survival, but six out of ten patients remain unsuitable for rEVAR because of inappropriate anatomy. PMID: 22231534 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 11 Jan 2012 12:54:57 +010
       
  • Tibial microdissection for diabetic wounds.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We present two cases of targeted recanalizations in the tibial and pedal trunks for plantar and forefoot diabetic ischemic tissue defects, following an angiosome-model for perfusion. PMID: 22231535 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 11 Jan 2012 12:54:47 +010
       
 
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