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Journal Cover Journal of Cardiovascular Surgery
  [SJR: 0.723]   [H-I: 44]   [3 followers]  Follow
    
   Full-text available via subscription Subscription journal
   ISSN (Print) 0021-9509 - ISSN (Online) 1827-191X
   Published by Minerva Medica Homepage  [1 journal]
  • Do we have enough evidence for minimally-invasive cardiac surgery' A
           critical review of scientific and non-scientific information.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Doenst T, Lamelas J Reducing surgical trauma by minimizing skin incisions has transformed abdominal surgery resulting in significant improvements in outcome. In cardiac surgery, such efforts have also been made, but similar benefits could not be demonstrated. In addition, any potential benefit comes at the cost of increased cardiopulmonary bypass and clamp times, leading to questions regarding the safety of minimally invasive cardiac surgery (MICS). Nevertheless, outcomes have been equivalent to matched sternotomy cases and there is no doubt that the number of patients undergoing minimally-invasive mitral or aortic procedures is slowly increasing. To date almost half of all isolated mitral cases in Germany and roughly one fourth in the USA are performed through a ...
      PubDate: Tue, 06 Jun 2017 21:37:02 +010
       
  • The frontline in the battle to eliminate major amputation from the
           landscape of treatment for CLI.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Varcoe RL PMID: 28353328 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 31 Mar 2017 13:27:02 +010
       
  • Planning endovascular aortic repair with standard and fenestrated-branched
           endografts.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This article summarizes the most important aspects on planning standard and complex EVAR to treat aortic aneurysms and dissections. PMID: 28245643 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 03 Mar 2017 15:07:02 +010
       
  • Infrapopliteal calcification patterns in critical limb ischemia:
           diagnostic, pathologic and therapeutic implications in the search for the
           endovascular holy grail.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This article attempts to review the implications of the diverse pathologic patterns of calcium distribution in infrapopliteal vessels of CLI patients, on the diagnostic modalities, technological developments, and the evolution of therapeutic approaches to improve outcomes among these patients. A critical analysis of the currently available data is provided, pointing to the surprising omission on the role of calcium on outcomes, and future directions are discussed. Is infrapopliteal calcium a roadblock or the avenue towards new paths' Necessity remains the mother of invention. PMID: 28240525 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 26 Feb 2017 23:00:00 +010
       
  • INNOVATION: Four-year safety and effectiveness of the INCRAFT ® AAA Stent
           Graft for endovascular repair of abdominal aortic aneurysms.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: The INCRAFT® AAA Stent Graft System provides a minimally invasive and durable solution for patients undergoing EVAR that has been associated with a low frequency of device related events through 4 years of follow-up. PMID: 28215061 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 16 Feb 2017 23:00:00 +010
       
  • Left atrial appendage occlusion for stroke prevention in patients with
           atrial fibrillation: a systematic review and network meta-analysis of
           randomized controlled trials.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: LAA occlusion appears to preserve the benefits of oral anticoagulation therapy for stroke prevention in patients with AF, but the current evidence is of low quality. PMID: 28215062 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 16 Feb 2017 23:00:00 +010
       
  • The tibiopedal retrograde vascular access for challenging popliteal and
           below-the-knee chronic total occlusions, literature-review and description
           of the technique.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This article attempts to summarize the development of this technique, present the available data and to give some recommendations on how to perform a tibiopedal retrograde intervention. PMID: 28206725 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 14 Feb 2017 23:00:00 +010
       
  • The Petticoat concept for endovascular treatment of Type B aortic
           dissection.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Analysis of the literature data, not only does it demonstrate that the PETTICOAT technique is safe and feasible but also that it is able to enhance the effect of the proximal TEVAR improving the re-expansion of the true lumen of the distal thoracoabdominal aorta possibly improving end-organ perfusion. However, since there is no evidence of improved short and mid-term survival as well as positive remodelling of the false lumen in the distal aorta, when compared to a simple proximal stent-grafting, a widespread use of the PETTICOAT technique is not justified and it should be limited to cases complicated by dynamic malperfusion as a bailout adjunctive tool. PMID: 28183174 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 08 Feb 2017 23:00:00 +010
       
  • Carotid endarterectomy has significantly lower risk in the last two
           decades: should the guidelines now be updated'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Radak D, de Waard D, Halliday A, Neskovic M, Tanaskovic S Carotid endarterectomy (CEA) carries a significant risk of procedural stroke and death Guidelines recommend keeping this risk below 6% and below 3% for symptomatic and asymptomatic patients respectively. After analysing our Institute's CEA results during the past 25 years, we found the rate of postoperative complications was now well below Guideline thresholds. Accordingly, we studied temporal changes in procedural risks in randomized controlled trials (RCTs) and in large observational studies in order to compare these against Guidelines. We found a clear temporal trend towards improving procedural outcomes, which can be explained by improvements in medical therapy, more appropriate timing of CEA, the use o...
      PubDate: Wed, 08 Feb 2017 23:00:00 +010
       
  • Surgical and endovascular venous arterialization: ready to take on the
           "Desert" by storm'"
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Surgical and endovascular venous arterialization: ready to take on the "Desert" by storm'" J Cardiovasc Surg (Torino). 2017 Feb 02;:
      Authors : Schreve MA, Ünlü Ç, Kum S, Tan YK Patients with critical limb ischemia have a poor life expectancy, and aggressive revascularization is accepted to maintain their independence in the end stage of life. Bypass surgery and, more recently, endovascular interventions with angioplasty and stenting have become the treatment of choice to prevent amputation and resolve rest pain. Up to 20% of patients with critical limb ischemia are not suitable candidates for a vascular intervention because of extensive occlusions of the outflow in the crural and pedal vessels. This "desert foot" can be treated with a venous arterialization....
      PubDate: Wed, 01 Feb 2017 23:00:00 +010
       
  • Rome wasn't built in a day: the slow but steady evolution of carotid
           artery stenting.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Reimers B, Ferrante G, Torsello G PMID: 28052661 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 06 Jan 2017 21:14:06 +010
       
  • Successful covered stent-graft repair in symptomatic renal artery aneurysm
           early after childbirth.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Siani A, Gabrielli R, Accrocca F, Marcucci G Renal artery aneurysm (RAA) rupture during pregnancy is a rare but life-threatening event and few cases have been reported in literature. Currently the best approach, endovascular or surgical, seems to be under discussion. A case of a 31-year-old woman with a symptomatic right RAA detected three days after childbirth is reported. A successful endovascular repair by a covered stent-graft was performed. PMID: 28052662 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 06 Jan 2017 21:14:06 +010
       
  • Acute single leaflet dysfunction and spontaneous recovery of a previously
           implanted bi-leaflet mechanical mitral prosthesis during unrelated
           isolated minimally invasive aortic valve replacement: a surgical decision
           making dilemma in a high risk patient.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : VAN DER Merwe J, Coddens J, Casselman F PMID: 28052663 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 06 Jan 2017 21:14:06 +010
       
  • Are transcatheter procedures the treatment of choice for all patients with
           severe aortic stenosis'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Hernandez-Vaquero D, Díaz R, Álvarez-Cabo R, Callejo F, Morales C, Silva J PMID: 28052664 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 06 Jan 2017 21:14:06 +010
       
  • Graft replacement as a method in treatment of symptomatic carotid in stent
           restenosis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Davidovic LB, Koncar IB, Kostic DM, Sladojevic MM, Markovic DM PMID: 28052665 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 06 Jan 2017 21:14:06 +010
       
  • Failure modes and secondary endovascular interventions after endovascular
           aortic repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Resch T Endovascular repair has a firmly established role in the treatment of aortic disease. The development of endovascular devices to treat even complex aortic disease has broadened the panorama of repair significantly but has also introduced new forms of repair failure. Standard devices for EVAR and TEVAR have also been enhanced, providing better adaptation to the anatomy treated, smaller delivery systems, more intuitive delivery designs as well as improved features to facilitate precise delivery of the device. Improved imaging techniques also contribute to improved outcomes. The main subtypes of complications are still related to either endoleaks or stentgraft stenosis/occlusions. With more complex repairs also follow more complex failure modes. Choosing and ...
      PubDate: Tue, 03 Jan 2017 23:00:00 +010
       
  • Arterial pathologies in athletes.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Peach G, Sinha S, Hinchliffe RJ Identification and treatment of arterial pathologies in athletes can present a significant challenge because symptoms may be nonspecific and standard examination is often unremarkable. Sportspeople frequently experience long delays to diagnosis, during which time their ability to exercise and their quality of life may be severely impacted. Though the conditions that affect this young patient group may not be widely seen in the general population, knowledge of their existence and recognition of the need for specialist referral can aid early identification and appropriate management. Due to the relatively low number of reported cases, there is a paucity of robust evidence regarding optimal management of these conditions and treatment ...
      PubDate: Tue, 03 Jan 2017 23:00:00 +010
       
  • Biobanking in carotid artery disease: translation to clinical practice.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : VAN Koeverden ID, Vrijenhoek JE, DE Borst GJ, DEN Ruijter HM, Pasterkamp G Biobanking of atherosclerotic tissue samples has contributed to our understanding of vascular occlusive disease. The careful examination of atherosclerotic plaques derived during vascular surgery or autopsies helped shape our minds in understanding the underlying substrate of arterial thrombosis. This review will outline concepts of progression of atherosclerotic disease that have been based on descriptions of human plaque pathology. In addition, we will discuss the current shift in clinical presentation and underlying pathology of acute cerebral and coronary events that asks for a careful consideration of the currently widely applied description of the "vulnerable plaque". The shift in ath...
      PubDate: Tue, 03 Jan 2017 23:00:00 +010
       
  • What should we expect from the hybrid room'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Hertault A, Sobocinski J, Spear R, Azzaoui R, Delloye M, Fabre D, Haulon S The concept of hybrid room was defined as an optimized surgical theater, offering the best compromise between asepsis criteria from standard surgical rooms and high quality imaging equipment from fixed radiological suites. This review aimed at summarizing what vascular surgeons should expect from hybrid rooms in daily practice and in the near future. PMID: 28045240 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 02 Jan 2017 23:00:00 +010
       
  • Evidence for and risks of endovascular treatment of asymptomatic acute
           type B aortic dissection.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Clough RE, Nienaber CA Acute aortic dissection is a challenging disease to manage. Type B aortic dissection has traditionally been divided temporally into acute and chronic cases but more recently this classification has been modified to include a sub-acute phase. Computed tomography is the imaging technique used most frequently in diagnosis and management. Active management of blood pressure is essential and should include beta-blockade unless contra-indicated. In-hospital outcomes are generally acceptable in patients with medically managed acute uncomplicated type B aortic dissection, with up to 90% of patients surviving to hospital discharge but by 5-years up to 50% of patients are dead with a significant proportion dying from aortic rupture. The aim of endovas...
      PubDate: Mon, 02 Jan 2017 23:00:00 +010
       
  • Evidence for periprocedural antiplatelet therapy, heparinization and
           bridging of coumarin therapy in carotid revascularization.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Brand A, DE Borst GJ Thromboembolism prevention is a crucial factor determining both the natural outcome and outcome of intervention of stenotic atherosclerotic carotid artery pathology. Roughly 80% of all natural course cerebral ischemic events are caused by thromboembolism, versus 20% due to hemodynamic insufficiency. The risk of periprocedural cerebral (micro) thromboembolization during carotid revascularization is considered to be even higher, with a higher rate in carotid artery stenting (CAS) as compared to carotid endarterectomy (CEA). Guidelines on CEA and CAS are unanimous in advizing perioperative continuation of antiplatelet therapy (APT) for all patients to prevent thromboembolization without specification of the type of APT. Recommendations on dual an...
      PubDate: Mon, 02 Jan 2017 23:00:00 +010
       
 
 
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