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Journal of Cardiovascular Surgery
   [4 followers]  Follow    
   Full-text available via subscription Subscription journal
     ISSN (Print) 0021-9509 - ISSN (Online) 1827-191X
     Published by Minerva Medica Homepage  [1 journal]   [SJR: 0.753]   [H-I: 38]
  • Pathophysiology of superficial femoral artery in-stent restenosis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Yahagi K, Otsuka F, Sakakura K, Sanchez OD, Kutys R, Ladich E, Kolodgie FD, Virmani R, Joner M Peripheral artery disease (PAD) is an emerging problem especially with aging population and increase in the incidence of diabetes and metabolic syndrome. The disease is histologically characterized by the presence of moderate to severe calcification and fibrous plaques as compared to coronary and carotid atherosclerotic disease, which are richer in necrotic core. Endovascular therapy for the superficial femoral artery (SFA), at least in the United States, has been largely limited to balloon angioplasty and stenting and these are considered safe and relatively effective therapies. However, the patency rates remain low even at one year and restenosis is a growing and chall...
      PubDate: Sat, 26 Apr 2014 20:15:06 +010
       
  • Towards a better understanding and more efficient treatment of in-stent
           restenosis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Van den Berg JC PMID: 24755698 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 26 Apr 2014 20:15:06 +010
       
  • Femoropopliteal in-stent restenosis: current treatment strategies.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Singh GD, Armstrong EJ, Laird JR Nitinol self-expanding stents are increasingly used to treat symptomatic peripheral arterial disease. Despite reduction in procedural complications and rates of stent fracture, femoropopliteal in-stent restenosis (FP-ISR) remains a common and important clinical problem. Due to heterogenous patient and angiographic characteristics, treatment of FP-ISR continues to evolve. Multiple modalities have been evaluated including standard balloon angioplasty, cutting or scoring balloon angioplasty, repeat stenting (nitinol stent vs. stent-graft vs. drug eluting stent), excisional or laser atherectomy, drug coated balloon angioplasty, and atherectomy followed by drug coated balloon angioplasty. This review highlights the clinical evidence for...
      PubDate: Sat, 26 Apr 2014 20:15:05 +010
       
  • Management of in-stent restenosis in peripheral arteries: are DEBs
           sufficient as stand-alone treatment for femoro-popliteal in-stent
           restenosis'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Franzone A, Stabile E, Carbone A, Scudiero F, Trimarco B, Esposito G The treatment of in-stent restenosis (ISR) in the femoro-popliteal artery (FPA) is one of the major challenges of endovascular therapy, occurring in up to 40% of femoro-popliteal lesions treated with bare-metal stents within 1 year of treatment. Drug-eluting technologies, involving local delivery of paclitaxel, are providing a new paradigm for the treatment of ISR. Preliminary experience shows promising results compared to other techniques such as cutting balloon angioplasty and debulking strategies. Based on available data, drug-eluting balloons (DEBs) seem sufficient as stand-alone treatment of FPA-ISR. However, larger evidence from randomized studies is warranted to identify the clinical and/o...
      PubDate: Sat, 26 Apr 2014 20:15:05 +010
       
  • Role of laser atherectomy for the management of in-stent restenosis in the
           peripheral arteries.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Jayasuriya S, Ward C, Mena-Hurtado C The prevalence of PAD is expected to increase as the population ages and the treatment for chronic disease becomes more sophisticated. The safety, efficacy, and lower cost of endovascular treatment for peripheral vascular disease of the lower extremities when compared with surgical revascularization are well known. Despite the clinical improvements and advances in endovascular techniques over the past decade, in-stent restenosis of peripheral arteries remains a challenge for the endovascular specialist. The use of excimer laser atherectomy has been shown to be safe and effective for the revascularization of complex, critical de novo peripheral lesions and offers promise in the treatment and prevention of in-stent restenosis. ...
      PubDate: Sat, 26 Apr 2014 20:15:04 +010
       
  • Combination of mechanical atherectomy and drug-eluting balloons for
           femoropopliteal in-stent restenosis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Beschorner U, Zeller T Mechanical atherectomy for instent restenosis (ISR) seems to be limited by a low patency rate. This might be due to the mechanical trauma that induces an inflammatory response leading to recurrent ISR. Addition of drug eluting balloon angioplasty could overcome these challenges while preserving the advantages of a better acute result. Due to lack of clinical data combination of atherectomy and DEB remains an experimental procedure for ISR treatment. PMID: 24755703 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 26 Apr 2014 20:15:04 +010
       
  • Laser debulking and DEB for in-stent restenosis: technique and review of
           the literature.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Van den Berg JC This paper will describe the technique of the treatment of in-stent restenosis of the infrainguinal arteries, using a combined technique of laser debulking followed by drug-eluting balloon angioplasty. The results of this technique from the literature will be discussed, and a comparison with other techniques that are currently used will be made. PMID: 24755704 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 26 Apr 2014 20:15:04 +010
       
  • The use fibrinogen/thrombin-coated equine collagen patch in children
           requiring reoperations for congenital heart disease. A single center
           clinical experience.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: FTCCP is an effective hemostatic agent which can be safely used during the hemostasis of children requiring reoperations for their congenital heart malformations. When used as first line treatment, with specific indications, FTCCP limited the intraoperative PRBC requirement and the use of other hemostatic/sealant agents thus reducing hospital costs. PMID: 24755705 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 26 Apr 2014 20:15:03 +010
       
  • One-stage coronary, carotid, aortobifemoral, and femoropoliteal surgery
           for concomitant critical ischemia in three vascular beds.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Almdahl SM, Moland J, Erling Dahl P PMID: 24755706 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 26 Apr 2014 20:15:03 +010
       
  • Outcomes of patients with mild to moderate ischemic mitral regurgitation
           after coronary artery bypass graft surgery alone.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Average grade of Mitral regurgitation in patients undergoing CABG decreased as compared with baseline state significantly. With due attention to complications and mortality of patients in this study, one can understand that ideal treatment results can be obtained through correct selection of patients before CABG, although more studies with wider statistical sample volume is recommended. PMID: 24755738 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 23 Apr 2014 00:00:00 +010
       
  • Long-term functional outcomes and subclavian veinpatency in patients
           undergoing thoracic outlet surgery for Paget-Schroetter syndrome.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Our data shows that long-term functional outcomes and SCV patency remained better in PSS patients who underwent early SDTO and active SCV recanalisation techniques. PMID: 24740118 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 17 Apr 2014 00:00:00 +010
       
  • The prognostic significance of proliferative indices in surgically
           
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Although lymph node downstaging has been considered the principal prognostic factor after induction chemotherapy and surgical resection, Mi and Mib1 expression in residual tumour can predict long-term survival more accurately. PMID: 24740119 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 17 Apr 2014 00:00:00 +010
       
  • The long-term follow up of large-diameter Dacron® vascular grafts in
           surgical practice: a review.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Spadaccio C, Rainer A, Barbato R, Trombetta M, Chello M, Meyns B Synthetic grafts have been widely used in cardiac and vascular surgery since the mid1970s. Considering the relative lack of randomized clinical trials or systematic analyses in the field of prosthetic large vessel diameter replacement, we reviewed the literature on the longterm performance and surgical management of complications of Dacron® grafts in both thoracic and abdominal aorta reconstruction and in the pediatric population. MedLine, Embase and Cochrane Library databases were searched for metaanalyses, reviews, clinical trials, and case reports pertinent to the study object.Aortic replacement with Dacron® prostheses is widely performed with acceptable outcome and a relatively low rate of graf...
      PubDate: Mon, 14 Apr 2014 00:00:00 +010
       
  • Incidence of and indications for conversion of cervical plexus block to
           general anesthesia in patients undergoing carotid surgery: a single center
           experience.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Cervical plexus block for carotid surgery is associated with a low rate of conversions to GA. Neurological deterioration upon carotid clamping and local anesthetic toxicity are identified as the most common indications for such intervention. PMID: 24714682 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 08 Apr 2014 00:00:00 +010
       
  • Elliptical carotid transection for eversion endarterectomy renders
           efficient external carotid artery desobliteration.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Elliptical transsection for EEA enables outstanding ECA revascularization with good patency at one year. Type of anesthesia does not affect the quality of the eversion technique. PMID: 24699512 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 03 Apr 2014 00:00:00 +010
       
  • Mid and long-term results after replacement of infected peripheral
           vascular prosthetic grafts with biosynthetic collagen prosthesis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Replacement of infected peripheral prosthetic grafts with the biosyntethic prosthesis ("Omniflow II®") has encouraging results. The collagen prosthesis appears to be a promising alternative with a low reocclusion rate and no reinfection. PMID: 24699511 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 03 Apr 2014 00:00:00 +010
       
  • The management of ruptured abdominal aortic aneurysms.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Larzon T, Falkenberg M, Lonn L PMID: 24670821 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 31 Mar 2014 14:10:15 +010
       
  • The role of permissive hypotension in the management of ruptured abdominal
           aortic aneurysms.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Hamilton H, Constantinou J, Ivancev K The aim of this review was to explore current literature pertaining to the use of permissive hypotension in the treatment of abdominal aortic aneurysms. A literature search using Metalib, a database search engine, provided at the Royal Free and University College of London (UCL) yielded articles using the keywords "permissive hypotension" and "hypotensive resuscitation" when linked to "abdominal aortic aneurysm" and "rupture". The articles studying permissive hypotension in animals and humans in trauma, and in patients with abdominal aortic aneurysm were reviewed. The result of this search was a large volume of experimental studies of trauma in animals giving satisfactory evidence of the physiological benefit of this concept o...
      PubDate: Mon, 31 Mar 2014 14:10:15 +010
       
  • Ruptured abdominal aortic aneurysms: is open surgery an outdated
           operation'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Singh MJ, Hager E, Mapara K, Chaer R, Marone L, Leers S, Makaroun M The advent of endovascular aneurysm repair (EVAR) has revolutionized the treatment of abdominal aortic aneurysms. EVAR has evolved into the preferred treatment for abdominal aortic aneurysms with suitable anatomy. Several randomized clinical trials have confirmed that EVAR reduces short-term morbidity and mortality. Despite vast improvements in diagnostic imaging, open surgical repair techniques and the care of critically ill patients over the past two decades rupture of abdominal aortic aneurysms still carries an extremely high morbidity and mortality. To improve outcomes in treatment of rAAA a movement has occurred away from open repair and toward EVAR as a paradigm shift that may help to improv...
      PubDate: Mon, 31 Mar 2014 14:10:15 +010
       
  • Balloon control for ruptured AAAs: when and when not to use'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Malina M, Holst J Emergency endovascular aneurysm repair (eEVAR) for ruptured abdominal aortic aneurysm (rAAA) must be carried out instantly. This requires firm logistics that include the ability to cross-clamp the aorta without delay. The present article focuses on the technique of balloon control of the aorta in eEVAR with aspects on indications as well as the organization of this type of vascular service. Transfemoral insertion of the occlusion balloon under local anesthesia is advocated and described. The use of dual balloons shortens the time of visceral ischemia without necessitating repeat declamping until the aneurysm has been completely excluded. Staged declamping upon completion is necessary just as in open repair. A "balloon test" is suggested to better...
      PubDate: Mon, 31 Mar 2014 14:10:14 +010
       
  • One hundred percent of ruptured aortic abdominal aneurysms can be treated
           endovascularly if adjunct techniques are used such as chimneys, periscopes
           and embolization.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: In conclusion, our data support that open repair of ruptured AAA can be replaced by EVAR with appropriate management of existing adjunct techniques. PMID: 24670825 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 31 Mar 2014 14:10:11 +010
       
  • How to diagnose and treat abdominal compartment syndrome after
           endovascular and open repair of ruptured abdominal aortic aneurysms.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Mayer D, Rancic Z, Veith FJ, Pecoraro F, Pfammatter T, Lachat M Intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) are frequently encountered in patients treated for ruptured abdominal aortic aneurysms (rAAA) and carry a high morbidity and mortality risk. Despite these facts, IAH/ACS are still overlooked by many physicians, timely diagnosis is missed and treatment often inadequate. All staff involved in the treatment of rAAA should be aware of the risk factors predicting IAH/ACS, the profound implications and derangements on all organ systems, the clinical presentation, the appropriate measurement of intra-abdominal pressure to detect IAH/ACS and the current treatment options for these detrimental syndromes. This comprehensive review provi...
      PubDate: Mon, 31 Mar 2014 14:10:10 +010
       
  • Team training in ruptured EVAR.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Van Herzeele I, Sevdalis N, Lachat M, Desender L, Rudarakanchana N, Rancic Z Ruptured abdominal aortic aneurysms are almost always a fatal condition. The incidence of ruptured aortic aneurysms (rAAA) is declining, the number of teams is increasing and there is an increased focus on patient safety resulting in limited real life training opportunities to maintain or improve the technical and human factor skills required to manage this acute aortic pathology. The availability and experience of the multidisciplinary team together with accessibility of appropriate resuscitation and efficient logistics all influence the modality of rAAA repair. A standardised patient's pathway for rAAA management and reliable multidisciplinary team are the keys to improve patient outcom...
      PubDate: Mon, 31 Mar 2014 14:10:10 +010
       
  • The "DEBELLUM" - Lower limb multilevel treatment with drug
           eluting balloon - randomized trial: 1-year results.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Results confirm and reinforce initial 6-month outcomes. In.Pact DEB balloons can be considered efficient to reduce restenosis rate. PMID: 24670828 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 31 Mar 2014 14:10:08 +010
       
  • Paclitaxel-coated balloons for failing peripheral bypass grafts: the
           BYPACS study.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: PCB does not significantly inhibit restenosis or improve freedom from repeat angioplasty after treatment of failing peripheral arterial vein or synthetic bypass grafts. PMID: 24670829 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 31 Mar 2014 14:10:08 +010
       
  • Pedal access in critical limb ischemia.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Walker C Critical limb ischemia (CLI) commonly involves popliteal and infrapopliteal arterial occlusions. Surgical revascularization may be limited by poor distal targets, lack of autologous vein, and co morbid conditions. Endovascular therapy may be an option even in this group of patients with no surgical options, but is limited by the need to first cross these chronic total occlusions. Lesions that are uncrossable in antegrade fashion are often easily crossed via retrograde approach. The pedal approach (via anterior tibial, posterior tibial, or peroneal arteries) is a viable approach in limb salvage interventions where occlusions cannot be crossed with antegrade approach. A 13-step technique utilizing transpedal approach in my first 228 patients treated by this...
      PubDate: Mon, 31 Mar 2014 14:10:06 +010
       
  • Effectiveness of Zilver PTX eluting stent in TASC C/D lesions and
           restenosis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Zilver PTX DES seems to be effective in treating TASC C/D lesions and ISR in femoropopliteal lesions at short term. Therefore DES should be recommended when treating those complex lesions. PMID: 24670831 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 31 Mar 2014 14:10:05 +010
       
  • Early and long-term outcomes after open or endovascular repair for
           abdominal aortic aneurysms in high-risk patients.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Our results in open repair surgery show a perioperative low mortality rate with high survival rate in long term. This result could be successfully achieved even in high-risk patients unsuitable for EVAR. PMID: 24670832 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 31 Mar 2014 14:10:04 +010
       
  • Endovascular treatment of extracranial vertebral artery aneurysm and
           aberrant right subclavian artery aneurysm.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We report an endovascular approach that used to treat a symptomatic extracranial vertebral artery aneurysm associated to an asymptomatic aberrant right subclavian artery aneurysm. A 54-year-old man presented with neck pain, vertigo and loss of balance. The computed tomography (CT) scan demonstrated a left extracranial vertebral artery aneurysm that compressed and eroded the C5 vertebra associated to an aberrant right subclavian artery aneurysm. Endovascular exclusion of the vertebral aneurysm using a covered stent and a hybrid treatment of the aberrant subclavian artery aneurysm were performed. The 13th month follow-up CT scan confirmed the stent-grafts and supra-aortic vessels patency. The endovascular treatment represents a good option for these complex pathologies with excellent immedia...
      PubDate: Mon, 31 Mar 2014 14:10:04 +010
       
  • Efficacy of TachoSil® as a sutureless hemostatic patch to repair a
           perforation of the interventricular groove during endocardial
           radiofrequency ablation.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We report the case of a free wall right ventricular perforation of the interventricular groove with cardiac tamponade following catheter ablation for recurrent ventricular tachycardia. Due to the proximity of the left anterior descending artery and the extreme fragility of tissues, the patient was treated successfully by a sutureless patch technique using a fibrin tissue-adhesive collagen fleece (TachoSil®). This technique is a safe and effective surgical option to repair a ventricular perforation especially when the ventricular tissues are fragile. It is simple and enable to realize surgical repair also if the localization of tear is difficult to access and without the need for cardiopulmonary bypass support if hemodynamic conditions are stable. PMID: 24670834 [PubMed - in process] ...
      PubDate: Mon, 31 Mar 2014 14:10:03 +010
       
  • Right mini-parasternotomy may be a good minimally invasive alternative to
           full sternotomy for cardiac valve operations-a propensity-adjusted
           analysis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The propensity-adjusted analysis demonstrated encouraging safety and quality outcomes for mini-parasternotomy valve operation in carefully selected patients. PMID: 24667339 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 26 Mar 2014 00:00:00 +010
       
  • Proximal aortic neck angle does not affect early and late EVAR outcomes.
           An AnacondaTM Italian Registry analysis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: The AnacondaTM Italian Registry reports good results in terms of clinical success at 3-year follow-up. AAA with severe proximal aortic neck can be treated with similar outcomes to AAA with favourable neck anatomy. The endograft repositionability is a benefit in cases with severe neck angle. PMID: 24667340 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 26 Mar 2014 00:00:00 +010
       
  • Double tract vein graft of the lower limb: its efficacy as a conduit for
           tibial bypass.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Komai H, Shindo S, Shigematsu H, Ogino H PMID: 24667341 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 26 Mar 2014 00:00:00 +010
       
  • Mitral valve replacement in the elderly is associated with low mortality
           and similar survival to the general population.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Mitral valve replacement is a feasible option for elderly patients with mitral valve disease in centers with lack expertise in valve repair. Actual surgical results provide low operative mortality and similar survival to general the population (mainly in females). PMID: 24667301 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 25 Mar 2014 00:00:00 +010
       
  • Early and long-term outcomes after open or endovascular repair for
           abdominal aortic aneurysms in high-risk patients.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Our results in open repair surgery show a perioperative low mortality rate with high survival rate in long term. This result could be successfully achieved even in high-risk patients unsuitable for EVAR. PMID: 24658064 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 24 Mar 2014 00:00:00 +010
       
  • Role of biomarkers in management of complications after cardiac surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Zhang B, Liang J, Zhang Z The use of cardiopulmonary bypass distinguishes cardiac surgery from other types of surgery. It introduces some serious postoperative complications, such as acute organ dysfunction of the brain, heart, kidney, lungs and infection, which cause significant morbidity and mortality. Prevention and control of these complications are critical in the evolution of cardiac surgery and in the successful outcomes of most operations. Early detection of these complications are clinically important, because many therapeutic interventions are available to prevent these deadly effects today. Many biomarkers have emerged over the past years, which provided superior diagnostic and prognostic information. Some specific biomarkers that can reflect organ dysf...
      PubDate: Mon, 24 Mar 2014 00:00:00 +010
       
  • The inflatable-rings fixation mechanism of the Trivascular Ovation Stent
           Graft System: Every revolution comes at a price!
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Georgakarakos E, Trellopoulos G, Kontopodis N, Tsetis D, Ioannou CV PMID: 24651114 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 20 Mar 2014 00:00:00 +010
       
  • High Sensitivity C-Reactive Protein and Vascular Endothelial Growth Factor
           as Indicators of Carotid Plaque Vulnerability.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusions: This study suggests that serological determinants are useful in recognizing the structural and biological vulnerability of carotid plaques. PMID: 24647324 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 19 Mar 2014 00:00:00 +010
       
  • Effects of the self myocardial retroperfusion with aortic-coronary sinus
           shunt on cardiac output and ischemic events in high-risk patients
           undergoing opcab surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: The concept of Self-Myocardial Retroperfusion with an Aortic-Coronary Sinus Shunt during OPCAB procedures definitely improved CI and reversed ischemic features in highrisk patients and should be considered as an operative temporary myocardial assistance. PMID: 24647320 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 19 Mar 2014 00:00:00 +010
       
  • Evidence for treatment of lower limb in-stent restenosis with drug eluting
           balloons.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: Evidence from the published literature suggests that DEBs are safe in preventing peripheral ISR. Despite strong corporate pressure for the use of DEBs, there is only circumstantial evidence that this is a useful modality for ISR. Results from on-going studies may allow further meta-analysis for efficiency and cost-effectiveness. PMID: 24647321 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 19 Mar 2014 00:00:00 +010
       
  • Back Table Outflow Graft Anastomosis Technique for HeartWare HVAD
           Implantation.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Basher S, Bick J, Maltais S The management of concomitant aortic and aortic valve disease with left ventricular assist device (LVAD) implantation for patients with severe cardiomyopathy is challenging, and has not been established given the complexity of LVAD surgery with concomitant aortic interventions. A 45 year old patient presented to our institution with end-stage heart failure symptoms and non-ischemic cardiomyopathy. The patient was found to have a bicuspid aortic valve, severe native aortic regurgitation, a significant ascending aortic aneurysm, and severely depressed left ventricular (LV) function requiring two inotropes. He underwent a successful hemiarch repair of the ascending aortic aneurysm using a back table outflow graft anastomosis technique, and...
      PubDate: Wed, 19 Mar 2014 00:00:00 +010
       
  • Mitral valve replacement in the elderly is associated with low mortality
           and similar survival to the general population.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: Mitral valve replacement is a feasible option for elderly patients with mitral valve disease in centers with lack expertise in valve repair. Actual surgical results provide low operative mortality and similar survival to general the population (mainly in females). PMID: 24647323 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 19 Mar 2014 00:00:00 +010
       
  • Transrenal E-XL stenting prior to EVAR in the case of abdominal aortic
           aneurysm associated to proximal aortic neck dissection.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Ventoruzzo G, Chisci E, Croce S, Turini F, Michelangioli S, Bellandi G Chronic dissection of proximal aortic neck is a rare occurrence in patients with abdominal aortic aneurysm (AAA) and gold standard therapy has not defined so far. Herein we report two successful cases of an original adjunctive procedure involving the transrenal placement of a selfexpanding nitinol stent (E-XL aortic stent, Jotec GmbH, Germany) in order to fix dissection lamina to the aortic neck wall prior to the deployment of the bifurcated endograft. Primary technical success and midterm clinical success was achieved in both cases with freedom from any early or late reintervention. Scheduled follow-up angio-CT scans did not show any Type I endoleak, graft migration or renal/visceral arteries ...
      PubDate: Wed, 19 Mar 2014 00:00:00 +010
       
  • The comparison of traditional and modified harvesting techniques of left
           intenal mammary artery regarding endothelin-1/2/3 expression and free flow
           capacity.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: We believe that lesser endothelial damage caused by the lower intraluminal pressure in modifiedly harvested left internal mammary artery segments has positive implications on intraoperative and postoperative cardiac events related to graft vasospasm, especially related with endothelins. We recommend modified left internal mammary artery harvesting in patients going under coronary artery bypass graft operation. PMID: 24647318 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 19 Mar 2014 00:00:00 +010
       
  • Systematic cervical approach for endovascular treatment of thoracic aorta
           diseases with debranching.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Georg Y, Schwein A, Lejay A, Lucereau B, Thaveau F, Chakfe N Endovascular treatment of thoracic aorta (TEVAR) often requires supra-aortic arterial trunks debranching to provide an acceptable proximal landing zone. To facilitate TEVAR procedures involving landing zones 1 to 3, we propose a systematic 4-step strategy with (1) a primary surgical cervical exposure of the supra-aortic trunks, (2) insertion through this access of a 5F introducer in the first non-covered supra-aortic trunk to delineate precisely the landing zone, (3) followed by deployment of the thoracic endograft through one femoral access, and (4) immediate completion of the surgical debranching, i.e. transposition or bypass. PMID: 24647317 [PubMed - as supplied by publisher] (Source: The Journal ...
      PubDate: Wed, 19 Mar 2014 00:00:00 +010
       
  • Re-intervention following endovascular abdominal aneurysm repair is
           uncommon after five-years: results of greater than a decade follow up.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusions: Stable long-term aneurysm exclusion was achieved in the majority of patients with most re-interventions occurring early in the follow up period. Whilst life-long surveillance should be continued, these data raise the question of the appropriate duration of CT surveillance and suggest that EVAR should be considered for patients with longer life expectancy and favourable anatomy who traditionally would have undergone open repair. PMID: 24647319 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 19 Mar 2014 00:00:00 +010
       
  • Carotid patch and cerebrovascular event relation after carotid
           endarterectomy procedure.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: On the basis of our results, avoiding primary closure for CEA is defendable. But choice of patch material needs large trials to conclude. PMID: 24598483 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 05 Mar 2014 00:00:00 +010
       
  • The "debellum" - lower limb multilevel treatment with drug
           eluting balloon - randomized trial: 1-year results.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: The "debellum" - lower limb multilevel treatment with drug eluting balloon - randomized trial: 1-year results. J Cardiovasc Surg (Torino). 2014 Mar 4;
      Authors : Fanelli F, Cannavale A, Corona M, Lucatelli P, Wlderk A, Salvatori FM Aim: Report 12month clinical outcomes of DEBELLUM (DrugElutingBalloonEvaluationforLowerLimbmUltileveltreatMent) randomized trial. Methods: From September 2010 to March 2011, 50 patients were randomized between drug eluting balloon (DEB-N=25) and conventional angioplasty balloon (PTA-N=25). Patients were symptomatic for claudication and critical limb ischemia, with denovo stenosis or occlusion in the femoropopliteal (SFA) and infrapopliteal (BTK) region. Only in the SFA primary stenting was allowed and postdilatation performed with DEB or P...
      PubDate: Tue, 04 Mar 2014 00:00:00 +010
       
  • Initial experience with a novel hybrid vascular graft for peripheral
           artery disease.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This report describes the successful use of a new hybrid vascular graft as a conduit for above knee femoropopliteal bypass surgery. The graft consists of a proximal (heparin coated) expanded polytetrafluoroethylene section but ends distally as a nitinol reinforced selfexpandable stent that is covered and constrained, allowing a sutureless distal anastamosis. With this graft the creation of above knee bypasses in situations where lesions extend to the popliteal artery behind the knee, or in cases where the above knee popliteal artery is severely calcified is still possible. This avoids the necessity of an infragenicular bypass with potentially inferior longterm patency rates, especially when no autologous venous bypass material is available. PMID: 24594800 [PubMed - as supplied by publi...
      PubDate: Tue, 04 Mar 2014 00:00:00 +010
       
  • Prophylactic intraoperative antithrombotics in open infrainguinal arterial
           bypass surgery (IABS): a systematic review.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion. The use of UFH during IABS to prevent intraoperative graft thrombosis has not been proven in randomized clinical trials. Dextran, human antithrombin and iloprost showed to be of no added beneficial effect for the patient compared to UFH alone. Data on the use of LMWH instead of UFH are promising, but no statistically significant benefit could be reproduced from literature. Results from a recent Cochrane review were favourable for LMWH, but it appeared that included data were not complete in that review. Randomized controlled trials are required for intraoperative use of antithrombotics and to improve peroperative and early patency after IABS. PMID: 24594802 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 04 Mar 2014 00:00:00 +010
       
  • Efficacy of Tachosil® as a Sutureless Hemostatic Patch to Repair a
           Perforation of the Interventricular Groove During Endocardial
           Radiofrequency Ablation.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We report the case of a free wall right ventricular perforation of the interventricular groove with cardiac tamponade following catheter ablation for recurrent ventricular tachycardia. Due to the proximity of the left anterior descending artery and the extreme fragility of tissues, the patient was treated successfully by a sutureless patch technique using a fibrin tissueadhesive collagen fleece (TachosilR). This technique is a safe and effective surgical option to repair a ventricular perforation especially when the ventricular tissues are fragile. The technique is simple and enable of realize surgical repair also if the localization of tear is difficult to access and without the need for cardiopulmonary bypass support if hemodynamic condition are stable. PMID: 24594803 [PubMed - as su...
      PubDate: Tue, 04 Mar 2014 00:00:00 +010
       
  • Implementation of EuroSCORE II as an adjunct to APACHE II model and SOFA
           
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusions: EuroSCORE II seems to confer noteworthy prognostic value, being almost equivalent to that of TMS, MeanSOFA and MaxSOFA scores, and superior than APACHE II in cardiac surgical population. Thus, EuroSCORE II emerges as an imperative adjunct to ICUbased APACHE II and SOFA algorithms as it enables risk stratification, morbidity and mortality prediction even from preoperative assessment. PMID: 24525523 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 13 Feb 2014 00:00:00 +010
       
  • Cross-Clamping a Porcelain Aorta: An Alternative Technique for High-Risk
           Patients.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusions: Cross-clamping with "open proximal ascending aorta" is effective and the incidence of stroke and systemic embolisation in patients with porcelain aorta is low compared to literature. PMID: 24525522 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 13 Feb 2014 00:00:00 +010
       
  • Sex differences in patient and procedural characteristics and early
           outcomes following cardiac surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusions: Although female patients undergoing cardiac surgery are older and at higher risk, female gender is not an independent risk factor. The operative procedure and gender related differences in treatment may be important and affect the outcome. PMID: 24525524 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 13 Feb 2014 00:00:00 +010
       
  • Current technology for the treatment of infection following abdominal
           aortic aneurysm (AAA) fixation by endovascular repair (EVAR).
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Capoccia L, Mestres G, Riambau V In recent years, in parallel with the increase of endovascular aortic repair (EVAR) procedures performances, a rise of late open surgical removal of EVAR implants has been observed, due to non-endovascularly correctable graft complications. Among them endograft infection is a rare but devastating occurrence, accounting for an incidence ranging from 0.2% to 0.7% in major series, and almost 1% of all causes of endograft explantations. However, a real estimation of the incidence of the problem respect to the number of EVAR implantations is difficult to obtain. Time to infection is usually defined as the period between EVAR and presentation of symptoms that leads to the infection diagnosis. It can be extremely variable, depending on ba...
      PubDate: Tue, 11 Feb 2014 00:00:00 +010
       
  • Planning for EVAR: the role of modern software.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Rolls AE, Riga CV, Rudarakanchana N, Lee SL, Albayati M, Hamady M, Bicknell CD, Cheshire NJ Endovascular intervention has revolutionized the treatment of aortic disease, extending the cohort of patients eligible for repair. Accurate planning for endovascular aortic repair is essential. Recent advances in modern software have demonstrated potential for improving outcomes and enhancing the decision making process beyond 3D measurements and intraoperative navigation techniques. With increasing uptake and complexity of endovascular therapies requiring multidisciplinary collaborations, it has become apparent that planning must extend to the preparation of entire interventional teams and support the early identification and prevention of potentially harmful events. This...
      PubDate: Sat, 21 Dec 2013 23:15:07 +010
       
  • Current results of total endovascular repair of thoracoabdominal aortic
           aneurysms.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Verzini F, Loschi D, De Rango P, Ferrer C, Simonte G, Coscarella C, Pogany G, Cao P Minimally invasive surgical solutions for patients with extensive aortic disease are eagerly awaited, since open repair is often associated with high rates of morbidity and mortality. In the last decade, the development of fenestrated and branched aortic endografts has offered a therapeutic option to patients deemed unsuitable for major surgery. Preliminary studies showed promising early results, while mid- and long- term data are scarce. The aim of this paper was to review current results of total endovascular repair of thoracoabdominal aortic aneurysms (TAAA) with a single model of endograft in the published literature. A literature search was conducted, and our two-center experi...
      PubDate: Sat, 21 Dec 2013 23:15:07 +010
       
  • INCRAFT® Stent-Graft System: one-year outcome of the INNOVATION
           Trial.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: The results of the INNOVATION study with the INCRAFT® Stent-Graft are encouraging, with satisfactory clinical outcome and device durability through one-year of follow-up. The INCRAFT® device is a novel ultra-low-profile endograft that holds promise to broaden the patient population eligible for endovascular aneurysm repair. PMID: 24356046 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 21 Dec 2013 23:15:06 +010
       
  • The Gore Excluder AAA endoprosthesis with C3 delivery system: results in
           high-volume centers.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Krajcer Z The use of endovascular aortic aneurysm repair (EVAR) has increased dramatically, chiefly because of its low perioperative morbidity compared with open surgery. Challenges to the success of EVAR remain, however, with the most important being features of the patient's infrarenal aortic neck anatomy that make optimal placement of the endoprosthesis difficult. These features include a short, wide, severely angulated, or reverse-tapered neck and the presence of calcifications or thrombus. Suboptimal endograft positioning may necessitate use of aortic cuffs, thereby increasing the time and cost of an EVAR procedure, or increase the likelihood of graft migration, which can lead to endoleaks and additional interventions. Efforts to improve outcomes of EVAR and ...
      PubDate: Sat, 21 Dec 2013 23:15:06 +010
       
  • Ultra-low profile Ovation device: is it the definitive solution for
           EVAR'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : de Donato G, Setacci F, Sirignano P, Galzerano G, Borrelli M, Di Marzo L, Setacci C When Juan Parodi implanted an endograft in a human body for the first time on September 7, 1990 in Buenos Aires, Argentina, the delivery system of the handmade device was primitive, extremely rigid, and had a bulky profile of 27 French (F). Since then, stent-graft technology has evolved rapidly, limitations of earlier-generation devices have been overtaken, and endovascular aneurysm repair (EVAR) eligibility has increased enormously. Nevertheless (still) challenging aortoiliac anatomy such as short and complex proximal aortic neck seal zones and narrow access vessels are responsible for EVAR ineligibility in up to 50% of cases. The Ovation Prime abdominal stent-graft system (TriVas...
      PubDate: Sat, 21 Dec 2013 23:15:06 +010
       
  • Early mid-term results of the first 103 cases of multilayer flow modulator
           stent done under indication for use in the management of thoracoabdominal
           aortic pathology from the independent global MFM registry.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: Increasing sac volume, thrombus or diameter size was not associated with rupture. MFM implantation instigates a process of aortic remodeling involving initial thrombus deposition, which slows between six and twelve months. This Global MFM Registry data has demonstrated the proof of concept of this disruptive technology. PMID: 24356043 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 21 Dec 2013 23:15:06 +010
       
  • Two-year-results of Endurant stent-graft in challenging aortic neck
           morphologies versus standard anatomies.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: Treatment with the Endurant stent-graft is technically feasible and safe, yielding satisfactory results even in challenging anatomies. Mid-term results are promising and challenge current opinion concerning the negative influence of challenging neck anatomy on EVAR especially after a longer follow-up. PMID: 24356050 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 21 Dec 2013 23:15:05 +010
       
  • The Bolton Treovance endograft: single center experi.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: Initial personal experience with the Treovance abdominal stent-graft was satisfactory with regard to technical success and short-term clinical results. This new-generation endovascular device performed well even in angulated or heavily calcified anatomies. PMID: 24356049 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 21 Dec 2013 23:15:05 +010
       
  • New possibility of AAA treatment with E-vita abdominal device.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Moulakakis KG, Papapetrou A, Kakisis J, Sfyroeras GS, Liapis CD The most dramatic shift in the management of abdominal aortic aneurysms (AAAs) occurred in 1991, when the first endovascular AAA repair was reported. Endovascular aneurysm repair has revolutionized the treatment of infrarenal AAAs. In the last few years, the companies have developed renewed models of grafts and have modified delivery systems tending to make them more atraumatic and flexible in order to deal with difficult anatomies and severely atheromatous and tortuous vessels. The aim of the present paper was to analyze the technical characteristics and properties of the new stent-graft system E-vita abdominal XT and to review the current literature. The E-vita abdominal XT stent-graft seems to be s...
      PubDate: Sat, 21 Dec 2013 23:15:05 +010
       
  • Aorfix™ device for abdominal aortic aneurysm with challenging
           anatomy.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Sbarzaglia P, Grattoni C, Oshoala K, Castriota F, D'Alessandro G, Cremonesi A Anatomical characteristics of abdominal aortic aneurysms (AAA) are the most critical factors for successful endovascular aortic repair (EVAR). Of these, severe proximal aortic neck angulation and iliac axis tortuosity increase the complexity of EVAR. Neck angulation seems to have a pivotal potential for fixation failure, a situation that may lead to complications, including endoleak and late rupture. Bench-test studies identified that the relative stiffness of a stent-graft was responsible for its inability to conform to neck angulation, therefore creating leaks through gaps between the stent graft and the neck. AorfixTM stent graft (Lombard Medical, Didcot, UK) is a flexible stent-graft...
      PubDate: Sat, 21 Dec 2013 23:15:05 +010
       
  • Type II endoleak: a problem to be solved.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Larzon T, Fujita S Type II endoleak is a common phenomenon after endovascular aortic aneurysm repair (EVAR). The majority of type II endoleaks are considered benign, since approximately one third of them resolve spontaneously and they have no influence on mortality and rupture rate after EVAR. Thus, type II endoleak without sac expansion is recommended to be observed conservatively. Treatment for type II endoleak with sac expansion is still controversial. It has been reported that a certain type II endoleak causes sac expansion and late aneurysm rupture. Type II endoleak is often treated with solid agents as coils and vascular plugs or with liquid agents as different glues and thrombin. Onyx™ is a relatively new liquid embolic agents and it seems promising due t...
      PubDate: Sat, 21 Dec 2013 23:15:04 +010
       
  • Rationale of EndoAnchors in abdominal aortic aneurysms with short or
           angulated necks.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : De Vries JP, Van De Pavoordt HD, Jordan WD Diseased pararenal aortic anatomy including thrombus, calcification, and progressive dilatation, may impact the long-term durability of endovascular aortic aneurysm repair. EndoAnchors have been shown to mimic the security of a hand sewn aortic anastomosis. Several investigators have evaluated the use of EndoAnchors to repair endograft problems or repair type 1 endoleaks in the abdominal or the thoracic position. The ANCHOR Registry is designed to evaluate up to 2000 patients at multiple sites in North America and Europe who have been treated with the Aptus Heli-FX EndoAnchor System to secure an aortic endograft. The registry collects important clinical characteristics of patients (1000) who are treated at the initial end...
      PubDate: Sat, 21 Dec 2013 23:15:04 +010
       
  • Novel sealing concept in the Endologix AFX unibody stent-graft.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This article reviews the approaches taken to enhance the device's ability to reduce type I endoleaks and provides some insight into the challenges of creating the perfect seal for an aortic stent-graft. PMID: 24356051 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 21 Dec 2013 23:15:04 +010
       
  • Guidelines on the diagnosis and treatment of extracranial carotid artery
           stenosis from the Italian Society for Vascular and Endovascular Surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Setacci C, Argenteri A, Cremonesi A, de Donato G, Galzerano G, Lanza G, Navarretta F, Pulli R, Ricci S, Sbarigia E, Setacci F, Sirignano P, Peinetti F, Speziale F PMID: 24356054 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 21 Dec 2013 23:15:03 +010
       
  • David operation: single center 10-year experience.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: The durability of valve reimplantation was found to be excellent in patients with tricuspid aortic valve and normal or nearly normal cusps. Cusp prolapse and complication after cusp repair turned out to be the main causes for early failure. PMID: 24343372 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 17 Dec 2013 05:00:00 +010
       
  • Coronary artery bypass graft type and outcomes in maintenance dialysis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: Although overall survival rates were low, IMA was associated with lower risk of mortality and cardiovascular morbidity compared to SVG in patients on dialysis. PMID: 24343371 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 17 Dec 2013 05:00:00 +010
       
  • Ventilation during cardiopulmonary bypass: impact on heat shock protein
           release.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: Significantly less HSP70 was detectable in patients receiving uninterrupted mechanical lung ventilation on CPB, indicating either different inflammatory response, cellular stress or cell damage between the ventilated and non-ventilated group. These data suggest that continued mechanical ventilation has a modulatory effect on the immune response in patients after CABG surgery. PMID: 24343370 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 17 Dec 2013 05:00:00 +010
       
  • Endovascular versus surgical revascularization in proximal subclavian
           artery obstruction.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: Although with its less invasive character endovascular treatment has gained preference over surgical treatment of proximal subclavian obstruction in many cases, extrathoracic surgical reconstruction can be performed with a higher technical success rate, similar patency and a comparable number of complications. PMID: 24326895 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 10 Dec 2013 05:00:00 +010
       
  • Ex vivo characterization of carotid plaques by intravascular
           ultrasonography and virtual histology: concordance with real plaque
           pathomorphology.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: In the present study, our findings demonstrated significant correlation between true plaque composition determined by histology and VH-IVUS. Thus, IVUS might be useful as an additional diagnostic method to detect patients with unstable rupture-prone plaques. PMID: 24326894 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 10 Dec 2013 05:00:00 +010
       
  • Deformation and distensibility distribution along the abdominal aorta in
           the presence of aneurysmal dilatation.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: Aneurysmal wall deforms significantly less than non-aneurysmal wall and aneurysmal lumen, due to altered elastic properties and reduced loading. In large AAAs with larger amounts of ILT, the lumen deformation is comparable or even exceeds that of NAA and subsequently so does the distensibility of the Wall-ILT composite, an observation suggesting a thrombus cushioning effect. DNORM may provide insight in the estimation of AAA evolution and assist in rupture risk assessment. PMID: 24326896 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 10 Dec 2013 05:00:00 +010
       
  • Angioseal VIP® vs. Starclose SE® closure devices: a comparative
           analysis in non-cardiological procedures.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusions: Both Angioseal VIP® and Starclose SE® systems can be considered safe and effective in providing hemostasis following a variety of interventional vascular procedures. PMID: 24309473 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 05 Dec 2013 05:00:00 +010
       
  • Medical therapy for critical limb ischemia and the diabetic foot: an
           update.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Lobo R, Kiernan TJ, Jaff MR Critical limb ischemia is the most severe manifestation of chronic peripheral artery disease (PAD). The goal of medical care is to provide symptomatic relief in patients who are unsuitable for percutaneous or surgical revascularization and to reduce systemic cardiovascular risk. PAD is a common manifestation of systemic atherosclerosis and is associated with significant morbidity and mortality. PAD represents a marker for premature cardiovascular events. Patients with PAD, even in the absence of a history of myocardial infarction or ischemic stroke, have approximately the same relative risk of death from cardiovascular causes as do patients with a history of coronary or cerebrovascular disease alone. The PARTNERS study demonstrated that...
      PubDate: Fri, 18 Oct 2013 02:05:04 +010
       
  • Meta-analysis of the prevalence, incidence and natural history of critical
           limb ischemia.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: The incidence of CLI in the elderly is rather high. Series reporting on treatment strategies in these patients showed that a revascularization is attempted in 70% of cases. Conservative treatment in patients with unreconstructable CLI, high operative risk and/or refusing any revascularization procedure is associated with acceptable one year leg salvage. PMID: 24126504 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 18 Oct 2013 02:05:04 +010
       
  • Management of ischemic diabetic foot.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Caravaggi C, Ferraresi R, Bassetti M, Sganzaroli AB, Galenda P, Fattori S, De Prisco R, Simonetti D, Bona F Diabetic foot pathology represent the more disabling complication of diabetes. More the 1 million of diabetes patients undergo a lower limb amputation per year; 85% of these amputation are preceded by un ulcer that can be avoided by a prevention program. Critical limb ischemia (CLI), the only independent cause of major amputation in diabetic population, can be correctly treated when an early diagnosis is made. Both endoluminal and surgical revascularization procedures can be applied in diabetes with high rate of success when performed by skilled operator. Infection of diabetic foot, in particular in patients suffering from peripheral artery disease (PVD), ma...
      PubDate: Fri, 18 Oct 2013 02:05:03 +010
       
  • The diabetic foot: a review.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Ricco JB, Thanh Phong L, Schneider F, Illuminati G, Belmonte R, Valagier A, Régnault De La Mothe G Diabetic foot ulceration (DFU) is among the most frequent complications of diabetes. Neuropathy and ischaemia are the initiating factors and infection is mostly a consequence. We have shown in this review that any DFU should be considered to have vascular impairment. DFU will generally heal if the toe pressure is >55 mmHg and a transcutaneous oxygen pressure (TcPO2) <30 mmHg has been considered to predict that a diabetic ulcer may not heal. The decision to intervene is complex and made according to the symptoms and clinical findings. If both an endovascular and a bypass procedure are possible with an equal outcome to be expected, endovascular treatments shoul...
      PubDate: Fri, 18 Oct 2013 02:05:03 +010
       
  • The role of hybrid procedures in the treatment of critical limb ischemia.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Setacci C, Galzerano G, Sirignano P, Mazzitelli G, Sauro L, de Donato G, Benevento D, Cappelli A, Setacci F Patients affected by critical limb ischemia (CLI) represent a complex and high risk clinical problem, and a multidisciplinary approach is often demanded. The amputation rate in patients affected by CLI is still high. Introduction of endovascular procedure shook up the CLI concept of treatment. The increasing experience of Vascular Surgeons in endovascular technique forced these specialist to match classic surgical skills and endovascular tools in order to achieve the best treatment for each patients. The combination of the two techniques identifies the hybrid procedure. Aim of this paper is to define indication, necessity and results of the hybrid procedure ...
      PubDate: Fri, 18 Oct 2013 02:05:03 +010
       
  • Open surgery for chronic limb ischemia: a review.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: In conclusion, this review demonstrates that neither an endo- first nor a bypass-first attitude is appropriate in patients with CLI and suggests that these patients should be cared for by specialists in a multidisciplinary center in order to preserve their life and limbs, to conduct clinical trials and to control costs. PMID: 24126509 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 18 Oct 2013 02:05:03 +010
       
  • New devices for a better endovascular approach.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Bosiers M, Deloose K, Callaert J, Maene L, Beelen R, Keirse K, Verbist J, Peeters P The endovascular approach has known a great evolution in terms of vessel patency and treatment possibilities. Longer and more complex lesions with a difficult anatomy can be addressed by a range of endovascular tools. However, to maintain the patency of the treated lesion is the true challenge. In order to fulfill these long-term expectations, newer devices have been developed. The drug-coated balloon combines local drug uptake with no residual material after treatment. To maintain patency and prevent recoil of the arterial wall, the drug-eluting stent has been created to offer stent support with an antiproliferative drug. The main drawbacks of the drug-coated balloon and the drug-...
      PubDate: Fri, 18 Oct 2013 02:05:03 +010
       
  • Tips and tricks for a correct "endo approach".
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We describe the following topics: 1) targets of the revascularization therapy: "complete" versus "partial" revascularization and the concept of wound related artery. Every procedure must be tailored on technically realistic strategies and on the general patient status; 2) the antegrade femoral access using both, the X-ray and the ultrasound guided techniques; 3) the chronic total occlusions crossing strategy proposing a step-by-step approach: endoluminal, subintimal, retrograde approaches. Particular attention has been given to the different retrograde approaches: pedal-plantar loop technique, trans-collateral approaches and the different types of retrograde puncture. For each step we provide a complete description of the technical details and of the suitable devices. Eventually we in brie...
      PubDate: Fri, 18 Oct 2013 02:05:03 +010
       
  • Endovascular first as "preliminary approach" for critical limb
           ischemia and diabetic foot.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Endovascular first as "preliminary approach" for critical limb ischemia and diabetic foot. J Cardiovasc Surg (Torino). 2013 Dec;54(6):679-84
      Authors : Setacci C, Sirignano P, Galzerano G, Mazzitelli G, Sauro L, de Donato G, Benevento D, Cappelli A, Setacci F The treatment of the critical limb ischemia (CLI) and diabetic foot (DB) is still object of discussion and the gold standard for revascularization has not yet been identified. In these two decades the introduction of endovascular procedures had a large impact on the surgical revascularization and were added to the practice of vascular surgeons in patients who cannot be candidates for a bypass. This may be due to significant comorbidities, a reduced life expectancy, infection or gangrene in the possible sites of ...
      PubDate: Fri, 18 Oct 2013 02:05:03 +010
       
  • The multilayer flow modulator stent for the treatment of arterial
           aneurysms.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: Clinical experience with the MFM is increasing. The MFM has been used to treat many types of aneurysms including peripheral, visceral and aortic. Early results suggest that use of the MFM can help prevent aneurysm-related mortalities while maintining branch vessel patency. Additional study and investigation is needed. PMID: 24126513 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 18 Oct 2013 02:05:02 +010
       
  • Current status of Hemobahn/Viabahn endografts for treatment of popliteal
           aneurysms.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Möllenhoff C, Katsargyris A, Steinbauer M, Tielliu I, Verhoeven EL The aim of the present study was to review the literature reporting the use of the Hemobahn/Viabahn endograft (W. L. Gore and Assoc Inc., Flagstaff, AZ, USA) for endovascular treatment of popliteal artery aneurysms (PAA). A PubMed database search was performed looking for studies reporting endovascular treatment of PAA with the Hemobahn/Viabahn endograft within the period January 2000-December 2012. All relevant studies were independently assessed and all references were examined for potentially missed relevant reports. Studies were included if they reported experience with five patients or more. Eight studies with 222 patients (mean age 72.4 years, 92.3% male) and 251 PAA (mean diameter 2.9 mm, 1...
      PubDate: Fri, 18 Oct 2013 02:05:02 +010
       
  • Long-term outcome of abdominal aortic aneurysm repair via a
           retroperitoneal approach.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: The elective management of infrarenal aortic aneurysms with open repair via a retroperitoneal approach offers a good prognosis demonstrated with up to 5 year follow up. PMID: 24104586 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 09 Oct 2013 04:00:00 +010
       
  • Percutaneous endovascular aneurysm repair with the ultra-low profile
           Ovation Abdominal Stent-Graft System.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: PEVAR with the OvationTM endograft is feasible and safe in patients with unfavorable anatomy. PMID: 24002387 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 06 Sep 2013 11:15:04 +010
       
  • Early outcome of endovascular aneurysm repair in challenging aortic neck
           morphology based on experience from the great C3 registry.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: GORE® EXCLUDER® AAA Endoprosthesis featuring C3 Delivery System allows re-positioning to be performed safely in cases outside IFU. Repositioning is an effective operative manoeuvre and facilitates EVAR in challenging anatomy. Longer follow-up is required to evaluate the durability of these results at 30 days. PMID: 24002386 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 06 Sep 2013 11:15:04 +010
       
  • The angiosome concept in clinical practice: implications for
           patient-specific recanalization procedures.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Brodmann M Below-the-knee (BTK) disease with the clinical presentation of critical limb ischemia is associated with a high rate of limb loss due to minor and major amputations. The main problem is to find a way to optimize blood flow to the critical limb area. BTK joint the down-stream diverges into 3 arms which supply different areas. Different concepts exist how optimal blood flow to the critical ischemic areas BTK can be achieved, either by treating as many vessels as can be reopened by an endovascular procedure, or by going for the two main BTK vessels, or in an outstanding situation also to treat the inflow of collaterals to achieve as much blood flow down the foot as possible. Derived from plastic surgery for the purpose of healing of flaps, the angiosome co...
      PubDate: Fri, 06 Sep 2013 11:15:04 +010
       
  • Ischemic Charcot foot: different disease with different treatment'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: Patients with Charcot foot deformity can be affected by critical limb ischemia and revascularization therapy is necessary, to support surgical and orthopedic treatment, avoiding amputation and leading to limb and foot salvage. PMID: 24002384 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 06 Sep 2013 11:15:04 +010
       
  • Successful revascularization of chronic total occlusion of lower extremity
           arteries: a wire only and bail out use of re-entry device approach.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: In more than 90% of all cases with chronic total occlusion of peripheral lower extremity arteries, endovascular intervention has been successful following a "wire only" strategy. When deciding to use a re-entry device, in case of a failure of a proper wire re-entry at the reconstitution point, a technical success rate of 100% was achieved. Therefore following a strict wire algorithm and considering the use of a re-entry system as a bail out strategy will lead to a successful minimal invasive management of chronic total occlusion in nearly 100% of the cases with TASC II A - D lesions. PMID: 24002383 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 06 Sep 2013 11:15:04 +010
       
  • Influence of gender on EVAR outcomes with new low-profile devices.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Bendermacher BL, Grootenboer N, Cuypers W, Teijink JA, Van Sambeek MR Women have not benefitted to the same extent as men of endovascular abdominal aortic repair (EVAR). Besides differences in hormones and the higher rate of undiagnosed cardiovascular disease, there are anatomical differences between men and women influencing the outcome of endovascular treatment of abdominal aortic aneurysms (AAA). After the first decade of EVAR procedures, only 28% of women with an elective AAA were treated by EVAR due to their poor anatomical suitability for this technique. The anatomical challenges and their associated poorer outcomes suggest the need for advances in device design to better meet the specific female aneurysm anatomy and physiology. Most of the newer-generation ...
      PubDate: Fri, 06 Sep 2013 11:15:04 +010
       
  • Acute limb ischemia in nonagenarians.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: The over 90 years old patient represent a challenging case for vascular surgeon. Vascular procedures involve high mortality rate but emergent revascularization by Fogarty Embolectomy in ALI is safe and effective even in older patient. PMID: 24002392 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 06 Sep 2013 11:15:03 +010
       
  • Long-term outcome of femoropopliteal stenting. Results of a prospective
           study.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: The endovascular-first line treatment with use of nitinol stents for patients with femoropopliteal artery lesions is associated with acceptable long-term patency rates, even in patients with long lesions. PMID: 24002391 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 06 Sep 2013 11:15:03 +010
       
  • Practical experience with the TAG and conformable TAG devices: lessons
           learned in about 100 cases.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: This single-center study demonstrates acceptable rates for operative mortality and major adverse events after endovascular repair of various thoracic aortic pathologies with both generations of Gore TAG device. However, a better knowledge in long-term results is necessary to define target populations. PMID: 24002390 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 06 Sep 2013 11:15:03 +010
       
  • How to manage infected aortic endografts.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Herdrich BJ, Fairman RM Aortic endografts have become the preferred treatment for aneurysms of the descending thoracic aorta and the infrarenal aorta. The prevalence of endograft infections is about 0.6%, and with the growing number of patients with aortic endografts, the number of patients with endograft infections has also increased. It is important for physicians who treat aneurysmal disease with endografting to understand the pathophysiology, work-up, and treatment options available. Currently, the mainstay of treatment is prolonged antibiotic therapy, explant of all prosthetic material, and reconstruction of the vasculature with either an in situ or extra-anatomic bypass. However, there is a growing experience of less invasive treatment strategies that can be...
      PubDate: Fri, 06 Sep 2013 11:15:03 +010
       
  • Concomitant heart transplantation and replacement of ascending aorta and
           proximal aortic arch.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Rudež I, Planinc M, Unić D, Barić D, Blažeković R, Radolović P, Varvodić J, Sutlić Z PMID: 24002397 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 06 Sep 2013 11:15:02 +010
       
  • Increased risk of late aortic events after isolated aortic valve
           replacement in patients with bicuspid aortic valve insufficiency versus
           stenosis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: BAV patients with isolated valve insufficiency are at increased risk of late aortic events, as compared with BAV stenosis patients at 15 years after AVR. PMID: 24002396 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 06 Sep 2013 11:15:02 +010
       
  • Patency of the saphenous vein conduit anastomosed to the aortic dacron
           graft.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: The saphenous vein conduit anastomosed to the aortic dacron graft may have negative effects on graft patency. The placement of saphenous vein on a native tissue like the innominate artery may have beneficial effects of graft patency by slowing down neointimal hyperplasia. PMID: 24002395 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 06 Sep 2013 11:15:02 +010
       
  • Fluid balance and conventional and novel biomarkers of acute kidney injury
           in cardiovascular surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion. At 24 hours postoperatively, the performance of FB to predict AKI was comparable to that of preoperative conventional and postoperative 24-hour novel biomarkers. PMID: 24002394 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 06 Sep 2013 11:15:02 +010
       
  • What is the present situation of vascular surgery' Considerations and
           reflections based on real practice.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Sirignano P, Setacci F, Galzerano G, Sirignano A, Fineschi V, Setacci C "For the best vascular care to every patient, every day" is the goal of our practice, but is it a possible goal' Where are we now' The general idea is that we are pursuing the right way. The evolution of our discipline in the last two decades has been extraordinary and we reaffirm that we are the leaders in diagnose and treatment of the arterial pathology. Unfortunately, we can find some cases in which reality has to be faced as hardly as it can be, remembering us that we still have to go further with our job. The delay in the diagnose and treatment could lead to a permanent deficit and a money loss for the national health system due to prolonged hospitalization, multiple re-hospitalizations, ...
      PubDate: Fri, 06 Sep 2013 11:15:02 +010
       
  • Symptomatic abdominal aortic aneurysm repair: to wait or not to wait.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: In a substantial amount of patients with an alleged symptomatic AAA, delayed surgery with patient optimisation might be justified. However, specific criteria in order to select patients that might benefit from delayed surgery need further investigation. PMID: 23867861 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 18 Jul 2013 04:00:00 +010
       
  • Cross-flow determination by transcranial Doppler predicts clamping
           ischemia in patients undergoing carotid endarterectomy.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: TCD scanning is highly reliable to detect cross-flow prior to carotid surgery and thus helpful to identify patients at risk for clamping ischemia and need for shunting. PMID: 23867860 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 18 Jul 2013 04:00:00 +010
       
  • Treatment options for visceral artery aneurysms: ten year experience.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: Both OSR and ET offered a safe way to treat VAAs in our experience. PMID: 23867859 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 18 Jul 2013 04:00:00 +010
       
  • Spontaneous preoperative microembolic signals detected with transcranial
           Doppler are associated with vulnerable carotid plaque characteristics.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: Spontaneous MES were detected in 26% of symptomatic patients scheduled for CEA and were associated with unstable carotid plaque characteristics. TCD might be a useful tool to help identify patients with vulnerable plaques. PMID: 23817452 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 01 Jul 2013 04:00:00 +010
       
  • Nitinol stents with polymer-free paclitaxel coating for stenosis of
           failing infrainguinal bypass grafts.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: DES implantation in failing infrainguinal bypass grafts can be safely performed and provides satisfactory clinical outcomes. The patency rate of 91% favourably compares with those obtained with other endovascular treatments such as plain balloon or cutting balloon angioplasty. PMID: 23752672 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 11 Jun 2013 04:00:00 +010
       
  • Modified total arch replacement using a four-branched arch graft for acute
           type a aortic dissection with minimal brain and spinal cord ischemic time.
           
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: Modified total arch replacement using a four-branched arch graft with stented elephant trunk and innovative organ protection is a useful and safe alternative technique for the treatment of acute type A aortic dissection and the results are encouraging. PMID: 23752671 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 11 Jun 2013 04:00:00 +010
       
  • Treatment of significant carotid artery stenosis in 1824 patients.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: In our experience, CAS offered a valid alternative for both symptomatic and asymptomatic patients who were poor candidates for CEA, with results that compared favourably to those of CEA both at 30-day and at long-term. Patients who couldn't be operated on neither with CAS nor with CEA had a lower risk of MI at 30-day but a higher risk of stroke during the first year, especially if they had previously experienced neurological symptoms. PMID: 23752670 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 11 Jun 2013 04:00:00 +010
       
  • Total blood volume of Asian patients undergoing cardiac surgery is far
           from that predicted by conventional methods.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: Total blood volume of Asian patients calculated by the authors differs markedly from that estimated by Nadler and classic reference book formulas, which suggests that more accurate calculation of TBV is needed for Asian cardiac patients requiring CPB, especially patients with valvular disease. PMID: 23486261 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 24 May 2013 03:10:03 +010
       
  • Covered endovascular reconstruction of aortic bifurcation (CERAB)
           technique: a new approach in treating extensive aortoiliac occlusive
           disease.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Goverde PC, Grimme FA, Verbruggen PJ, Reijnen MM Endovascular treatment of occlusive disease of the aortic bifurcation is challenging. We developed the Covered Endovascular Reconstruction of Aortic Bifurcation or CERAB-technique, as a new approach for extensive and/or recurrent aortoiliac occlusive disease using three covered balloon expandable stents to reconstruct the aortic bifurcation. This configuration provides the ability to deal with TransAtlantic Inter-Society Consensus (TASC II) C and D lesions, simulating a neo-bifurcation or flow divider in combination with the benefits of covered stents. The intervention can be performed percutaneously or as a hybrid procedure. Initial results are encouraging and further studies are indicated. PMID: 23640357 [PubM...
      PubDate: Fri, 24 May 2013 03:10:02 +010
       
  • Femoropopliteal in-stent restenosis: review and potential for drug based
           therapy.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This article reviews restenosis rates for the major treatment modalities used in the FP segment. Use of drug-elution for restenosis is also reviewed, including the use of drug-eluting balloons and drug-eluting stents. PMID: 23640356 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 24 May 2013 03:10:02 +010
       
  • First- and second-generation drug-eluting balloons for femoro-popliteal
           arterial obstructions: update of technique and results.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : De Vries JP, Karimi A, Fioole B, Van Leersum M, Werson DA, Van Den Heuvel DA The use of drug-eluting balloons for treatment of long-segment femoropopliteal artery obstructions has become widespread in recent years. The possibility to deliver a drug into the arterial wall with sustained antiproliferative effects, without leaving behind metal scaffolding, seems very promising. The current generation of drug-eluting balloons differs in the formulation of the drug (usually paclitaxel), technique of coating, and the elution excipients. Results of published randomized trials are reviewed in this report. A new innovative coating technique has been introduced recently. The PRIMUS® coronary drug-eluting balloon and the Legflow® peripheral drug-eluting balloon consist of ...
      PubDate: Fri, 24 May 2013 03:10:02 +010
       
  • Drug eluting stents in the treatment of below the knee arterial occlusive
           disease.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This article reviews this body of research, explores the use of these devices in more complex lesions, speculates on their future development and examines their cost-effectiveness. PMID: 23640354 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 24 May 2013 03:10:02 +010
       
  • Glutathionyl-hemoglobin levels in carotid endarterectomy: a pilot study on
           12 cases clinically uneventful.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: Although effective routine drug management allowed brain safety during carotid clamping time, a number of patients showed a fast modification over time of the HbSSG levels in jugular blood, suggesting that "resident" cerebral biochemical protection mechanisms could play some role to compensate clinically silent brain oxidative stress. PMID: 23594507 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 18 Apr 2013 04:00:00 +010
       
  • Smooth muscle cell phenotypic diversity between dissected and unaffected
           thoracic aortic media.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: We have established a simple and potent method to acquire SMCs from the dissected and unaffected aortic media. Compared to the contractile SMCs in the unaffected media, those in the dissected media manifest phenotypic switching from the contractile to the synthetic type. The primary cultures can be subsequently used as in vitro models and contribute to further elucidating the etiopathogenesis of TAD. PMID: 23594508 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 18 Apr 2013 04:00:00 +010
       
  • Midterm results of the transarterial use of Onyx in the treatment of
           persisting type II endoleaks after EVAR.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: Use of Onyx in the endovascular treatment of type II endoleaks after EVAR is feasible, safe when accurately deployed and efficient. Further studies are necessary to evaluate the value of the different treatment modalities (translumbar vs transarterial). PMID: 23563975 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 05 Apr 2013 04:00:00 +010
       
  • How to calculate the main aortic graft-diameter for a chimney-graft.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Conclusion: Geometric approximation can be used to calculate the required main aortic graft-diameter. For parallel running chimney-grafts a significant degree of oversizing is necessary to allow the main aortic body to surround the chimney and to prevent the occurrence of gutters, which may cause type-1 endoleaks. PMID: 23563974 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 05 Apr 2013 04:00:00 +010
       
  • Endovenous 1470 nm laser treatment of the saphenous vein: early report of
           pain assessment.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Endovenous laser ablation for chronic venous insufficiency with a 1470-nm diode laser appears to be effective and safe. The procedure is simple to perform, well accepted by patients and relatively atraumatic. PMID: 23558661 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 01 Apr 2013 04:00:00 +010
       
  • Iliofemoral venous stenting extending into the femoral region: initial
           clinical experience with the purpose-designed Zilver Vena stent.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The Zilver Vena stent performed favorably in this challenging patient population; these results need to be confirmed in multicenter studies. PMID: 23558660 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 01 Apr 2013 04:00:00 +010
       
  • BRAVISSIMO: 12-month results from a large scale prospective trial.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Bosiers M, Deloose K, Callaert J, Maene L, Beelen R, Keirse K, Verbist J, Peeters P, Schroë H, Lauwers G, Lansink W, Vanslembroeck K, D'archambeau O, Hendriks J, Lauwers P, Vermassen F, Randon C, Van Herzeele I, De Ryck F, De Letter J, Lanckneus M, Van Betsbrugge M, Thomas B, Deleersnijder R, Vandekerkhof J, Baeyens I, Berghmans T, Buttiens J, Van Den Brande P, Debing E, Rabbia C, Ruffino A, Tealdi D, Nano G, Stegher S, Gasparini D, Piccoli G, Coppi G, Silingardi R, Cataldi V, Paroni G, Palazzo V, Stella A, Gargiulo M, Muccini N, Nessi F, Ferrero E, Pratesi C, Fargion A, Chiesa R, Marone E, Bertoglio L, Cremonesi A, Dozza L, Galzerano G, De Donato G, Setacci C The BRAVISSIMO study is a prospective, non-randomized, multi-center, multi-national, monitored trial, co...
      PubDate: Mon, 01 Apr 2013 04:00:00 +010
       
  • Role of bioresorbable stents in the superficial femoral artery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This article gives an overview of the existing evidence, the available devices, the clinical studies that have been performed in different areas and the preliminary results of a large multicenter study with a bioresorbable stent in the SFA. PMID: 23558658 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 01 Apr 2013 04:00:00 +010
       
  • Drug-eluting technologies in femoral artery lesions.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Deloose K, Lauwers K, Callaert J, Maene L, Keirse K, Verbist J, Peeters P, Bosiers M The treatment of femoropopliteal lesions has known an important evolution in the last years. An important limitation of current endovascular therapy remains the occurrence of restenosis. In order to minimize restenosis rates, drug eluting technologies are evolving. The use of drug-eluting stents (DES) in coronary arteries shows beneficial results, leading to investigation of DES in femoropopliteal arteries. In this article, we give an overview of current available data on treatment with drug eluting technologies in the superficial femoral artery (SFA). This paper summarizes also the current available data of the use of drug-coated balloons (DCB) in the femoropopliteal tract. Curre...
      PubDate: Mon, 01 Apr 2013 04:00:00 +010
       
  • Femoral stenting: what do the guidelines tell us.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Minar E Recommendations in guidelines should reflect current knowledge due to results of well-designed randomized clinical trials. However, one of the main problems with guidelines concerning revascularization in patients with peripheral arterial disease (PAD) is the lack of such clinical trials with a paucity of so called level I data. Furthermore, vascular interventions are practiced by physicians with different medical, surgical and radiologic speciality training background. An inter-society consensus statement by its very nature coalesces into one document the divergent experiences, interests and also interpretation of the literature by the participating parties, in our case mainly vascular surgeons and non-surgical interventionists. Therefore the recommendati...
      PubDate: Mon, 01 Apr 2013 04:00:00 +010
       
  • Are concerns about EVAR durability relevant with modern devices'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Nordon IM, Thompson MM, Loftus IM Endovascular aneurysm repair (EVAR) is now universally adopted as first-line therapy for the management of large abdominal aortic aneurysms (AAA). The applicability has broadened such that up to 80% of patients are morphologically suitable for EVAR. In-spite of the evidence base demonstrating improved early outcomes following EVAR compared to open surgery, and informed patients' preference, EVAR-sceptics remain. The doubters voice anxieties regarding the durability of an endovascular repair and cite evidence of graft failures from the EVAR-1 trial results. Historically, graft migration and endoleak development have been the Achilles heel of EVAR. However, EVAR is an evolving technology that over the last 10 years has seen signific...
      PubDate: Mon, 01 Apr 2013 04:00:00 +010
       
  • Unique demands of the femoral anatomy and pathology and the need for
           unique interventions.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Otsuka F, Nakano M, Sakakura K, Ladich E, Kolodgie FD, Virmani R With the aging of the population the incidence of peripheral artery disease (PAD) is increasing, which is histologically characterized by fibrocalcific intimal plaques as well as underlying Mönckeberg's medial calcinosis as compared to coronary and carotid artery disease. Superficial femoral artery (SFA) is one of the longest and most dynamically active vessels in the body undergoing torsion, compression, flexion, and extension from leg motion, and is known to be more susceptible to atherosclerosis because of low shear stress or spiral flow, best appreciated in the long segment in its lesser curvature. Endovascular interventions are now considered the first-line strategy for the treatment of PAD pat...
      PubDate: Mon, 01 Apr 2013 04:00:00 +010
       
  • New insights in (acute) endovascular abdominal aneurysm repair: when
           fenestrated devices fall short.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Pol RA, Tielliu IF, Zeebregts CJ The suitability for endovascular aneurysm repair (EVAR) is determined primarily by abdominal aortic aneurysm (AAA) anatomy. For patients unsuitable for standard EVAR, due to proximal neck anatomy, fenestrated aortic stent-grafting (FEVAR) is a viable alternative to open repair surgery. Initially FEVAR stent-grafts were custom-made to fit the unique anatomical characteristics of each treated individual. This customization leads to production delays therefore excluding acute aneurysms from endovascular treatment. For patients in need for more urgent treatment, several alternatives have currently been developed. The aim of this review is to provide an overview on current developments and results in acute endovascular abdominal aortic ...
      PubDate: Mon, 01 Apr 2013 04:00:00 +010
       
  • Experience with early TEVAR treatment of uncomplicated type B aortic
           dissection.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Lin J, Marrocco C, Galovich J, Kopchok G, Khoynezhad A, Walot I, Haji F, Jaber R, Donayre C, White R The current paradigm for the treatment of chronic type B aortic dissection involves primarily medical treatment. The patients are then followed for sequelae like progressive dissection or aneurysmal degeneration, selecting this subgroup for further intervention. The European Collaborator Registry, the Talent Thoracic Retrospective Registry, and several meta-analysis showed that the uncomplicated type B dissection patients who underwent thoracic endovascular aortic repair (TEVAR) outperformed their counterpart in the complicated group. The INSTEAD trial, the first randomized trial to examine whether TEVAR is better than medical management in the chronic stable disse...
      PubDate: Mon, 01 Apr 2013 04:00:00 +010
       
  • Endovascular treatment of symptomatic true-lumen collapse of the
           downstream aorta after open surgery for acute aortic dissection type A.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: After proximal aortic repair for AADA, early postoperative computed tomography should be demanded in all patients to exclude a TLC of the descending aorta. Mortality is still substantial in these patients despite instant TEVAR application. Thus, in case of TLC and malperfusion syndrome of the downstream aorta, TEVAR should be performed early to alleviate or even prevent ischemic injury. PMID: 23558651 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 01 Apr 2013 04:00:00 +010
       
  • 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
       
  • 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
       
  • 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
       
  • 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
       
  • 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
       
  • 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
       
  • 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
       
  • 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
       
  • 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
       
  • 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
       
  • 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
       
  • 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
       
  • 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
       
  • 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
       
  • 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
       
  • 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
       
  • 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
       
  • 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
       
  • 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
       
  • 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
       
  • Influence of temperature management on neurocognitive function in
           biological aortic valve replacement. A prospective randomized trial.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Normothermic temperature management during CPB is non-inferior to hypothermic in means of neuroprotection. Since patients after biological aortic valve replacement show a subclinical but measurable cognitive deficit up to four months after surgery, other factors have to be addressed to add further benefit to the extremely good results of open biological AVR. PMID: 22231536 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 11 Jan 2012 12:54:37 +010
       
  • Superiority of topical negative pressure over closed irrigation therapy of
           deep sternal wound infection in cardiac surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Topical negative pressure is a superior method of treatment for deep sternal wound infection, which is based on lower therapeutic failure rate, significant decrease in-hospital stay, and the decrease of the 1-year mortality rate, compared with primarily applied closed irrigation. PMID: 22231537 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 11 Jan 2012 12:54:27 +010
       
  • Sternal neoangiogenesis following internal mammary artery
           devascularization: an experimental model.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: BIMA ligation promotes an early increase in neoangiogenesis. Progressive sternal consolidation is associated with a significant lower level of capillaries and arterioles in the BIMA group four weeks after ligation. Diabetes did not influence the extent of neoangiogenesis between groups with similar procedures. More important clinical determinants could explain the increase incidence of sternal infection in this specific population. PMID: 22231538 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 11 Jan 2012 12:54:17 +010
       
  • Asymptomatic carotid stenosis in patients with intermittent claudication:
           epidemiological study.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Patients with claudication and ischemic miocardiopathy, especially when myocardial revascularization is needed, must be explored with carotid ultrasonography. In this patients, probably of hemodynamically significant carotid stenosis that requires treatment is more frequent. PMID: 22051985 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 06 Nov 2011 18:52:35 +010
       
  • Endovascular abdominal aortic aneurysm repair: methods of radiological
           risk reduction.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The optimum strategy, including equipment-related factors, procedure-conduct factors and follow-up procedures, has to be studied, justified and optimized in each medical facility. PMID: 22051986 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 06 Nov 2011 18:52:25 +010
       
  • Carotid stents: which is the best option'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Nikas DN, Kompara G, Reimers B Nowadays, carotid artery stenting (CAS) offers a potential alternative to carotid endarterectomy (CEA). CAS main advantages over CEA are the less invasive approach and the almost equal performance to CEA in terms of stroke prevention and complications. One of the most important factors which played significant role to CAS evolution is the progress in design of modern materials, especially stents. Today, several types of dedicated carotid stents have specific mechanical properties, which provide stents with individual characteristics making each of them suitable for specific carotid lesions and anatomies. The present review analyses the specific design and construction of modern stents, trying to point out their particular mechanical ...
      PubDate: Sun, 06 Nov 2011 18:52:15 +010
       
  • Imaging for carotid stenting.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Lee CJ, Eskandari MK Carotid artery stenting (CAS) using embolic protection devices (EPD) has emerged as a viable alternative to carotid endarterectomy (CEA) in select patients. Imaging plays a critical role in the selection of patients for CAS. Duplex ultrasonography alone is insufficient to assess patients for CAS suitability. Advancements in computed tomography angiography (CTA) and magnetic resonance angiography (MRA) techniques are helping to identify lesions vulnerable to cerebral embolization during carotid interventions - a more prevalent event during CAS in comparison to CEA. Here we review the relevant data on the various imaging techniques available to improve patient selection and minimize neurologic adverse events during carotid artery stenting. P...
      PubDate: Sun, 06 Nov 2011 18:52:05 +010
       
  • Medical treatment in carotid artery intervention.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Kolkert JL, Meerwaldt R, Lefrandt JD, Geelkerken RH, Zeebregts CJ Medical treatment has a pivotal role in the treatment of patients with occlusive carotid artery disease. Large trials have provided the justification for operative treatment besides medical treatment in patients with recent significant carotid artery stenosis two decades ago. Since then, medical therapy has evolved tremendously. Next to aspirin, antiplatelet regimens acting on a different level in the modulation of platelet aggregation have made their entry. Moreover, statin therapy has been introduced. These changes among others in secondary stroke prevention, along with better understanding in life-style adjustments and perioperative medical management, have led to a decrease in stroke recurrence....
      PubDate: Sun, 06 Nov 2011 18:51:54 +010
       
  • New embolic protection devices: a review.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Macdonald S The use of embolic protection (EPD) during carotid artery stenting (CAS) has always made intuitive sense. There is no randomized trial evidence in favour of the use of EPDs and this results from the statistical challenge posed when attempting to compare variations in technique based on the outcome measure all stroke/death/myocardial infarction (MI) for a procedure such as CAS which, in experienced units, is associated with such a low baseline hazard. In order to detect a statistically meaningful difference between protected and unprotected populations, many thousands of patents would have to be recruited and this would entail a concerted effort amongst a population of physicians who are largely beyond uncertainty or equipoise regarding this particular ...
      PubDate: Sun, 06 Nov 2011 18:51:44 +010
       
  • A review of the main trials and registries: what we think we do and do not
           know about carotid artery stenting.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Brightwell RE, Van Herzeele I, Cheshire NJ Despite many randomised controlled trials there are none that recommend carotid artery stenting (CAS) replaces carotid endarterectomy (CEA) for preventing stroke in patients with atherosclerotic carotid artery stenosis. CAS continues to be attractive due to its minimally-invasive nature and potential benefit in those patients at 'high risk' during open surgery. The belief that CAS will replace CEA is likely misplaced; a complimentary role for each mode of treatment is a more realistic vision for the future. Assessment of the existing data may provide useful information as to the subgroups that have most to benefit from each treatment type, therefore allowing a patient-specific approach to the management of individual lesi...
      PubDate: Sun, 06 Nov 2011 18:51:33 +010
       
  • How to manage complications in CAS'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Mathias K The different types of complications which might occur during CAS are described. Recommendations are given how to avoid and how to handle complications. PMID: 22051992 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 06 Nov 2011 18:51:23 +010
       
  • Stroke and pulmonary embolism following manual and bandage compression
           after bleeding from a common femoral artery access site.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Chisci E, Setacci F, Giubbolini M, De Donato G, Setacci C Manual compression (MC) is required to seal a common femoral artery (CFA) access site after endovascular intervention unless a mechanical closure device is used. Herein we report previously unpublished complications following MC of a CFA access site: stroke (embolism through a patent foramen ovale) and pulmonary embolism. These were a T thrombosis of the internal carotid artery combined with multi pulmonary embolisms and a case of pulmonary embolism. No thrombophilic conditions or other possible causes of venous emboli could be demonstrated in either case by laboratory tests or color-Duplex ultrasound. These were the only two cases of pulmonary and cerebral embolism seen at our university tertiary referral ...
      PubDate: Sun, 06 Nov 2011 18:51:14 +010
       
  • First clinical use of a novel neurovascular access and neuroprotection
           system demonstrates complete absence of emboli by transcranial Doppler
           during carotid artery stenting.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This article focuses on the first use of the MICHI™ Neuroprotection System in a transcervical carotid artery stenting procedure. The patient presented with an asymptomatic, 80% stenosis of the right internal carotid artery extending into the common carotid artery. The lesion was successfully treated with transcervical carotid access and reverse flow embolic protection and the successful placement of a carotid stent followed by balloon post-dilatation. Transcranial Doppler monitoring was performed throughout the procedure and a total of two micro embolic signals were recorded over the 30 minute procedural period. There were no neurologic complications reported during the 30-day follow-up period. PMID: 22051994 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 06 Nov 2011 18:51:04 +010
       
  • Risk stratification of coronary revascularization patients by using
           clinical and angiographic data.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The constructed risk stratification scheme stratified patients into groups at low, intermediate, and high risk of death within three years. Stenosis of the pLCX seems to be an important prognostic factor for patients with a history of HF. PMID: 22051995 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 06 Nov 2011 18:50:54 +010
       
  • Hypertension in adult after operation of aortic coarctation.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Surgical repair of coarctation of the aorta in adults can lead to regression of systolic hypertension and a decreased requirement for antihypertensive medication. PMID: 22051996 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 06 Nov 2011 18:50:44 +010
       
  • Relative importance of patient, procedural and anatomic risk factors for
           early vein graft thrombosis after coronary artery bypass graft surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Small target vessel diameter, female gender and low mean graft blood flow are significant risk factors for SVG thrombosis within six months of CABG surgery in patients on postoperative aspirin therapy. This information may be useful in guiding revascularization strategies in selected patients. PMID: 22051997 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 06 Nov 2011 18:50:34 +010
       
  • Gender-related differences in patients undergoing mechanical aortic valve
           replacement with the Carbo-Medics valve.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Gender per se is an independent risk factor of survival after mechanical aortic valve replacement. Severely impaired LVEF independently predicts survival in males whereas additional CABG and redo surgery do in females. Age affects survival in both sexes. These findings may serve as a basis for further improving gender related outcome. PMID: 22051998 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 06 Nov 2011 18:50:23 +010
       
  • Surgical thromboembolectomy for a massive pulmonary embolism after several
           venous thromboembolic episodes caused by congenital antithrombin III
           deficiency.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Scandura S, Mangiafico S, Capodanno D, Varone E, Castello C, Ctamburino C, Calafiore A PMID: 22051999 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 06 Nov 2011 18:50:12 +010
       
  • Zenith Low Profile AAA endovascular graft and global pivotal clinical
           trial.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Fairman R PMID: 21894136 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 15 Sep 2011 00:09:28 +010
       
  • Cordis INCRAFT™ ultra-low profile AAA stent-graft system.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Torsello G, Brunkwall J, Scheinert D Endovascular repair was originally introduced as a less invasive alternative in less healthy patients, but potentially lower morbidity has been balanced by limited anatomic applicability, as well as inferior long-term device durability. The INCRAFT™ endograft was developed with surgical repair in mind, in an attempt to capitalize on the anatomic flexibility of traditional procedures. The INCRAFT system was designed to address durability issues of older generation devices. At the same time it provides a solution for a broad range of patients using a limited number of codes needed. The 3-pieces modular system allows precise placement at level of the iliacs and aortic neck reducing the risk of unintentional coverage of the hypog...
      PubDate: Thu, 15 Sep 2011 00:09:20 +010
       
  • Infrainguinal disease treatment: to stent or not to stent.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Dosluoglu H, Lall P Infrainguinal endovascular interventions have increasingly played a central role in relieving symptoms of claudication and limb salvage over the last decade. Multiple modalities currently exist for treating these arteries; however, balloon angioplasty with or without stenting still remains the most commonly used technique. Despite the concerns regarding the use of stents with stent fractures and in-stent restenosis, there is increased evidence from randomized and non-randomized studies that use of nitinol stents improves patency rates in most patients with >5 cm long lesions. However, the optimal endovascular treatment of the longest lesions is still debated. Infrapopliteal vessels are still mostly treated with balloon angioplasty, but selec...
      PubDate: Thu, 15 Sep 2011 00:09:11 +010
       
  • The International E-vita Open Registry: data sets of 274 patients.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Favorable single center results could be confirmed by an International community of cardiac surgical centers in regard to hospital mortality and morbidity, as well as a low postoperative complication rate and exclusion of false lumen in aortic dissection. PMID: 21894139 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 15 Sep 2011 00:09:02 +010
       
  • Comparison between autogenous brachial-basilic upper arm transposition
           fistulas and prosthetic brachial-axillary vascular accesses for
           hemodialysis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: BBAVF offer patency and accessibility rates similar to BAPTFE, but lower infectious complications. Thus, we consider them as the preferred hemodialysis access when fistulas using the cephalic vein have failed or are not possible. PMID: 21894140 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 15 Sep 2011 00:08:54 +010
       
  • Endoscopic versus direct vision for saphenous vein graft harvesting in
           coronary artery bypass surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The outcomes captured by the number of postoperative morbidities, incidence of myocardial infarction and/or the rate of death for the endoscopic technique were comparable to patients in whom the open techniques was used. There was a trend towards a decrease in leg infections with the use of the endoscopic device. Based on this study we consider the device safe and effective with experienced operators. PMID: 21894141 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 15 Sep 2011 00:08:45 +010
       
  • Pericardial synovial sarcoma of the heart; is it always worth
           operating'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We report the case of a 37 year old male patient who presented with intermittent fever, nocturnal sweating and asthenia. Chest X-ray revealed an enlarged cardiac silhouette. Echocardiography identified pericardial effusion and a mass compressing the right ventricle. After percutaneous drainage of the effusion, the mass was not visible and deemed to have been septations of the effusion. Chest computed tomography (CT) did not show the mass visible on the X-ray. At one month follow-up, the pericardial mass was again visible on echocardiography and confirmed by magnetic resonance imaging (MRI). CT-guided biopsy showed malignant mesenchymal cells. Complete resection was attempted, but not possible due to diffuse infiltration of the epicardium. Histological examination of the resected tissue rev...
      PubDate: Thu, 15 Sep 2011 00:08:37 +010
       
  • Transient loss of binocular vision caused by painless aortic dissection in
           high-risk abdominal aortic aneurysm surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Bulut M, Bicer M, Durmus O, Aydin S PMID: 21894143 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 15 Sep 2011 00:08:28 +010
       
  • Long term results of percutaneous aortic valve implant in a 90-year-old
           patient.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Ripa A, Fusari M, Alamanni F, Biglioli P, Caraceni D, Capparuccia C, Antonicelli R PMID: 21894144 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 15 Sep 2011 00:08:20 +010
       
  • A case of heterotopic heart transplantation with evaluation of cardiac CT
           angiography.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Shirani S, Sadeghian H, Hossein Mandegar M, Goodarzynejad G PMID: 21894145 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 15 Sep 2011 00:08:11 +010
       
  • Advances in the treatment of acute thrombotic and chronic critical limb
           ischemia.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Zeller T PMID: 21792152 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 31 Jul 2011 23:00:00 +010
       
  • Value of drug-eluting stents after failed percutaneous transluminal
           angioplasty in the infrapopliteal vessels for the treatment of critical
           limb ischemia: favorable mid-term patency and limb salvage results.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Lookstein R, Ward T, Kim E, Fischman A, Nowakowksi F, Ellozy S, Teodorescu V, Vouyouka A, Faries P, Weintraub J The endovascular treatment of infrapopliteal arterial disease in the setting of critical limb ischemia (CLI) is increasing in use. In patients in whom percutaneous transluminal angioplasty (PTA) resulted in suboptimal angiographic results, flow limiting dissection or re-coil is thought to limit clinical success. This single-center experience examines the angiographic and clinical results when Drug-Eluting Stents (DES) were placed in a large cohort of patients with CLI after immediate infrapopliteal PTA failure. PMID: 21792153 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 31 Jul 2011 23:00:00 +010
       
  • Ultrasound-accelerated thrombolysis for lower extremity ischemia:
           multicenter experience and literature review.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This study evaluates the short-term outcome of ultrasound-accelerated thrombolysis in patients with lower extremity ischemia caused by thromboembolic occlusions. PMID: 21792154 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 31 Jul 2011 23:00:00 +010
       
  • Percutaneous mechanical thrombectomy: advantages and limitations.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Wissgott C, Kamusella P, Andresen R Acute and subacute ischemia of the lower limb are still a common reason for amputation. Surgical thrombectomy according to Fogarty has declined in importance, due to the increased incidence of perioperative complications, while local intraarterial lysis is also associated with an increased rate of hemorrhagic complications, beside the prolonged time up to revascularisation, which additionally results in the need for intensive care monitoring. As an endovascular therapeutic option, various mechanical thrombectomy systems have been available over the past few years that studies have shown to have a low rate of complications, accompanied by a high technical success rate and low amputation rate. This review article will present the mechanism of ...
      PubDate: Sun, 31 Jul 2011 23:00:00 +010
       
  • Endovascular techniques for limb salvage in diabetics with crural and
           pedal disease.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Manzi M, Palena L, Cester G Diabetics with critical limb ischemia (CLI) usually have significant multilevel arterial disease, very often with compromised outflow on the foot arteries. The combination of severe peripheral arterial occlusion with the increased blood flow requirement, necessary to achieve the healing of the skin lesions or surgical incisions, makes this population particularly challenging. Additionally, diabetics and CLI patients have a high rate of comorbities, that increase the surgical risks or contraindicate surgical by-pass. Since its initial applications, endovascular recanalization for tibial vessels and foot arteries has proven to be feasible and safe, especially in diabetics with CLI. Actually, it is an established treatment option for limb salvage, avoi...
      PubDate: Sun, 31 Jul 2011 23:00:00 +010
       
  • Evolution of atherectomy devices.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This article will review the evolution of current atherectomy devices and the associated literature. PMID: 21792157 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 31 Jul 2011 23:00:00 +010
       
  • Management of acute type B aortic dissections and acute limb ischemia.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Khoynezhad A, Rao R, Trento A, Gewertz B AIM: The aim of this study was to review the management of acute type B aortic dissection (TBAD) with acute limb ischemia. A search using the "Pubmed" resulted in 254 records by combining the Medical Subject Heading keywords (listed separately). The articles were assessed for their validity, correct pathology and patient cohort. Inclusion criteria included all patients with complicated acute TBAD who were candidates for open of thoracic endovascular aortic repair (TEVAR). The exclusion criteria included type A, asymptomatic acute or chronic TBAD, penetrating ulcer or intramural hematoma. TBAD with limb ischemia has a poor prognosis if not diagnosed, triaged and treated promptly. Clinical presentation and diagnostic strategy as well as v...
      PubDate: Sun, 31 Jul 2011 23:00:00 +010
       
  • Uncomplicated type B dissection: are there any indications for early
           intervention'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : De Rango P, Estrera A Currently thoracic endovascular repair (TEVAR) has a limited role in uncomplicated type B aortic dissection. Aggressive medical therapy is deemed appropriate for most of these patients allowing one-year survival rate of 80-90%. Outcomes are less than optimal in the long term, however, since aorta related complications (disease progression, rapid deterioration, acute rupture and elevated mortality) may occur in up to 50% of patients at five years. Subgroups of patients with uncomplicated type B dissection may benefit from early stent-graft placement, but identification of these remains difficult. Only future studies, especially randomized trials, will clarify the utility of early TEVAR in the setting of uncomplicated acute type B dissection. PMID: 2179...
      PubDate: Sun, 31 Jul 2011 23:00:00 +010
       
  • Do branched and fenestrated devices have a role in chronic type B aortic
           dissection'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: In this report, we discuss the role of fenestrated and branched stent-grafts as feasible treatment of post-dissecting TAAA. PMID: 21792160 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 31 Jul 2011 23:00:00 +010
       
  • One stage carotid artery stenting and open heart surgery: a novel
           approach.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This study evaluated the feasibility and safety of angioplasty and stenting for the treatment of carotid stenoses combined with cardiac operations in order to reduce the risk of perioperative stroke. PMID: 21792161 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 31 Jul 2011 23:00:00 +010
       
  • Proteomic analyses of aortic wall in patients with abdominal aortic
           aneurysm.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Ando T, Nagai K, Chikada M, Okamoto K, Kurokawa M, Kobayashi T, Kato T, Makuuchi H The mechanisms underlying the formation of abdominal aortic aneurysms have yet to be fully clarified. To identify key proteins generally involved in aneurysmal formation, proteomic profiles were compared between aneurysmal and non-aneurysmal regions of aortic walls from patients with abdominal aortic aneurysm. PMID: 21792162 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 31 Jul 2011 23:00:00 +010
       
  • Visceral artery : management of 48 cases.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Piffaretti G, Lomazzi C, Carrafiello G, Tozzi M, Mariscalco G, Castelli P The purpose of this study was to review the outcomes of endovascular treatment and open repair of visceral artery aneurysms, and to compare their results. PMID: 21792163 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 31 Jul 2011 23:00:00 +010
       
  • Role of oxidative stress in hypoxia preconditioning of cells transplanted
           to the myocardium: a molecular imaging study.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Aly A, Peterson K, Lerman A, Lerman L, Rodriguez-Porcel M Cell-based therapies are a potential therapeutic alternative for the treatment of coronary artery disease (CAD). However, transplanted cells undergo significant death in the living subject. Hypoxic preconditioning (HPC) is a potential intervention to increase transplanted cell survival. However, the biological mechanisms of this benefit remain unclear. We hypothesize that the beneficial effect of HPC on stem cell survival is in part due to preservation of oxidant status, an effect that will be monitored using state-of-the-art molecular imaging. PMID: 21792164 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 31 Jul 2011 23:00:00 +010
       
  • Quality of life one year post myocardial revascularization and aortic
           valve replacement in patients aged 70 year or older.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Markou AL, Selten K, Krabbe PF, Noyez L The aim of this study was to investigate changes of health-related quality of life (HRQOL) at one year post myocardial revascularization (CABG) and post aortic valve replacement (AVR) in patients aged 70 years or older. PMID: 21792165 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 31 Jul 2011 23:00:00 +010
       
  • Coronary artery bypass grafting in a patient with hereditary hemorrhagic
           telangiectasia.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We present a patient with HHT and coronary artery disease, who underwent coronary artery bypass grafting with a successful outcome. PMID: 21792166 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 31 Jul 2011 23:00:00 +010
       
  • Combined treatment of non-small cell lung cancer with synchronous brain
           metastases: a single center experience.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Melloni G, Bandiera A, Gregorc V, Carretta A, Ciriaco P, Viganò M, Franzin A, Bolognesi A, Picozzi P, Zannini P The aim of this study was to analyze our experience with combined treatment of non-small cell lung cancer with synchronous brain metastases. PMID: 21792167 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 31 Jul 2011 23:00:00 +010
       
  • Role of total endoluminal superficial femoral artery bypass.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Gable D The superficial femoral artery (SFA) is a common site of atherosclerosis and peripheral vascular disease. Many times this disease can be treated with medical management alone; however, as the disease process advances, it may require further action. Therapies for occlusive disease include lifestyle modification, pharmacologic agents, and revascularization by either a percutaneous or an open surgical approach. Surgical bypass using autogenous vein (the "gold standard") or synthetic graft has been the traditional treatment for severe SFA disease, but the use of minimally invasive endovascular techniques, which entail less morbidity than the traditional surgical approach, has increased markedly in recent years. The most commonly employed endovascular procedure is percutane...
      PubDate: Thu, 28 Jul 2011 23:00:00 +010
       
  • First experience with the new repositionable C3 excluder stent-graft.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION:With the new deployment system it is possible to reposition the Excluder to achieve optimal fixation and sealing. A global registry has been set into place to report real life results including longer term performance of the graft. PMID: 21799475 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 28 Jul 2011 23:00:00 +010
       
  • Worldwide experience with the Endurant Stent Graf: review of the
           literature.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Böckler D, Riambau V, Fitridge R, Wolf Y, Hayes P, Silveira P, Numan F The Endurant Stent-graft System (Medtronic Vascular, Santa Rosa, CA) is a next-generation device intended to expand the applicability of endovascular aortic repair (EVAR). To date, the Endurant has been evaluated in 9 short- and intermediate-term studies, several in patients presenting with challenging aneurysm anatomies. Consistently, the device in these studies has been shown to be safe and effective, with an excellent rate of deployment success and with very low rates of type I/III endoleaks and reinterventions. Single center experience with Endurant in chalenging anatomies with short kinked necks and calcified angulated iliac arteries in patients unfit for open repair and challenging anatomies show pro...
      PubDate: Wed, 27 Jul 2011 23:00:00 +010
       
  • Percutaneous endovascular abdominal aortic aneurysm repair: methods and
           initial outcomes from the first prospective, multicenter trial.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION:PEVAR with adjunctive 'pre-close' techniques using the ProGlide or Prostar XL devices is safe and feasible as applied in this multicenter experience. Continued evaluation in the prospective, randomized trial is warranted. PMID: 21796092 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 27 Jul 2011 23:00:00 +010
       
  • Trans-collateral angioplasty for the treatment of long chronic total
           occlusions of superficial femoral arteries: a novel wiring technique.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We present one representative case, and describe the technical tips and appropriate device selection criteria for the TCA procedure. The outcomes of TCA for long SFA-CTO performed last year at our institution are also summarized and discussed. PMID: 21796093 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 27 Jul 2011 23:00:00 +010
       
  • AnacondaTM: The Italian Registry.Study protocol and preliminary
           perioperative results.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION:This is an interim report on the study protocol and on the preliminary early results. Presently there are no definitive conclusions, however the perioperative results show that the AnacondaTM endograft seems to be safe and effective in the treatment of AAA, even in a high risk cohort of patients. Definitive and long-term results are needed. PMID: 21772244 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 19 Jul 2011 23:00:00 +010
       
  • Iliac branched device implantation in tortuous iliac anatomy after
           previous open ruptured aortic aneurysm repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Vourliotakis G, Bracale U, Sondakh A, Tielliu IF, Prins T, Verhoeven EL The aim of this paper was to present iliac branched device (IBD) implantation in a fit 67-year-old man with tortuous iliac anatomy after previous emergent open abdominal aortic aneurysm (AAA) repair. The patient underwent open treatment for a ruptured abdominal aortic aneurysm in another hospital. The procedure was complicated by extreme blood loss which prevented concommitant treatment of two large iliac aneurysms. Later, the patient underwent stent-grafting of a right common iliac artery aneurysm (CIAA) with coil embolization of the internal iliac artery (IIA). He was then refferred to our institute for treatment of the left CIAA with preservation of the left IIA. An IBD was used to this purpose. The int...
      PubDate: Mon, 18 Jul 2011 23:00:00 +010
       
  • Management of symptomatic carotid stenosis after IV thrombolysis: a word
           of caution.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Bartoli M, Squarcioni C, Nicoli F, Magnan P PMID: 21769083 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 18 Jul 2011 23:00:00 +010
       
  • Cryopreserved aortic allograft for the treatment of a thoracic stent graft
           infection.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We report a case of an infected descending thoracic aorta endograft, presenting itself several years after placement, with hemoptysis and back pain as referred symptoms. The patient was successfully treated by removing the thoracic aorta and replacing the infected endografts with a cryopreserved aortic allograft, running from the left subclavian artery to the aortic diaphragmatic hiatus. PMID: 21769084 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 18 Jul 2011 23:00:00 +010
       
  • Aseptic polyurethane carotid patch rejection: complication, allergy or
           miraculous healing'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We present the case of a polyurethane (PU) carotid patch rejection three years after its implant, with no evident arterial discontinuity and no sign of infection. Histopathological analysis on hematoxylin-eosin stained sections of the regenerated arterial wall tissue removed revealed plasma cell infiltration and clusters of foreign body giant cells. PU patch rejection has been seldom described in literature. This is an unusual late complication that should be considered at long-term follow-up evaluation of these patients. PMID: 21750481 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 12 Jul 2011 23:00:00 +010
       
  • Biventricular decompression by trans-septal positioning of venous ECMO
           cannula through patent foramen ovale.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Madershahian N, Salehi-Gilani S, Naraghi H, Stoeger E, Wahlers T PMID: 21712763 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 28 Jun 2011 23:00:00 +010
       
  • Use of modified Sandwich-graft technique to preserve hypogastric artery in
           EVAR treatment of complex aortic aneurysm anatomy.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION:The initial experience shows that the Sandwich technique with the Aorfix™ stent-graft demonstrated to be effective in endovascular repair of abdominal aortic aneurysms in patients with aortoiliac anatomy hostile to preserving hypogastric artery patency. This graft allows a broader group of patients to be treated with endovascular repair without potential complications of hypogastric artery occlusion; however, further studies are needed to evaluate long-term results in larger numbers of patients. PMID: 21712764 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 28 Jun 2011 23:00:00 +010
       
  • Comparison of anesthesia technique on outcomes of endovascular repair of
           abdominal aortic aneurysms: a five-year review of monitored anesthesia
           care with local anesthesia vs. general or regional anesthesia.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The results of this study suggest that use of MAC with local anesthesia during EVAR of AAAs is comparable to general and regional anesthesia in terms of safety and efficacy. Furthermore, MAC with local anesthesia confers additional outcome benefits versus general and regional anesthesia, as it is less invasive, offers greater hemodynamic stability, and enables better communication with the patient. PMID: 21712765 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 28 Jun 2011 23:00:00 +010
       
  • The combined treatment of aortic stenosis and abdominal aortic aneurysm
           using transcatheter techniques: a case report.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We describe the case of an 85 year old lady with symptomatic aortic stenosis (AS) with a history of previous coronary artery bypass grafting (CABG), who was referred for consideration of aortic valve replacement (AVR). Echocardiography revealed severe AS with peak gradient of 92 mmHg, orifice area of 0.6 cm2 and preserved left ventricular function. Computed tomography (CT) aortogram revealed a diffusely calcified aorta and an infrarenal abdominal aortic aneurysm (AAA) measuring 6.5 cm. For symptomatic and prognostic reasons she needed treatment of both the AAA and AS. Her calculated logistic EuroSCORE for AVR was 39%. Following discussion at a multidisciplinary forum, it was agreed that the best way to offer her treatment with the lowest risk was by using transcatheter techniques for both ...
      PubDate: Tue, 28 Jun 2011 23:00:00 +010
       
  • The concomitant cryosurgical Cox-Maze procedure using Argon Based
           Cryoprobes: 12 month results.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION:The one year results of the CryoCox-Maze III procedure when performed concomitantly with another cardiac surgical procedure demonstrate reasonable safety and efficacy. However, operator experience may be related to better outcome. The ablation of atrial fibrillation may be associated with improved quality of life and symptoms relief. PMID: 21623336 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 29 May 2011 23:00:00 +010
       
  • Endovascular treatment of an early arch aneurysm rupture after open
           thoracoabdominal aortic repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We present the case of a patient with a ruptured aortic arch aneurysm after open-surgery for a type III thoracoabdominal aortic aneurysm. Our therapeutic decision is described and discussed, with all the related advantages and disadvantages. PMID: 21555986 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 09 May 2011 23:00:00 +010
       
  • Primary aortoduodenal fistula in combination with aortoiliac occlusive
           disease: report of a rare case.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We report the case of a 62-year-old woman presenting with massive gastrointestinal bleeding with hematemesis and melaena. This case is unique in that the primary aortoduodenal (PADF) fistula formed as a result of complex atherosclerotic disease of the abdominal aorta and both iliacal arteries, also known as Leriche's syndrome, and not primarily due to an aneurysm. We will give a brief summary of the difficulties and challenges which the surgeon faced during the operation and a surprisingly uneventful postoperative course. PMID: 21555987 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 09 May 2011 23:00:00 +010
       
  • Effects of different proton pump inhibitors on cardiac contractility in
           isolated human failing myocardium.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: We conclude that proton pump inhibitors show significant negative inotropic effects on isolated human failing myocardium. There is no apparent difference seen in the magnitude of the effects of each PPI-group. Further, in-vivo investigations are necessary to reveal the clinical evidence of PPI's negative inotropic effects, e.g. in cardio-surgical patients with heart failure. PMID: 21499223 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 13 Apr 2011 23:00:00 +010
       
  • Fast-track pulmonary conditioning before urgent cardiac surgery in
           patients with insufficiently treated chronic obstructive pulmonary
           disease.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Short-term treatment with budenoside, salbutamol and ambroxol significantly improved lung function parameters. If surgery can be delayed for several days, pulmonary conditioning should be considered for patients with insufficiently treated COPD. PMID: 21499224 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 13 Apr 2011 23:00:00 +010
       
  • Which imaging modality is best for predicting stroke during carotid artery
           stenting'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Winston B, Wholey M PMID: 21499225 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 13 Apr 2011 23:00:00 +010
       
  • Evaluation ECMO in adult cardiac transplantation: can outcomes of marginal
           donor hearts be improved'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The salvage of failing cardiac allograft with ECMO allows effective stabilization of the hemodynamic and leads toward myocardial recovery. Extending ECMO into postoperative period provides early, continues and effective support for donor hearts with LITs and maximizes the use of such marginal organs. PMID: 21499226 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 13 Apr 2011 23:00:00 +010
       
  • Short longitudinal versus transverse skin incision for carotid
           endarterectomy: impact on cranial and cervical nerve injuries and esthetic
           outcome.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: The objective of this retrospective study was to compare the results between the short longitudinal with the short transverse cervical incision and to evaluate their impact on cranial and cervical nerves and aesthetic outcomes. PMID: 21460763 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 31 Mar 2011 23:00:00 +010
       
  • Does medical specialty influence the treatment of asymptomatic carotid
           stenosis' A Belgian multidisciplinary survey.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Schrooten M, Fourneau V, Thijs V, Verhamme P, Nevelsteen A The aim of this study was to supplement the few data that exist regarding the potential effect of the referring medical specialty on the proposed treatment for asymptomatic carotid stenosis. PMID: 21460764 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 31 Mar 2011 23:00:00 +010
       
  • A nanotechnology-based delivery system: Nanobots. Novel vehicles for
           molecular medicine.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Jacob T, Hemavathy K, Jacob J, Hingorani A, Marks N, Ascher E We previously demonstrated that adenovirus-mediated p53 gene transfer following balloon angioplasty, decreased neointimal hyperplasia. However, safety concerns arise because viral promoters can cause unrestricted transgene expression. The paucity of safe and efficient vehicles for gene transfer thus limits the potential for clinical utilization of gene therapy. Our objective was to design and clone a virus-free p53 construct, targeted to express specifically in vascular smooth muscle cells (SMCs), via a nanoparticle-based delivery system for therapeutic modulation in vascular wall. PMID: 21460765 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 31 Mar 2011 23:00:00 +010
       
  • Endovascular repair of abdominal aortic aneurysms. Challenges and
           opportunities.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Thompson M PMID: 21460766 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 31 Mar 2011 23:00:00 +010
       
  • Should the role of EVAR be re-evaluated in light of the 10 year results of
           EVAR-1'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This article presents and examines the EVAR-1 data and reports the additional wealth of evidence supporting EVR from prospective registries. It proposes that EVR should be re-evaluated, but not as a consequence of the long-term EVAR-1 results. Clinicians' expertise, understanding and the technology of EVR have progressed significantly since the establishment of the EVAR-1 trial, such that the results, though valuable, may not translate to modern practice. It is essential to maintain excellence in vascular surgery and the evidence-base now demonstrates that best practice in AAA management is in specialist vascular centres, performing high volume surgery offering EVR to all patients who are morphologically suitable. PMID: 21460767 [PubMed - in process] (Source: The Journal of Cardiovascu...
      PubDate: Thu, 31 Mar 2011 23:00:00 +010
       
  • Complications and reinterventions after EVAR: are they decreasing in
           incidence'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Donas KP, Torsello G Endovascular repair of infrarenal abdominal aortic or aortoiliac aneurysms (EVAR) using currently available stent-grafts has proven to be a safe, effective, and durable method with great acceptance among vascular surgeons. Comparison of elective EVAR versus "open" elective abdominal aortic aneurysm (AAA) repair showed significant advantages for EVAR in terms of perioperative complications, postoperative care, and early patient recovery. However, a remarkable incidence of mid- and long-term EVAR-related complications remains. Additionally, several strategies have been investigated to overcome limitations related to very short aortic neck anatomies such as fenestrated or chimney grafts expanding the application of endografts in hostile anatomies. The outcome...
      PubDate: Thu, 31 Mar 2011 23:00:00 +010
       
  • Is it time to eliminate CT after EVAR as routine follow-up'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Verhoeven EL, Oikonomou K, Ventin FC, Lerut P, Fernandes E Fernandes R, Mendes Pedro L Growing concerns regarding radiation exposure, contrast induced nephropathy and increasing costs lead us to reconsider the necessity of CTA for all EVAR patients. The purpose of this study is to compare the results of different follow-up imaging modalities with the aim of finding a rationale to the optimal follow-up imaging protocol. We reviewed recent literature regarding post EVAR imaging modalities and compared it to our experience with different follow-up protocols. Modalities compared were CTA, DUS, CEUS, and plain abdominal X-ray with regard to detection of complications, cost, overall impact to the patient, and on decision making regarding reintervention. CTA is related to increased f...
      PubDate: Thu, 31 Mar 2011 23:00:00 +010
       
  • Long-term effects of EVAR. Suprarenal versus infrarenal fixation.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Noorani A, Walsh SR, Boyle JR Endovascular aortic aneurysm repair (EVAR) is the first line management of abdominal aortic aneurysms in many institutions. The relationship between EVAR and renal impairment, especially in the longer term remains unclear. Suprarenal graft fixation is widely used in order to achieve stable graft anchorage. Numerous studies have tried to answer the question about whether suprarenal fixation affects renal outcome. We reviewed the literature to investigate the relationship between endograft fixation and post-operative renal function. PMID: 21460770 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 31 Mar 2011 23:00:00 +010
       
  • Management of endograft infections.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Numan F, Gulsen F, Solak S, Cantasdemir M Endovascular abdominal aortic aneurysm repair (EVAR) and thoracic endovascular aneurysm repair (TEVAR) have become well-accepted alternatives to traditional open surgery because of the diminished perioperative complications. Aortic stent-graft infection is an uncommon complication and little is known about the general features of and potential risk factors for aortic stent-graft infection, and treatment is administered on a case-by-case basis with no consensus guidelines. Despite a low infection rate, the associated mortality rates are extremely high and the morbidity rate, even with aggressive surgical interventions, is also high. Since 1991 only 117 cases of thoracic and abdominal endograft infections have been reported in the litera...
      PubDate: Thu, 31 Mar 2011 23:00:00 +010
       
  • Drug-eluting stents above the knee.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Minar E There are only very few trials concerning use of drug-eluting stents (DES) in the femoropopliteal segment. While earlier trials using a sirolimus-eluting polymer-coated stent and an everolimus-eluting stent failed to demonstrate improved mid-term patency compared with a bare-metal stent, the recently presented ‑ however still unpublished - data with the Zilver PTX stent using a polymer-free paclitaxel coating are very promising. Before we can make definite conclusions and recommendations, we have to see longer-term follow-up data. A potential future improvement of local drug application for the necessary time span without the disadvantages of permanent stent implantation can be expected by the development of completely bioabsorbable DES. PMID: 21460772 [PubMed - ...
      PubDate: Thu, 31 Mar 2011 23:00:00 +010
       
  • Drug-eluting stents below the knee.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Bosiers M, Deloose K, Callaert J, Keirse K, Verbist J, Peeters P The fear that early thrombosis and late luminal loss due to intimal hyperplasia formation potentially leads to insufficient long-term patency rates can explain the reluctance on implanting stents in small diameter below-the-knee (BTK) arteries. Drug-eluting stent (DES) technology was developed to prevent early thrombosis and late luminal loss to potentially improve long-term patency rates. Currently, the first level 1 evidence from prospective, randomized, controlled DESTINY and ACHILLES studies indicate that the implantation of DES in short lesion lenghts in the infrapopliteal vasculature leads to favorable outcomes with high primary patency rates. This makes that primary DES placement can be recommended as trea...
      PubDate: Thu, 31 Mar 2011 23:00:00 +010
       
  • Drug-coated balloons in the lower limb.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This article gives an overview upon already published and presented data and still ongoing trials on drug releasing balloons in the peripheral arteries. PMID: 21460774 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 31 Mar 2011 23:00:00 +010
       
  • A new idea for a safer approach to the supra-aortic trunks: the PitonTM
           catheter.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Setacci C, Moratto R, Sirignano P, Setacci F, Silingardi R, Coppi G Carotid artery disease is among the most common causes of stroke, and stroke is the third leading cause of death in industrialized countries. Thus the personal health and socioeconomic burden of carotid artery disease is significant. Carotid artery disease accounts for approximately 5-12% of new strokes in patients amenable to revascularization therapy. Atherosclerosis is the main reason for stroke and accounts for approximately one third of all cases. Carotid stenting is nowadays considered a valid standard alternative to surgical carotid endarterectomy, especially in patients having a high perioperative risk. The first carotid balloon angioplasty was carried out in 1979 and the first carotid balloon-expandab...
      PubDate: Thu, 31 Mar 2011 23:00:00 +010
       
  • Veins are no arteries: even moderate arterial pressure induces significant
           adhesion molecule expression of vein grafts in an ex vivo circulation
           model.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This study enlightens the influence of an even moderate arterial pressure on the gene expression of adhesion molecules in venous grafts which play a decisive role for the early induction of atherogenesis. PMID: 21460776 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 31 Mar 2011 23:00:00 +010
       
  • Heparin- and basic fibroblast growth factor-incorporated degradable stent:
           comparison with traditional transmyocardial revascularization.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Wei Zhang G, Liu XC, Luan Mphil Y, Zhao J, Shi RF, Bin Zhao X, Liu TJ, Lü F, Yang Q, He GW We have recently developed a novel method transmyocardial drilling revascularization (TMDR) combined with heparinized bFGF-incorporating degradable tubular stent implantation to revascularize ischemic myocardium. The aim of the present study was to compare the effect of this new method on left ventricular (LV) remodeling and global function to traditional transmyocardial revascularization (TMR) in acute myocardial ischemia. PMID: 21460777 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 31 Mar 2011 23:00:00 +010
       
  • Immediate and 5-year outcome after coronary artery bypass surgery in very
           high risk patients (additive EuroSCORE ≥10).
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Mosorin MA, Heikkinen J, Pokela M, Anttila V, Mosorin M, Lahtinen J, Juvonen T, Biancari F We have evaluated the outcome after coronary artery bypass surgery in very high risk patients (additive EuroSCORE≥10). The impact of beating heart coronary artery bypass surgery (BHCAB) on their outcome has been evaluated. PMID: 21460778 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 31 Mar 2011 23:00:00 +010
       
  • Determination of flow profiles of different mechanical aortic valve
           prostheses using phase-contrast MRI.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Pennekamp W, Geyhan N, Soeren P, Volkmar N After heart valve replacement in aortic position turbulences may occur in the aortic outflow tract. Valve-induced turbulences and retrograde flow represent a loss of efficiency of cardiac output in respect to antegrade kinetic energy of blood flow. Aim of this study is the evaluation of the flow profiles of monoleaflet and bileaflet valves after aortic valve replacement. PMID: 21460779 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 31 Mar 2011 23:00:00 +010
       
  • Bovine valved venous xenograft in pulmonary position: medium term
           evaluation of risk factors for dysfunction and failure after 156 implants.
           
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This study evaluated risk factors for dysfunction and failure of the bovine Contegra valved conduit for right ventricle outflow tract reconstruction. PMID: 21460780 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 31 Mar 2011 23:00:00 +010
       
  • Acute dissection of the left anterior descending after contusio cordis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We report a case of acute dissection of the left anterior descending (LAD) after contusio cordis that presented at our institution. In our case we performed the off pump coronary artery bypass operation (OPCAB) procedure with left internal mammary artery (LIMA) on LAD by a partial lower sternotomy approach. There were no operative or perioperative complications and the patient was discharged from hospital 6 days postoperatively. OPCAB operation through the partial lower sternotomy is a safe and effective technique for the treatment of patients with acute dissection of a coronary artery after blunt chest trauma. PMID: 21460781 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 31 Mar 2011 23:00:00 +010
       
  • Cryopreserved homograft and autologous deep vein replacement for
           infrarenal aorto and iliaco-femoral graft infection: early and late
           results.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Bíró G, Szeberin Z, Nemes A, Acsády G The aim of the study was to evaluate the early and late results of aortic replacement using cryopreserved homografts and autologous deep veins for infected infrarenal prosthetic reconstructions and the influence of type of bacteria on the mortality. PMID: 21464818 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 31 Mar 2011 23:00:00 +010
       
  • The need of a new training paradigm.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Torsello G, Torsello GF PMID: 21224804 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 14 Jan 2011 08:46:14 +010
       
  • The role of the UEMS vascular surgery in Europe.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Cairols MA PMID: 21224805 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 14 Jan 2011 08:46:10 +010
       
  • Open vascular surgery as a starting point for endovascular surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : de Donato G, Setacci F, Chisci E, Cappelli A, Palasciano G, Setacci C What distinguishes vascular surgeons from other specialists who treat patients with vascular disease is their ability to combine skills in both open and endovascular treatments. Open vascular surgery should be considered the "starting point" for endovascular surgery, since training and practice in vascular surgery require extensive knowledge of the basic science and a thorough education in general surgical techniques. In addition, surgeons must possess detailed specialized knowledge of the anatomy and physiology of arteries, veins and lymphatics and of the pathological processes which may affect them. This scientific and technical background is also imperative for endovascular surgery. Open vascular surgery ...
      PubDate: Fri, 14 Jan 2011 08:46:07 +010
       
  • Training with simulation versus operative room attendance.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This article reviews the evidence and the limitations for this adjunctive tool, the implementation in current training programmes and future applications to maintain the highest standards of care for treatment of vascular disease. PMID: 21224807 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 14 Jan 2011 08:46:04 +010
       
  • Importance of exchange of vascular trainees among centers.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Bosiers M, Moreels N, Callaert J, Deloose K Training in surgery has for a long time been based on the classical model of master-apprentice, leading to the creation of "schools" comparable to the famous painter schools of Rubens, Rembrandt and many others during the Middle Ages. Although it may offer some advantages, this model is no longer suitable today. Modern vascular surgery covers several fields, including not only open vascular and endovascular treatment, but also non-invasive diagnosis and medical treatment of vascular diseases in different parts of the human body. However, the goal of training remains the formation of a "holistic vascular surgeon", with knowledge of and experience in all these areas. As most training centers are more focused on and have more expertise ...
      PubDate: Fri, 14 Jan 2011 08:46:01 +010
       
  • Vascular surgery training and its relationship to other surgical
           specialties.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Tsekouras N, Avgerinos ED, Moulakakis K, Papasideris C, Giannakopoulos T, Liapis CD During the last 50 years vascular surgery has met an enormous evolution, paving the way for the development of modern vascular and endovascular surgery. Although, vascular surgery (VS) has emerged from general (GS) and cardiothoracic surgery (CTS), the need for specialized training has been recognized and gradually practice patterns are shifting towards vascular independence, but yet not in all countries. In these countries VS training is either permitted only after prerequisite GS certification, or as a non accredited surgical specialty, VS might be included in GS or CTS training and certification. Such a policy raises two main issues: the efficiency of vascular training within the GS or CTS c...
      PubDate: Fri, 14 Jan 2011 08:45:57 +010
       
  • The role of leading centers for endovascular surgery in education and
           training for endovascular treatment of peripheral vascular disease.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Krajcer Z, Ghosheh B The field of peripheral vascular disease (PVD) management is rapidly evolving with the advent of new endovascular techniques. These new techniques frequently involve hybrid approaches for treating complex aortic pathologies. Like many new procedures, endovascular techniques present new challenges for physicians who care for patients with complex vascular pathologies. Physicians must not only understand the disease entity, but the knowledge, expertise in and all available therapeutic options, including the new techniques being employed. To enable physicians to meet these requirements for endovascular techniques and stent-graft technology and to become credentialed to perform them, specific training requirements must be established for peripheral vascular tr...
      PubDate: Fri, 14 Jan 2011 08:45:54 +010
       
  • Training of vascular surgeons by interventional radiologists.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Cefali P, Rosso R, Van Den Berg JC This paper will discuss the potential role of interventional radiologists in teaching of endovascular skills to vascular surgical trainees. Prerequisites and advantages of such a training will be discussed, as well as the secondary effect this kind of training program may have on developing multidisciplinary teams. PMID: 21224811 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 14 Jan 2011 08:45:50 +010
       
  • Proctorship for CAS training: a pilot study of safety and reproducibility.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Cappelli A, Chisci E, Setacci F, De Donato G, Iacoponi F, Gaggiano A, Ferri M, Giudice R, Nessi F, Setacci C The literature continues reporting a high complication rate for carotid artery stenting (CAS) during the learning-curve phase (LCP). The aim of this study was to report a simple and reproducible method designed to improve CAS results during the LCP. PMID: 21224812 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 14 Jan 2011 08:45:46 +010
       
  • Incidence of systemic inflammatory response syndrome after endovascular
           aortic repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : De La Motte L, Vogt K, Panduro Jensen L, Groenvall J, Kehlet H, Veith Schroeder T, Lönn L The aim of this study was to estimate the incidence of the post-implantation syndrome/systemic inflammatory response syndrome (SIRS) after endovascular aortic repair. PMID: 21224813 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 14 Jan 2011 08:45:43 +010
       
  • Heparin-induced thrombocytopenia: what a vascular surgeon needs to know.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This article aims in a comprehensive review of the literature for newly emerged data in the pathogenesis, diagnosis and management of heparin-induced thrombocytopenia. PMID: 21224814 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 14 Jan 2011 08:45:39 +010
       
  • Successful percutaneous endovascular treatment of symptomatic infrarenal
           aortic stenosis caused by soft-plaque with the endurant stent-graft.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Donas KP, Schönefeld T, Schwindt A, Troisi N, Torsello G Focal stenosis or occlusion of the infrarenal aorta is a relatively rare entity. In particular, soft-plaque of atherothrombotic origin in the aortic segment is linked to high-risk for peripheral embolisation. To our knowledge, the present case report describes for first time in the literature successful percutaneous treatment of a symptomatic soft-plaque infrarenal aortic stenosis with severe calcification of the iliac vessels by stent-graft, in particular by the new Endurant. Endovascular exclusion of the thrombotic lesion by endoprosthesis covers the atherosclerotic wall treating the potential underlying cause of the thrombus formation. The radial force of the endoprosthesis seems to be sufficient achieving complete e...
      PubDate: Fri, 14 Jan 2011 08:45:36 +010
       
  • Double renal chimney graft using only femoral approach.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We describe a case of a successful positioning of the chimney graft using only the femoral approach. The only femoral approach to position a renal chimney graft isn't recommended for the routine procedure but it is proved to be useful in selected case and when other treatment options are excluded. PMID: 21224816 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 14 Jan 2011 08:45:33 +010
       
  • Incidence and predictors of infection in patients undergoing primary
           isolated coronary artery bypass grafting: a report from a tertiary care
           hospital in a developing country.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Ahmed D, Cheema FH, Ahmed YI, Schaefle KJ, Azam SI, Sami SA, Sharif HM Infection following coronary artery bypass grafting (CABG) is a leading cause of morbidity, mortality, and increased length of hospital stay. Many studies have investigated the predictive value of known risk factors for infection in patients following CABG and conclusions have been variable and may reveal regional or institution-specific influence. The purpose of this prospective study was to determine the pre- and peri-operative risk factors for infection in patients undergoing coronary artery bypass surgery in a developing country. PMID: 21224817 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 14 Jan 2011 08:45:30 +010
       
  • Evaluation of aortic cannula jet lesions in a porcine cardiopulmonary
           bypass (CPB) model.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Schnürer C, Hager M, Györi G, Velik-Salchner C, Moser PL, Laufer G, Lorenz IH, Kolbitsch C In cardiosurgery patients atherosclerotic debris displaced from the cannulation site but also from the opposite aortic wall by the "sandblast-like" effect of the high-pressure jet emanating from the cannula is a potential source of intraoperative arterial embolization and consequently postoperative neurologic dysfunction. The present study examined the extent to which shear stress exerted on the intact aortic intima by an aortic cannula jet stream can cause endothelial lesions that promote thrombogenesis and consequently thrombembolism. A single-stream, straight-tip aortic cannula was used in a porcine cardiopulmonary bypass (CPB) model. Following a 120-minute CPB pump run, a 60-minute...
      PubDate: Fri, 14 Jan 2011 08:45:26 +010
       
  • Laparatomy due to gastrointestinal complications after open heart surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Movahedi N, Karimi A, Ahmadi H, Davoodi S, Marzban M, Abbasi K, Salehi Omran A, Shirzad M, Yazdanifard P Abdominal complications following open heart surgery remain rare but fatal events with mortality rates of 14.5% up to 100%. Manifestations and managements of these complications are varying. Approximately, 25% of patients with gastrointestinal complications require surgical management with obviously higher mortality risks. The aim of this study was to determine the perioperative prognostic factors of gastrointestinal complications with surgical consequences after cardiac surgery. PMID: 21224819 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 14 Jan 2011 08:45:23 +010
       
  • Diffusion-weighted magnetic resonance imaging for the detection of
           ischemic brain lesions in coronary artery bypass graft surgery: relation
           to extracorporeal circulation and heparinization.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Mirow N, Zittermann A, Körperich H, Börgermann J, Koertke H, Knobl H, Gieseke J, Ostertun B, Coskun T, Kleesiek K, Burchert W, Gummert JF Cognitive decline is a well recognized complication after on-pump coronary artery bypass graft (CABG) surgery. We investigated whether the design of extracorporeal circulation (ECC) and the extent of perioperative heparinization have an impact on neurological dysfunction. PMID: 21224820 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 14 Jan 2011 08:45:20 +010
       
  • Enhancement of non-coronary collateral blood flow from the internal
           thoracic arteries: the theoretical and practical basis of an alternative
           method of myocardial blood supply.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Picichè M, Kingma JJ, Fadel E, Dagenais F, Mathieu P, Simard D, Demaria RG, Voisine P Non-coronary collateral blood flow arrives to the heart from mediastinal, bronchial, and pericardial channels. These enter the heart through the pericardial reflections surrounding the pulmonary and systemic veins, as well as from the vasa vasorum of the aorta and the pulmonary artery leading to and from the myocardium. Before the advent of cardiopulmonary bypass surgery, surgical bilateral ligature of the internal thoracic arteries (ITAs) was performed in patients with ischemic heart disease to increase the perfusion pressure within the channels leading to the heart. Nowadays, the occurrence of natural collaterals between coronary and extracardiac arteries including the ITAs, the potential ...
      PubDate: Fri, 14 Jan 2011 08:45:16 +010
       
  • Clinical management of doxorubicin-induced heart failure.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Christiansen S Doxorubicin-induced heart failure is a rare but serious illness due to the well-known treatment difficulties. Prevention strategies have not demonstrated the expected success and unfortunately, this specific type of heart failure does not respond well to the usual medical therapy as other kinds of heart failure. Therefore, surgical procedures may be necessary in some patients. Cardiac transplantation is performed in most cases but it requires the cure of the neoplastic disease. This usually requires a recurrence-free interval of several years which is associated with a high attrition rate in these patients due to their cardiac disease. Therefore, ventricular assist devices were implanted in selected patients. This review presents the most common procedures and d...
      PubDate: Fri, 14 Jan 2011 08:45:13 +010
       
  • Paraganglioma of the hypoglossal nerve. A really rare location suggesting
           embryonic origin.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Santovito D, Varetto G, Conforti M, Tallia C, Rispoli P PMID: 21224823 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 14 Jan 2011 08:45:10 +010
       
  • Epidemiology of opium use in 4398 patients admitted for coronary artery
           bypass graft in Tehran Heart Center.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Sadeghian S, Dowlatshahi S, Karimi A, Tazik M PMID: 21224824 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 14 Jan 2011 08:45:07 +010
       
  • District-based abdominal aortic aneurysm screening in population aged 65
           years and older.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The prevalence of patients with AAA (6.2%) was similar to previously published estimates. Nevertheless, AAA resulted very high in males. This observation is likely due to screening in a city with a very high percentage of elderly subjects. Family predisposition to cardiovascular disease resulted significant risk factor for AAA. Results of our epidemiological study provide evidence of the usefulness of AAA screening thanks to early diagnosis and appropriate treatment of AAA. PMID: 21124273 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Dec 2010 00:00:00 +010
       
  • Performance of ePTFE-covered endograft in patients with occlusive disease
           
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: ePTFE-covered endografts have excellent properties for treatment of SFA stenosis or occlusions. There was no intimal hyperplasia inside endografts, and graft occlusion occurred due to progression of atherosclerotic disease outside the graft. PMID: 21124274 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Dec 2010 00:00:00 +010
       
  • From puncture to closure of the common femoral artery in endovascular
           aortic repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Lönn L, Larzon T, Van Den Berg JC In all fields of surgery there is a trend towards less invasive procedures reducing hospital stay, complications and mortality. Open surgery in the treatment of aortic diseases is gradually less applied, and instead endovascular aortic repair - EVAR - is a widely accepted treatment modality of today. The traditional approach in EVAR involves surgical exposure of the femoral arteries with bilateral groin incisions. Through the groin access, and under fluoroscopy, a special insertion sheath introducer is used to position a stent graft in the desired location with the patient in general or epidural anesthesia. The evolving stent-technology with smaller sheath sizes has broadened the scenario for alternative approaches for access and closure of t...
      PubDate: Wed, 01 Dec 2010 00:00:00 +010
       
  • Impact of stent design on the outcome of intervention for carotid
           bifurcation stenosis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Hart JP, Bosiers M, Deloose K, Uflacker R, Schönholz CJ Over the past several years, there has been continued significant interest in refinement of patient selection, devices, procedures and protocols in an effort to optimize the outcome of percutaneous intervention for carotid bifurcation stenosis, including: ongoing National Institutes of Health and manufacturer trials and registries; the further refinement of existing devices and emergence of new platforms to attain distal embolic protection; ongoing study of what really constitutes a high-risk carotid surgery or stenting patient; and attention to device characteristics and patient-device matching. Within the latter area, considerable interest has focused on stent characteristics that have the potential to impact short and...
      PubDate: Wed, 01 Dec 2010 00:00:00 +010
       
  • Hybrid procedures for the treatment of aortic arch aneurysms.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Eagleton MJ, Greenberg RK Aortic arch aneurysms present a significant clinical challenge. Historically, open repair has been the mainstay of therapy, but it is associated with significant morbidity and mortality. In particular, the risk of stroke is not insignificant. The development of endovascular therapies has allowed for the less invasive treatment of thoracic aortic aneurysms using endograft therapy. This treatment is limited by the need for "healthy" aorta proximal and distal to the aneurysm in order to get an appropriate seal. This limits use of endografts in the aortic arch as treatment of aneurysms in this location would necessitate coverage of critical brachiocephalic vessels including the innominate and left carotid arteries. To overcome these limitations, hybrid ap...
      PubDate: Wed, 01 Dec 2010 00:00:00 +010
       
  • Hybrid procedures for the treatment of thoracoabdominal aortic aneurysms
           and dissections.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Chiesa R, Tshomba Y, Marone EM, Logaldo D, Bertoglio L, Kahlberg A, Melissano G The search for less invasive therapeutic approaches to thoracoabdominal aortic aneurysms (TAAAs) brought endovascular procedures to establish themselves as alternatives to open surgery in high-risk patients. Aim of this study is to illustrate the hybrid - open and endovascular - treatment of dissecting and non-dissecting TAAAs, and to analyze short and midterm results at our Center. We analyzed 41 high-risk patients who underwent hybrid TAAA repair (dissecting TAAA in 17% of cases) with a variety of visceral rerouting configuration and of commercially available thoracic endografts. Thirty-one simultaneous (76%) and 10 staged procedures (24%) were performed with a four-vessel revascularization in 13...
      PubDate: Wed, 01 Dec 2010 00:00:00 +010
       
  • Hybrid procedures for peripheral obstructive disease.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Schrijver AM, Moll FL, De Vries JP The incidence and prevalence of high-risk patients suffering from critical limb ischemia due to multilevel arterial obstructive disease is growing rapidly. Invasive surgical procedures to restore inflow to the crural and pedal circulation in case of TransAtlantic InterSociety Consensus C and D (TASC) lesions of the iliacofemoral arteries are related with substantial morbidity and mortality. The mid-term and long-term outcomes of sole percutaneous revascularization procedures are disappointing for TASC C and D lesions. Hybrid endovascular and open surgical revascularization procedures might be of benefit because of its less invasive character, no need for extensive venous graft material, and the ability to overcome long-segment arterial obstru...
      PubDate: Wed, 01 Dec 2010 00:00:00 +010
       
  • Hybrid procedures for acute limb ischemia.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : de Donato G, Setacci F, Sirignano P, Galzerano G, Raucci A, Palasciano G, Setacci C The most efficient treatment for acute arterial embolism is operative embolectomy using Fogarty's balloon catheter, especially if a single large artery is involved. Unfortunately, although the early surgical success of arterial thromboembolectomy often seems acceptable, the early clinical outcome still remains unsatisfactory. This may be related to the incomplete restoration of perfusion (i.e., residual thrombus in distal vessels not reached by the balloon catheter thromboembolectomy), propagation of residual thrombi or presence of underlying steno-occlusive lesions. In such a situation a meticulous intraoperative assessment of the adequacy of clot removal is decisive. Residual thrombus, chroni...
      PubDate: Wed, 01 Dec 2010 00:00:00 +010
       
  • Size does matter! Small-cell-stents are protection enough.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Tiekte M PMID: 21124281 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Dec 2010 00:00:00 +010
       
  • Hybrid procedures in vascular surgery: converging technique to improve
           results.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Choke E, McCarthy M PMID: 21124282 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Dec 2010 00:00:00 +010
       
  • Embolic protection in carotid artery stenting: "a
           no-brainer"'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Embolic protection in carotid artery stenting: "a no-brainer"' J Cardiovasc Surg (Torino). 2010 Dec;51(6):861-4
      Authors : Macdonald S PMID: 21124283 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Dec 2010 00:00:00 +010
       
  • Catheter aspiration thrombectomy during carotid stenting is safe and
           potentially efficacious: a pilot retrospective study.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Aspiration thrombectomy recovers large to moderate amounts of debris and is safe and does not increase adverse periprocedural events. A large scale, randomized trial with magnetic resonance imaging (MRI) is needed to further investigate our findings. PMID: 21124284 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Dec 2010 00:00:00 +010
       
  • How do I select cerebral protection devices today'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Schneider PA, Ansel G The establishment of cerebral protection has matured conceptually and clinically in recent years. We have accepted that some type of cerebral protection is desirable. We have some choices in whether to use filters, proximal occlusion, or proximal occlusion with reversed flow. There are anatomical and clinical factors that drive the choice of cerebral protection devices. Certain practical applications of cerebral protection technologies can be made based upon clinical experience. Making carotid artery stenting (CAS) safer is the key to a broader application of CAS as a treatment method and optimal selection of atherosclerosis new cerebral protection devices helps to achieve that goal. PMID: 21124285 [PubMed - in process] (Source: The Journal of Cardiov...
      PubDate: Wed, 01 Dec 2010 00:00:00 +010
       
  • CD34 positive cells seeded on small caliber man-made vascular grafts
           exhibit increased antithrombogenic property compared with unfractioned
           mononuclear cells.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: CD34+ cell exerted better antithrombogenic property than unfractioned MNCs after seeding onto the small caliber vessel grafts. PMID: 21124286 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Dec 2010 00:00:00 +010
       
  • Myocardial protection in cardiac surgery patients requiring prolonged
           aortic cross-clamp times: a single-center evaluation of clinical outcomes
           comparing two blood cardioplegic strategies.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: ICC results in less myocardial damage and reduced postoperative cardiac mortality and morbidity in patients requiring extended periods of aortic-cross-clamping during on-pump cardiac surgery, suggesting superior cardioprotection when compared to IWC. PMID: 21124287 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Dec 2010 00:00:00 +010
       
  • Respiratory tract infections after cardiac surgery: impact on hospital
           morbidity and mortality.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: NP after cardiac surgery is associated with severe outcomes. Independent risk markers for respiratory tract infection were left ventricular ejection fraction <30%, chronic renal failure and urgent surgery. PMID: 21124288 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Dec 2010 00:00:00 +010
       
  • Pulmonary function and immediate and late outcome after coronary artery
           bypass surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: This study confirmed the significant, negative prognostic impact of pulmonary disease on the immediate and long-term survival after isolated CABG. PMID: 21124289 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Dec 2010 00:00:00 +010
       
  • Unchanged heat-shock protein 70 expression in myocardium of patients with
           permanent atrial fibrillation.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The unchanged expression of Hsp70 may indicate that the cytoplasmic stress response in permanent AF is exhausted. PMID: 21124290 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Dec 2010 00:00:00 +010
       
  • Minimally invasive partial inferior sternotomy for congenital heart
           defects in children.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The partial inferior sternotomy approach to congenital heart operations is less invasive than and cosmetically superior to full sternotomy with reduced postoperative pain and discomfort for the patients. This approach ensures a safe procedure with excellent exposure without additional incisions. It is our standard approach in infants/children with septal defects. PMID: 21124291 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Dec 2010 00:00:00 +010
       
  • Pleural opening impairs respiratory system compliance and resistance in
           off-pump coronary artery bypass grafting.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Pleura opening and need of chest tube insertion induced significant reduction in static lung compliance and increase in total respiratory system resistance, furthermore contributing to impair pulmonary dysfunction in the early postoperative period after OPCAB. PMID: 21124292 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Dec 2010 00:00:00 +010
       
  • The mystery of aortic dissection: a 250-year evolution.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Criado FJ PMID: 20924321 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 30 Sep 2010 23:00:00 +010
       
  • Recent advances in the management of thoracic dissection.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Krajcer Z, Ghouri MA PMID: 20924322 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 30 Sep 2010 23:00:00 +010
       
  • Outcome of patients with open and endovascular repair in acute complicated
           type B aortic dissection: a systematic review and meta-analysis of case
           series and comparative studies.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: This summary analysis suggests that endovascular treatment of complicated acute type B aortic dissection produces favourable initial outcomes and would seem to be a great addition to the treatment options for this condition. Further study of long-term outcomes is required. PMID: 20924323 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 30 Sep 2010 23:00:00 +010
       
  • DeBakey type I dissection: when hybrid stent-grafting is indicated'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: This hybrid approach in patients with AAD and CAD type I is safe when indicated and renders stable results over time down to the stent-graft end. Secondary TEVAR can be easily performed downstream when necessary. The international E-vita open registry data supports this single center results. PMID: 20924324 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 30 Sep 2010 23:00:00 +010
       
  • Acute aortic dissection: natural history and classification.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This article aims to review our current understanding of the natural history and classification of acute aortic dissection. PMID: 20924325 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 30 Sep 2010 23:00:00 +010
       
  • Arterial elastic fiber structure. Function and potential roles in acute
           aortic dissection.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Pratt B, Curci J The lethality of acute aortic dissection is well recognized. Successful treatment and prevention of aortic dissection is going to be dependent upon an improved understanding of the molecular and physiologic events which predispose to dissection development and propagation. In this review, we will focus on the elastic fiber, one of the critical elements of the aortic wall matrix. Mechanical or functional failure of the elastin in the wall of the aorta likely predisposes to dissection as well as the post-dissection aortic degeneration with aneurysm formation. Insight into the role of the elastin and the elastic fiber in aortic dissection has recently been accelerated by research into the molecular mechanisms associated with hereditary propensity for aortic disse...
      PubDate: Thu, 30 Sep 2010 23:00:00 +010
       
  • Decision-making in type-B dissection: current evidence and future
           perspectives.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Bastos Gonçalves F, Metz R, Hendriks JM, Rouwet EV, Muhs BE, Poldermans D, Verhagen HJ Aortic dissection is a devastating cardiovascular condition with an incidence of 3,5:100 000. It is classified according to anatomic extent, mechanism of lesion, duration from index event and course (uncomplicated vs. complicated). Intramural hematoma and penetrating aortic ulcers share many of the features of classic dissections, but tend to occur in older patients with advanced atherosclerosis. In uncomplicated type-B dissection, conservative treatment with tight blood pressure and heart rate control is safe and effective. Early stent-graft implantation may, however, result in more favorable aortic remodeling and reduced late complications. For acute complicated cases intervention is usua...
      PubDate: Thu, 30 Sep 2010 23:00:00 +010
       
  • Aortic dissection and sport: physiologic and clinical understanding
           provide an opportunity to save young lives.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Mayerick C, Carré F, Elefteriades J Understanding the relationship between acute type A aortic dissection and sport is crucial to prevent sudden cardiac death in seemingly healthy young individuals. Aerobic exercise produces only a modest rise in arterial blood pressure (140-160 mmHg) except at the highest levels of exertion, at which pressures between 180-220 mmHg are reached. Weight training, on the other hand, routinely produces acute rises in blood pressure to over 300 mmHg. This presents a danger for individuals with an unknown aortic aneurysm; the deteriorated mechanical properties of the aortic wall resulting from aneurysmal enlargement increase the susceptibility to aortic rupture when the high wall coincident with exertion exceeds the tensile strength of the aortic w...
      PubDate: Thu, 30 Sep 2010 23:00:00 +010
       
  • Stent-graft in dissected aorta: aspects on seal and risk for disrupture of
           the dissection membrane.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Malina M, Resch T, Dias N, Sonesson B PMID: 20924329 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 30 Sep 2010 23:00:00 +010
       
  • Marfan Syndrome: when to operate TAA(A)s'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Greiner A, Grommes J, Lancer S, Autschbach R, Jacobs MJ Marfan Syndrome is a heritable disorder of connective tissue leading to aortic aneurysms and other cardiovascular complications associated with reduced life expectancy. Marfan patients with thoracic aortic aneurysms (TAAs) or with thoracoabdominal aortic aneurysms (TAAAs) should be treated by means of open surgery, requiring an extensive protocol, including extracorporeal circulation, neuromonitoring and adjunctive modalities to provide organ protection. Then, open surgical repair of TAA(A)s are associated with excellent results. However, in the last time a gradual change to endovascular treatment in Marfan patients is observable. Particularly in patients with an increased surgical risk due to redo sternotomy or thoracoto...
      PubDate: Thu, 30 Sep 2010 23:00:00 +010
       
  • Renal angioplasty and stenting: is it still indicated after Astral and
           Star studies'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Henry M, Benjelloun A, Henry I, Polydorou A, Hugel M A renal artery stenosis (RAS) is common among patients with atherosclerosis, up to a third of patients undergoing cardiac catheterization. Fibromuscular dysplasia is the next cause of RAS, commonly found in young women. Atherosclerosis RAS generally progresses overtime and is often associated with loss of renal mass and worsening renal function (RF). Percutaneous renal artery stent placement is the preferred method of revascularization for hemodynamically significant RAS according to ACC and AHA guidelines. Several randomized trials have shown the superiority of endovascular procedures to medical therapy alone. However, two studies ASTRAL and STAR studies were recently published and did not find any difference between renal ...
      PubDate: Thu, 30 Sep 2010 23:00:00 +010
       
  • Catheter-based renal sympathectomy.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Id D, Bertog SC, Wunderlich N, Sievert H The sympathetic nervous system via its effect on the kidney maintains a key role in blood pressure regulation and in the pathogenesis of hypertension. In turn, the kidney receives a dense innervation of afferent sympathetic fibers allowing it to effectively modulate the sympathetic tone. Hence, the kidney can be both culprit and victim of increased sympathetic activity. In addition, conditions such as congestive heart failure, chronic renal failure or the metabolic syndrome are associated with an increased sympathetic activity whether or not hypertension is present. On this account, both the sympathetic nervous system and the kidney were identified as potential therapeutic targets in the treatment of hypertension and other conditions as...
      PubDate: Thu, 30 Sep 2010 23:00:00 +010
       
  • Upper extremity access for renal artery stenting: radial, brachial and
           axillary access: how to do them safely and pitfalls to avoid.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Sos TA This manuscript traces the history of changes in preferred upper extremity puncture sites for renal artery stenting as our understanding of anatomy, techniques, technology and pharmacology, each separately and their confluence, has improved. A very detailed description of each technique is beyond the scope of this review; the references should allow the reader to readily access this information. PMID: 20924333 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 30 Sep 2010 23:00:00 +010
       
  • Efficacy of embolic protection devices in renal artery stenting.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Campbell JE, Stone PA, Bates MC The efficacy of embolic protection devices (EPDs) have been studied extensively in coronary saphenous vein grafts and extra cranial cerebrovascular disease. Recent ex-vivo and in-vivo renal artery stenting studies suggest atheroembolism is not unique to the coronary and cerebrovascular domain and it seems intuitive, renal EPDs may be beneficial. In an attempt to better understand the current objective evidence regarding renal protection efficacy we systematically reviewed the contemporary literature and summarize the findings herein. There is increasing observational data suggesting the use of embolic protection devices decrease the risk of continued decline in renal function after renal artery stenting. There is also prospective randomized data...
      PubDate: Thu, 30 Sep 2010 23:00:00 +010
       
  • Evidence-based medicine in renal artery stenting.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This article summarizes the background and the limitations of the so far published and still ongoing controlled trials. PMID: 20924335 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 30 Sep 2010 23:00:00 +010
       
  • Postoperative mediastinitis in open heart surgery patients. Treatment with
           unilateral or bilateral pectoralis major muscle flap'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Mediastinal infection after cardiac surgery can be effectively managed by surgical debridement followed by plastic coverage with a single pectoralis muscle flap. In our experience, this unilateral pectoralis muscle flap technique showed similar results to the classic closure with both pectoralis muscle flaps. The unilateral technique represents a relative low aggressive operation and preserves intact the contralateral pectoralis muscle. Comparing the single pectoralis muscle flap technique with the bilateral pectoralis musle technique, the former is faster, the extubation is earlier and there is less need of postoperative blood transfusions. PMID: 20924336 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 30 Sep 2010 23:00:00 +010
       
  • Patient's home care management in persistent air leaks and chronic
           pneumothorax using a new drainage system.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We describe the case of a patient with chronic PALs and pneumothorax due to pulmonary fibrosis secondary to rheumatoid arthritis, with diffuse pulmonary nodules, in which surgical attempts to manage air leaks were ineffective. He was successfully home-assisted with a new chest drainage system with automatic constant negative suction pressure. PMID: 20924337 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 30 Sep 2010 23:00:00 +010
       
  • Use of the AorfixTM stent graft in patients with tortuous iliac anatomy.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The rate of early iliac limb occlusion following EVAR in patients with angulated iliac anatomy can be substantially reduced by using the flexible Aorfix stent graft system. PMID: 20671629 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 31 Jul 2010 12:51:54 +010
       
  • Ring-stents supported infrarenal aortic endograft fits well in abdominal
           aortic aneurysms with tortuous anatomy.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Aneurysms with severe neck or iliac arteries angulation can be treated by a ring-stent endograft with results similar to those of AAA with more favourable anatomy. PMID: 20671630 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 31 Jul 2010 12:51:51 +010
       
  • New results with 100 Excluder cases.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: EVAR using the EXCLUDER-Device is a safe, effective, and durable method to prevent AAA rupture and aneurysm-related death. Assuming suitable AAA anatomy, these data justify a broad application within a wide spectrum of patients. PMID: 20671631 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 31 Jul 2010 12:51:47 +010
       
  • Rationale and design of the Endurant Stent Graft Na-tural Selection Global
           Postmarket Registry (ENGAGE): interim analysis at 30 days of the first 180
           patients enrolled.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The interim results through 30 days of the first 180 patients enrolled are promising. Longer-term follow-up for more patients will be reported. PMID: 20671632 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 31 Jul 2010 12:51:44 +010
       
  • Totally percutaneous aortic aneurysm repair: methods and outcomes using
           the fully integrated IntuiTrak endovascular system.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: PEVAR using the IntuiTrak System with 19Fr introducer sheath with vessel closure facilitated by the Prostar XL device is feasible, even in patients with challenging access anatomy. Further evaluation in a prospective, multicenter, randomized trial is warranted. PMID: 20671633 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 31 Jul 2010 12:51:41 +010
       
  • New results with the Zenith graft in the treatment of aortic aneurysms.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Qureshi MA, Greenberg RK Aneurysmal disease of the arterial vasculature has been reported since ancient times. Regarding aneurysms of the aorta, a steady progress has been made ranging from making such pathology amenable to surgical treatment to making the procedure much less invasive. There have been a number of stent grafts, introduced by different companies, used to exclude different segments of the aneurysmal aorta and the Zenith devices are one of them. The safety and efficacy of these devices to exclude infrarenal and descending thoracic aortic aneurysms has been well documented. The early and late complications associated with these procedures and the methods used to manage such complications have also been elucidated in different publications. In dealing with pararenal...
      PubDate: Sat, 31 Jul 2010 12:51:38 +010
       
  • Device-specific outcomes after endovascular abdominal aortic aneurysm
           repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Bastos Goncalves F, Rouwet Ellen V, Metz R, Hendriks JM, Vrancken Peeters MP, Muhs BE, Verhagen HJ Over the last decade, endovascular aneurysm repair (EVAR) has been used extensively for the elective treatment of infra-renal abdominal aneurysms. However, it remains unclear how specific devices perform and how they compare to others. We provide an overview of currently used endografts, and discuss the current evidence regarding device-specific outcomes. Published literature confirms differences in results according to endograft selection. These differences were more pronounced with older generations of devices, in comparison to newer models. Contemporary results are generally good and one should remember that no randomized data exist regarding individual device performance. Mor...
      PubDate: Sat, 31 Jul 2010 12:51:35 +010
       
  • Current knowledge on E-vita abdominal endograft.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Moulakakis KG, Avgerinos ED, Giannakopoulos T, Papapetrou A, Brountzos EN, Liapis CD The field of endovascular abdominal aortic repair has changed remarkably compared to what it was prior to 1993, the year of the first commercial endograft deployment in the United States. Over the years of endovascular aneurysm repair experience, various companies have attempted to construct an ideal stent-graft for exclusion of an abdominal aortic aneurysm (AAA). However, it has become evident that not all abdominal aortic anatomies are amenable to endovascular treatment and that the rationale "one device fits all AAAs" can lead to disastrous results. Different endografts have dissimilar properties and characteristics. Type of graft material, configuration and type of stent structural support...
      PubDate: Sat, 31 Jul 2010 12:51:31 +010
       
  • Recent advances in peripheral in-stent restenosis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Minar E PMID: 20671637 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 31 Jul 2010 12:51:28 +010
       
  • Mechanical thrombectomy in in-stent restenosis: preliminary experience at
           the iliac and femoropopliteal arteries with the Rotarex System.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: This treatment seems promising in terms of technical success and embolization risk. Reinterventions are frequently required but mid-term limb salvage rates are encouraging. Larger, randomised studies are needed to determine the cost/benefit advantage and long-term results. PMID: 20671638 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 31 Jul 2010 12:51:25 +010
       
  • Safety and efficacy of directional atherectomy for the treatment of
           in-stent restenosis of the femoropopliteal artery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Although atherectomy of in-stent restenosis as a first line treatment yields a high initial success rate with a low requirement for adjunctive PTA and stent implantation, long term patency rates are low. In our study the theoretical advantage of avoiding barotauma did not result in prevention of recurrent intimal hyperplasia. PMID: 20671639 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 31 Jul 2010 12:51:22 +010
       
  • The potential role of DES in peripheral in-stent restenosis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Zeller T, Macharzina R, Tepe G In-stent restenosis (ISR) after non-coronary interventions is becoming an increasing clinical and technical problem in daily practice due to the more liberal use of stents particularly in femoro-popliteal and infra-popliteal interventions. Whereas in the coronaries the role of drug eluting stents (DES) in the treatment of ISR is already well defined, very limited data exist about the use of DES in the treatment of ISR in non-coronary arteries. So far little data is published on the potential role of DES in in-stent restenosis except in renal artery interventions. The concept of DES in femoro-popliteal lesions even excluding ISR so far failed for sirolimus and everolimus eluting self-expanding stents. In infra-popliteal lesions promising single ce...
      PubDate: Sat, 31 Jul 2010 12:51:19 +010
       
  • Paclitaxel-coated balloon angioplasty for lower extremity
           revascularization: a new way to fight in-stent restenosis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Manzi M, Cester G, Palena LM In the last years the development of new techniques and technologies for the endovascular treatment of peripheral arterial occlusive disease has allowed to treat a vast array of lesions with high technical success and low complications. Despite these advances, restenosis, and in particular in-stent restenosis, is a problem that significantly affects middle and long-term results and remains to be solved. Drug-eluting balloons (DEB) have shown good results in the treatment of coronary in-stent restenosis in experimental and clinical trials, but only few experimental and clinical trials focus on the peripheral district. This review summarizes the available experimental and clinical data in support of DEB in the treatment of ISR in the peripheral distr...
      PubDate: Sat, 31 Jul 2010 12:51:16 +010
       
  • Endovascular brachytherapy with 192Ir and 188Re to treat de novo and
           recurrent infrainguinal reste-noses.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We present a review of the literature on endovascular brachytherapy (EVBT) after percutaneous transluminal angioplasty (PTA) in the femoropopliteal and tibial arteries. The pathophysiological changes induced by PTA and EVBT within the vessel wall, technical considerations regarding 192Ir and 188Re, the results of clinical trials, and the medication required before, during, and after EVBT are summarized. PMID: 20671642 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 31 Jul 2010 12:51:13 +010
       
  • The role of stent-grafts for prevention and treatment of restenosis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Kwa AT, Yeo KK, Laird JR Restenosis rates in the superficial femoral artery remain high in patients treated with balloon angioplasty or bare metal stents. Stent-grafts represent an alternative endovascular treatment modality for these patients. In the US, the only FDA-approved stent-graft for femoral use is the Viabahn endoprosthesis (W.L. Gore, Flagstaff, AZ). The Viabahn is constructed of nitinol and ePTFE and has a proprietary heparin bioactive surface. Stent-grafts have the potential to reduce restenosis by impeding intimal hyperplasia and reducing tissue in-growth; however, the problem of edge restenosis has not been eliminated. Graft thrombosis remains an important mode of stent-graft failure. The Viabahn has been shown in observational studies and randomized trials to b...
      PubDate: Sat, 31 Jul 2010 12:51:09 +010
       
  • Prevention and treatment of in-stent restenosis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Bosiers M, Deloose K, Keirs K, Verbist J, Peeters P In-stent restenosis has always been an important issue, since the launch of the first stents on the market. The occurrence of in-stent restenosis (ISR) is due to two main reasons. First, the presence of stent fractures significantly influences restenosis rates. Second, the continuous interaction between the permanently implanted artificial material and the vessel tissue, leads to physical irritation, long-term endothelial dysfunction, or chronic inflammatory reactions. In the Literature only very limited data on ISR treatment in the peripheral arteries are available. There are no peer-reviewed publications or studies with in-depth follow-up on this specific indication. The underlying reason for this probably being that curren...
      PubDate: Sat, 31 Jul 2010 12:51:06 +010
       
  • The need to improve results of vascular emergencies.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Schönholz C PMID: 20523277 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 31 May 2010 23:00:00 +010
       
  • The role of carotid artery stenting for recent cerebral ischemia.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Bosiers M, Callaert J, Deloose K, Verbist J, Keirse K, Peeters P Patients with cerebral ischemia as a result of acute cervical internal carotid artery occlusion are generally considered to have a poor prognosis. Despite maximal medical treatment, a better treatment for patients with acute ischemic stroke who present with serious neurologic symptoms on admission or continue to deteriorate neurologically due to a total occlusion, a dissection or a high-grade stenosis of the internal carotid artery is required. An effective intervention to improve their neurologic symptoms and clinical outcome has not yet been established and represents a challenging and complex problem. Treatment of acute symptomatic occlusion of the cervical internal carotid artery includes intravenous administ...
      PubDate: Mon, 31 May 2010 23:00:00 +010
       
  • Endovascular approach for acute aortic syndrome.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Di Eusanio M, Russo V, Buttazzi K, Lovato L, Di Bartolomeo R, Fattori R Acute aortic syndrome (AAS) refers to the spectrum of aortic emergencies that include aortic dissection, intramural hematoma and penetrating atherosclerotic ulcer. These aortic pathologies may lead to aortic rupture and a timely treatment is crucial to obtain clinical success and benefit on survival. Endovascular strategies have gained wide acceptance in the management of AAS and currently represent the new minimally invasive alternative to traditional surgery. In particular in acute complicated aortic dissection endovascular therapy demonstrated a better survival and limited complications with respect to open surgery. Aim of the present study was to provide an overview of AAS and to assess the current rol...
      PubDate: Mon, 31 May 2010 23:00:00 +010
       
  • Endovascular approach for ruptured abdominal aortic aneursyms.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: In conclusion only larger study or registry could assest the real role ov EVAR in the management of rAAA. PMID: 20523280 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 31 May 2010 23:00:00 +010
       
  • Is EVAR the treatment of choice for aortoenteric fistula'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Lonn L, Dias N, Veith Schroeder T, Resch T Aortoenteric fistula formation is a devastating condition regardless of whether it is primary or secondary (i.e. after previous aneurysm repair) in nature. Patients present with signs and symptoms of gastrointestinal bleeding with or without signs of systemic infection and are often in a very poor clinical condition. Conventional treatment consists of extensive open surgery (extra-anatomical bypass or aortic ligation), closure of fistula tract and complete removal of any prosthetic material. This treatment is associated with high morbidity and mortality and therefore more minimally invasive options with endovascular repair have been attempted. Endovascular repair is often successful in the short-term achieving favorable immediate outc...
      PubDate: Mon, 31 May 2010 23:00:00 +010
       
  • Endovascular management of acute limb ischemia.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Peeters P, Verbist J, Keirse K, Deloose K, Bosiers M Acute limb ischemia (ALI) refers to a rapid worsening of limb perfusion resulting in rest pain, ischemic ulcers or gangrene. With an estimated incidence of 140 million/year, ALI is serious limb-threatening and life-threatening medical emergency demanding prompt action. Three prospective, randomized clinical trials provide data on trombolytic therapy versus surgical intervention in patients with acute lower extremity ischemia. Although they did not give us the final answer, satisfactory results are reported for percutaneous thrombolysis compared with surgery. Moreover, they suggest an important advantage of thrombolysis in acute bypass graft occlusions. Therefore, we believe thrombolytic therapy should be a part of the vascul...
      PubDate: Mon, 31 May 2010 23:00:00 +010
       
  • Endovascular surgery as a bridge solution for selected vascular
           emergencies.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: The objectives of this review article are to highlight the utility of endovascular surgery in vascular emergencies and to compare current treatment options of urgent clinical entities, based on the literature. PMID: 20523283 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 31 May 2010 23:00:00 +010
       
  • The surgical and endovascular management of deep venous thrombosis of the
           lower extremity.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Giovannacci L, Cefali P, Rosso R, Van Den Berg JC This paper will discuss the clinical sequelae of deep venous thrombosis of the lower extremity and will deal briefly with conservative therapy. The (endo)vascular modalities that are currently used will be described more in detail, and includes systemic thrombolysis, surgical thrombectomy, catheter directed thrombolysis and other catheter based therapies like ultrasound assisted thrombolysis, pharmacomechanical thrombolysis and percutaneous mechanical thrombectomy. Results, advantages and disadvantages of each technique will be dealt with. PMID: 20523284 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 31 May 2010 23:00:00 +010
       
  • The role of vena cava filters in the management of venous thromboembolism.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Pons M, Riglietti A, Van Den Berg JC This paper will deal with the role of vena cava filters in the management of venous thromboembolism. The role of medical therapy, indications and contraindications for the placement of caval filters will be discussed. An overview of the currently available filters will be given, and technical aspects, as well as complications related to the procedure will be discussed. Finally the management of patients with a filter in situ and indications for caval filter removal shall be dealt with. PMID: 20523285 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 31 May 2010 23:00:00 +010
       
  • First ItAlian RegistRy for Open and EndOvascular Management of RAAA
           (FARO).
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Setacci C, Sirignano P, Setacci F, Cannizzaro A, Chisci E, De Donato G, Palasciano G, Cappelli A PMID: 20523286 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 31 May 2010 23:00:00 +010
       
  • Early control of distal internal carotid artery during carotid
           endarterectomy: does it reduce cerebral microemboli'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: In this prospective, randomised trial early control of the distal internal carotid artery did not reduce the occurrence of MES during dissection of the carotid bifurcation. Also, the total number of MES throughout the procedure and postoperatively was comparable between both groups. The procedure related times as well as the clinical outcome did not differ significantly. Thus, early control of the distal internal carotid artery has got no advantage but also no disadvantage as compared to the traditional CEA technique. However, a limitation of the study is the small number of patients included. PMID: 20523287 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 31 May 2010 23:00:00 +010
       
  • Hybrid treatment of aortic arch aneurysms.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Hybrid approaches to the treatment of complex aortic lesions involving the arch can be successfully used. However, perioperative complications remain still not irrelevant and long-term efficacy has to be proved. PMID: 20523288 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 31 May 2010 23:00:00 +010
       
  • Fenestrated stent-grafting after previous endovascular abdominal aortic
           aneurysm repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Fenestrated endovascular stent-grafts can be used to repair juxta- and pararenal AAA after previous EVAR. However, several technical challenges have to be overcome due to the presence of a previous stent-graft. PMID: 20523289 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 31 May 2010 23:00:00 +010
       
  • A comparison of the Doppler-derived maximal systolic acceleration versus
           the ankle-brachial pressure index or detecting and quantifying peripheral
           arterial occlusive disease in diabetic patients.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: DUS-derived ACCmax is an accurate marker that could offer significant benefits for the diagnosis of PAOD, especially in diabetic patients. PMID: 20523290 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 31 May 2010 23:00:00 +010
       
  • Ultrasonographic and DSCT scan analysis of single lima versus arterial T
           grafts 12 years after surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Ultrasonography cannot distinguish between string sign and patent single LIMA or T-grafts nor demonstrate distal anastomosis patency in T-grafts 12 years after surgery. PMID: 20523291 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 31 May 2010 23:00:00 +010
       
  • Cardiac valve surgery and myocardial damage: the role of cardiac troponin
           I.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The absence of cardiac events and the association of valve surgery with higher early release of cTnI compared to CABG suggest that the type of surgery strongly affects the induction of myocardial damage. PMID: 20523292 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 31 May 2010 23:00:00 +010
       
  • Minimally invasive versus conventional aortic valve replacement: a 10-year
           experience.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: MIAVR is a safe and effective procedure resulting in significant reduction of allogeneic blood transfusions and a shorter length of hospital stay. PMID: 20523293 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 31 May 2010 23:00:00 +010
       
  • Does hypothermic circulatory arrest or prolonged cardiopulmonary bypass
           time affect early outcome in reoperative aortic surgery'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The use of DHCA or prolonged CPB time do not affect early outcome in reoperations of the thoracic aorta. PMID: 20523294 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 31 May 2010 23:00:00 +010
       
  • Digital air leak monitoring after lobectomy for primary lung cancer in
           patients with moderate COPD: can a fast-tracking algorithm reduce
           postoperative costs and complications'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The digital and continuous air leak measurement reduces the hospital length of stay by a more accurate and reproductive air leaks measurement. Further studies are mandatory to corroborate our preliminary results. PMID: 20523295 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 31 May 2010 23:00:00 +010
       
  • Optimal pulmonary artery perfusion mode and perfusion pressure during
           cardiopulmonary bypass.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The perfusion pressure is an important factor that determines the extent of lung protection, and the use of pressures below 30 mmHg is optimal, with the safest and most effective range being 15-20 mmHg. PMID: 20523296 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 31 May 2010 23:00:00 +010
       
  • Improved patency and reduced intimal hyperplasia in PTFE grafts with
           luminal immobilized heparin compared with standard PTFE grafts at six
           months in a sheep model.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: PTFE grafts with luminal coating containing immobilized heparin had significantly better patency and recruited less intimal hyperplasia than standard PTFE grafts at six months. PMID: 20523297 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 31 May 2010 23:00:00 +010
       
  • Human or animal homograft: could they have a future as a biological
           scaffold for engineered heart valves'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Dainese L, Biglioli P Tissue-engineered heart valves (TEHVs) promise to be the ideal heart valve replacement: they have the potential to grow and repair within the host, to minimise inflammatory and immunological responses and to limit thromboembolism. Viable cells included in TEHVs can theoretically adapt to a growing and changing environment exactly as a native biological structure. This could be extremely important in case of paediatric applications, where reoperations are frequently required to replace failed valve substitutes or to accommodate the growth of the patient. At present time the biological matrix from allogenic or xenogenic decellularized valves represents an appropriate valve scaffold in TEHVs, showing theoretically an ability to grow and repair within the hos...
      PubDate: Mon, 31 May 2010 23:00:00 +010
       
  • Paraganglioma of the hypoglossal nerve. A really rare location suggesting
           embryonic origin.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Santovito D, Varetto G, Conforti M, Tallia C, Rispoli P PMID: 20508585 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 26 May 2010 23:00:00 +010
       
  • Thoraco-abdominal aortic aneurysm branched repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Verhoeven EL, Tielliu IF, Ferreira M, Zipfel B, Adam DJ Open thoraco-abdominal aortic aneurysm repair is a demanding procedure with high impact on the patient and the operating team. Results from expert centres show mortality rates between 3-21%, with extensive morbidity including renal failure and paraplegia. Endovascular repair of abdominal aortic aneurysms initially required an undilated portion of the aorta below the renal arteries to safely fixate the stent-graft. More complex abdominal artic aneurysms (i.e., short-necked, juxta- and suprarenal aneurysms) were later successfully treated with fenestrated grafts. The development of branched grafts opened the way to treat thoraco-abdominal aneurysms endovascularly. In this review, a comprehensive overview of technical aspect...
      PubDate: Wed, 31 Mar 2010 23:00:00 +010
       
  • Comparison of CE approved TEVAR devices.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Gawenda M, Brunkwall J The indications for endovascular therapy of thoracic aortic pathologies are expanding. The complexity of cases is increasing. The individual anatomy and pathology of the thoracic aorta alone and in combination create specific difficulties in stent graft delivery, deployment, and fixation. Graft design has evolved, and several new iterations of stent grafts have been introduced into clinical practice. The assessment of these new grafts is difficult, due to the changing indications for their use and a lack of large-scale clinical trials. Currently, a number of thoracic stent graft devices are available in Europe. Variable amounts of clinical data are available to support their use. PMID: 20354485 [PubMed - in process] (Source: The Journal of Cardiovasc...
      PubDate: Wed, 31 Mar 2010 23:00:00 +010
       
  • Endovascular thoracic aortic repair and risk of spinal cord ischemia: the
           role of previous or concomitant treatment for aortic aneurysm.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Setacci F, Sirignano P, De Donato G, Chisci E, Galzerano G, Massaroni R, Setacci C Spinal cord ischemia (SCI) is one of the most devastating complications undergoing surgical or endovascular repair of the thoracic aorta. The incidence of SCI after thoracic aorta open repair varies from 2% to 21%, depending on the extent of the descending thoracic aorta replacement 1-5 compared with as high as 12% of cases after endovascular aortic repair.6-13 Endoluminal repair allows the avoidance of aortic cross clamping and its sequelae;9 however, the intercostal arteries covered by the stent graft cannot be reimplanted. Perioperative risk factors contributing to SCI have been reported to include length of aortic coverage,8, 14-16 prior abdominal aortic aneurysm (AAA) repair,10, 17, 18 hypo...
      PubDate: Wed, 31 Mar 2010 23:00:00 +010
       
  • TEVAR and covering the celiac artery. Is it safe or not'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Falkenberg M, Lönn L, Schroeder T, Delle M Thoracic endovascular aortic repair (TEVAR) is the treatment of choice for descending thoracic aortic aneurysms (TAA). However, not all patients with TAA can be treated with the endovascular technique. Insufficient proximal and/or distal sealing zone is the most common reason for open surgery in these patients. If the distal sealing zone above the celiac axis is too short, several endovascular alternatives are possible; hybrid procedures with TEVAR and open by-pass to the celiac artery, custom made stent-grafts with scallop or fenestration for the celiac artery, or intentional coverage of the celiac artery. In the latter case, adequate collateral supply to the upper gastrointestinal tract is crucial. Collateral arteries joining t...
      PubDate: Wed, 31 Mar 2010 23:00:00 +010
       
  • Percutaneous interventions below the knee in patients with critical limb
           ischemia using drug eluting stents.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Drug-eluting stent (DES) angioplasty in infrapopliteal arteries is a safe and effective technique for the treatment of patients with CLI. The use of a DES results in favorable technical and clinical outcome in the midterm follow-up. PMID: 20354488 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 31 Mar 2010 23:00:00 +010
       
  • The use of the cryoplasty technique in the treatment of infrapopliteal
           lesions for Critical Limb Ischemia patients in a routine hospital setting:
           one-year outcome of the Cryoplasty CLIMB Registry.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The cryoplasty technique is effective for the treatment of infrapopliteal lesions in CLI patients. The results seem to be within the range of those of conventional PTA. Especially for shorter lesion (<50.0 mm), the wide-spread use of cryoplasty is not recommended. For lesions with a minimal length of 50.0 mm, the results are encouraging. PMID: 20354489 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 31 Mar 2010 23:00:00 +010
       
  • Drug eluting stents versus PTA with GP IIb/IIIa blockade below the knee in
           patients with current ulcers. The BELOW Study.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Tepe G, Schmehl J, Heller S, Brechtel K, Heuschmid M, Fenchel M, Kramer U, Miller S, Claussen CD The study was designed as a feasibility trial to evaluate the use of GP IIb/IIIa blockade in connection with drug eluting stents, bare stents and PTA only. Sixty patients with current ulcers were randomly assigned to receive abciximab plus a Sirolimus coated stent (N.=14), abciximab plus a bare stent (N.=16), abciximab plus PTA (N.=14) and PTA alone (N.=19). Angiographic control was performed at two and six months. Recanalization was successful in all cases. Two month restenosis rate was 9%, 45.5%, 67% and 46%. At six month follow-up restenosis rate was 9%, 67%, 75% and 58%, respectively; 14% of all patients had major amputations within six months. Adjunctive administration of abci...
      PubDate: Wed, 31 Mar 2010 23:00:00 +010
       
  • Developments in subintimal angioplasty in the infrainguinal segment.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This article aims to review the indications of SIA, variations and developments in the technique, outcomes and factors affecting patency, and complications associated with the procedure. PMID: 20354491 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 31 Mar 2010 23:00:00 +010
       
  • Ischemic foot: definition, etiology and angiosome concept.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Setacci C, De Donato G, Setacci F, Chisci E Ischemic foot is a condition of decreased arterial perfusion. It has several etiologies, atherosclerotic peripheral arterial disease, including that secondary to diabetes mellitus, being the most common. Other potential causes of ischemic foot are acute embolism from cardiac, arterial or paradoxical sources, and thrombosis secondary to arterial blood clots due to procoagulative states (e.g. vasculitis and hematologic disorders), arterial spasms or injury resulting from drug use or from external or iatrogenic trauma. Prompt diagnosis and revascularization of the affected limb play a crucial role in the treatment of ischemic foot. The angiosome principle, defined by Ian Taylor's landmark anatomic study in 1987, divides the body into th...
      PubDate: Wed, 31 Mar 2010 23:00:00 +010
       
  • Update on the TURBO BOOSTER spectranetics laser for lower extremity
           occlusive disease.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Micari A, Vadalà G, Biamino G In the last two decades the endovascular treatment of peripheral arterial occlusive disease (PAOD) has gained a widespread and predominant role. New technologies have developped in the last years as atherectomy devices, self expandible nitinol stents, drug eluting devices (stent and balloons), absorbable stents. In recent years, growing interest has been dedicated to laser technology due to device improvements and literature data reporting safety and efficacy of excimer laser. The role of this new endovascular technique for the treatment of atherosclerotic arterial deseases should be considered with regard to two fields of interest: the claudicatio intermittens (CI) and the critical limb ischemia (CLI). A 20-year history with medical lasers h...
      PubDate: Wed, 31 Mar 2010 23:00:00 +010
       
  • Association of plaque echostructure and cardiovascular risk factors with
           symptomatic carotid artery disease.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Besides the severity of carotid stenosis, the presence of an echolucent plaque appears as an important factor associated with symptomatic ICA disease. Also young patients are more likely to have an echolucent plaque suggesting an age-related association with plaque maturation. PMID: 20354494 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 31 Mar 2010 23:00:00 +010
       
  • Validation of the Simulator for Testing and Rating Endovascular SkillS
           (STRESS)-machine in a setting of competence testing.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: We demonstrated that it is possible to determine an optimal cut-off value for competence testing with the STRESS machine. PMID: 20354495 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 31 Mar 2010 23:00:00 +010
       
  • Application of low-volume zero-balanced ultrafiltration and its effect on
           blood propofol concentration: a randomized controlled trial.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Low-volume zero-balanced ultrafiltration performed during cardiopulmonary bypass surgery significantly decreased post-bypass levels of the cytokines, TNF-a, IL-6, IL-10, and postoperative cardiac troponin I. Blood propofol concentration was also decreased; however, the depth of anesthesia was not affected significantly. PMID: 20354496 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 31 Mar 2010 23:00:00 +010
       
  • Clinical relevance of eNOS T-786C polymorphism for hospital mortality and
           morbidity in cardiac surgical patients.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The present study demonstrates that this polymorphism contributes to a higher prevalence of postoperative mortality after emergency cardiac surgery. Thus, the eNOS T-786C polymorphism could serve as a possibility to differentiate high risk subgroups in heterogeneous population of individuals with cardiac diseases who need cardiac surgery with CPB. PMID: 20354497 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 31 Mar 2010 23:00:00 +010
       
  • Deep pericardial sling versus lateral pericardial sutures in off-pump
           coronary artery bypass surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: LPS technique is as effective as DPS technique and allows complete revascularization with a postoperative outcome similar to the latter technique. PMID: 20354498 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 31 Mar 2010 23:00:00 +010
       
  • The effects of load on systolic mitral annulus movements by tissue Doppler
           imaging in cardiac surgery patients.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION:Only SIVA seems to be an independent index of cardiac functionality in cardiac surgery patients and appears to be an optimum index in the clinical evaluation of these patients. PMID: 20354499 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 31 Mar 2010 23:00:00 +010
       
  • L-arginine supplemented nondiluted blood cardioplegia: a clinical trial.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Nondiluted blood cardioplegic solution supplemented with 4 mmol/L of L-arginine was associated with a significant decrease of myocardial lactate release after aortic cross-clamping and reperfusion during CABG surgery. PMID: 20354500 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 31 Mar 2010 23:00:00 +010
       
  • Complications of endovascular aortic repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : May J PMID: 20081757 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 01 Jan 2010 00:00:00 +010
       
  • Epidemiology and diagnosis of endograft infection.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Hobbs SD, Kumar S, Gilling-Smith GL Endograft infection is reported to occur in between 0.2 and 0.7 of patients and in general presents either within four months of endograft implantation of after more than 12 months. Review of all cases reported to date reveals three modes of presentation: approximately one third of patients present with evidence of an aorto-enteric fistula (although less than half of these present with gastrointestinal haemorrhage), one third present with non specific signs of low grade sepsis (malaise, weight loss) and the remainder with evidence of severe systemic sepsis. Infection is most commonly attributed to Staphylococcus aureus. Diagnosis relies on a high index of suspicion, imaging of the aorta and periaortic tissues (computed tomography or magnetic...
      PubDate: Fri, 01 Jan 2010 00:00:00 +010
       
  • Management of thoracic endograft infection.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Chiesa R, Tshomba Y, Kahlberg A, Marone EM, Civilini E, Coppi G, Psacharopulo D, Melissano G Thoracic endovascular aortic repair (TEVAR) has emerged as a promising, less invasive alternative to conventional open surgery for the treatment of thoracic aortic pathology. Most surveillance after TEVAR concentrates on the technical aspects of the procedure, including endoleak, device migration and endograft rupture; so far, the knowledge on endograft infectious complications is limited to anecdotal reports. Several etiopathogenetic factors may play a role in thoracic endograft infections (TEIs), including perioperative contamination, hematogenous seeding, and local bacterial translocation. Moreover, fistulization with the esophagus or the bronchial tree is a common mechanism of seco...
      PubDate: Fri, 01 Jan 2010 00:00:00 +010
       
  • Management of abdominal endograft infection.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Setacci C, De Donato G, Setacci F, Chisci E, Perulli A, Galzerano G, Siringano P Incidence, clinical presentation and management of aortic grafts infection after open surgical repair are well described in the literature. Infective complications involving endografts after endovascular aneurysm repair (EVAR) have been scarcely investigated, since more attention has been given to the technical aspects of the procedure, including endoleaks, device migration, neck dilatation, endotension and aneurysm rupture. Nevertheless, that is a rare but severe complication occurring after EVAR; potentially difficult to diagnose and treat. Since 1991 only 102 cases of abdominal endograft infections have been reported in the literature. Treatment of infected abdominal endografts is controversial...
      PubDate: Fri, 01 Jan 2010 00:00:00 +010
       
  • Access complications during endovascular aortic repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This article will discuss a multitude of access related complications and their treatment. Preoperative imaging is paramount to the success of endovascular procedures. Intraoperative adjuncts, such as iliac artery angioplasty/stenting, the "pull-down" technique, and aorto mono iliac/femoral systems will be discussed. Occasionally, challenging iliac or femoral anatomy may preclude access through these vessels and the endovascular specialist may need to gain direct access through the aorta or via the carotid artery. In addition, the advantages and disadvantages of an entirely percutaneous technique will be discussed. Finally, peri-operative complications such as rupture, dissection, pseudoaneurysm and infection will be discussed and various treatment modalities reviewed. As stent graft techn...
      PubDate: Fri, 01 Jan 2010 00:00:00 +010
       
  • Endoleak after endovascular aortic repair: classification, diagnosis and
           management following endovascular thoracic and abdominal aortic repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Cao P, De Rango P, Verzini F, Parlani G Endoleak is a common and unique complication of endovascular aortic repair (EVAR) and its persistence represents a failure of the endovascular treatment. Accurate detection and classification is essential for the proper management since the method of endoleak treatment is determined by the different source. In general, high-pressure leaks (type I and type III) require urgent management because of the relatively high short-term risk of sac rupture. Although precise differentiation between type I and type III endoleaks may not be possible at cross- sectional imaging, differentiation is often unnecessary because both lesions are considered high-risk and require angiographic evaluation and subsequent treatment. Low-pressure lesions (types II...
      PubDate: Fri, 01 Jan 2010 00:00:00 +010
       
  • Spinal and visceral ischemia after endovascular aortic repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This article will review our current understanding of the incidence, pathophysiology, preventive and treatment options for spinal cord and visceral ischemia associated with endograft surgery of the aorta. PMID: 20081763 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 01 Jan 2010 00:00:00 +010
       
  • Retrograde type A aortic dissections after endovascular stent-graft
           placement for type B dissection.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Bellos JK, Petrosyan A, Abdulamit T, Trastour JC, Bergeron P Thoracic endovascular aortic repair (TEVAR) has emerged as promising and a less invasive alternative to open surgery for high risk patients (HRP) with type B thoracic aortic dissection (TAD). One of the most serious complication of TEVAR is the retrograde type A TAD (rATAD). This review will focus on an interesting rATAD case and will review the literature, regarding the true incidence, mortality, causes, diagnosis, complications and management of rATAD. Until the development of a specific device for TAD, efforts must be made for better patient and device selection, careful and precise instrumentation, and life-long surveillance to minimize this lethal complication. PMID: 20081764 [PubMed - in process] (Source: T...
      PubDate: Fri, 01 Jan 2010 00:00:00 +010
       
  • Estimating risk associated with radiation exposure during follow-up after
           endovascular aortic repair (EVAR).
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : White HA, Macdonald S Late rupture incidence following endovascular repair (EVAR) of abdominal aortic aneurysm does not appear to decrease with time, mandating life-long surveillance. Popular regimes based on computed tomography (CT) originated in early registry and randomised trial protocols and are not evidence-based. We evaluated the radiation burden (and implications) associated with "conventional" CT surveillance and explored alternative surveillance paradigms. An EVAR program comprising planning CT, EVAR and surveillance CT at 1, 3, 6 and 12 months and yearly thereafter, equates to a total effective radiation dose of around 145-205 mSv over five years. A 70-year-old exposed to 145 mSv has a lifetime attributable cancer risk of 0.42% (i.e., odds of 1 in 240). Similarly, f...
      PubDate: Fri, 01 Jan 2010 00:00:00 +010
       
  • Incidence and management of complications after branched and fenestrated
           endografting.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Resch T, Sonesson B, Malina M Endovascular treatment of complex aortic aneurysms with fenestrated and branched stentgrafts is in rapid development. Early and midterm results from centers of excellence are very promising but the technique is still in its infancy. With the introduction of EVAR for complex aneurysms a new set of failure modes have also been introduced. These relate both to the specific deployment techniques of the devices and to their intrinsic design characteristics. Procedural planning is of utmost importance for success. Failure to accomplish this may result in disastrous and uncorrectable perioperative failure. The endograft must be correctly tailored to the patient with regards to branch and fenestration positioning and design. Migration of stent-graft compo...
      PubDate: Fri, 01 Jan 2010 00:00:00 +010
       
  • Are drug-eluting stents the future of SFA treatment'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Bosiers M, Deloose K, Keirse K, Verbist J, Peeters P Drug-eluting stent (DES) technology was developed to prevent early thrombosis and late luminal loss to potentially improve long-term patency rates. Although favorable DES results have recently become available with the Zilver(R) PTX and STRIDES studies, the high price of DES is a major drawback for this technology to become the golden standard for peripheral endovascular therapy in de novo femoro-popliteal (FP) lesions. Nevertheless, DES has the potential to make the difference and to establish itself as an important treatment option in patients presenting with TASC C&D FP lesions who are at high-risk for surgery and for the treatment of in-stent restenosis, where until now, no valuable treatment option has proven to be ...
      PubDate: Fri, 01 Jan 2010 00:00:00 +010
       
  • Are bio-absorbable stents the future of SFA treatment'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Peeters P, Keirse K, Verbist J, Deloose K, Bosiers M Several limitations inherent to the implantation of a metallic device, such as the occurrence of in-stent re-stenosis, in an arterial lumen intiutively explain the interest for developing bio-absorbable stents. Two main types of bio-absorbable stents currently exist: polymer stents and metallic stents. To date, no studies with bio-absorbable stents have been conducted in the superficial femoral artery (SFA). Because of their strut thickness and lack of radial force, polymer stents are no good candidates for endovascular use. Absorbable metal stents (AMS) do have the potential to perform well for artery treatment, although current evidence from in-human coronary and infrapopliteal studies yield unsatisfactory results. Drastic...
      PubDate: Fri, 01 Jan 2010 00:00:00 +010
       
  • Advances on drug-coated balloons.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This article reviews the rationale for the use of paclitaxel-coated balloons, data from preclinical and clinical studies, and the perspective of drug-coated balloons in peripheral arterial disease. PMID: 20081769 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 01 Jan 2010 00:00:00 +010
       
  • Carotid artery stenting: still alive'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Van Den Berg JC PMID: 19935601 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 27 Nov 2009 21:26:49 +010
       
  • Invasive and non-invasive modalities of imaging carotid stenosis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This article will not cover imaging of carotid atheroma morphology, function and other emerging imaging modalities of assessing plaque risk, which look beyond simple luminal measurements. PMID: 19935602 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 27 Nov 2009 21:26:47 +010
       
  • Use of intravascular ultrasound as a "Quality Control" technique
           during carotid stent-angioplasty: are there risks to its use'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: Use of intravascular ultrasound as a "Quality Control" technique during carotid stent-angioplasty: are there risks to its use' J Cardiovasc Surg (Torino). 2009 Dec;50(6):727-33
      Authors : Bandyk DF, Armstrong PA Intravascular ultrasound (IVUS) provides high-resolution vessel imaging and has been shown to improve clinical outcomes when used to assess the technical result of peripheral angioplasty procedures. Our vascular group compared anatomic and clinical outcomes of carotid artery stent-angioplasty (CAS) performed with angiogram monitoring alone, or in combination with IVUS imaging to select stent/balloon diameter and interrogate stent deployment region for residual stenosis. A retrospective review of our carotid stent registry (N=306) identified 220 CAS procedures performed wi...
      PubDate: Fri, 27 Nov 2009 21:26:44 +010
       
  • Can IVUS-virtual histology improve outcomes of percutaneous carotid
           treatment'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Inglese L, Fantoni C, Sardana V Several previous studies focusing on comparison between outcomes of carotid artery stenting (CAS) and carotid endoarterectomy (CEA) have put forward conflicting results about the non-inferiority of CAS compared to CEA. Likely outcomes after CAS have been greatly limited by incomplete knowledge of atherosclerotic carotid pathology and probably inappropriate patient selection criteria. In the current practice, only the degree of lumen obstruction is indication to an invasive treatment (CEA or CAS) in symptomatic or asymptomatic patients, but it has been recently demonstrated that histology of carotid plaques also plays a major role. Indeed, plaque morphology and composition seem to influence more importantly outcomes of CAS than those of CEA. Angi...
      PubDate: Fri, 27 Nov 2009 21:26:42 +010
       
  • Transcervical carotid artery stenting with flow reversal eliminates emboli
           during stenting: why does it work and what are the advantages with this
           approach.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Flores A, Doblas M, Criado E Carotid artery stenting (CAS) remains under scrutiny because of the controversial results of major trials that compared it with carotid endarterectomy. However, the question of how the results of carotid stenting are influenced by the access technique and cerebral protection methods has not been properly addressed in any trial. Most unresolved technical weaknesses of transfemoral carotid stenting are related to instrumentation of the arch and proximal supra-aortic trunks, crossing of the carotid lesion without protection, and use of distal filter protection devices of unproven benefit. All these problems can be avoided by using a transcervical approach with carotid flow reversal for protection. The potential advantage of transcervical carotid arter...
      PubDate: Fri, 27 Nov 2009 21:26:35 +010
       
  • Cerebral protection vs no cerebral protection: timing of stroke with CAS.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We present a review of mono- or oligocentre studies with greater collectives, one review study and multi centre studies SPACE I, EVA-3S and preliminary data from the ICSS-trial, in which subgroups of patients were treated with or without protection devices. Despite the results of several retrospective studies mostly with historic comparator cohorts rather than concurrent the results of the most recent multi centre prospective randomized trials seem to show a benefit for unprotected stenting. The complication rates for protected vs. unprotected groups in SPACE I showed 8.3% vs. 6.5% and the pooled data from SPACE I and EVA-3S 8.1% vs. 7.3%. A subgroup analysis of SPACE I aiming at the impact of the stent design on peri-interventional complication rate shows that the pOE rate was significant...
      PubDate: Fri, 27 Nov 2009 21:26:33 +010
       
  • Urgent CAS for patients in high neurologic risk.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Avgerinos ED, Brountzos EN, Ptohis N, Giannakopoulos T, Papapetrou A, Liapis CD Patients with residual carotid stenosis discovered following an acute ischemic insult represent a new subset of patients eligible for early carotid intervention that may decrease the risk of recurrent stroke by new emboli and improve cerebral blood flow. Short-term clinical outcomes of patients undergoing urgent CAS appear favorable, indicating that endovascular management may be a reasonable treatment option, particularly when combined with endovascular interventions for intracranial lesions. Data on indication and complication profiles are still limited. This review focuses on current knowledge, advantages and pitfalls of urgent and/or early (up to 2 weeks) carotid stenting in those presenting wi...
      PubDate: Fri, 27 Nov 2009 21:26:30 +010
       
  • CAS: which stent for which lesion.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Müller-Hülsbeck S, Preuß H, Elhöft H Current carotid stent designs and their attributes like scaffolding to reduce plaque prolapses and embolization, flexibility, adaptability and conformability to the vessel vary largely. Knowing that differences in behaviour due to stent design exist, especially due to the open cell design (which show high flexibility and therefore adaptability to the vessel but allows in theory easy particle penetration due to open structure) and closed cell designs (which show low flexibility and therefore low adaptability to the vessel but show high resistance to particle penetration due to closed cell design and high scaffolding), physicians have to be aware of these differences when planning carotid artery stenting procedures. The in...
      PubDate: Fri, 27 Nov 2009 21:26:28 +010
       
  • The importance of initiating "best medical therapy" and
           intervening as soon as possible in patients with symptomatic carotid
           artery disease: time for a radical rethink of practice.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: The importance of initiating "best medical therapy" and intervening as soon as possible in patients with symptomatic carotid artery disease: time for a radical rethink of practice. J Cardiovasc Surg (Torino). 2009 Dec;50(6):773-82
      Authors : Naylor AR Most Health Services are not capable of offering expedited investigation and treatment to the majority of patients presenting with transient ischaemic attack (TIA) or minor stroke. The reasons for this are multifactorial. However, there is now compelling evidence that the risk of stroke after TIA/minor stroke is significantly higher than was previously thought, with one recent study suggesting the stroke risk might be as high as 17% at 72 hours in patients with a clinically significant carotid stenosis. There is also good evidence t...
      PubDate: Fri, 27 Nov 2009 21:26:25 +010
       
  • Percutaneous cervical approach and closing for carotid artery stenting.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Markatis F, Petrosyan A, Abdulamit T, Trastour JC, Berge-Ron P The standard route for carotid artery stenting (CAS) is the femoral one, leaving the brachial access as a secondary option. Various anatomic specifications, or occlusions of the routing arteries, make carotid stenting impossible. Percutaneous cervical puncture of the common carotid artery, is a method which can solve access problems. We are presenting the experience from 191 CAS procedures through cervical puncturing and closure of the puncture site in order to prove its safety and efficacy. PMID: 19935610 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 27 Nov 2009 21:26:23 +010
       
  • Advancements in the Mo.Ma system procedure during carotid artery stenting.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: The new variations of the standard Mo.Ma technique seem rational in the improvement of the safety and efficacy of CAS using an EPD, in reducing the incidence of clamping intolerance and asystolia, immediate mortality and neurological complications. This series indicates a positive trend for this revised technique, but a multicentre registry is required to validate these promising results. PMID: 19935611 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 27 Nov 2009 21:26:20 +010
       
  • Emergency coronary artery bypass surgery after failed percutaneous
           coronary intervention.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Emergency coronary artery bypass grafting among patients with PCI complications and those patients not related to PCI is associated with high mortality and morbidity. Although, the percentage of mortality and morbidity was more among PCI patients the difference between both groups was not significant. Surgical backup and collaboration between cardiologist and surgeons is needed to reduce delay in management and patients transfer to obtain the best surgical outcome. PMID: 19935612 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 27 Nov 2009 21:26:18 +010
       
  • Biventricular pacing concomitant to on-pump heart surgery: a case series.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Epicardial lead placement during cardiac surgery of severe HF patients is safe and effective. A clear evaluation of the effect of BEP alone is precluded because of the interference of the concomitant indications for cardiac surgery and the absence of randomization. The high rate of sudden death noticed in this study raises the important question of whether implantation of a defibrillator would be warranted in such population. PMID: 19935613 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 27 Nov 2009 21:26:15 +010
       
  • Typical and atypical carcinoid tumours: 20-year experience with 89
           patients.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Anatomical resection, including formal lobectomy (or pneumonectomy when indicated) and radical mediastinal lymphadenectomy, should be performed in carcinoid tumours. PMID: 19935614 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 27 Nov 2009 21:26:13 +010
       
  • Reduction of postoperative hypothermia with a new warming device: a
           prospective randomized study in off-pump coronary artery surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Calcaterra D, Ricci M, Lombardi P, Katariya K, Panos A, Salerno TA Hypothermia has been used for decades in cardiac surgery to limit the ischemic insult to the heart. With the diffusion of off-pump coronary artery surgery, the practice of arresting and cooling the heart has been abandoned. At University of Miami Miller School of Medicine, we tested a new warming device by performing a prospective study in which 50 patients were randomized to either the use of the Kimberly-Clark warming system or to standard methods of control of body temperature. The two groups were compared in terms of core body temperature (CBT), intra- and postoperative blood loss, blood products transfusions, extubation time, intensive care unit (ICU) and hospital length of stay and incidence of infections...
      PubDate: Fri, 27 Nov 2009 21:26:10 +010
       
  • Effectiveness of a temporary bypass in high-risk abdominal aortic aneurysm
           surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Ohtake H, Kimura K, Kato H, Yamaguchi S, Tomita S, Watanabe G PMID: 19935616 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 27 Nov 2009 21:26:08 +010
       
  • Conservative management of left atrial thrombus after CABG in a patient
           with normal mitral valve.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Darwazah AK PMID: 19935617 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 27 Nov 2009 21:26:05 +010
       
  • The management of ruptured abdominal aortic aneurysms.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Veith FJ PMID: 19741571 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 13 Sep 2009 00:32:35 +010
       
  • Stent-graft use in urgent and emergent AAA management.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Trani JL, Farber MA The use of stent grafts in the treatment of ruptured aortic aneurysm, abdominal (AAA) may reduce mortality associated with this process through its dramatic alteration of the surgical technique employed. Advantages of endovascular repair include the ability to perform the procedure under local anesthesia, decreased physiologic stress of avoiding a laparotomy and avoiding collateral damage during open repair. Criticisms of this technique include additional preoperative time spent obtaining appropriate imaging, the necessity for specialized products and personnel required to perform the procedure, and late complications such as abdominal compartment syndrome. Current data regarding a survival advantage appear favorable but flawed, highlighting the need for pr...
      PubDate: Sun, 13 Sep 2009 00:32:32 +010
       
  • Mortality of ruptured abdominal aortic aneurysm with selective use of
           endovascular repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Verhoeven EL, Kapma MR, Bos WT, Vourliotakis G, Bracale UM, Bekkema F, Vahl AC, Van Den Dungen JJ The aim of this review was to examine the results over a seven-year period of treatment for ruptured abdominal aortic aneurysm (RAAA). From 2002 on, our tertiary referral centre offered both open and endovascular (EVAR) treatment modalities for RAAA. All patients with a proven RAAA who were admitted into our hospital were included. Primary outcome measure was surgical mortality. In total 261 patients were admitted with suspicion of acute AAA. Of these, 175 (67%) had a RAAA, confirmed by computed tomography-scanning or at laparotomy. One hundred and fifty-nine patients (90.9%) were treated, 114 by open repair and 45 by EVAR. Overall mortality of patients treated was 25.2%, with an ...
      PubDate: Sun, 13 Sep 2009 00:32:30 +010
       
  • Choice of treatment for the patient with urgent AAA: practical tips.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Mayer D, Rancic Z, Pfammatter T, Veith FJ, Lachat M Since the first successful attempts of emergency endovascular aneurysm repair (eEVAR) for patients with ruptured AAAs in the mid 1990s, surgeons have had to decide whether to treat patients by conventional open surgery or by minimally invasive but technically more demanding eEVAR. To date, selection of patients for eEVAR is still heavily debated and factors like hemodynamic instability, fear of treatment delay for patient transfer or imaging procedures and logistic issues often lead to the exclusion of anatomically suitable patients from eEVAR. However, these adverse factors may be overcome by adherence to an appropriate (intention-to-treat) protocol employing the use of a hypotensive hemostatic approach, transfemoral aortic ...
      PubDate: Sun, 13 Sep 2009 00:32:27 +010
       
  • The influence of statins on the expansion rate and rupture risk of
           abdominal aortic aneurysms.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Van Kuijk JP, Flu WJ, Witteveen OP, Voute M, Bax JJ, Poldermans D Abdominal aortic aneurysms (AAA) have a prevalence between 1.3-8.9% in men and 1.0-2.2% in women aged above 55 years. Furthermore, AAA cause 1-3% of all deaths among men aged 65-85 years in developed countries. As the disorder is invariably associated with severe atherosclerotic damage of the arterial wall, it has traditionally been regarded as a direct consequence of generalized atherosclerotic disease. In patients with occlusive aortic disease, dyslipidemia is a well established risk factor. However, in patients with aneursymatic aortic disease, the association between dyslipidemia and the development of AAA is less clear. Large clinical trials in patients with cardiac and peripheral arterial disease have show...
      PubDate: Sun, 13 Sep 2009 00:32:25 +010
       
  • Endovascular treatment for ruptured abdominal aortic aneurysm. Review of
           literature.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Palombo D, Lucertini G, Pane B, Spinella G Endovascular repair (EVAR) has produced increasing interest in the treatment of ruptured abdominal aortic aneurysms (rAAAs). Experiences to support EVAR as first approach for patients with rAAA is drawn from three sources: results of single-centre series, systematic reviews, and population-based studies. In order to validate EVAR, this technique was compared to open repair (OR), considered as the conventional treatment. These studies are heterogeneous, and often failed to demonstrate any significant difference between EVAR and OR. More recently, some population-based studies from the USA suggested advantages of EVAR over OR with regard to 30-day mortality and morbidity. Some bias have influenced the reported RESULTS: Criteria for choi...
      PubDate: Sun, 13 Sep 2009 00:32:22 +010
       
  • EVAR for ruptured AAAs Do we need randomized controlled trials'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Nordon IM, Hinchliffe RJ, Holt PJ, Morgan R, Loftus IM, Thompson MM Endovascular abdominal aortic aneurysm (EVAR) repair has an established role in elective management of abdominal aortic aneurysms (AAA). The application of EVAR to ruptured AAAs (rAAA) is evolving and developing a strong evidence base in selected patients. Although EVAR has been utilized to manage rAAA for greater than ten years, to-date no randomized study has been completed to confirm superiority over traditional open surgical repair. Randomized controlled trials (RCTs) allow unbiased objective comparison of two techniques and are the most powerful scientific instrument available for clinical assessment; they form the corner-stone of surgical evidence-based practice. In light of current understanding, the ro...
      PubDate: Sun, 13 Sep 2009 00:32:19 +010
       
  • Below-the-knee revascularization. Advanced techniques.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Schwarzwälder U, Zeller T This review summarizes new developments in revascularization and advanced techniques to treat lesions below the knee (BTK). The primary goal of endovascular therapy is the re-establishment of pulsatile, straight-line flow to the foot. This treatment results in relieving ischemic pain, healing of (neuro)ischemic ulcers, preventing limb loss, improving quality of life and potentially prolong survival. Balloon angioplasty is the currently established therapy, bare-metal stents are reserved for failed percutaneous transluminal angioplasty (PTA). Novel devices such as laser, excisional and rotational atherectomy systems, drug eluting stents or drug coated balloons still lack data demonstrating improved efficacy compared to conventional balloon angiopl...
      PubDate: Sun, 13 Sep 2009 00:32:16 +010
       
  • New stents for SFA.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Minar E, Schillinger M Endovascular stent implantation was introduced to femoropopliteal procedures almost two decades ago. Initial results with balloon-expandable stainless steel stents and self expanding Elgiloy stents, however, were disappointing. In particular, recurrence rates after long-segment femoropopliteal stenting were rather high, in the range of 60% to 80% at 1 year. After years of stagnation, recent developments in femoropopliteal stent technology have been promising. Self-expanding nitinol stents have been evaluated in several prospective studies. Initial problems with stent fractures seem to be resolved using second-generation devices. The second generation of Nitinol stents have an enhanced flexibility particularly also in axial direction due to a reduction of...
      PubDate: Sun, 13 Sep 2009 00:32:13 +010
       
  • Chronic critical limb ischemia: European experiences.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Diehm N, Silvestro A, Baumgartner I, Do DD, Diehm C, Schmidli J, Dick F Chronic critical limb ischemia still poses a substantial threat to both limb and life of the affected patients since these patients suffer typically also from associated cardiac and cerebrovascular disease and other severe comorbidities. Due to improved secondary prevention strategies and dedicated technical innovation, however, clinical outcomes have improved in the recent years. Purpose of this article is to provide a balanced discussion of contemporary treatment concepts for patients with critical limb ischemia with a focus on arterial revascularization. PMID: 19741580 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 13 Sep 2009 00:32:11 +010
       
  • Effects of simvastatin on systemic inflammatory responses after
           cardiopulmonary bypass.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: In patients undergoing coronary artery bypass grafting with cardiopulmonary bypass, the administration of simvastatin doses not produce any changes in the inflammatory response as measured by the levels of IL-6, IL-8, TNF-alfa and SIRS score, nor does it reduce the complications after cardiac surgery. PMID: 19741581 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 13 Sep 2009 00:32:08 +010
       
  • Impact of the definition of renal dysfunction on EuroSCORE performance.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: The use of creatinine as a continuous variable or glomerular filtration rate as a categorical or continuous variable improves the predictive accuracy of the EuroSCORE model for hospital mortality. Given the increasing incidence of preoperative renal dysfunction and its impact on hospital mortality, future risk stratification models should include continuous creatinine or glomerular filtration rate rather than creatinine as a binary variable. PMID: 19741582 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 13 Sep 2009 00:32:05 +010
       
  • Unresolved issues of thoracic endografting.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Hollier LH PMID: 19734827 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 31 Jul 2009 23:00:00 +010
       
  • Endovascular aneurysm repair: state-of-art imaging techniques for
           preoperative planning and surveillance.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Truijers M, Resch T, Van Den Berg JC, Blankensteijn JD, Lönn L Endovascular aneurysm repair (EVAR) represents one of the greatest advances in vascular surgery over the past 50 years. In contrast to conventional aneurysm repair, EVAR requires accurate preoperative imaging and stringent postoperative surveillance. Duplex ultrasound (DUS), transesophageal echocardiography, intravascular ultrasound, computed tomography (CT) and magnetic resonance (MR), each provide useful information for patient selection, choice of endograft type and surveillance. Today most interventionists and surgeons will rely on CT or MR to assess aortic morphology, evaluate access artery patency and locate side branch orifices. However, recent developments in cross-sectional imaging, including advanced...
      PubDate: Fri, 31 Jul 2009 23:00:00 +010
       
  • Endovascular thoracoabdominal aortic aneurysm repair: a literature review
           of early and mid-term results.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : D'Elia P, Tyrrell M, Sobocinski J, Azzaoui R, Koussa M, Haulon S Successful endovascular repair of abdominal aortic aneurysms (AAA) requires undilated proximal (infrarenal neck) and distal landing zones (common or external iliac arteries). A range of approved endografts are available to exclude such aneurysms. Recent multicentric prospective randomized trials have demonstrated a short and midterm decrease in aneurysm-related deaths of the endovascular technique compared to open surgery. These results have induced an overall increase in the rate of endovascular repair of AAA. Patients with more complex aortic aneurysms, involving the visceral vessels (juxta, para and thoraco-abdominal aneurysms (TAAA), have increased perioperative morbidity and mortality after open repair compa...
      PubDate: Fri, 31 Jul 2009 23:00:00 +010
       
  • Endovascular repair of thoracoabdominal aneurysms: design options, device
           construct, patient selection and complications.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: In conclusion, endovascular TAAA repair is an evolving technique that is developing increasing consistency in device design and implantation technique. It is effective in eliminating aneurysm flow and in preserving visceral branch perfusion. These early outcomes are better than the results achieved with open TAAA repair in population-based studies and are at least equal to the results of open TAAA repair reported from centers of focused expertise. These results support expanding the indications for endovascular TAAA repair to include standard risk patients. PMID: 19734830 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 31 Jul 2009 23:00:00 +010
       
  • Hybrid approach for arch and thoracoabdominal pathologies.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Böckler D, Nassar J, Kotelis D, Geisbüsch P, Hyhlik-Dürr A, Von Tengg-Kobligk H, Weber TF, Schumacher H The endovascular era began about 20 years ago and subsequently revolutionized vascular surgery as a less invasive treatment option, especially for high risk patients. In the late 1990s, a new hybrid approach for arch and thoracoabdominal pathologies was developed. Debranching and rerouting supra-aortic and visceral aortic branches with extra-anatomic bypass grafting was performed in order to achieve sufficient landing zones demanding for subsequent stent grafting. The initial single-center results of small series up to 20 patients were encouraging with acceptable complication rates. Hybrid arch procedures are feasible but seem to carry risks. However, the late...
      PubDate: Fri, 31 Jul 2009 23:00:00 +010
       
  • The applicability of chimney grafts in the aortic arch.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Chimney grafts in the supra-aortic branches seem feasible and may facilitate urgent TEVAR in patients with an inadequate proximal neck. PMID: 19734832 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 31 Jul 2009 23:00:00 +010
       
  • Different types of thoracic endografts.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Cao P, Verzini F, De Rango P, Maritati G, De Pasquale F, Parlani G The emerging role of stent-graft strategies for the management of thoracic aortic diseases has attracted growing acceptance, especially in considering the sobering results of open repair in thoracic high-risk settings (e.g., acute dissection, trauma, rupture). Aortic endograft technology for thoracic diseases has rapidly improved after the early use of first generation devices, and the new models show very promising early and mid-term success rates. To date there is no evidence of the superiority of any single device model over the others. Indeed, each device has some peculiarities that makes it more useful in specific settings. Current limitations in thoracic stent-grafts will hopefully be addressed with new d...
      PubDate: Fri, 31 Jul 2009 23:00:00 +010
       
  • Hybrid surgical and endovascular therapy in multifocal peripheral TASC D
           lesions: up to three-year follow-up.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Hybrid surgical and endovascular therapy, such as aortoiliac and/or superficial femoral artery stenting as an adjunct to common femoral artery endarterectomy, can provide a less invasive yet effective and durable option to patients with multifocal peripheral artery disease. PMID: 19734834 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 31 Jul 2009 23:00:00 +010
       
  • Imaging of the endoleak after endovascular aneurysm repair procedure by
           using multidetector computer tomography angiography.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Saba L, Montisci R, Sanfilippo R, Mallarini G Abdominal aortic aneurysms (AAA) are an important cause of death in elderly men. Most used treatment options are endovascular aneurysm repair (EVAR) and open surgical repair. After the endovascular stent graft placement, however, several complications may occur and an important complication of EVAR is endoleak formation which occurs in approximately one-fourth of patients. Endoleak represents a blood flow outside the stent graft lumen but within the aneurysm sac. For these reasons, unlike the minimal imaging follow-up that is typically performed after surgical repair, patients undergoing EVAR require a life-long postoperative surveillance imaging. In the last years, with the advent of multidetector-row CT (MDCT) scanners and the us...
      PubDate: Fri, 31 Jul 2009 23:00:00 +010
       
  • Prognosis of perioperative myocardial infarction after off-pump coronary
           artery bypass surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: PMI (CKMB>20 UNL) was a strong predictor of operative mortality. QMI and EMI were predictors of long-term mortality and cardiac morbidity after OPCAB surgery. CKMB 10-20 UNL affected long-term cardiac survival but not overall survival. PMID: 19734836 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 31 Jul 2009 23:00:00 +010
       
  • Histopathological comparison of vascular wall damage created by external
           cross-clamp and endoluminal balloon occlusion techniques.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: External clamp and internal balloon occlusion techniques applied to the aorta were compared, and widespread intimal and medial damage were observed in both techniques. However, endoluminal occlusion of the aorta should be the technique of choice in properly selected cases, since it results in lower damage grades, and it should also be used if application of an external clamp is technically difficult. PMID: 19734837 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 31 Jul 2009 23:00:00 +010
       
  • Open heart surgery in a developing country: why, who, how and when to
           operate on.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Donegani E PMID: 19734838 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 31 Jul 2009 23:00:00 +010
       
  • Multiple cysts involving heart, brain and kidney.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Actis Dato G, Cappuccio GF, Zingarelli E, Salizzoni S, El Qarra S, Valesio R, Casabona R PMID: 19734839 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 31 Jul 2009 23:00:00 +010
       
  • Retraction of article published in the journal of cardiovascular surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Uflacker R PMID: 19734840 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 31 Jul 2009 23:00:00 +010
       
  • Right ventricular hydatid cyst: a case report.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Donegani E, Pisani P, Radaelli S, Pula G, Portella G PMID: 19339960 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 31 May 2009 23:00:00 +010
       
  • A 43-year follow-up after mitral valve repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Actis Dato GM, Zingarelli E, Flocco R, Tomasello A, Del Ponte S, Punta G, Forsennati P, Casabona R PMID: 19339961 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 31 May 2009 23:00:00 +010
       
  • The effect of cotinine on telomerase activity in human vascular smooth
           muscle cells.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Cotinine causes abnormal cell proliferation as demonstrated by increased cell numbers and reactivation of telomerase in a dose dependent manner. This study demonstrated cotinine's stimulatory effect on human SMC proliferation in vitro at low doses while high doses of cotinine had a toxic effect. These data correlate with the results of other studies concerning the mitogenic effect of cotinine and telomerase activation during cellular proliferative response. PMID: 19339962 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 31 May 2009 23:00:00 +010
       
  • Synchronous abdominal aortic aneurysm and colorectal cancer. The
           therapeutic dilemma in the era of endovascular aortic aneurysm repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This study attempts a historical review of the surgical practice during the past decades by reviewing the existing English literature on this topic. The dilemma between one or two stage treatment has remained as both options offer advantages but also carry some substantial risks. The current practice gives priority to the life threatening disease (AAA>5.5 cm, symptomatic or complicated CRC) (two stage treatment) or suggest simultaneous management (one stage) when both diseases require urgent surgical treatment. The evolution of vascular endografts and the reported efficacy of endovascular aortic repair (EVAR) provide an alternative method for treating these high risk patients, by surpassing some significant obstacles. If the anatomical criteria are satisfied, EVAR could become the optim...
      PubDate: Sun, 31 May 2009 23:00:00 +010
       
  • Surgical removal of an infected aortic endoprosthesis using a wire cutter.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: In conclusion, infected endoprostheses should be surgically removed according to the medical literature. We recognize that removing a Zenith endoprostheses requires a dangerous operation because the hooks of the bare stent are engaged into the supra-renal aorta. This case report documents a new technique to safely remove an infected endoprosthesis with the help of a wire cutter. PMID: 19455093 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 31 May 2009 23:00:00 +010
       
  • Postoperative cardiac troponin I is an independent predictor of
           in-hospital death after coronary artery bypass grafting.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Our study indicates that cTnI concentration 20 hours after the end of surgery is an independent predictor of in-hospital death after CABG. Furthermore, high concentrations of cTnI were associated with a cardiac cause of death and major clinical outcomes. PMID: 19455094 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 31 May 2009 23:00:00 +010
       
  • Diabetic limb salvage.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Bell PR PMID: 19543187 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 31 May 2009 23:00:00 +010
       
  • Diabetic patients: epidemiology and global impact.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Setacci C, de Donato G, Setacci F, Chisci E Definition of the exact epidemiology and the global impact of diabetes is not easy, being strictly related to the availability of data in developing countries and to the use in the existing population-based investigations of common criteria for the diagnosis and definition of diabetes. According to the World Health Organization (WHO) the total number of people with diabetes was 171 million in 2000, and is projected to rise up to 366 million in 2030. The true prevalence of peripheral arterial disease (PAD) in people with diabetes has been difficult to determine, as most patients are asymptomatic, many do not report their symptoms, screening modalities have not been uniformly agreed upon, and pain perception may be blunted by the prese...
      PubDate: Sun, 31 May 2009 23:00:00 +010
       
  • Treatment of diabetic foot ulcers.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Vuorisalo S, Venermo M, Lepäntalo M Diabetic foot ulcers are a major health care problem. Complications of foot ulcers are a leading cause of hospitalization and amputation in diabetic patients. Diabetic ulcers result from neuropathy or ischemia. Neuropathy is characterized by loss of protective sensation and biomechanical abnormalities. Lack of protective sensation allows ulceration in areas of high pressure. Autonomic neuropathy causes dryness of the skin by decreased sweating and therefore vulnerability of the skin to break down. Ischemia is caused by peripheral arterial disease, not by microangiopathy. Poor arterial inflow decreases blood supply to ulcer area and is associated with reduced oxygenation, nutrition and ulcer healing. Necrotic tissue is laden with bacteri...
      PubDate: Sun, 31 May 2009 23:00:00 +010
       
  • Surgical treatment of the neuroischemic foot.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Simms M As many as 1% of older people in the Western world are at risk of developing a foot ulcer as a complication of diabetes mellitus. The resultant debility and disability constitutes a burden for both individuals and their health services. When peripheral arterial insufficiency complicates neuropathy there is a tenfold risk of ulceration progressing to infection, gangrene and amputation. Patient education and the vigilant implementation of preventive measures offer the best prospects for containment of the problem. Patients faced with ulceration and limb loss require access to a co-ordinated and comprehensive diabetic foot service offering detailed assessment and a full range of social, medical and surgical therapies. PMID: 19543190 [PubMed - in process] (Source: The ...
      PubDate: Sun, 31 May 2009 23:00:00 +010
       
  • Other endovascular methods of treating the diabetic foot.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Peeters P, Keirse K, Verbist J, Deloose K, Bosiers M Critical limb ischemia (CLI) is an endstage manifestation of peripheral artery disease (PAD) and typically describes patients with ischemic rest pain (Rutherford Category 4), or patients with ischemic skin lesions, either ulcers or gangrene (Rutherford Category 5-6). CLI due to infrapopliteal lesions is often not a good indication for infrageniculate bypass surgery placement, due to the presence of prohibitive comorbidities, inadequate conduit, and lack of suitable distal targets for revascularization. Therefore, CLI patients due to blockage of below-the-knee arteries are in benefit of the endovascular approach. Infrapopliteal PTA became feasible with the introduction of low-profile peripheral balloon systems and the use of ...
      PubDate: Sun, 31 May 2009 23:00:00 +010
       
  • Below the knee angioplasty among diabetic patients.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Markose G, Bolia A The treatment of below knee arterial disease has undergone a gradual shift over the last few years to incorporate a greater proportion of endovascular treatments. Not only does this include patients who now have endovascular therapy rather than surgery, but also patients who in the past would have been offered supportive treatment only, due to factors such as being medically unfit for surgery, lacking sufficient donor vein for bypass grafting, or swelling. Diabetes mellitus is becoming increasingly common, potentially causing numerous comorbidities in patients. It tends to have a more distal pattern of peripheral vascular disease, presenting later and with generally high complication and failure rates following therapy (surgical or endovascular) and higher a...
      PubDate: Sun, 31 May 2009 23:00:00 +010
       
  • Clinical results of below-the knee intervention using pedal-plantar loop
           technique for the revascularization of foot arteries.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Percutaneous revascularization of foot arteries in patients with CLI is feasible and safe, and appears to provide positive clinical results at both acute and mid-term follow-up. PMID: 19543193 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 31 May 2009 23:00:00 +010
       
  • Heparin-bonded expanded polytetrafluoroethylene graft for infragenicular
           bypass: five-year results.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: The heparin-bonded ePTFE graft provided good long-term results in infragenicular bypasses in patients with severe PAD. PMID: 19543194 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 31 May 2009 23:00:00 +010
       
  • Carotid highly-calcified de novo stenosis and cutting-balloon angioplasty:
           a tool to prevent haemodynamic depression'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: HD is a common occurrence after CAS, especially in patients with both long and calcified plaque. Only a tailored procedure with a correct remodelling of the plaque allows to avoid both HD and elastic recoil of the target lesion. PMID: 19543195 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 31 May 2009 23:00:00 +010
       
  • Applicability and clinical results of percutaneous transluminal
           angioplasty with a novel, long, conically shaped balloon dedicated for
           below-the knee interventions.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Infra-popliteal PTA with this new, BTK dedicated, long tapered balloon in patients with CLI was feasible and safe, and was associated favorable clinical results at both acute and mid-term follow-up. PMID: 19543196 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 31 May 2009 23:00:00 +010
       
  • The effects of calcium dobesilate on the mechanical function of rat
           hearts.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: This study showed that calcium dobesilate may have cardio-protective effects in isolated, perfused rat hearts. In hearts perfused by calcium dobesilate, the increase in mean P may be explained by the increase in endothelium-derived vasodilator substances. Further studies are needed to better characterize the myocardial protective effects of calcium dobesilate. PMID: 19543197 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 31 May 2009 23:00:00 +010
       
  • Choice of access for percutaneous carotid angioplasty and stenting: a
           comparative study on cervical and femoral access.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Mathieu X, Piret V, Bergeron P, Petrosyan A, Abdulamit T, Trastour JC Carotid angioplasty and stenting (CAS) is a well established technique. CAS indications currently still limited are yet evolving. The choice of the access is defined by the risk factors of the patient among whom ''the vascular anatomy'' is essential. The authors will focus here on the accesses, their advantages and their drawbacks. They made a retrospective study relating 314 patients treated by CAS. No significant difference in term of morbidity or mortality between the cervical or femoral access was found but a clear tendency in favor of the cervical access which avoids the arch manipulations. It can be concluded that various access offer better options for CAS and must be discussed depending on the patien...
      PubDate: Mon, 18 May 2009 23:00:00 +010
       
  • Outcome of open versus endovascular revascularization for chronic
           mesenteric ischemia: review of comparative studies.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This study aimed at comparing the outcomes of these two treatment modalities. The literature was searched using the MEDLINE database through the PubMed search engine for relevant articles that compared the outcomes after OR and ER for chronic mesenteric ischemia. Review of the selected articles revealed that patients had lower postoperative mortality and morbidity, and shorter intensive care unit and hospital stay after ER. However, early and long-term symptomatic relief and significantly lower restenosis rate were characteristic of OR. Although no level 1 evidence governs the treatment of chronic mesenteric ischemia, the durability and efficacy of OR is such that this modality should remain the procedure of choice for patients who are fit or whose fitness could be improved before surgery....
      PubDate: Mon, 18 May 2009 23:00:00 +010
       
  • Fenestrated stent-grafting after previous endovascular abdominal aortic
           aneurysm repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Fenestrated endovascular stent-grafts can be used to repair juxta- and pararenal AAA after previous EVAR. However, several technical challenges have to be overcome due to the presence of a previous stent-graft. PMID: 19455086 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 18 May 2009 23:00:00 +010
       
  • Biventricular pacing concomitant to on-pump heart surgery: a case series.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Epicardial lead placement during cardiac surgery of severe HF patients is safe and effective. A clear evaluation of the effect of BEP alone is precluded because of the interference of the concomitant indications for cardiac surgery and the absence of randomization. The high rate of sudden death noticed in this study raises the important question of whether implantation of a defibrillator would be warranted in such population. PMID: 19455087 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 18 May 2009 23:00:00 +010
       
  • One stage carotid artery stenting and open heart surgery:a novel approach.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: The low complication rate suggests that CAS and cardiac surgery in one stage offers a safer therapeutic option compared to combined carotid endarterectomy and cardiac surgery. It may also be safer than with the staged CAS and coronary artery bypass grafting approach as well. PMID: 19455088 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 18 May 2009 23:00:00 +010
       
  • Outcome of carotid artery stenting at 2 years follow-up: comparison of
           nitinol open cell versus stainless steel closed cell stent design.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: At 2-year follow-up after carotid artery stenting, there is no difference in clinical outcome or in stent patency among patients treated with open versus closed cell design stents. Subsequently the type of carotid stent design does not seem to impact the overall midterm outcome after carotid artery stenting. PMID: 19455089 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 18 May 2009 23:00:00 +010
       
  • Aortoenteric fistula after endovascular abdominaaortic aneurysm treatment
           with the original Gore Excluder endoprosthesis and Cook aortouniiliac
           converter for endotension.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We report a case of aortoenteric fistula (AEF) that occurred four years after endovascular abdominal aortic aneurysm repair (EVAR) with the original Gore Excluder endoprosthesis despite uncomplicated stent graft placement without endoleaks or migration on postoperative imaging studies; the patient was reoperated with a Cook aortouniiliac converter for endotension three months before the diagnosis of AEF. To our knowledge, this is the first reported case in the literature of an AEF after EVAR with the Excluder stent graft. Our case demonstrates that EVAR is not a guarantee against the development of AEF, and we suggest that all the patients with the first generation Excluder device should be closely followed-up; if sac enlargement is detected, early conversion to open repair or reinforcemen...
      PubDate: Mon, 18 May 2009 23:00:00 +010
       
  • Prognosis of perioperative myocardial infarction after off-pump coronary
           artery bypass surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: PMI (CKMB>20 UNL) was a strong predictor of operative mortality. QMI and EMI were predictors of long-term mortality and cardiac morbidity after OPCAB surgery. CKMB 10-20 UNL affected long-term cardiac survival but not overall survival. PMID: 19455092 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 18 May 2009 23:00:00 +010
       
  • Histopathological comparison of vascular wall damage created by external
           cross-clamp and endoluminal balloon occlusion techniques.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: External clamp and internal balloon occlusion techniques applied to the aorta were compared, and widespread intimal and medial damage were observed in both techniques. However, endoluminal occlusion of the aorta should be the technique of choice in properly selected cases, since it results in lower damage grades, and it should also be used if application of an external clamp is technically difficult. PMID: 19347004 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 05 Apr 2009 23:00:00 +010
       
  • Endograft differences: do they matter clinically'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Lonn L, Schroeder TV PMID: 19329907 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Apr 2009 04:00:00 +010
       
  • From clinical trials to clinical practice: 612 cases treated with the
           Powerlink stent-graft for endovascular repair of AAA.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Results from multiple clinical trials and our clinical practice proved that the Powerlink device is simple to implant, effective to endovascular repair, durable to mid- and long-term follow up. The implanting technique of combination of an anatomically-fixed unibody Powerlink device and proximal extension sealing leads to a superior outcome, even in challenging anatomy cases deemed unsuitable for endovascular repair. With this intuitive approach, migration and the associated sequelae were virtually eliminated. PMID: 19329908 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Apr 2009 04:00:00 +010
       
  • The advantages of Aorfix for endovascular repair of abdominal aortic
           aneurysm.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Early data with the Aorfix stent-graft shows favorable results. The device's flexible design allows safe and accurate aneurysm sac exclusion in patients with highly challenging anatomy. This is likely to increase the number of patients considered suitable for endovascular aneurysm repair, who were previously excluded from this type of treatment and also reduce the levels of endoleaks. PMID: 19329909 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Apr 2009 04:00:00 +010
       
  • The advantages of Anaconda endograft for AAA.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: As evidenced in this clinical study, the mid-term outcomes of Anaconda endograft are satisfactory concerning the treatment of AAA with a minimum neck length of 15 mm. This device proved in the mid-term to effectively protect the patient treated from aneurysm rupture. Presence of even severe tortuosity of the proximal neck and of the iliac arteries did not affect outcomes. Considering these results showing the safety of Anaconda endograft, the authors suggest its employment also in cases with difficult anatomy. PMID: 19329910 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Apr 2009 04:00:00 +010
       
  • Endurant stent-graft system: preliminary report on an innovative treatment
           for challenging abdominal aortic aneurysm.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Verhagen HJ, Torsello G, De Vries J PP, Cuypers PH, Van Herwaarden JA, Florek H J, Scheinert D, Eckstein H H, Moll FL The evolution of stent-grafts and endovascular delivery systems has substantially improved the application rate for and patient outcomes with endovascular aneurysm repair (EVAR) of abdominal aortic aneurysm (AAA), but further development is needed in order to reduce the continuing incidence of complications and secondary re-interventions. Severe angulations at the proximal aneurysm neck and tortuous, calcified, and small iliac arteries are still recognized as important risk factors for successful EVAR of AAA and hence as criteria for exclusion of many potential patients. The Endurant stent-graft is part of a next-generation system that was designed with the cle...
      PubDate: Wed, 01 Apr 2009 04:00:00 +010
       
  • Results of endovascular abdominal aortic aneurysm repair with selective
           use of the Gore Excluder.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Selective use of the Gore Excluder demonstrates excellent short- and long-term results. Despite being used in challenging iliac anatomy no graft limbs occluded. PMID: 19329912 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Apr 2009 04:00:00 +010
       
  • Zenith(R) abdominal aortic aneurysm endovascular graft: a literature
           review.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This article comprises a review of the English literature detailing the endovascular treatment of abdominal aortic aneurysms using the Zenith(R) endograft. It focuses on clinical studies or trials with intermediate to long-term follow-up, and related the literature to our own experience. In the series examined (N.=2 017 patients) the early mortality rate ranged from 0% to 4.1% and the technical success rate from 97.7% to 100%. The re-intervention rate was related to the length of follow-up (6.8% to 14%). Conversion rates were consistently <1%. There was a low incidence of device migration, limb thrombosis, component separation and stent fracture. These data support the ongoing use of the Zenith(R) endovascular graft in patients with abdominal aortic aneurysms suitable for EVAR. PMID...
      PubDate: Wed, 01 Apr 2009 04:00:00 +010
       
  • SPREAD Italian Guidelines for stroke. Indications for carotid
           endarterectomy and stenting*.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Setacci C, Lanza G, Ricci S, Cao PG, Castelli P, Cremonesi A, Inzitari D, Novali C, Pratesi C, Speziale F, Mangiafico S, Zaninelli A, Gensini GF This multidisciplinary guideline provides an overview of the current evidence on the benefits obtained by endoarterectomy and stenting for the surgical treatment of patients with symptomatic and asymptomatic carotid stenosis. A hundred forty-six authors, 37 Italian scientific societies and two Italian patients' associations participated in drafting the Stroke Prevention and Educational Awareness Diffusion (SPREAD) document, which has become the national guideline for the prevention and treatment of stroke in Italy. For the surgical therapy section of this document, the main trials on carotid endoarterectomy and stenting were criticall...
      PubDate: Wed, 01 Apr 2009 04:00:00 +010
       
  • Temporal approach: a good way to provide cerebral protection for proximal
           carotid stenosis, the last chance for trackability in CAS.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: The temporal approach proved to be feasible and at low risk; it represents a new possibility to increase the feasibility of carotid artery stenting in patients with difficult anatomy but, above all, it is a good way to obtain cerebral protection during endovascular treatment of proximal lesions of the supraortic vessels. PMID: 19329915 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Apr 2009 04:00:00 +010
       
  • PEPE II - A multicenter study with an end-point heparin-bonded expanded
           polytetrafluoroethylene vascular graft for above and below knee bypass
           surgery: determinants of patency.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Present data show that the end-point heparin-bonded polytetrafluoroethylene graft yields patency rates comparable to those obtained with other graft material in above-knee locations. The encouraging results for BK bypasses suggests that this graft is an excellent option for small diameter vascular reconstructions when autologous vein is unavailable. PMID: 19329916 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Apr 2009 04:00:00 +010
       
  • Should octogenarians be denied access to surgery for acute type A aortic
           dissection'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Surgery for acute type A aortic dissection in the octogenarian shows high hospital mortality but satisfactory long-term survival among discharged patients. A less aggressive approach should increase the outcomes of surgically managed patients. PMID: 19329917 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Apr 2009 04:00:00 +010
       
  • The role of branched endografts in preserving internal iliac arteries.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: An IBD provides a totally endovascular option to preserve the IIA in selected aortoiliac and isolated CIA aneurysms. Anatomical application rate for the use of an IBD was 52.5% in our series. Further studies are needed to determine the indications for use of this device. PMID: 19329918 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Apr 2009 04:00:00 +010
       
  • A look into the endovascular crystal ball.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Schroeder TV This paper summarizes the highlights of the 15th International Workshop of Endovascular Surgery, held in Ajaccio in June 2008. This is an annual event that attracts leading endovascular tharapists from both sides of the Atlantic Ocean as well as a contingecy from downunder. The layout of this meeting followed the previous events with sessions on carotid artery disease and abdominal and thoracic aortic aneurysms topped up with clinical cases, lower limb ischemia and venous disease. Genreally the session takes off by summarising new evidence, followed by questions and dissussion. This workshops gives the participants an excellent opportunity to get an updated perspective within these fast developing areas. PMID: 19329919 [PubMed - in process] (Source: The Journa...
      PubDate: Wed, 01 Apr 2009 04:00:00 +010
       
  • An unusual late complication after SFA stenting: the artery rupture.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Chisci E, De Donato G, Setacci F, Raucci A, Giubbolini M, Setacci C Peripheral artery rupture as a late complication of an endovascular stenting, due to the protrusion of a stent, has never been described in the literature in thigh arteries. Here we describe two anecdotic cases of artery rupture after superficial femoral artery (SFA) stenting. In both cases the endovascular procedure was performed as a reintervention at 2 and 27 months after a failed surgical or hybrid procedure for limb revascularization. The stent had been delivered in the first part of the SFA and the rupture occurred at the junction between the common femoral artery and SFA, which is one of the most flexible parts of the femoral artery. The cause of Rupture was probably caused by an ulcer of the stent agai...
      PubDate: Wed, 01 Apr 2009 04:00:00 +010
       
  • Hypothermia exerts negative inotropy in human atrial preparations: in
           vitro-comparison to rabbit myocardium.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: In contrast to rabbit ventricular and atrial myocardium, human atrial myocardium showed a negative inotropic effect when exposed to hypothermia. This alteration could be secondary to a declined SR-Ca++ storage and decreased atrial calcium sensitivity. Calcium dependent inotropy is suppressed at temperatures below 34 degrees C. PMID: 19329921 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Apr 2009 04:00:00 +010
       
  • Results of open heart surgery in Jehovah's Witnesses patients.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: The decrease of hematocrit serum levels is significantly characterizing the postoperative period of open heart surgery in JW. In patients undergoing CABG without CPB and in patients undergoing isolated valve replacement, decrease of hematocrit serum levels was lowest. Therefore, these techniques should be considered for first choice when appropriate. Furthermore, highly normal preoperative hematocrit serum levels and a meticulous surgical technique remain the mainstay of therapy in these patients. PMID: 19329922 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Apr 2009 04:00:00 +010
       
  • Isolated radiation-induced mitral stenosis: a yet undescribed
           valvulopathy.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Anselmino M, Lupia E, Goffi A, Montrucchio G, Rinaldi M, Orzan F PMID: 19329923 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Apr 2009 04:00:00 +010
       
  • Synchronous aneurysms of the abdominal aorta and profunda femoris artery:
           simultaneous repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Brandão D, Correia Simões J, Brandão P, Canedo A, Maia M, Ferreira J, Braga S, Vaz G PMID: 19329924 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Apr 2009 04:00:00 +010
       
  • Usefulness and method in peer review: a simple advice for young reviewers.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Piciché M, Demaria RG PMID: 19329925 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 01 Apr 2009 04:00:00 +010
       
  • Carotid endarterectomy: results of the Italian Vascular Registry.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: These results are very good and are comparable to what has been reported in the literature during the last few years. This observation provides further proof of the effectiveness of CEA in the management of extracranial carotid disease. Moreover, these results have to be taken into account when evaluating any new therapeutic options, such as carotid stenting, before accepting them as valid alternatives. PMID: 19282808 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 12 Mar 2009 04:00:00 +010
       
  • Early control of distal internal carotid artery during carotid
           endarterectomy does it reduce cerebral microemboli'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: In this prospective, randomised trial early control of the distal internal carotid artery did not reduce the occurrence of MES during dissection of the carotid bifurcation. Also, the total number of MES throughout the procedure and postoperatively was comparable between both groups. The procedure related times as well as the clinical outcome did not differ significantly. Thus, early control of the distal internal carotid artery has got no advantage but also no disadvantage as compared to the traditional CEA technique. However, a limitation of the study is the small number of patients included. PMID: 19282809 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 12 Mar 2009 04:00:00 +010
       
  • The role of procalcitonin as predictor for neurological deficits after
           carotid endarterectomy.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: The present study demonstrates that there is still not sufficient evidence to recommend PCT measurement as a predictor for perioperative neurological deficit during CEA. PMID: 19282810 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 12 Mar 2009 04:00:00 +010
       
  • Endovascular proximal control of ruptured abdominal aortic aneurysms: the
           internal aortic clamp.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Assar AN, Zarins CK Ruptured abdominal aortic aneurysm (RAAA) is the most common and devastating complication affecting a patient with abdominal aortic aneurysm (AAA). Despite advances in surgery and critical care, the mortality rate associated with RAAA remains largely unchanged. Emergency open repair is the gold standard conventional treatment of RAAA but is associated with a high mortality rate. The physiologic challenges associated with general anaesthetic induction such as loss of the sympathetic vasoconstrictor tone with consequent hypotension, and the anatomic challenges associated with external aortic cross-clamping such as calcification, friability, or poor visualisation of the aneurysm neck, have led to the adoption of endovascular techniques in the surgical treatmen...
      PubDate: Thu, 12 Mar 2009 04:00:00 +010
       
  • Temporal approach: a good way to provide cerebral protection for proximal
           carotid stenosis, the last chance for trackability in CAS.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: The temporal approach proved to be feasible and at low risk; it represents a new possibility to increase the feasibility of carotid artery stenting in patients with difficult anatomy but, above all, it is a good way to obtain cerebral protection during endovascular treatment of proximal lesions of the supraortic vessels. PMID: 19265778 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 06 Mar 2009 05:00:00 +010
       
  • Inflammatory response after cardiopulmonary bypass: a randomized
           comparison between conventional hemofiltration and steroids.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Anti-inflammatory action of CUF was comparable to steroids, thus determining a similar proinflammatory response to CPB. However, hemodynamics was slightly impaired by CUF. Therefore, there is no reason to prefer CUF to steroids in patients undergoing elective CABG. PMID: 19262457 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 04 Mar 2009 05:00:00 +010
       
  • Foreword.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Castellani L PMID: 19179984 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 01 Feb 2009 05:00:00 +010
       
  • Current trends in cardiovascular therapy.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Palmaz JC PMID: 19179985 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 01 Feb 2009 05:00:00 +010
       
  • Cardiac CT for CAD. Do we still need angiography'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Garcia MJ Recent technological advances have led to a substantial increase in image quality in multi-detector computed tomography (MDCT). Over the last few years, there has been significant interest and controversy about the clinical application of CT angiography for the evaluation of the coronary anatomy in patients with suspected coronary artery disease (CAD). Unlike invasive coronary angiography, CT coronary angiography provides both visualization of the lumen and the coronary vessel wall. Calcified plaques can be detected without contrast administration and easily quantified. MDCT has largely replaced lectron beam computerized tomography for calcium scoring. Growing evidence suggests that measurement of coronary calcium may be particularly valuable in therapy decisions for...
      PubDate: Sun, 01 Feb 2009 05:00:00 +010
       
  • Indications for coronary artery bypass grafting in 2009: what is left to
           surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Caparrelli DJ, Ghazoul M, Diethrich EB Coronary artery bypass grafting (CABG) remains the most common procedure performed by cardiac surgeons, yet it is clear that the landscape of coronary intervention is constantly changing as new technology is introduced and data from countless studies continues to be published. However, no single study will be able to clearly define the indications for surgical versus percutaneous revascularization in every clinical scenario given the complexity of this disease as well as that of the patients it afflicts. Moreover, the significant improvements in percutaneous therapy, medical therapy management, perioperative care and secondary prevention after revascularization have decreased the morbidity and mortality of coronary artery disease making c...
      PubDate: Sun, 01 Feb 2009 05:00:00 +010
       
  • Current status in cervical carotid artery stent placement.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Carotid artery stent placement has met the CMS targets 3% for MAE for asymptomatic patients and 6% for symptomatic patients with numerous registries and trials. CAS has also proven outcomes at 3 years with restenosis rates and stroke-free rates comparable or better than CEA. CAS provides an option for patients not suited for medical therapy and who were high-risk for CEA, especially for those symptomatic patients. It is still controversial with the role of stenting asymptomatic patients as well as for octogenarians. However, forthcoming trials will be helpful in providing more insight. Despite questionable studies and bad press, carotid stenting in the right hands with good patient selection is an excellent procedure. Finally, it is important to remember, carotid stenting is s...
      PubDate: Sun, 01 Feb 2009 05:00:00 +010
       
  • Carotid artery stenosis: what is left to surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Chaer RA, Makaroun MS While carotid angioplasty and stenting has been clearly established as a minimally invasive alternative to endarterectomy for patients with carotid occlusive disease, its indications continue to evolve, being refined as more controlled data of large studies are being accumulated. The purpose of this article is to review the current evidence supporting the application of either technique in certain subsets of patients, and the relative contraindications for their use. PMID: 19179989 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 01 Feb 2009 05:00:00 +010
       
  • Safety and effectiveness of combining carotid artery stenting with cardiac
           surgery: preliminary results of a single-center experience.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Combined carotid stenting and cardiac surgery, performed in the same operating room under only heparin and aspirin, seems a safe and effective strategy for the treatment of patients with concomitant carotid and cardiac disease. PMID: 19179990 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 01 Feb 2009 05:00:00 +010
       
  • Revascularization strategy in patients with severe concurrent severe
           carotid and coronary artery disease: ''Failure to move forward is reason
           to regress''.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Van Der Heyden J, Suttorp MJ, Schepens MA In the absence of randomized trials, the optimal management of patients with concomitant carotid and coronary artery disease remains disputable. The initial studies of combined or staged carotid endarterectomy in these patients were conceived in an attempt to reduce perioperative mortality. Although encouraging results have been reported with combined carotid endarterectomy and cardiac surgery, this combination requires long operative times and remains a surgical challenge. Recent studies have shown that carotid angioplasty and stenting prior to cardiac surgery is a feasible and effective minimal invasive technique. However, the effect of carotid stenting on the incidence of death and stroke after cardiac surgery is indistinct. Carotid...
      PubDate: Sun, 01 Feb 2009 05:00:00 +010
       
  • Stroke after coronary artery bypass grafting. Is there place for a
           stroke-risk stratification model'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: With the used protocol, in the described patient population, perioperative stroke incidence is low. on the other hand, the complexity of the mechanism of perioperative stroke is confirmed and the use of a stroke-risk stratification model seems us justified for a better identification of patients at risk. PMID: 19179992 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 01 Feb 2009 05:00:00 +010
       
  • Does the risk of post-CABG stroke merit staged or synchronous
           reconstruction in patients with symptomatic or asymptomatic carotid
           disease'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Naylor AR The management of patients undergoing coronary artery bypass grafting (CABG) who are found to have co-existent carotid artery disease remains controversial. Management options include performing an isolated CABG, synchronous carotid endarterectomy (CEA) plus CABG, staged CEA-CABG, reverse staged CABG-CEA, synchronous CEA+CABG off bypass (OFFCAB) and staged carotid angioplasty with stenting (CAS) followed by CABG. For any of these combined or staged interventions to be clinically effective, the following conditions must be met; (1) CABG must be a proven intervention for ischaemic heart disease, (2) stroke must be an important cause of peri-operative morbidity and mortality, (3) the incidence of post-CABG stroke must be high enough to justify a programme of prevention,...
      PubDate: Sun, 01 Feb 2009 05:00:00 +010
       
  • Off-pump concomitant coronary revascularization and carotid
           endarterectomy.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Carter R Combined coronary artery bypass surgery and carotid endarterectomy is a controversial topic. With the recent revival of off-pump coronary artery surgery the question remains very actual. The aim of this study was to present a comprehensive review of the topic focusing on current strategies, including off-pump coronary artery bypass surgery. PMID: 19179994 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 01 Feb 2009 05:00:00 +010
       
  • Coronary artery disease in patients with abdominal aortic aneurysm: a
           review article.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Van Kuijk JP, Flu WJ, Dunckelgrun M, Bax JJ, Poldermans D Abdominal aortic aneurysms (AAA) and coronary artery disease (CAD) have traditionally been regarded as two separate vessel disorders with a common background. Atherosclerosis has always been considered as the basic pathophysiologic process. However, during the last decade, evidence has emerged with differences between AAA and CAD. Firstly, data regarding the prevalence of AAA and CAD are different. Secondly, the risk profiles between AAA and CAD differ, mainly regarding gender, age and diabetes mellitus. Thirdly, despite the intensive treatment of CAD and improved outcome, the prevalence of AAA has not changed during the last decade. In this review we will discuss the characteristics of CAD in patients with AAA. In the ...
      PubDate: Sun, 01 Feb 2009 05:00:00 +010
       
  • Prognosis of patients with peripheral arterial disease.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Welten GM, Schoutern O, Chonchol M, Hoeks SE, Bax JJ, Van Domburg RT, Poldermans D The incidence of peripheral arterial disease (PAD) is on the increase and is associated with a major health concern in current practical care. The most common disease process underlying PAD is atherosclerosis. Atherosclerosis is a complex generalized disease affecting several arterial beds, including the peripheral and coronary circulation. Especially in patients with PAD, high incidences of coronary artery disease (CAD) have been observed, which may be asymptomatic or symptomatic. The prognosis of patients with PAD is related to the presence and extent of underlying CAD. In patients with PAD undergoing major vascular surgery, cardiac complications are the major cause of perioperative morbidity ...
      PubDate: Sun, 01 Feb 2009 05:00:00 +010
       
  • Carotid stenting is a valuable alternative to carotid endarterectomy.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Bosiers M, Deloose K, Verbist J, Peeters P PMID: 19043383 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 01 Dec 2008 05:00:00 +010
       
  • Interim report of the SENTIS trial: cerebral perfusion augmentation via
           partial aortic occlusion in acute ischemic stroke.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The SENTIS trial was designed to test the hypothesis that the NeuroFlo(TM) system is safe to be used in humans and able to produce cerebral perfusion augmentation, based on imaging and neurological assessment at 24 hours and at 90 days. The preliminary data yielded by the interim analysis showed that the population enrolled in the trial was rather homogeneous regarding age, baseline NIHSS scores, and other risk factors, suggesting that the treated and control cohorts were similar. The analysis also showed that the adverse events were rather comparable between the two groups, suggesting the treatment procedure to be safe enough for continuation of the trial. The NeuroFlo(TM) system so far proved to be safe enough for clinical use and seems to be promising in improving survival i...
      PubDate: Mon, 01 Dec 2008 05:00:00 +010
       
  • Matching carotid anatomy with carotid stents.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Schillinger M, Minar E Carotid artery stenting (CAS) has emerged as a promising minimal invasive treatment alternative to carotid arterectomy for patients with symptomatic and asymptomatic carotid artery stenosis. Complication rates of CAS continuously decreased during recent years. Operator experience and technical improvements equally contributed to the improved safety of the procedure. Today, devices specifically designed to fit the requirements of carotid interventions are available and allow a lesion-tailored interventional strategy. The choice of stents seems to play an important role in achieving optimal outcomes with the endovascular technique. Basically, three major types of stents are currently available: open cell nitinol stents, closed cell nitinol stents, and clos...
      PubDate: Mon, 01 Dec 2008 05:00:00 +010
       
  • The expanding indications for virtual histology intravascular ultrasound
           for plaque analysis prior to carotid stenting.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Schiro BJ, Wholey MH Complications of carotid artery stenting (CAS), including stroke, remain relatively high when compared with carotid endarterectomy (CEA). Current selection criteria for patients undergoing CAS are based predominately on surgical risk related to other comorbidities. Little attention is given to the morphology of the atherosclerotic plaque, although studies have shown that extensive variability exists which confers certain risks for plaque vulnerability. Virtual HistologyTM intravascular ultrasound (VH IVUS) offers a unique method of assessing plaque morphology prior to CAS. Herein, the authors review the concepts of atherosclerotic plaque morphology and discuss the background of VH IVUS and illustrate its use in the carotid system. With selection of the app...
      PubDate: Mon, 01 Dec 2008 05:00:00 +010
       
  • Rationale and design of Emergent/Urgent Carotid Artery Stenting (EUCAS)
           Registry.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Setacci C, de Donato G, Chisci E, Setacci F EUCAS is a multicenter Registry of carotid artery stenting (CAS) in patients with acute cerebral ischemia (TIA or minor stroke), designed to determine the role of early endovascular intervention in a selected population with a vulnerable lesion of carotid bifurcation. The aim of the registry is to study the safety and efficacy of emergent/urgent CAS and to improve patient selection and consequently reduce the time loss between the index event and the intervention. Secondary aim is to study the plasma levels of plaque vulnerability biomarkers before and after carotid intervention in high risk patients to compare these value with a control group of patients with asymptomatic severe carotid stenosis, and to test the hypothesis that caro...
      PubDate: Mon, 01 Dec 2008 05:00:00 +010
       
  • Factors influencing restenosis after carotid aretery stenting.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Van Laanen J, Hendriks JM, Van Sambeek MR Many studies have published perioperative clinical results, but the incidence of restenosis and late stroke after carotid artery stenosis is poorly documented. Duplex ultrasonography is the most commonly used technique to follow in-stent restenosis after carotid aretery stenting (CAS), but, the ultrasound criteria for determining a restenosis after stent implantation are very heterogeneous. This review of the literature showed that the long-term in-stent restenosis rate after CAS appears to be acceptable and that restenosis is mainly asymptomatic. Suggested predictors of in-stent restenosis after CAS are advanced age, female gender, implantation of multiple stents, prior revascularization treatment, suboptimal result with residual sten...
      PubDate: Mon, 01 Dec 2008 05:00:00 +010
       
  • Efficacy of perfusion cooling of the epidural space and cerebrospinal
           fluid drainage during repair of extent I and II thoracoabdominal aneurysm.
           
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The combination of EPC and CSFD was effective in lowering the incidence of postoperative spinal cord injury in the repair of extent I and II thoracoabdominal aortic aneurysm. PMID: 19043389 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 01 Dec 2008 05:00:00 +010
       
  • Meta-analysis of transilluminated powered phlebectomy for superficial
           varicosities.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Further randomized trials are needed to determine the benefit of this procedure. PMID: 19043390 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 01 Dec 2008 05:00:00 +010
       
  • Thoracic endografting is rapidly approaching trim time.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Diethrich EB Thoracic aortic endografting is proving to be extremely useful for correcting a variety of lesions with few complications, and several devices have recently been approved by the Food and Drug Administration (FDA). Endovascular intervention avoids sternotomy or thoracotomy, chest tubes, respirators, general anesthesia, and blood loss is limited. Compared with traditional open surgery, complications such as paraplegia, renal failure, and cardiac and pulmonary difficulties are minimized; hospital and rehabilitation times are also reduced. There is no Level-1 evidence of endografting's efficacy in the thoracic aorta, and the pathologies encountered in this vascular territory are complex and often associated with other injuries or lesions, making randomized comparisons...
      PubDate: Mon, 01 Dec 2008 05:00:00 +010
       
  • Changes in natriuretic peptides, apelin and adrenomedullin after off-pump
           and on-pump coronary artery bypass surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: A marked, sustained and similar increase in these five markers of cardiac adaptation was detected after OPCAB and CCAB. The upregulation of these peptides should be further investigated to evaluate their potential beneficial/harmful impact on the outcome after coronary surgery. PMID: 19043392 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 01 Dec 2008 05:00:00 +010
       
  • Minimally invasive direct coronary artery bypass grafting: a
           meta-analysis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Clinical outcomes and immediate graft patency after MIDCAB are acceptable. However, long-term follow-up results and further randomized prospective clinical trials comparing this new technique with standard revascularization procedures in large patient cohorts are needed. PMID: 19043393 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 01 Dec 2008 05:00:00 +010
       
  • The systemic inflammatory response in coronary artery bypass grafting:
           what is the role of the very low ejection fraction (EF =/
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: A greater activation of systemic inflammatory reaction occurred in patients with depressed left ventricular function than in patients with normal cardiac function when they underwent CABG with extracorporeal circulation. PMID: 19043394 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 01 Dec 2008 05:00:00 +010
       
  • Exploring at the molecular level the effects of blood and blood-insulin
           cardioplegias used during open-heart surgeries on myocardial prevention.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Supplementation of blood cardioplegia with insulin did not yield a significant improvement in adhesion molecules. Therefore, superiority of one cardioplegia over the other in delivering myocardial protection during open-heart surgery has not been shown. PMID: 19043395 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 01 Dec 2008 05:00:00 +010
       
  • Impact of valve calcification on systolic and diastolic valvular function
           - an in vitro model.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: In vitro pericardial valves calcified faster and more severe than porcine valves leading to impaired diastolic function with prolongation of closing times and higher closing volume. Systolic function remained almost undisturbed by the calcification process. As a consequence in clinical settings, follow-up examinations for structural valve deterioration in porcine valves should focus on systolic performance, in pericardial valves on diastolic function. PMID: 19043396 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 01 Dec 2008 05:00:00 +010
       
  • Complex repair of the thoracic aorta with the E-vita open prosthesis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The Frozen Elephant trunk technique with the new E-vita open prosthesis combines surgical and interventional technologies and it represents a feasible and efficient option in the treatment of complex aortic pathologies. However long term follow up is required. PMID: 19043397 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 01 Dec 2008 05:00:00 +010
       
  • Strategies for endovascular mitral valve repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Davidson MJ, Cohn LH Technological advances have recently enabled mitral valve repair to be performed using endovascular techniques and thus open the possibility of nonsurgical treatment of mitral valve disease. While balloon valvotomy has been applied to mitral stenosis for over 20 years, a number of devices aimed at correcting mitral regurgitation are currently in preclinical and clinical development. While some of these, such as edge-to-edge repair, are catheter adaptations of established surgical techniques, others represent true departures from the current surgical paradigms of correcting mitral regurgitation. This review will summarize the current status of percutaneous transcatheter techniques for mitral valve repair. Included are balloon mitral valvotomy, indirect annu...
      PubDate: Mon, 01 Dec 2008 05:00:00 +010
       
  • Usefulness and method in peer review: a simple advice for young reviewers.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Piciché M, Demaria RG PMID: 18948861 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 24 Oct 2008 04:00:00 +010
       
  • A thousand pericardial valves in aortic position: risk factors for
           postoperative acute renal function impairment in elderly.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Few factors are liable for therapeutic intervention, especially in elderly and patients with comorbidity. In patients with risk factors, shortening of cross clamping time or installation of minimal extracorporeal circulation might be beneficial. PMID: 18948862 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 24 Oct 2008 04:00:00 +010
       
  • Red blood cell accumulation in a rat model of pulmonary
           ischemia/reperfusion injury.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: After warm ischemia/reperfusion, a significant early increase in accumulation of RBC was observed. PMID: 18948863 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 24 Oct 2008 04:00:00 +010
       
  • Isolated radiation-induced mitral stenosis: a yet undescribed
           valvulopathy.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Anselmino M, Lupia E, Goffi A, Montrucchio G, Rinaldi M, Orzan F PMID: 18948864 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 24 Oct 2008 04:00:00 +010
       
  • Hybrid treatment of aberrant subclavian artery aneurysm. Case report.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Rispoli P, Varetto GF, Conforti M, Tallia C, Rossato D, Gandini G A 62-year-old man was incidentally diagnosed with a completely asymptomatic aberrant right subclavian artery (ARSA) aneurysm with a maximum diameter of 4.5 cm. This condition presents a postrupture mortality rate of 50% and the morbidity-mortality rates reported in the literature with traditional open repair procedures are of 25%. In our patient we planned a hybrid procedure and excluded the aneurysm by performing, first, a right carotid-subclavian bypass with ligation of the subclavian artery upstream from the vertebral artery and the internal mammary artery and, the day after, by covering its origin from the aortic arch with the placement of a thoracic endoprosthesis. A third session was necessary, three days ...
      PubDate: Fri, 24 Oct 2008 04:00:00 +010
       
  • Should octogenarians be denied access to surgery for acute type A aortic
           dissection'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Surgery for acute type A aortic dissection in the octogenarian shows high hospital mortality but satisfactory long-term survival among discharged patients. A less aggressive approach should increase the outcomes of surgically managed patients. PMID: 18948866 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 24 Oct 2008 04:00:00 +010
       
  • Staged hybrid treatment of complex ascending aortic and distal aortic arch
           pseudoaneurysm after repair of aortic coarctation.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : De Filippo C, Modugno MP, Inglese L, Rossi M, Centritto EM, Sallustio G, Calvo E, Spatuzza P, Testa N, Alessandrini F A 49-year-old operated for aortic coartaction patient presented with thoracic and ascending aortic aneurysm. He was asymptomatic. Angio-magnetic resonance nuclear scan and angiography revealed an ascending aortic aneurysm (5.2 cm), bicuspid aortic valve, 6-cm proximal descending aortic pseudoaneurysm at the site of the previous operation with involvement of the left subclavian artery. Restenosis at the original site of coarctation and aortic arch hypoplasia distally to the brachiocefalic trunk was also found. The operation performed was a ''modified Bentall - De Bono''. The pseudoaneurysm was not accessible through median sternotomy due to the massive lung adhe...
      PubDate: Fri, 24 Oct 2008 04:00:00 +010
       
  • Late spontaneous recanalization of a symptomatically occluded internal
           carotid artery two years after extra-intracranial bypass. Case report and
           review of the literature.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Kniemeyer HW, Voshege M, Soliman A, Abu Al Nasr TM, Beckmann H, Edelmann M Spontaneous recanalization of the internal carotid artery (ICA) is rarely observed. Mainly case reports are published. Most often early recanalization occurs within days or weeks and only a few cases of late recanalization months or years after detected occlusion are reported. Symptomatic bilateral ICA occlusion is regarded as an acceptable indication for extra-intracranial (EC-IC) bypass. The authors report on a case with bilateral symptomatic ICA occlusion and EC-IC bypass >2 years prior to detected spontaneous leftsided recanalization. Spontaneous recanalization unmasking a high degree ICA stenosis at the carotid bifurcation allowed a successful subsequent surgical recanalization in this patients....
      PubDate: Fri, 24 Oct 2008 04:00:00 +010
       
  • Spinal cord ischemia after endovascular treatment of infrarenal aortic
           aneurysm Case report and literature review.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Freyrie A, Testi G, Gargiulo M, Faggioli GL, Mauro R, Stella A Spinal cord ischemia is a rare but catastrophic complication after endovascular treatment of infrarenal aortic aneurysm: only 14 cases are reported in the literature. A patient with a 6 cm infrarenal aortic aneurysm extending to both common iliac arteries and high surgical risk was submitted to endovascular repair with exclusion of both hypogastric arteries and surgical revascularization of the right hypogastric artery. The patient presented paraplegia, apallesthesia and superficial hyposensitivity immediately after the procedure. A spinal cord drainage was positioned with little improvement of superficial sensitivity. We undertook a systematic review of the literature on this topic. PMID: 18948869 [PubMed - as...
      PubDate: Fri, 24 Oct 2008 04:00:00 +010
       
  • Typical and atypical carcinoid tumours: 20-year experience with 89
           patients.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Anatomical resection, including formal lobectomy (or pneumonectomy when indicated) and radical mediastinal lymphadenectomy, should be performed in carcinoid tumours. PMID: 18948870 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 24 Oct 2008 04:00:00 +010
       
  • Transcatheter thrombin embolization of a giant visceral artery aneurysm.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Carmo M, Mercandalli G, Rampoldi A, Roveri S, Rivolta R, Rignano A, Settembrini PG A 9.5-cm visceral artery aneurysm was found during a computed tomography (CT) scan performed for abdominal pain. Subsequent selective angiography showed the aneurysm arising from the second branch of the superior mesenteric artery (SMA). The celiac trunk was occluded at its origin and blood supply to the splenic artery was provided through the pancreatic-duodenal arcade. Two injections of 5.000 U of thrombin were delivered transcatheter to produce complete thrombosis. No major complications occurred. After 32 months the aneurysm decreased to 3.7 cm in diameter. Transcatheter thrombin injection seems to be a safe and durable option in the treatment of visceral aneurysms. PMID: 18948871 [PubMe...
      PubDate: Fri, 24 Oct 2008 04:00:00 +010
       
  • Effective surgical treatment of the carotid sinus syndrome.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Toorop RJ, Scheltinga MR, Bender MH, Charbon JA, Huige MC Elderly patients frequently suffer from dizziness and syncope; however, an underlying disease may not always be identified. Three patients aged 69, 71 and 56, respectively, experienced spells of dizziness and syncope. Massage of the carotid sinus demonstrated the presence of a carotid sinus syndrome (CSS), an abnormal baroreflex response of the carotid sinus that leads to asystole and extreme hypotension. Conventional treatment is generally by insertion of a pacemaker. These patients, however, were referred to the vascular surgery department of our hospital for removal of adventitial layers of proximal portions of the internal carotid artery. Recovery was uneventful; all three are now free of symptoms. CSS should be con...
      PubDate: Fri, 24 Oct 2008 04:00:00 +010
       
  • Treatment of a large postsurgical para-anastomotic aortic aneurysm using
           endovascular stent grafts. A case report with four-year follow-up.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: In conclusion, the use of straight endografts seems to be effective and lasting, even in large para-anastomotic aneurysmatic lesions. PMID: 18948873 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 24 Oct 2008 04:00:00 +010
       
  • Recombinant activated factor VII for treatment of refractory hemorrhage
           after surgery for acute aortic dissection.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Grubitzsch H, Vargas-Hein O, Von Heymann C, Konertz W Despite appropriate treatment, surgery for aortic dissection is frequently associated with bleeding problems. In these series we report on the employment of recombinant activated factor VII (rFVIIa) for refractory hemorrhage after emergency surgery for acute type A aortic dissection, used to face the problems of postoperative blood loss and transfusion requirements. Despite the good results of the therapy, a patient presented with thrombosis of the left cavernous sinus. Although a risk of thromboembolic complications has to be considered, rFVIIa is a reasonable rescue option in life-threatening hemorrhage and enlarges our hemostatic armamentarium in surgery for acute aortic dissection. PMID: 18948874 [PubMed - as suppli...
      PubDate: Fri, 24 Oct 2008 04:00:00 +010
       
  • Use of extracorporeal circulation and selective renal perfusion during the
           surgical correction of abdominal aortic coarctation.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We present the case of a patient with coarctation of the abdominal aorta associated with stenosis of the celiac trunk, the superior mesenteric and the right renal arteries. Distal aortic perfusion by extracorporeal circulation and selective right renal perfusion techniques were used during the operation to protect the spinal cord and kidney against hypoperfusion and ischemia. PMID: 18948875 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 24 Oct 2008 04:00:00 +010
       
  • Surgical treatment of celiac artery aneurysm associated with median
           arcuate ligament.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We report three cases of post-stenotic celiac artery aneurysm with median arcuate ligament compression admitted to our hospital over the past two years. Although the incidence is rare with only 8 cases reported in the literature, a median arcuate ligament may have a role in the development of celiac artery aneurysms and its presence can influence the surgical strategy. PMID: 18948876 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 24 Oct 2008 04:00:00 +010
       
  • Aortocaval fistula after endovascular stent-grafting of abdominal aortic
           aneurysm.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Fujisawa Y, Kurimoto Y, Morishita K, Fukada J, Saito T, Ohori S, Abe T The authors present a case report of a 79-year-old man with insufficient cardiac contractile function who underwent endovascular stent-grafting for an abdominal aortic aneurysm. Thirty months later, the aneurysm ruptured into the inferior vena cava and subsequently formed an aortocaval fistula caused by migration of the stent-graft. Urgent secondary endovascular stent-grafting successfully excluded the blood flow into the vena cava. Endovascular stent-grafting is deemed suitable for treating this serious disorder, especially in severely debilitated or compromised patients who might not withstand a standard surgical intervention. Furthermore, in patients with previous stent-grafting, since the primary stent-...
      PubDate: Fri, 24 Oct 2008 04:00:00 +010
       
  • A case of carotid artery resection and replacement in advanced laryngeal
           carcinoma.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Caldarelli C, Ghilardi P, Matteucci F, Caramella D Carotid involvement in head and neck tumours carries a poor prognosis and poses an additional challenge to patient management. Tumor fixity and high-definition imaging modalities can suggest, but not determine, carotid wall invasion, which can be proven only by perioperative observation. Conservative management offers no hope of cure or palliation. While radical tumor excision with carotid peeling or resection seems the only chance for prolonging survival, this strategy has not yet unequivocally improved short-term survival. A 74-year-old man with advanced laryngeal carcinoma presented to our unit with preoperative computed tomographic (CT) signs of neoplastic carotid involvement. Radical surgery was planned and partial hypoph...
      PubDate: Fri, 24 Oct 2008 04:00:00 +010
       
  • Invasive treatment for renovascular disease. A twenty year experience from
           a population based registry.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Using nation-wide registry data it is possible to analyze time-trends also concerning rare diseases or interventions. The changing pattern toward endovascular treatment of renovascular disease is obvious. Follow-up data at one year are incomplete. PMID: 18670374 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 02 Aug 2008 17:05:02 +010
       
  • Stenting of transplant renal artery stenosis: outcome in a single center
           study.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The treatment of the TRAS with selective or primary stenting is safe with a long-term patency rate. The efficacy of the stenting in this retrospective study is suggested by a decrease in mean systolic and diastolic blood pressure, serum creatinine levels and number of blood pressure medications. PMID: 18670375 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 02 Aug 2008 17:04:57 +010
       
  • Embolic protection for renal artery stenting.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: In conclusion 99% of the patients were stabilized or improved. After 2 years (84 patients) 95% of the patients remained stabilized (N=60) or showed improvements (N=20), and 4 patients had deterioration of RF (5%). The preliminary results suggest the feasibility and safety of distal protection during renal interventions to protect against atheroembolism and consequential deterioration of RF after the procedure. The beneficial effects of this technique should be evaluated further in randomized studies. PMID: 18670376 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 02 Aug 2008 17:04:53 +010
       
  • Revascularization for atherosclerotic renal artery stenosis: the treatment
           of choice'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Corriere MA, Edwards MS Atherosclerotic renal artery stenosis (ARAS) is an important cause of renal dysfunction and secondary hypertension, and is associated with adverse cardiovascular events and increased mortality. The natural history of ARAS is characterized by anatomic disease progression and/or renal dysfunction in only a minority of patients. Medical therapy for ARAS is directed primarily toward blood pressure control and cardiovascular risk factor reduction. Renal artery revascularization is an additional treatment option for ARAS associated with ischemic nephropathy or severe, poorly controlled hypertension despite aggressive medical therapy. Unfortunately, the benefits associated with revascularization versus medical therapy alone remain unproven. Renal artery revasc...
      PubDate: Sat, 02 Aug 2008 17:04:48 +010
       
  • Transcatheter therapy for the treatment of atherosclerotic renal artery
           stenosis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Campbell JE, Bates MC The preemptory challenge in this invited review was to provide a contemporary evidence-based analysis of how renal artery intervention effects renal function and hypertension while also addressing the efficacy in transplanted kidneys. The authors tailored the paper architecture in a way that provides a systematic review of the randomized and observational data relating to the impact of renal stenting in each of these clinical domains. When appropriate the aujthors include data from their experience with over 1 200 renal stent procedures. This contemporary literature review provides objective insight into the procedural risk and early outcomes following renal intervention based on observational study RESULTS: However, well-controlled randomized trials and ...
      PubDate: Sat, 02 Aug 2008 17:04:43 +010
       
  • Single-center prospective, randomized analysis of conventional and
           eversion carotid endarterectomy.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: EEA has an advantage over the conventional procedure. The authors recommend CEA in cases when retrograde pressure indicated the use of the intraluminal shunting. PMID: 18670379 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 02 Aug 2008 17:04:37 +010
       
  • Protective effect of sivelestat sodium (Eraspol(R)) on postoperative lung
           dysfunction in patients with type A acute aortic dissection: a pilot
           study.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The present study demonstrated the protective effect of sivelestat sodium on postoperative lung injury in patients with acute type A aortic dissection undergoing aortic arch surgery under CPB with DHCA. PMID: 18670380 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 02 Aug 2008 17:04:33 +010
       
  • The 30-day mortality of ruptured abdominal aortic aneurysms: influence of
           gender, age, diameter and comorbidities.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: In this study, age was the only significant risk factor of 30-day mortality after open repair in patients with ruptured AAA. PMID: 18670381 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 02 Aug 2008 17:04:30 +010
       
  • Secondary rupture of abdominal aortic aneurysm following endovascular
           repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: This study showed how little is actually known about rupture of stented AAA. The available data were provided by studies sponsorized by companies in 47.4% of the cases, and had usually too short follow-up considering the average of duration of implantation at rupture. Rupture mechanisms were not reported in all cases, but a failure of the ASG was considered as responsible for the rupture in a majority of the cases. The absence of warning signs of rupture emphasizes the need of caution about the durability of ASG and also the need to undertake further studies with longer follow-ups. PMID: 18670382 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 02 Aug 2008 17:04:27 +010
       
  • The autologous superficial femoral artery as a substitute for the carotid
           axis in oncologic surgery. Three new cases and a review of the literature.
           
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Lozano FS, Muñoz A, Gómez JL, Barros MB When neck cancer affects the carotid artery, the best therapeutic option is to remove the tumor en bloc, including the affected vessels. When the carotid artery is revascularized, the usual practice according to the literature is to replace the defective carotid artery with an autologous graft from the saphenous vein, although it is also possible to use an autologous superficial femoral artery (SFA). The use of the SFA in oncologic surgery does not seem to be widespread; in fact, we only found 7 references (67 cases). Here we report three cases in which the SFA was employed and offer a review of the literature. The SFA has advantages and disadvantages in comparison with the saphenous vein. The need for interdisciplinary collabo...
      PubDate: Sat, 02 Aug 2008 17:04:25 +010
       
  • A case of gastroduodenal artery aneurysm in a HIV-positive patient treated
           by combined percutaneous thrombin injection and endovascular coil
           embolization.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: We report a case of a young patient affected by a HIV-related gastroduodenal artery aneurysm which was treated with a combined percutaneous and endovascular approach. PMID: 18670384 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 02 Aug 2008 17:04:22 +010
       
  • EuroSCORE predicts poor health-related physical functioning six month
           postcoronary artery bypass graft surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: EuroSCORE is a predictor of poor self-reported physical functioning six months after CABG and is not a predictor of mental functioning. PMID: 18670385 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 02 Aug 2008 17:04:19 +010
       
  • Endoscopic versus minimally invasive vein harvesting. Impact on
           leg-related morbidity in coronary artery bypass surgery: one-year
           follow-up of a prospective trial.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: EVH is superior to MIVH in terms of reduction in pain intensity, residual leg edema and saphenous neuropathy at seven days and again at three months postoperative. A significantly lower incidence of neurological disturbances is still presented one year after surgery. PMID: 18670386 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 02 Aug 2008 17:04:17 +010
       
  • Intraoperative coagulation was more interfered by HES 200/0.5 than normal
           saline in off-pump coronary artery bypass surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: A rapid infusion of either normal saline or HES solution to maintain intraoperative intravascular volume induce a significant diluted hypocoagulation during OPCAB. The use of HES solution has a prolonged dilutional hypocoagulation and a significant decrease of MA by specific platelet inhibition effects and more transfusion of blood components. All the above changes were not shown in standard coagulation tests. PMID: 18670387 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 02 Aug 2008 17:04:14 +010
       
  • Valve preservation in acute type A aortic dissection: 13-year experience.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The experience with this technique demonstrates the effectiveness of valve conservative treatment within a vascular graft. The reconstruction of the sinotubular junction reducing annular dilatation with appropriated sized graft is obviously mandatory. Although this procedure is not applicable to every patient, we firmly believe that is a valid option when a morphologically intact valve is present. PMID: 18670388 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 02 Aug 2008 17:04:07 +010
       
  • Video recording of cardiac surgical procedures: what the surgeon needs to
           know.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Massetti M, Neri E, Banfi C, Buklas D, Gerard JL, Vigano M, Chitwood RW In the past, rudimentary devices were used to record surgical operations. Currently, the introduction of technologic advances such as high-definition television and the miniaturization of high-resolution digital video cameras provides an opportunity for making significantly enhanced surgical records. These enhancements, coupled with the recent advances in telemedicine and surgical simulation, will improve cardiac surgery training and skill acquisition, decrease operative times and costs, minimize morbidity, and improve overall patient care. The present paper provides a discussion of the media technology offered to surgeons for recording a surgical procedure on video. Hardware technology, including differen...
      PubDate: Sat, 02 Aug 2008 17:04:04 +010
       
  • Neuroleptic malignant syndrome and cardiac surgery. A case report.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Sirois F Aortic valve replacement complicated with protracted agitation in an obese man was treated with 36 mg of haloperidol in the first 36 hours after surgery. Five days after surgery, Neuroleptic Malignant Syndrome was diagnosed. PMID: 18670390 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 02 Aug 2008 17:03:57 +010
       
  • Pattern of recurrence and survival of c-Ia NSCLC diagnosed by transpleural
           methods.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: FNAB and tumour wedge resection by VATS represent valuable diagnostic methods for lung cancers, since they do not seem to increase the risk of local recurrence. On the other hand, tumours diagnosed by bronchoscopy have a worse prognosis, that may be related to their higher metastatic potential rather than to diagnostic procedure itself. PMID: 18670391 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 02 Aug 2008 17:03:54 +010
       
  • Embolization of a true huge facial artery aneurysm.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Setacci F, Sirignano P, De Donato G, Palasciano G, Setacci C PMID: 18670392 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 02 Aug 2008 17:03:52 +010
       
  • Mini-invasive thoracotomic drainage of pericardial effusion with a new
           device: a ''circular retractor'' (Morpheus).
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Punta G, Parisi F, Zingarelli E, Flocco R, Forsennati PG, Actis Dato G, Casabona R PMID: 18670393 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sat, 02 Aug 2008 17:03:49 +010
       
  • European experience with Relay: a new stent graft and delivery system for
           thoracic and arch lesions.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Relay provides a safe and accurate thoracic stent grafting for different aortic pathologies with acceptable mortality and morbidity. Associated stroke rate was clearly inferior to the expected. PMID: 18665104 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 31 Jul 2008 13:44:27 +010
       
  • Early clinical experience with the E-vita thoracic stent-graft system: a
           single center study.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: All forms of thoracic aortic disease can be treated with this new stent-graft. It has proved particularly valuable in cases of difficult conditions in the aortic arch and extended aneurysms. In particular, it is possible to cover the entire thoracic aorta with two or three stent-graft segments, thus considerably reducing the number of connections. PMID: 18665105 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 31 Jul 2008 13:44:24 +010
       
  • Imaging modalities for the thoracic aorta.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Von Tengg-Kobligk H, Weber TF, Rengier F, Kotelis D, Geisbüsch P, Böckler D, Schumacher H, Ley S Almost 50 years after its introduction intra-arterial digital subtraction angiography (DSA) has been passed as the gold standard for diagnostic imaging of the aorta. Today's performance of multi-detector-row computed tomography angiography (CTA) as well as magnetic resonance imaging (MRI) and magnetic resonance angiography (MRA) offer remarkable improvements in the field of diagnostic cardiovascular imaging. The racy developments not only concerning image acquisition but also image postprocessing offer a multidimensional approach to assess anatomy and pathology of individual patients in a few minutes. Four-dimensional visualization assists us to select the ''adequate'' pa...
      PubDate: Thu, 31 Jul 2008 13:44:19 +010
       
  • Aortic dissection and its endovascular management.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Hinchliffe RJ, Halawa M, Holt PJ, Morgan R, Loftus I, Thompson MM involving the aorta, affecting 5-10 per million people per year. Without treatment, half of patients with acute proximal aortic dissections die within 24 hours, and 60% of patients with acute distal aortic dissections die within 1 month. Only 10% of patients with proximal dissections and 40% of those with distal dissections will be alive at 1 year. Patients with chronic distal dissections are at risk of aortic rupture with nearly 20% requiring intervention. The aim of management of aortic dissection is to reduce propagation of the dissection plane and prevent the fatal complications of this condition. A paradigm shift in the surgical management of these patients began in the late 1990s with the reporting of two ...
      PubDate: Thu, 31 Jul 2008 13:44:14 +010
       
  • Surgical bypass procedures to facilitate endovascular repair of aortic
           arch pathology.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Riesenman PJ, Tamaddon HS, Farber MA Thoracic aortic aneurysms and other thoracic aortic lesions may become life-threatening conditions if they remain untreated. Conventional open surgical reconstruction with placement of an interposition graft is regarded as a definitive form of treatment, but is associated with considerable operative morbidity and mortality. Thoracic aortic lesions involving the aortic arch require more complex surgical interventions necessitating cardiopulmonary bypass, and hypothermic circulatory arrest. Outcomes from this form of treatment have a reported early stroke and death rate of up to 25%. Thoracic endovascular aortic repair is a less invasive alternative for the treatment of many thoracic aortic lesions. The application of a thoracic endoprosthesi...
      PubDate: Thu, 31 Jul 2008 13:44:09 +010
       
  • When is safe to cover the left subclavian and celiac arteries. Part I:
           left subclavian artery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Gawenda M, Brunkwall J Over the last 15 years the endovascular repair of thoracic aortic pathologies has been developing as the treatment of choice, but it requires appropriate anatomy. Proximal and distal landing zones are essential for fixation and sealing. In order to extend the proximal landing zone for the stent-graft and achieve an adequate seal, the left subclavian artery (LSA) is often covered, with or without concomitant subclavian artery revascularization. In this article the authors review the LSA anatomy and consequences of LSA coverage as scenery for a discussion of the ramifications of LSA coverage during endovascular thoracic aortic repair (TEVAR). Summari-zing the currently available literature, the authors reveal that there is no consensus regarding a preparat...
      PubDate: Thu, 31 Jul 2008 13:44:02 +010
       
  • When is safe to cover the left subclavian and celiac arteries. Part II:
           celiac arter.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Gawenda M, Brunkwall J Endovascular repair of thoracic and thoraco-abdominal aortic aneurysms became apparent as an alternative to open repair. When the distal landing zone proximal to celiac artery is inadequate, a traditional open surgical approach with thoracoabdominal aortic replacement concomitant with visceral and renal bypasses is necessary. Alternatively, either an abdominal hybrid procedure with debranching of the visceral vessels with subsequent thoracic stent graft placement or complete endovascular aneurysm exclusion with branched stent grafts is required. Extending the distal landing zone might be possible by covering the celiac artery origin. In this article, the authors review the anatomy of the celiac artery (SA) and the superior mesenteric artery (SMA) and con...
      PubDate: Thu, 31 Jul 2008 13:43:58 +010
       
  • Endovascular surgery by means of a Talent endoprosthesis implant in adult
           patients with thoracic aorta coarctation.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Endovascular treatment of thoracic aorta coarctation with protected dilatation is a safe and effective procedure. PMID: 18665111 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 31 Jul 2008 13:43:51 +010
       
  • Below-knee revascularization in patients with critical limb ischemia:
           long-term comparison of redo vs primary interventions.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Redo below-knee revascularization in patients with critical limb ischemia provides acceptable long-term results in terms of primary and secondary patency; however, limb salvage appeared to be slightly worse in patients undergone redo surgery. PMID: 18665112 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 31 Jul 2008 13:43:49 +010
       
  • Cerebral perfusion patterns in patients with extracranial carotid
           atherosclerosis and the impact of carotid stenting. A review.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Sfyroeras GS, Karkos CD, Gerassimidis TS Patients with extracranial carotid atherosclerosis, either symptomatic or asymptomatic, demonstrate altered cerebral perfusion. Carotid revascularization procedures, such as carotid endarterectomy or stenting, aim mainly at stroke prevention from thromboembolic events, whereas their effects on cerebral perfusion, particularly those seen after carotid stenting, have not been extensively examined. Moreover, ischemia and reperfusion injury have been recognized as devastating complications of these procedures. The present work is a literature review of cerebral perfusion patterns in normal individuals and in patients with carotid artery stenosis prior to and after carotid stenting. PMID: 18665113 [PubMed - in process] (Source: The Journ...
      PubDate: Thu, 31 Jul 2008 13:43:44 +010
       
  • The history and current status of thoracic endovascular aneurysm repair in
           Japan.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Kato M, Kuratani T Japan has a long and successful history of performing thoracic endovascular aneurysm repair (TEVAR). While commercial endovascular grafts were being used worldwide, Japan developed and distributed custom and semi-order made triple-branched one-piece grafts and fenestrated devices for the treatment of arch aneurysms. Historically, Japan also innovated and proposed hybrid procedures such as debranching with stent grafting to treat arch aneurysms and thoracoabdominal aneurysms. Since its introduction, Japan has been at the forefront of performing TEVAR for complicated acute aortic dissection and uncomplicated chronic aortic dissection for patients with predicted aortic enlargement. In this review, the authors discuss the many issues surrounding successful TEVAR...
      PubDate: Thu, 31 Jul 2008 13:43:41 +010
       
  • From retroperitoneoscopic lumbar sympathectomy to total laparoscopic
           abdominal aorta surgery: how to learn.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Debing E, De Brabandere K, Vanhulle A, Van Den Brande P The aim of this report is to describe the steps we followed to build up laparoscopic experience progressively towards total laparoscopic aorta surgery. The techniques of retroperitoneoscopic lumbar sympathectomy, hand-assisted laparoscopic aorta surgery and total laparoscopic aorta surgery are discussed and illustrated. Surgical tips and tricks and advice concerning selection of patients and surgical techniques are proposed. The 30-day morbidity and mortality rates of laparoscopic, standard open and endovascular abdominal aorta aneurysm repair were compared. PMID: 18665115 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 31 Jul 2008 13:43:38 +010
       
  • Off-pump coronary artery bypass in multi-vessel disease: effect of
           ejection fraction on early and midterm mortality and morbidity.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Off-pump bypass can be used safely among patients with different degrees of myocardial function. The results of surgery were better than the preoperative predicted euroSCORE. Early mortality and morbidity were directly related to ejection fraction .This is true only when LVEF is below 30%. Midterm mortality was similar among different risk groups. PMID: 18665116 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 31 Jul 2008 13:43:33 +010
       
  • Effects of intravenous N-acetylcysteine on periprocedural myocardial
           injury after on-pump coronary artery by-pass grafting.