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Journal of Cardiovascular Surgery     [SJR: 0.753]   [H-I: 38]
   [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]
  • Endovascular challenges for complex lower extremity lesions'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Deloose K PMID: 25579472 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 15 Jan 2015 13:45:06 +010
       
  • Endovascular Sac Sealing Concept: Will the Endologix Nellix Device Solve
           the Deficiencies'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Holden A The deficiencies in current endovascular aneurysm repair include limited applicability to treat aneurysm anatomies, a significant re-intervention rate to manage post-procedural complications and a requirement for post-procedural surveillance. Endovascular aneurysm sealing with the Nellix device offers the potential to address these issues by directly treating the aneurysm sac and minimizing the risk of endoleak of any type as well as device migration. The unique sealing technology of polymer filled endobags also provides an opportunity to treat aneurysm anatomies that could not be effectively treated with conventional endografts. The early clinical experience with Nellix supports these concepts but long-term durability is yet to be established. PMID: ...
      PubDate: Tue, 13 Jan 2015 00:00:00 +010
       
  • Strategies to prevent spinal cord ischemia in TAA(A) repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Schurink GW, Peppelenbosch A, Mees B, de Haan M, Jacobs MJ Spinal cord ischemia (SCI) after thoracic (DTAA) and thoracoabdominal aortic aneurysm (TAAA) repair is a devastating complication, which happens both after open and endovascular repair. Incidence of SCI varies widely in literature. Many factors during preoperative, operative and postoperative phase influence this incidence. Purpose of this article is to give an overview of all factors influencing SCI and to report on evidence in the literature to reducing SCI. PMID: 25573444 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 09 Jan 2015 00:00:00 +010
       
  • Carotid artery stenting: high-risk interventionist versus high-risk
           center.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This article discusses the current shortfalls of CAS, as well as the various options available to improve CAS results. The majority of studies suggest that there is an inverse relationship between caseload volume and CAS outcomes that defines high--risk interventionists and high--risk centers. Centralizing CAS procedures to high--volume centers is essential for optimization of CAS outcomes. PMID: 25573442 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 09 Jan 2015 00:00:00 +010
       
  • The pros and cons of endovascular and open surgical treatments for
           patients with acute limb ischemia.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This report includes 20 years of published data to evaluate the efficacy and safety profile of thrombolytic agents and adjunctive endovascular techniques when compared to open surgical revascularization. PMID: 25573443 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 09 Jan 2015 00:00:00 +010
       
  • Thrombolysis and Expedited Carotid Revascularization.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Naylor AR With the move towards expedited carotid endarterectomy (CEA) in patients presenting with a TIA/minor stroke and for offering intravenous thrombolysis <3 hours to patients with acute ischemic stroke, it is inevitable that surgeons will be asked to consider CEA in patients who have made a good recovery from their stroke after thrombolysis and who have a 50-99% ICA stenosis. The key question is; 'how long after thrombolysis should I delay CEA to minimise the peri--operative risk (especially intracranial hemorrhage (ICH)), whilst also minimizing the risks of further embolization and stroke'' Thirteen series have published outcomes in 361 patients. Only a very small proportion of all thrombolysis patients (<5%) might be considered for expedited CEA and ...
      PubDate: Fri, 09 Jan 2015 00:00:00 +010
       
  • Endostaples: are they the solution to graft migration and Type I
           endoleaks?
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Katsargyris A, Oikonomou K, Nagel S, Giannakopoulos T, Verhoeven EL Effective proximal sealing, especially in the long--term, remains a limitation of contemporary endovascular aortic aneurysm repair (EVAR). Endostaples that fixate the proximal stent--graft to the aortic neck wall, aiming for better apposition and proximal sealing have been recently introduced in clinical practice to address this problem. Initial experimental studies have shown that endostaples can increase proximal stent--graft fixation to levels equivalent or superior to that of a hand--sewn anastomosis. Further clinical studies aimed to investigate whether this increased proximal fixation results in reduced migration and better sealing with lower rates of type I endoleak. The present chapter dis...
      PubDate: Thu, 18 Dec 2014 00:00:00 +010
       
  • Common iliac and hypogastric aneurysms: open and endovascular repair.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Katsargyris A, Oikonomou K, Klonaris C, Bal A, Yanar F, Verhoeven E Currently, there are a variety of open surgical, endovascular, and hybrid options to treat iliac artery aneurysms (IAA). Anatomy of the common iliac artery (CIA) with regard to proximal and distal neck, involvement of the iliac bifurcation, and choice to preserve the ipsilateral internal iliac artery (IIA) all play a role in the decision process towards the preferred treatment method. This manuscript describes the available open surgical and endovascular techniques for the treatment of IAA. Indications, advantages and limitations, and outcomes of each technique are discussed. PMID: 25512317 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 16 Dec 2014 00:00:00 +010
       
  • Update on intra-arterial thrombolysis in patients with lower limb
           ischemia.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: In conclusion, intra--arterial thrombolysis with rtPA for lower limb ischemia was effective, with few major bleeding complications. Simultaneous heparin infusion offered no advantage. Thrombolysis in embolism due to popliteal artery aneurysm is the most important step to improve run--off and a prerequisite to succeed with operative treatment. PMID: 25512316 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 16 Dec 2014 00:00:00 +010
       
  • Current optimal morphological evaluation of peripheral arterial diseases.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Ohana M, Georg Y, Lejay A, Girsowicz E, Gaertner S, Labani A, Thaveau F, Roy C, Chakfe N Imaging plays a central role in the management of Peripheral Arterial Diseases (PAD), emphasized by the continuously increasing use of modern cross--sectional imaging and the corresponding decline of Digital Subtraction Angiography (DSA) in the diagnostic setting. Imaging is sometimes used as a screening tool in high--risk individuals. In symptomatic patients, imaging is mandatory to make an accurate positive diagnosis, grade the severity and the extent of the abnormalities, carefully choose and plan the best therapeutic option and provide adequate follow--up. Non--invasive diagnosis of PAD can be made by Doppler Ultrasonography, Magnetic Resonance Angiography (MRA) and Comput...
      PubDate: Thu, 11 Dec 2014 00:00:00 +010
       
  • Three-Dimensional transesophageal echocardiography for determination of
           mitral valve area after mitral valve repair surgery for mitral stenosis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: These results support the clinical efficacy of 3D--planimetry for accurate evaluation of the MVA immediately after MVRep for severe MS, as a valuable alternative to PHT--method which usually underestimates MVA during this period. PMID: 25475916 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 05 Dec 2014 00:00:00 +010
       
  • Long-term follow-up of endovascular treatment of renal artery aneurysms
           with covered stent deployment.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: The procedure revealed to be safe for renal function, feasible and effective for the exclusion of the aneurismal sac and restoring vessel patency. PMID: 25475915 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 05 Dec 2014 00:00:00 +010
       
  • Treatment of the aorto-iliac segment in complex lower extremity arterial
           occlusive disease.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Wressnegger A, Kinstner CM, Funovics M Endovascular treatment of the aortoiliac segment in occlusive disease has an established role especially in TASC A and B lesions. Recent studies with modern stent technology have shown excellent results with one year primary patency above 95%. Regarding different endovascular approaches, there is level Ib evidence supporting provisional stenting in stenosed arteries, and primary stenting in occlusion. While open surgery shows higher patency rates in direct comparison to endovascular techniques, the latter show significantly lower complication rates and lower mortality. The recommendations reserving TASC C and D lesions exclusively to surgery are currently challenged, especially in poor surgical candidates. PMID: 25475917 ...
      PubDate: Fri, 05 Dec 2014 00:00:00 +010
       
  • Evidence for the use of drug eluting stent in below-the-knee lesions.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: In conclusion, DES is one of the solutions to the increase of BTK arteriopathy in CLI patients. Angiographic results are better, compared to BMS, in terms of primary patency, restenosis and TLR rates. However clinical results are missing. Treated lesions in the literature are short lesions. And DES is a metal balloon expandable stent with greater risks of compressions and stent fractures than nitinol self expandable stents, and such complications are known to increase post operative restenosis rates. Further reports are still needed on this matter. PMID: 25428562 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 27 Nov 2014 00:00:00 +010
       
  • 12 month experience with the GORE® TIGRIS® Vascular Stent in the
           superficial femoral and popliteal arteries.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The mid term follow up of the dual component GORE® TIGRIS® Vascular Stent showed promising results with high 12 month primary patency rates after femoropopliteal endovascular interventions. These first clinical data are very promising compared to other stent concepts in the superficial femoral and popliteal artery. PMID: 25410147 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 20 Nov 2014 00:00:00 +010
       
  • Atherectomy in complex infrainguinal lesions: a review.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Engelberger S, van den Berg JC PMID: 25399550 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 17 Nov 2014 00:00:00 +010
       
  • Endovascular approaches to the ascending aorta for repair with straight
           and branched endografts: techniques and for what lesions.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Lee AO, O' Connor D Traditionally ascending aortic lesions have been repaired in open fashion: stenotomy, cardiopulmonary bypass, with or without deep hypothermic circulatory arrest. However, a subsegment of patients are deemed too high risk for open intervention. In the advent of endovascular advancement, this subset of patients may be treated with the use of stents (physician made, off--label use), branched stents, through a variety of methods and approaches. Although there are currently no large randomized, prospective studies, success has been seen in smaller case series. This review article addresses the identification of anatomy amenable to endovascular repair for management of type A aortic dissection, pseudoaneurysm, and zone 0 lesions. Different approache...
      PubDate: Fri, 14 Nov 2014 00:00:00 +010
       
  • Eptifibatide infusion versus placebo in high risk patients with non-st
           segment elevation acute coronary syndromes managed with urgent coronary
           artery bypass graft surgery. a prospective multicenter randomized
           placebo-controlled clinical trial.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Preoperative use of eptifibatide vs. placebo is linked to significantly reduced 12--month MACCE rate in patients with NSTE--ACS requiring urgent CABG, while it simultaneously seems not to confer a greater risk of postoperative bleeding. PMID: 25394877 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 14 Nov 2014 00:00:00 +010
       
  • Patient height as a risk factor for poor outcome in acute type b aortic
           dissection.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Optimal management of acute type B aortic dissection is controversial. Identifying correlates of complicated acute dissection, such as height, could help to clarify the setting in which intervention is most appropriate. Height above 180cm is an independent risk factor for long--term mortality, and should be considered in planning the management of acute type B aortic dissection. PMID: 25394876 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 14 Nov 2014 00:00:00 +010
       
  • Experiences with ascending aortic endografts.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This article focuses on current evolving endovascular solutions for thoracic ascending aortic diseases and starts with an overview of historical TEVAR landmarks, followed by indications for TEVAR, and concludes with present day challenges. PMID: 25374411 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 06 Nov 2014 00:00:00 +010
       
  • Current and evolving strategies for the treatment of atherosclerotic
           disease of the popliteal artery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Varcoe RL The popliteal artery may well be the most challenging of all infra-inguinal vessels to treat. Not only is it anatomically unique but it's also exposed to some of the most brutal forces seen in the lower limb, during normal knee flexion. Management may be challenging and with few randomized trials dedicated to answering questions of technical success and durability the correct approach remains contentious. Herein we seek to describe and evaluate the growing number of options for treatment in this vascular territory. PMID: 25366385 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 04 Nov 2014 00:00:00 +010
       
  • Is there already a place for endovascular treatment of the common femoral
           artery?
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Geiger M, Deloose K, Callaert J, Bosiers M Surgical endarterectomy has been considered the prefered technique for treating the common femoral artery (CFA). Although favorable endovascular treatment results of the CFA have recently become available, losing the groin area as an important acess site is still the major concern for this technique to become the golden standart. Nevertheless, the endovascular approach has shown, through several studies, including our experience, the capacity to establish itself as a complementery treatment for the modern vascular surgeon. PMID: 25366384 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 04 Nov 2014 00:00:00 +010
       
  • Complex recanalization techniques for complex femoro-popliteal lesions:
           how to optimize outcomes.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Goltz JP, Kleemann M Complex lesions within the femoro--popliteal vascular territory, amongst others, include more than 15cm long or heavily calcified occlusions of the superficial femoral artery (SFA) or total occlusions of the popliteal artery (PA). For those Type--C/--D lesions TASC--II recommendations originating from 2007 advocate bypass surgery as the therapy of choice if the patient is a suitable candidate for this. Against the background of evolving endovascular techniques which often allow recanalization of even long and calcified lesions as well as improved patency rates after endovascular treatment ofsuch complex lesions, many vascular specialists go for an endovascular--first approach for the treatment of challenging lesions, last but not least in thos...
      PubDate: Wed, 22 Oct 2014 00:00:00 +010
       
  • Primary stenting is nowadays the golden standard treatment for TASC II A
           & B iliac lesions: The definitive MISAGO 1-year results.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Our findings confirm that nowadays primary stenting with modern generation stents replaced the more invasive surgery as the golden standard treatment for patients with TASC II Class A and B aortoiliac lesions. PMID: 25331010 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Tue, 21 Oct 2014 00:00:00 +010
       
  • Is low anticoagulation intensity more beneficial for patients with
           bileaflet mechanical mitral valves' a meta-analysis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Compared with the recommended high intensity, low anticoagulation intensity (median INR<2.5) may be more beneficial for the MVR patients using the lowest thrombogenic risk bileaflet valves. We recommended an INR between 2.0 and 2.5, with a median INR of 2.3 for these MVR patients. PMID: 25323107 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 17 Oct 2014 00:00:00 +010
       
  • Contemporary economic and clinical evaluations of endovascular repair for
           intact descending thoracic aortic aneurysms.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: This study supports satisfying immediate clinical outcomes for TEVAR and TEVAR + surgical infrarenal procedures. Although limited by a small population size and difficulties in economic comparisons, this study presents the real world social and economic cost scenario for both elective TEVAR and TEVAR hybrid treatment of DTAA of both the in--hospital and at mid term follow--up periods. PMID: 25323106 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 17 Oct 2014 00:00:00 +010
       
  • Cardiac surgery in patients chronically infected with hepatitis c virus:
           long-term outcomes and comparison to historical controls and human
           immunodeficiency virus infection.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Though carefully selected prior to surgery, and having MELD scores that averaged 10.1, patients with chronic HCV infection tend to do worse than both patients with HIV or matched historical controls following cardiac surgery. PMID: 25318844 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 16 Oct 2014 00:00:00 +010
       
  • Thoracoscopic resection of suspected metastatic pulmonary nodules after
           microcoil localization technique, a prospective study.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: This study demonstrates that CT--guided microcoil localization is feasible, safe, and effective. It increases the success rate of VATS resection of pulmonary nodules to .(100% compared with the reported 37% success rate with the non--guided approach. (2. PMID: 25318843 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 16 Oct 2014 00:00:00 +010
       
  • Clinical use of extra-large self expanding stents.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Melissano G, Civilini E, Mascia D, Tshomba Y, Bertoglio L, Chiesa R The aim of this study is to describe our clinical experience with an extra-large self expandable stent specifically designed to treat aortic lesions (E-XL, Jotec, Hechingen, Germany), now commercially available in Europe. The E-XL was used at our Institution in 14 patients (mean age, 56 ± 12 years; 9 males) with the following indications: improve proximal fixation (4 cases), type I endoleak (2 cases), aortic dissection with static malperfusion (1 case) and dynamic malperfusion (7 cases). Early results have been shown to be safe and effective in different clinical settings, including in emergency cases. This peculiar aortic stent could be useful in the armamentarium of the endovascular surgeon. ...
      PubDate: Thu, 09 Oct 2014 00:00:00 +010
       
  • Use of the Nellix EVAS system to treat post-EVAR complications and to
           treat challenging infrarenal necks.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: EVAS is an innovative, intriguing concept in the treatment of abdominal aortic aneurysm (AAA). Short-term outcomes of the Nellix system is promising. Early experience of Nellix out of IFU when treating patients with challenging proximal infraenal necks, with post EVAR complications, short necks and chimney techniques show technical feasibility and promising short-term results. Mid- and long-term data are needed to validate device and procedure durability. PMID: 25175947 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 07 Sep 2014 22:15:05 +010
       
  • The web of clinical data.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Gori M, Campiani G, Rossi A, Setacci C PMID: 25175948 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 07 Sep 2014 22:15:03 +010
       
  • Latest developments in TEVAR.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Resch T PMID: 25061907 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 27 Jul 2014 16:40:04 +010
       
  • Iatrogenic iliac rupture and acute limb ischemia during recanalization of
           bilateral iliac axis occlusion (TASC D).
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Setacci F, Galzerano G, Sirignano P, De Donato G, Setacci C PMID: 25061908 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Sun, 27 Jul 2014 16:40:03 +010
       
  • Experience with new techniques for the treatment of type II endoleaks post
           EVAR.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Van Strijen M, Vos JA Endovascular aneurysm management (EVAR) is hampered by persistent arterial blood flow in the aneurysm sac after treatment, known as endoleak (EL). Type 2 EL consist of blood flow from one or more aortic branch vessels; they only require treatment when the aneurysm sac fails to shrink. Post-EVAR follow up is mostly done with contrast enhanced computed tomography. If a type 2 EL requiring treatment is found, a variety of options exist, depending on the source of EL and the anatomy. Inferior mesenteric artery EL is best treated by endovascular embolization through the superior mesenteric artery and Riolans' arc. In hypogastric to lumbar artery EL success of endovascular treatment is limited. In these cases a successful embolization of the EL can...
      PubDate: Fri, 18 Jul 2014 00:00:00 +010
       
  • The web of clinical data.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Gori M, Campiani G, Rossi A, Setacci C Eric J. Topol, in his popular book, "The creative destruction of medicine: How the Digital Revolution Will Create Better Health Care", claims that medicine will inevitably be Schumpetered in the coming years. Interestingly, while we can afford to digitize the genome, to record any single heartbeat, and provide real--time measures of myriads of medical data, we are still missing a crucial catalyzer for strongly accelerating the Schumpetering: The "Web of Clinical Data". In this paper, we hypothesized its birth as the outcome of a viral collection of anonymized personal health records, that are made publicly available to scientists and professionals in medicine. Such a universal collection would not represent only a truly parad...
      PubDate: Thu, 17 Jul 2014 00:00:00 +010
       
  • Technical features of the INCRAFT AAA Stentgraft.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Bertoglio L, Logaldo D, Marone EM, Rinaldi E, Chiesa R The INCRAFT® AAA Stent---graft System is the advanced EVAR technology for the treatment of infrarenal abdominal aneurysms. This new system is designed to address the unmet needs of current endografts by combining unique features and adding new refinements compared to existing endografts delivered through a flexible and 14 Fr. ultra---low system. the INCRAFT AAA Stent---graft System introduces innovative features without deviating from proven stent---graft design principles. It is a three---piece modular system, made of low porosity polyester and segmented nitinol stents. However, the introduction of cap free and partial proximal repositioning enhances the ability of the device to better match individual aorto...
      PubDate: Wed, 16 Jul 2014 00:00:00 +010
       
  • Spinal cord ischemia after aortic surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This article discusses the etiology of SCI mechanisms that may lead to paraplegia during open and endovascular repair from an anatomical and physiological perspective as well as the role of various protective measures used in prevention of this dreadful complication of aortic surgery. There are many adjuncts that must be considered to reduce the risk of spinal cord injury, such as revascularisation of intercostal arteries, maintenance of high mean blood pressure, spinal cord drainage and a few new promising models like NIRS and MISACE which usefulness is yet to be determined. These measures and techniques as well as possible etiology mechanisms of SCI are discussed, highlighting the evidence available for each method, the practical ways in which they may be used, giving some new theories a...
      PubDate: Mon, 14 Jul 2014 00:00:00 +010
       
  • Prosthesis infection: prevention and treatment.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This article summarizes the incidence of graft infection, analyze the predisponding factors to graft infection, and review current strategies for prevention and treatment of prosthesis and endograft infection. PMID: 25017788 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 14 Jul 2014 00:00:00 +010
       
  • Early experience with the Excluder Iliac Branch Endoprosthesis.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Use of Gore IBE device in the treatment of aorto---iliac disease is feasible and safe. Late results are necessary to evaluate the performance of this endograft in the long---term. PMID: 25008058 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 10 Jul 2014 00:00:00 +010
       
  • Long term results of ptfe trilaminate graft versus venous graft and
           composite graft for below-the-knee revascularization.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: Long term results of the use of Advanta SST graft for BTK/distal revascularization seems to be promising, with significant lower duration of the operation and wound complications. At long term, survival, limb salvage, primary assisted and secondary patency rates did not differ significantly among the three groups. The AGSV still remains the best graft in terms of primary patency at 1 year, but after one year primary patency rates using the Advanta SST compare favourably to those of AGSV, while composite bypass grafts have the worst performance. These results need to be increased further. PMID: 25008059 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 10 Jul 2014 00:00:00 +010
       
  • Antiplatelet therapy management in patients with coronary stent undergoing
           vascular surgery.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Bozzani A, Ferlini M, Rossini R, Musumeci G, Arici V, Bramucci E, Setacci C PMID: 25008060 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 10 Jul 2014 00:00:00 +010
       
  • Endovascular repair of thoracoabdominal aortic aneurysms with a novel
           branched stentgraft design - preliminary experience.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The JotecE-xtrabranchedstentgraft is a promising new candidate for endovascular TAAA treatment with sufficient safety and efficacy. Its short delivery time suggests its use in patients with rapid aneurysm growth or high anxiety. PMID: 25008061 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 10 Jul 2014 00:00:00 +010
       
  • Revascularization options for left subclavian salvage during TEVAR.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: This article reviews the solutions for the revascularization of the left subclavian artery during TEVAR. Open surgical revascularization has been the predominant technique used but recent developments may lead to an increasing role of the endovascular revascularization. The different open and endovascular technical options are discussed and the results summarized. PMID: 25008062 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 10 Jul 2014 00:00:00 +010
       
  • Atherectomy of the femoropopliteal artery: a systematic review and
           meta-analysis of randomized controlled trials.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Analysis of a limited body of low quality evidence with high risk of bias showed that debulking atherectomy of the femoropopliteal artery does not seem to confer any procedural advantage or improvement of clinical outcomes over balloon angioplasty alone. PMID: 25008063 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Thu, 10 Jul 2014 00:00:00 +010
       
  • Early experience with the EntrustTM Stent delivery system for stent
           treatment of the lower extremities' arteries via transbrachial approach.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSIONS: The early experience with the new SES-delivery system suggests that EDS enables the safe and effective treatment of the lower extremities PAD via a transbrachial approach. However, further evaluation is needed to define whether the use of the new long shaft stent delivery system influences the performance of the Everflex stent in the long run. PMID: 24975735 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Mon, 30 Jun 2014 00:00:00 +010
       
  • State of the art imaging to detect endoleaks post-EVAR with special focus
           on low-flow endoleaks.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Von Tengg-Kobligk H, Correa Londono M, Von Allmen R, Heverhagen JT, Van den Berg JC Endovascular aneurysm repair (EVAR) necessitates lifelong surveillance for the patient, in order to detect complications timely. Endoleaks (ELs) are among the most common complications of EVAR. Especially type II ELs can have a very unpredictable clinical course and this can range from spontaneous sealing to aortic rupture. Subgroups of this type of EL need to be identified in order to make a proper risk stratification. Aim of this review is to describe the existing imaging techniques, including their advantages and disadvantages in the context of post-EVAR surveillance with a particular emphasis on low-flow ELs. Low flow ELs cause pressurization of the aortic aneurysm sac with a l...
      PubDate: Mon, 30 Jun 2014 00:00:00 +010
       
  • Chronic dissection - Indications for treatment with branched and
           fenestrated.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Sobocinski J, Spear R, Tyrrell M, Maurel B, Martin Gonzalez T, Hertault A, Midulla M, Azzaoui R, Haulon S The treatment of chronic aortic dissection is a major challenge for the vascular surgeon. Close imaging follow--up after the acute episode frequently identifies dilation of untreated aortic segments. Aortic dissection often extends to both the supra--aortic trunks and to the visceral aorta. The poor medical condition that often characterizes these patients may preclude extensive open surgical repair. Recent advances in endovascular techniques provide a valid alternative to open surgery. These complex lesions can now be managed using thoracic branched and fenestrated endografts. However, clinical data are scarce and only 3 small series from 3 high--volume aorti...
      PubDate: Mon, 30 Jun 2014 00:00:00 +010
       
  • Latest developments in SFA management.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Minar E PMID: 24941244 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 18 Jun 2014 00:00:00 +010
       
  • Angiogenic cell therapy for critical limb ischaemia: an update on concepts
           and trials.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Furmston J, Patel A, Ludwinski F, Zuzel V, Bajwa A, Saha P, Smith A, Modarai B Therapeutic neovascularisation is a novel approach used to salvage critically ischaemic limbs that are not amenable to conventional treatments. Initial efforts were based on single injections of angiogenic factors but there is now a realisation that delivering angiogenic cells is more likely to achieve effective revascularisation. Clinical studies to date have mostly used mixtures of mononuclear cells harvested from the bone marrow or peripheral blood. The modest results achieved with these cells, only a proportion of which are angiogenic, has stimulated a search for more potent cell types. Preclinical studies have identified several candidates, including adipose derived, embryonic and ...
      PubDate: Wed, 18 Jun 2014 00:00:00 +010
       
  • Drug-coated balloons and drug-eluting stents: clinical effectiveness
           revisited.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Fanelli F, Cannavale A Critical limb ischemia (CLI) is a common and devastating manifestation of peripheral arterial disease leading to ischemic rest pain, ulcerations, gangrene and tissue loss. Thus advanced endovascular techniques have been developed in order to achieve higher success rate, such as retrograde recanalisation and drug eluting devices. However the correlation between patency of the vessels and clinical outcome (limb salvage, ulcer healing, Rutherford class improvement) is still debated. We reviewed the most recent trials and studies investigating the clinical effectiveness of drug eluting stents and balloons for the treatment of CLI. PMID: 24941242 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 18 Jun 2014 00:00:00 +010
       
  • Which is currently the best strategy for treatment of SFA in-stent
           restenosis'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Elens M, Verbist J, Keirse K, Van Den Eynde W, Peeters P Stents have been created to prevent vessel recoil after percutaneous transluminal angioplasty (PTA). Despite the evolution in stent design, intimal hyperplasia and stent fractures and the resulting in--stent restenosis (ISR) still occur. Different strategies to treat ISR have been described with variable results in patency rates in the short and the long--term. PTA only in the treatment of ISR showed high procedural success, but the mid and long--term patency rates were very disappointing. Atherectomy devices have showed same insufficient results. If stent fracture is the cause of the ISR, the fracture has to be overstent. The best two options are covered stents and drug eluting stents (DES). Drug eluting de...
      PubDate: Wed, 18 Jun 2014 00:00:00 +010
       
  • Prime time for drug eluting balloons in SFA interventions'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Brodmann M Peripheral arterial disease most commonly affects the femoropopliteal segment. Despite enormous improvements in device and treatment technology the long--term patency rate and clinical benefit of endovascular treatment in the respective vascular bed is not satisfying. Drug coated balloon technology as a treatment option in femoropopliteal disease has shown encouraging results in first--in--man trials, which have now been proven in large randomized controlled trials. PMID: 24941235 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 18 Jun 2014 00:00:00 +010
       
  • Current endovascular management of acute type b aortic dissection - whom
           should we treat and when'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Patterson BO, De Bruin JL, Brownrigg JR, Holt P, Loftus I, Thompson MM, Hinchliffe R Aortic dissection is the most common of the acute aortic syndromes, once initiated, intimal disruption can propagate in an anterograde or retrograde fashion, and the resulting false lumen may compress the ostia of aortic branches or cause aortic expansion and eventual rupture. Acute complicated type B dissection most often requires immediate interventional treatment, whereas uncomplicated dissection has classically been managed with medical therapy alone. The first line management of complicated acute and aneurysmal chronic type B dissections has shifted toward minimally invasive endovascular treatment. To give an overview of the contemporary management of acute type B dissection,...
      PubDate: Wed, 18 Jun 2014 00:00:00 +010
       
  • Optimising pre and post operative imaging for thoracic aortic pathology.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Albayati MA, Clough R Thoracic aortic pathology carries significant morbidity and mortality, which requires prompt and accurate clinical and radiological evaluation. Advances in imaging technologies have improved our knowledge of the mechanisms of growth and rupture and our understanding of endovascular repair. Computed tomography has become a crucial component in this process, replacing catheter---based angiography as the most commonly used pre--- and post---operative imaging modality for the thoracic aorta. Functional imaging methods such as magnetic resonance and echocardiography are evolving and are able to provide the clinically relevant anatomic, haemodynamic and biomechanical information that is necessary for accurate diagnosis, risk stratification and sele...
      PubDate: Wed, 18 Jun 2014 00:00:00 +010
       
  • Results of reinterventions for failed endovascular aortic repair: A
           single-center experience.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: In this series of patients, the technical success rate of reinterventions to treat post--EVAR complications was high. During a median follow--up of 20 months, AAA--associated mortality is low, but the need for renewed (endovascular) reinterventions is substantial. PMID: 24941238 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 18 Jun 2014 00:00:00 +010
       
  • Pedal and plantar loop angioplasty: technique and results.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Gandini R, Del Giudice C, Simonetti G Endovascular and subintimal approaches fails in obtaining a below--the--knee recanalization in 10--40% of cases, even in high--volume and expertise centers. The presence of long calcified occlusions, characterized by a complex anatomy, often necessitate the use of alternative techniques in order to obtain a direct blood flow to the foot arteries. Recanalization using pedal and plantar loop angioplasty could improve outcomes in the presence of a communication between the dorsal and plantar arch of the foot, if conventional techniques are not effective. PMID: 24941239 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 18 Jun 2014 00:00:00 +010
       
  • Hybrid revascularization of complex multilevel disease: a paradigm shift
           in critical limb ischemia treatment.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Patel SD, Donati T, Zayed H Critical limb ischaemia frequently occurs on a background of extensive co--morbidities and carries a poor prognosis which requires urgent management. Disease severity and patient co--morbidity influence the initial choice of management which occurring to traditional paradigms, is a choice between open or endovascular repair. Over the last decade Hybrid intervention, which is the planned combined use of both open and endovascular techniques, has increasingly been used to tackle multilevel disease. In this review we look at the techniques and results of hybrid surgery. This technique is ideal for multilevel lesions, as it is minimally invasive, allows prompt limb revascularization as opposed to the delays inherent in staged procedures and...
      PubDate: Wed, 18 Jun 2014 00:00:00 +010
       
  • The value of covered stents to improve patency of long-segment sfa
           revascularization.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Beschorner U, Zeller T Endovascular treatment has become first--line approach for revascularization of long and complex femoropopliteal lesions in many centers. This development urges the need for endovascular approaches with a sustainable success in terms of patency. In several recently published trials the VIABAHN endoprosthesis has shown promising patency rates comparable or even better than traditional surgical bypass procedures with prosthetic material. PMID: 24941241 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 18 Jun 2014 00:00:00 +010
       
  • Offroad re-entry catheter system for subintimal recanalization of chronic
           total occlusions in femoropopliteal arteries: primary safety and
           effectiveness results of the re-route trial.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: The Re-ROUTE trial results demonstrate acceptable performance of the OffRoad system in terms of safety and technical success for the recanalization of femoropopliteal CTOs. PMID: 24926886 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Fri, 13 Jun 2014 00:00:00 +010
       
  • Endovascular treatment of coarctation and related aneurysms.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Galiñanes EL, Krajcer Z Today,surgical repair has almost doubled the 30year survival rate in patients with coarctation of the aorta (CoA), and 72% to 98% of patients now reach adulthood. Possible late complications include malignant hypertension, left ventricular dysfunction, aortic valve dysfunction, recurrent CoA, and aneurysm formation with risk of rupture. Treating postoperative CoA-related aneurysms with observation alone is associated with a mortality rate of 36%, compared with 9% for surgical repair. Even in the best surgeons' hands, aortic surgery has associated complications, and the complexity of reoperative surgery makes the risks substantially greater. For patients with CoA-related aneurysm, endovascular treatment constitutes a good alternative to reo...
      PubDate: Wed, 11 Jun 2014 00:00:00 +010
       
  • Clinical validation of carotid stump pressure (40 mm hg.) for patients
           undergoing carotid endarterectomy under general anesthesia.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract: CONCLUSION: Using an SP of 40 mmHg (mean) as a threshold seems to be a safe, easy and cheap method for selective shunt insertion in fast track CEA under general anesthesia with a zero false-negative rate. Raising the systemic blood pressure by 10-20%during cross clamping increased SP above the threshold value 40 mmHg thus avoiding shunt insertion in a number of patients. PMID: 24918194 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
      PubDate: Wed, 11 Jun 2014 00:00:00 +010
       
  • Retrograde recanalization of complex SFA lesions-indications and
           techniques.
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Fanelli F, Cannavale A Femoro-popliteal segment is often characterized by diffuse and severe steno-obstructive atheroclerotic disease. Most recent guidelines recommended endovascular techniques as a valid operative treatment in highly symptomatic patients (Rutherford class 4 to 6) with complex femoropopliteal lesions (TASC C and D), instead of surgery. Thus advanced techniques have been developed in order to achieve higher success rate, such as recanlization devices (debulking and crosser devices) and retrograde endovascular recanalisation. The most common endovascular retrograde technique is to attempt intraluminal recanalisation from a popliteal access (4Fr sheath), then completing the procedure from the antegrade/retrograde femoral access. Originally such as te...
      PubDate: Wed, 11 Jun 2014 00:00:00 +010
       
  • TEVAR for chronic aortic dissection- is covering the primary entry tear
           enough'
    • Authors: The Journal of Cardiovascular Surgery
      Abstract:
      Authors : Kölbel T, Tsilimparis N, Wipper S, Larena-Avellaneda A, Diener H, Carpenter S, Debus E Treatment-strategies for Type B aortic dissection (TBAD) are rapidly developing towards endovascular treatment strategies. While TEVAR for acute TBAD shows favourable results, TEVAR in chronic TBAD following the same interventional strategies as in acute TBAD by covering the proximal entry-tear alone has shown unsatisfactory results with one third of the patients developing further falselumen growth and mortality of 36% at 3years. This reviewarticle describes endovascular strategies and adjunctive techniques to prevent distal falselumen backflow in patients with chronic TBAD, as covering the proximal entry tear has proven insufficient. PMID: 24918196 [PubMed - as supplied b...
      PubDate: Wed, 11 Jun 2014 00:00:00 +010
       
  • 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
       
 
 
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