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Journal of Cardiovascular Surgery

Asher Weisberg, Hassan Nemeh, Loay Kabbani, Alexander Shepard, Meredith van Harn, Jeffrey Morgan, Jamil Borgi
BACKGROUND: Type A aortic dissection is a surgical emergency with a high morbidity and mortality. Strokes occur in up to 25% and are among the most feared complications. This study aims to evaluate factors linked to stroke development and the implications of strokes on outcomes. METHODS: Patients from 2000-2014 were stratified based on the development of stroke. Factors were compared between the groups using chi-square or Fisher's exact tests for categorical variables, and independent two-group t-tests for continuous variables...
February 11, 2019: Journal of Cardiovascular Surgery
Fadi Saab, Brad J Martinsen, Dylan Wrede, Ann Behrens, George L Adams, Jihad A Mustapha
The Orbital Atherectomy System is a novel form of atherectomy that uses orbital sanding and pulsatile forces, an effective method of treatment for peripheral atherosclerotic lesions with varying levels of occlusion. Although the devices only has a general indication from the FDA to treat atherosclerotic lesions, they are effective in treating all kinds of lesions, and can therefore mitigate effects of all severities of peripheral artery disease. This approach to endovascular therapy involves the use of differential sanding to preferentially ablate fibrous, fibrofatty and calcified lesions, while deflecting healthy intima away from the crown...
January 28, 2019: Journal of Cardiovascular Surgery
Dimitrios M Kapetanios, Ramin Banafsche, Thomas Jerkku, Konstantinos Spanos, Ulrich Hoffmann, Beatrice Fiorucci, Barbara Rantner, Nikolaos Tsilimparis
Anatomical changes after endovascular repair (EVAR) of abdominal aortic aneurysms (AAAs) are thoroughly studied as they could affect the long term postoperative outcome. The aim of the present study is to review the literature and summarize the recent data regarding the aortic remodeling and its clinical significance. A continuous aortic neck expansion is observed after EVAR and is more rapid at the first month and during the third postoperative year. This aortic neck dilation is not influenced by the type of proximal stent-graft fixation, is comparable to open surgical aneurysm repair and is most probably related with the natural progression of aneurismal disease...
January 28, 2019: Journal of Cardiovascular Surgery
Javier de Miguel-Díez, Ana López-de-Andrés, Valentín Hernández-Barrera, José M de Miguel-Yanes, Manuel Méndez-Bailón, Nuria Muñoz-Rivas, Rodrigo Jiménez-García
BACKGROUND: The aims of this study were: 1) to examine incidence, characteristics and in-hospital outcomes of SAVR among patients with or without COPD; 2) to compare both groups matched by sex, age, year hospitalized for SAVR and implanted valve type; and 3) to identify factors associated with in-hospital mortality (IHM) among COPD patients. METHODS: We used the Spanish National Hospital Discharge Database for patients aged ≥40 years from 2001 to 2015. We selected patients whose medical procedures included SAVR...
January 28, 2019: Journal of Cardiovascular Surgery
Marc Bosiers, Koen Deloose, Joren Callaert, Patrick Peeters, Jürgen Verbist, Wouter Van den Eynde, Lieven Maene, Roel Beelen, Koen Keirse, Jeroen Wauters
BACKGROUND: The EVOLUTION study is a prospective, non-randomized study, investigating the iVolution stent (iVascular, Barcelona, Spain). The study was conducted at the vascular departments of 4 hospitals in Belgium. This manuscript reports the findings up to 12-month follow-up time for the total cohort. The primary endpoint of the study is primary patency at 12 months. Primary patency is defined as a target lesion without a hemodynamically significant stenosis on duplex ultrasound (>50%, systolic velocity ratio no greater than 2...
January 28, 2019: Journal of Cardiovascular Surgery
Michel Batt, Fabrice Camou, Amandine Coffy, Patrick Feugier, Eric Senneville, Jocelyne Caillon, Brigitte Calvet, Christian Chidiac, Frederic Laurent, Matthieu Revest, Jean Pierre Daures
BACKGROUND: There is currently a lack of evidence for the relative effectiveness of partial resection (PR) and total resection (TR) before managing abdominal aortic graft infection (AGI). Most authorities agree that TR is mandatory for intracavitary AGI in patients with favorable conditions but there is an increasing number of patients with severe comorbidities for whom this approach is not suitable, resulting in a prohibitive mortality rate. The purpose of this study was to determine the most appropriate indication for TR or PR...
January 28, 2019: Journal of Cardiovascular Surgery
Guopeng Liu, Huajun Zhang, Ming Yang, Rong Wang, Cangsong Xiao, Gang Wang, Yao Wang, Changqing Gao
BACKGROUND: The feasibility and safety of robotic mitral valve repair has been proven in several studies but the mid-term to long-term outcomes are unclear. We aim to summarize our surgical experience with robotic mitral valve repair and demonstrate the follow-up results out to 7 years. METHODS: From 2007 to 2014, 110 consecutive patients underwent robotic mitral valve repair with da Vinci Surgical System (Intuitive Surgical, USA) in our center. The operative data were collected and patients were echocardiographically followed regularly up to 7 years...
January 28, 2019: Journal of Cardiovascular Surgery
Pablo Marques De Marino, Eric L Verhoeven, Athanasios Katsargyris
BACKGROUND: This study aims to assess the outcomes of standard and fenestrated grafts to treat proximal failure of previous endovascular aneurysm repair (EVAR) in a tertiary referral centre. METHODS: All patients undergoing elective implantation of a standard or fenestrated graft after proximal failure of a previous EVAR between April 2010-November 2018 were included. Data were collected prospectively. RESULTS: 50 Procedures were performed in 49 patients (45 male; mean age 74...
January 18, 2019: Journal of Cardiovascular Surgery
George Kouvelos, George Antoniou, Konstantinos Spanos, Athanasios Giannoukas, Miltiadis Matsagkas
INTRODUCTION: The aim was to investigate the impact of wide proximal aortic diameter on outcome after standard endovascular repair (sEVAR) of infrarenal abdominal aortic aneurysms. EVIDENCE ACQUISITION: A systematic search of the literature was undertaken using the PUBMED, EMBASE, and Cochrane databases for articles comparing outcome after sEVAR in patients with large versus small diameter aortic neck. The prognostic factor of interest was large diameter proximal aortic neck and the results were reported as odds ratio (OR) or mean difference (MD) and 95% confidence interval (CI)...
January 18, 2019: Journal of Cardiovascular Surgery
Konstantinos Stavroulakis, Theodosios Bisdas, Giovanni Torsello, Angeliki Argyriou, Leonie Bollenberg, Arne Schwindt
BACKGROUND: Optical coherence tomography (OCT)-guided directional atherectomy enables a real-time visualization of the arterial wall during plaque debulking and might optimize vessel preparation prior to DCB angioplasty. Nonetheless there is a paucity of data reporting on the outcomes of OCT-guided directional atherectomy with anti-restenotic therapy (DAART). Aim of this study was to evaluate the performance of OCT-guided DAART in the treatment of femoropopliteal atherosclerosis. METHODS: Patients treated by OCT-guided DAART for femoropopliteal occlusive disease between January 2015 and December 2016 were included into this retrospective, single center, single-arm analysis...
January 18, 2019: Journal of Cardiovascular Surgery
Antoine Sauguet, Raphaël Philippart, Benjamin Honton
Endovascular treatment for peripheral artery occlusive disease carries unresolved problem of restenosis. Treatment modalities in areas of high mechanical stress like popliteal artery and common femoral artery remains challenging. New-generation devices improved the results of stent therapy in this anatomical territory, but could impact on future surgical options if they are needed. Vessel preparation prior to DCB angioplasty leads to better paclitaxel penetration into the arterial wall and improved drug uptake...
January 16, 2019: Journal of Cardiovascular Surgery
Konstantinos Spanos, Fiona Rohlffs, Giuseppe Panuccio, Ahmed Eleshra, Nikolaos Tsilimparis, Tilo Kölbel
INTRODUCTION: Endovascular repair of infra-renal aortic aneurysm (EVAR) has become treatment of choice. However, individuals undergoing EVAR have a high re- intervention rate. The aim of this study is to evaluate the current endovascular treatment modalities of endoleak type Ia (ET Ia) treatment after EVAR and their outcome. EVIDENCE ACQUISITION: A systematic review and meta-analysis was performed. MEDLINE, EMBASE and Cochrane databases were searched with PRISMA methodology for studies reporting on endovascular treatment of ET Ia after EVAR...
January 16, 2019: Journal of Cardiovascular Surgery
Michael Lichtenberg, Grigorios Korosoglou
Within the last years, many new endovascular treatment modalities have been invented for treatment of peripheral arterial disease. To leave nothing behind and to keep options for future treatment are key issues of these new revascularisation procedures. Drug coated balloon technology (DCB) is one key element in this strategy but there are still limitations for this revascularisation technology. Especially calcium rich lesions and long lesions are still challenging in terms of treatment success and long-term patency...
January 16, 2019: Journal of Cardiovascular Surgery
Louis Le Bivic, Julien Magne, Jean-David Blossier, Alessandro Piccardo, Hélène Wojtyna, Philippe Lacroix, Dania Mohty, Elisabeth Cornu, Alexandre Le Guyader, Victor Aboyans
BACKGROUND: Among patients with coronary artery disease (CAD), around 25% have multisite artery disease (MSAD). Patients with CAD and MSAD are at higher risk of peri-operative and long-term cardiovascular events. Whether off-pump coronary bypass grafting (CABG) can improve their prognosis is unknown.We aimed to assess the benefits of off- vs. on-pump cardiac surgery in patients undergoing CABG, according to coexistence of extra-cardiac artery disease. METHODS: Between April 1998 and September 2008, 1221 patients undergoing CABG without any other intervention were enrolled...
November 20, 2018: Journal of Cardiovascular Surgery
Sharaf-Eldin Shehada, Jaroslav Benedik, Maria Serrano, Juri Lurbaski, Ender Demircioglu, Daniel Wendt, Heinz Jakob, Fanar Mourad
BACKGROUND: Valve sparing root replacement differs in specific points. The main target remains to achieve a perfect intraoperative result and long-term stability. We aimed in this study to present our modified sizing technique for valve-sparing "David" procedure and its mid-term results. METHODS: We present a retrospective single-centre study. A newly designed sizing ring in addition to triple-armed forceps (Trifeet®) was used to measure the proper size of the Valsalva® prosthesis for patients undergoing David-procedure...
November 20, 2018: Journal of Cardiovascular Surgery
Ilias P Doulamis, Despina N Perrea, Ioannis A Chloroyiannis
INTRODUCTION: We sought to systematically review the existing literature reporting on patients recruited during the past twenty years regarding the role of left ventricular (LV) reconstruction in ischemic cardiomyopathy in terms of efficacy and mortality and provide an updated overview of the current evidence. EVIDENCE ACQUISITION: The PubMed and Cochrane bibliographical databases were thoroughly searched for the following MeSH terms: "ventricular reconstruction" OR ventriculoplasty OR "ventricular aneurysm" OR "ventricular restoration"...
November 20, 2018: Journal of Cardiovascular Surgery
Hiroshi Kodama, Shinya Takahashi, Takanobu Okazaki, Shohei Morita, Seimei Go, Masazumi Watanabe, Yoshitaka Yamane, Keijiro Katayama, Tatsuya Kurosaki, Taijiro Sueda
BACKGROUND: Spinal cord ischemia (SCI) and paraplegia are complications of surgery for type A acute aortic dissection (TAAAD). Since the segmental arteries play a key role in SCI, this study evaluated the association between SCI and false lumen segmental arteries (FLSAs: segmental arteries originating from the false lumen). METHODS: The study included 101 consecutive TAAAD patients (mean age, 66±13; range, 34-89 years) who underwent surgery from January 2011 to April 2017...
November 20, 2018: Journal of Cardiovascular Surgery
Jasper C Langenberg, Joost Roijers, Gwan H Ho, Eelco J Veen, Douwe Vos, Thijs Buimer, Hans G De Groot, Lyckle van der Laan
BACKGROUND: One of the main drawbacks of endovascular aortic aneurysm repair (EVAR) compared to open aortic surgery is the possibility of developing endoleaks and secondary aneurysm rupture, requiring frequent imaging follow-up. This study aims to identify prognostic factors that could be incorporated in follow-up protocols, which might lead to better personalized, lower cost and safe EVAR follow-up. METHODS: A retrospective study was performed including all patients who underwent elective EVAR from January 2000 to December 2015...
November 20, 2018: Journal of Cardiovascular Surgery
Emile S Farag, Pim van Ooij, S Matthijs Boekholdt, R Nils Planken, Kayleigh C Dukker, Berto J Bouma, Maarten Groenink, David R Koolbergen, Vladimir Sojak, Aart J Nederveen, Mark G Hazekamp, Bas A de Mol, Jolanda Kluin
No abstract text is available yet for this article.
February 2019: Journal of Cardiovascular Surgery
Lazar B Davidovic, Milos M Sladojevic
No abstract text is available yet for this article.
February 2019: Journal of Cardiovascular Surgery
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