Article
Cardiac & Cardiovascular Systems
Eyuep Murat Okten, Zeynep Sila Ozcan, Gokhan Arslanhan, Sahin Senay, Ahmet uemit Gullu, Muharrem Kocyigit, Aleks Degirmencioglu, Cem Alhan
Summary: The study aimed to evaluate the safety and feasibility of robotic-assisted mitral valve surgery without aortic cross-clamping. The results showed that this technique is safe and feasible in high-risk patients.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2023)
Article
Cardiac & Cardiovascular Systems
Josephina Haunschild, Zara Khachatryan, Konstantin von Aspern, Johanna Herajaervi, Susann Ossmann, Joerg Naumann, Michael A. Borger, Christian D. Etz
Summary: The study evaluates the effects of distal aortic perfusion (DaP) on regional spinal cord blood flow during descending aortic cross-clamping and iatrogenic elevation of cerebrospinal fluid pressure. DaP leads to hyperperfusion of the distal spinal cord but does not provide adequate flow to upper and middle spinal cord segments, and is unable to counteract an experimental cerebrospinal fluid pressure elevation, resulting in decreased blood flow to certain spinal cord segments.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2021)
Article
Surgery
Katherine Teter, Caron Rockman, Virendra Patel, Heepeel Chang, Glenn Jacobowitz, Bruce Gelb, Michael Barfield, Neal Cayne, Thomas Maldonado, Karan Garg
Summary: This study evaluated the effect of intraoperative mannitol on preventing postoperative hemodialysis in patients undergoing open AAA repair. Mannitol use was associated with a decreased risk of postoperative dialysis in CKD patients.
ANNALS OF VASCULAR SURGERY
(2022)
Article
Cardiac & Cardiovascular Systems
J. Trent Magruder, Stuart J. Weiss, Katie Gray DeAngelis, John Haddle, Nimesh D. Desai, Wilson Y. Szeto, Michael A. Acker
Summary: Low oxygen delivery (DO2) during cardiac surgery may be associated with morbidity and mortality, particularly in patients undergoing nonisolated coronary artery bypass grafting (CABG). These findings emphasize the importance of goal-directed perfusion strategies.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2022)
Article
Medicine, General & Internal
Chi-Hsiang Huang, Yi-Chia Wang, Hen-Wen Chou, Shu-Chien Huang
Summary: The study focused on optimal selective cerebral perfusion (SCP) management during neonatal aortic arch surgery. Mild hypothermia was induced during SCP, and tissue oxygenation monitor was used during cardiopulmonary bypass (CPB) to ensure adequate perfusion. Results showed efficient maintenance of brain perfusion with SCP, but demonstrated contrasting effects on renal and lower extremity tissue oxygenation during the surgery.
FRONTIERS IN MEDICINE
(2021)
Article
Medicine, General & Internal
Panagiotis Doukas, Gabriel Hellfritsch, Daniel Wendt, Mirko Magliani, Mohammad E. Barbati, Houman Jalaie, Michael J. Jacobs, Alexander Gombert
Summary: This pilot study investigated the efficacy of cytokine adsorption in controlling early inflammation cascade in patients undergoing open thoracoabdominal aortic repair. The results suggest that intraoperative hemoadsorption may be feasible and safe, but larger trials are needed to evaluate its clinical outcomes.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Cardiac & Cardiovascular Systems
Ahmet Umit Gullu, Sahin Senay, Egemen Ersin, Onder Demirhisar, Tarik Whitham, Muharrem Kocyigit, Cem Alhan
Summary: This study examined the safety and effectiveness of robotic-assisted cardiac surgery without aortic cross-clamping in patients with severe aortic calcification or mediastinal adhesions. The results showed that this approach can provide reasonable outcomes and may encourage surgeons to perform this technique in appropriate patient populations.
JOURNAL OF CARDIAC SURGERY
(2021)
Article
Medicine, General & Internal
Mikhail Dodonov, Francesco Onorati, Giovanni Battista Luciani, Alessandra Francica, Maddalena Tessari, Tiziano Menon, Leonardo Gottin, Aldo Domenico Milano, Giuseppe Faggian
Summary: Using pulsatile flow during cardiopulmonary bypass results in significantly lower systemic and pulmonary vascular resistances, increased eNOS production, and better preservation of renal function. The clinical impact of increased vasopressor requirements in the pulsatile flow group warrants further evaluation.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Medicine, General & Internal
Chantal A. Boly, Margot Venhuizen, Nicole A. M. Dekker, Alexander B. A. Vonk, Christa Boer, Charissa E. van den Brom
Summary: Cardiac surgery with cardiopulmonary bypass impairs microcirculatory perfusion equally in metabolically healthy obese patients and lean patients, with recovery observed in both groups within three days post-surgery.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Cardiac & Cardiovascular Systems
Lingjin Huang, Xuliang Chen, Qinghua Hu, Fanyan Luo, Jiajia Hu, Lian Duan, E. Wang, Zhi Ye, Chengliang Zhang
Summary: Open thoracoabdominal aortic aneurysm (TAAA) repair is a complex and challenging operation. Left heart bypass (LHB) is a circulatory support system that can improve blood perfusion during the surgery. However, the existing circuit system in China is insufficient. Researchers designed a modular multifunctional LHB circuit to meet the surgical requirements, which allows for easier and more efficient assembly.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2022)
Article
Obstetrics & Gynecology
Zhigang Wang, Hongyan Sun, Chi Zhang, Lichong Lu, Lifang Zhang, Dongjin Wang
Summary: This study evaluated the efficacy and safety of performing cesarean section surgery before aortic repair after acute type A aortic dissection during pregnancy. The results indicated that aortic repair can be safely performed in the third-trimester.
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS
(2023)
Article
Cardiac & Cardiovascular Systems
Hatice Isil Dayi, Eyup Serhat Calik, Oguzhan Birdal, Muhammed Enes Aydin, Ferhat Borulu, Ziya Yildiz, Bilgehan Erkut, Yahya Unlu
Summary: This study examined the relationship between cardiopulmonary bypass and cross-clamping times and the development of postoperative atrial fibrillation. The findings suggest that there is no significant association between these factors and the incidence of atrial fibrillation after coronary artery bypass grafting.
BRAZILIAN JOURNAL OF CARDIOVASCULAR SURGERY
(2023)
Review
Cardiac & Cardiovascular Systems
Ying Cui, Xinhao Liu, Jiyue Xiong, Zhaoxia Tan, Lei Du, Jing Lin
Summary: One treatment for acute type A aortic dissection is to replace the ascending aorta and aortic arch with a graft during circulatory arrest, but this is associated with high mortality and morbidity. Maintaining the balance between oxygen supply and demand during circulatory arrest is the key to reducing morbidity and is the primary challenge during body perfusion. Three perfusion techniques based on deep hypothermic circulatory arrest are presented: DHCA alone, DHCA with selective cerebral perfusion, and DHCA with total body perfusion.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2023)
Article
Surgery
Yi-Chia Wang, Nai-Hsin Chi, Ya-Chen Wang, Yih-Sharng Chen, Chi-Hsiang Huang
Summary: This study aimed to investigate the safety of retrograde arterial perfusion in minimally invasive cardiac surgery. By observing the surgical outcomes and complications in a group of patients, the study found that retrograde arterial perfusion is a safe and feasible surgical approach within a certain time range.
ASIAN JOURNAL OF SURGERY
(2022)
Article
Cardiac & Cardiovascular Systems
Hiroshi Mukaida, Satoshi Matsushita, Taira Yamamoto, Yuki Minami, Go Sato, Tohru Asai, Atsushi Amano
Summary: This study aimed to compare the effects of an oxygen delivery strategy and a conventional strategy on postoperative acute kidney injury in patients undergoing cardiopulmonary bypass surgery. The results showed that the oxygen delivery strategy significantly reduced the incidence of acute kidney injury.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2023)
Editorial Material
Cardiac & Cardiovascular Systems
Fausto Biancari, Tatu Juvonen, Giuseppe Speziale
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2023)
Article
Pharmacology & Pharmacy
Konsta Teppo, Jussi Jaakkola, Fausto Biancari, Olli Halminen, Miika Linna, Jari Haukka, Jukka Putaala, Pirjo Mustonen, Janne Kinnunen, Juha Hartikainen, K. E. Juhani Airaksinen, Mika Lehto
Summary: AF patients with higher income or educational level are more frequently initiated with oral anticoagulant therapy for stroke prevention, highlighting potential missed opportunities in stroke prevention among AF patients with low income.
BRITISH JOURNAL OF CLINICAL PHARMACOLOGY
(2023)
Article
Peripheral Vascular Disease
Mirjami Laivuori, Fausto Biancari, Juha Sinisalo, Anders Alback, Harri Hakovirta, Reijo Sund, Maarit Venermo
Summary: This study analyzed the impact of statin use on survival and cardiovascular mortality in patients with LEAD of different severity depicted by the ABI level. The results showed that statin use improved overall survival and amputation free survival regardless of ABI level. Statin use was also associated with lower mortality from cerebrovascular disease, overall mortality, and cardiovascular mortality in patients with ABI<0.9 or >1.3.
VASA-EUROPEAN JOURNAL OF VASCULAR MEDICINE
(2023)
Letter
Cardiac & Cardiovascular Systems
Arash Motekallemi, Andreas Rukosujew, Konrad Wisniewsi, Fausto Biancari, Angelo M. Dell'Aquila
Article
Surgery
Fausto Biancari, Tatu Juvonen, Antonio Fiore, Andrea Perrotti, Amelie Herve, Joseph Touma, Matteo Pettinari, Sven Peterss, Joscha Buech, Angelo M. Dell'Aquila, Konrad Wisniewski, Andreas Rukosujew, Till Demal, Lenard Conradi, Marek Pol, Petr Kacer, Francesco Onorati, Cecilia Rossetti, Igor Vendramin, Daniela Piani, Mauro Rinaldi, Luisa Ferrante, Eduard Quintana, Robert Pruna-Guillen, Javier Rodriguez Lega, Angel G. Pinto, Metesh Acharya, Zein El-Dean, Mark Field, Amer Harky, Francesco Nappi, Sebastien Gerelli, Dario Di Perna, Giuseppe Gatti, Enzo Mazzaro, Stefano Rosato, Peter Raivio, Mikko Jormalainen, Giovanni Mariscalco
Summary: The aim of this study was to evaluate the outcomes of different surgical strategies for acute TAAD. The study found that replacement of the aortic root and aortic arch did not decrease the risk of aortic reoperation in TAAD patients and should be performed only in the presence of local aortic injury or aneurysm.
Article
Cardiac & Cardiovascular Systems
Cristina Aurigemma, Carlo Trani, Paola D'Errigo, Marco Barbanti, Fausto Biancari, Giuseppe Tarantini, Gennaro Santoro, Massimo Baiocchi, Giovanni Baglio, Fulvia Seccareccia, Stefano Rosato
Summary: This study evaluated the clinical impact of vascular complications in patients undergoing TAVI with newer generation transcatheter prostheses, and found that major vascular complications were associated with worse clinical outcomes.
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS
(2023)
Article
Emergency Medicine
Fausto Biancari, Angelo M. Dell'Aquila, Giuseppe Gatti, Andrea Perrotti, Amelie Herve, Joseph Touma, Matteo Pettinari, Sven Peterss, Joscha Buech, Konrad Wisniewski, Tatu Juvonen, Mikko Jormalainen, Caius Mustonen, Andreas Rukosujew, Till Demal, Lenard Conradi, Marek Pol, Petr Kacer, Francesco Onorati, Cecilia Rossetti, Igor Vendramin, Daniela Piani, Mauro Rinaldi, Luisa Ferrante, Eduard Quintana, Robert Pruna-Guillen, Javier Rodriguez Lega, Angel G. Pinto, Metesh Acharya, Zein El-Dean, Mark Field, Amer Harky, Manoj Kuduvalli, Francesco Nappi, Sebastien Gerelli, Dario Di Perna, Enzo Mazzaro, Stefano Rosato, Antonio Fiore, Giovanni Mariscalco
Summary: This study aimed to evaluate the impact of individual institutions on the outcome of surgery for Stanford type A aortic dissection. The results showed that certain hospitals had a higher risk of in-hospital mortality, while others had a lower risk. Hospitals with lower in-hospital mortality rates also had a decreased rate of stroke and/or global brain ischemia. The study concluded that hospital volume may be a determinant of poor outcome in surgery for aortic dissection.
EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY
(2023)
Article
Cardiac & Cardiovascular Systems
Fausto Biancari, Alexander Kaserer, Andrea Perrotti, Vito G. Ruggieri, Sung-Min Cho, Jin Kook Kang, Magnus Dalen, Henryk Welp, Kristjan Jonsson, Sigurdur Ragnarsson, Francisco J. Hernandez Perez, Giuseppe Gatti, Khalid Alkhamees, Antonio Loforte, Andrea Lechiancole, Stefano Rosato, Cristiano Spadaccio, Matteo Pettinari, Giovanni Mariscalco, Timo Makikallio, Sebastian D. Sahli, Camilla L'Acqua, Amr A. Arafat, Monirah A. Albabtain, Mohammed M. AlBarak, Mohamed Laimoud, Ilija Djordjevic, Ihor Krasivskyi, Robertas Samalavicius, Lina Puodziukaite, Marta Alonso-Fernandez-Gatta, Donat R. Spahn, Antonio Fiore
Summary: This study evaluated the association between pre-V-A-ECMO arterial lactate level and in-hospital mortality in postcardiotomy patients. The results showed that increased arterial lactate level before V-A-ECMO initiation was associated with higher in-hospital mortality. Therefore, arterial lactate level may be useful in guiding the decision-making process and timing of initiation of postcardiotomy V-A-ECMO.
Article
Cardiac & Cardiovascular Systems
Francesco Nappi, Sanjeet Singh Avtaar Singh, Ivancarmine Gambardella, Almothana Alzamil, Antonio Salsano, Francesco Santini, Fausto Biancari, Thibaut Schoell, Nicolas Bonnet, Thierry Folliguet, Antonio Fiore
Summary: Type A acute aortic dissection requires prompt referral to tertiary referral centers for urgent imaging and management. Surgery, the choice of which depends on the patient and presentation, and center expertise, plays a significant role. This study compared outcomes of conservative approaches focused on the ascending aorta and hemiarch with the extensive surgery (total arch reconstruction and root replacement) across three European referral centers. The study found no significant difference in surgical mortality between the two approaches, but identified predictors of mortality including age, arterial lactate levels, and emergency or salvage status.
JOURNAL OF CARDIOVASCULAR DEVELOPMENT AND DISEASE
(2023)
Article
Cardiac & Cardiovascular Systems
Francesco Nappi, Sandra Petiot, Antonio Salsano, Sanjeet Singh Avtaar Singh, Joelle Berger, Marisa Kostantinou, Severine Bonnet, Ivancarmine Gambardella, Fausto Biancari, Almothana Almazil, Francesco Santini, Rim Chaara, Antonio Fiore
Summary: This retrospective study analyzed data from three departments of cardiac surgery between January 2005 and December 2021 and found a higher proportion of women undergoing aortic arch repair. There were no significant differences in operative mortality and early postoperative neurological complications between men and women. Preoperative arterial lactate levels and mesenteric ischemia after surgery were significantly associated with increased operative mortality in women.
JOURNAL OF CARDIOVASCULAR DEVELOPMENT AND DISEASE
(2023)
Article
Cardiac & Cardiovascular Systems
Cristina Aurigemma, Mauro Massussi, Chiara Fraccaro, Marianna Adamo, Paola D'Errigo, Stefano Rosato, Fulvia Seccareccia, Gennaro Santoro, Massimo Baiocchi, Marco Barbanti, Fausto Biancari, Giovanni Baglio, Andrea Marcellusi, Carlo Trani, Giuseppe Tarantini
Summary: The aim of this study was to investigate the impact of coronary artery disease (CAD) and different revascularization strategies on clinical outcomes in patients who underwent transcatheter aortic valve implantation (TAVI) with third generation devices. The presence of CAD did not have an impact on overall mortality and major adverse cardiac and cerebrovascular events (MAC-CE) at 1 year after TAVI, but CAD patients had a higher risk for myocardial infarction and need for percutaneous coronary intervention during follow-up.
AMERICAN JOURNAL OF CARDIOLOGY
(2023)
Article
Cardiac & Cardiovascular Systems
Riccardo Gorla, Lorenzo Tua, Paola D'Errigo, Marco Barbanti, Fausto Biancari, Giuseppe Tarantini, Gabriella Badoni, Gian Paolo Ussia, Marco Ranucci, Francesco Bedogni, Giovanni Baglio, Stefano Rosato, OBSERVANT II Res Grp
Summary: This study aimed to investigate the incidence and predictors of stroke at 30 days and 6 months after transcatheter aortic valve replacement (TAVR). The results showed that stroke occurrence was low but had a significant impact on survival. Predilatation, diabetes, and left ventricle ejection fraction were found to be independent predictors of 30-day stroke, while diabetes, pre-existing neurological dysfunction, bicuspid valve, and critical status were predictive of 6-month stroke. Antiplatelet therapy and anticoagulation were found to be protective factors at both 30 days and 6 months.
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS
(2023)
Article
Anesthesiology
Stefano Rosato, Fausto Biancari, Paola D'Errigo, Valerio Manno, Fulvia Seccareccia, Marcello Cuomo, Giorgia Duranti, Giovanni Baglio
Summary: This study aimed to investigate life expectancy after adult cardiac surgery. It included adult patients who underwent heart valve and coronary artery surgery from a nationwide administrative registry. The results showed that the 10-year survival rate was 58.0%, with a relative survival rate of 0.83. Different surgical procedures had varying relative survival rates, with surgical replacement of heart valves having a relative survival rate below 0.80.
JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA
(2023)
Article
Multidisciplinary Sciences
Fausto Biancari, Francesco Nappi, Giuseppe Gatti, Andrea Perrotti, Amelie Herve, Stefano Rosato, Paola D'Errigo, Matteo Pettinari, Sven Peterss, Joscha Buech, Tatu Juvonen, Mikko Jormalainen, Caius Mustonen, Till Demal, Lenard Conradi, Marek Pol, Petr Kacer, Angelo M. Dell'Aquila, Konrad Wisniewski, Igor Vendramin, Daniela Piani, Luisa Ferrante, Timo Makikallio, Eduard Quintana, Robert Pruna-Guillen, Antonio Fiore, Thierry Folliguet, Giovanni Mariscalco, Metesh Acharya, Mark Field, Manoj Kuduvalli, Francesco Onorati, Cecilia Rossetti, Sebastien Gerelli, Dario Di Perna, Enzo Mazzaro, Angel G. Pinto, Javier Rodriguez Lega, Mauro Rinaldi
Summary: This study evaluated the prognostic significance of preoperative arterial lactate concentration on the outcome after surgery for acute type A aortic dissection (TAAD). The results showed that hyperlactatemia significantly increased the risk of mortality after surgery for TAAD and should be considered in the clinical assessment of these critically ill patients.
Article
Engineering, Biomedical
Fausto Biancari, Timo Makikallio, Antonio Loforte, Alexander Kaserer, Vito G. Ruggieri, Sung-Min Cho, Jin Kook Kang, Magnus Dalen, Henryk Welp, Kristjan Jonsson, Sigurdur Ragnarsson, Francisco J. Hernandez Perez, Giuseppe Gatti, Khalid Alkhamees, Antonio Fiore, Andrea Lechiancole, Stefano Rosato, Cristiano Spadaccio, Matteo Pettinari, Andrea Perrotti, Sebastian D. Sahli, Camilla L'Acqua, Amr A. Arafat, Monirah A. Albabtain, Mohammed M. Albarak, Mohamed Laimoud, Ilija Djordjevic, Ihor Krasivskyi, Robertas Samalavicius, Agne Jankuviene, Marta Alonso-Fernandez-Gatta, Markus J. Wilhelm, Tatu Juvonen, Giovanni Mariscalco
Summary: This study evaluated whether there were interinstitutional differences in the outcomes of postcardiotomy V-A-ECMO. The results showed significant variations in in-hospital mortality rates between different hospitals, suggesting the need for improvement in the results of postcardiotomy V-A-ECMO in many centers.
INTERNATIONAL JOURNAL OF ARTIFICIAL ORGANS
(2023)