Article
Medicine, General & Internal
Luca Koechlin, Brigitta Gahl, Jules Miazza, Urs Zenklusen, Bejtush Rrahmani, Ion Vasiloi, David Santer, Denis Berdajs, Friedrich S. Eckstein, Oliver Reuthebuch
Summary: This study aimed to analyze the performance of minimal invasive extracorporeal circulation (MiECC) with Microplegia in patients with recent myocardial infarction (MI) undergoing urgent coronary artery bypass grafting (CABG) surgery. The results showed that the use of MiECC with Microplegia in urgent CABG surgery is feasible and safe, providing a straightforward intraoperative setting.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Cardiac & Cardiovascular Systems
Donald S. Likosky, Raymond J. Strobel, Xiaoting Wu, Robert S. Kramer, Baron L. Hamman, James K. Brevig, Michael P. Thompson, Amir A. Ghaferi, Min Zhang, Eric J. Lehr
Summary: This study evaluated whether interhospital variation in mortality rates for coronary artery bypass grafting was driven by complications and failure to rescue. The study found a positive correlation between hospital failure to rescue rates and complications, suggesting that early recognition and management of complications are important factors in improving the success of coronary artery bypass grafting.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2023)
Article
Cardiac & Cardiovascular Systems
Jason M. Ali, Maksym Kovzel, Eve McPhilimey, Simon Colah, Ravi De Silva, Narain Moorjani
Summary: The study showed that using minimally invasive extracorporeal circulation for coronary artery bypass grafting can reduce operative times, blood loss, blood transfusion requirements, incidence of acute kidney injury, and result in significant cost savings.
Article
Cardiac & Cardiovascular Systems
Hitoshi Tachibana, Arudo Hiraoka, Kazuya Saito, Yoshitaka Naito, Genta Chikazawa, Kentaro Tamura, Toshinori Totsugawa, Hidenori Yoshitaka, Taichi Sakaguchi
Summary: This study investigated the occurrence rate and factors influencing silent brain lesions following coronary artery bypass grafting (CABG), finding an incidence of 20.1%. Patients undergoing on-pump CABG and those with aortic clamping had a significantly higher rate of brain lesions. The presence of new brain lesions was associated with postoperative cognitive dysfunction (POCD).
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2021)
Article
Cardiac & Cardiovascular Systems
Ho Young Hwang, Jin Chul Paeng, Jeehoon Kang, Myoung-jin Jang, Ki-Bong Kim
Summary: The study found that graft occlusion during the 5 years after coronary artery bypass grafting was associated with the functional significance of coronary artery stenosis, particularly when the stenosis degree was not severe.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2021)
Article
Cardiac & Cardiovascular Systems
Turki B. Albacker, Mohammed Fouda, Bakir M. Bakir, Ahmed Eldemerdash
Summary: The study investigated the clinical benefits of using the Minimized cardiopulmonary Bypass system in Coronary Artery Bypass Grafting for diabetic patients. Results showed that the use of conventional cardiopulmonary bypass was associated with higher postoperative support requirements, but did not lead to higher complication rates or mortality.
JOURNAL OF CARDIOTHORACIC SURGERY
(2021)
Article
Cardiac & Cardiovascular Systems
William B. Keeling, Jose Binongo, Jane Wei, Bradley G. Leshnower, Woodrow Farrington, Michael E. Halkos
Summary: This study examines the national trends in emergency CABG and finds that the volume of these surgeries has declined over time, while the rates of postoperative complications have also decreased.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2023)
Article
Cardiac & Cardiovascular Systems
Oliver J. Liakopoulos, Elmar W. Kuhn, Martin Hellmich, Markus Schloemicher, Justus Strauch, Wilko Reents, Anno Diegeler, Matthias Thielmann, Daniel Wendt, Jochen Boergermann, Jan F. Gummert, Christian Stoppe, Andreas Goetzenich, Sven Martens, Hermann Reichenspurner, Jens Wippermann, Hannes Reuter, Yeong-Hoon Choi, Thorsten Wahlers
Summary: This study aimed to analyze the effects of high-dose statin therapy before surgical revascularization. The results showed that additional statin loading before surgery did not reduce the rate of major adverse cardiac and cerebrovascular events (MACCE) occurring within 30 days.
EUROPEAN HEART JOURNAL
(2023)
Article
Cardiac & Cardiovascular Systems
Francesca Colo, Federico Cammertoni, Marialisa Nesta, Pietro Caliandro, Piergiorgio Bruno, Massimo Massetti, Aldobrando Broccolini
Summary: This study reports two cases of extensive infarction in the corpus callosum and other brain watershed areas following coronary artery bypass grafting (CABG) on extracorporeal circulation (ECC). These cases diverge from classical brain watershed infarcts and highlight the need for further research on the complex response of brain circulation and metabolism during heart surgery with ECC.
Article
Medicine, General & Internal
Martine E. Bol, J. B. Huckriede, K. G. H. van de Pas, T. Delhaas, R. Lorusso, G. A. F. Nicolaes, J. E. M. Sels, M. C. G. van de Poll
Summary: This study aimed to compare different indices of glycocalyx shedding and dysfunction in patients undergoing coronary artery bypass grafting (CABG) surgery. The results showed that glycocalyx thinning was accompanied by impaired glycocalyx function and increased endothelial activation during CABG surgery with cardiopulmonary bypass (CPB).
FRONTIERS IN MEDICINE
(2022)
Article
Cardiac & Cardiovascular Systems
Alistair G. Royse, Rinaldo Bellomo, Colin F. Royse, Sandy Clarke-Errey, Stuart Boggett, Thomas Kelly, Hugh S. Paterson
Summary: Two different surgical methods for total arterial coronary revascularization of three coronary territory disease showed no significant difference in survival rates among younger patients.
ANNALS OF THORACIC SURGERY
(2021)
Article
Cardiac & Cardiovascular Systems
Jacek Kwiecinski, Evangelos Tzolos, Alexander J. Fletcher, Jennifer Nash, Mohammed N. Meah, Sebastien Cadet, Philip D. Adamson, Kajetan Grodecki, Nikhil Joshi, Michelle C. Williams, Edwin J. R. van Beek, Chi Lai, Adriana A. S. Tavares, Mark G. MacAskill, Damini Dey, Andrew H. Baker, Jonathon Leipsic, Daniel S. Berman, Stephanie L. Sellers, David E. Newby, Marc R. Dweck, Piotr J. Slomka
Summary: This study aimed to investigate the potential of F-18-sodium fluoride (F-18-NaF) positron emission tomography (PET) in identifying graft vasculopathy and to examine the impact of coronary artery bypass graft (CABG) surgery on the activity and progression of native coronary artery disease.
JACC-CARDIOVASCULAR IMAGING
(2022)
Review
Cardiac & Cardiovascular Systems
Lauren Kari Dixon, Umme Akberali, Ettorino Di Tommaso, Sarah J. George, Thomas W. Johnson, Vito Domenico Bruno
Summary: Compared with coronary artery bypass grafting (CABG), hybrid coronary revascularization (HCR) has a slightly higher short-term mortality but the difference is not significant in patients with multi-vessel coronary artery disease (MCAD). Similar rates of mid-term survival and other short-term post-operative complications were found between the two groups. HCR has shorter intensive care unit stays and reduced requirement for blood transfusion.
INTERNATIONAL JOURNAL OF CARDIOLOGY
(2022)
Article
Cardiac & Cardiovascular Systems
Mario Gaudino, Katia Audisio, Antonino Di Franco, John H. Alexander, Paul Kurlansky, Andreas Boening, Joanna Chikwe, P. J. Devereaux, Anno Diegeler, Arnaldo Dimagli, Marcus Flather, Andre Lamy, Jennifer S. Lawton, Derrick Y. Tam, Wilko Reents, Mohamed Rahouma, Leonard N. Girardi, David L. Hare, Stephen E. Fremes, Umberto Benedetto
Summary: Based on the pooled analysis of 4 large coronary bypass surgery trials, the use of radial artery was associated with better clinical outcomes compared to saphenous vein graft and right internal thoracic artery.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2022)
Article
Cardiac & Cardiovascular Systems
Dongjie Li, Yulin Guo, Yingdi Gao, Xiangguang An, Yan Liu, Song Gu, Xitao Zhang, Jiuchang Zhong, Jie Gao, Pixiong Su
Summary: This study compared the early and midterm outcomes of one-stop hybrid coronary revascularization (HCR) with off-pump coronary artery bypass grafting (OPCAB) in patients with multivessel coronary artery disease. The results showed that one-stop HCR had faster postoperative recovery and lower rates of in-hospital complications compared to OPCAB, but the midterm major adverse cardiovascular and cerebrovascular events (MACCE) rates were similar between the two groups.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2021)
Article
Cardiac & Cardiovascular Systems
Clemens Kietaibl, Ines Horvat Menih, Adrian Engel, Roman Ullrich, Klaus U. Klein, Gabor Erdoes
Summary: The study showed that adult patients undergoing ECLS treatment have a higher load and composition of cerebral microemboli compared to critically ill patients and healthy volunteers. The majority of microemboli in ECLS patients were gaseous, with some patients also having solid microemboli, leading to a higher rate of neurological complications in ECLS patients.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2022)
Review
Cardiac & Cardiovascular Systems
Kyriakos Anastasiadis, Polychronis Antonitsis, John Murkin, Cyril Serrick, Serdar Gunaydin, Aschraf El-Essawi, Mark Bennett, Gabor Erdoes, Andreas Liebold, Prakash Punjabi, Konstantinos C. Theodoropoulos, Bob Kiaii, Alexander Wahba, Filip de Somer, Adrian Bauer, Alexander Kadner, Wim van Boven, Helena Argiriadou, Apostolos Deliopoulos, Robert A. Baker, Ingo Breitenbach, Can Ince, Pascal Starinieri, Hansjoerg Jenni, Vadim Popov, Narain Moorjani, Marco Moscarelli, Marco Di Eusanio, Alex Cale, Oz Shapira, Christophe Baufreton, Ignazio Condello, Frank Merkle, Marco Stehouwer, Christof Schmid, Marco Ranucci, Gianni Angelini, Thierry Carrel
Summary: The 2016 MiECTiS position paper laid the groundwork for minimal invasive perfusion and related technologies by promoting a common language between cardiac surgeons, anesthesiologists, and perfusionists. The current expert consensus document provides updates in areas with new evidence, recognizing modular minimal invasive extracorporeal circulation (MiECC) as a safe and effective perfusion technique. MiECC increases biocompatibility and ensures perfusion safety in all adult cardiac surgical procedures. MiECC strategies, combining reduced surgical trauma with minimal physiological derangements, advance minimal invasive cardiac surgery (MICS) and offer evidence-based clinical benefits.
Article
Medicine, General & Internal
Giulia Uitenbosch, Daniel Sng, Hugo N. Carvalho, Juan P. Cata, Hans D. De Boer, Gabor Erdoes, Luc Heytens, Fernande Jane Lois, Anne-Francoise Rousseau, Paolo Pelosi, Patrice Forget, David Nesvadba
Summary: This study analyzed the opinions of international anesthetists to determine the motivations and barriers for using total intravenous anesthesia (TIVA) instead of volatile agents. The results showed that cost, lack of familiarity or training, and the risk of delayed emergence are not considered obstacles to TIVA use. The primary motivations for adopting TIVA are its impact on patient experience, particularly in pediatrics, and the benefit to the overall procedure outcome.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Medicine, General & Internal
Taishi Okuno, Caglayan Demirel, Daijiro Tomii, Gabor Erdoes, Dik Heg, Jonas Lanz, Fabien Praz, Rainer Zbinden, David Reineke, Lorenz Raber, Stefan Stortecky, Stephan Windecker, Thomas Pilgrim
Summary: This study aimed to evaluate the risk of noncardiac surgery after TAVI. The results suggest that noncardiac surgery can be performed early after successful TAVI, and device performance may impact the risk of adverse outcomes after surgery.
Editorial Material
Anesthesiology
Birgitta Romlin, Jan-Uwe Schreiber, Mona Momeni, Hanne Bergh Ravn, Gabor Erdoes
PEDIATRIC ANESTHESIA
(2023)
Review
Anesthesiology
Gabor Erdoes, David Faraoni, Andreas Koster, Marie E. Steiner, Kamrouz Ghadimi, Jerrold H. Levy
Summary: Inherited and acquired coagulopathy are frequently associated with major bleeding in severe trauma, cardiac surgery, and postpartum hemorrhage. The management of these patients involves preoperative optimization, discontinuation of anticoagulants and antiplatelet therapy, and consideration of prophylactic or therapeutic use of antifibrinolytic agents. Reversal strategies should be considered for bleeding induced by anticoagulants and/or antiplatelet therapy. Viscoelastic point-of-care monitoring can guide targeted goal-directed therapy using coagulation factors and allogenic blood products. Damage control surgery may be necessary when bleeding is refractory to hemostatic measures.
Letter
Anesthesiology
Gabor Erdoes, Andreas Koster, Alexander Kadner, Eugen Sandica
JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA
(2023)
Review
Anesthesiology
Aamer Ahmed, Bruce Spiess, Jeroen Kortsmit, Rene Van den Ham, Gabor Erdoes, Andrew Klein
Summary: Bleeding complications are common in patients undergoing cardiac surgery. Clinical decision support systems that acquire and present monitoring information can guide physicians in formulating treatment strategies based on evidence-based guidelines. The authors provide a literature review and discuss the usefulness of clinical decision support systems for clinicians.
JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA
(2023)
Article
Anesthesiology
Daniel Da Der Sng, Giulia Uitenbosch, Hans de Boer, Hugo Nogueira Carvalho, Juan Cata, Gabor Erdoes, Luc Heytens, Fernande Jane Lois, Paolo Pelosi, Anne-Francoise Rousseau, Patrice Forget, David Nesvadba
Summary: This study used a modified Delphi survey to investigate expert perspectives on opioid-sparing multimodal analgesia. The results showed that there is strong evidence supporting the use of this approach, but barriers such as lack of training and education, as well as resistance to change existing practices, hinder widespread adoption.
BMC ANESTHESIOLOGY
(2023)
Letter
Anesthesiology
Dominik P. Guensch, Jonas Federer, Thilo Schweizer, Annegret Kauert-Willms, Christoph D. Utz, Scilla Dozio, Stefan P. Huettenmoser, Sandra Terbeck, Gabor Erdoes, Bernd Jung, Adrian T. Huber, Monika P. Stucki, Martina Kampfer, Sarah Overney, Balthasar Eberle, Kady Fischer
BRITISH JOURNAL OF ANAESTHESIA
(2023)
Editorial Material
Anesthesiology
Rene Schramm, Andreas Koster, Matthias Siepe, Gabor Erdoes
JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA
(2023)
Editorial Material
Anesthesiology
Dominik P. Guensch, Sandra Terbeck, Daniel Gerber, Gabor Erdoes
PEDIATRIC ANESTHESIA
(2023)
Article
Multidisciplinary Sciences
Nora Mihalek, Dragana Radovanovic, Otto Barak, Petar Colovic, Markus Huber, Gabor Erdoes
Summary: This study aimed to investigate the survival benefit of convalescent plasma therapy in COVID-19 patients. The results showed no statistical evidence of the benefit of convalescent plasma therapy on all-cause mortality. Further studies are needed to determine in which patients this therapy may lead to a reduction in mortality.
SCIENTIFIC REPORTS
(2023)
Article
Cardiac & Cardiovascular Systems
Jan-Oliver Friess, Maurus Beeler, Murat Yildiz, Dominik P. Guensch, Anja Levis, Daniel Gerber, Jakob Wollborn, Hansjoerg Jenni, Markus Huber, Florian Schoenhoff, Gabor Erdoes
Summary: The aim of this study was to determine the cerebral perfusion flow rate required to achieve the preoperative awake baseline cerebral oxygen saturation. The results showed that a flow rate of 8 ml/kg/min during selective antegrade cerebral perfusion is more likely to achieve the baseline cerebral saturation value.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2023)
Article
Medicine, General & Internal
Paul Philipp Heinisch, Maks Mihalj, Elif Haliguer, Brigitta Gahl, Bernhard Winkler, Philipp Venetz, Hansjoerg Jenni, Patrick Schober, Gabor Erdoes, Markus M. Luedi, Joerg C. Schefold, Alexander Kadner, Christoph Huber, Thierry P. Carrel
Summary: This study analyzed the perioperative morbidity and mortality in adult patients undergoing reoperations for isolated CABG using either CECC or MiECC circuits. The results showed that MiECC can be an alternative strategy for redo-CABG, and there were no significant differences in most outcomes compared to CECC.
SWISS MEDICAL WEEKLY
(2022)
