7,050 results match your criteria Journal of Cardiovascular Surgery[Journal]


Identifying asymptomatic patients at high-risk for stroke.

J Cardiovasc Surg (Torino) 2019 Feb 20. Epub 2019 Feb 20.

Medical Research Council Population Health Research Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK -

Background: Carotid endarterectomy and carotid artery stenting, in addition to good medical therapy, halve long-term stroke risk in asymptomatic patients with carotid artery stenosis. Since the absolute benefits following successful intervention are moderate, identification of asymptomatic patients at high-risk of future stroke could maximise the effectiveness of carotid interventions.

Aim: To summarise the evidence for high-risk features associated with increased long-term stroke risk in asymptomatic patients. Read More

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http://dx.doi.org/10.23736/S0021-9509.19.10912-3DOI Listing
February 2019

New technical approach for type B dissection: from the PETTICOAT to the STABILISE concept.

J Cardiovasc Surg (Torino) 2019 Feb 20. Epub 2019 Feb 20.

Department of Vascular Surgery, San Raffaele Scientific Institute, Vita-Salute University School of Medicine, Milan, Italy.

Endovascular treatment of acute complicated type B aortic dissection (TBD) has recently acquired a primary therapeutic role when anatomically feasible. However, strategies meant to simply close the proximal entry tear leave the risk of persistent perfusion of the false lumen(FL) through additional tears in the thoracoabdominal aorta, and therefore the potential for aneurysmal degeneration remains significant over the years. Thus, additional bare stent implantation in the thoracoabdominal aorta has been proposed to promote true lumen (TL)expansion, malperfusion relief, and intimal lamella stabilization. Read More

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http://dx.doi.org/10.23736/S0021-9509.19.10904-4DOI Listing
February 2019

Operative strokes after repair of acute type a dissections: predisposing factors and implications.

J Cardiovasc Surg (Torino) 2019 Feb 11. Epub 2019 Feb 11.

Department of Cardiac Surgery, Henry Ford Hospital, Detroit, MI, USA.

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. Read More

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http://dx.doi.org/10.23736/S0021-9509.19.10710-0DOI Listing
February 2019
1 Read

Orbital atherectomy for calcified femoropopliteal lesions: a current review.

J Cardiovasc Surg (Torino) 2019 Apr 28;60(2):212-220. Epub 2019 Jan 28.

Advanced Cardiac and Vascular Amputation Prevention Centers, Michigan State University, School of Medicine, Grand Rapids, MI, USA.

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. Read More

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https://www.minervamedica.it/index2.php?show=R37Y9999N00A190
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http://dx.doi.org/10.23736/S0021-9509.19.10879-8DOI Listing
April 2019
4 Reads

Current evidence on aortic remodeling after endovascular repair.

J Cardiovasc Surg (Torino) 2019 Apr 28;60(2):186-190. Epub 2019 Jan 28.

Department of Vascular Medicine, German Aortic Center, University Heart Center Hamburg, Hamburg, Germany.

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 was 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. Read More

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http://dx.doi.org/10.23736/S0021-9509.19.10878-6DOI Listing
April 2019
1 Read

Chronic obstructive pulmonary disease is not associated with worse in-hospital outcomes after surgical aortic valve replacement in Spain (2001-2015).

J Cardiovasc Surg (Torino) 2019 Jan 28. Epub 2019 Jan 28.

Preventive Medicine and Public Health Teaching and Research Unit, Health Sciences Faculty, Rey Juan Carlos University, Alcorcón, Madrid, Spain.

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. Read More

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https://www.minervamedica.it/index2.php?show=R37Y9999N00A190
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http://dx.doi.org/10.23736/S0021-9509.19.10747-1DOI Listing
January 2019
5 Reads

Evolution study: 12-month results.

J Cardiovasc Surg (Torino) 2019 Jan 28. Epub 2019 Jan 28.

FMRP, Dendermonde, Belgium.

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. Read More

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http://dx.doi.org/10.23736/S0021-9509.19.10706-9DOI Listing
January 2019
1 Read

A meta-analysis of outcomes of in situ reconstruction after total or partial removal of abdominal infected aortic graft.

J Cardiovasc Surg (Torino) 2019 Jan 28. Epub 2019 Jan 28.

Laboratory of Biostatistics and Epidemiology, University Institute for Clinical Research, Montpellier, France.

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. Read More

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http://dx.doi.org/10.23736/S0021-9509.19.10669-6DOI Listing
January 2019

Robotic mitral valve repair: 7-year surgical experience and mid-term follow-up results.

J Cardiovasc Surg (Torino) 2019 Jan 28. Epub 2019 Jan 28.

Department of Cardiovascular Surgery, Institute of Cardiac Surgery, PLA General Hospital, Beijing, China -

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. Read More

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http://dx.doi.org/10.23736/S0021-9509.19.10602-7DOI Listing
January 2019
1 Read

Rescue of proximal failure of endovascular abdominal aortic aneurysm repair with standard and fenestrated grafts.

J Cardiovasc Surg (Torino) 2019 Apr 18;60(2):159-166. Epub 2019 Jan 18.

Department of Vascular and Endovascular Surgery, General Hospital Nuremberg, Paracelsus Medical University Nuremberg, Nuremberg, Germany -

Background: This study aimed to assess the outcomes of standard and fenestrated grafts to treat proximal failure of previous endovascular aneurysm repair (EVAR) in a tertiary referral center.

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. Read More

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http://dx.doi.org/10.23736/S0021-9509.19.10872-5DOI Listing
April 2019
3 Reads

Endovascular aneurysm repair in patients with a wide proximal aortic neck: a systematic review and meta-analysis of comparative studies.

J Cardiovasc Surg (Torino) 2019 Apr 18;60(2):167-174. Epub 2019 Jan 18.

Department of Vascular Surgery, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa, Greece.

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). Read More

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https://www.minervamedica.it/index2.php?show=R37Y9999N00A190
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http://dx.doi.org/10.23736/S0021-9509.19.10869-5DOI Listing
April 2019
3 Reads

Optical coherence tomography guided directional atherectomy with antirestenotic therapy for femoropopliteal arterial disease.

J Cardiovasc Surg (Torino) 2019 Apr 18;60(2):191-197. Epub 2019 Jan 18.

Department of Vascular Surgery, St. Franziskus-Hospital GmbH Münster, Münster, Germany.

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 drug-coated balloon (DCB) angioplasty. Nonetheless there is a paucity of data reporting on the outcomes of OCT-guided directional atherectomy with antirestenotic therapy (DAART). Aim of this study was to evaluate the performance of OCT-guided DAART in the treatment of femoropopliteal atherosclerosis. Read More

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http://dx.doi.org/10.23736/S0021-9509.19.10843-9DOI Listing
April 2019
1 Read

Directional atherectomy with antirestenotic therapy for the treatment of no-stenting zones.

J Cardiovasc Surg (Torino) 2019 Apr 16;60(2):198-204. Epub 2019 Jan 16.

Interventional Cardiovascular Group, Pasteur Toulouse Clinic, Pasteur GCVI Clinic, Toulouse, France.

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. Read More

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https://www.minervamedica.it/index2.php?show=R37Y9999N00A190
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http://dx.doi.org/10.23736/S0021-9509.19.10866-XDOI Listing
April 2019
4 Reads

Outcomes of endovascular treatment of endoleak type Ia after EVAR: a systematic review of the literature.

J Cardiovasc Surg (Torino) 2019 Apr 16;60(2):175-185. Epub 2019 Jan 16.

Department of Vascular Medicine, German Aortic Center Hamburg, University Heart Center, Hamburg, Germany.

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. Read More

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https://www.minervamedica.it/index2.php?show=R37Y9999N00A190
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http://dx.doi.org/10.23736/S0021-9509.19.10854-3DOI Listing
April 2019
4 Reads

Atherectomy plus antirestenotic therapy for SFA lesions: evolving evidence for better patency rates in complex lesions.

J Cardiovasc Surg (Torino) 2019 Apr 16;60(2):205-211. Epub 2019 Jan 16.

Department of Cardiology and Angiology, GRN Hospital Weinheim, Weinheim, Germany.

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 revascularization procedures. Drug coated balloon technology (DCB) is one key element in this strategy but there are still limitations for this revascularization technology. Read More

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http://dx.doi.org/10.23736/S0021-9509.19.10844-0DOI Listing

Selection of optimal open repair for popliteal aneurysms.

J Cardiovasc Surg (Torino) 2019 Feb;60(1):148-149

Clinic for Vascular and Endovascular Surgery, Clinical Center of Serbia, Belgrade, Serbia -

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https://www.minervamedica.it/index2.php?show=R37Y2019N01A014
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http://dx.doi.org/10.23736/S0021-9509.18.10641-0DOI Listing
February 2019
3 Reads

Endovascular treatment of a primary aortoduodenal fistula.

J Cardiovasc Surg (Torino) 2018 Dec;59(6):844-845

Department of Vascular Surgery, Imelda Hospital, Bonheiden, Belgium -

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http://dx.doi.org/10.23736/S0021-9509.17.09661-6DOI Listing
December 2018
2 Reads

Mid- and long-term prognosis of off- vs. on-pump coronary artery bypass graft in patients with multisite artery disease.

J Cardiovasc Surg (Torino) 2018 Nov 20. Epub 2018 Nov 20.

CHU Limoges, Service of Cardiology, Dupuytren Hospital, Limoges, France -

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. Read More

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http://dx.doi.org/10.23736/S0021-9509.18.10697-5DOI Listing
November 2018
6 Reads

Modified sizing technique with newly designed tools to facilitate the valve sparing aortic root replacement "David" procedure with mid-term results.

J Cardiovasc Surg (Torino) 2019 Apr 20;60(2):259-267. Epub 2018 Nov 20.

Department of Thoracic and Cardiovascular Surgery, West German Heart and Vascular Centre Essen, University Hospital Essen, Essen, Germany.

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. Read More

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http://dx.doi.org/10.23736/S0021-9509.18.10690-2DOI Listing
April 2019
9 Reads

Left ventricular reconstruction surgery in ischemic heart disease: a systematic review of the past two decades.

J Cardiovasc Surg (Torino) 2018 Nov 20. Epub 2018 Nov 20.

Department of Cardiac Surgery, Euroclinic of Athens, Athens, Greece.

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". Original studies -recruiting patients during the past twenty years- on LV reconstruction surgery in more than five cases and reporting on the associated peri- or post-operative mortality were deemed eligible. Read More

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http://dx.doi.org/10.23736/S0021-9509.18.10647-1DOI Listing
November 2018
17 Reads

Association between false lumen segmental arteries and spinal cord ischemia in type A acute aortic dissection.

J Cardiovasc Surg (Torino) 2018 Nov 20. Epub 2018 Nov 20.

Department of Cardiovascular Surgery, Hiroshima University School of Medicine, Hiroshima, Japan.

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. Read More

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http://dx.doi.org/10.23736/S0021-9509.18.10639-2DOI Listing
November 2018
11 Reads

Post-EVAR aneurysm sac shrinkage is prognostically favorable, but does not justify withholding follow-up.

J Cardiovasc Surg (Torino) 2018 Nov 20. Epub 2018 Nov 20.

Department of Surgery, Amphia Hospital, Breda, The Netherlands.

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. Read More

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http://dx.doi.org/10.23736/S0021-9509.18.10584-2DOI Listing
November 2018
11 Reads

Endovascular treatment for the common femoral artery: is there a challenger to open surgery?

J Cardiovasc Surg (Torino) 2019 Feb 12;60(1):8-13. Epub 2018 Nov 12.

Department of Vascular Surgery, A.Z. Sint Blasius Hospital, Dendermonde, Belgium.

Common femoral artery (CFA) atherosclerotic lesions currently remain one of the last limitations for adoption of endovascular repair as the first-line treatment. The bulky, eccentric, heavily calcified character of the CFA plaques, frequent involvement of the femoral bifurcation, easy surgical accessibility and last but not least, favorable long-term outcomes still make CFA disease treatment part of the surgical domain. In the last 5 years, improvement of the endovascular equipment and technical skills of the operators have led to an increase in percutaneous CFA procedures. Read More

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https://www.minervamedica.it/index2.php?show=R37Y9999N00A181
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http://dx.doi.org/10.23736/S0021-9509.18.10787-7DOI Listing
February 2019
14 Reads

Current aspects in the evolution of fenestrated and branched grafting.

J Cardiovasc Surg (Torino) 2019 Feb 7;60(1):21-22. Epub 2018 Nov 7.

Division of Vascular and Endovascular Surgery, Mayo Clinic Aortic Center, Rochester, MN, USA.

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http://dx.doi.org/10.23736/S0021-9509.18.10790-7DOI Listing
February 2019

The endovascular revolution continues!

Authors:
Ramon L Varcoe

J Cardiovasc Surg (Torino) 2019 Feb 7;60(1):1-2. Epub 2018 Nov 7.

Department of Surgery, Prince of Wales Hospital, Sydney, Australia -

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http://dx.doi.org/10.23736/S0021-9509.18.10789-0DOI Listing
February 2019

Laparoscopic aortobifemoral bypass in a United States academic center.

J Cardiovasc Surg (Torino) 2018 Nov 7. Epub 2018 Nov 7.

Division of Vascular Surgery, University of Cincinnati Medical Center, Cincinnati, OH, USA -

Background: Although aortoiliac occlusive disease (AIOD) is preferentially treated endovascularly, some patients are still better served with an aortobifemoral bypass (ABF). For those patients, surgical treatment options include both standard open operations as well as laparoscopic ABF (LapABF). Several European centers perform LapABF with favorable results instead of open surgery, but this has not been widely embraced in the United States. Read More

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http://dx.doi.org/10.23736/S0021-9509.18.10582-9DOI Listing
November 2018
3 Reads

The use of intravascular lithotripsy for the treatment of severely calcified lower limb arterial CTOs.

Authors:
Andrew Holden

J Cardiovasc Surg (Torino) 2019 Feb 31;60(1):3-7. Epub 2018 Oct 31.

Auckland City Hospital, Auckland, New Zealand -

The endovascular management of complex lower limb arterial occlusive disease is generally associated with poorer acute results, a higher incidence of provisional stenting and subsequent restenosis compared to more simple arterial lesions. Even more challenging results can be expected when two complex features are combined such as chronic total occlusion (CTO) and severe calcification. Intravascular lithotripsy (IVL) with the Shockwave™ system has recently been evaluated as a familiar angioplasty-balloon-based but effective technique for the management of arterial calcification. Read More

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http://dx.doi.org/10.23736/S0021-9509.18.10779-8DOI Listing
February 2019
2 Reads

Longer bridging stent grafts in iliac branch endografting doesn't worsen outcome and expands its applicability, even in concomitant diseased hypogastric arteries.

J Cardiovasc Surg (Torino) 2018 Oct 29. Epub 2018 Oct 29.

Clinic for Vascular and Endovascular Surgery, St. Franziskus Hospital, Münster, Germany.

Background: The iliac side branch device (IBD) is a valid method for the treatment of abdominal aorto-iliac aneurysms. However there is still a lack of evidence regarding the optimal length of the bridging stent graft (BSG) since aneurysmal degeneration of the hypogastric artery (HA) is an exclusion criterion. The aim of this study was to analyse the impact of longer BSG compared to the widely used 38mm stent-grafts in terms of reintervention rate and primary patency. Read More

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http://dx.doi.org/10.23736/S0021-9509.18.10504-0DOI Listing
October 2018
4 Reads

The evidence to support the use of focal force balloon technology to improve outcomes in the treatment of lower extremity arterial occlusive disease.

J Cardiovasc Surg (Torino) 2019 Feb 23;60(1):14-20. Epub 2018 Oct 23.

Auckland City Hospital, Auckland, New Zealand.

Despite recent advances in endovascular therapy of lower extremity atherosclerotic disease, mainly driven through drug eluting balloon angioplasty, treatment of complex lesions remains challenging. Drug-eluting balloons work less well in heavily calcified lesions and in particular long lesions often require bail-out stenting. Lesion preparation, as a stand-alone treatment or before delivering antiproliferative therapy or scaffolding, has gained increased recognition in recent years. Read More

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https://www.minervamedica.it/index2.php?show=R37Y9999N00A181
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http://dx.doi.org/10.23736/S0021-9509.18.10766-XDOI Listing
February 2019
5 Reads

Transcatheter aortic valve implantation without prior balloon valvuloplasty is associated with less pronounced markers of myocardial injury.

J Cardiovasc Surg (Torino) 2018 Oct 5. Epub 2018 Oct 5.

Department of Cardiology, Clinic of Internal Medicine II, Paracelsus Medical University of Salzburg, Salzburg, Austria -

Background: Aortic valve stenosis is the most common valvulopathy in developed countries. Transcatheter aortic valve implantation (TAVI) is a therapeutic alternative in symptomatic patients at high or prohibitive perioperative risk. Predilatation by balloon aortic valvuloplasty (BAV) under rapid ventricular pacing (RVP) has been a routine part of TAVI. Read More

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https://www.minervamedica.it/index2.php?show=R37Y9999N00A181
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http://dx.doi.org/10.23736/S0021-9509.18.10651-3DOI Listing
October 2018
2 Reads

Prevention of spinal cord injury during endovascular thoracoabdominal repair.

J Cardiovasc Surg (Torino) 2019 Feb 26;60(1):54-65. Epub 2018 Sep 26.

Division of Vascular and Endovascular Surgery, Mayo Clinic Aortic Center and Advanced Endovascular Aortic Research Program, Rochester, MN, USA -

Spinal cord injury is the most devastating complication after aortic surgery. Rates of spinal cord injury vary from 0% up to 40%. Predictive factors include extent of coverage, hypogastric artery occlusion, prior aortic repair and perioperative hypotension. Read More

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http://dx.doi.org/10.23736/S0021-9509.18.10739-7DOI Listing
February 2019
12 Reads

Lessons learned and learning curve of fenestrated and branched endografts.

J Cardiovasc Surg (Torino) 2019 Feb 12;60(1):23-34. Epub 2018 Sep 12.

Division of Vascular and Endovascular Surgery, Mayo Clinic Aortic Center, Rochester, MN, USA -

Fenestrated and branched endovascular repair (F-BEVAR) has been increasingly used to treat patients with complex aortic aneurysms involving the renal-mesenteric arteries. As with any new procedure, there is a learning curve associated with mastering the technique. However, proficiency with deployment is only one aspect of the learning process, and ultimately, this curve is defined not by one quality parameter, but by patient selection, the performance of the entire team, the surgeon's ability to adapt to unexpected events, and the durability of the repair. Read More

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http://dx.doi.org/10.23736/S0021-9509.18.10728-2DOI Listing
February 2019
2 Reads

Combined antegrade-retrograde approach to facilitate the endovascular stent-graft repair of a ruptured superficial femoral artery pseudoaneurysm.

J Cardiovasc Surg (Torino) 2018 Oct;59(5):753-754

th Department of Surgery, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece.

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http://dx.doi.org/10.23736/S0021-9509.17.09933-5DOI Listing
October 2018
10 Reads

Drug-eluting stents for the treatment of complex femoro-popliteal disease: a systematic review and meta-analysis.

J Cardiovasc Surg (Torino) 2018 Aug 29. Epub 2018 Aug 29.

Department of Vascular and Endovascular Surgery, The Royal Oldham Hospital, Pennine Acute Hospitals NHS Trust, Manchester, UK.

Introduction: Endovascular methods have emerged as an appealing alternative to bypass for the treatment of patients not suitable for surgery. Drug eluting stents (DES) have been developed to address the limitations of angioplasty and stenting. There is a paucity of data in the literature on their performance for the treatment of patients with long femoro- popliteal segment lesions. Read More

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http://dx.doi.org/10.23736/S0021-9509.18.10614-8DOI Listing
August 2018
16 Reads

A new option using adjunctive microsheath angiography to increase the safety during percutaneous endovascular aortic aneurysm repair.

J Cardiovasc Surg (Torino) 2018 Aug 29. Epub 2018 Aug 29.

Department of Vascular Surgery, Jikei University School of Medicine, Minato-ku, Tokyo, Japan.

Background: Percutaneous endovascular aortic repair (PEVAR) is widespread for the treatment of abdominal aortic aneurysm (AAA). The purpose of this study is to present outcomes of PEVAR using simultaneous angiography via microsheath.

Methods: There were 100 punctures in 50 patients undergoing PEVAR for AAA. Read More

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http://dx.doi.org/10.23736/S0021-9509.18.10595-7DOI Listing
August 2018
2 Reads
1.365 Impact Factor

Which advanced heart failure therapy strategy is optimal for patients over 60 years old?

J Cardiovasc Surg (Torino) 2019 Apr 29;60(2):251-258. Epub 2018 Aug 29.

Division of Cardiothoracic Surgery, Department of Surgery, University of California San Diego, Sulpizio Cardiovascular Center, La Jolla, CA, USA.

Background: The optimal advanced heart failure (HF) therapy strategy for patients aged 60 or older with end-stage HF refractory to optimal medical therapy remains uncertain. This study compares outcomes of three advanced HF therapy strategies in this patient population.

Methods: A single-center retrospective study was conducted in 95 patients aged 60-73 years who had undergone isolated heart transplantation (HTx) or continuous flow left ventricular assist device (LVAD) implantation from 2010 to 2017. Read More

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http://dx.doi.org/10.23736/S0021-9509.18.10593-3DOI Listing
April 2019
3 Reads

Transit time flow measurement and high frequency ultrasound epicardial imaging to guide coronary artery bypass surgery.

J Cardiovasc Surg (Torino) 2019 Apr 29;60(2):245-250. Epub 2018 Aug 29.

Department of Thoracic and Cardiovascular Surgery, West German Heart and Vascular Center Essen, University Hospital Essen, Essen, Germany.

Background: Transit-time flow measurement (TTFM) should be routinely used in CABG surgery to verify graft function. Most recently, a 2D high-frequency-ultrasound (HF-US) epicardial imaging probe has been released (MiraQ™, Medistim, Oslo, Norway), which allows to evaluate the cannulation/clamping site of the aorta morphologically and to evaluate the completed anastomosis. We aimed to evaluate the use of TTFM and HF-US on surgical strategy during CABG surgery. Read More

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http://dx.doi.org/10.23736/S0021-9509.18.10549-0DOI Listing

Excessive leaflet tissue in mitral valve repair for isolated posterior leaflet prolapse-leaflet resection or shortening neochords? A propensity score adjusted comparison.

J Cardiovasc Surg (Torino) 2019 Feb 29;60(1):111-118. Epub 2018 Aug 29.

Department of Cardiothoracic Surgery, Leiden University Medical Center, Leiden, The Netherlands.

Background: Chordal replacement techniques are progressively used to treat posterior mitral valve leaflet (PMVL) prolapse while leaflet resection remains commonly in use to address excessive leaflet tissue. For excessive tissue in height, shortening neochords can be used alternatively. Use of chordal replacement techniques has been suggested to result in lower diastolic transvalvular gradients, higher freedom from reoperation and improved left ventricular function. Read More

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http://dx.doi.org/10.23736/S0021-9509.18.10476-9DOI Listing
February 2019
12 Reads

Optimizing imaging and reducing radiation exposure during complex aortic endovascular procedures.

J Cardiovasc Surg (Torino) 2019 Feb 28;60(1):41-53. Epub 2018 Aug 28.

Aortic Center, Department of Aortic and Vascular Surgery, Hôpital Marie Lannelongue, Le Plessis-Robinson, France -

Improvements in endovascular technologies and development of custom-made fenestrated and branched endografts currently allow clinicians to treat complex aortic lesions such as thoraco-abdominal and aortic arch aneurysms once treatable with open repair only. These advances are leading to an increase in the complexity of endovascular procedures which can cause long operation times and high levels of radiation exposure. This in turn places pressure on the vascular surgery community to display more superior interventional skills and radiological practices. Read More

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http://dx.doi.org/10.23736/S0021-9509.18.10673-2DOI Listing
February 2019
10 Reads
1.365 Impact Factor

Endovascular aneurysm sealing with the Nellix endograft in hemodynamically-unstable ruptured abdominal aortic aneurysm with challenging anatomy.

J Cardiovasc Surg (Torino) 2018 Aug 28. Epub 2018 Aug 28.

Department of Vascular Surgery, Ospedale Civile S. Agostino-Estense, Azienda Ospedaliero-Universitaria di Modena, University of Modena and Reggio Emilia, Modena, Italy.

Background: To assess immediate and midterm outcomes of hemodynamically-unstable patients with ruptured abdominal aortic aneurysm (rAAA) treated with the Nellix endovascular sealing system (EVAS).

Methods: From June 2014 to June 2017, 21 hemodynamically-unstable rAAA patients with challenging anatomies were treated with EVAS. The mean AAA diameter and neck length measured 73±15mm and 14±10mm, respectively. Read More

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http://dx.doi.org/10.23736/S0021-9509.18.10397-1DOI Listing
August 2018
9 Reads

Single aortic branch device: the Mona LSA experience.

J Cardiovasc Surg (Torino) 2019 Feb 9;60(1):81-90. Epub 2018 Jul 9.

Department of Radiology, CHU Rangueil, Toulouse, France.

Endovascular treatment of aortic arch pathologies is challenging due to its complex anatomical architecture and the presence of vital collateral branches. This paper aims to provide an overview of the currently available and future endovascular options for these diseases, particularly regarding branched stent-grafts and the Mona LSA device. After discussing the indications for revascularization of supra-aortic trunks in endovascular aortic repair, we present the principles, benefits and drawbacks of the main modern methods to overcome an insufficient proximal landing zone, i. Read More

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http://dx.doi.org/10.23736/S0021-9509.18.10665-3DOI Listing
February 2019
5 Reads

The continuing evolution of endovascular therapy.

J Cardiovasc Surg (Torino) 2018 Aug;59(4):493-494

Centro Vascolare Ticino, Ospedale Regionale di Lugano, Lugano, Switzerland -

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http://dx.doi.org/10.23736/S0021-9509.18.10618-5DOI Listing

National 10-year trends and outcomes of isolated and concomitant tricuspid valve surgery.

J Cardiovasc Surg (Torino) 2019 Feb 3;60(1):119-127. Epub 2018 Jul 3.

McGovern School of Medicine, University of Texas, Houston, TX, USA.

Background: The data on the trends and comparative outcomes after isolated and concomitant tricuspid valve repair/replacement (TVR) is scarce.

Methods: The International Classification of Diseases - 9th version was used to identify the patients who underwent TVR, using the National Inpatient Sample. Outcomes were evaluated using the analysis of variance and Chi-square test, and trends across the years were tested via Cochran-Armitage Test. Read More

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http://dx.doi.org/10.23736/S0021-9509.18.10468-XDOI Listing
February 2019
7 Reads

Innovations in the management of the diabetic foot.

Authors:
Marco Manzi

J Cardiovasc Surg (Torino) 2018 Oct 27;59(5):653-654. Epub 2018 Jun 27.

Unit of Interventional Radiology, Abano Terme Polyclinic, Abano Terme, Padua, Italy -

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http://dx.doi.org/10.23736/S0021-9509.18.10662-8DOI Listing
October 2018
2 Reads

Techniques and outcomes of secondary open repair for chronic dissection after acute repair of type A aortic dissection.

J Cardiovasc Surg (Torino) 2018 Dec 26;59(6):759-766. Epub 2018 Jun 26.

Division of Cardiovascular Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, PA, USA -

Despite successful repair of acute type A aortic dissection (TAAD), the distal false lumen may remain patent resulting in progressive degeneration of the remaining distal aorta. This can lead to aneurysmal dilatation and risk of rupture. Open distal reoperation to replace the residually dissected thoraco-abdominal aorta may be accomplished with acceptable morbidity and mortality in experienced hands. Read More

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http://dx.doi.org/10.23736/S0021-9509.18.10646-XDOI Listing
December 2018
12 Reads

Graft design and selection of fenestrations vs. branches for renal and mesenteric incorporation in endovascular treatment of pararenal and thoracoabdominal aortic aneurysms.

J Cardiovasc Surg (Torino) 2019 Feb 26;60(1):35-40. Epub 2018 Jun 26.

Department of Vascular and Endovascular Surgery, General Hospital Nuremberg, Paracelsus Medical University, Nuremberg, Germany -

To address target vessels in pararenal and thoracoabdominal aortic aneurysms with fenestrated and branched grafts, two solutions are available: fenestrations (holes in the graft) and directional side-branches. Fenestrations work well for target vessels that have a close to 90-degree take-off from the aorta, and when the main graft at the level of the target vessel is adjacent or close to the aortic wall. Directional side-branches work well when target vessels have a steeper take-off angle and when there is a larger gap to be bridged. Read More

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http://dx.doi.org/10.23736/S0021-9509.18.10642-2DOI Listing
February 2019
1 Read

Techniques and outcomes of false lumen embolization in chronic type B aortic dissection.

J Cardiovasc Surg (Torino) 2018 Dec 26;59(6):784-788. Epub 2018 Jun 26.

Department of Vascular Medicine, German Aortic Center, University Heart Center, University Hospital Hamburg-Eppendorf, Hamburg, Germany.

Endovascular strategies have been increasingly used for the treatment of chronic type B aortic dissection (cTBAD) offering better outcomes in terms of mortality and morbidity compared to open surgical repair. Aortic remodeling after standard TEVAR is less likely in cTBAD due to rigidity of the dissection membrane. Another limitation of endovascular therapy is continued retrograde false lumen perfusion with back-flow from distal entry tears. Read More

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http://dx.doi.org/10.23736/S0021-9509.18.10638-0DOI Listing
December 2018
1 Read

Is late open conversion after TEVAR more risky than primary open repair of descending thoracic aneurysms?

J Cardiovasc Surg (Torino) 2019 Feb 26;60(1):147-148. Epub 2018 Jun 26.

Clinic for Vascular and Endovascular Surgery, Clinical Center of Serbia, Belgrade, Serbia.

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http://dx.doi.org/10.23736/S0021-9509.18.10626-4DOI Listing
February 2019

Does the in-situ technique provide better long-term patency of femoro-distal bypass reconstruction?

J Cardiovasc Surg (Torino) 2019 Feb 26;60(1):146-147. Epub 2018 Jun 26.

Faculty of Medicine, University of Belgrade, Belgrade, Serbia.

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http://dx.doi.org/10.23736/S0021-9509.18.10622-7DOI Listing
February 2019
2 Reads