MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'The Journal of Cardiovascular Surgery' source. Fri, 10 Feb 2012 04:00:05 +0100 http://www.medworm.com/index.php?rid=5578354&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22231523%26dopt%3DAbstract Authors: Bosiers M, Deloose K PMID: 22231523 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5578354 Wed, 11 Jan 2012 12:56:49 +0100 5578354 http://www.medworm.com/index.php?rid=5578353&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22231524%26dopt%3DAbstract Authors: Alexandrescu V, Hubermont G Abstract 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... The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5578353 Wed, 11 Jan 2012 12:56:38 +0100 5578353 http://www.medworm.com/index.php?rid=5578352&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22231525%26dopt%3DAbstract Authors: Cafasso D, Schneider P Abstract 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... The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5578352 Wed, 11 Jan 2012 12:56:26 +0100 5578352 http://www.medworm.com/index.php?rid=5578351&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22231526%26dopt%3DAbstract Authors: Caravaggi C Abstract 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... The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5578351 Wed, 11 Jan 2012 12:56:15 +0100 5578351 http://www.medworm.com/index.php?rid=5578350&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22231527%26dopt%3DAbstract Authors: Peeters P, Verbist J, Keirse K, Callaert J, Deloose K, Bosiers M Abstract 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... The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5578350 Wed, 11 Jan 2012 12:56:03 +0100 5578350 http://www.medworm.com/index.php?rid=5578349&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22231528%26dopt%3DAbstract Authors: Parekh N, Nanjundappa A, Dieter RS Abstract 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) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5578349 Wed, 11 Jan 2012 12:55:52 +0100 5578349 http://www.medworm.com/index.php?rid=5578348&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22231529%26dopt%3DAbstract Authors: Van Den Berg J, Waser S, Trelle S, Diehm N, Baumgartner I Abstract 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: ... The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5578348 Wed, 11 Jan 2012 12:55:42 +0100 5578348 http://www.medworm.com/index.php?rid=5578347&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22231530%26dopt%3DAbstract Authors: Setacci F, Sirignano P, De Donato G, Galzerano G, Cappelli A, Palasciano G, Setacci C Abstract 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... The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5578347 Wed, 11 Jan 2012 12:55:33 +0100 5578347 http://www.medworm.com/index.php?rid=5578346&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22231531%26dopt%3DAbstract 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) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5578346 Wed, 11 Jan 2012 12:55:24 +0100 5578346 http://www.medworm.com/index.php?rid=5578345&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22231532%26dopt%3DAbstract Authors: Von Allmen RS, Powell JT Abstract 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... The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5578345 Wed, 11 Jan 2012 12:55:15 +0100 5578345 http://www.medworm.com/index.php?rid=5578344&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22231533%26dopt%3DAbstract Authors: Willigendael EM, Cuypers PW, Teijink JA, Van Sambeek MR Abstract 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, ... The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5578344 Wed, 11 Jan 2012 12:55:06 +0100 5578344 http://www.medworm.com/index.php?rid=5578343&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22231534%26dopt%3DAbstract 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) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5578343 Wed, 11 Jan 2012 12:54:57 +0100 5578343 http://www.medworm.com/index.php?rid=5578342&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22231535%26dopt%3DAbstract 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) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5578342 Wed, 11 Jan 2012 12:54:47 +0100 5578342 http://www.medworm.com/index.php?rid=5578341&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22231536%26dopt%3DAbstract 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) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5578341 Wed, 11 Jan 2012 12:54:37 +0100 5578341 http://www.medworm.com/index.php?rid=5578340&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22231537%26dopt%3DAbstract 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) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5578340 Wed, 11 Jan 2012 12:54:27 +0100 5578340 http://www.medworm.com/index.php?rid=5578339&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22231538%26dopt%3DAbstract 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) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5578339 Wed, 11 Jan 2012 12:54:17 +0100 5578339 http://www.medworm.com/index.php?rid=5379775&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22051985%26dopt%3DAbstract CONCLUSION: Patients with claudication and ischemic miocardiopathy, especially when myocardial revascularization is needed, must be explored with carotid ultrasonography. In this patients, probably of hemodynamically significant carotid stenosis that requires treatment is more frequent. PMID: 22051985 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5379775 Sun, 06 Nov 2011 18:52:35 +0100 5379775 http://www.medworm.com/index.php?rid=5379774&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22051986%26dopt%3DAbstract CONCLUSION: The optimum strategy, including equipment-related factors, procedure-conduct factors and follow-up procedures, has to be studied, justified and optimized in each medical facility. PMID: 22051986 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5379774 Sun, 06 Nov 2011 18:52:25 +0100 5379774 http://www.medworm.com/index.php?rid=5379773&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22051987%26dopt%3DAbstract Authors: Nikas DN, Kompara G, Reimers B Abstract Nowadays, carotid artery stenting (CAS) offers a potential alternative to carotid endarterectomy (CEA). CAS main advantages over CEA are the less invasive approach and the almost equal performance to CEA in terms of stroke prevention and complications. One of the most important factors which played significant role to CAS evolution is the progress in design of modern materials, especially stents. Today, several types of dedicated carotid stents have specific mechanical properties, which provide stents with individual characteristics making each of them suitable for specific carotid lesions and anatomies. The present review analyses the specific design and construction of modern stents, trying to point out their particular mechanical ... The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5379773 Sun, 06 Nov 2011 18:52:15 +0100 5379773 http://www.medworm.com/index.php?rid=5379772&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22051988%26dopt%3DAbstract Authors: Lee CJ, Eskandari MK Abstract Carotid artery stenting (CAS) using embolic protection devices (EPD) has emerged as a viable alternative to carotid endarterectomy (CEA) in select patients. Imaging plays a critical role in the selection of patients for CAS. Duplex ultrasonography alone is insufficient to assess patients for CAS suitability. Advancements in computed tomography angiography (CTA) and magnetic resonance angiography (MRA) techniques are helping to identify lesions vulnerable to cerebral embolization during carotid interventions - a more prevalent event during CAS in comparison to CEA. Here we review the relevant data on the various imaging techniques available to improve patient selection and minimize neurologic adverse events during carotid artery stenting. P... The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5379772 Sun, 06 Nov 2011 18:52:05 +0100 5379772 http://www.medworm.com/index.php?rid=5379771&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22051989%26dopt%3DAbstract Authors: Kolkert JL, Meerwaldt R, Lefrandt JD, Geelkerken RH, Zeebregts CJ Abstract Medical treatment has a pivotal role in the treatment of patients with occlusive carotid artery disease. Large trials have provided the justification for operative treatment besides medical treatment in patients with recent significant carotid artery stenosis two decades ago. Since then, medical therapy has evolved tremendously. Next to aspirin, antiplatelet regimens acting on a different level in the modulation of platelet aggregation have made their entry. Moreover, statin therapy has been introduced. These changes among others in secondary stroke prevention, along with better understanding in life-style adjustments and perioperative medical management, have led to a decrease in stroke recurrence.... The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5379771 Sun, 06 Nov 2011 18:51:54 +0100 5379771 http://www.medworm.com/index.php?rid=5379770&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22051990%26dopt%3DAbstract Authors: Macdonald S Abstract The use of embolic protection (EPD) during carotid artery stenting (CAS) has always made intuitive sense. There is no randomized trial evidence in favour of the use of EPDs and this results from the statistical challenge posed when attempting to compare variations in technique based on the outcome measure all stroke/death/myocardial infarction (MI) for a procedure such as CAS which, in experienced units, is associated with such a low baseline hazard. In order to detect a statistically meaningful difference between protected and unprotected populations, many thousands of patents would have to be recruited and this would entail a concerted effort amongst a population of physicians who are largely beyond uncertainty or equipoise regarding this particular ... The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5379770 Sun, 06 Nov 2011 18:51:44 +0100 5379770 http://www.medworm.com/index.php?rid=5379769&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22051991%26dopt%3DAbstract Authors: Brightwell RE, Van Herzeele I, Cheshire NJ Abstract Despite many randomised controlled trials there are none that recommend carotid artery stenting (CAS) replaces carotid endarterectomy (CEA) for preventing stroke in patients with atherosclerotic carotid artery stenosis. CAS continues to be attractive due to its minimally-invasive nature and potential benefit in those patients at 'high risk' during open surgery. The belief that CAS will replace CEA is likely misplaced; a complimentary role for each mode of treatment is a more realistic vision for the future. Assessment of the existing data may provide useful information as to the subgroups that have most to benefit from each treatment type, therefore allowing a patient-specific approach to the management of individual lesi... The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5379769 Sun, 06 Nov 2011 18:51:33 +0100 5379769 http://www.medworm.com/index.php?rid=5379768&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22051992%26dopt%3DAbstract Authors: Mathias K Abstract The different types of complications which might occur during CAS are described. Recommendations are given how to avoid and how to handle complications. PMID: 22051992 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5379768 Sun, 06 Nov 2011 18:51:23 +0100 5379768 http://www.medworm.com/index.php?rid=5379767&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22051993%26dopt%3DAbstract Authors: Chisci E, Setacci F, Giubbolini M, De Donato G, Setacci C Abstract Manual compression (MC) is required to seal a common femoral artery (CFA) access site after endovascular intervention unless a mechanical closure device is used. Herein we report previously unpublished complications following MC of a CFA access site: stroke (embolism through a patent foramen ovale) and pulmonary embolism. These were a T thrombosis of the internal carotid artery combined with multi pulmonary embolisms and a case of pulmonary embolism. No thrombophilic conditions or other possible causes of venous emboli could be demonstrated in either case by laboratory tests or color-Duplex ultrasound. These were the only two cases of pulmonary and cerebral embolism seen at our university tertiary referral ... The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5379767 Sun, 06 Nov 2011 18:51:14 +0100 5379767 http://www.medworm.com/index.php?rid=5379766&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22051994%26dopt%3DAbstract This article focuses on the first use of the MICHI™ Neuroprotection System in a transcervical carotid artery stenting procedure. The patient presented with an asymptomatic, 80% stenosis of the right internal carotid artery extending into the common carotid artery. The lesion was successfully treated with transcervical carotid access and reverse flow embolic protection and the successful placement of a carotid stent followed by balloon post-dilatation. Transcranial Doppler monitoring was performed throughout the procedure and a total of two micro embolic signals were recorded over the 30 minute procedural period. There were no neurologic complications reported during the 30-day follow-up period. PMID: 22051994 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5379766 Sun, 06 Nov 2011 18:51:04 +0100 5379766 http://www.medworm.com/index.php?rid=5379765&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22051995%26dopt%3DAbstract CONCLUSION: The constructed risk stratification scheme stratified patients into groups at low, intermediate, and high risk of death within three years. Stenosis of the pLCX seems to be an important prognostic factor for patients with a history of HF. PMID: 22051995 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5379765 Sun, 06 Nov 2011 18:50:54 +0100 5379765 http://www.medworm.com/index.php?rid=5379764&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22051996%26dopt%3DAbstract CONCLUSION: Surgical repair of coarctation of the aorta in adults can lead to regression of systolic hypertension and a decreased requirement for antihypertensive medication. PMID: 22051996 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5379764 Sun, 06 Nov 2011 18:50:44 +0100 5379764 http://www.medworm.com/index.php?rid=5379763&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22051997%26dopt%3DAbstract CONCLUSION: Small target vessel diameter, female gender and low mean graft blood flow are significant risk factors for SVG thrombosis within six months of CABG surgery in patients on postoperative aspirin therapy. This information may be useful in guiding revascularization strategies in selected patients. PMID: 22051997 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5379763 Sun, 06 Nov 2011 18:50:34 +0100 5379763 http://www.medworm.com/index.php?rid=5379762&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22051998%26dopt%3DAbstract CONCLUSION: Gender per se is an independent risk factor of survival after mechanical aortic valve replacement. Severely impaired LVEF independently predicts survival in males whereas additional CABG and redo surgery do in females. Age affects survival in both sexes. These findings may serve as a basis for further improving gender related outcome. PMID: 22051998 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5379762 Sun, 06 Nov 2011 18:50:23 +0100 5379762 http://www.medworm.com/index.php?rid=5379761&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22051999%26dopt%3DAbstract Authors: Scandura S, Mangiafico S, Capodanno D, Varone E, Castello C, Ctamburino C, Calafiore A PMID: 22051999 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5379761 Sun, 06 Nov 2011 18:50:12 +0100 5379761 http://www.medworm.com/index.php?rid=5219086&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21894136%26dopt%3DAbstract Authors: Fairman R PMID: 21894136 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5219086 Thu, 15 Sep 2011 00:09:28 +0100 5219086 http://www.medworm.com/index.php?rid=5219085&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21894137%26dopt%3DAbstract Authors: Torsello G, Brunkwall J, Scheinert D Abstract Endovascular repair was originally introduced as a less invasive alternative in less healthy patients, but potentially lower morbidity has been balanced by limited anatomic applicability, as well as inferior long-term device durability. The INCRAFT™ endograft was developed with surgical repair in mind, in an attempt to capitalize on the anatomic flexibility of traditional procedures. The INCRAFT system was designed to address durability issues of older generation devices. At the same time it provides a solution for a broad range of patients using a limited number of codes needed. The 3-pieces modular system allows precise placement at level of the iliacs and aortic neck reducing the risk of unintentional coverage of the hypog... The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5219085 Thu, 15 Sep 2011 00:09:20 +0100 5219085 http://www.medworm.com/index.php?rid=5219084&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21894138%26dopt%3DAbstract Authors: Dosluoglu H, Lall P Abstract Infrainguinal endovascular interventions have increasingly played a central role in relieving symptoms of claudication and limb salvage over the last decade. Multiple modalities currently exist for treating these arteries; however, balloon angioplasty with or without stenting still remains the most commonly used technique. Despite the concerns regarding the use of stents with stent fractures and in-stent restenosis, there is increased evidence from randomized and non-randomized studies that use of nitinol stents improves patency rates in most patients with >5 cm long lesions. However, the optimal endovascular treatment of the longest lesions is still debated. Infrapopliteal vessels are still mostly treated with balloon angioplasty, but selec... The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5219084 Thu, 15 Sep 2011 00:09:11 +0100 5219084 http://www.medworm.com/index.php?rid=5219083&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21894139%26dopt%3DAbstract CONCLUSION: Favorable single center results could be confirmed by an International community of cardiac surgical centers in regard to hospital mortality and morbidity, as well as a low postoperative complication rate and exclusion of false lumen in aortic dissection. PMID: 21894139 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5219083 Thu, 15 Sep 2011 00:09:02 +0100 5219083 http://www.medworm.com/index.php?rid=5219082&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21894140%26dopt%3DAbstract CONCLUSION: BBAVF offer patency and accessibility rates similar to BAPTFE, but lower infectious complications. Thus, we consider them as the preferred hemodialysis access when fistulas using the cephalic vein have failed or are not possible. PMID: 21894140 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5219082 Thu, 15 Sep 2011 00:08:54 +0100 5219082 http://www.medworm.com/index.php?rid=5219081&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21894141%26dopt%3DAbstract CONCLUSION: The outcomes captured by the number of postoperative morbidities, incidence of myocardial infarction and/or the rate of death for the endoscopic technique were comparable to patients in whom the open techniques was used. There was a trend towards a decrease in leg infections with the use of the endoscopic device. Based on this study we consider the device safe and effective with experienced operators. PMID: 21894141 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5219081 Thu, 15 Sep 2011 00:08:45 +0100 5219081 http://www.medworm.com/index.php?rid=5219080&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21894142%26dopt%3DAbstract We report the case of a 37 year old male patient who presented with intermittent fever, nocturnal sweating and asthenia. Chest X-ray revealed an enlarged cardiac silhouette. Echocardiography identified pericardial effusion and a mass compressing the right ventricle. After percutaneous drainage of the effusion, the mass was not visible and deemed to have been septations of the effusion. Chest computed tomography (CT) did not show the mass visible on the X-ray. At one month follow-up, the pericardial mass was again visible on echocardiography and confirmed by magnetic resonance imaging (MRI). CT-guided biopsy showed malignant mesenchymal cells. Complete resection was attempted, but not possible due to diffuse infiltration of the epicardium. Histological examination of the resected tissue rev... The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5219080 Thu, 15 Sep 2011 00:08:37 +0100 5219080 http://www.medworm.com/index.php?rid=5219079&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21894143%26dopt%3DAbstract Authors: Bulut M, Bicer M, Durmus O, Aydin S PMID: 21894143 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5219079 Thu, 15 Sep 2011 00:08:28 +0100 5219079 http://www.medworm.com/index.php?rid=5219078&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21894144%26dopt%3DAbstract Authors: Ripa A, Fusari M, Alamanni F, Biglioli P, Caraceni D, Capparuccia C, Antonicelli R PMID: 21894144 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5219078 Thu, 15 Sep 2011 00:08:20 +0100 5219078 http://www.medworm.com/index.php?rid=5219077&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21894145%26dopt%3DAbstract Authors: Shirani S, Sadeghian H, Hossein Mandegar M, Goodarzynejad G PMID: 21894145 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5219077 Thu, 15 Sep 2011 00:08:11 +0100 5219077 http://www.medworm.com/index.php?rid=5103634&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21792152%26dopt%3DAbstract Authors: Zeller T PMID: 21792152 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5103634 Sun, 31 Jul 2011 23:00:00 +0100 5103634 http://www.medworm.com/index.php?rid=5103633&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21792153%26dopt%3DAbstract Authors: Lookstein R, Ward T, Kim E, Fischman A, Nowakowksi F, Ellozy S, Teodorescu V, Vouyouka A, Faries P, Weintraub J The endovascular treatment of infrapopliteal arterial disease in the setting of critical limb ischemia (CLI) is increasing in use. In patients in whom percutaneous transluminal angioplasty (PTA) resulted in suboptimal angiographic results, flow limiting dissection or re-coil is thought to limit clinical success. This single-center experience examines the angiographic and clinical results when Drug-Eluting Stents (DES) were placed in a large cohort of patients with CLI after immediate infrapopliteal PTA failure. PMID: 21792153 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5103633 Sun, 31 Jul 2011 23:00:00 +0100 5103633 http://www.medworm.com/index.php?rid=5103632&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21792154%26dopt%3DAbstract This study evaluates the short-term outcome of ultrasound-accelerated thrombolysis in patients with lower extremity ischemia caused by thromboembolic occlusions. PMID: 21792154 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5103632 Sun, 31 Jul 2011 23:00:00 +0100 5103632 http://www.medworm.com/index.php?rid=5103631&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21792155%26dopt%3DAbstract Authors: Wissgott C, Kamusella P, Andresen R Acute and subacute ischemia of the lower limb are still a common reason for amputation. Surgical thrombectomy according to Fogarty has declined in importance, due to the increased incidence of perioperative complications, while local intraarterial lysis is also associated with an increased rate of hemorrhagic complications, beside the prolonged time up to revascularisation, which additionally results in the need for intensive care monitoring. As an endovascular therapeutic option, various mechanical thrombectomy systems have been available over the past few years that studies have shown to have a low rate of complications, accompanied by a high technical success rate and low amputation rate. This review article will present the mechanism of ... The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5103631 Sun, 31 Jul 2011 23:00:00 +0100 5103631 http://www.medworm.com/index.php?rid=5103630&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21792156%26dopt%3DAbstract Authors: Manzi M, Palena L, Cester G Diabetics with critical limb ischemia (CLI) usually have significant multilevel arterial disease, very often with compromised outflow on the foot arteries. The combination of severe peripheral arterial occlusion with the increased blood flow requirement, necessary to achieve the healing of the skin lesions or surgical incisions, makes this population particularly challenging. Additionally, diabetics and CLI patients have a high rate of comorbities, that increase the surgical risks or contraindicate surgical by-pass. Since its initial applications, endovascular recanalization for tibial vessels and foot arteries has proven to be feasible and safe, especially in diabetics with CLI. Actually, it is an established treatment option for limb salvage, avoi... The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5103630 Sun, 31 Jul 2011 23:00:00 +0100 5103630 http://www.medworm.com/index.php?rid=5103629&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21792157%26dopt%3DAbstract This article will review the evolution of current atherectomy devices and the associated literature. PMID: 21792157 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5103629 Sun, 31 Jul 2011 23:00:00 +0100 5103629 http://www.medworm.com/index.php?rid=5103628&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21792158%26dopt%3DAbstract Authors: Khoynezhad A, Rao R, Trento A, Gewertz B AIM: The aim of this study was to review the management of acute type B aortic dissection (TBAD) with acute limb ischemia. A search using the "Pubmed" resulted in 254 records by combining the Medical Subject Heading keywords (listed separately). The articles were assessed for their validity, correct pathology and patient cohort. Inclusion criteria included all patients with complicated acute TBAD who were candidates for open of thoracic endovascular aortic repair (TEVAR). The exclusion criteria included type A, asymptomatic acute or chronic TBAD, penetrating ulcer or intramural hematoma. TBAD with limb ischemia has a poor prognosis if not diagnosed, triaged and treated promptly. Clinical presentation and diagnostic strategy as well as v... The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5103628 Sun, 31 Jul 2011 23:00:00 +0100 5103628 http://www.medworm.com/index.php?rid=5103627&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21792159%26dopt%3DAbstract Authors: De Rango P, Estrera A Currently thoracic endovascular repair (TEVAR) has a limited role in uncomplicated type B aortic dissection. Aggressive medical therapy is deemed appropriate for most of these patients allowing one-year survival rate of 80-90%. Outcomes are less than optimal in the long term, however, since aorta related complications (disease progression, rapid deterioration, acute rupture and elevated mortality) may occur in up to 50% of patients at five years. Subgroups of patients with uncomplicated type B dissection may benefit from early stent-graft placement, but identification of these remains difficult. Only future studies, especially randomized trials, will clarify the utility of early TEVAR in the setting of uncomplicated acute type B dissection. PMID: 2179... The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5103627 Sun, 31 Jul 2011 23:00:00 +0100 5103627 http://www.medworm.com/index.php?rid=5103626&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21792160%26dopt%3DAbstract In this report, we discuss the role of fenestrated and branched stent-grafts as feasible treatment of post-dissecting TAAA. PMID: 21792160 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5103626 Sun, 31 Jul 2011 23:00:00 +0100 5103626 http://www.medworm.com/index.php?rid=5103625&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21792161%26dopt%3DAbstract This study evaluated the feasibility and safety of angioplasty and stenting for the treatment of carotid stenoses combined with cardiac operations in order to reduce the risk of perioperative stroke. PMID: 21792161 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5103625 Sun, 31 Jul 2011 23:00:00 +0100 5103625 http://www.medworm.com/index.php?rid=5103624&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21792162%26dopt%3DAbstract Authors: Ando T, Nagai K, Chikada M, Okamoto K, Kurokawa M, Kobayashi T, Kato T, Makuuchi H The mechanisms underlying the formation of abdominal aortic aneurysms have yet to be fully clarified. To identify key proteins generally involved in aneurysmal formation, proteomic profiles were compared between aneurysmal and non-aneurysmal regions of aortic walls from patients with abdominal aortic aneurysm. PMID: 21792162 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5103624 Sun, 31 Jul 2011 23:00:00 +0100 5103624 http://www.medworm.com/index.php?rid=5103623&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21792163%26dopt%3DAbstract Authors: Piffaretti G, Lomazzi C, Carrafiello G, Tozzi M, Mariscalco G, Castelli P The purpose of this study was to review the outcomes of endovascular treatment and open repair of visceral artery aneurysms, and to compare their results. PMID: 21792163 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5103623 Sun, 31 Jul 2011 23:00:00 +0100 5103623 http://www.medworm.com/index.php?rid=5103622&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21792164%26dopt%3DAbstract Authors: Aly A, Peterson K, Lerman A, Lerman L, Rodriguez-Porcel M Cell-based therapies are a potential therapeutic alternative for the treatment of coronary artery disease (CAD). However, transplanted cells undergo significant death in the living subject. Hypoxic preconditioning (HPC) is a potential intervention to increase transplanted cell survival. However, the biological mechanisms of this benefit remain unclear. We hypothesize that the beneficial effect of HPC on stem cell survival is in part due to preservation of oxidant status, an effect that will be monitored using state-of-the-art molecular imaging. PMID: 21792164 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5103622 Sun, 31 Jul 2011 23:00:00 +0100 5103622 http://www.medworm.com/index.php?rid=5103621&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21792165%26dopt%3DAbstract Authors: Markou AL, Selten K, Krabbe PF, Noyez L The aim of this study was to investigate changes of health-related quality of life (HRQOL) at one year post myocardial revascularization (CABG) and post aortic valve replacement (AVR) in patients aged 70 years or older. PMID: 21792165 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5103621 Sun, 31 Jul 2011 23:00:00 +0100 5103621 http://www.medworm.com/index.php?rid=5103620&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21792166%26dopt%3DAbstract We present a patient with HHT and coronary artery disease, who underwent coronary artery bypass grafting with a successful outcome. PMID: 21792166 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5103620 Sun, 31 Jul 2011 23:00:00 +0100 5103620 http://www.medworm.com/index.php?rid=5103619&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21792167%26dopt%3DAbstract Authors: Melloni G, Bandiera A, Gregorc V, Carretta A, Ciriaco P, Viganò M, Franzin A, Bolognesi A, Picozzi P, Zannini P The aim of this study was to analyze our experience with combined treatment of non-small cell lung cancer with synchronous brain metastases. PMID: 21792167 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5103619 Sun, 31 Jul 2011 23:00:00 +0100 5103619 http://www.medworm.com/index.php?rid=5103615&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21799474%26dopt%3DAbstract Authors: Gable D The superficial femoral artery (SFA) is a common site of atherosclerosis and peripheral vascular disease. Many times this disease can be treated with medical management alone; however, as the disease process advances, it may require further action. Therapies for occlusive disease include lifestyle modification, pharmacologic agents, and revascularization by either a percutaneous or an open surgical approach. Surgical bypass using autogenous vein (the "gold standard") or synthetic graft has been the traditional treatment for severe SFA disease, but the use of minimally invasive endovascular techniques, which entail less morbidity than the traditional surgical approach, has increased markedly in recent years. The most commonly employed endovascular procedure is percutane... The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5103615 Thu, 28 Jul 2011 23:00:00 +0100 5103615 http://www.medworm.com/index.php?rid=5103614&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21799475%26dopt%3DAbstract CONCLUSION:With the new deployment system it is possible to reposition the Excluder to achieve optimal fixation and sealing. A global registry has been set into place to report real life results including longer term performance of the graft. PMID: 21799475 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5103614 Thu, 28 Jul 2011 23:00:00 +0100 5103614 http://www.medworm.com/index.php?rid=5103618&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21796091%26dopt%3DAbstract Authors: Böckler D, Riambau V, Fitridge R, Wolf Y, Hayes P, Silveira P, Numan F The Endurant Stent-graft System (Medtronic Vascular, Santa Rosa, CA) is a next-generation device intended to expand the applicability of endovascular aortic repair (EVAR). To date, the Endurant has been evaluated in 9 short- and intermediate-term studies, several in patients presenting with challenging aneurysm anatomies. Consistently, the device in these studies has been shown to be safe and effective, with an excellent rate of deployment success and with very low rates of type I/III endoleaks and reinterventions. Single center experience with Endurant in chalenging anatomies with short kinked necks and calcified angulated iliac arteries in patients unfit for open repair and challenging anatomies show pro... The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5103618 Wed, 27 Jul 2011 23:00:00 +0100 5103618 http://www.medworm.com/index.php?rid=5103617&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21796092%26dopt%3DAbstract CONCLUSION:PEVAR with adjunctive 'pre-close' techniques using the ProGlide or Prostar XL devices is safe and feasible as applied in this multicenter experience. Continued evaluation in the prospective, randomized trial is warranted. PMID: 21796092 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5103617 Wed, 27 Jul 2011 23:00:00 +0100 5103617 http://www.medworm.com/index.php?rid=5103616&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21796093%26dopt%3DAbstract We present one representative case, and describe the technical tips and appropriate device selection criteria for the TCA procedure. The outcomes of TCA for long SFA-CTO performed last year at our institution are also summarized and discussed. PMID: 21796093 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5103616 Wed, 27 Jul 2011 23:00:00 +0100 5103616 http://www.medworm.com/index.php?rid=5057411&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21772244%26dopt%3DAbstract CONCLUSION:This is an interim report on the study protocol and on the preliminary early results. Presently there are no definitive conclusions, however the perioperative results show that the AnacondaTM endograft seems to be safe and effective in the treatment of AAA, even in a high risk cohort of patients. Definitive and long-term results are needed. PMID: 21772244 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5057411 Tue, 19 Jul 2011 23:00:00 +0100 5057411 http://www.medworm.com/index.php?rid=5057428&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21769082%26dopt%3DAbstract Authors: Vourliotakis G, Bracale U, Sondakh A, Tielliu IF, Prins T, Verhoeven EL The aim of this paper was to present iliac branched device (IBD) implantation in a fit 67-year-old man with tortuous iliac anatomy after previous emergent open abdominal aortic aneurysm (AAA) repair. The patient underwent open treatment for a ruptured abdominal aortic aneurysm in another hospital. The procedure was complicated by extreme blood loss which prevented concommitant treatment of two large iliac aneurysms. Later, the patient underwent stent-grafting of a right common iliac artery aneurysm (CIAA) with coil embolization of the internal iliac artery (IIA). He was then refferred to our institute for treatment of the left CIAA with preservation of the left IIA. An IBD was used to this purpose. The int... The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5057428 Mon, 18 Jul 2011 23:00:00 +0100 5057428 http://www.medworm.com/index.php?rid=5057427&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21769083%26dopt%3DAbstract Authors: Bartoli M, Squarcioni C, Nicoli F, Magnan P PMID: 21769083 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5057427 Mon, 18 Jul 2011 23:00:00 +0100 5057427 http://www.medworm.com/index.php?rid=5057426&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21769084%26dopt%3DAbstract We report a case of an infected descending thoracic aorta endograft, presenting itself several years after placement, with hemoptysis and back pain as referred symptoms. The patient was successfully treated by removing the thoracic aorta and replacing the infected endografts with a cryopreserved aortic allograft, running from the left subclavian artery to the aortic diaphragmatic hiatus. PMID: 21769084 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5057426 Mon, 18 Jul 2011 23:00:00 +0100 5057426 http://www.medworm.com/index.php?rid=5057429&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21750481%26dopt%3DAbstract We present the case of a polyurethane (PU) carotid patch rejection three years after its implant, with no evident arterial discontinuity and no sign of infection. Histopathological analysis on hematoxylin-eosin stained sections of the regenerated arterial wall tissue removed revealed plasma cell infiltration and clusters of foreign body giant cells. PU patch rejection has been seldom described in literature. This is an unusual late complication that should be considered at long-term follow-up evaluation of these patients. PMID: 21750481 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5057429 Tue, 12 Jul 2011 23:00:00 +0100 5057429 http://www.medworm.com/index.php?rid=5008970&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21712763%26dopt%3DAbstract Authors: Madershahian N, Salehi-Gilani S, Naraghi H, Stoeger E, Wahlers T PMID: 21712763 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5008970 Tue, 28 Jun 2011 23:00:00 +0100 5008970 http://www.medworm.com/index.php?rid=5008968&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21712764%26dopt%3DAbstract CONCLUSION:The initial experience shows that the Sandwich technique with the Aorfix™ stent-graft demonstrated to be effective in endovascular repair of abdominal aortic aneurysms in patients with aortoiliac anatomy hostile to preserving hypogastric artery patency. This graft allows a broader group of patients to be treated with endovascular repair without potential complications of hypogastric artery occlusion; however, further studies are needed to evaluate long-term results in larger numbers of patients. PMID: 21712764 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5008968 Tue, 28 Jun 2011 23:00:00 +0100 5008968 http://www.medworm.com/index.php?rid=5008966&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21712765%26dopt%3DAbstract CONCLUSION: The results of this study suggest that use of MAC with local anesthesia during EVAR of AAAs is comparable to general and regional anesthesia in terms of safety and efficacy. Furthermore, MAC with local anesthesia confers additional outcome benefits versus general and regional anesthesia, as it is less invasive, offers greater hemodynamic stability, and enables better communication with the patient. PMID: 21712765 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5008966 Tue, 28 Jun 2011 23:00:00 +0100 5008966 http://www.medworm.com/index.php?rid=5008964&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21712766%26dopt%3DAbstract We describe the case of an 85 year old lady with symptomatic aortic stenosis (AS) with a history of previous coronary artery bypass grafting (CABG), who was referred for consideration of aortic valve replacement (AVR). Echocardiography revealed severe AS with peak gradient of 92 mmHg, orifice area of 0.6 cm2 and preserved left ventricular function. Computed tomography (CT) aortogram revealed a diffusely calcified aorta and an infrarenal abdominal aortic aneurysm (AAA) measuring 6.5 cm. For symptomatic and prognostic reasons she needed treatment of both the AAA and AS. Her calculated logistic EuroSCORE for AVR was 39%. Following discussion at a multidisciplinary forum, it was agreed that the best way to offer her treatment with the lowest risk was by using transcatheter techniques for both ... The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5008964 Tue, 28 Jun 2011 23:00:00 +0100 5008964 http://www.medworm.com/index.php?rid=4912639&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21623336%26dopt%3DAbstract CONCLUSION:The one year results of the CryoCox-Maze III procedure when performed concomitantly with another cardiac surgical procedure demonstrate reasonable safety and efficacy. However, operator experience may be related to better outcome. The ablation of atrial fibrillation may be associated with improved quality of life and symptoms relief. PMID: 21623336 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4912639 Sun, 29 May 2011 23:00:00 +0100 4912639 http://www.medworm.com/index.php?rid=4812356&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21555986%26dopt%3DAbstract We present the case of a patient with a ruptured aortic arch aneurysm after open-surgery for a type III thoracoabdominal aortic aneurysm. Our therapeutic decision is described and discussed, with all the related advantages and disadvantages. PMID: 21555986 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4812356 Mon, 09 May 2011 23:00:00 +0100 4812356 http://www.medworm.com/index.php?rid=4812355&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21555987%26dopt%3DAbstract We report the case of a 62-year-old woman presenting with massive gastrointestinal bleeding with hematemesis and melaena. This case is unique in that the primary aortoduodenal (PADF) fistula formed as a result of complex atherosclerotic disease of the abdominal aorta and both iliacal arteries, also known as Leriche's syndrome, and not primarily due to an aneurysm. We will give a brief summary of the difficulties and challenges which the surgeon faced during the operation and a surprisingly uneventful postoperative course. PMID: 21555987 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4812355 Mon, 09 May 2011 23:00:00 +0100 4812355 http://www.medworm.com/index.php?rid=4812360&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21499223%26dopt%3DAbstract CONCLUSION: We conclude that proton pump inhibitors show significant negative inotropic effects on isolated human failing myocardium. There is no apparent difference seen in the magnitude of the effects of each PPI-group. Further, in-vivo investigations are necessary to reveal the clinical evidence of PPI's negative inotropic effects, e.g. in cardio-surgical patients with heart failure. PMID: 21499223 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4812360 Wed, 13 Apr 2011 23:00:00 +0100 4812360 http://www.medworm.com/index.php?rid=4812359&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21499224%26dopt%3DAbstract CONCLUSION: Short-term treatment with budenoside, salbutamol and ambroxol significantly improved lung function parameters. If surgery can be delayed for several days, pulmonary conditioning should be considered for patients with insufficiently treated COPD. PMID: 21499224 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4812359 Wed, 13 Apr 2011 23:00:00 +0100 4812359 http://www.medworm.com/index.php?rid=4812358&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21499225%26dopt%3DAbstract Authors: Winston B, Wholey M PMID: 21499225 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4812358 Wed, 13 Apr 2011 23:00:00 +0100 4812358 http://www.medworm.com/index.php?rid=4812357&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21499226%26dopt%3DAbstract CONCLUSION: The salvage of failing cardiac allograft with ECMO allows effective stabilization of the hemodynamic and leads toward myocardial recovery. Extending ECMO into postoperative period provides early, continues and effective support for donor hearts with LITs and maximizes the use of such marginal organs. PMID: 21499226 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4812357 Wed, 13 Apr 2011 23:00:00 +0100 4812357 http://www.medworm.com/index.php?rid=4705181&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21460763%26dopt%3DAbstract The objective of this retrospective study was to compare the results between the short longitudinal with the short transverse cervical incision and to evaluate their impact on cranial and cervical nerves and aesthetic outcomes. PMID: 21460763 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4705181 Thu, 31 Mar 2011 23:00:00 +0100 4705181 http://www.medworm.com/index.php?rid=4705180&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21460764%26dopt%3DAbstract Authors: Schrooten M, Fourneau V, Thijs V, Verhamme P, Nevelsteen A The aim of this study was to supplement the few data that exist regarding the potential effect of the referring medical specialty on the proposed treatment for asymptomatic carotid stenosis. PMID: 21460764 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4705180 Thu, 31 Mar 2011 23:00:00 +0100 4705180 http://www.medworm.com/index.php?rid=4705179&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21460765%26dopt%3DAbstract Authors: Jacob T, Hemavathy K, Jacob J, Hingorani A, Marks N, Ascher E We previously demonstrated that adenovirus-mediated p53 gene transfer following balloon angioplasty, decreased neointimal hyperplasia. However, safety concerns arise because viral promoters can cause unrestricted transgene expression. The paucity of safe and efficient vehicles for gene transfer thus limits the potential for clinical utilization of gene therapy. Our objective was to design and clone a virus-free p53 construct, targeted to express specifically in vascular smooth muscle cells (SMCs), via a nanoparticle-based delivery system for therapeutic modulation in vascular wall. PMID: 21460765 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4705179 Thu, 31 Mar 2011 23:00:00 +0100 4705179 http://www.medworm.com/index.php?rid=4705178&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21460766%26dopt%3DAbstract Authors: Thompson M PMID: 21460766 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4705178 Thu, 31 Mar 2011 23:00:00 +0100 4705178 http://www.medworm.com/index.php?rid=4705177&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21460767%26dopt%3DAbstract This article presents and examines the EVAR-1 data and reports the additional wealth of evidence supporting EVR from prospective registries. It proposes that EVR should be re-evaluated, but not as a consequence of the long-term EVAR-1 results. Clinicians' expertise, understanding and the technology of EVR have progressed significantly since the establishment of the EVAR-1 trial, such that the results, though valuable, may not translate to modern practice. It is essential to maintain excellence in vascular surgery and the evidence-base now demonstrates that best practice in AAA management is in specialist vascular centres, performing high volume surgery offering EVR to all patients who are morphologically suitable. PMID: 21460767 [PubMed - in process] (Source: The Journal of Cardiovascu... The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4705177 Thu, 31 Mar 2011 23:00:00 +0100 4705177 http://www.medworm.com/index.php?rid=4705176&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21460768%26dopt%3DAbstract Authors: Donas KP, Torsello G Endovascular repair of infrarenal abdominal aortic or aortoiliac aneurysms (EVAR) using currently available stent-grafts has proven to be a safe, effective, and durable method with great acceptance among vascular surgeons. Comparison of elective EVAR versus "open" elective abdominal aortic aneurysm (AAA) repair showed significant advantages for EVAR in terms of perioperative complications, postoperative care, and early patient recovery. However, a remarkable incidence of mid- and long-term EVAR-related complications remains. Additionally, several strategies have been investigated to overcome limitations related to very short aortic neck anatomies such as fenestrated or chimney grafts expanding the application of endografts in hostile anatomies. The outcome... The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4705176 Thu, 31 Mar 2011 23:00:00 +0100 4705176 http://www.medworm.com/index.php?rid=4705175&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21460769%26dopt%3DAbstract Authors: Verhoeven EL, Oikonomou K, Ventin FC, Lerut P, Fernandes E Fernandes R, Mendes Pedro L Growing concerns regarding radiation exposure, contrast induced nephropathy and increasing costs lead us to reconsider the necessity of CTA for all EVAR patients. The purpose of this study is to compare the results of different follow-up imaging modalities with the aim of finding a rationale to the optimal follow-up imaging protocol. We reviewed recent literature regarding post EVAR imaging modalities and compared it to our experience with different follow-up protocols. Modalities compared were CTA, DUS, CEUS, and plain abdominal X-ray with regard to detection of complications, cost, overall impact to the patient, and on decision making regarding reintervention. CTA is related to increased f... The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4705175 Thu, 31 Mar 2011 23:00:00 +0100 4705175 http://www.medworm.com/index.php?rid=4705174&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21460770%26dopt%3DAbstract Authors: Noorani A, Walsh SR, Boyle JR Endovascular aortic aneurysm repair (EVAR) is the first line management of abdominal aortic aneurysms in many institutions. The relationship between EVAR and renal impairment, especially in the longer term remains unclear. Suprarenal graft fixation is widely used in order to achieve stable graft anchorage. Numerous studies have tried to answer the question about whether suprarenal fixation affects renal outcome. We reviewed the literature to investigate the relationship between endograft fixation and post-operative renal function. PMID: 21460770 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4705174 Thu, 31 Mar 2011 23:00:00 +0100 4705174 http://www.medworm.com/index.php?rid=4705173&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21460771%26dopt%3DAbstract Authors: Numan F, Gulsen F, Solak S, Cantasdemir M Endovascular abdominal aortic aneurysm repair (EVAR) and thoracic endovascular aneurysm repair (TEVAR) have become well-accepted alternatives to traditional open surgery because of the diminished perioperative complications. Aortic stent-graft infection is an uncommon complication and little is known about the general features of and potential risk factors for aortic stent-graft infection, and treatment is administered on a case-by-case basis with no consensus guidelines. Despite a low infection rate, the associated mortality rates are extremely high and the morbidity rate, even with aggressive surgical interventions, is also high. Since 1991 only 117 cases of thoracic and abdominal endograft infections have been reported in the litera... The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4705173 Thu, 31 Mar 2011 23:00:00 +0100 4705173 http://www.medworm.com/index.php?rid=4705172&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21460772%26dopt%3DAbstract Authors: Minar E There are only very few trials concerning use of drug-eluting stents (DES) in the femoropopliteal segment. While earlier trials using a sirolimus-eluting polymer-coated stent and an everolimus-eluting stent failed to demonstrate improved mid-term patency compared with a bare-metal stent, the recently presented ‑ however still unpublished - data with the Zilver PTX stent using a polymer-free paclitaxel coating are very promising. Before we can make definite conclusions and recommendations, we have to see longer-term follow-up data. A potential future improvement of local drug application for the necessary time span without the disadvantages of permanent stent implantation can be expected by the development of completely bioabsorbable DES. PMID: 21460772 [PubMed - ... The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4705172 Thu, 31 Mar 2011 23:00:00 +0100 4705172 http://www.medworm.com/index.php?rid=4705171&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21460773%26dopt%3DAbstract Authors: Bosiers M, Deloose K, Callaert J, Keirse K, Verbist J, Peeters P The fear that early thrombosis and late luminal loss due to intimal hyperplasia formation potentially leads to insufficient long-term patency rates can explain the reluctance on implanting stents in small diameter below-the-knee (BTK) arteries. Drug-eluting stent (DES) technology was developed to prevent early thrombosis and late luminal loss to potentially improve long-term patency rates. Currently, the first level 1 evidence from prospective, randomized, controlled DESTINY and ACHILLES studies indicate that the implantation of DES in short lesion lenghts in the infrapopliteal vasculature leads to favorable outcomes with high primary patency rates. This makes that primary DES placement can be recommended as trea... The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4705171 Thu, 31 Mar 2011 23:00:00 +0100 4705171 http://www.medworm.com/index.php?rid=4705170&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21460774%26dopt%3DAbstract This article gives an overview upon already published and presented data and still ongoing trials on drug releasing balloons in the peripheral arteries. PMID: 21460774 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4705170 Thu, 31 Mar 2011 23:00:00 +0100 4705170 http://www.medworm.com/index.php?rid=4705169&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21460775%26dopt%3DAbstract Authors: Setacci C, Moratto R, Sirignano P, Setacci F, Silingardi R, Coppi G Carotid artery disease is among the most common causes of stroke, and stroke is the third leading cause of death in industrialized countries. Thus the personal health and socioeconomic burden of carotid artery disease is significant. Carotid artery disease accounts for approximately 5-12% of new strokes in patients amenable to revascularization therapy. Atherosclerosis is the main reason for stroke and accounts for approximately one third of all cases. Carotid stenting is nowadays considered a valid standard alternative to surgical carotid endarterectomy, especially in patients having a high perioperative risk. The first carotid balloon angioplasty was carried out in 1979 and the first carotid balloon-expandab... The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4705169 Thu, 31 Mar 2011 23:00:00 +0100 4705169 http://www.medworm.com/index.php?rid=4705168&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21460776%26dopt%3DAbstract This study enlightens the influence of an even moderate arterial pressure on the gene expression of adhesion molecules in venous grafts which play a decisive role for the early induction of atherogenesis. PMID: 21460776 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4705168 Thu, 31 Mar 2011 23:00:00 +0100 4705168 http://www.medworm.com/index.php?rid=4705167&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21460777%26dopt%3DAbstract Authors: Wei Zhang G, Liu XC, Luan Mphil Y, Zhao J, Shi RF, Bin Zhao X, Liu TJ, Lü F, Yang Q, He GW We have recently developed a novel method transmyocardial drilling revascularization (TMDR) combined with heparinized bFGF-incorporating degradable tubular stent implantation to revascularize ischemic myocardium. The aim of the present study was to compare the effect of this new method on left ventricular (LV) remodeling and global function to traditional transmyocardial revascularization (TMR) in acute myocardial ischemia. PMID: 21460777 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4705167 Thu, 31 Mar 2011 23:00:00 +0100 4705167 http://www.medworm.com/index.php?rid=4705166&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21460778%26dopt%3DAbstract Authors: Mosorin MA, Heikkinen J, Pokela M, Anttila V, Mosorin M, Lahtinen J, Juvonen T, Biancari F We have evaluated the outcome after coronary artery bypass surgery in very high risk patients (additive EuroSCORE≥10). The impact of beating heart coronary artery bypass surgery (BHCAB) on their outcome has been evaluated. PMID: 21460778 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4705166 Thu, 31 Mar 2011 23:00:00 +0100 4705166 http://www.medworm.com/index.php?rid=4705165&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21460779%26dopt%3DAbstract Authors: Pennekamp W, Geyhan N, Soeren P, Volkmar N After heart valve replacement in aortic position turbulences may occur in the aortic outflow tract. Valve-induced turbulences and retrograde flow represent a loss of efficiency of cardiac output in respect to antegrade kinetic energy of blood flow. Aim of this study is the evaluation of the flow profiles of monoleaflet and bileaflet valves after aortic valve replacement. PMID: 21460779 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4705165 Thu, 31 Mar 2011 23:00:00 +0100 4705165 http://www.medworm.com/index.php?rid=4705164&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21460780%26dopt%3DAbstract This study evaluated risk factors for dysfunction and failure of the bovine Contegra valved conduit for right ventricle outflow tract reconstruction. PMID: 21460780 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4705164 Thu, 31 Mar 2011 23:00:00 +0100 4705164 http://www.medworm.com/index.php?rid=4705163&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21460781%26dopt%3DAbstract We report a case of acute dissection of the left anterior descending (LAD) after contusio cordis that presented at our institution. In our case we performed the off pump coronary artery bypass operation (OPCAB) procedure with left internal mammary artery (LIMA) on LAD by a partial lower sternotomy approach. There were no operative or perioperative complications and the patient was discharged from hospital 6 days postoperatively. OPCAB operation through the partial lower sternotomy is a safe and effective technique for the treatment of patients with acute dissection of a coronary artery after blunt chest trauma. PMID: 21460781 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4705163 Thu, 31 Mar 2011 23:00:00 +0100 4705163 http://www.medworm.com/index.php?rid=4705162&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21464818%26dopt%3DAbstract Authors: Bíró G, Szeberin Z, Nemes A, Acsády G The aim of the study was to evaluate the early and late results of aortic replacement using cryopreserved homografts and autologous deep veins for infected infrarenal prosthetic reconstructions and the influence of type of bacteria on the mortality. PMID: 21464818 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4705162 Thu, 31 Mar 2011 23:00:00 +0100 4705162 http://www.medworm.com/index.php?rid=4343521&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21224804%26dopt%3DAbstract Authors: Torsello G, Torsello GF PMID: 21224804 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4343521 Fri, 14 Jan 2011 08:46:14 +0100 4343521 http://www.medworm.com/index.php?rid=4343520&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21224805%26dopt%3DAbstract Authors: Cairols MA PMID: 21224805 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4343520 Fri, 14 Jan 2011 08:46:10 +0100 4343520 http://www.medworm.com/index.php?rid=4343519&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21224806%26dopt%3DAbstract Authors: de Donato G, Setacci F, Chisci E, Cappelli A, Palasciano G, Setacci C What distinguishes vascular surgeons from other specialists who treat patients with vascular disease is their ability to combine skills in both open and endovascular treatments. Open vascular surgery should be considered the "starting point" for endovascular surgery, since training and practice in vascular surgery require extensive knowledge of the basic science and a thorough education in general surgical techniques. In addition, surgeons must possess detailed specialized knowledge of the anatomy and physiology of arteries, veins and lymphatics and of the pathological processes which may affect them. This scientific and technical background is also imperative for endovascular surgery. Open vascular surgery ... The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4343519 Fri, 14 Jan 2011 08:46:07 +0100 4343519 http://www.medworm.com/index.php?rid=4343518&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21224807%26dopt%3DAbstract This article reviews the evidence and the limitations for this adjunctive tool, the implementation in current training programmes and future applications to maintain the highest standards of care for treatment of vascular disease. PMID: 21224807 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4343518 Fri, 14 Jan 2011 08:46:04 +0100 4343518 http://www.medworm.com/index.php?rid=4343517&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21224808%26dopt%3DAbstract Authors: Bosiers M, Moreels N, Callaert J, Deloose K Training in surgery has for a long time been based on the classical model of master-apprentice, leading to the creation of "schools" comparable to the famous painter schools of Rubens, Rembrandt and many others during the Middle Ages. Although it may offer some advantages, this model is no longer suitable today. Modern vascular surgery covers several fields, including not only open vascular and endovascular treatment, but also non-invasive diagnosis and medical treatment of vascular diseases in different parts of the human body. However, the goal of training remains the formation of a "holistic vascular surgeon", with knowledge of and experience in all these areas. As most training centers are more focused on and have more expertise ... The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4343517 Fri, 14 Jan 2011 08:46:01 +0100 4343517 http://www.medworm.com/index.php?rid=4343516&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21224809%26dopt%3DAbstract Authors: Tsekouras N, Avgerinos ED, Moulakakis K, Papasideris C, Giannakopoulos T, Liapis CD During the last 50 years vascular surgery has met an enormous evolution, paving the way for the development of modern vascular and endovascular surgery. Although, vascular surgery (VS) has emerged from general (GS) and cardiothoracic surgery (CTS), the need for specialized training has been recognized and gradually practice patterns are shifting towards vascular independence, but yet not in all countries. In these countries VS training is either permitted only after prerequisite GS certification, or as a non accredited surgical specialty, VS might be included in GS or CTS training and certification. Such a policy raises two main issues: the efficiency of vascular training within the GS or CTS c... The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4343516 Fri, 14 Jan 2011 08:45:57 +0100 4343516 http://www.medworm.com/index.php?rid=4343515&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21224810%26dopt%3DAbstract Authors: Krajcer Z, Ghosheh B The field of peripheral vascular disease (PVD) management is rapidly evolving with the advent of new endovascular techniques. These new techniques frequently involve hybrid approaches for treating complex aortic pathologies. Like many new procedures, endovascular techniques present new challenges for physicians who care for patients with complex vascular pathologies. Physicians must not only understand the disease entity, but the knowledge, expertise in and all available therapeutic options, including the new techniques being employed. To enable physicians to meet these requirements for endovascular techniques and stent-graft technology and to become credentialed to perform them, specific training requirements must be established for peripheral vascular tr... The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4343515 Fri, 14 Jan 2011 08:45:54 +0100 4343515 http://www.medworm.com/index.php?rid=4343514&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21224811%26dopt%3DAbstract Authors: Cefali P, Rosso R, Van Den Berg JC This paper will discuss the potential role of interventional radiologists in teaching of endovascular skills to vascular surgical trainees. Prerequisites and advantages of such a training will be discussed, as well as the secondary effect this kind of training program may have on developing multidisciplinary teams. PMID: 21224811 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4343514 Fri, 14 Jan 2011 08:45:50 +0100 4343514 http://www.medworm.com/index.php?rid=4343513&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21224812%26dopt%3DAbstract Authors: Cappelli A, Chisci E, Setacci F, De Donato G, Iacoponi F, Gaggiano A, Ferri M, Giudice R, Nessi F, Setacci C The literature continues reporting a high complication rate for carotid artery stenting (CAS) during the learning-curve phase (LCP). The aim of this study was to report a simple and reproducible method designed to improve CAS results during the LCP. PMID: 21224812 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4343513 Fri, 14 Jan 2011 08:45:46 +0100 4343513 http://www.medworm.com/index.php?rid=4343512&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21224813%26dopt%3DAbstract Authors: De La Motte L, Vogt K, Panduro Jensen L, Groenvall J, Kehlet H, Veith Schroeder T, Lönn L The aim of this study was to estimate the incidence of the post-implantation syndrome/systemic inflammatory response syndrome (SIRS) after endovascular aortic repair. PMID: 21224813 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4343512 Fri, 14 Jan 2011 08:45:43 +0100 4343512 http://www.medworm.com/index.php?rid=4343511&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21224814%26dopt%3DAbstract This article aims in a comprehensive review of the literature for newly emerged data in the pathogenesis, diagnosis and management of heparin-induced thrombocytopenia. PMID: 21224814 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4343511 Fri, 14 Jan 2011 08:45:39 +0100 4343511 http://www.medworm.com/index.php?rid=4343510&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21224815%26dopt%3DAbstract Authors: Donas KP, Schönefeld T, Schwindt A, Troisi N, Torsello G Focal stenosis or occlusion of the infrarenal aorta is a relatively rare entity. In particular, soft-plaque of atherothrombotic origin in the aortic segment is linked to high-risk for peripheral embolisation. To our knowledge, the present case report describes for first time in the literature successful percutaneous treatment of a symptomatic soft-plaque infrarenal aortic stenosis with severe calcification of the iliac vessels by stent-graft, in particular by the new Endurant. Endovascular exclusion of the thrombotic lesion by endoprosthesis covers the atherosclerotic wall treating the potential underlying cause of the thrombus formation. The radial force of the endoprosthesis seems to be sufficient achieving complete e... The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4343510 Fri, 14 Jan 2011 08:45:36 +0100 4343510 http://www.medworm.com/index.php?rid=4343509&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21224816%26dopt%3DAbstract We describe a case of a successful positioning of the chimney graft using only the femoral approach. The only femoral approach to position a renal chimney graft isn't recommended for the routine procedure but it is proved to be useful in selected case and when other treatment options are excluded. PMID: 21224816 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4343509 Fri, 14 Jan 2011 08:45:33 +0100 4343509 http://www.medworm.com/index.php?rid=4343508&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21224817%26dopt%3DAbstract Authors: Ahmed D, Cheema FH, Ahmed YI, Schaefle KJ, Azam SI, Sami SA, Sharif HM Infection following coronary artery bypass grafting (CABG) is a leading cause of morbidity, mortality, and increased length of hospital stay. Many studies have investigated the predictive value of known risk factors for infection in patients following CABG and conclusions have been variable and may reveal regional or institution-specific influence. The purpose of this prospective study was to determine the pre- and peri-operative risk factors for infection in patients undergoing coronary artery bypass surgery in a developing country. PMID: 21224817 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4343508 Fri, 14 Jan 2011 08:45:30 +0100 4343508 http://www.medworm.com/index.php?rid=4343507&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21224818%26dopt%3DAbstract Authors: Schnürer C, Hager M, Györi G, Velik-Salchner C, Moser PL, Laufer G, Lorenz IH, Kolbitsch C In cardiosurgery patients atherosclerotic debris displaced from the cannulation site but also from the opposite aortic wall by the "sandblast-like" effect of the high-pressure jet emanating from the cannula is a potential source of intraoperative arterial embolization and consequently postoperative neurologic dysfunction. The present study examined the extent to which shear stress exerted on the intact aortic intima by an aortic cannula jet stream can cause endothelial lesions that promote thrombogenesis and consequently thrombembolism. A single-stream, straight-tip aortic cannula was used in a porcine cardiopulmonary bypass (CPB) model. Following a 120-minute CPB pump run, a 60-minute... The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4343507 Fri, 14 Jan 2011 08:45:26 +0100 4343507 http://www.medworm.com/index.php?rid=4343506&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21224819%26dopt%3DAbstract Authors: Movahedi N, Karimi A, Ahmadi H, Davoodi S, Marzban M, Abbasi K, Salehi Omran A, Shirzad M, Yazdanifard P Abdominal complications following open heart surgery remain rare but fatal events with mortality rates of 14.5% up to 100%. Manifestations and managements of these complications are varying. Approximately, 25% of patients with gastrointestinal complications require surgical management with obviously higher mortality risks. The aim of this study was to determine the perioperative prognostic factors of gastrointestinal complications with surgical consequences after cardiac surgery. PMID: 21224819 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4343506 Fri, 14 Jan 2011 08:45:23 +0100 4343506 http://www.medworm.com/index.php?rid=4343505&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21224820%26dopt%3DAbstract Authors: Mirow N, Zittermann A, Körperich H, Börgermann J, Koertke H, Knobl H, Gieseke J, Ostertun B, Coskun T, Kleesiek K, Burchert W, Gummert JF Cognitive decline is a well recognized complication after on-pump coronary artery bypass graft (CABG) surgery. We investigated whether the design of extracorporeal circulation (ECC) and the extent of perioperative heparinization have an impact on neurological dysfunction. PMID: 21224820 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4343505 Fri, 14 Jan 2011 08:45:20 +0100 4343505 http://www.medworm.com/index.php?rid=4343504&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21224821%26dopt%3DAbstract Authors: Picichè M, Kingma JJ, Fadel E, Dagenais F, Mathieu P, Simard D, Demaria RG, Voisine P Non-coronary collateral blood flow arrives to the heart from mediastinal, bronchial, and pericardial channels. These enter the heart through the pericardial reflections surrounding the pulmonary and systemic veins, as well as from the vasa vasorum of the aorta and the pulmonary artery leading to and from the myocardium. Before the advent of cardiopulmonary bypass surgery, surgical bilateral ligature of the internal thoracic arteries (ITAs) was performed in patients with ischemic heart disease to increase the perfusion pressure within the channels leading to the heart. Nowadays, the occurrence of natural collaterals between coronary and extracardiac arteries including the ITAs, the potential ... The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4343504 Fri, 14 Jan 2011 08:45:16 +0100 4343504 http://www.medworm.com/index.php?rid=4343503&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21224822%26dopt%3DAbstract Authors: Christiansen S Doxorubicin-induced heart failure is a rare but serious illness due to the well-known treatment difficulties. Prevention strategies have not demonstrated the expected success and unfortunately, this specific type of heart failure does not respond well to the usual medical therapy as other kinds of heart failure. Therefore, surgical procedures may be necessary in some patients. Cardiac transplantation is performed in most cases but it requires the cure of the neoplastic disease. This usually requires a recurrence-free interval of several years which is associated with a high attrition rate in these patients due to their cardiac disease. Therefore, ventricular assist devices were implanted in selected patients. This review presents the most common procedures and d... The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4343503 Fri, 14 Jan 2011 08:45:13 +0100 4343503 http://www.medworm.com/index.php?rid=4343502&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21224823%26dopt%3DAbstract Authors: Santovito D, Varetto G, Conforti M, Tallia C, Rispoli P PMID: 21224823 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4343502 Fri, 14 Jan 2011 08:45:10 +0100 4343502 http://www.medworm.com/index.php?rid=4343501&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21224824%26dopt%3DAbstract Authors: Sadeghian S, Dowlatshahi S, Karimi A, Tazik M PMID: 21224824 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4343501 Fri, 14 Jan 2011 08:45:07 +0100 4343501 http://www.medworm.com/index.php?rid=4251831&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21124273%26dopt%3DAbstract CONCLUSION: The prevalence of patients with AAA (6.2%) was similar to previously published estimates. Nevertheless, AAA resulted very high in males. This observation is likely due to screening in a city with a very high percentage of elderly subjects. Family predisposition to cardiovascular disease resulted significant risk factor for AAA. Results of our epidemiological study provide evidence of the usefulness of AAA screening thanks to early diagnosis and appropriate treatment of AAA. PMID: 21124273 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4251831 Wed, 01 Dec 2010 00:00:00 +0100 4251831 http://www.medworm.com/index.php?rid=4251830&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21124274%26dopt%3DAbstract CONCLUSION: ePTFE-covered endografts have excellent properties for treatment of SFA stenosis or occlusions. There was no intimal hyperplasia inside endografts, and graft occlusion occurred due to progression of atherosclerotic disease outside the graft. PMID: 21124274 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4251830 Wed, 01 Dec 2010 00:00:00 +0100 4251830 http://www.medworm.com/index.php?rid=4251829&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21124275%26dopt%3DAbstract Authors: Lönn L, Larzon T, Van Den Berg JC In all fields of surgery there is a trend towards less invasive procedures reducing hospital stay, complications and mortality. Open surgery in the treatment of aortic diseases is gradually less applied, and instead endovascular aortic repair - EVAR - is a widely accepted treatment modality of today. The traditional approach in EVAR involves surgical exposure of the femoral arteries with bilateral groin incisions. Through the groin access, and under fluoroscopy, a special insertion sheath introducer is used to position a stent graft in the desired location with the patient in general or epidural anesthesia. The evolving stent-technology with smaller sheath sizes has broadened the scenario for alternative approaches for access and closure of t... The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4251829 Wed, 01 Dec 2010 00:00:00 +0100 4251829 http://www.medworm.com/index.php?rid=4251828&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21124276%26dopt%3DAbstract Authors: Hart JP, Bosiers M, Deloose K, Uflacker R, Schönholz CJ Over the past several years, there has been continued significant interest in refinement of patient selection, devices, procedures and protocols in an effort to optimize the outcome of percutaneous intervention for carotid bifurcation stenosis, including: ongoing National Institutes of Health and manufacturer trials and registries; the further refinement of existing devices and emergence of new platforms to attain distal embolic protection; ongoing study of what really constitutes a high-risk carotid surgery or stenting patient; and attention to device characteristics and patient-device matching. Within the latter area, considerable interest has focused on stent characteristics that have the potential to impact short and... The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4251828 Wed, 01 Dec 2010 00:00:00 +0100 4251828 http://www.medworm.com/index.php?rid=4251827&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21124277%26dopt%3DAbstract Authors: Eagleton MJ, Greenberg RK Aortic arch aneurysms present a significant clinical challenge. Historically, open repair has been the mainstay of therapy, but it is associated with significant morbidity and mortality. In particular, the risk of stroke is not insignificant. The development of endovascular therapies has allowed for the less invasive treatment of thoracic aortic aneurysms using endograft therapy. This treatment is limited by the need for "healthy" aorta proximal and distal to the aneurysm in order to get an appropriate seal. This limits use of endografts in the aortic arch as treatment of aneurysms in this location would necessitate coverage of critical brachiocephalic vessels including the innominate and left carotid arteries. To overcome these limitations, hybrid ap... The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4251827 Wed, 01 Dec 2010 00:00:00 +0100 4251827 http://www.medworm.com/index.php?rid=4251826&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21124278%26dopt%3DAbstract Authors: Chiesa R, Tshomba Y, Marone EM, Logaldo D, Bertoglio L, Kahlberg A, Melissano G The search for less invasive therapeutic approaches to thoracoabdominal aortic aneurysms (TAAAs) brought endovascular procedures to establish themselves as alternatives to open surgery in high-risk patients. Aim of this study is to illustrate the hybrid - open and endovascular - treatment of dissecting and non-dissecting TAAAs, and to analyze short and midterm results at our Center. We analyzed 41 high-risk patients who underwent hybrid TAAA repair (dissecting TAAA in 17% of cases) with a variety of visceral rerouting configuration and of commercially available thoracic endografts. Thirty-one simultaneous (76%) and 10 staged procedures (24%) were performed with a four-vessel revascularization in 13... The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4251826 Wed, 01 Dec 2010 00:00:00 +0100 4251826 http://www.medworm.com/index.php?rid=4251825&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21124279%26dopt%3DAbstract Authors: Schrijver AM, Moll FL, De Vries JP The incidence and prevalence of high-risk patients suffering from critical limb ischemia due to multilevel arterial obstructive disease is growing rapidly. Invasive surgical procedures to restore inflow to the crural and pedal circulation in case of TransAtlantic InterSociety Consensus C and D (TASC) lesions of the iliacofemoral arteries are related with substantial morbidity and mortality. The mid-term and long-term outcomes of sole percutaneous revascularization procedures are disappointing for TASC C and D lesions. Hybrid endovascular and open surgical revascularization procedures might be of benefit because of its less invasive character, no need for extensive venous graft material, and the ability to overcome long-segment arterial obstru... The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4251825 Wed, 01 Dec 2010 00:00:00 +0100 4251825 http://www.medworm.com/index.php?rid=4251824&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21124280%26dopt%3DAbstract Authors: de Donato G, Setacci F, Sirignano P, Galzerano G, Raucci A, Palasciano G, Setacci C The most efficient treatment for acute arterial embolism is operative embolectomy using Fogarty's balloon catheter, especially if a single large artery is involved. Unfortunately, although the early surgical success of arterial thromboembolectomy often seems acceptable, the early clinical outcome still remains unsatisfactory. This may be related to the incomplete restoration of perfusion (i.e., residual thrombus in distal vessels not reached by the balloon catheter thromboembolectomy), propagation of residual thrombi or presence of underlying steno-occlusive lesions. In such a situation a meticulous intraoperative assessment of the adequacy of clot removal is decisive. Residual thrombus, chroni... The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4251824 Wed, 01 Dec 2010 00:00:00 +0100 4251824 http://www.medworm.com/index.php?rid=4251823&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21124281%26dopt%3DAbstract Authors: Tiekte M PMID: 21124281 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4251823 Wed, 01 Dec 2010 00:00:00 +0100 4251823 http://www.medworm.com/index.php?rid=4251822&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21124282%26dopt%3DAbstract Authors: Choke E, McCarthy M PMID: 21124282 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4251822 Wed, 01 Dec 2010 00:00:00 +0100 4251822 http://www.medworm.com/index.php?rid=4251821&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21124283%26dopt%3DAbstract Embolic protection in carotid artery stenting: "a no-brainer"? J Cardiovasc Surg (Torino). 2010 Dec;51(6):861-4 Authors: Macdonald S PMID: 21124283 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4251821 Wed, 01 Dec 2010 00:00:00 +0100 4251821 http://www.medworm.com/index.php?rid=4251820&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21124284%26dopt%3DAbstract CONCLUSION: Aspiration thrombectomy recovers large to moderate amounts of debris and is safe and does not increase adverse periprocedural events. A large scale, randomized trial with magnetic resonance imaging (MRI) is needed to further investigate our findings. PMID: 21124284 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4251820 Wed, 01 Dec 2010 00:00:00 +0100 4251820 http://www.medworm.com/index.php?rid=4251819&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21124285%26dopt%3DAbstract Authors: Schneider PA, Ansel G The establishment of cerebral protection has matured conceptually and clinically in recent years. We have accepted that some type of cerebral protection is desirable. We have some choices in whether to use filters, proximal occlusion, or proximal occlusion with reversed flow. There are anatomical and clinical factors that drive the choice of cerebral protection devices. Certain practical applications of cerebral protection technologies can be made based upon clinical experience. Making carotid artery stenting (CAS) safer is the key to a broader application of CAS as a treatment method and optimal selection of atherosclerosis new cerebral protection devices helps to achieve that goal. PMID: 21124285 [PubMed - in process] (Source: The Journal of Cardiov... The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4251819 Wed, 01 Dec 2010 00:00:00 +0100 4251819 http://www.medworm.com/index.php?rid=4251818&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21124286%26dopt%3DAbstract CONCLUSION: CD34+ cell exerted better antithrombogenic property than unfractioned MNCs after seeding onto the small caliber vessel grafts. PMID: 21124286 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4251818 Wed, 01 Dec 2010 00:00:00 +0100 4251818 http://www.medworm.com/index.php?rid=4251817&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21124287%26dopt%3DAbstract CONCLUSION: ICC results in less myocardial damage and reduced postoperative cardiac mortality and morbidity in patients requiring extended periods of aortic-cross-clamping during on-pump cardiac surgery, suggesting superior cardioprotection when compared to IWC. PMID: 21124287 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4251817 Wed, 01 Dec 2010 00:00:00 +0100 4251817 http://www.medworm.com/index.php?rid=4251816&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21124288%26dopt%3DAbstract CONCLUSION: NP after cardiac surgery is associated with severe outcomes. Independent risk markers for respiratory tract infection were left ventricular ejection fraction <30%, chronic renal failure and urgent surgery. PMID: 21124288 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4251816 Wed, 01 Dec 2010 00:00:00 +0100 4251816 http://www.medworm.com/index.php?rid=4251815&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21124289%26dopt%3DAbstract CONCLUSION: This study confirmed the significant, negative prognostic impact of pulmonary disease on the immediate and long-term survival after isolated CABG. PMID: 21124289 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4251815 Wed, 01 Dec 2010 00:00:00 +0100 4251815 http://www.medworm.com/index.php?rid=4251814&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21124290%26dopt%3DAbstract CONCLUSION: The unchanged expression of Hsp70 may indicate that the cytoplasmic stress response in permanent AF is exhausted. PMID: 21124290 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4251814 Wed, 01 Dec 2010 00:00:00 +0100 4251814 http://www.medworm.com/index.php?rid=4251812&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21124291%26dopt%3DAbstract CONCLUSION: The partial inferior sternotomy approach to congenital heart operations is less invasive than and cosmetically superior to full sternotomy with reduced postoperative pain and discomfort for the patients. This approach ensures a safe procedure with excellent exposure without additional incisions. It is our standard approach in infants/children with septal defects. PMID: 21124291 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4251812 Wed, 01 Dec 2010 00:00:00 +0100 4251812 http://www.medworm.com/index.php?rid=4251809&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21124292%26dopt%3DAbstract CONCLUSION: Pleura opening and need of chest tube insertion induced significant reduction in static lung compliance and increase in total respiratory system resistance, furthermore contributing to impair pulmonary dysfunction in the early postoperative period after OPCAB. PMID: 21124292 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4251809 Wed, 01 Dec 2010 00:00:00 +0100 4251809 http://www.medworm.com/index.php?rid=4045575&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20924321%26dopt%3DAbstract Authors: Criado FJ PMID: 20924321 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4045575 Thu, 30 Sep 2010 23:00:00 +0100 4045575 http://www.medworm.com/index.php?rid=4045571&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20924322%26dopt%3DAbstract Authors: Krajcer Z, Ghouri MA PMID: 20924322 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4045571 Thu, 30 Sep 2010 23:00:00 +0100 4045571 http://www.medworm.com/index.php?rid=4045567&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20924323%26dopt%3DAbstract CONCLUSION: This summary analysis suggests that endovascular treatment of complicated acute type B aortic dissection produces favourable initial outcomes and would seem to be a great addition to the treatment options for this condition. Further study of long-term outcomes is required. PMID: 20924323 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4045567 Thu, 30 Sep 2010 23:00:00 +0100 4045567 http://www.medworm.com/index.php?rid=4045562&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20924324%26dopt%3DAbstract CONCLUSION: This hybrid approach in patients with AAD and CAD type I is safe when indicated and renders stable results over time down to the stent-graft end. Secondary TEVAR can be easily performed downstream when necessary. The international E-vita open registry data supports this single center results. PMID: 20924324 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4045562 Thu, 30 Sep 2010 23:00:00 +0100 4045562 http://www.medworm.com/index.php?rid=4045558&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20924325%26dopt%3DAbstract This article aims to review our current understanding of the natural history and classification of acute aortic dissection. PMID: 20924325 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4045558 Thu, 30 Sep 2010 23:00:00 +0100 4045558 http://www.medworm.com/index.php?rid=4045554&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20924326%26dopt%3DAbstract Authors: Pratt B, Curci J The lethality of acute aortic dissection is well recognized. Successful treatment and prevention of aortic dissection is going to be dependent upon an improved understanding of the molecular and physiologic events which predispose to dissection development and propagation. In this review, we will focus on the elastic fiber, one of the critical elements of the aortic wall matrix. Mechanical or functional failure of the elastin in the wall of the aorta likely predisposes to dissection as well as the post-dissection aortic degeneration with aneurysm formation. Insight into the role of the elastin and the elastic fiber in aortic dissection has recently been accelerated by research into the molecular mechanisms associated with hereditary propensity for aortic disse... The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4045554 Thu, 30 Sep 2010 23:00:00 +0100 4045554 http://www.medworm.com/index.php?rid=4045549&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20924327%26dopt%3DAbstract Authors: Bastos Gonçalves F, Metz R, Hendriks JM, Rouwet EV, Muhs BE, Poldermans D, Verhagen HJ Aortic dissection is a devastating cardiovascular condition with an incidence of 3,5:100 000. It is classified according to anatomic extent, mechanism of lesion, duration from index event and course (uncomplicated vs. complicated). Intramural hematoma and penetrating aortic ulcers share many of the features of classic dissections, but tend to occur in older patients with advanced atherosclerosis. In uncomplicated type-B dissection, conservative treatment with tight blood pressure and heart rate control is safe and effective. Early stent-graft implantation may, however, result in more favorable aortic remodeling and reduced late complications. For acute complicated cases intervention is usua... The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4045549 Thu, 30 Sep 2010 23:00:00 +0100 4045549 http://www.medworm.com/index.php?rid=4045540&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20924328%26dopt%3DAbstract Authors: Mayerick C, Carré F, Elefteriades J Understanding the relationship between acute type A aortic dissection and sport is crucial to prevent sudden cardiac death in seemingly healthy young individuals. Aerobic exercise produces only a modest rise in arterial blood pressure (140-160 mmHg) except at the highest levels of exertion, at which pressures between 180-220 mmHg are reached. Weight training, on the other hand, routinely produces acute rises in blood pressure to over 300 mmHg. This presents a danger for individuals with an unknown aortic aneurysm; the deteriorated mechanical properties of the aortic wall resulting from aneurysmal enlargement increase the susceptibility to aortic rupture when the high wall coincident with exertion exceeds the tensile strength of the aortic w... The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4045540 Thu, 30 Sep 2010 23:00:00 +0100 4045540 http://www.medworm.com/index.php?rid=4045533&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20924329%26dopt%3DAbstract Authors: Malina M, Resch T, Dias N, Sonesson B PMID: 20924329 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery) The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4045533 Thu, 30 Sep 2010 23:00:00 +0100 4045533 http://www.medworm.com/index.php?rid=4045524&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20924330%26dopt%3DAbstract Authors: Greiner A, Grommes J, Lancer S, Autschbach R, Jacobs MJ Marfan Syndrome is a heritable disorder of connective tissue leading to aortic aneurysms and other cardiovascular complications associated with reduced life expectancy. Marfan patients with thoracic aortic aneurysms (TAAs) or with thoracoabdominal aortic aneurysms (TAAAs) should be treated by means of open surgery, requiring an extensive protocol, including extracorporeal circulation, neuromonitoring and adjunctive modalities to provide organ protection. Then, open surgical repair of TAA(A)s are associated with excellent results. However, in the last time a gradual change to endovascular treatment in Marfan patients is observable. Particularly in patients with an increased surgical risk due to redo sternotomy or thoracoto... The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4045524 Thu, 30 Sep 2010 23:00:00 +0100 4045524 http://www.medworm.com/index.php?rid=4045515&cid=s_36635_157_f&fid=36635&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20924331%26dopt%3DAbstract Authors: Henry M, Benjelloun A, Henry I, Polydorou A, Hugel M A renal artery stenosis (RAS) is common among patients with atherosclerosis, up to a third of patients undergoing cardiac catheterization. Fibromuscular dysplasia is the next cause of RAS, commonly found in young women. Atherosclerosis RAS generally progresses overtime and is often associated with loss of renal mass and worsening renal function (RF). Percutaneous renal artery stent placement is the preferred method of revascularization for hemodynamically significant RAS according to ACC and AHA guidelines. Several randomized trials have shown the superiority of endovascular procedures to medical therapy alone. However, two studies ASTRAL and STAR studies were recently published and did not find any difference between renal ... The Journal of Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=4045515 Thu, 30 Sep 2010 23:00:00 +0100 4045515