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The management of ruptured abdominal aortic aneurysms.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19741571 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - September 13, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Veith FJ Tags: J Cardiovasc Surg (Torino) Source Type: journals

Stent-graft use in urgent and emergent AAA management.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The use of stent grafts in the treatment of ruptured aortic aneurysm, abdominal (AAA) may reduce mortality associated with this process through its dramatic alteration of the surgical technique employed. Advantages of endovascular repair include the ability to perform the procedure under local anesthesia, decreased physiologic stress of avoiding a laparotomy and avoiding collateral damage during open repair. Criticisms of this technique include additional preoperative time spent obtaining appropriate imaging, the necessity for specialized products and personnel required to perform the procedure, and late complications ...
Source: The Journal of Cardiovascular Surgery - September 13, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Trani JL, Farber MA Tags: J Cardiovasc Surg (Torino) Source Type: journals

Mortality of ruptured abdominal aortic aneurysm with selective use of endovascular repair.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The aim of this review was to examine the results over a seven-year period of treatment for ruptured abdominal aortic aneurysm (RAAA). From 2002 on, our tertiary referral centre offered both open and endovascular (EVAR) treatment modalities for RAAA. All patients with a proven RAAA who were admitted into our hospital were included. Primary outcome measure was surgical mortality. In total 261 patients were admitted with suspicion of acute AAA. Of these, 175 (67%) had a RAAA, confirmed by computed tomography-scanning or at laparotomy. One hundred and fifty-nine patients (90.9%) were treated, 114 by open repair and 45 by ...
Source: The Journal of Cardiovascular Surgery - September 13, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Verhoeven EL, Kapma MR, Bos WT, Vourliotakis G, Bracale UM, Bekkema F, Vahl AC, Van Den Dungen JJ Tags: J Cardiovasc Surg (Torino) Source Type: journals

Choice of treatment for the patient with urgent AAA: practical tips.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Since the first successful attempts of emergency endovascular aneurysm repair (eEVAR) for patients with ruptured AAAs in the mid 1990s, surgeons have had to decide whether to treat patients by conventional open surgery or by minimally invasive but technically more demanding eEVAR. To date, selection of patients for eEVAR is still heavily debated and factors like hemodynamic instability, fear of treatment delay for patient transfer or imaging procedures and logistic issues often lead to the exclusion of anatomically suitable patients from eEVAR. However, these adverse factors may be overcome by adherence to an appropria...
Source: The Journal of Cardiovascular Surgery - September 13, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Mayer D, Rancic Z, Pfammatter T, Veith FJ, Lachat M Tags: J Cardiovasc Surg (Torino) Source Type: journals

The influence of statins on the expansion rate and rupture risk of abdominal aortic aneurysms.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abdominal aortic aneurysms (AAA) have a prevalence between 1.3-8.9% in men and 1.0-2.2% in women aged above 55 years. Furthermore, AAA cause 1-3% of all deaths among men aged 65-85 years in developed countries. As the disorder is invariably associated with severe atherosclerotic damage of the arterial wall, it has traditionally been regarded as a direct consequence of generalized atherosclerotic disease. In patients with occlusive aortic disease, dyslipidemia is a well established risk factor. However, in patients with aneursymatic aortic disease, the association between dyslipidemia and the development of AAA is less ...
Source: The Journal of Cardiovascular Surgery - September 13, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Van Kuijk JP, Flu WJ, Witteveen OP, Voute M, Bax JJ, Poldermans D Tags: J Cardiovasc Surg (Torino) Source Type: journals

Endovascular treatment for ruptured abdominal aortic aneurysm. Review of literature.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Endovascular repair (EVAR) has produced increasing interest in the treatment of ruptured abdominal aortic aneurysms (rAAAs). Experiences to support EVAR as first approach for patients with rAAA is drawn from three sources: results of single-centre series, systematic reviews, and population-based studies. In order to validate EVAR, this technique was compared to open repair (OR), considered as the conventional treatment. These studies are heterogeneous, and often failed to demonstrate any significant difference between EVAR and OR. More recently, some population-based studies from the USA suggested advantages of EVAR ov...
Source: The Journal of Cardiovascular Surgery - September 13, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Palombo D, Lucertini G, Pane B, Spinella G Tags: J Cardiovasc Surg (Torino) Source Type: journals

EVAR for ruptured AAAs Do we need randomized controlled trials?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Endovascular abdominal aortic aneurysm (EVAR) repair has an established role in elective management of abdominal aortic aneurysms (AAA). The application of EVAR to ruptured AAAs (rAAA) is evolving and developing a strong evidence base in selected patients. Although EVAR has been utilized to manage rAAA for greater than ten years, to-date no randomized study has been completed to confirm superiority over traditional open surgical repair. Randomized controlled trials (RCTs) allow unbiased objective comparison of two techniques and are the most powerful scientific instrument available for clinical assessment; they form th...
Source: The Journal of Cardiovascular Surgery - September 13, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Nordon IM, Hinchliffe RJ, Holt PJ, Morgan R, Loftus IM, Thompson MM Tags: J Cardiovasc Surg (Torino) Source Type: journals

Below-the-knee revascularization. Advanced techniques.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This review summarizes new developments in revascularization and advanced techniques to treat lesions below the knee (BTK). The primary goal of endovascular therapy is the re-establishment of pulsatile, straight-line flow to the foot. This treatment results in relieving ischemic pain, healing of (neuro)ischemic ulcers, preventing limb loss, improving quality of life and potentially prolong survival. Balloon angioplasty is the currently established therapy, bare-metal stents are reserved for failed percutaneous transluminal angioplasty (PTA). Novel devices such as laser, excisional and rotational atherectomy systems, dr...
Source: The Journal of Cardiovascular Surgery - September 13, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Schwarzwälder U, Zeller T Tags: J Cardiovasc Surg (Torino) Source Type: journals

New stents for SFA.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Endovascular stent implantation was introduced to femoropopliteal procedures almost two decades ago. Initial results with balloon-expandable stainless steel stents and self expanding Elgiloy stents, however, were disappointing. In particular, recurrence rates after long-segment femoropopliteal stenting were rather high, in the range of 60% to 80% at 1 year. After years of stagnation, recent developments in femoropopliteal stent technology have been promising. Self-expanding nitinol stents have been evaluated in several prospective studies. Initial problems with stent fractures seem to be resolved using second-generatio...
Source: The Journal of Cardiovascular Surgery - September 13, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Minar E, Schillinger M Tags: J Cardiovasc Surg (Torino) Source Type: journals

Chronic critical limb ischemia: European experiences.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Chronic critical limb ischemia still poses a substantial threat to both limb and life of the affected patients since these patients suffer typically also from associated cardiac and cerebrovascular disease and other severe comorbidities. Due to improved secondary prevention strategies and dedicated technical innovation, however, clinical outcomes have improved in the recent years. Purpose of this article is to provide a balanced discussion of contemporary treatment concepts for patients with critical limb ischemia with a focus on arterial revascularization. PMID: 19741580 [PubMed - in process] (Source: The Journal ...
Source: The Journal of Cardiovascular Surgery - September 13, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Diehm N, Silvestro A, Baumgartner I, Do DD, Diehm C, Schmidli J, Dick F Tags: J Cardiovasc Surg (Torino) Source Type: journals

Effects of simvastatin on systemic inflammatory responses after cardiopulmonary bypass.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: In patients undergoing coronary artery bypass grafting with cardiopulmonary bypass, the administration of simvastatin doses not produce any changes in the inflammatory response as measured by the levels of IL-6, IL-8, TNF-alfa and SIRS score, nor does it reduce the complications after cardiac surgery. PMID: 19741581 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - September 13, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Tamayo E, Alvarez FJ, Alonso O, Bustamante R, Castrodeza J, Soria S, Lajo C Tags: J Cardiovasc Surg (Torino) Source Type: journals

Impact of the definition of renal dysfunction on EuroSCORE performance.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: The use of creatinine as a continuous variable or glomerular filtration rate as a categorical or continuous variable improves the predictive accuracy of the EuroSCORE model for hospital mortality. Given the increasing incidence of preoperative renal dysfunction and its impact on hospital mortality, future risk stratification models should include continuous creatinine or glomerular filtration rate rather than creatinine as a binary variable. PMID: 19741582 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - September 13, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Van Gameren M, Klieverik LM, Struijs A, Venema AC, Kappetein AP, Bogers AJ, Takkenberg JJ Tags: J Cardiovasc Surg (Torino) Source Type: journals

Unresolved issues of thoracic endografting.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19734827 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - July 31, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Hollier LH Tags: J Cardiovasc Surg (Torino) Source Type: journals

Endovascular aneurysm repair: state-of-art imaging techniques for preoperative planning and surveillance.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Endovascular aneurysm repair (EVAR) represents one of the greatest advances in vascular surgery over the past 50 years. In contrast to conventional aneurysm repair, EVAR requires accurate preoperative imaging and stringent postoperative surveillance. Duplex ultrasound (DUS), transesophageal echocardiography, intravascular ultrasound, computed tomography (CT) and magnetic resonance (MR), each provide useful information for patient selection, choice of endograft type and surveillance. Today most interventionists and surgeons will rely on CT or MR to assess aortic morphology, evaluate access artery patency and locate side...
Source: The Journal of Cardiovascular Surgery - July 31, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Truijers M, Resch T, Van Den Berg JC, Blankensteijn JD, Lönn L Tags: J Cardiovasc Surg (Torino) Source Type: journals

Endovascular thoracoabdominal aortic aneurysm repair: a literature review of early and mid-term results.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Successful endovascular repair of abdominal aortic aneurysms (AAA) requires undilated proximal (infrarenal neck) and distal landing zones (common or external iliac arteries). A range of approved endografts are available to exclude such aneurysms. Recent multicentric prospective randomized trials have demonstrated a short and midterm decrease in aneurysm-related deaths of the endovascular technique compared to open surgery. These results have induced an overall increase in the rate of endovascular repair of AAA. Patients with more complex aortic aneurysms, involving the visceral vessels (juxta, para and thoraco-abdomina...
Source: The Journal of Cardiovascular Surgery - July 31, 2009 Category: Cardiovascular & Thoracic Surgery Authors: D'Elia P, Tyrrell M, Sobocinski J, Azzaoui R, Koussa M, Haulon S Tags: J Cardiovasc Surg (Torino) Source Type: journals

Endovascular repair of thoracoabdominal aneurysms: design options, device construct, patient selection and complications.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In conclusion, endovascular TAAA repair is an evolving technique that is developing increasing consistency in device design and implantation technique. It is effective in eliminating aneurysm flow and in preserving visceral branch perfusion. These early outcomes are better than the results achieved with open TAAA repair in population-based studies and are at least equal to the results of open TAAA repair reported from centers of focused expertise. These results support expanding the indications for endovascular TAAA repair to include standard risk patients. PMID: 19734830 [PubMed - in process] (Source: The Journal of C...
Source: The Journal of Cardiovascular Surgery - July 31, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Reilly LM, Chuter TA Tags: J Cardiovasc Surg (Torino) Source Type: journals

Hybrid approach for arch and thoracoabdominal pathologies.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The endovascular era began about 20 years ago and subsequently revolutionized vascular surgery as a less invasive treatment option, especially for high risk patients. In the late 1990s, a new hybrid approach for arch and thoracoabdominal pathologies was developed. Debranching and rerouting supra-aortic and visceral aortic branches with extra-anatomic bypass grafting was performed in order to achieve sufficient landing zones demanding for subsequent stent grafting. The initial single-center results of small series up to 20 patients were encouraging with acceptable complication rates. Hybrid arch procedures are feasible ...
Source: The Journal of Cardiovascular Surgery - July 31, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Böckler D, Nassar J, Kotelis D, Geisbüsch P, Hyhlik-Dürr A, Von Tengg-Kobligk H, Weber TF, Schumacher H Tags: J Cardiovasc Surg (Torino) Source Type: journals

The applicability of chimney grafts in the aortic arch.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Chimney grafts in the supra-aortic branches seem feasible and may facilitate urgent TEVAR in patients with an inadequate proximal neck. PMID: 19734832 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - July 31, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Sugiura K, Sonesson B, Akesson M, Björses K, Holst J, Malina M Tags: J Cardiovasc Surg (Torino) Source Type: journals

Different types of thoracic endografts.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The emerging role of stent-graft strategies for the management of thoracic aortic diseases has attracted growing acceptance, especially in considering the sobering results of open repair in thoracic high-risk settings (e.g., acute dissection, trauma, rupture). Aortic endograft technology for thoracic diseases has rapidly improved after the early use of first generation devices, and the new models show very promising early and mid-term success rates. To date there is no evidence of the superiority of any single device model over the others. Indeed, each device has some peculiarities that makes it more useful in specific...
Source: The Journal of Cardiovascular Surgery - July 31, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Cao P, Verzini F, De Rango P, Maritati G, De Pasquale F, Parlani G Tags: J Cardiovasc Surg (Torino) Source Type: journals

Hybrid surgical and endovascular therapy in multifocal peripheral TASC D lesions: up to three-year follow-up.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Hybrid surgical and endovascular therapy, such as aortoiliac and/or superficial femoral artery stenting as an adjunct to common femoral artery endarterectomy, can provide a less invasive yet effective and durable option to patients with multifocal peripheral artery disease. PMID: 19734834 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - July 31, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Nishibe T, Kondo Y, Dardik A, Muto A, Koizumi J, Nishibe M Tags: J Cardiovasc Surg (Torino) Source Type: journals

Imaging of the endoleak after endovascular aneurysm repair procedure by using multidetector computer tomography angiography.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abdominal aortic aneurysms (AAA) are an important cause of death in elderly men. Most used treatment options are endovascular aneurysm repair (EVAR) and open surgical repair. After the endovascular stent graft placement, however, several complications may occur and an important complication of EVAR is endoleak formation which occurs in approximately one-fourth of patients. Endoleak represents a blood flow outside the stent graft lumen but within the aneurysm sac. For these reasons, unlike the minimal imaging follow-up that is typically performed after surgical repair, patients undergoing EVAR require a life-long postop...
Source: The Journal of Cardiovascular Surgery - July 31, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Saba L, Montisci R, Sanfilippo R, Mallarini G Tags: J Cardiovasc Surg (Torino) Source Type: journals

Prognosis of perioperative myocardial infarction after off-pump coronary artery bypass surgery.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: PMI (CKMB>20 UNL) was a strong predictor of operative mortality. QMI and EMI were predictors of long-term mortality and cardiac morbidity after OPCAB surgery. CKMB 10-20 UNL affected long-term cardiac survival but not overall survival. PMID: 19734836 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - July 31, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Vanden Eynden F, Cartier R, Marcheix B, Demers P, Bouchard D Tags: J Cardiovasc Surg (Torino) Source Type: journals

Histopathological comparison of vascular wall damage created by external cross-clamp and endoluminal balloon occlusion techniques.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: External clamp and internal balloon occlusion techniques applied to the aorta were compared, and widespread intimal and medial damage were observed in both techniques. However, endoluminal occlusion of the aorta should be the technique of choice in properly selected cases, since it results in lower damage grades, and it should also be used if application of an external clamp is technically difficult. PMID: 19734837 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - July 31, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Ozalp B, Canbaz S, Huseyinova G, Duran E Tags: J Cardiovasc Surg (Torino) Source Type: journals

Open heart surgery in a developing country: why, who, how and when to operate on.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19734838 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - July 31, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Donegani E Tags: J Cardiovasc Surg (Torino) Source Type: journals

Multiple cysts involving heart, brain and kidney.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19734839 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - July 31, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Actis Dato G, Cappuccio GF, Zingarelli E, Salizzoni S, El Qarra S, Valesio R, Casabona R Tags: J Cardiovasc Surg (Torino) Source Type: journals

Retraction of article published in the journal of cardiovascular surgery.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19734840 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - July 31, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Uflacker R Tags: J Cardiovasc Surg (Torino) Source Type: journals

Right ventricular hydatid cyst: a case report.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19339960 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - May 31, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Donegani E, Pisani P, Radaelli S, Pula G, Portella G Tags: J Cardiovasc Surg (Torino) Source Type: journals

A 43-year follow-up after mitral valve repair.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19339961 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - May 31, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Actis Dato GM, Zingarelli E, Flocco R, Tomasello A, Del Ponte S, Punta G, Forsennati P, Casabona R Tags: J Cardiovasc Surg (Torino) Source Type: journals

The effect of cotinine on telomerase activity in human vascular smooth muscle cells.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Cotinine causes abnormal cell proliferation as demonstrated by increased cell numbers and reactivation of telomerase in a dose dependent manner. This study demonstrated cotinine's stimulatory effect on human SMC proliferation in vitro at low doses while high doses of cotinine had a toxic effect. These data correlate with the results of other studies concerning the mitogenic effect of cotinine and telomerase activation during cellular proliferative response. PMID: 19339962 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - May 31, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Jacob T, Clouden N, Hingorani A, Ascher E Tags: J Cardiovasc Surg (Torino) Source Type: journals

Synchronous abdominal aortic aneurysm and colorectal cancer. The therapeutic dilemma in the era of endovascular aortic aneurysm repair.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study attempts a historical review of the surgical practice during the past decades by reviewing the existing English literature on this topic. The dilemma between one or two stage treatment has remained as both options offer advantages but also carry some substantial risks. The current practice gives priority to the life threatening disease (AAA>5.5 cm, symptomatic or complicated CRC) (two stage treatment) or suggest simultaneous management (one stage) when both diseases require urgent surgical treatment. The evolution of vascular endografts and the reported efficacy of endovascular aortic repair (EVAR) provide an...
Source: The Journal of Cardiovascular Surgery - May 31, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Bali CD, Harissis H, Matsagas MI Tags: J Cardiovasc Surg (Torino) Source Type: journals

Surgical removal of an infected aortic endoprosthesis using a wire cutter.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In conclusion, infected endoprostheses should be surgically removed according to the medical literature. We recognize that removing a Zenith endoprostheses requires a dangerous operation because the hooks of the bare stent are engaged into the supra-renal aorta. This case report documents a new technique to safely remove an infected endoprosthesis with the help of a wire cutter. PMID: 19455093 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - May 31, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Dolmans DE, Ho GH, Te Slaa A, Vos LD, Geenen GP, Van Der Laan L Tags: J Cardiovasc Surg (Torino) Source Type: journals

Postoperative cardiac troponin I is an independent predictor of in-hospital death after coronary artery bypass grafting.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Our study indicates that cTnI concentration 20 hours after the end of surgery is an independent predictor of in-hospital death after CABG. Furthermore, high concentrations of cTnI were associated with a cardiac cause of death and major clinical outcomes. PMID: 19455094 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - May 31, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Hashemzadeh K, Dehdilani M Tags: J Cardiovasc Surg (Torino) Source Type: journals

Diabetic limb salvage.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19543187 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - May 31, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Bell PR Tags: J Cardiovasc Surg (Torino) Source Type: journals

Diabetic patients: epidemiology and global impact.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Definition of the exact epidemiology and the global impact of diabetes is not easy, being strictly related to the availability of data in developing countries and to the use in the existing population-based investigations of common criteria for the diagnosis and definition of diabetes. According to the World Health Organization (WHO) the total number of people with diabetes was 171 million in 2000, and is projected to rise up to 366 million in 2030. The true prevalence of peripheral arterial disease (PAD) in people with diabetes has been difficult to determine, as most patients are asymptomatic, many do not report thei...
Source: The Journal of Cardiovascular Surgery - May 31, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Setacci C, de Donato G, Setacci F, Chisci E Tags: J Cardiovasc Surg (Torino) Source Type: journals

Treatment of diabetic foot ulcers.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Diabetic foot ulcers are a major health care problem. Complications of foot ulcers are a leading cause of hospitalization and amputation in diabetic patients. Diabetic ulcers result from neuropathy or ischemia. Neuropathy is characterized by loss of protective sensation and biomechanical abnormalities. Lack of protective sensation allows ulceration in areas of high pressure. Autonomic neuropathy causes dryness of the skin by decreased sweating and therefore vulnerability of the skin to break down. Ischemia is caused by peripheral arterial disease, not by microangiopathy. Poor arterial inflow decreases blood supply to u...
Source: The Journal of Cardiovascular Surgery - May 31, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Vuorisalo S, Venermo M, Lepäntalo M Tags: J Cardiovasc Surg (Torino) Source Type: journals

Surgical treatment of the neuroischemic foot.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
As many as 1% of older people in the Western world are at risk of developing a foot ulcer as a complication of diabetes mellitus. The resultant debility and disability constitutes a burden for both individuals and their health services. When peripheral arterial insufficiency complicates neuropathy there is a tenfold risk of ulceration progressing to infection, gangrene and amputation. Patient education and the vigilant implementation of preventive measures offer the best prospects for containment of the problem. Patients faced with ulceration and limb loss require access to a co-ordinated and comprehensive diabetic foo...
Source: The Journal of Cardiovascular Surgery - May 31, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Simms M Tags: J Cardiovasc Surg (Torino) Source Type: journals

Other endovascular methods of treating the diabetic foot.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Critical limb ischemia (CLI) is an endstage manifestation of peripheral artery disease (PAD) and typically describes patients with ischemic rest pain (Rutherford Category 4), or patients with ischemic skin lesions, either ulcers or gangrene (Rutherford Category 5-6). CLI due to infrapopliteal lesions is often not a good indication for infrageniculate bypass surgery placement, due to the presence of prohibitive comorbidities, inadequate conduit, and lack of suitable distal targets for revascularization. Therefore, CLI patients due to blockage of below-the-knee arteries are in benefit of the endovascular approach. Infrap...
Source: The Journal of Cardiovascular Surgery - May 31, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Peeters P, Keirse K, Verbist J, Deloose K, Bosiers M Tags: J Cardiovasc Surg (Torino) Source Type: journals

Below the knee angioplasty among diabetic patients.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The treatment of below knee arterial disease has undergone a gradual shift over the last few years to incorporate a greater proportion of endovascular treatments. Not only does this include patients who now have endovascular therapy rather than surgery, but also patients who in the past would have been offered supportive treatment only, due to factors such as being medically unfit for surgery, lacking sufficient donor vein for bypass grafting, or swelling. Diabetes mellitus is becoming increasingly common, potentially causing numerous comorbidities in patients. It tends to have a more distal pattern of peripheral vascu...
Source: The Journal of Cardiovascular Surgery - May 31, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Markose G, Bolia A Tags: J Cardiovasc Surg (Torino) Source Type: journals

Clinical results of below-the knee intervention using pedal-plantar loop technique for the revascularization of foot arteries.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Percutaneous revascularization of foot arteries in patients with CLI is feasible and safe, and appears to provide positive clinical results at both acute and mid-term follow-up. PMID: 19543193 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - May 31, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Manzi M, Fusaro M, Ceccacci T, Erente G, Dalla Paola L, Brocco E Tags: J Cardiovasc Surg (Torino) Source Type: journals

Heparin-bonded expanded polytetrafluoroethylene graft for infragenicular bypass: five-year results.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: The heparin-bonded ePTFE graft provided good long-term results in infragenicular bypasses in patients with severe PAD. PMID: 19543194 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - May 31, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Lösel-Sadée H, Alefelder C Tags: J Cardiovasc Surg (Torino) Source Type: journals

Carotid highly-calcified de novo stenosis and cutting-balloon angioplasty: a tool to prevent haemodynamic depression?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: HD is a common occurrence after CAS, especially in patients with both long and calcified plaque. Only a tailored procedure with a correct remodelling of the plaque allows to avoid both HD and elastic recoil of the target lesion. PMID: 19543195 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - May 31, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Setacci F, Sirignano P, de Donato G, Chisci E, Galzerano G, Iacoponi F, Setacci C Tags: J Cardiovasc Surg (Torino) Source Type: journals

Applicability and clinical results of percutaneous transluminal angioplasty with a novel, long, conically shaped balloon dedicated for below-the knee interventions.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Infra-popliteal PTA with this new, BTK dedicated, long tapered balloon in patients with CLI was feasible and safe, and was associated favorable clinical results at both acute and mid-term follow-up. PMID: 19543196 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - May 31, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Gandini R, Volpi T, Pampana E, Uccioli L, Versaci F, Simonetti G Tags: J Cardiovasc Surg (Torino) Source Type: journals

The effects of calcium dobesilate on the mechanical function of rat hearts.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: This study showed that calcium dobesilate may have cardio-protective effects in isolated, perfused rat hearts. In hearts perfused by calcium dobesilate, the increase in mean P may be explained by the increase in endothelium-derived vasodilator substances. Further studies are needed to better characterize the myocardial protective effects of calcium dobesilate. PMID: 19543197 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - May 31, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Cihan Ozbek I, Arslan C, Cantürk E, Süzer O Tags: J Cardiovasc Surg (Torino) Source Type: journals

Choice of access for percutaneous carotid angioplasty and stenting: a comparative study on cervical and femoral access.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Carotid angioplasty and stenting (CAS) is a well established technique. CAS indications currently still limited are yet evolving. The choice of the access is defined by the risk factors of the patient among whom ''the vascular anatomy'' is essential. The authors will focus here on the accesses, their advantages and their drawbacks. They made a retrospective study relating 314 patients treated by CAS. No significant difference in term of morbidity or mortality between the cervical or femoral access was found but a clear tendency in favor of the cervical access which avoids the arch manipulations. It can be concluded tha...
Source: The Journal of Cardiovascular Surgery - May 18, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Mathieu X, Piret V, Bergeron P, Petrosyan A, Abdulamit T, Trastour JC Tags: J Cardiovasc Surg (Torino) Source Type: journals

Outcome of open versus endovascular revascularization for chronic mesenteric ischemia: review of comparative studies.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study aimed at comparing the outcomes of these two treatment modalities. The literature was searched using the MEDLINE database through the PubMed search engine for relevant articles that compared the outcomes after OR and ER for chronic mesenteric ischemia. Review of the selected articles revealed that patients had lower postoperative mortality and morbidity, and shorter intensive care unit and hospital stay after ER. However, early and long-term symptomatic relief and significantly lower restenosis rate were characteristic of OR. Although no level 1 evidence governs the treatment of chronic mesenteric ischemia, the ...
Source: The Journal of Cardiovascular Surgery - May 18, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Assar AN, Abilez DJ, Zarins CK Tags: J Cardiovasc Surg (Torino) Source Type: journals

Fenestrated stent-grafting after previous endovascular abdominal aortic aneurysm repair.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Fenestrated endovascular stent-grafts can be used to repair juxta- and pararenal AAA after previous EVAR. However, several technical challenges have to be overcome due to the presence of a previous stent-graft. PMID: 19455086 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - May 18, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Vourliotakis G, Bos WT, Beck AW, Van Den Dungen JJ, Prins TR, Verhoeven EL Tags: J Cardiovasc Surg (Torino) Source Type: journals

Biventricular pacing concomitant to on-pump heart surgery: a case series.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Epicardial lead placement during cardiac surgery of severe HF patients is safe and effective. A clear evaluation of the effect of BEP alone is precluded because of the interference of the concomitant indications for cardiac surgery and the absence of randomization. The high rate of sudden death noticed in this study raises the important question of whether implantation of a defibrillator would be warranted in such population. PMID: 19455087 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - May 18, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Golzio PG, Anselmino M, Comoglio C, Vinci M, Rinaldi M, Trevi GP Tags: J Cardiovasc Surg (Torino) Source Type: journals

One stage carotid artery stenting and open heart surgery:a novel approach.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: The low complication rate suggests that CAS and cardiac surgery in one stage offers a safer therapeutic option compared to combined carotid endarterectomy and cardiac surgery. It may also be safer than with the staged CAS and coronary artery bypass grafting approach as well. PMID: 19455088 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - May 18, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Velissaris I, Kiskinis D, Anastasiadis K Tags: J Cardiovasc Surg (Torino) Source Type: journals

Outcome of carotid artery stenting at 2 years follow-up: comparison of nitinol open cell versus stainless steel closed cell stent design.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: At 2-year follow-up after carotid artery stenting, there is no difference in clinical outcome or in stent patency among patients treated with open versus closed cell design stents. Subsequently the type of carotid stent design does not seem to impact the overall midterm outcome after carotid artery stenting. PMID: 19455089 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - May 18, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Maleux G, Marrannes J, Heye S, Daenens K, Verhamme P, Thijs V Tags: J Cardiovasc Surg (Torino) Source Type: journals

Aortoenteric fistula after endovascular abdominaaortic aneurysm treatment with the original Gore Excluder endoprosthesis and Cook aortouniiliac converter for endotension.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of aortoenteric fistula (AEF) that occurred four years after endovascular abdominal aortic aneurysm repair (EVAR) with the original Gore Excluder endoprosthesis despite uncomplicated stent graft placement without endoleaks or migration on postoperative imaging studies; the patient was reoperated with a Cook aortouniiliac converter for endotension three months before the diagnosis of AEF. To our knowledge, this is the first reported case in the literature of an AEF after EVAR with the Excluder stent graft. Our case demonstrates that EVAR is not a guarantee against the development of AEF, and we suggest that...
Source: The Journal of Cardiovascular Surgery - May 18, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Fernández-Alonso L, Alegret J, Urtasun F, Jimenez Arribas JM, Atienza M, Centeno R, Martinez-Aguilar E, Santamarta E, Aranzadi C Tags: J Cardiovasc Surg (Torino) Source Type: journals