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JOURNAL ARTICLE
Niels Bækgaard, Marie Josee E van Rijn
Minimal invasive treatment such as early endovenous thrombus removal for iliofemoral deep venous thrombosis (DVT) emerged in the end of last century. The principle is catheter-directed thrombolysis (CDT) using either plasminogen activating agents alone, as ultrasound-assisted CDT, or in combination with mechanical devices as pharmaco-mechanical CDT . The interest for this treatment modality is the high rate of post-thrombotic syndrome (PTS) with anticoagulation (AC) alone, especially after iliofemoral DVT. Recently published randomized controlled trials (RCTs) comparing early thrombus removal with AC alone, as well as non-randomized studies, have demonstrated favorable rates, or at least a decrease of moderate and severe PTS, in favor of these procedures...
January 23, 2024: Journal of Cardiovascular Surgery
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JOURNAL ARTICLE
Fabio Verzini
No abstract text is available yet for this article.
February 2024: Journal of Cardiovascular Surgery
#23
JOURNAL ARTICLE
Efthymios D Avgerinos, Vasileios Bouris, Houman Jalaie
Catheter directed thrombolysis (CDT) and pharmacomechanical thrombectomy in various technical combinations have been the main driver of acute deep venous interventions for over a decade. While the majority of high-level evidence was based on it, CDT requires longer procedural care and is associated to a small but not negligible bleeding risk. Contemporary DVT intervention, following the paradigm shift in myocardial infarction and stroke management, has steadily migrated towards minimizing or eliminating thrombolytics due to the introduction of mechanical/aspiration thrombectomy...
January 17, 2024: Journal of Cardiovascular Surgery
#24
JOURNAL ARTICLE
Benedict R Turner, Adam M Gwozdz, Alun H Davies, Stephen A Black
Venous thromboembolism (VTE), notably deep venous thrombosis (DVT), represents a significant cardiovascular disease with high morbidity from post-thrombotic syndrome (PTS). Recent advancements in early thrombus removal technologies have prompted randomized controlled trials (RCT) to assess their efficacy and safety, particularly for iliofemoral DVT (IF-DVT), which carries the greatest risk of developing PTS. This narrative review summarizes these trials and introduces upcoming innovations to evaluate acute intervention for IF-DVT...
January 16, 2024: Journal of Cardiovascular Surgery
#25
JOURNAL ARTICLE
Ajami Gikandi, Jacquelyn Quin, Eileen M Stock, Ellen Dematt, Sameer Hirji, Miguel Haime, Kousick Biswas, Marco A Zenati
No abstract text is available yet for this article.
December 21, 2023: Journal of Cardiovascular Surgery
#26
JOURNAL ARTICLE
Karolina Dzierwa, Anna Kedziora, Lukasz Tekieli, Adam Mazurek, Robert Musial, Elzbieta Dobrowolska, Justyna Stefaniak, Piotr Pieniazek, Piotr Paluszek, Janusz Konstanty-Kalandyk, Robert Sobczynski, Boguslaw Kapelak, Pawel Kleczynski, Andrzej Brzychczy, Tomasz Kwiatkowski, Mariusz Trystula, Jacek Piatek, Piotr Musialek
BACKGROUND: In patients at urgent need for cardiac surgery coexisting with increased-stroke-risk carotid stenosis, any staged intervention increases the risk of complications from the primarily unaddressed pathology. In this challenging cohort, we assessed safety and feasibility of endovascular carotid revascularization under open-chest extracorporeal circulation (ECC) combined with cardiac surgery (hybrid-room true simultaneous treatment). METHODS: Per-protocol (PP), after general anesthesia induction, chest-opening and ECC stand-by installation, carotid stenting (CAS) was performed (femoral/radial or direct carotid access) with ad-hoc/on-hand switch to ECC cardiac surgery...
December 11, 2023: Journal of Cardiovascular Surgery
#27
JOURNAL ARTICLE
Stephen D Adedokun, Maruf Sarwar, Keonmin Hwang, Aakash Hans, Janani Baskaran, Mahesh Anantha Narayanan
INTRODUCTION: Peripheral arterial disease (PAD) is a progressive vascular condition characterized by the narrowing or blockage of arteries, primarily attributed to atherosclerosis. PAD's prevalence in the general population is estimated at approximately 5.9%. Notably however, among patients with chronic kidney disease (CKD), PAD's prevalence is substantially higher, ranging from 17% to 48%. This review paper emphasizes the pervasiveness of PAD and its intricate relationship with CKD and end-stage renal disease (ESRD)...
December 11, 2023: Journal of Cardiovascular Surgery
#28
JOURNAL ARTICLE
María P Lamarca, Ángel Flores, Alberto Martín, Javier Peinado, Santiago Estébanez, Maite Arriola, Belén Llergo, Enrique García, Julián Tique, Fredy Torralbas, Elisa Millán, Martina Rigolin, Paula Lobato, José C Segundo, Mar Morín, Álvaro Jamilena, Raquel Moreno, Antonio Orgaz
BACKGROUND: Transcervical carotid artery revascularization (TCAR) has demonstrated a low overall stroke rate in carotid artery stenting (CAS). Furthermore, the use of a double-layer micromesh stent is expected to reduce embolization and plaque prolapse. The combination of TCAR and the double layer stent may lead to improved results compared to previously reported outcomes. The objective of this study is to present the findings of a prospective study including patients treated with the Roadsaver stent and TCAR...
December 11, 2023: Journal of Cardiovascular Surgery
#29
JOURNAL ARTICLE
Adam Mazurek, Krzysztof Malinowski, Pasqualino Sirignano, Ralf Kolvenbach, Laura Capoccia, Gianmarco DE Donato, Isabelle VAN Herzeele, Adnan H Siddiqui, Tomaso Castrucci, Lukasz Tekieli, Matteo Stefanini, Christian Wissgott, Kenneth Rosenfield, D Christopher Metzger, Kenneth Snyder, Andrey Karpenko, Waclaw Kuczmik, Eugenio Stabile, Magdalena Knapik, Renato Casana, Piotr Pieniazek, Anna Podlasek, Maurizio Taurino, Joachim Schofer, Alberto Cremonesi, Horst Sievert, Andrej Schmidt, Iris Q Grunwald, Francesco Speziale, Carlo Setacci, Piotr Musialek
INTRODUCTION: Meta-analyses and emerging randomized data indicate that second-generation ('mesh') carotid stents (SGS) may improve outcomes versus conventional (single-layer) stents but clinically-relevant differences in individual SGS-type performance have been identified. No comparisons exist for SGS versus carotid endarterectomy (CEA). EVIDENCE ACQUISITION: Thirty-day death (D), stroke (S), myocardial infarction (M), and 12-month ipsilateral stroke and restenosis in SGS studies were meta-analyzed (random effect model) against CEA outcomes...
December 2023: Journal of Cardiovascular Surgery
#30
JOURNAL ARTICLE
Piotr Musialek, Ralf Langhoff, Matteo Stefanini, William A Gray
No abstract text is available yet for this article.
December 2023: Journal of Cardiovascular Surgery
#31
JOURNAL ARTICLE
Carlo Pratesi, Davide Esposito, Romeo Martini, Claudio Novali, Augusto Zaninelli, Antonio L Annese, Paolo Baggi, Raffaello Bellosta, Claudio Bianchini Massoni, Stefano Bonardelli, Serena Carriero, Rosa Cervelli, Emiliano Chisci, Roberto Cioni, Fabio Corvino, Francesco DE Cobelli, Fabrizio Fanelli, Aaron T Fargion, Marco Femia, Antonio Freyrie, Andrea Gaggiano, Enrico Gallitto, Stefano Gennai, Emanuela Giampalma, Francesco Giurazza, Franco Grego, Giorgia Guazzarotti, Anna M Ierardi, Andrea L Kahlberg, Daniele Mascia, Luca Mezzetto, Stefano Michelagnoli, Floriana Nardelli, Raffaella Niola, Massimo Lenti, Orsola Perrone, Filippo Piacentino, Gabriele Piffaretti, Raffaele Pulli, Gino Puntel, Giovanni Puppini, Denis Rossato, Michele Rossi, Roberto Silingardi, Pasqualino Sirignano, Francesco Squizzato, Marcello A Tipaldi, Massimo Venturini, Gian F Veraldi, Antonio Vizzuso, Sara Allievi, Luca Attisani, Gianluigi Fino, Francesca Ghirardini, Paola Manzo, Mattia Migliari, Stephanie Steidler, Vittorio Miele, Maurizio Taurino, Massimiliano Orso, Maurizio Cariati
The objective of these Guidelines is to provide recommendations for the classification, indication, treatment and management of patients suffering from aneurysmal pathology of the visceral and renal arteries. The methodology applied was the GRADE-SIGN version, and followed the instructions of the AGREE quality of reporting checklist. Clinical questions, structured according to the PICO (Population, Intervention, Comparator, Outcome) model, were formulated, and systematic literature reviews were carried out according to them...
November 30, 2023: Journal of Cardiovascular Surgery
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JOURNAL ARTICLE
Francesco Squizzato, Michele Piazza, Alessandra Turcatel, Elda C Colacchio, Franco Grego, Michele Antonello
Carotid artery stenting (CAS) represents today an accepted option for the treatment of severe carotid artery stenosis. The evolution of materials, techniques, perioperative medical management and patients' selection, has allowed to progressively reduce CAS complications. However, the main drawback of CAS is still represented by the risk of cerebral embolization, that may occur during several steps of the procedure and also in the early postoperative period. Preoperative carotid plaque morphological characteristics may have a great role in determining the risk of embolization during CAS...
November 28, 2023: Journal of Cardiovascular Surgery
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JOURNAL ARTICLE
Luca Ginanni Corradini, Luciano Maresca, Pierleone Lucatelli, Simone Balocco, Adolfo D'Onofrio, Matteo Stefanini
BACKGROUND: This study aims to assess the role and safety of post-dilatation in protected carotid artery stenting (PCAS) using the new MicroNet covered stent generation assessed by cone beam CT scans. METHODS: From March 2020 to March 2022, patients were enrolled in the study according to CT angiography results based on the following criteria: Evidence of 70% to 99% carotid stenosis in asymptomatic patients and 50% to 99% in symptomatic patients, per the NASCET index...
November 28, 2023: Journal of Cardiovascular Surgery
#34
JOURNAL ARTICLE
Renxi Li, Stephen Huddleston
BACKGROUND: For myocardial revascularization, coronary artery bypass grafting (CAGB) and percutaneous coronary intervention (PCI) are two common modalities but with high in-hospital mortality. A Comorbidity Index is useful to predict mortality or can be used with other covariates to develop point-scoring systems. This study aimed to develop specific comorbidity indices for patients who underwent coronary artery revascularization. METHODS: Patients who underwent CABG or PCI were identified in the National Inpatient Sample database between Q4 2015-2020...
November 21, 2023: Journal of Cardiovascular Surgery
#35
JOURNAL ARTICLE
Britt W Warmerdam, Carla S van Rijswijk, Anneke Droop, Claudia J Lucassen, Jaap F Hamming, Jan van Schaik, Joost R van der Vorst
BACKGROUND: Sarcopenia is identified as a predictive factor for adverse outcomes after complex endovascular aortic repair (complex EVAR). Consensus on preferred parameters for sarcopenia is not yet reached. The current study compares three CT-assessed parameters on their association with adverse outcomes after complex EVAR. METHODS: This was a single-center retrospective cohort study. Psoas Muscle Index (PMI), Skeletal Muscle Index (SMI), and lean psoas muscle area (LPMA) were examined by CT-segmentation...
November 21, 2023: Journal of Cardiovascular Surgery
#36
JOURNAL ARTICLE
Lukasz Szkolka, Dorota Lyko-Morawska, Simone Balocco, Lukasz Bedkowski, Michal Buczek, Ewa Medon, Maciej Wolkowski, Maciej Dryjski, Waclaw Kuczmik
BACKGROUND: In a recent randomized study, MicroNet-covered stent (CGuard) significantly reduced procedural and post-procedural cerebral embolism in relation to a single-layer CREST study carotid stent, but real-life clinical practice data are limited. The aim is to prospectively assess clinical outcomes of CGuard as a routine revascularization tool for patients with indication to carotid revascularization. METHODS: From April 2019 to November 2021, 204 elective patients (age 71...
November 10, 2023: Journal of Cardiovascular Surgery
#37
JOURNAL ARTICLE
Sara Speziali, Aaron T Fargion, Elena Giacomelli, Davide Esposito, Rossella DI Domenico, Serena DE Blasis, Gabriele Piffaretti, Carlo Pratesi, Walter Dorigo, Raffaele Pulli
BACKGROUND: The aim of the present study was to assess early and long-term results of open surgical interventions for popliteal artery aneurysms (PAAs) with the use of heparin-bonded expanded polytetrafluorethylene (HePTFE) in a single center, retrospective, non-comparative cohort study. METHODS: A retrospective analysis of a prospectively maintained dataset, including 207 open interventions for PAAs between 2002 and 2022, was performed and 170 procedures carried on with the use of a HePTFE graft were found...
October 23, 2023: Journal of Cardiovascular Surgery
#38
JOURNAL ARTICLE
Andrea Vacirca, Veronica Mirandola, Gianluca Faggioli, Rodolfo Pini, Mauro Gargiulo
CO<inf>2</inf> angiography has been used extensively for the endovascular treatment of aorto-iliac and femoral-popliteal-tibial pathologies, specifically in patients with chronic kidney disease or allergy to iodinated contrast medium (ICM). However, its use in urgent treatment of an acute pseudoaneurysm has never been described before. We report a case of a 39-year-old woman, allergic to iodine, with a recent kidney transplant, who presented in the emergency room with severe pain in the left iliac fossa...
August 1, 2023: Journal of Cardiovascular Surgery
#39
JOURNAL ARTICLE
Piergiorgio Bruno, Maria Grandinetti, Piero Farina, Serena D'Avino, Francesca Graziani, Maria Calabrese, Rosa Lillo, Annalisa Pasquini, Giovanni Alfonso Chiariello, Federico Cammertoni, Marialisa Nesta, Natalia Pavone, Massimo Massetti
BACKGROUND: In patients undergoing mitral valve surgery, restrictive suture annuloplasty (De Vega) for less-than-severe functional tricuspid regurgitation has been proven to be safe and effective. The aim of this study is to determine whether the adjunct of the plication of the posterior tricuspid leaflet with the same running suture (bicuspidized De Vega or "De Kay") is equally safe and effective. METHODS: Single center, retrospective study on patients submitted to suture repair of the tricuspid valve during mitral valve surgery, with either conventional or De Kay, between January 2014 and December 2020...
August 2023: Journal of Cardiovascular Surgery
#40
JOURNAL ARTICLE
Maria A Ruffino, Tom J Konings, Barend M Mees
INTRODUCTION: The covered endovascular reconstruction of aortic bifurcation (CERAB) technique was introduced as a more anatomical and physiological configuration of stents to overcome the limits of standard endovascular technique with kissing stenting in terms of patency and reintervention rates in the treatment of complex aorto-iliac occlusive disease in particular when the aortic bifurcation is involved. The purpose of this systematic review is to report the evolution of this technique during recent years...
August 2023: Journal of Cardiovascular Surgery
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