A meta-analysis of ≥5-year mortality after transcatheter versus surgical aortic valve replacement.
CONCLUSIONS: On the basis of a meta-analysis of 7 PSM studies, TAVI is associated with greater all-cause mortality with ≥5-year follow-up than SAVR. However, another meta-analysis of 3 RCTs suggests no difference in mortality between TAVI and SAVR. PMID: 31666501 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - October 25, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Takagi H, Hari Y, Nakashima K, Kuno T, Ando T, ALICE (All-Literature Investigation of Cardiovascular Evidence) Group Tags: J Cardiovasc Surg (Torino) Source Type: research

Transapical aortic perfusion using a deep hypothermic procedure during descending thoracic or thoracoabdominal aortic surgery.
CONCLUSIONS: Concomitant upper body perfusion by the transapical aortic approach contributes to avoidance of brain and heart complications and maintaining spinal cord circulation under deep hypothermic DTAA/TAAA surgery. PMID: 31640318 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - October 21, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Kise Y, Kuniyoshi Y, Ando M, Maeda T, Inafuku H, Yamashiro S Tags: J Cardiovasc Surg (Torino) Source Type: research

Cost-effectiveness analysis of chimney/snorkel versus fenestrated endovascular repair for high-risk patients with complex abdominal aortic pathologies.
Abstract INTRODUCTION: The aim of this study was to evaluate the cost-effectiveness of chimney(ch-EVAR) vs fenestrated(f-EVAR) aneurysm repair for treatment of complex abdominal aortic pathologies. Endovascular repair of complex abdominal aortic pathologies with involvement of renal arteries includes use of f-EVAR as first line treatment. However, lack of availability and suitability has necessitated an alternative strategy employing parallel or snorkel/chimney grafts (ch-EVAR). EVIDENCE ACQUISITION: Between January 2013 and January 2017, prospectively collected data of elective and symptomatic patients with ...
Source: The Journal of Cardiovascular Surgery - October 21, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Taneva GT, Donas KP, Pitoulias GA, Austermann M, Veith FJ, Torsello G Tags: J Cardiovasc Surg (Torino) Source Type: research

The convergent procedure: a hybrid approach for long lasting persistent atrial fibrillation ablation, the French experience.
CONCLUSIONS: Thoracoscopic hybrid epicardial-endocardial ablation technique proved to be effective and safe to treat long lasting persistent AF patients with previous failed endocardial AF ablation. PMID: 31603290 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - October 9, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Zannis K, Alam W, Sebag FA, Folliguet T, Bars C, Fahed M, Ternacle J, Bergoend E, Hamon D, Lellouche N Tags: J Cardiovasc Surg (Torino) Source Type: research

The effect of a multidisciplinary outpatient team approach on outcomes in diabetic foot care: a single center study.
uml; Ç Abstract BACKGROUND: Recent studies showed no reduction in major amputation rates after introduction of a multidisciplinary team (MDT) approach for the treatment of diabetic foot ulcer. The efficacy of MDTs in the current standard of care is being questioned. This retrospective single-center study evaluated the efficacy of an outpatient MDT approach on limb salvage and ulcer healing in treating diabetic foot ulcers. METHODS: Patients with a diabetic foot ulcer treated before (2015) and after (2017) implementation of an MDT in a single center were compared. The MDT met weekly and consisted of a v...
Source: The Journal of Cardiovascular Surgery - October 9, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Huizing E, Schreve MA, Kortmann W, Bakker JP, de Vries JP, Ünlü Ç Tags: J Cardiovasc Surg (Torino) Source Type: research

Hyperspectral imaging for noninvasive tissue perfusion measurements of the lower leg: review of literature and introduction of a standardized measurement protocol with a portable system.
CONCLUSIONS: Limited evidence indicates that HSI is associated with severity of peripheral arterial disease and diabetes mellitus, and with wound healing. Hyperspectral images with a portable system can be taken with high precision when a standardized measurement protocol is used. However, differences exist at several locations at the lower extremity, so each measurement location should be used as its own reference when consecutive measurements are performed during follow-up. More studies with larger patient cohorts should be performed before HSI can be incorporated as standard tool in the diagnostic armamentarium of the v...
Source: The Journal of Cardiovascular Surgery - October 9, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Kleiss SF, Ma KF, Schuurmann RC, El Moumni M, Zeebregts CJ, Bokkers RP, Ünlü Ç, de Vries JP Tags: J Cardiovasc Surg (Torino) Source Type: research

Quantification of muscle mass in the legs of patients with peripheral arterial occlusive disease: associations between volumetric and cross-sectional single-slice measurements for identification of atrophy and focal sarcopenia.
CONCLUSIONS: Segmentation of skeletal muscle mass from cross-sectional single-slice CT in the upper and lower leg can accurately and precisely substitute complete volume segmentations. These findings warrant the use of measurements based on cross-sectional single-slice CT for assessing the LESMI. Patients with systemic sarcopenia are also at increased risk for muscle mass loss in the lower extremities. In the current study, LESMI was lower in patients with Fontaine class IV PAOD compared to patients with Fontaine classIIb PAOD. Future studies should assess the predictive value of the LESMI on clinical outcomes in PAOD pati...
Source: The Journal of Cardiovascular Surgery - October 9, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Ma KF, Berends B, Vedder IR, Levolger S, Gupta M, Schuurmann RC, de Vries JP, Bokkers RP Tags: J Cardiovasc Surg (Torino) Source Type: research

Medical adjunctive therapy for patients with chronic limb-threatening ischemia: a systematic review.
uml; Ç Abstract INTRODUCTION: To systematically review the literature on medical adjunctive therapy for patients with chronic limb-threatening ischemia (CLTI). EVIDENCE ACQUISITION: MEDLINE, Embase, and Cochrane Database of Systematic Reviews were searched for studies published between January 1, 2009, and June 1, 2019. Articles that studied medical treatment of CLTI patients and reported clinical outcomes were eligible. Main exclusion criteria were case reports
Source: The Journal of Cardiovascular Surgery - October 9, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Ipema J, Roozendaal NC, Bax WA, de Borst GJ, de Vries JP, Ünlü Ç Tags: J Cardiovasc Surg (Torino) Source Type: research

Drug coated balloon supported Supera stent versus Supera stent in intermediate and long-segment lesions of the superficial femoral artery: 2-year results of the RAPID trial.
Abstract BACKGROUND: Endovascular treatment of occlusive disease of the superficial femoral artery (SFA) has evolved from plain old balloon angioplasty (POBA) through primary stenting strategy to drug eluting technology-based approach. The RAPID trial investigates the added value of drug coated balloons (DCB, Legflow) in a primary stenting strategy (Supera stent) for intermediate (5-15 cm) and long segment (>15 cm) SFA lesions. METHODS: In this multicenter, patient-blinded trial, 160 patients with intermittent claudication, ischemic rest pain, or tissue loss due to intermediate or long SFA lesions were ran...
Source: The Journal of Cardiovascular Surgery - October 9, 2019 Category: Cardiovascular & Thoracic Surgery Authors: de Boer SW, de Vries JP, Werson DA, Fioole B, Vroegindeweij D, Vos JA, van den Heuvel D, RAPID trial investigators Tags: J Cardiovasc Surg (Torino) Source Type: research

The role of infragenicular spliced vein bypass surgery in patients with chronic limb-threatening ischemia; single centre long-term results.
Abstract BACKGROUND: In patients requiring infrageniculate surgical revascularization a single-segment great saphenous vein (SS-GSV) is the optimal conduit. In the absence of a SS-GSV, the small saphenous vein and arm veins can also be used to obtain an all-autologous bypass. The aim of this study was to compare the long- term results of infrageniculate SS-GSV bypasses and spliced vein bypasses in patients with chronic limb-threatening ischemia (CLTI). METHODS: A total of 308 consecutive CLTI patients who underwent a primary infragenicular, autologous bypass between January 2000 and December 2016 were include...
Source: The Journal of Cardiovascular Surgery - October 9, 2019 Category: Cardiovascular & Thoracic Surgery Authors: van Mierlo-van den Broek PA, Bekkers WJ, van 't Land F, van Mierlo AG, de Smet AA, Fioole B Tags: J Cardiovasc Surg (Torino) Source Type: research

Is size of infarct or clinical picture that should delay urgent carotid endarterectomy? A meta-analysis.
ulo M Abstract INTRODUCTION: The best timing for carotid endarterectomy in patients with stroke is still matter of debate, particularly in case of significant cerebral ischemic lesion or neurological deterioration. The present review and meta-analysis aims to report the best evidence in the outcome of patients submitted to urgent (
Source: The Journal of Cardiovascular Surgery - October 9, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Pini R, Faggioli G, Vacirca A, Dieng M, Fronterrè S, Gallitto E, Mascoli C, Stella A, Gargiulo M Tags: J Cardiovasc Surg (Torino) Source Type: research

CEA vs stent in patients with acute strokes: are they equally effective?
CONCLUSIONS: Carotid endarterectomy continues to demonstrate effectiveness and safety for management of acute strokes, while carotid stenting has limitations. Carotid artery stenting has been shown to be non-inferior in some patient populations, but more recent and future technologic developments may expand the potential acceptable patient selection criteria. PMID: 31603298 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - October 9, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Caliste X, Laser A, Darling RC Tags: J Cardiovasc Surg (Torino) Source Type: research

Carotid body tumor contemporary management in a high-volume centre.
Abstract BACKGROUND: The aim of this study is to report our results with carotid body tumour (CBT) surgical management. METHODS: Between 2010 and 2018, 100 CBTs (mean age: 48.0 years, range 21-80 years old) were treated in our centre. The patients were classified in 3 groups according to the size: group I (5 cm). RESULTS: Surgical resection was performed in 88 patients and conservative treatment in 2 cases. Nine patients were treated for bilateral involvement and one of them was also treated again for a relapse. Postoperatively, cranial nerve injury (CNI) was significantly higher in group II [3 (8.3%) vs...
Source: The Journal of Cardiovascular Surgery - October 4, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Mascia D, Esposito G, Ferrante A, Grandi A, Melissano G, Chiesa R Tags: J Cardiovasc Surg (Torino) Source Type: research

Comparison of automated fastener device Cor-Knot versus manually tied knot in minimally-invasive isolated aortic valve replacement surgery.
Abstract BACKGROUND: The aim of our prospective study was to evaluate the efficacy and the safety of the Cor-Knot device in isolated aortic valve replacement by right anterior minithoracotomy. METHODS: A single-center, prospective study was conducted between September 2009 and June 2018. Four hundred and forty patients were operated on for aortic valve replacement by right anterior minithoracotomy. Of these patients, 221 underwent isolated AVR surgery with stented prosthesis. Sutures were secured using the Cor-Knot titanium fastener in 63 patients (28.5%) and knots were hand-tied in 158 (71.5%). Statistical a...
Source: The Journal of Cardiovascular Surgery - October 4, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Morgant MC, Malapert G, Petrosyan A, Pujos C, Jazayeri S, Bouchot O Tags: J Cardiovasc Surg (Torino) Source Type: research

Assessment of compromised parasternal skin perfusion after left internal mammary artery harvesting with a novel laser doppler imaging.
Abstract BACKGROUND: Our aim was to investigate the impact of the non-skeletonised (pedicled) versus the skeletonized left internal mammary (LIMA) harvesting technique on the postoperative sternal and parasternal skin perfusion in patients undergoing coronary artery bypass grafting (CABG), as compared to patients undergoing non-CABG heart surgery. METHODS: We included 142 patients who underwent non-bypass (n = 39) or CABG surgery (n = 103). CABG cases were differentiated according to the LIMA-harvesting technique: skeletonized (n = 74) or non-skeletonised (n = 29). Parasternal and sternal skin perfusion measu...
Source: The Journal of Cardiovascular Surgery - October 4, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Shahinian JH, Cogliatti L, Gahl B, Berdajs D, Grapow M, Eckstein F, Reuthebuch O Tags: J Cardiovasc Surg (Torino) Source Type: research

Early and late outcomes of aortic surgery under hypothermic circulatory arrest in the elderly: a single center study.
The objective of this study is to analyze early and late outcomes of aortic surgery with hypothermic circulatory arrest in patients aged 70 and above at our institution. METHODS: We performed a retrospective cohort study including every patient aged 70 years or older who underwent aortic surgery with hypothermic circulatory arrest between January 1995 and June 2016 at our institution. Operative results were compared with the contemporary younger counterparts aged
Source: The Journal of Cardiovascular Surgery - October 4, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Mauduit M, Anselmi A, Tomasi J, Belahj Soulami R, Roisné A, Flecher E, Rouzé S, Verhoye JP Tags: J Cardiovasc Surg (Torino) Source Type: research

Minimally invasive coronary artery bypass surgery via lower mini-sternotomy.
Abstract PMID: 31599144 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - October 4, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Martinovic I, Lindemann S, Martinovic L, Vcev A, Malenica L, Wittlinger T Tags: J Cardiovasc Surg (Torino) Source Type: research

Management strategies for true and dissecting visceral artery aneurysms.
CONCLUSIONS: Small (
Source: The Journal of Cardiovascular Surgery - October 4, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Keschenau PR, Kaisaris N, Jalaie H, Grommes J, Kotelis D, Kalder J, Jacobs MJ Tags: J Cardiovasc Surg (Torino) Source Type: research

Anaerobic Threshold (AT) is an independent predictor of medium term survival following elective endovascular repair of abdominal aortic aneurysm (EVAR).
Abstract BACKGROUND: The aim of this study was to examine the value preoperative AT as predictor of postoperative survival in patients who underwent elective EVAR for repair of asymptomatic AAA. METHODS: Consecutive patients who underwent elective EVAR between 2008 and 2018 were analysed. Cardiopulmonary exercise testing was performed. Perioperative/30 day mortality was compared between patients who had AT ≥8 ml kg-1 min-1 and those with AT
Source: The Journal of Cardiovascular Surgery - October 4, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Dawkins C, Hollingsworth AC, Walker P, Milburn S, Danjoux G, Cheesman M, Mofidi R Tags: J Cardiovasc Surg (Torino) Source Type: research

Current insights in the management of critical limb threatening ischemia.
Abstract PMID: 31560187 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - September 23, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Vos CG, de Vries JP Tags: J Cardiovasc Surg (Torino) Source Type: research

Angioplasty or bare metal stent versus drug-eluting endovascular treatment in femoropopliteal artery disease: a systematic review and meta-analysis.
Abstract INTRODUCTION: Endovascular treatment represents nowadays the preferred therapeutic approach for disabling femoro-popliteal arterial occlusive disease in fit patients. In the latest years, in order to improve short- and long-term outcomes, drug eluting devices have been developed. Drug coated balloons (DCB) and drug eluting stents (DES) are today employed in clinical practice, and several studies has been completed to assess their performance in different clinical scenarios. Objective of the present review and meta-analysis is to compare clinical results of different endovascular treatment modalities in th...
Source: The Journal of Cardiovascular Surgery - September 13, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Varetto G, Gibello L, Boero M, Frola E, Peretti T, Spalla F, Verzini F, Rispoli P Tags: J Cardiovasc Surg (Torino) Source Type: research

Antiplatelet strategy after transcatheter aortic valve replacement: an updated meta-analysis.
Abstract BACKGROUND: Recently transcatheter aortic valve replacement (TAVR) has emerged as a feasible alternative for tranditional surgical aortic valve replacement (SAVR) in patients with intermediate to high risk. There is currently no clear consensus regarding the optimal antiplatelet strategy after TAVR. The primary objective of this updated meta-analyses was to compare the outcomes of dual antiplatelet therapy (DAPT) versus single antiplatelet therapy (SAPT) following TAVR. METHODS: A meta-analysis of eligible studies of patients undergoing TAVR which reported our outcomes of postoperative DAPT in compar...
Source: The Journal of Cardiovascular Surgery - September 3, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Ma X, Xu Z, Li J, Zhao D, Kong X, Ma J, Ma H, Yun Y, Sun L, Zhang Y, Wei D, Jiao Q, Zou C, Wang Z Tags: J Cardiovasc Surg (Torino) Source Type: research

The early days of vascular and heart valve prostheses: a historical review.
FL Abstract This surgical heritage article provides a historical overview of the most important early advances of vascular- and valvular surgery, that lead to the development of currently used vascular- and valvular prostheses and materials. The first writings describing techniques in vascular surgery mainly focussed on haemorrhage control and date from around 1600 B.C. The strategy of vessel ligation was first mentioned in Western literature around 200 B.C. In the 18th century, techniques of ligation were expanded towards attempts of vessel restoration. The first artificial vascular prosthesis was made in 1894. ...
Source: The Journal of Cardiovascular Surgery - September 3, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Basir A, Loncq de Jong M, Gründeman PF, van Herwaarden JA, Kluin J, Moll FL Tags: J Cardiovasc Surg (Torino) Source Type: research

Short-term outcomes and predictors of in-hospital mortality with the use of veno-arterial extracorporeal membrane oxygenation in elderly patients with refractory cardiogenic shock.
Abstract PMID: 31315389 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - July 16, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Sertic F, Diagne D, Rame E, Wald J, Richards T, Chavez L, Na S, Jason H, Patrick W, Habertheuer A, Gutsche J, Vallabhajosyula P, Desai N, Atluri P, Acker MA, Bermudez C Tags: J Cardiovasc Surg (Torino) Source Type: research

Protocolized hemostatic factor use in major thoracic aortic surgery.
Abstract PMID: 31302952 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - July 12, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Wagner MA, Wang H, Benrashid E, Keenan JE, Krishnamurthy Y, Levy JH, Welsby IJ, Hughes GC Tags: J Cardiovasc Surg (Torino) Source Type: research

Meta-analysis of prognostic impact of peripheral arterial disease on mortality after transcatheter aortic valve implantation.
Abstract BACKGROUND: To determine whether peripheral arterial disease (PAD) is an independent predictor of mortality in patients who undergo transcatheter aortic valve implantation (TAVI), we performed meta-analysis of currently available studies. METHODS: MEDLINE and EMBASE were searched through June 2018 using Web- based search engines (PubMed and OVID). We included comparative studies of patients with PAD versus those without PAD and cohort studies which investigated PAD as one of prognostic factors of mortality, which used the multivariable analysis and reported an adjusted odds and hazard ratio (OR/HR) f...
Source: The Journal of Cardiovascular Surgery - July 12, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Takagi H, Hari Y, Nakashima K, Kuno T, Ando T, ALICE (All-Literature Investigation of Cardiovascular Evidence) Group Tags: J Cardiovasc Surg (Torino) Source Type: research

Evaluation of myocardial injury, the need for vasopressors and inotropic support in beating-heart aortic arch surgery.
CONCLUSIONS: By applying selective normothermic myocardial perfusion, beating-heart aortic arch surgery has the potential to reduce the need for perioperative inotrops, and it might reduce myocardial injury. This approach is a potentially useful adjunct to our armamentarium, particularly in patients with preexisting myocardial damage or in conjunction of arch repair together with other cardiac procedures. PMID: 31302954 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - July 12, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Berger T, Kreibich M, Rylski B, Morlock J, Kondov S, Scheumann J, Kari FA, Staier K, Maier S, Beyersdorf F, Czerny M, Siepe M Tags: J Cardiovasc Surg (Torino) Source Type: research

Improvements in patient outcomes with next generation endovascular aortic repair devices in the engage global registry and the EVAR-1 clinical trial.
CONCLUSIONS: EVAR patient outcomes have improved since the time of the original EVAR vs. OSR trials and data from real-world registries should be considered a primary resource for developing new guidelines for patient selection and management. PMID: 31293141 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - July 9, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Böckler D, Power AH, Bouwman LH, van Sterkenburg S, Bosiers M, Peeters P, Teijink JA, Verhagen HJ, ENGAGE investigators Tags: J Cardiovasc Surg (Torino) Source Type: research

Structural analysis of the mitral valve in rheumatic and degenerative mitral valve diseases: implications for annuloplasty selection.
CONCLUSIONS: Annular unsaddling was significantly more prevalent in the degenerative MV disease group. The mitral annulus of patients with RVD tended to be round and stiff. PMID: 31274274 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - July 5, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Li Y, Zhang H, Zhang H, Luo T, Wang J, Zhu Z, Han J, Li Y, Meng X Tags: J Cardiovasc Surg (Torino) Source Type: research

3D printing of aortic models as a teaching tool for improving understanding of aortic disease.
CONCLUSIONS: Preliminary data suggest that the use of 3D-printed aortic models as a teaching tool was feasible and improved the understanding of aortic disease among surgical trainees. PMID: 31256581 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - June 26, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Spinelli D, Marconi S, Caruso R, Conti M, Benedetto F, De Beaufort H, Auricchio F, Trimarchi S Tags: J Cardiovasc Surg (Torino) Source Type: research

Treatment algorithm for long segment femoropopliteal disease.
Abstract PMID: 31241267 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - June 21, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Bosiers M Tags: J Cardiovasc Surg (Torino) Source Type: research

Is vessel prep necessary before treating the SFA?
Abstract The standard of care for treating symptomatic peripheral arterial disease has been percutaneous transluminal angioplasty (PTA) with or without stenting over the last couple of years. This endovascular treatment of claudicants or patients with critical limb ischemia (CLI) has increased in numbers and has even surpassed open surgery. Our daily practice has evolved to an endovascular-first approach, especially in the femoropopliteal region, being the most frequently treated vessel. However, neointimal hyperplasia and elastic recoil leading to target lesion restenosis or occlusion after initial successful tre...
Source: The Journal of Cardiovascular Surgery - June 21, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Bosiers M Tags: J Cardiovasc Surg (Torino) Source Type: research

How to deal with calcium in the SFA.
Abstract Despite the continuous evolution of endovascular therapy, severe calcification remains a major issue for the minimally invasive treatment of superficial femoral artery (SFA) disease. The presence of calcium might negatively affect both the crossing of peripheral lesions and outcomes of all available treatment modalities and is therefore associated with unfavorable acute and long- term results. This manuscript summarizes the challenges raised from severe calcified atherosclerotic lesions and presents the outcomes of the various endovascular modalities in the treatment of calcified SFA disease. PMID: 3...
Source: The Journal of Cardiovascular Surgery - June 21, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Stavroulakis K, Argyriou A, Watts M, Varghese JJ, Estes BA, Torsello G, Bisdas T, Huasen B Tags: J Cardiovasc Surg (Torino) Source Type: research

Comments on the current crisis with paclitaxel eluting lower extremity endovascular devices.
Abstract PMID: 31165608 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - June 4, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Veith FJ Tags: J Cardiovasc Surg (Torino) Source Type: research

Risk factors predictive of unfavorable distal aortic remodeling after surgical repair of type A thoracic aortic dissection.
CONCLUSIONS: Patient risk factors predict unfavorable long term morphologic outcomes in the remaining aorta after AAD surgical repair. These factors can be used as markers to identify patients who may benefit from closer surveillance and possibly earlier endovascular intervention to the distal thoracic aorta. PMID: 31140769 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - May 27, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Rhee R, Gupta A, Vechvitvarakul S, Hoque M, Ruggiero M, Shih M, Youdelman B, Drapkin J, Shin M, Jacob T Tags: J Cardiovasc Surg (Torino) Source Type: research

The influence of Internal iliac artery occlusion after endovascular abdominal aneurysm repair on buttock claudication and erectile dysfunction: a matched case-control study.
CONCLUSIONS: In conclusion, intentional occlusion of the IIA increased the incidence of short- and long-term BC but did not affect the prevalence of erectile dysfunction. The impact of IIA occlusion on VascuQoL and WIQ scores was limited and probably not clinically relevant. PMID: 31140264 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - May 20, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Luijten JC, Poyck PP, D'hauwers K, Warlé MC Tags: J Cardiovasc Surg (Torino) Source Type: research

Transcatheter plug occlusion for various complications after cardiac/thoracic aortic surgery.
Abstract PMID: 31140265 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - May 20, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Katada Y, Tabata M, Nakanaga H, Takahashi A, Irie Y, Shimokawa T Tags: J Cardiovasc Surg (Torino) Source Type: research

Preclinical and clinical evaluation of a novel synthetic bioresorbable, on demand light activated sealant in vascular reconstruction.
CONCLUSIONS: The new synthetic on-demand light activated PGSA-based SETALIUMTM VASCULAR SEALANT investigated in our studies demonstrated good biocompatibility, sustained and gradual surface based bioresorption, and acceptable safety profile in animal studies. In addition, the first in-human use showed that the sealant is a safe and effective alternative to achieve fast and controlled hemostasis in vascular carotid reconstructions. A larger randomized controlled study will allow further validation of these encouraging preliminary results. PMID: 31089086 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - May 10, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Pellenc Q, Touma J, Coscas R, Edorh G, Pereira M, Karp J, Castier Y, Desgranges P, Alsac JM Tags: J Cardiovasc Surg (Torino) Source Type: research

The burden of amputation in patients with peripheral arterial disease (PAD) in the Netherlands.
CONCLUSIONS: Amputation leads to substantial burden in patients with PAD in the Netherlands. Identified results give a better understanding of the specific Dutch burden of amputation. PMID: 31089087 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - May 10, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Spoorendonk JA, Krol M, Alleman C Tags: J Cardiovasc Surg (Torino) Source Type: research

Hybrid surgical treatment in patients with combined atherosclerotic lesion of coronary and carotid arteries.
Abstract PMID: 31089077 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - May 8, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Chernyavskiy A, Edemskiy A, Moskalev A, Alshevskaya A, Gladkikh V Tags: J Cardiovasc Surg (Torino) Source Type: research

Meta-analysis of prognostic impact of blood transfusion on survival after transcatheter aortic valve implantation.
Abstract PMID: 31089078 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - May 8, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Takagi H, Hari Y, Kawai N, Kuno T, Ando T, ALICE (All-Literature Investigation of Cardiovascular Evidence) Group Tags: J Cardiovasc Surg (Torino) Source Type: research

The current state of surgical bypass versus drug eluting stents for long femoropopliteal occlusive lesions.
Abstract Considerable advances have been made over the last decade in the management of patients with peripheral artery disease. Historically, endovascular treatment has been the accepted approach for short lesions and surgical bypass for long, complex femoropopliteal lesions. However, bypass surgery holds significant risk of mortality and morbidity for the patient. That toll includes prolonged hospitalization, as well as the potential for wound healing and systemic complications, all of which are intensified by the ageing population. Advances in endovascular devices, such as drug eluting stents present an alterna...
Source: The Journal of Cardiovascular Surgery - May 2, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Yanagisawa W, Gomes ML, Menting TP, Deloose KR, Varcoe RL Tags: J Cardiovasc Surg (Torino) Source Type: research

Current concepts regarding drug dosing for peripheral stents.
Abstract Drug eluting stent (DES) are the mainstay therapy for the treatment of coronary artery disease. Stent design and drug elution strategies have evolved over the years leading to the last generation DES which shows optimal safety and efficacy outcome. Peripheral arteries have different mechanical and biological features and the lessons learned from the coronary field have been difficult to introduce into the development of peripheral vascular technologies. First, due to its complex biomechanical behavior the use of metallic stents is limited in some vascular segments (i.e., distal SFA). Also, peripheral vasc...
Source: The Journal of Cardiovascular Surgery - May 2, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Ferrone M, Cheng Y, Granada JF Tags: J Cardiovasc Surg (Torino) Source Type: research

Shape memory of in-body tissue-engineered "Biotube" vascular grafts and the preliminary evaluation in animal implantation experiments.
CONCLUSIONS: By retaining iBTA-induced tissues in an alcohol solution in the target shape, the shape of the tissues was imprinted and maintained even after implantation within a limited acute period. Therefore, in order to obtain tissues of various shapes, it is unnecessary to use a mold design to maintain the individual shape. PMID: 31058478 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - April 30, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Nakayama Y, Furukoshi M, Tatsumi E Tags: J Cardiovasc Surg (Torino) Source Type: research

Drug-eluting stents for PAD, what does (all) the data tell us?
Abstract When the FDA approved the use of a paclitaxel-coated stent in the peripheral arteries in November of 2012, a new era in the treatment of peripheral arterial disease (PAD) emerged. This marked, for the first time in the United States, that a drug-eluting device was available to treat this complex arterial bed, and has likely changed forever how PAD is treated. Prior to this, US physicians had been using drug-eluting stents (DES) in the coronary arteries for 8 years with exceptional results in both safety and efficacy. Since the Zilver®PTX® (Cook Medical, Bloomington, IN USA) was released, multiple ...
Source: The Journal of Cardiovascular Surgery - April 30, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Phillips J Tags: J Cardiovasc Surg (Torino) Source Type: research

One-year outcome of the everolimus eluting, balloon expandable Promus Element and Promus Element Plus stent in the treatment of below-the-knee lesions in patients with critical limb ischemia.
Abstract BACKGROUND: To investigate the efficacy of the balloon expandable Promus Element and Promus Element Plus stent , coated with everolimus, in the treatment of short, focal infrapopliteal lesions. METHODS: The PREVENT study was a prospective, multi-center, non-randomized, single arm study evaluating the safety and efficacy of the Promus Element and Promus Element Plus stent in the treatment of stenotic or occlusive lesions ≤40 mm long in the tibioperoneal arteries of patients with critical limb ischemia (CLI). A total of 70 study subjects were enrolled in a period of 26 months, between November 2012 ...
Source: The Journal of Cardiovascular Surgery - April 15, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Taeymans K, Bosiers M, Deloose K, Callaert J, Keirse K, Verbist J, van der Eynde W, Torsello G, Wauters J Tags: J Cardiovasc Surg (Torino) Source Type: research

Recent developments and current controversies in short stay endovascular aneurysm repair.
CONCLUSIONS: Short-stay EVAR pathways are safe and acceptable to patients. With appropriate selection of motivated patients, successful expedited discharge can be achieved with limited readmissions, thus facilitating increased resource efficiency and cost savings for healthcare providers. PMID: 30994308 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - April 15, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Preece R, Stenson K, Shaw S, Budge J, Patterson B, Holt P, Loftus I Tags: J Cardiovasc Surg (Torino) Source Type: research

Drug coated balloons versus drug eluting stents in the femoropopliteal artery comparing apples to oranges?
Abstract Superficial femoral and popliteal artery disease are commonly involved in the development of symptomatic PAD. As time has gone on drug coated stents and drug coated balloons have supplanted the plain balloon angioplasty corner stone of therapy with superiority proven in randomized trials. Device approval trials are typically characterized by simple lesions that are less common than the longer complex disease. Registry data has demonstrated benefit of both technologies though drug coated balloons typically require a significant amount of adjunctive stenting in more complex disease. Recently published rando...
Source: The Journal of Cardiovascular Surgery - April 15, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Ansel GM Tags: J Cardiovasc Surg (Torino) Source Type: research

The most important news in the new ESVS 2019 clinical practice guidelines on the management of abdominal aorto-iliac artery aneurysm.
Abstract The "new" and updated European Society for Vascular Surgery (ESVS) 2019 Clinical Practice Guidelines on the Management of Abdominal Aorto-iliac Artery Aneurysm, published in the 2019 January issue of the European Journal of Vascular and Endovascular Surgery, is an extensive document offering 125 recommendations of clinical importance on the management of AAA, accompanied by a comprehensive supporting text that summarizes the literature and motivates the positions made. Several new topics, not addressed in the previous guidelines, are included. Here we summarises the most important news in the ne...
Source: The Journal of Cardiovascular Surgery - April 3, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Wanhainen A, Mani K, De Borst GJ Tags: J Cardiovasc Surg (Torino) Source Type: research

Management of the sciatic nerve during trans-femoral amputation: a survey of Dutch surgeons.
CONCLUSIONS: All techniques of transecting the sciatic nerve are currently performed by Dutch surgeons. These results provide a solid basis to perform future studies to investigate whether a specific surgical technique is related to post-amputation pain syndromes. PMID: 30917649 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - March 27, 2019 Category: Cardiovascular & Thoracic Surgery Authors: De Bruijn ME, Arts CH, van de Meent H, Frölke JP Tags: J Cardiovasc Surg (Torino) Source Type: research