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203 * the early and mid-term results of total arch debranching thoracic endovascular aortic repair with zone 0 landing compared with the open stent grafting technique
Conclusions: We achieved satisfactory early and mid-term results with total arch debranching TEVAR. This technique may become an alternative to open arch repair.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Shijo, T., Kuratani, T., Shirakawa, Y., Torikai, K., Shimamura, K., Sakamoto, T., Watanabe, Y., Ueno, T., Toda, K., Sawa, Y. Tags: Late outcome after thoracic endovascular aortic repair: Justifying, or preventing, a more liberal use? Source Type: research

227 * differences in clinical outcomes after contemporary coronary artery bypass grafting in the united states and europe: insights from the syntax randomized trial and registry
Conclusions: MACCE rates during three-year follow-up in the SYNTAX trial were significantly higher in the US as opposed to Europe. However, this appears to be entirely driven by increased rates of repeat PCI.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Head, S., Mohr, F., Mack, M. J., Serruys, P. W., Morice, M., Holmes, D. R., Feldman, T., Dawkins, K., Kappetein, A. P. Tags: Coronary artery bypass grafting II Source Type: research

228 * minimally invasive direct coronary bypass grafting versus percutaneous coronary intervention for single-vessel disease: a systematic review with meta-analysis of 2731 patients
Conclusions: The present systematic review underscores the superiority of MIDCAB over PCI for the treatment of single-vessel disease of the LAD.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Deppe, A. C., Liakopoulos, O. J., Kuhn, E. W., Slottosch, I., Scherner, M., Rahmanian, P., Choi, Y., Wahlers, T. Tags: Coronary artery bypass grafting II Source Type: research

232 * early anticoagulation therapy after bioprosthetic aortic valve implantation: comparing warfarin versus aspirin
Conclusions: This is to date the largest randomized trial comparing warfarin to aspirin as early anticoagulation therapy after implantation of bioprosthetic aortic valves. The results are not conclusive, but aspirin therapy seems as safe as warfarin therapy, and with significantly fewer gastrointestinal bleeding events, three months after surgery.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Rafiq, S., Steinbruchel, D. A., Moeller, C. H., Lund, J., Thiis, J. J., Koeber, L., Lilleoer, N. B., Olsen, P. S. Tags: Decision-making in aortic valve repair Source Type: research

238 * single-centre experience with second-generation devices for transapical transcatheter aortic valve implantation
Conclusions: TA-AVI 2nd using JenaValve and Symetis Acurate devices yield excellent acute clinical and haemodynamic outcomes. Ease of implantability and good functional outcome with low rates of relevant PVL appear to be the most obvious improvements compared to first-generation devices. Before recommendations on which device is best suited for which patient can be made, experience with larger patient numbers has to be awaited.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Treede, H., Seiffert, M., Conradi, L., Diemert, P., Schirmer, J., Blankenberg, S., Schnabel, R., Reichenspurner, H. Tags: Transcatheter aortic valve implantation: The real-world experience Source Type: research

239 * transapical transcatheter aortic valve implantation without prior balloon aortic valvuloplasty: feasible and safe
Conclusions: TA-AVI-BAV is feasible and safe and has become our default technique for TA-AVI with balloon-expandable devices. It resulted in less contrast agent used and facilitated the procedure without compromising valve performance. The effects of TA-AVI-BAV on the incidence of cerebrovascular events or valve performance need to be verified in larger patient numbers before general recommendations can be made.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Conradi, L., Seiffert, M., Schirmer, J., Koschyk, D., Blankenberg, S., Reichenspurner, H., Treede, H., Diemert, P. Tags: Transcatheter aortic valve implantation: The real-world experience Source Type: research

240 * first experience without pre-ballooning in transapical aortic valve implantation: a propensity score-matched analysis
Conclusions: Direct transapical implantation of the SAPIEN valve without pre-ballooning is feasible, safe, does not seem to compromise functional outcome and might be associated with fewer neurological events.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Kempfert, J., Meyer, A., Kim, W., Van Linden, A., Arsalan, M., Blumenstein, J., Mollmann, H., Walther, T. Tags: Transcatheter aortic valve implantation: The real-world experience Source Type: research

243 * quality of life as an integral aspect of transapical transcatheter aortic valve implantation outcome
Conclusions: In conclusion, self-assessment by the SF-36 survey is an effective instrument with which to evaluate disease-related life quality. For evaluation of TA-TAVI efficiency, QoL should be analysed in addition to clinical parameters. Due to considerably impaired QoL PCS and MCS scores, careful psychological supervision of TA-TAVI patients has to be considered in the pre- and postoperative course.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Sterner, D., Schiller, W., Welz, A., Gessner, C., Sinnig, M., Dewald, O., Duerr, D., Mellert, F. Tags: Transcatheter aortic valve implantation: The real-world experience Source Type: research

248 * long-term circulatory support with rotary blood pumps: is it worthwhile?
Conclusions: Patients on long-term support have an excellent haemodynamic profile and show an acceptable risk-benefit ratio. Although heart transplantation remains the ultimate target at present, our data show that long-term circulatory support is a viable option with the potential to become a more permanent solution in the long-term.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Capoccia, M., Sabashnikov, A., Mohite, P. N., Garcia Saez, D., Zych, B., Hards, R., Bowles, C. T., Moza, A., De Robertis, F., Bahrami, T., Amrani, M., Banner, N. R., Simon, A. R. Tags: Left ventricular assist devices II: Long-term support Source Type: research

267 * first registry results from the newly approved transapical acurate transcatheter aortic valve implantation device
Conclusions: The short-term results of the registry show a safety and efficacy profile comparable, if not improved in some aspects, to longer approved TAVI devices. These real-world data highlight excellent functional outcome with 97.3% of patients without a relevant leak (<2+).
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Kempfert, J., Holzhey, D. M., Hoffmann, S., Girdauskas, E., Treede, H., Schroefel, H., Thielmann, M., Walther, T. Tags: Transcatheter aortic valve implantation: Crossing the chasm I Source Type: research

268 * cerebral embolization during transcatheter aortic valve implantation compared with surgical aortic valve replacement
Conclusions: Surgical AVR is associated with more cerebral emboli than TAVI. Emboli were detected by TCD in all patients during TAVI and AVR. The main source of emboli was termination of bypass (most probably air emboli) and device implantation during AVR and TAVI, respectively.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Alassar, A., Roy, D., Valencia, O., Brecker, S., Jahangiri, M. Tags: Transcatheter aortic valve implantation: Crossing the chasm I Source Type: research

142 * transcatheter aortic valve implantation through carotid artery access under local anaesthesia
Conclusions: TAVI through the CCA approach under LA is feasible and safe in high-risk patients. It allows continuous neurological status monitoring with low risk of stroke, minimal vascular complication risk, excellent bleeding control and immediate patient mobilization. It appears a valuable alternative option compared to transapical, transaxillary or transaortic accesses for patients who cannot undergo transfemoral TAVI.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Azmoun, A., Amabile, N., Ramadan, R., Ghostine, S., Brenot, P., Caussin, C., Deleuze, P., Nottin, R. Tags: Transcatheter aortic valve implantation: Expanding indications and techniques Source Type: research

151 * comparison of intermittent cold versus intermittent warm blood cardioplegia in 2200 adult cardiac surgery patients
Conclusions: In elective cardiac surgery, there was no difference in clinical outcome between cold and warm blood cardioplegia. In emergency patients, however, with most of them operated on in acute coronary syndrome, warm cardioplegia might be an option to improve outcome.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Trescher, K., Gleiss, A., Boxleitner, M., Dietl, W., Kassal, H., Holzinger, C., Podesser, B. Tags: Cardiac potpourri Source Type: research

183 * the use of bilateral internal thoracic arteries increases long-term survival in elderly patients: a propensity-matched analysis
Conclusions: The use of bilateral thoracic arteries improves the long-term survival after CABG, but increases the risk of postoperative sternal wound complications. A more extensive use in the elderly population should be advocated, but only in selected patients with low risk of sternal complications.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Pettinari, M., Meuris, B., Sergeant, P. Tags: Arterial revascularization Source Type: research

188 * clinical and angiographic comparison of bilateral internal thoracic artery configurations: y composite grafting is superior to in situ
Conclusions: Composite grafting showed better clinical outcome in this single RITA anastomosis setting and could be the best option.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: de Beco, G., El Khoury, G., Noirhomme, P., de Kerchove, L., Astarci, P., Etienne, P., Glineur, D. Tags: Arterial revascularization Source Type: research

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