Search results for "OUTCOME"

showing 10 items of 5148 documents

Early results of a low-profile stent-graft for thoracic endovascular aortic repair

2020

Purpose To assess outcomes of a low-profile thoracic stent-graft in the treatment of thoracic aortic pathologies. Methods A retrospective analysis of all consecutive patients with aortic thoracic pathologies treated with the RelayPro device in two university hospitals between October 2018 and July 2019. Results 23 patients (65% men; mean age 63.4 ± 15 years) were treated. Pathologies included aortic dissections (n = 10), 5 residual type A (22%) and 5 type B (22%), 6 degenerative aortic aneurysms (26%), 4 penetrating aortic ulcers (17%), and aortic erosion, intramural hematoma and aortic rupture (n = 1 and 4% in each case). Two cases (9%) were emergent and two urgent. Proximal landing was a…

Aortic archElephant trunksEndoleakCardiovascular ProceduresPhysiologymedicine.medical_treatmentVascular SurgeryAorta ThoracicPathology and Laboratory MedicineNervous SystemPostoperative ComplicationsMedicine and Health SciencesLeukocytosisAortaCerebrospinal FluidAged 80 and overMultidisciplinaryQRArteriesMiddle AgedBody FluidsTreatment OutcomeMedicineEngineering and TechnologyFemaleStentsmedicine.symptomAnatomyResearch ArticleBiotechnologymedicine.medical_specialtyScienceAortic DiseasesBioengineeringSurgical and Invasive Medical ProceduresBlood Vessel Prosthesis Implantationmedicine.arterymedicineHumansAortic ruptureAgedRetrospective StudiesAortabusiness.industryStentBiology and Life SciencesVascular surgerySurgeryAppositionSurgical RepairAnatomical PathologyCardiovascular AnatomyBlood VesselsMedical Devices and EquipmentbusinessPLoS ONE
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Thoracic Endovascular Aortic Repair (TEVAR) for the treatment of aortic diseases: a position statement from the European Association for Cardio-Thora…

2012

Thoracic endovascular aortic repair (TEVAR) is an emerging treatment modality, which has been rapidly embraced by clinicians treating thoracic aortic disease.1–4 Fundamentally, it is a far less invasive approach than open surgery and its availability and relative ease of application has changed and extended management options in thoracic aortic disease, including in those patients deemed unfit or unsuitable for open surgery. In the operating room, this requires considerable perceptual, cognitive and psychomotor demands on the operators. The dramatic expansion of TEVAR activity has necessarily prompted a requirement to systematically consider the indications, appropriateness, limitations and…

Aortic archEndoleakMedizinAnastomotic LeakAorta ThoracicChest painPatient Care PlanningAortic aneurysmPostoperative ComplicationsIntraoperative ComplicationsBrain DiseasesEndovascular ProceduresAngiographyEquipment DesignGeneral MedicineTreatment OutcomeCardiothoracic surgeryDescending aortacardiovascular systemCardiologyStentsmedicine.symptomCardiology and Cardiovascular MedicinePulmonary and Respiratory Medicinemedicine.medical_specialtyConsensusAortic DiseasesPerioperative CareSpinal Cord DiseasesBlood Vessel Prosthesis ImplantationAneurysmBlood vessel prosthesismedicine.arteryInternal medicineMonitoring IntraoperativemedicineHumansAortaAortic Aneurysm Thoracicbusiness.industryContraindicationsPatient SelectionVascular System Injuriesmedicine.diseaseSurgeryBlood Vessel ProsthesisAortic DissectionSurgerybusinessTomography X-Ray ComputedEchocardiography TransesophagealEuropean Journal of Cardio-Thoracic Surgery
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An In Vitro Phantom Study on the Role of the Bird-Beak Configuration in Endograft Infolding in the Aortic Arch.

2015

Purpose: To assess endograft infolding for excessive bird-beak configurations in the aortic arch in relation to hemodynamic variables by quantifying device displacement and rotation of oversized stent-grafts deployed in a phantom model. Methods: A patient-specific, compliant, phantom pulsatile flow model was reconstructed from a patient who presented with collapse of a Gore TAG thoracic endoprosthesis. Device infolding was measured under different flow and pressure conditions for 3 protrusion extensions (13, 19, and 24 mm) of the bird-beak configuration resulting from 2 TAG endografts with oversizing of 11% and 45%, respectively. Results: The bird-beak configuration with the greatest protr…

Aortic archModels AnatomicRadiology Nuclear Medicine and ImagingTime FactorsFlow modelPulsatile flowEndograftStent-graft oversizingAorta Thoracic030204 cardiovascular system & hematologyRotation0302 clinical medicineForeign-Body MigrationStentThoracic aortaBird-beak configurationmedicine.diagnostic_testEndovascular ProceduresGraft Occlusion VascularModels CardiovascularAnatomyIn vitro experimentProsthesis FailureBlood Vessel ProsthesiTreatment OutcomePulsatile FlowPatient-specific modelStentsCardiology and Cardiovascular MedicineHumanAortographyTime FactorThoracic endovascular aortic repairProsthesis DesignAortographyImaging phantom03 medical and health sciencesBlood Vessel Prosthesis ImplantationBlood vessel prosthesismedicine.arterymedicineHumansDisplacement (orthopedic surgery)HemodynamicEndovascular Procedurebusiness.industryHemodynamicsDisplacementStent-graft infoldingBlood Vessel ProsthesisSurgerybusinessTomography X-Ray Computed030217 neurology & neurosurgeryStent-graft collapseJournal of endovascular therapy : an official journal of the International Society of Endovascular Specialists
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The Impact of Pre-Operative Malperfusion on Outcome in Acute Type A Aortic Dissection

2015

Abstract Background Malperfusion adversely affects outcomes in patients with acute type A aortic dissection, but reliable quantitative data are lacking. Objectives The aim of this study was to analyze the impact of various forms of malperfusion on early outcome. Methods A total of 2,137 consecutive patients enrolled in GERAADA (German Registry for Acute Aortic Dissection Type A) who underwent surgery between 2006 and 2010, of whom 717 (33.6%) had any kind of pre-operative malperfusion, were retrospectively analyzed. Results All-cause 30-day mortality was 16.9% and varied substantially according to the number of organ systems affected by malperfusion (none, 12.6%; 1 system, 21.3%; 2 systems,…

Aortic dissectionmedicine.medical_specialtySurgical strategyAdverse outcomesbusiness.industryIndependent predictormedicine.diseasePre operativeSurgeryAcute typeInternal medicinemedicineCardiologyIn patientbusinessCardiology and Cardiovascular MedicineOrgan systemJournal of the American College of Cardiology
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Short- and Long-Term Outcomes after Iatrogenic Type A Aortic Dissection

2019

Aortic dissectionmedicine.medical_specialtybusiness.industryLong term outcomesMedicinebusinessmedicine.diseaseSurgeryThe Thoracic and Cardiovascular Surgeon
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Minimally invasive aortic valve surgery

2016

Aortic valve disease is a prevalent disorder that affects approximately 2% of the general adult population. Surgical aortic valve replacement is the gold standard treatment for symptomatic patients. This treatment has demonstrably proven to be both safe and effective. Over the last few decades, in an attempt to reduce surgical trauma, different minimally invasive approaches for aortic valve replacement have been developed and are now being increasingly utilized. A narrative review of the literature was carried out to describe the surgical techniques for minimally invasive aortic valve surgery and report the results from different experienced centers. Minimally invasive aortic valve replacem…

Aortic valve stenosiSymposium: Transcatheter aortic valve implantationOutcomesGeriatrics and GerontologyAortic valve stenosisMinimally invasiveCardiology and Cardiovascular MedicineAortic valve replacement; Aortic valve stenosis; Minimally invasive; Outcomes; Cardiology and Cardiovascular Medicine; Geriatrics and GerontologyOutcomeAortic valve replacement
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Treatment of isolated ascending aortic aneurysm by off-pump epiaortic wrapping is safe and durable.

2016

OBJECTIVES: Isolated ascending aortic aneurysm (iAA) is usually treated by open graft repair requiring sternotomy, cardiopulmonary bypass (CPB) and cardioplegia. This approach carries significant mortality in older patients or those presenting with comorbidities. We report an original series of patients presenting with iAA and treated with epiaortic wrapping by using a synthetic mesh. This less invasive aortic repair technique allows reducing the aortic diameter to a predefined value and is performed without CPB. METHODS: Data from patients presenting with an iAA and treated with the wrapping technique (WT) by polypropylene/polyester mesh from November 2006 to July 2015 were collected. The …

Aortic valveMaleTime Factors030204 cardiovascular system & hematologySettore MED/22 - Chirurgia Vascolarelaw.inventionAortic aneurysm0302 clinical medicinelawAorta10042 Clinic for Diagnostic and Interventional RadiologyMedicine (all)Middle Aged2746 Surgerymedicine.anatomical_structureTreatment OutcomeWrapping girdlingFemaleCardiology and Cardiovascular MedicineVascular Surgical ProceduresPulmonary and Respiratory Medicinemedicine.medical_specialtyOffOff-pump610 Medicine & healthProsthesis Design2705 Cardiology and Cardiovascular MedicineGraft repair03 medical and health sciencesAneurysmBlood vessel prosthesismedicine.arteryAscending aortamedicineCardiopulmonary bypassHumansAortic valve insufficiency; Ascending aorta; Graft repair; Mesh (polypropylene/polyester); Off-pump; Wrapping girdling; Surgery; Medicine (all); Pulmonary and Respiratory Medicine; Cardiology and Cardiovascular MedicineAgedRetrospective StudiesAortaAortic Aneurysm Thoracicbusiness.industryPerioperativemedicine.diseaseSternotomySurgeryBlood Vessel Prosthesis030228 respiratory systemAortic valve insufficiency2740 Pulmonary and Respiratory MedicinepumpSurgeryAscending aortaMesh (polypropylene/polyester)businessFollow-Up StudiesInteractive cardiovascular and thoracic surgery
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Outcomes of aortic valve repair according to valve morphology and surgical techniques

2012

OBJECTIVES: The aim of this study was to assess the impact of aortic valve morphology and different surgical aortic valve repair techni- ques on long-term clinical outcomes. METHODS: Between February 2003 and May 2010, 216 patients with aortic insufficiency underwent aortic valve repair in our institu- tion. Ages ranged between 26 and 82 years (mean 53 ± 15 years). Aortic valve dysfunctions, according to functional classification, were: type I in 55 patients (25.5%), type II in 126 (58.3%) and type III in 35 (16.2%). Sixty-six patients (27.7%) had a bicuspid valve. Aortic valve repair techniques included sub-commissural plasty in 138 patients, plication in 84, free-edge reinforcement in 80,…

Aortic valveMaleTime Factorsmedicine.medical_treatmentKaplan-Meier EstimateAortic valve repairRecurrenceRisk FactorsMitral valve80 and overHospital MortalityCoronary Artery BypassAortaUltrasonographyAged 80 and overTricuspid valveCalcinosisCardiac Valve AnnuloplastyMiddle AgedAortic valve repair • Bicuspid aortic valve • Tricuspid aortic valve • Aortic annulus stabilization medicine.anatomical_structureTreatment OutcomeAortic ValveReplantationcardiovascular systemCardiologyChordae TendineaeMitral ValveFemaleChordae tendineaeCardiology and Cardiovascular MedicineAdult; Aged; Aged 80 and over; Aorta; Aortic Valve; Aortic Valve Insufficiency; Blood Vessel Prosthesis Implantation; Calcinosis; Chordae Tendineae; Coronary Artery Bypass; Disease-Free Survival; Female; Hospital Mortality; Humans; Kaplan-Meier Estimate; Male; Middle Aged; Mitral Valve; Proportional Hazards Models; Recurrence; Replantation; Risk Assessment; Risk Factors; Time Factors; Treatment Outcome; Ultrasonography; Cardiac Valve Annuloplasty; Suture TechniquesPulmonary and Respiratory MedicineAdultmedicine.medical_specialtyAortic Valve InsufficiencyRisk AssessmentCardiac Valve AnnuloplastyDisease-Free SurvivalBlood Vessel Prosthesis ImplantationBicuspid valveInternal medicinemedicineHumansAgedProportional Hazards ModelsMitral valve repairbusiness.industrySuture TechniquesSettore MED/23 - Chirurgia CardiacaOriginal ArticlesSurgerySurgerybusiness
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A multicentre European registry to evaluate the Direct Flow Medical transcatheter aortic valve system for the treatment of patients with severe aorti…

2016

Aims Our aim was to assess the clinical outcomes of the Direct Flow Medical Transcatheter Aortic Valve System (DFM-TAVS), when used in routine clinical practice. Methods and results This is a prospective, open-label, multicentre, post-market registry of patients treated with DFM-TAVS according to approved commercial indications. Echocardiographic and angiographic data were evaluated by an independent core laboratory and adverse events were adjudicated and classified according to VARC-2 criteria by an independent clinical events committee. The primary endpoint was freedom from all-cause mortality at 30 days post procedure. Secondary endpoints included procedural, early safety and efficacy en…

Aortic valveMalemedicine.medical_specialtyCardiac Catheterizationmedicine.medical_treatmentAortic Valve InsufficiencyRegurgitation (circulation)030204 cardiovascular system & hematologyTranscatheter Aortic Valve Replacement03 medical and health sciences0302 clinical medicineRisk FactorsInternal medicinemedicineClinical endpointHumans030212 general & internal medicineHeart valveProspective StudiesRegistriesCardiac catheterizationAgedAged 80 and overHeart Valve Prosthesis Implantationbusiness.industryAortic Valve Stenosismedicine.disease3. Good healthClinical trialStenosismedicine.anatomical_structureTreatment OutcomeAortic valve stenosisAortic ValveHeart Valve ProsthesisCardiologyFemaleCardiology and Cardiovascular MedicinebusinessEuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology
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Chronic atrial fibrillation in presence of aortic stenosis in a patient with polysplenia syndrome.

2013

We report a rare case of “situs viscerum ambiguous” with polysplenia syndrome, in a 69 year old female patient with aortic stenosis and chronic atrial fibrillation. The presenting symptom was dyspnoea on moderate exertion and an ECG showed supra ventricular arrhythmia. Patients trans-thoracic echocardiogram revealed a dilated left atrium, reduced ejection fraction, mild tricuspid regurgitation, moderate-severe pulmonary hypertension and severe aortic stenosis. The patient was successfully treated with a replacement of her aortic valve and ascending aorta.

Aortic valvemedicine.medical_specialtyPolysplenia syndromeRegurgitation (circulation)Heterotaxy SyndromePolysplenia Aortic Stenosis Atrial Fibrillationmedicine.arteryInternal medicineAscending aortaAtrial FibrillationMedicineChronic atrial fibrillationHumanscardiovascular diseasesAortaAgedHeart Valve Prosthesis ImplantationEjection fractionbusiness.industryGeneral MedicineAortic Valve Stenosismedicine.diseasePulmonary hypertensionSettore MED/11 - Malattie Dell'Apparato CardiovascolareStenosismedicine.anatomical_structureTreatment OutcomeChronic Diseasecardiovascular systemCardiologyFemalebusinessActa clinica Belgica
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