Publications by authors named "Dariusz Plicner"

Article Synopsis
  • * A study of 151 patients showed that the average knowledge score about VTE was only 62.5%, with those having diabetes or a family history of VTE scoring lower.
  • * Poor knowledge was linked to higher instances of major bleeding and therapy discontinuation, but not to the recurrence of VTE, indicating that better patient education may improve safety and adherence to anticoagulant therapy.
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Article Synopsis
  • * Extracorporeal life support (ECLS) rewarming is the recommended first-line treatment for these patients, focusing on quickly restoring body temperature and ensuring proper organ blood flow.
  • * Veno-arterial extracorporeal membrane oxygenation (ECMO) is a preferred method of ECLS, known for its efficiency but requires skilled medical staff due to its invasive nature and associated risks.
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Introduction: Minimally invasive and hybrid procedures for patients with aortic valve pathology and coronary artery disease are innovative solutions.

Aim: To report the results of hybrid aortic valve replacement through right anterior minithoracotomy (RT-AVR)/percutaneous coronary intervention (PCI) and conventional aortic valve replacement (AVR)/coronary artery bypass grafting (CABG) surgery for patients with aortic valve and coronary artery disease.

Material And Methods: Analysis of prospectively gathered data of 187 patients - 86 hybrid and 101 conventional procedures.

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Background: Morbidity and mortality following Fontan (FO) surgery are primarily thromboembolic in nature. However, follow-up data regarding thromboembolic complications (TECs) in adult patients after FO procedure are inconsistent. In this multicenter study, we investigated the incidence of TECs in FO patients.

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Introduction: Rheumatoid arthritis (RA) is a risk factor (RF) for cardiovascular (CV) disease, a leading cause of mortality in RA patients.

Material And Methods: Consecutive records of RA patients with high disease activity screened upon biologic therapy initiation were reviewed between January 2001 and 2018. Patients with at least 6-month follow-up and baseline disease activity scores were enrolled ( = 353) and stratified into manifest CV disorder ("overt CVD"), any traditional CV risk factor ("atCVrisk") and no CV risk factor ("vlCVrisk") groups.

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Background: Mortality after coronary artery bypass grafting (CABG) is primarily thromboembolic by nature. We investigated whether impaired fibrinolysis observed in cardiovascular diseases is associated with long-term mortality following CABG.

Methods: The study population comprised 292 consecutive patients (aged 64.

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Background: We previously demonstrated that enhanced oxidative stress and reduced nitric oxide bioavailability are associated with unfavorable outcomes early after coronary artery bypass grafting. It is not known whether these processes may impact long-term results. We sought to assess whether during long-term follow-up, markers of oxidative stress and nitric oxide bioavailability may predict cardiovascular mortality following bypass surgery.

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Objectives: thromboembolic complications are a major cause of morbidity and mortality following Fontan (FO) surgery. It is also well established that altered FO circulation results in systemic complications, including liver and endothelium damage. We sought to evaluate whether dysfunctions of these sources of hemostatic factors may result in changes of fibrin clot properties.

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Article Synopsis
  • - Core temperature indicates the temperature of internal organs, which is crucial for diagnosing and treating temperature-related issues in patients.
  • - Current methods for measuring core temperature vary in accuracy, leading to ongoing discussions about the best anatomical site for measurement.
  • - While pulmonary artery catheter measurements are considered the gold standard, esophageal temperature assessment is also seen as a practical alternative in clinical practice.
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Article Synopsis
  • - This study focused on finding indicators of clinical outcomes for patients undergoing Extracorporeal Life Support (ECLS) rewarming after severe hypothermia, aiming to improve prognosis identification.
  • - Conducted at a Polish hospital, the research analyzed data from 50 patients (72% in cardiac arrest) and tracked their acid-base balance and lactate levels at various stages of rewarming.
  • - Findings showed that lower lactate levels in survivors compared to non-survivors indicated a better prognosis, suggesting that high lactate concentrations during rewarming correlate with increased mortality risk.
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  • The study investigates the relationship between acid-base balance disturbances and the occurrence of Clostridium difficile infection (CDI) in patients who underwent cardiac surgery, as CDI is a common complication post-surgery.
  • Out of 12,235 patients analyzed, 143 developed CDI, with findings indicating that those patients had altered blood gas levels, including lower pH and higher lactate levels.
  • Key risk factors for developing CDI post-surgery included high lactate levels during the procedure, reduced lactate clearance, older age, undergoing emergency surgery, and using non-standard antibiotics.
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Background: Patients with type 2 diabetes mellitus (T2DM) are at high risk of cardiovascular mortality, but the mechanisms behind this remain unclear. Prothrombotic fibrin clot properties have been shown in T2DM and cardiovascular disease. We hypothesized that formation of denser clots, which are resistant to fibrinolysis, has a negative impact on cardiovascular mortality in T2DM.

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Background: Clostridioides difficile infection (CDI) is the most common cause of hospital-acquired diarrhea. There is little available data regarding risk factors of CDI for patients who undergo cardiac surgery. The study evaluated the course of CDI in patients after cardiac surgery.

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Background: Mitral regurgitation (MR) is the second most frequent indication for valve surgery. There are few studies addressing mitral valve (MV) surgery in the context of etiology of MR.

Aims: We aimed to compare postoperative outcomes in the context of the etiological mechanism of MR in patients after MV surgery.

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Introduction: Acute gastroenteritis (AGE) is considered one of the most common reasons for hospitalization and the third leading cause of death related to infectious diseases in children. The incidence and prevalence of campylobacteriosis is lower in Poland than in other parts of the European Union.

The Aim Of The Study: The aim of the study was to investigate the epidemiology and clinical features of AGE in hospitalized children.

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Valvular heart disease is associated with an increased thromboembolic risk. Impaired fibrinolysis was reported in severe aortic stenosis (AS). Little is known about fibrinolysis in mitral stenosis (MS).

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Introduction: The authors present their personal experience in qualifying and treating adult patients using veno-arterial (VA) extracorporeal membrane oxygenation (ECMO) in postcardiotomy cardiogenic shock.

Aim: The aim of this study was to analyze the results of VA ECMO in patients with postcardiotomy cardiogenic shock. An analysis of the risk factors of postoperative mortality was also performed.

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Introduction: Several strategies are still being introduced to cardiac surgery techniques to reduce the signs of the inflammatory response and oxidative stress. Many efforts have been made to develop the best possible method for myocardial protection.

Aim: To assess the effect of the cardioplegia strategy on the systemic inflammatory response and oxidative stress.

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Introduction: Reports describing respiratory function of patients after conventional or minimally invasive cardiac surgery are infrequent.

Aim: To compare pulmonary functional status after conventional (AVR) and after minimally invasive, through right anterior minithoracotomy, aortic valve replacement (RT-AVR).

Material And Methods: This was an observational analysis of 212 patients scheduled for RT-AVR and 212 for AVR between January 2011 and December 2014 selected using propensity score matching.

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Objective: The aim of the study was to comparatively analyze respiratory system function after minimally invasive, through right minithoracotomy aortic valve replacement (RT-AVR) to conventional AVR.

Methods: Analysis of 201 patients scheduled for RT-AVR and 316 for AVR between January 2010 and November 2013. Complications of the respiratory system and pulmonary functional status are presented.

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Instruction: To answer the question if minimally invasive aortic valve replacement surgery through a right anterior minithoracotomy (RT-AVR) may result in increased incidence of postoperative pulmonary complications compared to conventional aortic valve replacement through a median sternotomy (AVR).

Material And Methods: It was retrospective analysis of 212 patients scheduled for RT-AVR and 212 for AVR between January 2011 and December 2014 selected with propensity score matching. Respiratory system complications are analysed.

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Objective: To report the efficacy of chronic pericardial effusion treatment with pericardial window creation through video-assisted thoracoscopic surgery and pericardial drainage through a small subxiphoid incision.

Material And Methods: Retrospective analysis of 31 patients after pericardial window creation through video-assisted thoracoscopic surgery (PW group) and 77 patients where pericardial drainage through small subxiphoid incision (PD group) was performed. Echocardiography examinations were performed to document pericardial tamponade and pericardial effusion recurrence.

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Objectives: To report the results of hybrid approach combining percutaneous coronary intervention (PCI) and minimally invasive aortic valve replacement through right anterior minithoracotomy (RT-AVR) for patients with aortic valve disease and coronary artery disease.

Materials And Methods: Retrospective analysis of 53 hybrid RT-AVR/ PCI procedures where RT-AVR was performed first in the operating room and followed immediately by PCI performed in the catheterization laboratory.

Results: Predicted with Euro- SCORE II and observed hospital mortality was 8.

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