Publications by authors named "Krzysztof Toczek"
Article Synopsis
- The study aims to evaluate how cardiac arrest during initial treatment affects the survival outcomes of severely hypothermic patients undergoing rewarming with Extracorporeal Life Support (ECLS).
- Researchers analyzed data from 124 severe hypothermia patients, dividing them into two groups: those who experienced a cardiac arrest (RC group) and those who maintained spontaneous circulation (HT3 group), finding a significant difference in mortality rates (24% in HT3 vs. 49% in RC).
- The results indicate that cardiac arrest doubles the risk of death, emphasizing the need for careful management of procedures that might trigger such events, especially in patients who are conscious.
Objective: Extracorporeal rewarming is the treatment of choice for patients who had hypothermic cardiac arrest, allowing for best neurologic outcome. The authors' goal was to identify factors associated with survival in nonasphyxia-related hypothermic cardiac arrest patients undergoing extracorporeal rewarming.
Design: All 38 cardiac surgery departments in Poland were encouraged to report consecutive hypothermic cardiac arrest patients treated with extracorporeal life support.
Objective: Minimally invasive direct coronary artery bypass (MIDCAB) through the anterolateral minithoracotomy has become a promising therapeutic option in patients with lesion in left anterior descending artery (LAD), especially in multimorbid, elderly and reoperated patients with type C or B lesions. To expand the benefits of MIDCAB concept to patients with multivessel disease, a hybrid myocardial revascularization procedure (HMR) combining surgery of the LAD with interventional procedures for additional coronary lesions has recently been introduced.
Methods: Between January 1999 and September 2001, 50 patients (37 male, 13 female, mean age 54.