Publications by authors named "Miguel Gonzalez Barbeito"
Background: Rapid deployment aortic valve replacement (RD-AVR) has been recently introduced with encouraging results. Outcomes of isolated RD-AVR include good hemodynamic profile, facilitation of minimally invasive techniques, and reduction of surgical times. However, role of this prosthesis in concomitant surgery is not well known.
View Article and Find Full Text PDFThe aim of the present study was to analyse the incidence of major adverse cardiovascular events in patients undergoing either coronary artery bypass grafting (CABG) or percutaneous coronary intervention with drug-eluting stents for left main stem disease. Five manuscripts publishing 5-year results of 4 trials (SYNTAX, PRECOMBAT, NOBLE and EXCEL) were included. Overall meta-analysis with inclusion of the 5-year results from the EXCEL trial using the protocol definition for myocardial infarction showed that CABG is associated with a significant reduction in the risk of major adverse cardiovascular events (MACE) (risk ratio = 0.
View Article and Find Full Text PDFMid-term assessment of structural valve deterioration of perceval S sutureless prosthesis using the last European consensus definition.
Interact Cardiovasc Thorac Surg
April 2021
Objectives: Durability of sutureless aortic bioprosthetic valves remains a major issue. The aim of this study was to assess structural valve deterioration (SVD) and bioprosthetic valve failure (BVF) of the Perceval bioprosthesis using the new proposed standardized definitions.
Methods: All patients who underwent aortic valve replacement with sutureless Perceval S prostheses up to September 2016 were included.
Introduction: Rapid deployment aortic valve replacement has been recently introduced in clinical practice. Different studies have reported a significant reduction in surgical times with excellent hemodynamic profiles and short-term results. However, an increase in permanent pacemaker requirements compared with conventional aortic valve replacement has been described.
View Article and Find Full Text PDFArticle Synopsis
- APORTEI score is a new risk prediction model for infective endocarditis patients, recently validated in a Spanish cohort, aiming to compare its performance with established models like logistic EuroSCORE and EuroSCORE II.
- In a study of 111 cardiac surgery patients, the APORTEI score outperformed the other models in both discrimination (AUC of 0.88) and calibration (p 0.56), showing a better ability to predict outcomes.
- The findings suggest that APORTEI is a more reliable tool for assessing risk in infective endocarditis patients, with a significant reduction in expected mortality rates compared to the other scores.
Objectives: We aimed to explore the impact of the time interval between symptoms and diagnosis on post-operative infective endocarditis (IE) survival.
Methods: From 2014 to 2019, data from 93 consecutive patients undergoing cardiac surgery due to left-sided±right-sided IE were prospectively recorded in our specific electronic database. Patients were classified into 2 groups according to time interval between first clinical symptoms and definitive endocarditis diagnosis: patients with early diagnosis (≤8 days) and patients with late diagnosis (>8 days).
Introduction And Objectives: To assess the risk factors of cytomegalovirus (CMV) infection after heart transplant (HT) and its influence on long-term prognosis.
Methods: We conducted a retrospective single-centre study of 222 HT recipients. Risk factors for CMV infection were identified by means of multivariable Cox́s regression.
Background: The main objective was to analyse the impact of the modification of the Perceval S implantation technique on the prevalence of postoperative atrioventricular block, which requires a permanent pacemaker, in our aortic valve replacement series. In addition, we attempted to identify those risk factors that are related to the appearance of this complication.
Methods: Five hundred and seventy-two valve replacements were carried out with PERCEVAL S in our centre up to July 2018.
Introduction: Infection is one of the most significant complications following heart transplantation (HT). The aim of this study was to identify specific risk factors for early postoperative infections in HT recipients, and to develop a multivariable predictive model to identify HT recipients at high risk.
Methods: A single-center, observational, and retrospective study was conducted.
Objectives: Bioprostheses with pericardial leaflets mounted externally on the stent pose a high risk for valve-in-valve (ViV) procedures. This study analyzed the efficacy and safety of ViV procedures for treating structural valve deterioration (SVD) in Mitroflow bioprostheses.
Methods: Between January 2012 and August 2017, 11 patients (mean age 80.
Objectives: The objective of this study is to compare early and long-term results in terms of survival and aortic complications for traumatic aortic injuries depending on the initial management strategy.
Methods: From January 1980 to January 2017, 101 patients with aortic injuries were divided into 3 groups according to management strategy at admission: 60 patients, conservative management; 26 patients, open surgery and 15 patients, endovascular repair. The groups were similar in terms of gender and trauma severity scores.
Objectives: The enlargement of the left atrium has been identified as a marker of chronically increased left ventricular filling pressure and left ventricular diastolic dysfunction. This study aims to evaluate the association of indexed left atrial diameter with stroke, cardiovascular mortality, the combined event, and all-cause mortality in patients who underwent aortic valve surgery.
Methods: Indexed left atrial diameter was measured in 2011 adult patients (mean age, 70.