Publications by authors named "R Gherli"
Timing, positioning and ancillary therapies: the triad for successful Impella RP.
J Cardiovasc Med (Hagerstown)
December 2023
Clear clinical guidelines for the assessment and treatment of right ventricular failure (RVF) remain an unmet need. Although high complexity patients are common in this setting, the ideal management remains uncertain, resulting in high mortality rates despite presumably optimal medical therapy. Timely treatment with Impella RP may offer benefits by supplying circulatory support during the acute RVF phase and providing the time and unloading necessary for native right heart recovery.
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- The study aimed to compare early and late mortality rates in patients with acute isolated tricuspid valve infective endocarditis (TVIE) who underwent either valve repair or replacement.
- A total of 149 patients from a larger registry were evaluated, revealing a 9% early mortality rate and showing that valve repair had lower mortality and complication rates compared to replacement, although these differences were not statistically significant.
- The research concluded that both surgical options resulted in low recurrence rates and good long-term survival for TVIE patients, indicating that the type of surgery has minimal impact on overall outcomes.
Objective: To evaluate outcomes of single sternum access for right subclavian artery cannulation without infraclavicular incision in surgery of the thoracic aorta.
Methods: Between January 2015 and December 2019, 44 consecutive patients underwent surgery of the thoracic aorta with cannulation of the right subclavian artery, after sternotomy and before pericardiotomy, through a direct percutaneous cannula with a single access without additional infraclavicular skin incision. The indication for surgery was type A acute aortic dissection in 29 patients (65.
Right subclavian artery cannulation for aortic dissection surgery, without infraclavicular incision.
Multimed Man Cardiothorac Surg
August 2020
The choice of arterial cannulation strategy for acute type A dissection surgery remains a controversial issue and a subject of great debate because of its impact on clinical outcomes. A review of retrospective studies shows that surgeons are tending to switch from a retrograde to an antegrade perfusion strategy. Innominate artery cannulation has a number of advantages when compared to other cannulation techniques; however when the vessel is dissected, the proximal right subclavian artery can be used for arterial return.
View Article and Find Full Text PDFBackground: Bilateral internal mammary artery (BIMA) grafting largely is underutilized in patients undergoing coronary artery bypass grafting (CABG), partly because of the perceived increased complexity of the procedure.
Aims: In this study, we evaluated whether BIMA grafting can safely be performed also in centers, where this revascularization strategy infrequently is adopted.
Methods: Out of 6,783 patients from the prospective multicenter E-CABG study, who underwent isolated non- emergent CABG from January 2015 to December 2016, 2,457 underwent BIMA grafting and their outcome was evaluated in this analysis.