Publications by authors named "S Gerfer"

to investigate how body mass index (BMI) affects the outcome in patients treated surgically for infective endocarditis (IE). This is a single-center observational analysis of consecutive patients treated surgically for IE. We divided the cohort into six groups, according to the WHO classification of BMI, and performed subsequent outcome analysis.

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Article Synopsis
  • The study aimed to determine if the type of vascular graft used during isolated ascending aortic surgery affects early postoperative outcomes like bleeding rates, blood product usage, and need for re-thoracotomy.
  • It included 46 patients, analyzing two types of grafts: collagen impregnated polyester (Hemashield) and gelatin impregnated woven fabric (Gelweave), with various underlying aortic conditions.
  • Results showed no significant differences between the two graft types in terms of bleeding volume, blood product consumption, re-thoracotomy rates, 30-day mortality, or stroke incidence.
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Current guidelines exclusively recommend vitamin-K-antagonists (VKA) as anticoagulation for patients after mechanical aortic valve replacement due to the increased postoperative risk of valve thrombosis and thrombo-embolism. Strict and regular assessments are mandatory during VKA therapy to ensure a potent anticoagulatory effect within the desired range. From the patients' perspective, VKA are associated with relevant interactions and side effects reducing the quality of life and contributing to a high number of patients not achieving the optimal therapeutic target.

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Introduction: Diabetes mellitus (DM) is associated with concomitant comorbidities, such as atherosclerosis and cardiovascular disease. Coronary artery bypass grafting (CABG) surgery is the optimal therapy in diabetic patients with triple vessel disease. DM is also known to be a relevant risk factor for higher morbidity and mortality in patients who underwent elective CABG procedures.

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Transcatheter aortic valve replacement (TAVR) has become an established alternative to surgical aortic valve replacement (AVR) for patients with moderate-to-high perioperative risk. Periprocedural TAVR complications decrease with growing expertise of implanters. Nevertheless, TAVR can still be accompanied by life-threatening adverse events such as intraprocedural cardiopulmonary resuscitation (CPR).

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