289 results match your criteria: "Anthea Hospital GVM Care & Research[Affiliation]"
Metformin treatment in hyperglycemic INOCA patients.
Cardiovasc Res
December 2024
Department of Medicine, Division of Cardiology, Albert Einstein College of Medicine, New York City, NY, USA.
Considerations on Enhancing Venoarterial-Extracorporeal Membrane Oxygenation Via Transapical Cannulation and Minimally Invasive Techniques.
ASAIO J
November 2024
Department of Cardiac Surgery Anthea Hospital, Gruppo Villa Maria (GVM) Care & Research, Bari, Italy.
Comparative Analysis of Irrigation Mist and CO vs. Direct CO Blower in On-Pump Coronary Artery Bypass Grafting Anastomosis: Efficacy, Efficiency, and Fibrillation upon De-Clamping and Micro-Embolic Gas Activity Incidence.
Medicina (Kaunas)
December 2024
Department of Cardiac Surgery, Anthea Hospital GVM Care and Research, Via Camillo Rosalba 35/37, 70124 Bari, Italy.
In coronary artery bypass grafting (CABG) on pump, achieving optimal visualization is critical for surgical precision and safety. The use of blowers to clear the CABG anastomosis poses risks, including the formation of micro-embolic gas bubbles, which can be insidious and increase the risk of cerebral or myocardial complications. This retrospective study compares the effectiveness of the use of irrigation mist and CO versus a direct CO blower without irrigation in terms of visualization, postoperative fibrillation, and micro-embolic gas activity.
View Article and Find Full Text PDFThe Saphenous Vein Graft: Can a Frog Become a Princess?
Medicina (Kaunas)
November 2024
Department of Cardiothoracic Surgery, Weill Cornell Medicine, 1300 York Ave., New York, NY 10065, USA.
The saphenous vein graft (SVG) has been a cornerstone of coronary bypass surgery, but its long-term patency is limited by accelerated atherosclerosis. Recent advancements, including the no-touch technique and the use of SVG as a limb of the left internal thoracic artery (LITA), have shown promise in improving outcomes. Both approaches enhance nitric oxide (NO) availability, a key factor in promoting endothelial stability and arterial-like behavior in the SVG.
View Article and Find Full Text PDFPost-myocardial infarction ventricular septal defects: incidence and treatment trends during and after the COVID-19 pandemic.
Sci Rep
January 2025
Department of Cardiovascular Surgery, GVM Care & Research, Anthea Hospital, Bari, Italy.
Ventricular septal defect (VSD) is a serious complication of myocardial infarction (MI), with its global incidence significantly reduced in recent years due to advances in coronary reperfusion techniques. However, during the COVID-19 pandemic, there was an unexpected rise in the incidence of post-MI VSD, likely driven by delays in seeking treatment. This study retrospectively analyzed 10 cases of post-MI VSD treated at our hospitals from March 2018 to August 2023, comparing incidence rates across pre-pandemic, pandemic, and post-pandemic periods.
View Article and Find Full Text PDFImpact of Inflammation After Cardiac Surgery on 30-Day Mortality and Machine Learning Risk Prediction.
J Cardiothorac Vasc Anesth
December 2024
Division of Cardiac Surgery, Department of Medical and Surgical Sciences, University of Foggia, Foggia, Italy; Division of Cardiac Surgery, Santa Maria Hospital, GVM Care & Research, Bari, Italy. Electronic address:
Objectives: To investigate the impact of systemic inflammatory response syndrome (SIRS) on 30-day mortality following cardiac surgery and develop a machine learning model to predict SIRS.
Design: Retrospective cohort study.
Setting: Single tertiary care hospital.
Valvular and perivalvular thrombosis following self-expandable aortic valve replacement: analysis of 100 multi-detector computed tomography scans.
Eur Heart J Open
September 2024
Kore University, Faculty of Medicine, Piazza dell'Università, 94100 Enna EN, Italy.
Aims: Subclinical thrombosis may represent an early stage of prosthesis structural disease. Most of the available evidence on the incidence, location, predictors, and consequences of thrombosis comes from studies that have employed balloon-expandable valves. We aimed to describe the different localisations of valvular and perivalvular thrombosis and analyse prosthesis-host multi-detector computed tomography predictors in the context of self-expandable prosthesis.
View Article and Find Full Text PDFPost-implant transcatheter aortic prosthesis deformation: tricuspid versus bicuspid valve.
Eur J Cardiothorac Surg
December 2024
Kore University of Enna, Italy.
Objectives: We sought to assess whether post-implant transcatheter aortic valve prosthesis multidetector computed characteristics differ between patients with native tricuspid and bicuspid aortic valve stenosis, as well as the effect on valve performance and clinical implications.
Methods: We analysed 100 consecutive post-implant multidetector computed tomography scans to assess self-expandable prosthesis non-uniform expansion at 6 pre-specified valvular levels, and other specific parameters, including valvular and perivalvular thrombosis at 6 months follow-up. Echocardiographic prosthesis performance and clinical outcome were also evaluated.
Mechanical heart valves between myths and new evidence: a systematic review and meta-analysis.
J Cardiovasc Med (Hagerstown)
January 2025
Department of Cardiac Surgery, IRCCS Policlinico San Donato, Milan.
Aims: The use of mechanical valve prostheses in cardiac surgery remains a necessary and indicated intervention in a large number of patients. However, predicted results associated with their use, on which current guideline recommendations have been developed, are based on dated studies at risk of bias (e.g.
View Article and Find Full Text PDFTribute to Prof. Alessandro Santo Bortone.
Minerva Cardiol Angiol
November 2024
Division of Cardiology, Department of Interdisciplinary Medicine (DIM), Aldo Moro University of Bari, Bari, Italy.
Letter re: The COMICS trial: Randomization to MiECC significantly decreases serious adverse events.
Perfusion
November 2024
Department of Cardiac Surgery, University Hospital Zürich, Zürich, Switzerland.
A narrative review on the evolution and impact of smart cannulas in minimally invasive procedures.
Turk Gogus Kalp Damar Cerrahisi Derg
July 2024
Department of Cardiac Surgery, Anthea Hospital, GVM Care & Research, Bari, Italy.
Background: This study aimed to explore the evolution and impact of smart cannulas in enhancing outcomes and expanding the scope of minimally invasive cardiac surgery.
Methods: In this study, a comprehensive review of the relevant literature was conducted, focusing on articles detailing the development, implementation, and outcomes associated with smart cannulas in cardiac surgery. PubMed, MEDLINE, and Google Scholar databases were searched until January 2024 using specific search terms related to smart cannulas and cardiac surgery.
Selective monitoring of superior and inferior vena cava drainage flows in bicaval cannulation: Potential clinical benefits of proximal junction placement on the CPB side.
Perfusion
October 2024
Department of Cardiac Surgery, GVM Care & Research, Anthea Hospital, Bari, Italy.
In cardiac surgery, precision and efficiency are crucial, especially in managing venous drainage flows during complex procedures. This practical technique evaluates the benefits of placing the proximal junction on the cardiopulmonary bypass (CPB) side rather than on the surgical table in bicaval cannulation. Bicaval cannulation, involving both the superior vena cava (SVC) and inferior vena cava (IVC), ensures efficient venous return.
View Article and Find Full Text PDFDO₂/VCO₂ Ratio Improvement on Cardiopulmonary Bypass During Minimally Invasive Mitral Valve Repair.
Braz J Cardiovasc Surg
October 2024
Department of Cardiac Surgery, Anthea Hospital, GVM Care & Research, Bari, Italy.
Retraction Note: Perioperative left ventricular perforation in incomplete TAVI and completion of the procedure after surgical repair.
J Cardiothorac Surg
September 2024
Department of Cardiac Surgery, Anthea Hospital, GVM Care and Research, Via Camillo Rosalba 35/37, 70124, Bari, Italy.
The State-of-the-Art of Infections and the Causal Link with Health Settings: A Systematic Review.
Healthcare (Basel)
September 2024
GVM Care and Research, Maria Cecilia Hospital, 49033 Cotignola, Italy.
(1) Background. A definition of healthcare-associated infections is essential also for the attribution of the restorative burden to healthcare facilities in case of harm and for clinical risk management strategies. Regarding infections, there remains several issues on the ecosystem and pathogenesis.
View Article and Find Full Text PDFThe emerging role of minimally invasive extracorporeal circulation in totally endoscopic and robotic-assisted cardiac surgery procedures.
Perfusion
September 2024
Division of Cardiac Surgery, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
This review explores the potential benefits of combining totally endoscopic and robotic-assisted cardiac surgery with minimally invasive extracorporeal circulation (MiECC). Robotic techniques herald a new era of surgical precision, leveraging advanced instrumentation and enhanced visualization to navigate cardiac anatomy with unprecedented accuracy. Concurrently, MiECC systems provide tailored physiological support during cardiopulmonary bypass, meticulously managing perfusion parameters to safeguard vital organs' function.
View Article and Find Full Text PDFDelta-wave automatic mapping of the manifest accessory pathway.
Front Cardiovasc Med
August 2024
Electrophysiology Department, Maria Cecilia Hospital, GVM Care & Research, Cotignola, Italy.
Article Synopsis
- The study evaluates a new technique called Delta Wave Automatic Mapping for effectively identifying ablation sites in patients with Wolff-Parkinson-White Syndrome (WPW) undergoing radiofrequency catheter ablation (RFCA).
- A total of 50 patients were analyzed, with all accessory pathways successfully ablated and a median time-to-effect of 2.0 seconds, showing no recurrences during a follow-up period of about 10 months.
- The workflow eliminates the need for manual site localization by leveraging existing algorithms, relying on specific historical electrical parameters to enhance ablation success and precision.
Optimizing cardiopulmonary bypass management beyond duration: insights from the sequential organ failure assessment score after cardiac surgery.
Interdiscip Cardiovasc Thorac Surg
September 2024
Department of Cardiac Surgery, GVM Care & Research, Anthea Hospital, Bari, Italy.
Minimally invasive extracorporeal circulation versus conventional cardiopulmonary bypass in patients undergoing cardiac surgery (MiECS): Rationale and design of a multicentre randomised trial.
Perfusion
August 2024
Department of Anesthesia and Perioperative Medicine, Schulich School of Medicine and Dentistry, University of Western Ontario, London, ON, Canada.
Introduction: The ultimate answer to the question whether minimal invasive extracorporeal circulation (MiECC) represents the optimal perfusion technique in contemporary clinical practice remains elusive. The present study is a real-world study that focuses on specific perfusion-related clinical outcomes after cardiac surgery that could potentially be favourably affected by MiECC and thereby influence the future clinical practice.
Methods: The MiECS study is an international, multi-centre, two-arm randomized controlled trial.
Advancements in Donation after Circulatory Death Heart Procurement and Preservation: A Comprehensive Review of Recent Innovations.
Surg Technol Int
July 2024
Department of Cardiac Surgery, Anthea Hospital GVM Care < Research, Bari, Italy.
Introduction: The persistent shortage of donor hearts for transplantation has prompted exploration into Donation after Circulatory Death (DCD) as a promising avenue for organ procurement. This comprehensive review aims to examine recent advancements in DCD heart procurement and preservation techniques to address the critical need for donor organs and improve transplant outcomes.
Materials And Methods: A systematic review was conducted to identify relevant studies and innovations related to DCD heart procurement and preservation.
Comparison between Track Technique and Conventional Approach for Measuring Artificial Chordae in the Treatment of Anterior Leaflet Prolapse and Flail during Mitral Valve Repair.
Rev Cardiovasc Med
October 2023
Department of Cardiac Surgery, Anthea Hospital, GVM Care & Research, 70124 Bari, Italy.
Article Synopsis
- * 47 patients (22 with the conventional method and 25 with the new method) were evaluated for outcomes like freedom from mitral regurgitation and quality of life using NYHA classification during a two-year follow-up.
- * Results showed no hospital deaths and no significant differences in initial outcomes, but the "track technique" was associated with better coaptation lengths and fewer cases of recurrent mitral regurgitation after two years.
Health Technology Assessment of Cardiopulmonary Bypass Circuit with and without Phosphorylcholine Coating: A Retrospective Study on Safety and Efficiency in Cardiac Surgery.
Life (Basel)
July 2024
Department of Cardiac Surgery, Anthea Hospital, GVM Care & Research, 70124 Bari, Italy.
Background: Phosphorylcholine has emerged as a potential adjunctive agent in cardiopulmonary bypass (CPB) circuits. Phosphorylcholine serves as a coating for the CPB circuit, potentially enhancing biocompatibility and reducing thrombotic events. However, its impact on specific patient populations and procedural outcomes remains underexplored.
View Article and Find Full Text PDFThe role of cardiac surgery and interventional cardiology in addressing cardiovascular risks associated with anabolic steroid use.
Steroids
September 2024
Department Cardiac Surgery, Anthea Hospital, Gvm Care & Research, Bari, Italy.
Evolocumab Treatment in Dyslipidemic Patients Undergoing Coronary Artery Bypass Grafting: One-Year Safety and Efficacy Results.
J Clin Med
May 2024
Department of Clinical and Experimental Medicine, Magna Graecia University, 88100 Catanzaro, Italy.
The inhibition of PCSK9 lowered LDL cholesterol levels, reducing the risk of cardiovascular events. However, the effect on patients who have undergone surgical myocardial revascularization has not yet been evaluated. From January 2017 to December 2022, 180 dyslipidemic patients who underwent coronary artery bypass were included in the study.
View Article and Find Full Text PDF