Matthias Fittkau

CRYSTALLOID VERSUS BLOOD CARDIOPLEGIA FOR SURGICAL REPAIR OF TYPE A AORTIC DISSECTION: EARLY AND LONG-TERM OUTCOMES

Francesco Pollari, U. Seven, Wolfgang Hitzl, Lucia Weber et autres

Background: Myocardial injury following surgery repair for type A aortic dissection (TAAD) is one of the most feared perioperative complications. The question of which is the most appropriate cardioplegic solution in this scenario remains debated. We aimed to compare the outcomes of …

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Surgical or Transcatheter Mitral Valve Replacement After Prior Bioprosthesis or Ring Implantation: A Landmark Analysis of Early and Long-Term Outcomes

Francesco Pollari, Huan Liang, Ferdinand Aurel Vogt, Miroslaw Ledwon et autres

Background: In recent years, the use of transcatheter valve-in-valve implantation in the mitral position (TMVI) for the treatment of mitral valve pathology following ring or bioprosthetic implantation has emerged as a less invasive option in comparison to repeated mitral valve surgery (RMVS). …

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Improved early risk stratification of deep sternal wound infection risk after coronary artery bypass grafting

Tina Kamenšek, Jurij Matija Kališnik, Mirek Ledwon, Giuseppe Santarpino et autres

BACKGROUND: Deep sternal wound infection (DSWI) following open heart surgery is associated with excessive morbidity and mortality. Contemporary DSWI risk prediction models aim at identifying high-risk patients with varying complexity and performance characteristics. We aimed to optimize the DSWI risk factor set …

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Impact of prophylactic intra-aortic balloon pump on early outcomes in patients with severe left ventricular dysfunction undergoing elective coronary artery bypass grafting with cardiopulmonary bypass

Andrej Kralev, Jurij Matija Kališnik, André Bauer, Joachim Sirch et autres

OBJECTIVE: Our aim was to analyse whether prophylactic preoperative intraaortic balloon pump (IABP) improves outcomes in hemodynamically stable patients with low left ventricular ejection fraction (LVEF ≤30%) undergoing elective myocardial revascularization (CABG) using cardiopulmonary bypass (CPB). Secondary aim was to identify the …

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Effect of intraoperative haemoadsorption therapy on cardiac surgery for active infective endocarditis with confirmedStaphylococcus aureusbacteraemia

Zaki Haidari, Spela Leiler, Matthias Fittkau, Kristina S Boss et autres

OBJECTIVES: Sepsis caused by infective endocarditis (IE), due to Staphylococcus aureus, is associated with significant morbidity and mortality. Blood purification using haemoadsorption (HA) may attenuate the inflammatory response. We investigated the effect of intraoperative HA on postoperative outcomes in S. aureus IE. …

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Impact of Prophylactic Preoperative Intra-Aortic Balloon Pump on Early Outcome in Patients with Severe Left Ventricular Dysfunction Undergoing Elective On-Pump Coronary Artery Bypass Grafting

A. Kralev, Jurij Matija Kališnik, André Bauer, J. Sirch et autres

All articles of this category Background: The aim of this study was to analyze whether prophylactic preoperative intra-aortic balloon pump (IABP) improves early outcomes in hemodynamically stable patients with low left ventricular ejection fraction (LVEF ≤ 30%) undergoing elective myocardial revascularization using …

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Impact of Prophylactic Intra-Aortic Balloon Pump on Early Outcomes in Patients with Severe Left Ventricular Dysfunction Undergoing Elective Coronary Artery Bypass Grafting with Cardiopulmonary Bypass

Andrej Kralev, Jurij Matija Kališnik, André Bauer, Joachim Sirch et autres

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Single-Centre Retrospective Evaluation of Intraoperative Hemoadsorption in Left-Sided Acute Infective Endocarditis

Jurij Matija Kališnik, Spela Leiler, Janez Žibert, Thomas Bertsch et autres

Background: Cardiac surgery in patients with infective endocarditis (IE) is still associated with high mortality and morbidity; an already present inflammation might further be aggravated due to a cardiopulmonary bypass-induced dysregulated immune response. Intraoperative hemoadsorption therapy may attenuate this septic response. Our …

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Left Atrial Appendage Amputation for Atrial Fibrillation during Aortic Valve Replacement

Jurij Matija Kališnik, Giuseppe Santarpino, Andrea I. Balbierer, Janez Žibert et autres

Background. Occluding the left atrial appendage (LAA) during cardiac surgery reduces the risk of ischemic stroke; nonetheless, it is currently only softly recommended with “may be considered” by the current guidelines. We aimed to assess thromboembolic risk after LAA amputation in patients …

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Novel Plug Device for HeartMate 3 Explantation: First Multicenter Experience

Silvia Mariani, Tong Li, Anna Lassia Meyer, Tracy R. Geoffrion et autres

Patients undergoing explantation of left ventricular assist devices (LVADs) after improvement of myocardial function remain a minority. Nevertheless, considering the growing population of LVAD patients, increasing demand for new explantation strategies is expected. Herein, we present a retrospective review of seven patients …

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Artificial intelligence-based early detection of acute kidney injury after cardiac surgery

Jurij Matija Kališnik, André Bauer, Ferdinand Aurel Vogt, Franziska Josephine Stickl et autres

OBJECTIVES: This study aims to improve the early detection of cardiac surgery-associated acute kidney injury using artificial intelligence-based algorithms. METHODS: Data from consecutive patients undergoing cardiac surgery between 2008 and 2018 in our institution served as the source for artificial intelligence-based modelling. …

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Intraoperative Hemoadsorption Reduces Sepsis-Related Death in All-Comers Undergoing Surgery for Infective Left-Sided Endocarditis

Jurij Matija Kališnik, L. Spela, Hazem Mamdooh, Janez Žibert et autres

All articles of this category Background: Infective endocarditis (IE) remains a deadly disease associated with an in hospital mortality of 10 to 30%. Septic multi-organ failure remains an important factor of mortality, even after curative surgery. Hemoadsorption (HA) therapy during cardiopulmonary bypass …

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