5 results on '"Carrel TP"'
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2. Das Poplitealaneurysma
- Author
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Widmer, MK, Schmidli, J, and Carrel, TP
- Abstract
Das Poplitealaneurisma (PA) ist eine typische Erkrankung von Männern über 65 Jahren, bei denen häufig Aneurysmen der Aorta, der iliacalen, femoralen und kontralateralen Poplitealarterie vorkommen. Als Ursache des Poplitealaneurysmas (PA) werden prioritär die Degradation durch Matrixmetalloproteinasen, eine entzündliche Reaktion mit Bildung von reaktiven Sauerstoffradikalen sowie der oxidative Stress in der Arterienwand postuliert. Zwei Drittel der Patienten kommen wegen Symptomen zum Chirurgen, die übrigen wegen eines Zufallsbefundes oder weil bereits die Gegenseite operiert wurde. Die akute und chronische Ischämie mit ihrer hohen Morbidität stehen im Vordergrund. Asymptomatische PA sollten ab einem Durchmesser von 2 cm therapeutisch angegangen werden, besonders wenn sie partiell thrombosiert sind. Zur Diagnostik reicht eine Duplexuntersuchung. Die digitale Subtraktionsangiographie ist die wichtigste Untersuchung für die Operationsplanung. Lokalisierte Befunde, die auf die Kniekehle begrenzt sind, können von dorsal, langstreckige PA müssen durch einen Zugang von medial mit einem Interponat überbrückt werden. Dabei ist eine autologe Vene dem Kunststoffinterponat vorzuziehen. Im Fall eines Veneninterponates oder -bypasses kann mit einer Offenheitsrate von 85% nach 5 Jahren gerechnet werden. Endografts sollen nur ausnahmsweise oder im Rahmen von Studien eingesetzt werden.
- Published
- 2006
- Full Text
- View/download PDF
3. The ARCH Projects: design and rationale (IAASSG 001)
- Author
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Li-Zhong Sun, Thierry Carrel, Alessandro Della Corte, Anthony L. Estrera, Axel Haverich, Himanshu J. Patel, Konstantinos G. Perreas, Santi Trimarchi, Chunsheng Wang, Thoralf M. Sundt, Hazim J. Safi, Randall B. Griepp, Tristan D. Yan, Riccardo Sinatra, Joseph S. Coselli, Friedhelm Beyersdorf, Marek Ehrlich, Joseph E. Bavaria, Scott A. LeMaire, Aung Oo, Teruhisa Kazui, Satoshi Numata, Paul G. Bannon, Marco Di Eusanio, Roberto Di Bartolomeo, Yutaka Okita, Malcolm J. Underwood, David H. Tian, Andras Hoffman, Joel S. Corvera, Alberto Pochettino, Friedrich W. Mohr, Eric E. Roselli, Minoru Tabata, Edward P. Chen, Martin Misfeld, Heinz Jakob, Malakh Shrestha, Nicholas T. Kouchoukos, George Matalanis, G. Chad Hughes, John A. Elefteriades, Yan, Td, Tian, Dh, Lemaire, Sa, Misfeld, M, Elefteriades, Ja, Chen, Ep, Hughes, Gc, Kazui, T, Griepp, Rb, Kouchoukos, Nt, Bannon, Pg, Underwood, Mj, Mohr, Fw, Oo, A, Sundt, Tm, Bavaria, Je, Di Bartolomeo, R, Di Eusanio, M, Roselli, Ee, Beyersdorf, F, Carrel, Tp, Corvera, J, DELLA CORTE, Alessandro, Ehrlich, M, Hoffman, A, Jakob, H, Matalanis, G, Numata, S, Patel, Hj, Pochettino, A, Safi, Hj, Estrera, A, Perreas, Kg, Sinatra, R, Trimarchi, S, Sun, Lz, Tabata, M, Wang, C, Haverich, A, Shrestha, M, Okita, Y, Coselli, J., Yan TD, Tian DH, LeMaire SA, Misfeld M, Elefteriades JA, Chen EP, Hughes GC, Kazui T, Griepp RB, Kouchoukos NT, Bannon PG, Underwood MJ, Mohr FW, Oo A, Sundt TM, Bavaria JE, Di Bartolomeo R, Di Eusanio M, Roselli EE, Beyersdorf F, Carrel TP, Corvera JS, Della Corte A, Ehrlich M, Hoffman A, Jakob H, Matalanis G, Numata S, Patel HJ, Pochettino A, Safi HJ, Estrera A, Perreas KG, Sinatra R, Trimarchi S, Sun LZ, Tabata M, Wang C, Haverich A, Shrestha M, Okita Y, and Coselli J
- Subjects
Pulmonary and Respiratory Medicine ,Clinical variables ,Databases, Factual ,Steering committee ,Objective (goal) ,Medizin ,Aorta, Thoracic ,610 Medicine & health ,AORTA ,Quality of life (healthcare) ,Humans ,Medicine ,Operations management ,Registries ,Arch ,aortic arch surgery ,cerebral protection ,database ,business.industry ,General Medicine ,Aortic arch surgery ,medicine.disease ,Circulatory Arrest, Deep Hypothermia Induced ,Treatment Outcome ,Cerebrovascular Circulation ,Surgery ,Medical emergency ,Operative risk ,Cardiology and Cardiovascular Medicine ,business - Abstract
OBJECTIVE: A number of factors limit the effectiveness of current aortic arch studies in assessing optimal neuroprotection strategies, including insufficient patient numbers, heterogenous definitions of clinical variables, multiple technical strategies, inadequate reporting of surgical outcomes and a lack of collaborative effort. We have formed an international coalition of centres to provide more robust investigations into this topic. METHODS: High-volume aortic arch centres were identified from the literature and contacted for recruitment. A Research Steering Committee of expert arch surgeons was convened to oversee the direction of the research. RESULTS: The International Aortic Arch Surgery Study Group has been formed by 41 arch surgeons from 10 countries to better evaluate patient outcomes after aortic arch surgery. Several projects, including the establishment of a multi-institutional retrospective database, randomized controlled trials and a prospectively collected database, are currently underway. CONCLUSIONS: Such a collaborative effort will herald a turning point in the surgical management of aortic arch pathologies and will provide better powered analyses to assess the impact of varying surgical techniques on mortality and morbidity, identify predictors for neurological and operative risk, formulate and validate risk predictor models and review long-term survival outcomes and quality-of-life after arch surgery.
- Published
- 2013
- Full Text
- View/download PDF
4. Sutureless and Rapid-Deployment Aortic Valve Replacement International Registry (SURD-IR): early results from 3343 patients
- Author
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Tristan D. Yan, Kevin Phan, Kevin Teoh, Marco Di Eusanio, Gianluca Martinelli, Thierry Folliguet, Roberto Di Bartolomeo, Mattia Glauber, Carmelo Mignosa, Paolo Berretta, Malak Shrestha, Marco Solinas, Giuseppe Santarpino, Martin Misfeld, Bart Meuris, Alberto Albertini, Thierry Carrel, Utz Kappert, Emmanuel Villa, Martin Andreas, and Di Eusanio M, Phan K, Berretta P, Carrel TP, Andreas M, Santarpino G, Di Bartolomeo R, Folliguet T, Meuris B, Mignosa C, Martinelli G, Misfeld M, Glauber M, Kappert U, Shrestha M, Albertini A, Teoh K, Villa E, Yan T, Solinas M
- Subjects
Pulmonary and Respiratory Medicine ,Aortic valve ,Adult ,Male ,medicine.medical_specialty ,Canada ,Time Factors ,610 Medicine & health ,030204 cardiovascular system & hematology ,Prosthesis Design ,03 medical and health sciences ,0302 clinical medicine ,Postoperative Complications ,Aortic valve replacement ,medicine ,Humans ,Hospital Mortality ,Registries ,Aortic valve replacement, Rapid-deployment valve, Sutureless and Rapid-Deployment, Aortic Valve Replacement International Registry, Sutureless valve, The International Valvular Surgery Study Group ,Stroke ,Aged ,Retrospective Studies ,Aged, 80 and over ,business.industry ,Mortality rate ,Incidence (epidemiology) ,Incidence ,Australia ,Retrospective cohort study ,General Medicine ,Aortic Valve Stenosis ,Middle Aged ,medicine.disease ,Sutureless Surgical Procedures ,Surgery ,Europe ,Survival Rate ,medicine.anatomical_structure ,Treatment Outcome ,030228 respiratory system ,Concomitant ,Aortic Valve ,Female ,Cardiology and Cardiovascular Medicine ,business ,Atrioventricular block ,Follow-Up Studies - Abstract
OBJECTIVES The Sutureless and Rapid-Deployment Aortic Valve Replacement International Registry (SURD-IR) was established by a consortium of 18 research centres-the International Valvular Surgery Study Group (IVSSG)-to overcome limitations of the literature and provide adequately powered evidence on sutureless and rapid-deployment aortic valves replacement (SURD-AVR). METHODS Data from 3343 patients undergoing SURD-AVR over a 10-year period (2007-2017) were collected in the registry. The mean age of the patients was 76.8 ± 6.7 years, with 36.4% being 80 years or older. The average logistic EuroSCORE was 11.3 ± 9.7%. RESULTS Isolated SURD-AVR was performed in 70.7% (n = 2362) of patients using full sternotomy (35.3%) or less invasive approaches (64.8%). Overall hospital mortality was 2.1%, being 1.4% in patients who had isolated SURD-AVR and 3.5% in those who had concomitant procedures (P
- Published
- 2017
- Full Text
- View/download PDF
5. Guidelines on the management of valvular heart disease (version 2012) The Joint Task Force on the Management of Valvular Heart Disease of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS)
- Author
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Vahanian, Alec, Alfieri, Ottavio, Andreotti, Felicita, Antunes, Manuel J., Baron-Esquivias, Gonzalo, Baumgartner, Helmut, Borger, Michael Andrew, Carrel, Thierry P., Bonis, Michele, Evangelista, Arturo, Falk, Volkmar, Bernard Iung, Lancellotti, Patrizio, Pierard, Luc, Price, Susanna, Schaefers, Hans-Joachim, Schuler, Gerhard, Stepinska, Janina, Swedberg, Karl, Takkenberg, Johanna, Oppell, Ulrich Otto, Windecker, Stephan, Luis Zamorano, Jose, Zembala, Marian, Cardiothoracic Surgery, Vahanian, A, Alfieri, Ottavio, Andreotti, F, Antunes, Mj, Baron Esquivias, G, Baumgartner, H, Borger, Ma, Carrel, Tp, DE BONIS, Michele, Evangelista, A, Falk, V, Lung, B, Lancellotti, P, Pierard, L, Price, S, Schaefers, Hj, Schuler, G, Stepinska, J, Swedberg, K, Takkenberg, J, Von Oppell, Uo, Windecker, S, Luis Zamorano, J, and Zembala, M.
- Subjects
Balloon Valvuloplasty ,Diagnostic Imaging ,Heart Valve Prosthesis Implantation ,Cardiac Catheterization ,Cardiotonic Agents ,Endocarditis, Non-Infective ,Heart Valve Prosthesis ,Heart Valve Diseases ,Humans ,Arrhythmias, Cardiac ,Coronary Disease ,Rheumatic Fever ,Risk Assessment
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