26 results on '"Jemielity, Marek"'
Search Results
2. The importance of the development of extracorporeal life support simulation centres for improving skills and knowledge during the COVID-19 pandemic.
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Ziemak, Piotr, Dąbrowski, Marek, Puślecki, Mateusz, Dąbrowska, Agata, Ligowski, Marcin, Stefaniak, Sebastian, Jemielity, Marek, Perek, Bartłomiej, and Marciniak, Ryszard
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EXTRACORPOREAL membrane oxygenation ,COVID-19 pandemic ,PHYSICIANS ,STANDARDIZED tests ,CRITICAL care medicine ,PATIENT safety - Abstract
Introduction: Despite increasing implementation of sophisticated and logistically challenging techniques to support patients in life-threatening conditions in the last years, there were no devoted education centres, especially in coronavirus pandemic. Aim: To assess the value of gaining evidence-based knowledge and improving the skills of physicians by means of simulation techniques in the safe use of extracorporeal technologies to support patients in the life-threatening conditions. Material and methods: In 2019, the National Education Centre for Artificial Life Support and Patient Safety and the frame program of the course of “Artificial Life Support with ECMO”. was created. In years 2019-2023, we managed to organise 34 such courses for 405 physicians, which were additionally endorsed by ELSO (Extracorporeal Life Support Organisation). The physicians’ cognitive, behavioural, and technical skills were evaluated before and after the courses. Results: The participants’ gender was well balanced (54% men and 46% women). Most of them (mainly at the age between 31–40 years) presented more than 5 years of clinical experience, predominantly in anaesthesiology and intensive care (63%). Of note, 54% of them had no experience with ECMO application. In all detailed aspects of cognitive, behavioural, and technical assessment and knowledge scores, significant improvement was observed after the course. Conclusions: The development of a simulation-based education centre was found to be an invaluable achievement that enabled not only successful standardised training and testing of novel or previously accepted procedures, but also the upgrading of technical skills, even in the challenging COVID-19 pandemic period. [ABSTRACT FROM AUTHOR]
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- 2024
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3. Neutrophil and lymphocyte count as predictors of the location of calcific coronary lesions in patients treated with rotational atherectomy.
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Lesiak, Michał, Urbanowicz, Tomasz K., Olasińska-Wiśniewska, Anna, Michalak, Michal, Grygier, Marek, Filipiak, Krzysztof J., Tykarski, Andrzej, Jemielity, Marek, and Lesiak, Maciej
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LYMPHOCYTE count ,ATHERECTOMY ,ATHEROSCLEROTIC plaque ,NEUTROPHILS ,CORONARY artery disease ,ACUTE coronary syndrome ,BLOOD testing - Abstract
Introduction: The role of immune system activation in development and progression of atherosclerotic plaques has been postulated. Previous studies on inflammation have focused on the severity of coronary disease, the risk of acute coronary syndrome, and the prediction of outcomes based on hematological indices obtained from whole blood count analysis. Aim: To analyze simple data of the whole blood count in relation to the location of calcified atherosclerotic lesions in patients treated with coronary rotational atherectomy (RA). Material and methods: Eighty-one patients (57 (70%) males, mean (SD) age of 70.4 ±8 years) who underwent RA were enrolled in the study. The study group was divided into two subgroups depending on the proximal (group 1) and non-proximal (group 2) location of the culprit lesions in coronary arteries. The angiographic results were compared with demographic and clinical data and whole blood count analysis. Results: The multivariable analysis revealed the predictive value of low neutrophil (OR = 0.75, 95% CI: 0.58–0.97, p = 0.030) and lymphocyte counts (OR = 0.27, 95% CI: 0.11–0.68, p = 0.005) for the proximal location of the culprit lesions. In the ROC analysis, combined neutrophil and lymphocyte counts showed the best prediction of proximal location, with the area under the curve of 0.747 (p < 0.001), yielding a sensitivity of 79.07% and specificity of 73.68%. Conclusions: The lower neutrophil and lymphocyte counts in peripheral blood count analysis may be more representative of proximal calcified coronary lesions. The relationship between neutrophil and lymphocyte blood count and calcific atherosclerotic plaque location can indicate the inflammatory background of epicardial atheroma formation and distribution. [ABSTRACT FROM AUTHOR]
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- 2023
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4. Long-term mortality after transcatheter aortic valve implantation for aortic stenosis in immunosuppressiontreated patients: a propensity-matched multicentre retrospective registry-based analysis.
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Walczewski, Michał, Gąsecka, Aleksandra, Witkowski, Adam, Dabrowski, Maciej, Huczek, Zenon, Wilimski, Radosław, Ochała, Andrzej, Parma, Radosław, Rymuza, Bartosz, Grygier, Marek, Jemielity, Marek, Olasińska-Wiśniewska, Anna, Jagielak, Dariusz, Targoński, Radosław, Pastuszak, Krzysztof, Grešner, Peter, Grabowski, Marcin, and Kochman, Janusz
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HEART valve prosthesis implantation ,AORTIC stenosis ,RETROSPECTIVE studies - Abstract
Introduction: Data regarding patients with a previous medical record of immunosuppression treatment who have undergone transcatheter aortic valve implantation (TAVI) are limited and extremely inconclusive. Available studies are mostly short term observations; thus there is a lack of evidence on efficacy and safety of TAVI in this specific group of patients. Aim: To compare the in-hospital and long-term outcomes between patients with or without a medical history of immunosuppressive treatment undergoing TAVI for aortic valve stenosis (AS). Material and methods: We conducted a retrospective registry-based analysis including patients undergoing TAVI for AS at 5 centres between January 2009 and August 2017. The primary endpoint was long-term all-cause mortality. Secondary endpoints comprised major vascular complications, life-threatening or disabling bleeding, stroke and new pacemaker implantation. Results: Of 1451 consecutive patients who underwent TAVI, two propensity-matched groups including 25 patients with a history of immunosuppression and 75 patients without it were analysed. No differences between groups in all-cause mortality were found in a median follow-up time of 2.7 years following TAVI (p = 0.465; HR = 0.73; 95% CI: 0.30-1.77). The rate of major vascular complications (4.0% vs. 5.3%) was similar in the two groups (p = 1.000). There were no statistically significant differences in the composite endpoint combining life-threatening or disabling bleeding, major vascular complications, stroke and new pacemaker implantation (40.0% vs. 20.0%, p = 0.218). Conclusions: Patients who had undergone TAVI for AS had similar long-term mortality regardless of whether they had a previous medical record of immunosuppression. Procedural complication rates were comparable between the groups. [ABSTRACT FROM AUTHOR]
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- 2023
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5. Do we correctly calculate doses of cardioplegia during aortic valve replacement procedures? A preliminary report.
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Sucharska, Aleksandra, Adamowska, Agnieszka, Karbowska, Zuzanna, Kumar, Lavanya Mohan, Pudełko, Jakub, Szarpak, Łukasz, Jemielity, Marek, and Perek, Bartłomiej
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AORTIC valve transplantation ,INDUCED cardiac arrest ,TROPONIN I ,MYOCARDIAL injury ,AORTIC stenosis - Abstract
Introduction: Intraoperative myocardial protection during aortic valve replacement (AVR) for aortic stenosis (AS) is of paramount importance for outcomes. The dose of cardioplegia is usually calculated with reference to body mass. Aim: To assess whether such a strategy should be applied to all AS patients undergoing AVR. Material and methods: The study included 94 patients who underwent elective isolated AVR in cardiopulmonary bypass with cold cardioplegic arrest, with a mean age of 65.4 ±7.8 years. They were divided into two subgroup: A with an infusion of high (above median) and subgroup B with a low (below median) volume of cardioplegia indexed for left ventricular mass (LVM). Their doses were referred to the maximal postoperative release of cardiac troponin I (cTnI max). Eventually, it was examined whether the extent of intraoperative myocardial injury translated into long-term survival stratified according to the Kaplan-Meier method. Results: The mean volume of cardioplegia was 1381 ±279 ml (4.9 ±1.6 ml/g of LV myocardium). cTnI max was much higher in group A than in group B (medians: 14.918 vs. 9.876 µg/l; p = 0.005). Moreover, a negative correlation between the index cardioplegia volume and cTnI max (r = 0.345) was noted. The five-year probability of survival in subgroup A (95.7%) was significantly better than that in subgroup B individuals (82.6%, p = 0.044). Conclusions: Calculating cardioplegic doses during AVR solely based on body mass may be suboptimal and have a significant impact on postoperative outcomes. [ABSTRACT FROM AUTHOR]
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- 2023
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6. Red blood cell distribution width as a prognostic marker of prolonged mechanical ventilation after paediatric cardiac surgery.
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Olasińska-Wiśniewska, Anna, Urbanowicz, Tomasz, Gładki, Marcin, Grodecki, Kajetan, Michalak, Michał, Węclewska, Anita, Sochacki, Mateusz, Bobkowski, Waldemar, Zalas, Dominika, and Jemielity, Marek
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ERYTHROCYTES ,PROGNOSIS ,ARTIFICIAL respiration ,PEDIATRIC surgery ,CARDIOPULMONARY bypass ,CARDIAC surgery ,MEDICAL sciences ,APPENDICITIS ,HEART block - Published
- 2023
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7. A comparative study of minimally invasive aortic valve replacement with sutureless biological versus mechanical prostheses.
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Bociański, Michał, Puślecki, Mateusz, Olasińska-Wiśniewska, Anna, Perek, Bartłomiej, Stefaniak, Sebastian, Buczkowski, Piotr, and Jemielity, Marek
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AORTIC valve transplantation ,AORTIC valve diseases ,PROSTHETICS ,AORTIC valve ,BIOPROSTHESIS ,NONINVASIVE ventilation ,ARTIFICIAL respiration - Abstract
Introduction: The ministernotomy approach with sutureless aortic bioprosthesis may provide an attractive and safe option for aortic valve disease patients. Aim: To assess the early and mid-term outcomes of minimally invasive aortic valve replacement (miniAVR) with sutureless vs. standard prostheses. Material and methods: The study involved 76 consecutive patients (51 males and 25 females) with mean age of 63.2 years who were treated with miniAVR between 2015 and 2022. They were divided into 2 subgroups: group I (n = 40) subjects with sutureless bioprostheses and group II (n = 36) with standard prostheses implanted. Early and mid-term outcomes were evaluated. A probability of survival was estimated by means of the Kaplan-Meier method. Results: No conversion to complete sternotomy was necessary. The median (minimum; maximum) aorta cross clamping and cardio-pulmonary bypass times were 49 (27; 84) and 70 (40; 188) minutes in group I whereas 69 (50; 103) and 95 (69; 170) minutes in group II, respectively (p < 0.001). In-hospital mortality was 5.0% (n = 2) and 2.8% (n = 1) in group I vs. II, respectively (ns). Permanent ICD implantation was performed in 8 (20.0%) in group I and in 3 (8.3%) subjects in group II. In the discharge echocardiography, the function of all prostheses was correct. Five-year probability of survival was much lower in group I (0.75 ±0.10) than in group II (0.94 ±0.04). No wound infection or sternum instability was noted. Conclusions: Intraoperative advantages of miniAVR procedures for aortic valve patients with sutureless bioprostheses do not translate directly into improved early and middle-term outcomes. [ABSTRACT FROM AUTHOR]
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- 2023
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8. Late consequences of masked bioprosthetic valve endocarditis: diagnostic and treatment options.
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Katarzyńska, Dominika, Olasińska-Wiśniewska, Anna, Misterski, Marcin, Grygier, Marek, Puślecki, Mateusz, Stefaniak, Sebastian, Urbanowicz, Tomasz, Perek, Bartłomiej, and Jemielity, Marek
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INFECTIVE endocarditis ,BIOPROSTHETIC heart valves ,HEART valve prosthesis implantation ,ENDOCARDITIS - Published
- 2023
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9. A large asymptomatic postinfarction left ventricular pseudoaneurysm -- an incidental finding during a recurrent coronary event.
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Witkowska, Anna, Urbanowicz, Tomasz, Olasińska-Wiśniewska, Anna, Katarzyński, Sławomir, Perek, Bartłomiej, and Jemielity, Marek
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FALSE aneurysms ,CORONARY artery bypass ,SYMPTOMS - Published
- 2023
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10. Mean platelet volume as a simple marker of repeated coronary artery intervention after off-pump technique (OPCAB) procedures -- initial report.
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Urbanowicz, Tomasz K., Michalak, Michał, Mikołajewska, Weronika, Rodzki, Michał, Perek, Bartłomiej, Olasińska-Wiśniewska, Anna, Bociański, Michał, and Jemielity, Marek
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MEAN platelet volume ,CARDIOPULMONARY bypass ,CORONARY artery bypass ,CORONARY arteries ,CORONARY artery disease ,LEUCOCYTES ,PERCUTANEOUS coronary intervention - Abstract
Introduction: Mean platelet volume (MPV) is claimed to be a useful marker to predict long-term risk for major adverse cardiac effects (MACE) in patients undergoing percutaneous coronary interventions (PCI). Aim: To explore the possible dependence on MPV and postoperative PCI risk in patients with complex coronary artery disease undergoing coronary artery bypass grafting in off-pump technique (OPCAB). Material and methods: We retrospectively analyzed 236 consecutive patients (180 (76%) males and 56 (24%) women) referred for surgery due to complex coronary artery disease between 2015 and 2016 in our department. The mean 5.1 ±0.8 year follow-up included profound analysis of MACE events including acute coronary syndromes and percutaneous interventions. Results: The 5 ±1 year follow-up was completed by 213 (90%) patients with 2 (1%) deaths within the first year after surgery. In logistic univariate and multivariate model regression analysis two parameters were found significant, i.e. preoperative white blood cells and postoperative MVP, for PCI risk in long-term follow-up. The odds ratio values for postoperative MPV were 1.78 (95% CI, p = 0.0036) and 1.76 (95% CI, p = 0.005) in univariate and multivariate models with cutoff point > 8.7, sensitivity 45.65%, specificity 78.72%. Conclusions: MPV can be regarded as a simple marker of PCI risk following OPCAB procedures. The preoperative MPV indicates the individual tendency for worse prognosis more than procedure dependence. [ABSTRACT FROM AUTHOR]
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- 2021
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11. Successful conservative management of iatrogenic coronary artery dissection proceeding into the ascending aorta.
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Witkowska, Anna Maria, Perek, Bartłomiej, Olasińska-Wiśniewska, Anna, Stefaniak, Sebastian, and Jemielity, Marek
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ARTERIAL dissections ,AORTIC dissection ,DISSECTION ,IATROGENIC diseases ,CHRONIC total occlusion ,BRACHIOCEPHALIC trunk - Published
- 2023
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12. Association between time-related changes in routine blood morphological parameters and renal function after transcatheter aortic valve implantation - a preliminary study.
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Stelmark, Konrad, Zaher, Eli Adrian, Olasińska-Wiśniewska, Anna, Adesina, Michael, Dragone, Alicia, Isaac, Martha, Misterski, Marcin, Grygier, Marek, Puślecki, Mateusz, Lesiak, Maciej, Jemielity, Marek, and Perek, Bartłomiej
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HEART valve prosthesis implantation ,KIDNEY physiology ,ACUTE kidney failure ,NEUTROPHIL lymphocyte ratio ,INFLAMMATION - Abstract
Introduction: Transcatheter aortic valve implantation (TAVI) although minimally invasive is still accompanied by changes in blood morphological parameters, some of them linked to unfavorable outcomes. Aim: To find any association between changes in blood morphology reflecting an inflammatory response and acute kidney injury (AKI). Material and methods: This study involved 176 consecutive transfemoral TAVI patients with a mean age of 78.4 ±7.0 years. Serum creatinine concentration (CREA) and blood morphology were analyzed in the blood samples taken before the procedure, then approximately 1, 24, 48 and 72 hours after the procedure, and lastly at the time of discharge. Post-procedural maximal or minimal values (max/min) and max/min-to-bs ratio of the laboratory parameters were also calculated. Results: Leucocyte (WBC) and neutrophil (NEUT) counts increased significantly after the procedure whereas lymphocyte (LYMPH) counts declined markedly, reaching the highest or lowest values 24 hours after the procedure. A significant increase in neutrophil-to-lymphocyte ratio (NLR) was observed. Platelet count (PLT) dropped to a minimum at 72 hours after TAVI but at discharge did not return to the admission level. TAVI was associated with a marked increase in CREA with a peak at 48 hours after the procedure (135.7 ±75.9 µM/l). Patients with AKI (n = 65; 36.9%) presented more pronounced variations in relative changes in counts of all blood morphological parameters. A positive moderate (r = 0.412) correlation between maximal NLR and relative CREA changes was noted. Conclusions: TAVI is associated with significant changes in blood morphological parameters that reflect an inflammatory response. They are more pronounced among subjects with post-procedural AKI. [ABSTRACT FROM AUTHOR]
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- 2021
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13. Brain activity monitoring by compressed spectral array during deep hypothermic circulatory arrest in acute aortic dissection surgery
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Urbanowicz, Tomasz K., Budniak, Wiktor, Buczkowski, Piotr, Perek, Bartłomiej, Walczak, Maciej, Tomczyk, Jadwiga, Katarzyński, Sławomir, and Jemielity, Marek
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dissection ,DHCA ,CSA ,Experimental Cardiovascular and Lung Research ,brain bioactivity - Abstract
Monitoring the central nervous system during aortic dissection repair may improve the understanding of the intraoperative changes related to its bioactivity.The aim of the study was to evaluate the influence of deep hypothermia on intraoperative brain bioactivity measured by the compressed spectral array (CSA) method and to assess the influence of the operations on postoperative cognitive function.The study enrolled 40 patients (31 men and 9 women) at the mean age of 60.2 ± 8.6 years, diagnosed with acute aortic dissection. They underwent emergency operations in deep hypothermic circulatory arrest (DHCA). During the operations, brain bioactivity was monitored with the compressed spectral array method.There were no intraoperative deaths. Electrocerebral silence during DHCA was observed in 31 patients (74%). The lowest activity was observed during DHCA: it was 0.01 ± 0.05 nW in the left hemisphere and 0.01 ± 0.03 nW in the right hemisphere. The postoperative results of neurological tests deteriorated statistically significantly (26.9 ± 1.7 points vs. 22.0 ± 1.7 points; p0.001), especially among patients who exhibited brain activity during DHCA.The compressed spectral array method is clinically useful in monitoring brain bioactivity during emergency operations of acute aortic dissections. Electrocerebral silence occurs in 75% of patients during DHCA. The cognitive function of patients deteriorates significantly after operations with DHCA.Monitorowanie czynności mózgu podczas operacji rozwarstwień aorty może przyczynić się do lepszego zrozumienia śródoperacyjnych zmian jego czynności bioelektrycznej.Ocena śródoperacyjna czynności bioelektrycznej mózgu za pomocą badania skompresowanego rozkładu widma (Badaniem objęto 40 chorych (31 mężczyzn i 9 kobiet) w średnim wieku 60,2 ± 8,6 roku, z rozpoznaniem ostrego rozwarstwienia aorty, poddanych leczeniu chirurgicznemu w trybie nagłym, z zastosowaniem DHCA. Śródoperacyjnie czynność bioelektryczną mózgu monitorowano za pomocą badania CSA.W okresie śródoperacyjnym nie zmarł żaden pacjent. U 31 chorych (74%) podczas DHCA obserwowano ciszę bioelektryczną mózgu. Najniższą moc całkowitą aktywności bioelektrycznej mózgu stwierdzono podczas DHCA, odpowiednio, dla półkuli lewej 0,01 ± 0,05 nW oraz dla półkuli prawej 0,01 ± 0,03 nW. Wyniki testów neurologicznych uległy istotnie statystycznie pogorszeniu przede wszystkim u chorych, u których w okresie DHCA obserwowano aktywność bioelektryczną mózgu.Podczas operacji w głębokiej hipotermii do całkowitego zaniknięcia czynności bioelektrycznej mózgu dochodzi u ok. 75% chorych. Funkcje poznawcze u chorych operowanych w głębokiej hipotermii ulegają istotnemu pogorszeniu we wczesnym okresie pooperacyjnym szczególnie u chorych, u których podczas DHCA obserwowano aktywność bioelektryczną mózgu.
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- 2014
14. Long-term biventricular circulatory support with POLVAD-MEV paracorporeal pulsatile pumps. Single-centre experience.
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Urbanowicz, Tomasz K., Baszyńska-Wachowiak, Hanna, Olasińska-Wiśniewska, Anna, Misterski, Marcin, Stefaniak, Sebastian, Ligowski, Marcin, and Jemielity, Marek
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HEART diseases ,HEART transplantation ,PUMPING machinery ,SUPPORT groups ,HEART failure - Abstract
Copyright of Polish Journal of Thoracic & Cardiovascular Surgery / Kardiochirurgia i Torakochirurgia Polska is the property of Termedia Publishing House and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2020
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15. Preoperative blood morphology and incidence of acute kidney injury after on-pump coronary artery bypass grafting - a single-center preliminary report.
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Perek, Bartłomiej, Maison, Dawid, Budnick, Szymon, Gębala, Kinga, Casadei, Veronica, Dadej, Daniela, Chmielewski, Artur, Ligowski, Marcin, Buczkowski, Piotr, Perek, Anna, and Jemielity, Marek
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ACUTE kidney failure ,CORONARY artery bypass risk factors ,SURGICAL complications ,PATIENTS - Abstract
Copyright of Polish Journal of Thoracic & Cardiovascular Surgery / Kardiochirurgia i Torakochirurgia Polska is the property of Termedia Publishing House and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2018
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16. The role of extracorporeal membrane oxygenation in patients after irreversible cardiac arrest as potential organ donors.
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Kłosiewicz, Tomasz, Puślecki, Mateusz, Zieliński, Marcin, Mandecki, Michał, Ligowski, Marcin, Stefaniak, Sebastian, Dąbrowski, Marek, Karczewski, Marek, Gąsiorowski, Łukasz, Sip, Maciej, Dąbrowska, Agata, Telec, Wojciech, Perek, Bartłomiej, and Jemielity, Marek
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EXTRACORPOREAL membrane oxygenation ,CARDIAC arrest ,TRANSPLANTATION of organs, tissues, etc. ,INTENSIVE care units ,MEDICAL emergencies - Abstract
The number of people waiting for a kidney or liver transplant is growing systematically. Due to the latest advances in transplantation, persons after irreversible cardiac arrest and confirmation of death have become potential organ donors. It is estimated that they may increase the number of donations by more than 40%. However, without good organization and communication between pre-hospital care providers, emergency departments, intensive care units and transplantation units, it is almost impossible to save the organs of potential donors in good condition. Various systems, including extracorporeal membrane oxygenation (ECMO), supporting perfusion of organs for transplantation play a key role. In 2016 the "ECMO for Greater Poland" program was established. Although its main goal is to improve the survival rate of patients suffering from life-threatening cardiopulmonary conditions, one of its branches aims to increase the donation rate in patients with irreversible cardiac arrest. In this review, the role of ECMO in the latter group as the potential organ donors is presented. [ABSTRACT FROM AUTHOR]
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- 2017
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17. Late subclinical hemolysis and long-term outcomes after aortic valve replacement with On-X mechanical prostheses - a preliminary single-center report.
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Perek, Bartłomiej, Sławek, Sylwia, Malińska, Agnieszka, Katyńska, Izabela, Puślecki, Mateusz, Szymak-Pawełczyk, Bogumiła, Nowicki, Michał, and Jemielity, Marek
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HEMOLYSIS & hemolysins ,AORTIC valve surgery ,ARTIFICIAL implants - Abstract
Copyright of Polish Journal of Thoracic & Cardiovascular Surgery / Kardiochirurgia i Torakochirurgia Polska is the property of Termedia Publishing House and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2017
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18. Transapical aortic valve implantation using a Symetis Acurate self-expandable bioprosthesis: initial outcomes of 10 patients.
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Misterski, Marcin, Puślecki, Mateusz, Grygier, Marek, Olasińska-Wiśniewska, Anna, Lesiak, Maciej, Araszkiewicz, Aleksander, Perek, Barłomiej, Choręziak, Aneta, Lindner, Jacek, Komosa, Anna, Buczkowski, Piotr, Ligowski, Marcin, Katarzyński, Sławomir, and Jemielity, Marek
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AORTIC valve transplantation ,BIOPROSTHESIS ,AORTIC stenosis ,CARDIAC pacemakers ,HEART valve diseases - Abstract
Introduction: Transapical aortic valve implantation (TA-AVI) has been widely introduced for treatment of patients with severe aortic stenosis in the last decade. Here we report our first clinical experience with 10 patients using the second-generation transapical Symetis Acurate TA aortic valve designed for transapical implantation. Aim: To evaluate the results of transapical access in transcatheter aortic valve implantation (TAVI) among patients with unsuitable vascular access. Material and methods: All patients had been assessed by a local heart team and were disqualified from surgical aortic valve replacement (AVR) and the transfemoral TAVI approach. Mean age was 75.4 ±3.9 years (range: 68-80), with 20% being female. Logistic EuroSCORE (European System for Cardiac Operative Risk Evaluation) and STS (Society of Thoracic Surgeons) were 15.4 ±8.9% and 20.5 ±4.5%, respectively. Results: All implantations were performed successfully in the intra-annular and subcoronary position. There were no conversions to surgical AVR. All patients survived 30-day follow-up. No strokes or transient ischemic attacks were reported. There was no need for pacemaker implantation and none of the patients demonstrated moderate or significant paravalvular leakage. The mean aortic gradients improved significantly from a baseline of 57.0 ±19.2 mm Hg to a 30-day value of 14.2 ±4.1 mm Hg. Conclusions: Our initial clinical results indicate satisfactory functionality in patients after trans-apical implantation of the Symetis Acurate aortic valve. The procedure of implantation seems to be straightforward and may be considered in patients in whom a transfemoral approach is not a good option. [ABSTRACT FROM AUTHOR]
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- 2017
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19. Femoral artery anatomy-tailored approach in transcatheter aortic valve implantation.
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Olasińska-Wiśniewska, Anna, Grygier, Marek, Lesiak, Maciej, Araszkiewicz, Aleksander, Trojnarska, Olga, Komosa, Anna, Misterski, Marcin, Jemielity, Marek, Proch, Marek, and Grajek, Stefan
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FEMORAL artery ,AORTIC valve surgery ,SURGICAL complications ,HOSPITAL mortality ,DISEASE incidence ,ANATOMY - Abstract
Introduction: The best techniques for reduction of femoral access site complications after transcatheter aortic valve implantation (TAVI) remain the object of research. Aim: We report on a single center's experience with TAVI performed via the femoral access site. Material and methods: Between September 2010 and September 2015, 152 consecutive patients underwent TAVI in our department. Of them, 101 patients with CoreValve implantation from the femoral access site were included in the analysis. The femoral artery anatomy-tailored approach was introduced in 2013 in order to reduce the rate of access-site complications. Patients were assigned to percutaneous puncture or surgical cut-down depending on the femoral artery anatomy assessed in computed tomography. The study patients were divided into two subgroups: group A - patients treated before January 2013, before introduction of the tailored approach program (n = 34); and group B - patients treated between January 2013 and April 2015 (n = 67). Results: The access site complication rate significantly decreased from 35.3% in group A (n = 12) to 7.5% in group B (n = 5) (p = 0.0012). Both minor and major access site complications were more frequent in group A (p = 0.04 and 0.016, respectively). In-hospital mortality was 8.8% (n = 3) in group A and 1.5% (n = 1) in group B (p = 0.1). Conclusions: The femoral artery anatomy-tailored approach significantly reduces the incidence of access site complications in TAVI patients. [ABSTRACT FROM AUTHOR]
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- 2017
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20. The incidence of aspirin resistance in heart transplantation recipients.
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Urbanowicz, Tomasz, Komosa, Anna, Michalak, Michał, Mularek, Tatiana, Cassadei, Veronica, Grajek, Stefan, and Jemielity, Marek
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ASPIRIN ,HEART transplantation - Abstract
Copyright of Polish Journal of Thoracic & Cardiovascular Surgery / Kardiochirurgia i Torakochirurgia Polska is the property of Termedia Publishing House and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2017
- Full Text
- View/download PDF
21. Invasive aspergillosis successfully treated by combined antifungal therapy and immunosuppressive monotherapy two months following heart transplantation.
- Author
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Urbanowicz, Tomasz, Żabicki, Bartłomiej, Baszyńska-Wachowiak, Hanna, Straburzyńska-Migaj, Ewa, Juszkat, Robert, Grajek, Stefan, and Jemielity, Marek
- Subjects
HEART transplantation ,CARDIAC patients - Abstract
Copyright of Polish Journal of Thoracic & Cardiovascular Surgery / Kardiochirurgia i Torakochirurgia Polska is the property of Termedia Publishing House and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2016
- Full Text
- View/download PDF
22. Negative pressure wound therapy for surgical site infection after sternotomy and its role in preparing the wound for reconstruction.
- Author
-
Schwartzmann, Eyal, Sy, Micah, Sharma, Mehul, Mańkowski, Bartosz, Jemielity, Marek, and Perek, Bartłomiej
- Subjects
NEGATIVE-pressure wound therapy ,SURGICAL site infections ,CORONARY artery bypass ,OPERATIVE surgery ,HEART valve prosthesis implantation ,WOUNDS & injuries - Published
- 2021
- Full Text
- View/download PDF
23. Early and long-term outcomes of pericardiotomy in the treatment of primary cardiac tamponade.
- Author
-
Perek, Bartłomiej, Tomaszewska, Iga, Stefaniak, Sebastian, Bartczak, Agnieszka, and Jemielity, Marek
- Subjects
PERICARDIUM surgery ,CARDIAC tamponade treatment ,HEALTH outcome assessment - Abstract
Copyright of Polish Journal of Thoracic & Cardiovascular Surgery / Kardiochirurgia i Torakochirurgia Polska is the property of Termedia Publishing House and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2015
- Full Text
- View/download PDF
24. The impact of coronary artery disease severity on late survival after combined aortic valve replacement and coronary artery bypass grafting - experience of a single cardiac surgery center.
- Author
-
Perek, Bart322;omiej, Misterski, Marcin, Stachowiak, Wojciech, Buczkowski, Piotr, tefaniak, Sebastian, Pu347;lecki, Mateusz, Urbanowicz, Tomasz, Budniak, Wiktor, and Jemielity, Marek
- Subjects
ECHOCARDIOGRAPHY ,CORONARY disease ,CORONARY artery bypass ,AORTIC valve transplantation ,TRANSPLANTATION of organs, tissues, etc. - Abstract
Copyright of Polish Journal of Thoracic & Cardiovascular Surgery / Kardiochirurgia i Torakochirurgia Polska is the property of Termedia Publishing House and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2014
- Full Text
- View/download PDF
25. Spontaneous resolution of iatrogenic dissection of the left main coronary artery extending to the thoracic and abdominal aorta.
- Author
-
Perek, Bartłomiej, Lesiak, Maciej, and Jemielity, Marek
- Subjects
DISSECTION ,CORONARY artery surgery ,THORACIC aorta ,AORTA ,ABDOMINAL aorta ,SURGERY - Abstract
Iatrogenic coronary artery dissection extending to the ascending aorta is a rare complication of percutaneous coronary interventions. Coronary stent implantation is usually sufficient to control the injury. In this report we describe an unusual case of spontaneous resolution of both left main coronary artery and aortic wall dissection. The patient was not operated on due to the location of the initial tear in the distal part of the left main coronary artery. Moreover, in computed tomography (CT) thrombus formation in the false lumen of the dissected aorta was seen. The in-hospital course was uneventful. The last follow-up CT showed complete resolution of dissection. [ABSTRACT FROM AUTHOR]
- Published
- 2013
- Full Text
- View/download PDF
26. Professor Aleksy Poniżyński (1928-2017).
- Author
-
Jemielity, Marek
- Subjects
- *
MEDICAL publishing , *PERIODICAL publishing - Published
- 2017
- Full Text
- View/download PDF
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