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Manole M, Dinu C, Inchingolo AD, Rada S, Bordea LR, Inchingolo AM, Malcangi G, Marinelli G, D'Oria MT, Scarano A, Lorusso F, Dipalma G, Baciu S, Inchingolo F. Stabilized zirconia ceramics for dental applications. J BIOL REG HOMEOS AG 2021; 35:241-251. [PMID: 34281322 DOI: 10.23812/21-2supp1-25] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
The research is aiming to obtain at room temperature a new ceramic material containing partially stabilized zirconia with different oxides after sintering used for dental and other technological purposes. Our research proposes a new method based on the use of stabilized zirconia with other oxides to obtain optimized dental material with a lower cost price and / or improved properties to allow wider use of these products to an increased number of patients in dental offices. X-ray diffraction, SEM analysis. FTIR spectroscopy, UVVis and density measurements were accomplished for the three ceramic systems. The correlation between the microstructure and the spectroscopic properties of zirconium stabilized by FTIR spectroscopy, UV-Vis helps understanding the mechanisms associated with the formation of high (tetragonal and / or cubic) temperature zirconia. Along with the simple, less costly preparation method and high purity of the ceramic products our study offers a highly desirable product for technological applications.
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Affiliation(s)
- M Manole
- Iuliu Hatieganu University of Medicine and Pharmacy, Department of Dental Propaedeutics and Esthetics, Cluj Napoca, Romania
| | - C Dinu
- Iuliu Hatieganu University of Medicine and Pharmacy, Department of Maxilofacial Surgery and Implantology, Cluj Napoca, Romania
| | - A D Inchingolo
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, Bari, Italy
| | - S Rada
- Department of Physics & Chemistry, Technical University of Cluj-Napoca, Romania
| | - L R Bordea
- Iuliu Hatieganu University of Medicine and Pharmacy, Department of Oral Rehabilitation, Cluj Napoca, Romania
| | - A M Inchingolo
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, Bari, Italy
| | - G Malcangi
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, Bari, Italy
| | - G Marinelli
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, Bari, Italy
| | - M T D'Oria
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, Bari, Italy.,Università degli Studi di Udine, Udine, Italy
| | - A Scarano
- Department of Department of Innovative Technologies in Medicine & Dentistry, University of Chieti-Pescara, Chieti, Italy
| | - F Lorusso
- Department of Department of Innovative Technologies in Medicine & Dentistry, University of Chieti-Pescara, Chieti, Italy
| | - G Dipalma
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, Bari, Italy
| | - S Baciu
- Iuliu Hatieganu University of Medicine and Pharmacy, Department of Dental Propaedeutics and Esthetics, Cluj Napoca, Romania
| | - F Inchingolo
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, Bari, Italy
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2
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Laudadio C, Inchingolo AD, Malcangi G, Limongelli L, Marinelli G, Coloccia G, Montenegro V, Patano A, Inchingolo F, Bordea IR, Scarano A, Greco Lucchina A, Lorusso F, Inchingolo AM, Dipalma G, Di Venere D, Laforgia A. Management of anterior open-bite in the deciduous, mixed and permanent dentition stage: a descriptive review. J BIOL REG HOMEOS AG 2021; 35:271-281. [PMID: 34281324 DOI: 10.23812/21-2supp1-27] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Anterior open bite is one of the most complex malocclusions to manage. The interaction of skeletal, dental, and soft tissue effects can contribute to develop an anterior open bite. The skeletal open bite requires a more complex approach of treatment to reach function, aesthetics, and stability. The approaches vary depending on the causative factors and the age of patients. Treatment approaches for open bite patients differ when dealing with adults and growing patients. The aim of this descriptive review was to summarize the main existing treatment strategies for anterior open bite, from the noninvasive behavioural shaping to the orthodontic intrusion with skeletal anchorage.
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Affiliation(s)
- C Laudadio
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, Bari, Italy
| | - A D Inchingolo
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, Bari, Italy
| | - G Malcangi
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, Bari, Italy
| | - L Limongelli
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, Bari, Italy
| | - G Marinelli
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, Bari, Italy
| | - G Coloccia
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, Bari, Italy
| | - V Montenegro
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, Bari, Italy
| | - A Patano
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, Bari, Italy
| | - F Inchingolo
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, Bari, Italy
| | - I R Bordea
- Department of Oral Rehabilitation, Faculty of Dentistry, Iuliu Hațieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania
| | - A Scarano
- Department of Innovative Technologies in Medicine and Dentistry, University of Chieti-Pescara, Chieti, Italy
| | - A Greco Lucchina
- Saint Camillus International University of Health and Medical Science, Rome, Italy
| | - F Lorusso
- Department of Innovative Technologies in Medicine and Dentistry, University of Chieti-Pescara, Chieti, Italy
| | - A M Inchingolo
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, Bari, Italy
| | - G Dipalma
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, Bari, Italy
| | - D Di Venere
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, Bari, Italy
| | - A Laforgia
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, Bari, Italy
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3
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Gargiulo Isacco C, Inchingolo AD, Nguyen Cao KD, Malcangi G, Paduanelli G, Pham Hung V, Tran Cong T, Bordea IR, Scarano A, Laforgia A, Marinelli G, Limongelli L, Inchingolo F, Lorusso F, Inchingolo AM, Dipalma G. The bad relationship, osteo-decay and diabetes type 2 searching for a link: a literature review. J BIOL REG HOMEOS AG 2021; 35:253-269. [PMID: 34281323 DOI: 10.23812/21-2supp1-26] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
The diabetes and osteoporotic metabolic diseases are characterized by a wide prevalence of the population worldwide and correlated to alteration of the bone tissues. Several cofactors could influence the clinical course and the biochemistry of the pathologies such as human microbiome, nutrition characteristics, gut microbiota activity and interactions with vitamin K and D across IGF/GH and TP53 signaling pathways and the glucose/energy as mechanism for bone tissue health. Moreover, also the calories and sugar consumption seem to be correlated to an increased inflammatory state with several consequences for hematopoiesis and host tissues response. The aim of the present literature review was to highlight the role of osteoporotic diseases and diabetes type 2 link for the bone metabolism. The literature cases showed that a correlation between bone-gut-kidney-heart-CNS-Immunity crosstalk seems to be linked with bone metabolism and health regulation. Moreover, also the aging process could represent a valuable co-factor for the sustaining of the metabolic disorders upon a multi-systemic level.
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Affiliation(s)
- C Gargiulo Isacco
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, Bari, Italy.,Phan Chau Trinh University of Medicine Hoi An City, Vietnam.,Human Stem Cells Research Center of Ho Chi Minh City Vietnam
| | - A D Inchingolo
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, Bari, Italy
| | - K D Nguyen Cao
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, Bari, Italy.,Phan Chau Trinh University of Medicine Hoi An City, Vietnam.,Human Stem Cells Research Center of Ho Chi Minh City Vietnam
| | - G Malcangi
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, Bari, Italy
| | - G Paduanelli
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, Bari, Italy
| | - V Pham Hung
- Phan Chau Trinh University of Medicine Hoi An City, Vietnam
| | - T Tran Cong
- Phan Chau Trinh University of Medicine Hoi An City, Vietnam
| | - I R Bordea
- Department of Oral Rehabilitation, Faculty of Dentistry, Iuliu Hațieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania
| | - A Scarano
- Department of Innovative Technologies in Medicine and Dentistry, University of Chieti-Pescara, Chieti, Italy
| | - A Laforgia
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, Bari, Italy
| | - G Marinelli
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, Bari, Italy
| | - L Limongelli
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, Bari, Italy
| | - F Inchingolo
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, Bari, Italy
| | - F Lorusso
- Department of Innovative Technologies in Medicine and Dentistry, University of Chieti-Pescara, Chieti, Italy
| | - A M Inchingolo
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, Bari, Italy
| | - G Dipalma
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, Bari, Italy
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Marinelli G, Inchingolo AD, Inchingolo AM, Malcangi G, Limongelli L, Montenegro V, Coloccia G, Laudadio C, Patano A, Inchingolo F, Bordea IR, Scarano A, Greco Lucchina A, Lorusso F, Di Venere D, Laforgia A, Dipalma G. White spot lesions in orthodontics: prevention and treatment. A descriptive review. J BIOL REG HOMEOS AG 2021; 35:227-240. [PMID: 34281321 DOI: 10.23812/21-2supp1-24] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
White spot lesions (WSL) are demineralizations of the enamel found on the tooth surfaces. WSL are considered incipient non-cavitated caries caused by bacterial plaque activity. Subjects with malocclusion such as dental crowding and fixed orthodontic appliances have a greater number of retention sites and consequently difficulty in cleaning and greater predisposition to caries. In fact, WSL are a frequent side effect of orthodontic fixed treatments. The prevention and resolution of this problem is the goal of any orthodontist because untreated WSL can lead to the formation of deeper dental caries and restorative treatment with consequent compromise of patient satisfaction with the aesthetic result obtained at the end of the orthodontic treatment. This review is intended not only for orthodontists but also for general and pediatric dentists who want to learn how to correctly prevent, and treat this unsightly problem. On the market there are many products sold to achieve this goal, some of them can be managed independently by the patient at home, others require the intervention of the dentist. The purpose of this literature review is to understand how these substances work, to identify with which of the currently most widespread the best results have been obtained and then to provide useful information to guide the clinician in choosing the most suitable one for the patient.
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Affiliation(s)
- G Marinelli
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, Bari, Italy
| | - A D Inchingolo
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, Bari, Italy
| | - A M Inchingolo
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, Bari, Italy
| | - G Malcangi
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, Bari, Italy
| | - L Limongelli
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, Bari, Italy
| | - V Montenegro
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, Bari, Italy
| | - G Coloccia
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, Bari, Italy
| | - C Laudadio
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, Bari, Italy
| | - A Patano
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, Bari, Italy
| | - F Inchingolo
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, Bari, Italy
| | - I R Bordea
- Department of Oral Rehabilitation, Faculty of Dentistry, Iuliu Hațieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania
| | - A Scarano
- Department of Innovative Technologies in Medicine and Dentistry, University of Chieti-Pescara, Chieti, Italy
| | - A Greco Lucchina
- Saint Camillus International University of Health and Medical Science, Rome, Italy
| | - F Lorusso
- Department of Innovative Technologies in Medicine and Dentistry, University of Chieti-Pescara, Chieti, Italy
| | - D Di Venere
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, Bari, Italy
| | - A Laforgia
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, Bari, Italy
| | - G Dipalma
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, Bari, Italy
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5
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Montenegro V, Inchingolo AD, Malcangi G, Limongelli L, Marinelli G, Coloccia G, Laudadio C, Patano A, Inchingolo F, Bordea IR, Scarano A, Greco Lucchina A, Lorusso F, Inchingolo AM, Dipalma G, Di Venere D, Laforgia A. Compliance of children with removable functional appliance with microchip integrated during covid-19 pandemic: a systematic review. J BIOL REG HOMEOS AG 2021; 35:365-377. [PMID: 34281334 DOI: 10.23812/21-2supp1-37] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Treatments with removable appliances are widely used in Europe to correct dento-skeletal dysgnatia in the growth phase that is a period of poor cooperation of the patients. Adherence to the wear-time prescription is often not achieved and it represent the main argument against the use of removable devices. Suspected non-compliant behavior with the wear time prescription is often the subject of medico-legal disputes, which can deteriorate doctor-patient relationship. The use of microchips allows to document objectively and clarify the patient's behavior. To conduct a systematic review of the orthodontic literature to identify the factors associated with compliance in orthodontic treatment. We conduct a systematic review that aimed to identity the factors associate with compliance in orthodontic treatment. The main purpose was to assess the objective levels of time of use of the removable appliances and the self-reported levels. A literature search was conducted by the electronic databases PubMed and Cochrane Library. The following search terms were used: compliance functional removable orthodontic appliance. Randomized and nonrandomized controlled trials, prospective cohort studies, case series, qualitative and mixed-methods studies objectively assessing compliance levels were included in the study. A total of 94 articles were identified by PubMed and 14 articles by Cochrane. The papers selected were included for the qualitative analysis and categorized according to the subjects age, the clinical appliance, compliance factors, wear time and monitoring. Removable appliances are an important part of orthodontic treatment, used in growth phase of the patient. Collaboration with removable functional devices determines success / failure in treatment.
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Affiliation(s)
- V Montenegro
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro Bari, Italy
| | - A D Inchingolo
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro Bari, Italy
| | - G Malcangi
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro Bari, Italy
| | - L Limongelli
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro Bari, Italy
| | - G Marinelli
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro Bari, Italy
| | - G Coloccia
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro Bari, Italy
| | - C Laudadio
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro Bari, Italy
| | - A Patano
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro Bari, Italy
| | - F Inchingolo
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro Bari, Italy
| | - I R Bordea
- Department of Oral Rehabilitation, Faculty of Dentistry, Iuliu Hațieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania
| | - A Scarano
- Department of Innovative Technologies in Medicine and Dentistry, University of Chieti-Pescara, Chieti, Italy
| | - A Greco Lucchina
- Saint Camillus International University of Health and Medical Science Rome, Italy
| | - F Lorusso
- Department of Innovative Technologies in Medicine and Dentistry, University of Chieti-Pescara, Chieti, Italy
| | - A M Inchingolo
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro Bari, Italy
| | - G Dipalma
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro Bari, Italy
| | - D Di Venere
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro Bari, Italy
| | - A Laforgia
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro Bari, Italy
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Tosca MA, Marseglia GL, Ciprandi G, Anastasio E, Brambilla I, Caffarelli C, Chini L, Ciprandi R, De Vittori V, Duse M, Di Cicco ME, Indinnimeo L, Kantar A, Leone M, Licari A, Marinelli G, Moschese V, Olcese R, Peroni DG, Pistorio MA, Salmaso C, Silvestri M, Zicari AM. The treatment of allergic rhinitis in asthmatic children and adolescents: practical outcomes from the real-world "ControL'Asma" study. Eur Ann Allergy Clin Immunol 2020; 53:143-145. [PMID: 32914947 DOI: 10.23822/eurannaci.1764-1489.171] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- M A Tosca
- Allergy Center, Istituto Giannina Gaslini, Genoa, Italy
| | - G L Marseglia
- Pediatrics Clinic, Pediatrics Department, Policlinico San Matteo, University of Pavia, Pavia, Italy
| | - G Ciprandi
- Allergy Clinic, Casa di Cura Villa Montallegro, Genoa, Italy
| | | | | | | | | | | | | | - M Duse
- ControL'Asma" Study Group
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7
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Loforte A, Alfonsi J, Gliozzi G, Folesani G, Fiorentino M, Biffi M, Marinelli G, Di Bartolomeo R, Pacini D. Less invasive ventricular enhancement (LIVE) as potential therapy for ischaemic cardiomyopathy end-stage heart failure. J Thorac Dis 2019; 11:S921-S928. [PMID: 31183171 DOI: 10.21037/jtd.2019.02.86] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Background Surgical ventricular reshaping (SVR) is a treatment option for patients with severe ischaemic heart failure (HF). Recently, a new minimally invasive, hybrid technique named "less invasive ventricular enhancement" (LIVE), has been developed adopting the Reviven™ Myocardial Anchoring System (BioVentrix Inc., San Ramon, CA, USA). Methods Between January 2015 and November 2018, 7 patients (5 men and 2 women; mean age 72±8.9 years) underwent LIVE procedure at our institution. Results Procedural success was 100%. A total anchors number of 3.0±0.9 was used to reshape the left ventricle (LV). Preoperative and postoperative echocardiographic assessments showed an increase of LV ejection fraction (EF) from 22.8%±8.1% to 35%±7.2% (P=0.001) and a decrease of LV volumes in terms of LV end-systolic volume index (LVESVI), from 93.2±10.5 to 52.1±15.1 mL/m2 (P<0.001), and LV end-diastolic volume index LVEDVI, from 137.2±20.1 to 78±10.2 mL/m2 (P=0.001), respectively. In all patients functional mitral regurgitation (MR) prior to surgery decreased significantly after LIVE procedure. In 1 patient, the occurrence of right ventricle perforation required correction through a standard sternotomy. All patients survived the surgical procedure. The mean duration of intensive care unit stay was 7.8 days (range, 1-22 days), and the mean length of hospital stay was 22.1 days (range, 9-45 days). Mean follow-up (FU) time was 189.7±104.5 days. Average NYHA functional class at FU was 1.4±0.9 compared to 3.4±0.6 preoperatively (P=0.001). All patients were in satisfactory clinical condition and resumed their own daily activities. Echocardiographic monitorings at FU were stable and comparable to the above mentioned results at discharge. Conclusions In high-risk patients and selected cases, LIVE procedure may be advantageous both technically and clinically. Preliminary results of this novel hybrid treatment for symptomatic ischaemic cardiomyopathy are encouraging, in terms of significant improvement in LV EF, reduction in LV volumes and functional MR grade.
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Affiliation(s)
- Antonio Loforte
- Department of Cardiothoracic, Transplantation and Vascular Surgery, S. Orsola Hospital, Bologna University, Bologna, Italy
| | - Jacopo Alfonsi
- Department of Cardiothoracic, Transplantation and Vascular Surgery, S. Orsola Hospital, Bologna University, Bologna, Italy
| | - Gregorio Gliozzi
- Department of Cardiothoracic, Transplantation and Vascular Surgery, S. Orsola Hospital, Bologna University, Bologna, Italy
| | - Gianluca Folesani
- Department of Cardiothoracic, Transplantation and Vascular Surgery, S. Orsola Hospital, Bologna University, Bologna, Italy
| | - Mariafrancesca Fiorentino
- Department of Cardiothoracic, Transplantation and Vascular Surgery, S. Orsola Hospital, Bologna University, Bologna, Italy
| | - Mauro Biffi
- Department of Cardiology, S. Orsola Hospital, Bologna University, Bologna, Italy
| | - Giuseppe Marinelli
- Department of Cardiothoracic, Transplantation and Vascular Surgery, S. Orsola Hospital, Bologna University, Bologna, Italy
| | - Roberto Di Bartolomeo
- Department of Cardiothoracic, Transplantation and Vascular Surgery, S. Orsola Hospital, Bologna University, Bologna, Italy
| | - Davide Pacini
- Department of Cardiothoracic, Transplantation and Vascular Surgery, S. Orsola Hospital, Bologna University, Bologna, Italy
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Grigioni F, Benfari G, Vanoverschelde JL, Tribouilloy C, Avierinos JF, Bursi F, Suri RM, Guerra F, Pasquet A, Rusinaru D, Marcelli E, Théron A, Barbieri A, Michelena H, Lazam S, Szymanski C, Nkomo VT, Capucci A, Thapa P, Enriquez-Sarano M, Suri R, Clavel M, Maalouf J, Michelena H, Nkomo VT, Enriquez-Sarano M, Tribouilloy C, Trojette F, Szymanski C, Rusinaru D, Touati G, Remadi J, Guerra F, Capucci A, Grigioni F, Russo A, Biagini E, Pasquale F, Ferlito M, Rapezzi C, Savini C, Marinelli G, Pacini D, Gargiulo G, Di Bartolomeo R, Boulif J, de Meester C, El Khoury G, Gerber B, Lazam S, Pasquet A, Noirhomme P, Vancraeynest D, Vanoverschelde JL, Avierinos J, Collard F, Théron A, Habib G, Barbieri A, Bursi F, Mantovani F, Lugli R, Modena M, Boriani G, Bacchi-Reggiani L. Long-Term Implications of Atrial Fibrillation in Patients With Degenerative Mitral Regurgitation. J Am Coll Cardiol 2019; 73:264-274. [DOI: 10.1016/j.jacc.2018.10.067] [Citation(s) in RCA: 33] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/24/2018] [Revised: 10/11/2018] [Accepted: 10/16/2018] [Indexed: 11/15/2022]
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9
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Loforte A, Montalto A, Attisani M, Mariani C, Comisso M, Baronetto A, Fiorentino M, Di Bartolomeo R, Marinelli G, Musumeci F, Rinaldi M. OC30 HEMOCOMPATIBILITY-RELATED ADVERSE EVENTS AND PHYSIOLOGICAL CIRCULATORY INTERFACE OF DIFFERENT GENERATION LEFT VENTRICULAR ASSIST DEVICES. J Cardiovasc Med (Hagerstown) 2018. [DOI: 10.2459/01.jcm.0000549899.48487.fe] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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10
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Loforte A, Montalto A, Mariani C, Polizzi V, Masetti M, Lilla Della Monica P, Grigioni F, Marinelli G, Musumeci F. Hemocompatibility Related Adverse Events and Competitive Outcomes of Different Generation of Left Ventricular Assist Devices. J Heart Lung Transplant 2018. [DOI: 10.1016/j.healun.2018.01.954] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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11
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Loforte A, Montalto A, Mariani C, Martin Suarez S, Pilato E, Masetti M, Sbaraglia F, Lilla Della Monica P, Grigioni F, Musumeci F, Marinelli G. Outcomes of Extended Criteria Cardiac Transplantation versus Destination Left Ventricular Assist Device Therapy. J Heart Lung Transplant 2018. [DOI: 10.1016/j.healun.2018.01.671] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
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12
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Loforte A, Montalto A, Musumeci F, Mariani C, Polizzi V, Lilla Della Monica P, Grigioni F, Marinelli G. A Novel Risk Model to Predict Right Ventricular Failure after Continuous Flow Left Ventricular Assist Device Implantation. J Heart Lung Transplant 2018. [DOI: 10.1016/j.healun.2018.01.953] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
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13
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Loforte A, Montalto A, Mariani C, Martin Suarez S, Pilato E, Lilla Della Monica P, Grigioni F, Marinelli G, Musumeci F. Results of Unplanned Right Ventricular Assist Device for Severe Right Ventricular Failure after Continuous Flow Left Ventricular Assist Device Insertion. J Heart Lung Transplant 2018. [DOI: 10.1016/j.healun.2018.01.955] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
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Di Iorio B, Cirillo M, Bellizzi V, Stellato D, De Santo NG, Aquino A, Anastasio P, Barchiesi S, Bonanno D, Buccino A, Cappabianca F, Cesaro A, Cestaro R, Chiuchiolo L, Chiuchiolo L, Ciaccia L, Cicchella T, Cillo N, Cioffi M, Cirillo E, Confessore N, Costanzo R, D'Apice L, De Felice E, Delgado G, De Luca M, De Luca P, De Luna V, De Maio A, De Pascale C, Della Volpe L, De Simone V, De Simone W, Di Benedetto A, Di Costanzo L, Di Donato R, Di Serafino A, Fabozzi GM, Fiorentino P, Fragetta G, Fumante M, Galise A, Giangrande C, Giobbe A, Gnasso A, Granato P, Guastaferro P, Iacono G, Iandolo R, Iengo G, Lamberti C, La Verde A, Liccardo D, Maddalena L, Mancini L, Manfreda L, Mari R, Marinelli G, Marinelli G, Martignetti V, Mascolini N, Maurodopoulos C, Migliorati M, Memoli M, Milone A, Milone D, Monaco G, Monteleone E, Natale G, Oggero AR, Pavese F, Petrelli P, Pizzola AR, Raucci B, Rubino R, Salvati G, Santoro D, Saviano C, Savignano M, Sforza C, Spitali L, Staulo P, Stellato D, Taddeo U, Terracciano V, Tomasino G, Tramontano P, Veniero P, Ventre M, Verrillo E, Violante B, Vitiello P, Viola G. Prevalence and Correlates of Anemia and Uncontrolled Anemia in Chronic Hemodialysis Patients – The Campania Dialysis Registry. Int J Artif Organs 2018. [DOI: 10.1177/039139880703000408] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Background This study investigated prevalence and correlates of anemia and uncontrolled anemia in chronic hemodialysis patients. Methods A cross-sectional analysis was performed on registry data for 2,746 chronic (<6 months) hemodialysis patients aged 25–84. Data collection included years of dialysis, hours of dialysis/wk, disease causing hemodialysis, body mass index (BMI), erythropoietin (EPO) treatment, hemoglobin, markers of viral hepatitis, serum albumin, calcium, and phosphorus. Results Prevalence was 88.7% for anemia (hemoglobin <11 g/100 mL and EPO treatment at any Hb level), 39.4% for uncontrolled anemia (hemoglobin<11 g/100 mL). Gender, years of dialysis, hereditary cystic kidney disease (HCKD), and low BMI (<24 kg/m2) were independent correlates of anemia (P<0.001). Gender, HCKD, low BMI, serum albumin and calcium were independent correlates of uncontrolled anemia (P<0.05). An interaction was found between age (not correlated with anemia and uncontrolled anemia) and the association of gender with uncontrolled anemia (P<0.05). EPO doses were higher in patients with high prevalence of uncontrolled anemia than in patients with low prevalence (i.e., women vs men, other diseases vs HCKD, low vs not-low BMI, P<0.01). Gender, years of dialysis, HCKD, BMI, serum albumin, and calcium were independent correlates of the hemoglobin/EPO dose ratio in patients on EPO treatment (P<0.05). Conclusion Anemia and uncontrolled anemia are more frequent in hemodialysis patients with short-term dialysis, diseases other than HCKD, low BMI, and female gender. Gender effect was lower in elderly patients. Uncontrolled anemia was also associated with low serum albumin and calcium, suggesting that these parameters are indices of EPO resistance.
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Affiliation(s)
- B. Di Iorio
- Department of Nephrology, Second University of Naples, Naples - Italy
- Department of Nephrology, Solofra Hospital, Solofra - Italy
| | - M. Cirillo
- Department of Nephrology, Second University of Naples, Naples - Italy
| | - V. Bellizzi
- Department of Nephrology, Solofra Hospital, Solofra - Italy
| | - D. Stellato
- Department of Nephrology, Second University of Naples, Naples - Italy
| | - N. G. De Santo
- Department of Nephrology, Second University of Naples, Naples - Italy
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Loforte A, Grigioni F, Marinelli G. The risk of right ventricular failure with current continuous-flow left ventricular assist devices. Expert Rev Med Devices 2017; 14:969-983. [DOI: 10.1080/17434440.2017.1409111] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Antonio Loforte
- Department of Cardiothoracic, Transplantation and Vascular Surgery, S. Orsola Hospital, Bologna University, Bologna, Italy
| | - Francesco Grigioni
- Department of Cardiothoracic, Transplantation and Vascular Surgery, S. Orsola Hospital, Bologna University, Bologna, Italy
| | - Giuseppe Marinelli
- Department of Cardiothoracic, Transplantation and Vascular Surgery, S. Orsola Hospital, Bologna University, Bologna, Italy
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Sabatino M, Vitale G, Manfredini V, Masetti M, Borgese L, Maria Raffa G, Loforte A, Martin Suarez S, Falletta C, Marinelli G, Clemenza F, Grigioni F, Potena L. Clinical relevance of the International Society for Heart and Lung Transplantation consensus classification of primary graft dysfunction after heart transplantation: Epidemiology, risk factors, and outcomes. J Heart Lung Transplant 2017; 36:1217-1225. [DOI: 10.1016/j.healun.2017.02.014] [Citation(s) in RCA: 57] [Impact Index Per Article: 8.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2016] [Revised: 02/11/2017] [Accepted: 02/15/2017] [Indexed: 11/25/2022] Open
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Loforte A, Montalto A, Polizzi V, Sbaraglia F, Presti ML, Potena L, Masetti M, Grigioni F, Marinelli G, Musumeci F. Predicting Right Ventricular Failure in the Current Continuous Flow Left Ventricular Assist Device Era. J Heart Lung Transplant 2017. [DOI: 10.1016/j.healun.2017.01.1206] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Loforte A, Gremolini M, Cefarelli M, Jafrancesco G, Pilato E, Potena L, Masetti M, Grigioni F, Marinelli G. Influence of the MELD-XI (Model of End-Stage Liver Disease Excluding INR) on Heart Transplant Outcomes. J Heart Lung Transplant 2017. [DOI: 10.1016/j.healun.2017.01.606] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Lazam S, Vanoverschelde JL, Tribouilloy C, Grigioni F, Suri RM, Avierinos JF, de Meester C, Barbieri A, Rusinaru D, Russo A, Pasquet A, Michelena HI, Huebner M, Maalouf J, Clavel MA, Szymanski C, Enriquez-Sarano M, Michelina H, Poulain H, Remadi JP, Touati G, Trojette F, Biagini E, Di Bartolomeo R, Ferlito F, Marinelli G, Pacini D, Pasquale F, Rapezzi C, Savini C, Boulif J, El Khoury G, Gerber B, Noirhomme P, Vancraeynest D, Collard F, Habib G, Metras D, Riberi A, Tafanelli L, Bursi F, Lugli R, Mantovani F, Manicardi C, Grazia M, Bacchi-Reggiani L. Twenty-Year Outcome After Mitral Repair Versus Replacement for Severe Degenerative Mitral Regurgitation. Circulation 2017; 135:410-422. [DOI: 10.1161/circulationaha.116.023340] [Citation(s) in RCA: 168] [Impact Index Per Article: 24.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/05/2016] [Accepted: 11/15/2016] [Indexed: 11/16/2022]
Abstract
Background:
Mitral valve (MV) repair is preferred over replacement in clinical guidelines and is an important determinant of the indication for surgery in degenerative mitral regurgitation. However, the level of evidence supporting current recommendations is low, and recent data cast doubts on its validity in the current era. Accordingly, the aim of the present study was to analyze very long-term outcome after MV repair and replacement for degenerative mitral regurgitation with a flail leaflet.
Methods:
MIDA (Mitral Regurgitation International Database) is a multicenter registry enrolling patients with degenerative mitral regurgitation with a flail leaflet in 6 tertiary European and US centers. We analyzed the outcome after MV repair (n=1709) and replacement (n=213) overall, by propensity score matching, and by inverse probability-of-treatment weighting.
Results:
At baseline, patients undergoing MV repair were younger, had more comorbidities, and were more likely to present with a posterior leaflet prolapse than those undergoing MV replacement. After propensity score matching and inverse probability-of-treatment weighting, the 2 treatments groups were balanced, and absolute standardized differences were usually <10%, indicating adequate match. Operative mortality (defined as a death occurring within 30 days from surgery or during the same hospitalization) was lower after MV repair than after replacement in both the entire population (1.3% versus 4.7%;
P
<0.001) and the propensity-matched population (0.2% versus 4.4%;
P
<0.001). During a mean follow-up of 9.2 years, 552 deaths were observed, of which 207 were of cardiovascular origin. Twenty-year survival was better after MV repair than after MV replacement in both the entire population (46% versus 23%;
P
<0.001) and the matched population (41% versus 24%;
P
<0.001). Similar superiority of MV repair was obtained in patient subsets on the basis of age, sex, or any stratification criteria (all
P
<0.001). MV repair was also associated with reduced incidence of reoperations and valve-related complications.
Conclusions:
Among patients with degenerative mitral regurgitation with a flail leaflet referred to mitral surgery, MV repair was associated with lower operative mortality, better long-term survival, and fewer valve-related complications compared with MV replacement.
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Affiliation(s)
- Siham Lazam
- From Université Catholique de Louvain, Brussels, Belgium (S.L., J.-L.V., C.d.M., A.P.); Mayo Clinic College of Medicine, Rochester, MN (H.I.M., M.H., J.M., M.-A.C., M.E.-S.); University of Bologna, Italy (F.G., A.R.); Inserm, ERI-12, University Hospital, Amiens, France (C.T., D.R., C.S.); Aix-Marseille Université, Marseille, France (J.-F.A.); University of Modena, Italy (A.B.); and Cleveland Clinic, Department of Thoracic and Cardiac Surgery, OH (R.M.S.)
| | - Jean-Louis Vanoverschelde
- From Université Catholique de Louvain, Brussels, Belgium (S.L., J.-L.V., C.d.M., A.P.); Mayo Clinic College of Medicine, Rochester, MN (H.I.M., M.H., J.M., M.-A.C., M.E.-S.); University of Bologna, Italy (F.G., A.R.); Inserm, ERI-12, University Hospital, Amiens, France (C.T., D.R., C.S.); Aix-Marseille Université, Marseille, France (J.-F.A.); University of Modena, Italy (A.B.); and Cleveland Clinic, Department of Thoracic and Cardiac Surgery, OH (R.M.S.)
| | - Christophe Tribouilloy
- From Université Catholique de Louvain, Brussels, Belgium (S.L., J.-L.V., C.d.M., A.P.); Mayo Clinic College of Medicine, Rochester, MN (H.I.M., M.H., J.M., M.-A.C., M.E.-S.); University of Bologna, Italy (F.G., A.R.); Inserm, ERI-12, University Hospital, Amiens, France (C.T., D.R., C.S.); Aix-Marseille Université, Marseille, France (J.-F.A.); University of Modena, Italy (A.B.); and Cleveland Clinic, Department of Thoracic and Cardiac Surgery, OH (R.M.S.)
| | - Francesco Grigioni
- From Université Catholique de Louvain, Brussels, Belgium (S.L., J.-L.V., C.d.M., A.P.); Mayo Clinic College of Medicine, Rochester, MN (H.I.M., M.H., J.M., M.-A.C., M.E.-S.); University of Bologna, Italy (F.G., A.R.); Inserm, ERI-12, University Hospital, Amiens, France (C.T., D.R., C.S.); Aix-Marseille Université, Marseille, France (J.-F.A.); University of Modena, Italy (A.B.); and Cleveland Clinic, Department of Thoracic and Cardiac Surgery, OH (R.M.S.)
| | - Rakesh M. Suri
- From Université Catholique de Louvain, Brussels, Belgium (S.L., J.-L.V., C.d.M., A.P.); Mayo Clinic College of Medicine, Rochester, MN (H.I.M., M.H., J.M., M.-A.C., M.E.-S.); University of Bologna, Italy (F.G., A.R.); Inserm, ERI-12, University Hospital, Amiens, France (C.T., D.R., C.S.); Aix-Marseille Université, Marseille, France (J.-F.A.); University of Modena, Italy (A.B.); and Cleveland Clinic, Department of Thoracic and Cardiac Surgery, OH (R.M.S.)
| | - Jean-Francois Avierinos
- From Université Catholique de Louvain, Brussels, Belgium (S.L., J.-L.V., C.d.M., A.P.); Mayo Clinic College of Medicine, Rochester, MN (H.I.M., M.H., J.M., M.-A.C., M.E.-S.); University of Bologna, Italy (F.G., A.R.); Inserm, ERI-12, University Hospital, Amiens, France (C.T., D.R., C.S.); Aix-Marseille Université, Marseille, France (J.-F.A.); University of Modena, Italy (A.B.); and Cleveland Clinic, Department of Thoracic and Cardiac Surgery, OH (R.M.S.)
| | - Christophe de Meester
- From Université Catholique de Louvain, Brussels, Belgium (S.L., J.-L.V., C.d.M., A.P.); Mayo Clinic College of Medicine, Rochester, MN (H.I.M., M.H., J.M., M.-A.C., M.E.-S.); University of Bologna, Italy (F.G., A.R.); Inserm, ERI-12, University Hospital, Amiens, France (C.T., D.R., C.S.); Aix-Marseille Université, Marseille, France (J.-F.A.); University of Modena, Italy (A.B.); and Cleveland Clinic, Department of Thoracic and Cardiac Surgery, OH (R.M.S.)
| | - Andrea Barbieri
- From Université Catholique de Louvain, Brussels, Belgium (S.L., J.-L.V., C.d.M., A.P.); Mayo Clinic College of Medicine, Rochester, MN (H.I.M., M.H., J.M., M.-A.C., M.E.-S.); University of Bologna, Italy (F.G., A.R.); Inserm, ERI-12, University Hospital, Amiens, France (C.T., D.R., C.S.); Aix-Marseille Université, Marseille, France (J.-F.A.); University of Modena, Italy (A.B.); and Cleveland Clinic, Department of Thoracic and Cardiac Surgery, OH (R.M.S.)
| | - Dan Rusinaru
- From Université Catholique de Louvain, Brussels, Belgium (S.L., J.-L.V., C.d.M., A.P.); Mayo Clinic College of Medicine, Rochester, MN (H.I.M., M.H., J.M., M.-A.C., M.E.-S.); University of Bologna, Italy (F.G., A.R.); Inserm, ERI-12, University Hospital, Amiens, France (C.T., D.R., C.S.); Aix-Marseille Université, Marseille, France (J.-F.A.); University of Modena, Italy (A.B.); and Cleveland Clinic, Department of Thoracic and Cardiac Surgery, OH (R.M.S.)
| | - Antonio Russo
- From Université Catholique de Louvain, Brussels, Belgium (S.L., J.-L.V., C.d.M., A.P.); Mayo Clinic College of Medicine, Rochester, MN (H.I.M., M.H., J.M., M.-A.C., M.E.-S.); University of Bologna, Italy (F.G., A.R.); Inserm, ERI-12, University Hospital, Amiens, France (C.T., D.R., C.S.); Aix-Marseille Université, Marseille, France (J.-F.A.); University of Modena, Italy (A.B.); and Cleveland Clinic, Department of Thoracic and Cardiac Surgery, OH (R.M.S.)
| | - Agnès Pasquet
- From Université Catholique de Louvain, Brussels, Belgium (S.L., J.-L.V., C.d.M., A.P.); Mayo Clinic College of Medicine, Rochester, MN (H.I.M., M.H., J.M., M.-A.C., M.E.-S.); University of Bologna, Italy (F.G., A.R.); Inserm, ERI-12, University Hospital, Amiens, France (C.T., D.R., C.S.); Aix-Marseille Université, Marseille, France (J.-F.A.); University of Modena, Italy (A.B.); and Cleveland Clinic, Department of Thoracic and Cardiac Surgery, OH (R.M.S.)
| | - Hector I. Michelena
- From Université Catholique de Louvain, Brussels, Belgium (S.L., J.-L.V., C.d.M., A.P.); Mayo Clinic College of Medicine, Rochester, MN (H.I.M., M.H., J.M., M.-A.C., M.E.-S.); University of Bologna, Italy (F.G., A.R.); Inserm, ERI-12, University Hospital, Amiens, France (C.T., D.R., C.S.); Aix-Marseille Université, Marseille, France (J.-F.A.); University of Modena, Italy (A.B.); and Cleveland Clinic, Department of Thoracic and Cardiac Surgery, OH (R.M.S.)
| | - Marianne Huebner
- From Université Catholique de Louvain, Brussels, Belgium (S.L., J.-L.V., C.d.M., A.P.); Mayo Clinic College of Medicine, Rochester, MN (H.I.M., M.H., J.M., M.-A.C., M.E.-S.); University of Bologna, Italy (F.G., A.R.); Inserm, ERI-12, University Hospital, Amiens, France (C.T., D.R., C.S.); Aix-Marseille Université, Marseille, France (J.-F.A.); University of Modena, Italy (A.B.); and Cleveland Clinic, Department of Thoracic and Cardiac Surgery, OH (R.M.S.)
| | - Joseph Maalouf
- From Université Catholique de Louvain, Brussels, Belgium (S.L., J.-L.V., C.d.M., A.P.); Mayo Clinic College of Medicine, Rochester, MN (H.I.M., M.H., J.M., M.-A.C., M.E.-S.); University of Bologna, Italy (F.G., A.R.); Inserm, ERI-12, University Hospital, Amiens, France (C.T., D.R., C.S.); Aix-Marseille Université, Marseille, France (J.-F.A.); University of Modena, Italy (A.B.); and Cleveland Clinic, Department of Thoracic and Cardiac Surgery, OH (R.M.S.)
| | - Marie-Annick Clavel
- From Université Catholique de Louvain, Brussels, Belgium (S.L., J.-L.V., C.d.M., A.P.); Mayo Clinic College of Medicine, Rochester, MN (H.I.M., M.H., J.M., M.-A.C., M.E.-S.); University of Bologna, Italy (F.G., A.R.); Inserm, ERI-12, University Hospital, Amiens, France (C.T., D.R., C.S.); Aix-Marseille Université, Marseille, France (J.-F.A.); University of Modena, Italy (A.B.); and Cleveland Clinic, Department of Thoracic and Cardiac Surgery, OH (R.M.S.)
| | - Catherine Szymanski
- From Université Catholique de Louvain, Brussels, Belgium (S.L., J.-L.V., C.d.M., A.P.); Mayo Clinic College of Medicine, Rochester, MN (H.I.M., M.H., J.M., M.-A.C., M.E.-S.); University of Bologna, Italy (F.G., A.R.); Inserm, ERI-12, University Hospital, Amiens, France (C.T., D.R., C.S.); Aix-Marseille Université, Marseille, France (J.-F.A.); University of Modena, Italy (A.B.); and Cleveland Clinic, Department of Thoracic and Cardiac Surgery, OH (R.M.S.)
| | - Maurice Enriquez-Sarano
- From Université Catholique de Louvain, Brussels, Belgium (S.L., J.-L.V., C.d.M., A.P.); Mayo Clinic College of Medicine, Rochester, MN (H.I.M., M.H., J.M., M.-A.C., M.E.-S.); University of Bologna, Italy (F.G., A.R.); Inserm, ERI-12, University Hospital, Amiens, France (C.T., D.R., C.S.); Aix-Marseille Université, Marseille, France (J.-F.A.); University of Modena, Italy (A.B.); and Cleveland Clinic, Department of Thoracic and Cardiac Surgery, OH (R.M.S.)
| | | | | | | | | | | | | | | | | | | | | | | | | | | | - J. Boulif
- Université Catholique de Louvain, Belgium
| | | | - B. Gerber
- Université Catholique de Louvain, Belgium
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Loforte A, Murana G, Cefarelli M, Jafrancesco G, Sabatino M, Martin Suarez S, Pilato E, Pacini D, Grigioni F, Bartolomeo RD, Marinelli G. Role of Intra-Aortic Balloon Pump and Extracorporeal Membrane Oxygenation in Early Graft Failure After Cardiac Transplantation. Artif Organs 2017; 40:E136-45. [PMID: 27530673 DOI: 10.1111/aor.12793] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2016] [Revised: 05/06/2016] [Accepted: 05/31/2016] [Indexed: 11/28/2022]
Abstract
Early graft failure (EGF) is a major risk factor for death after heart transplantation (Htx). We investigated the predictive risk factors for moderate-to-severe EGF requiring an intra-aortic balloon pump (IABP) or extracorporeal membrane oxygenation (ECMO) circulatory support as treatment after Htx. Between January 2000 and December 2014, 412 consecutive adult patients underwent isolated Htx at our institution. Moderate and severe EGF were defined as the need for IABP and ECMO support, respectively, within 24 h after Htx. All available recipient and donor variables were analyzed to assess the risk of EGF occurrence. Overall, moderate-to-severe EGF occurred in 46 (11.1%) patients. Twenty-nine (63.04%) patients required peripheral or central ECMO support in the treatment of severe EGF and 17 (36.9%) patients required IABP support for the treatment of moderate EGF. The predictive risk factors for moderate-to-severe EGF in recipients, as assessed by logistic regression analysis, were a preoperative transpulmonary gradient > 12 mm Hg (odds ratio [OR] 5.2; P = 0.023), a preoperative inotropic score > 10 (OR 8.5; P = 0.0001), and preoperative ECMO support (OR 4.2; P = 0.012). For donors, the predictive risk factor was a donor score ≥ 17 (OR 8.3; P = 0.006). The absence of EGF was correlated with improved long-term survival: 94% at 1 year and 81% at 5 years without EGF versus 76% and 36% at 1 year (P < 0.001), and 70% and 28% at 5 years (P < 0.001) with EGF requiring IABP and ECMO support, respectively. In-hospital weaned and survived patients after IABP or ECMO treatment for moderate-to-severe EGF had a similar 5-year conditional survival rate as transplant patients who had not suffered EGF: 88% without EGF versus 84% with EGF treated with mechanical circulatory support devices (P = 0.08). The occurrence of EGF is a multifactorial deleterious event that depends on donor and recipient profiles. IABP and ECMO support are reliable treatment strategies, depending on the grade of EGF. Furthermore, surviving patients treated with IABP or ECMO have the same long-term conditional survival rate as patients who have not suffered EGF.
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Affiliation(s)
| | - Giacomo Murana
- Departments of Cardiovascular Surgery and Transplantation
| | | | | | - Mario Sabatino
- Cardiology and Transplantation, S. Orsola-Malpighi Hospital, Bologna University, Bologna, Italy
| | | | | | - Davide Pacini
- Departments of Cardiovascular Surgery and Transplantation
| | - Francesco Grigioni
- Cardiology and Transplantation, S. Orsola-Malpighi Hospital, Bologna University, Bologna, Italy
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Loforte A, Pilato E, Marinelli G. Outflow Graft Tunneling Through the Transverse Sinus for HeartWare HVAD Implantation: An Additional Contribution. Artif Organs 2016; 40:E305-E306. [PMID: 27911027 DOI: 10.1111/aor.12857] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2016] [Accepted: 08/17/2016] [Indexed: 11/26/2022]
Affiliation(s)
- Antonio Loforte
- Department of Cardiovascular Surgery and Transplantation, S. Orsola-Malpighi Hospital, Bologna University, Bologna, Italy
| | - Emanuele Pilato
- Department of Cardiovascular Surgery and Transplantation, S. Orsola-Malpighi Hospital, Bologna University, Bologna, Italy
| | - Giuseppe Marinelli
- Department of Cardiovascular Surgery and Transplantation, S. Orsola-Malpighi Hospital, Bologna University, Bologna, Italy
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Aina A, Barbero M, Cagnie B, Castelli E, Cook C, Ferrari S, Foglia A, Bizzarri P, Giraudo D, Littlewood C, Pillastrini P, Piscitelli D, Romano M, Tettamanti A, Vanti C, Vercelli S, Voogt L, Maria A, Emanuele S, Paolo P, Francesco S, Antonio C, Ilaria C, Giuseppe O, Raffaele B, Serena F, Alessandro A, Bonfanti M, Pasquetti M, Arianna B, Paolo P, Carla V, Brioschi D, Vitali M, Pedretti A, Fraschini G, Tettamanti A, Castellini G, Gianola S, Bonovas S, Banfi G, Moja L, Castellini G, Gianola S, Frigerio P, Agostini M, Bolotta R, Corbetta D, Gasparini M, Gozzer P, Guariento E, Li L, Pecoraro V, Sirtori V, Turolla A, Andreano A, Moja L, Castellini G, Gianola S, Bonovas S, Moja L, Chiarotto A, Terwee CB, Boers M, Ostelo RW, Chiarotto A, Maxwell LJ, Terwee CB, Wells GA, Tugwell P, Ostelo RW, Chiarotto A, Clijsen R, Fernandez-de-las-Penas C, Barbero M, Matteo C, Sara R, Stefano V, Cislaghi M, Penone G, Marinelli G, Rezzan G, Melegati G, Gatti R, Claudio C, Francesca T, Moriondo A, Stefano V, Doronzio S, Paci M, Ferrari S, Vanti C, Monticone M, Ferrari S, Vanti C, Monticone M, Fabiola G, Anna Z, Serena B, Giorgia C, Francesco S, Ghirlanda F, Schneebeli A, Cescon C, Barbero M, Gioia G, Faccendini S, Aina A, Tettamanti A, Granzotto G, Coppola L, Gava I, Frassinelli M, Gattinoni F, Guidotti L, Postiglione M, Lombardi B, Paci M, Leoni D, Storer D, Gatti R, Egloff M, Barbero M, Tiziano M, Andrea T, Maremmani D, Cencini S, Plebani G, Moresi F, Barbero M, Isnardi M, Gallace A, Cescon C, Gatti R, Moretti N, Maselli, Testa M, Negrini S, Donzelli S, Saveri F, Negrini A, Parzini S, Romano M, Zaina F, Nesi L, Ferrarello F, Bianchi VAM, Paci M, Paci M, Nannetti L, Lombardi B, Mini G, Marchettini M, Ferrarello F, Paci M, Piccolo F, Agosta F, Sarasso E, Adamo P, Temporiti F, Falini A, Gatti R, Filippi M, Piscitelli D, Meroni R, Pellicciari L, Mondelli MA, Favaron T, Cerri CG, Tallarita EA, Elisa R, Stefano V, Sara R, Matteo C, Stefano V, Sarasso E, Agosta F, Tomić A, Basaia S, Dragašević N, Svetel M, Copetti M, Kostic VS, Filippi M, Saveri F, Romano M, Mastrantonio M, Negrini A, Zaina F, Stefano N, Schneebeli A, Castellini G, Redaelli V, Soldini E, Barbero M, Segat M, Casonato O, Margelli M, Pillon S, Spunton V, Fenini R, Garofalo R, Conti M, Valagussa G, Balatti V, Trentin L, Melli S, Norsi M, Grossi E, Vanossi M, Saveri F, Romano M, Vanti C, Taioli S, Gardenghi I, Bertozzi L, Rosso A, Romeo A, Pillastrini P, Vanti C, Ferrari S, Ruggeri M, Monticone M, Vanti C, Filippo B, Conti C, Faresin F, Ruggeri M, Piccarreta R, Ferrari S, Luca V, Stefano V, Claudia V, Joseph CM, Carmen D, Fabrizio P, Youssef S, Montesano M, Picardi M, De Giampaulis P, Corbo M, Pisani L, Anna Z, Fabiola G, Carolina R, Francesco S. 5th National Congress of the Italian Society of Physiotherapy. Arch Physiother 2016. [DOI: 10.1186/s40945-016-0022-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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23
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Di Marco L, Pacini D, Pantaleo A, Leone A, Barberio G, Marinelli G, Di Bartolomeo R. Composite valve graft implantation for the treatment of aortic valve and root disease: Results in 1045 patients. J Thorac Cardiovasc Surg 2016; 152:1041-1048.e1. [PMID: 27312787 DOI: 10.1016/j.jtcvs.2016.05.021] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/14/2015] [Revised: 04/20/2016] [Accepted: 05/20/2016] [Indexed: 10/21/2022]
Abstract
OBJECTIVES Aortic root replacement using a composite graft is the treatment of choice for a large variety of aortic root conditions with a diseased aortic valve. The objective of the current study was to evaluate the long-term results of this procedure. METHODS Between 1978 and 2010, 1045 patients aged 58.7 ± 13.6 years underwent aortic root composite graft replacement using the following techniques: 95 Bentall operation; 926 the "button technique;" 24 the Cabrol technique. A mechanical composite valve graft was implanted in 69.6% of the patients. Six-hundred and thirty-five patients (62.3%) had annuloaortic ectasia and 162 (15.5%) had aortic dissection. RESULTS Early mortality was 5.3% (55/1045). Independent risk factors for early mortality at logistic regression analysis were age ≥70 years (P = .051; odds ratio [OR], 2.97), New York Heart Association III-IV (P = .052; OR, 1.88), reoperation (P = .021; OR, 2.36), urgency/emergency (P = .003; OR, 3.09), mitral valve replacement (P = .001; OR, 6.01), or coronary artery bypass grafting (CABG) (P < .001; OR, 4.39); while bicuspid aortic valve (BAV) (P = .013; OR, 0.21), and time of operation 2001-2011 (P = .025; OR, 0.60) were protective predictors for early mortality. Overall survival at 5, 10, and 20 years was 84.1% ± 1.3%, 65.5% ± 2.6%, and 40.7% ± 4.6%, respectively. Multivariate analysis revealed chronic renal insufficiency (P = .001; hazard ratio [HR], 3.48), chronic obstructive pulmonary disease (P = .027; HR, 1.94), aortic dissection (P = .001; HR, 2.63), Cabrol technique (P = .009; HR, 15.34), and CABG (P = .016; HR, 2.02) to be significant predictors of late death, and BAV (P = .010; HR, 0.43) to be a significant protective predictor. Freedom from thromboembolism, bleeding complications, and endocarditis was 93.7% ± 2.6%, 90.3% ± 3.1%, and 98.4% ± 1% at 20 years, respectively. Freedom from aortic reoperation was 91.8% ± 2.1% at 20 years and was significantly lower in patients with aortic dissection. CONCLUSIONS Within the limitations of this retrospective study, we can conclude that aortic root replacement for aortic root aneurysms can be performed with low morbidity and mortality and with satisfactory long-term results. Few late serious complications were related to the need for long-term anticoagulation or a prosthetic valve. Reoperation on the proximal or in the distal aorta was most commonly performed in patients with aortic dissection.
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Affiliation(s)
- Luca Di Marco
- Cardiac Surgery Department, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.
| | - Davide Pacini
- Cardiac Surgery Department, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy
| | - Antonio Pantaleo
- Cardiac Surgery Department, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy
| | - Alessandro Leone
- Cardiac Surgery Department, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy
| | - Giuseppe Barberio
- Cardiac Surgery Department, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy
| | - Giuseppe Marinelli
- Cardiac Surgery Department, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy
| | - Roberto Di Bartolomeo
- Cardiac Surgery Department, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy
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Loforte A, Cefarelli M, Murana G, Jafrancesco G, Alfonsi J, Pilato E, Martin Suarez S, Potena L, Grigioni F, Marinelli G. Impact of Recipient Body Mass Index on Orthotopic Heart Transplantation Outcomes. J Heart Lung Transplant 2016. [DOI: 10.1016/j.healun.2016.01.843] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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25
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Sabatino M, Potena L, Longhi S, Masetti M, Gagliardi C, Milandri A, Manfredini V, Cinelli M, Marinelli G, Pinna A, Rapezzi C, Grigioni F. Outcomes of Heart Transplantation for Transthyretin-Related Amyloid Cardiomyopathy. J Heart Lung Transplant 2016. [DOI: 10.1016/j.healun.2016.01.174] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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26
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Lorusso R, Centofanti P, Gelsomino S, Barili F, Di Mauro M, Orlando P, Botta L, Milazzo F, Actis Dato G, Casabona R, Casali G, Musumeci F, De Bonis M, Zangrillo A, Alfieri O, Pellegrini C, Mazzola S, Coletti G, Vizzardi E, Bianco R, Gerosa G, Massetti M, Caldaroni F, Pilato E, Pacini D, Di Bartolomeo R, Marinelli G, Sponga S, Livi U, Mauro R, Mariscalco G, Beghi C, Miceli A, Glauber M, Pappalardo F, Russo CF. Venoarterial Extracorporeal Membrane Oxygenation for Acute Fulminant Myocarditis in Adult Patients: A 5-Year Multi-Institutional Experience. Ann Thorac Surg 2015; 101:919-26. [PMID: 26518372 DOI: 10.1016/j.athoracsur.2015.08.014] [Citation(s) in RCA: 106] [Impact Index Per Article: 11.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/24/2015] [Revised: 07/31/2015] [Accepted: 08/07/2015] [Indexed: 02/07/2023]
Abstract
BACKGROUND Acute fulminant myocarditis (AFM) may represent a life-threatening event, characterized by rapidly progressive cardiac compromise that ultimately leads to refractory cardiogenic shock or cardiac arrest. Venoarterial extracorporeal membrane oxygenation (VA-ECMO) provides effective cardiocirculatory support in this circumstance, but few clinical series are available about early and long-term results. Data from a multicenter study group are reported which analyzed subjects affected by AFM and treated with VA-ECMO during a 5-year period. METHOD From hospital databases, 57 patients with diagnoses of AFM treated with VA-ECMO in the past 5 years were found and analyzed. Mean age was 37.6 ± 11.8 years; 37 patients were women. At VA-ECMO implantation, cardiogenic shock was present in 38 patients, cardiac arrest in 12, and severe hemodynamic instability in 7. A peripheral approach was used with 47 patients, whereas 10 patients had a central implantation or other access. RESULTS Mean VA-ECMO support was 9.9 ± 19 days (range, 2 to 24 days). Cardiac recovery with ECMO weaning was achieved in 43 patients (75.5%), major complications were observed in 40 patients (70.1%), and survival to hospital discharge occurred in 41 patients (71.9%). After hospital discharge (median follow-up, 15 months) there were 2 late deaths. The 5-year actual survival was 65.2% ± 7.9%, with recurrent self-recovering myocarditis observed in 2 patients (at 6 and 12 months from the first AFM event), and 1 heart transplantation. CONCLUSIONS Cardiopulmonary support with VA-ECMO provides an invaluable tool in the treatment of AFM, although major complications may characterize the hospital course. Long-term outcome appears favorable with rare episodes of recurrent myocarditis or cardiac-related events.
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Affiliation(s)
- Roberto Lorusso
- Cardiac Surgery Unit, Spedali Civili Hospital, Brescia, Italy.
| | | | - Sandro Gelsomino
- Cardiovascular Research Centre, Careggi Hospital, Florence, Italy
| | - Fabio Barili
- Cardiac Surgery Unit, S. Anna Hospital, Cuneo, Italy
| | | | - Parise Orlando
- Cardiovascular Research Centre, Careggi Hospital, Florence, Italy
| | - Luca Botta
- Cardiac Surgery Unit, Niguarda Hospital, Milan, Italy
| | | | | | | | | | | | | | | | | | | | | | | | | | | | - Gino Gerosa
- Cardiac Surgery Unit, University Hospital, Padua, Italy
| | | | | | | | | | | | | | | | | | | | - Giovanni Mariscalco
- Department of Cardiovascular Sciences, University of Leicester, Glenfield Hospital, Leicester, United Kingdom
| | | | - Antonio Miceli
- Pasquinucci Hospital Fondazione Monasterio, Massa, Italy
| | - Mattia Glauber
- Pasquinucci Hospital Fondazione Monasterio, Massa, Italy
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27
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Sabatino M, Barra B, Potena L, Leone O, Manfredini V, Masetti M, Alvaro N, Borgese L, Marinelli G, Rapezzi C, Grigioni F. Improving Donor Selection and Management: Insights From Eurotransplant Donor Score and Pathology Examination of Discarded Hearts. J Heart Lung Transplant 2015. [DOI: 10.1016/j.healun.2015.01.777] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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28
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Inchingolo F, Ballini A, Mura SA, Farronato D, Cirulli N, Pettini F, Gheno E, Vermesan D, Pederzoli P, Resta G, Caprio M, Muollo F, Marinelli G, Inchingolo AD, Malcangi G, Cantore S, Del Corso M, De Benedittis M, Inchingolo AM, Serafini M, Diteodoro S, Schinco F, Cagiano R, De Vito D, Cortelazzi R, Dipalma G. Use of platelet rich fibrin and Bio-OSS/SINT-Oss for implant-prosthetic rehabilitation in maxillary atrophy with sinus pathology: A 48-month follow-up. EUR J INFLAMM 2015. [DOI: 10.1177/1721727x15578346] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
The maxillary sinus floor elevation procedure has gained popularity with predictable results, and is a safe, acceptable technique for bone augmentation, providing a base for dental implant treatment. Faint radiopaque lesions at the base of the maxillary sinus are frequent diagnoses on radiographs and must be identified during dental implant planning. The use of autografts, xenografts, allografts, and alloplasts or a combination between them has been demonstrated to be effective for increasing bone height and bone volume in maxillary sinus. The objective of this study was to evaluate the outcome of subjects with considerable sinus membrane pathology (test group) undergoing maxillary sinus floor augmentation using Platelet Rich Fibrin (PRF) as a filling material, in association with the Bio-Oss and Sint-Oss and simultaneous implant placement in a one-stage surgical procedure. All patients reported no pain to percussion, no sign of tissue suffering to the soft peri-implant tissues, the presence of an optimal primary stability of the inserted implants, and the increase in the peri-implant bone density. No complications were encountered during follow-up periods in these patients, including no negative evolution in the sinusitis and all implants are functioning successfully. In conclusion, the use of PRF and Piezosurgery reduced the healing time, favoring optimal bone regeneration and allowing sinus membrane integrity to be maintained during surgical procedures, according to evidence-based dentistry.
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Affiliation(s)
- F Inchingolo
- Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, Bari, Italy
| | - A Ballini
- School of Medicine, University of Bari “Aldo Moro”, Bari, Italy
| | - SA Mura
- School of Medicine, University of Bari “Aldo Moro”, Bari, Italy
| | - D Farronato
- Department of Surgical and Morphological Science, Research Center Innovative Technology and Engineered Biomaterials, University of Isubria, Varese, Italy
| | - N Cirulli
- School of Medicine, University of Bari “Aldo Moro”, Bari, Italy
| | - F Pettini
- Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, Bari, Italy
| | - E Gheno
- Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, Bari, Italy
| | - D Vermesan
- University of Medicine and Pharmacy “Victor Babes”, Timisoara, Romania
| | - P Pederzoli
- Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, Bari, Italy
| | - G Resta
- School of Medicine, University of Bari “Aldo Moro”, Bari, Italy
| | - M Caprio
- Department of Biomedical Sciences and Human Oncology, Medical Faculty, University “Aldo Moro”, Bari, Italy
| | - F Muollo
- School of Medicine, University of Bari “Aldo Moro”, Bari, Italy
| | - G Marinelli
- School of Medicine, University of Bari “Aldo Moro”, Bari, Italy
| | - AD Inchingolo
- School of Medicine, University of Bari “Aldo Moro”, Bari, Italy
| | - G Malcangi
- School of Medicine, University of Bari “Aldo Moro”, Bari, Italy
| | - S Cantore
- School of Medicine, University of Bari “Aldo Moro”, Bari, Italy
| | - M Del Corso
- School of Medicine, University of Bari “Aldo Moro”, Bari, Italy
| | - M De Benedittis
- School of Medicine, University of Bari “Aldo Moro”, Bari, Italy
| | - AM Inchingolo
- School of Medicine, University of Milan, Milan, Italy
| | - M Serafini
- School of Medicine, University of Bari “Aldo Moro”, Bari, Italy
| | - S Diteodoro
- School of Medicine, University of Bari “Aldo Moro”, Bari, Italy
| | - F Schinco
- School of Medicine, University of Bari “Aldo Moro”, Bari, Italy
| | - R Cagiano
- Department of Biomedical Sciences and Human Oncology, Medical Faculty, University “Aldo Moro”, Bari, Italy
| | - D De Vito
- Department of Base Medical Sciences, Neurosciences and Sense Organs, University “Aldo Moro”, Bari, Italy
| | - R Cortelazzi
- Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, Bari, Italy
| | - G Dipalma
- School of Medicine, University of Bari “Aldo Moro”, Bari, Italy
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Feltrin G, Frigerio M, Martinelli L, De Bonis M, Rinaldi M, Pilato M, Musumeci F, Faggian G, Livi U, Maccherini M, Iacovoni A, Barbone A, Di Giammarco G, Maiello C, Marinelli G, Alamanni F, Ambrosio G, Grimaldi A, Leonardi G, Pagani F, Massetti M, Rizzato L, Gerosa G, Nanni Costa A. Preliminary Results From ITAMACS, the Italian Multi Center Registry for Mechanically Assisted Circulatory Support. J Heart Lung Transplant 2015. [DOI: 10.1016/j.healun.2015.01.018] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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30
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Careddu L, Zanfi C, Pantaleo A, Loforte A, Ercolani G, Cescon M, Alvaro N, Pilato E, Marinelli G, Pinna AD. Combined heart-liver transplantation: a single-center experience. Transpl Int 2015; 28:828-34. [PMID: 25711771 DOI: 10.1111/tri.12549] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2014] [Revised: 01/07/2015] [Accepted: 02/20/2015] [Indexed: 11/29/2022]
Abstract
Combined orthotopic heart and liver transplantation (CHLT) is a lifesaving procedure for patients with end-stage heart-liver disease. We reviewed the long-term outcome of patients who have undergone CHLT at the University of Bologna, Italy. Fifteen patients with heart and liver failure were placed on the transplant list between November 1999 and March 2012. The pretransplant cardiac diagnoses were familial amyloidosis in 14 patients and chronic heart failure due to chemotherapy with liver failure due to chronic hepatitis in one patient. CHLT was performed as a single combined procedure in 14 hemodynamically stable patients; there was no peri-operative mortality. The survival rates for the CHLT recipients were 93%, 93%, and 82% at 1 month and 1 and 5 years, respectively. Freedom from graft rejection was 100%, 90%, and 36% at 1, 5, and 10 years, respectively, for the heart graft and 100%, 91%, and 86% for the liver graft. The livers of eight recipients were transplanted as a "domino" with mean overall 1-year survival of 93%. Simultaneous heart and liver transplantation is feasible and was achieved in this extremely sick cohort of patients. By adopting the domino technique, we were able to enlarge the donor cohort and include high-risk patients.
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Affiliation(s)
- Lucio Careddu
- Cardiac Surgery Department, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy
| | - Chiara Zanfi
- Multiorgan Transplantation Department, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy
| | - Antonio Pantaleo
- Cardiac Surgery Department, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy
| | - Anotonio Loforte
- Cardiac Surgery Department, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy
| | - Giorgio Ercolani
- Multiorgan Transplantation Department, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy
| | - Matteo Cescon
- Multiorgan Transplantation Department, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy
| | - Nicola Alvaro
- Regional Transplant Department, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy
| | - Emanuele Pilato
- Cardiac Surgery Department, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy
| | - Giuseppe Marinelli
- Cardiac Surgery Department, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy
| | - Antonio Daniele Pinna
- Multiorgan Transplantation Department, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy
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31
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Loforte A, Pilato E, Martin Suarez S, Folesani G, Jafrancesco G, Castrovinci S, Cefarelli M, Potena L, Magnani G, Grigioni F, Caramelli F, Frascaroli G, Di Bartolomeo R, Marinelli G. [Extracorporeal membrane oxygenation for the treatment of refractory cardiogenic shock in adults: strategies, results, and predictors of mortality]. G Ital Cardiol (Rome) 2015; 15:577-85. [PMID: 25424022 DOI: 10.1714/1672.18312] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
BACKGROUND The RotaFlow (Maquet, Jostra Medizintechnik AG, Hirrlingen, Germany) and Levitronix CentriMag (Levitronix LCC, Waltham, MA, USA) veno-arterial extracorporeal membrane oxygenation (ECMO) support systems have been investigated as treatment for refractory cardiogenic shock. METHODS Between 2004 and 2012, 119 consecutive adult patients were supported on RotaFlow (n=104) or CentriMag (n=15) ECMO at our Institution (79 men; mean age 57.3 ± 12.5 years, range 19-78 years). Indications for support were: failure to wean from cardiopulmonary bypass in the setting of postcardiotomy (n=47) and primary graft failure (n=26); post-acute myocardial infarction cardiogenic shock (n=11); acute myocarditis (n=3), and cardiogenic shock on chronic heart failure (n=32). RESULTS A central ECMO setting was established in 64 (53.7%) patients while peripherally in 55 (46.2%). Overall mean support time was 10.9 ± 8.7 days (range 1-43 days). Forty-two (35.2%) patients died on ECMO. Overall success rate, in terms of survival on ECMO (n=77), weaning from mechanical support (n=51; 42.8%) and bridge to heart transplantation (n=26; 21.8%), was 64.7%. Sixty-eight (57.1%) patients were successfully discharged. Stepwise logistic regression identified blood lactate levels and creatine kinase-MB relative index at 72h after ECMO initiation, and number of packed red blood cells (PRBCs) transfused on ECMO as significant predictors of mortality. Central ECMO population had a higher rate of continuous veno-venous hemofiltration need and bleeding events compared with the peripheral setting. CONCLUSIONS ECMO support provides encouraging results in different subsets of patients in cardiogenic shock. Blood lactate levels, creatine kinase-MB relative index and PRBCs transfused should be strictly monitored during veno-arterial ECMO running. Type of ECMO implantation, if peripheral or central, should be decided according to the specific patient subset.
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32
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Loforte A, Pilato E, Martin Suarez S, Folesani G, Jafrancesco G, Castrovinci S, Grigioni F, Marinelli G. RotaFlow and CentriMag Extracorporeal Membrane Oxygenation Support Systems as Treatment Strategies for Refractory Cardiogenic Shock. J Card Surg 2014; 30:201-8. [DOI: 10.1111/jocs.12480] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Antonio Loforte
- Department of Cardiovascular Surgery and Transplantation; S. Orsola-Malpighi Hospital; Bologna University; Bologna Italy
| | - Emanuele Pilato
- Department of Cardiovascular Surgery and Transplantation; S. Orsola-Malpighi Hospital; Bologna University; Bologna Italy
| | - Sofia Martin Suarez
- Department of Cardiovascular Surgery and Transplantation; S. Orsola-Malpighi Hospital; Bologna University; Bologna Italy
| | - Gianluca Folesani
- Department of Cardiovascular Surgery and Transplantation; S. Orsola-Malpighi Hospital; Bologna University; Bologna Italy
| | - Giuliano Jafrancesco
- Department of Cardiovascular Surgery and Transplantation; S. Orsola-Malpighi Hospital; Bologna University; Bologna Italy
| | - Sebastiano Castrovinci
- Department of Cardiovascular Surgery and Transplantation; S. Orsola-Malpighi Hospital; Bologna University; Bologna Italy
| | - Francesco Grigioni
- Department of Cardiology and Transplantation; S. Orsola-Malpighi Hospital; Bologna University; Bologna Italy
| | - Giuseppe Marinelli
- Department of Cardiovascular Surgery and Transplantation; S. Orsola-Malpighi Hospital; Bologna University; Bologna Italy
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Boffini M, Venuta F, Rea F, Colledan M, Santambrogio L, D'Armini AM, Bertani A, Voltolini L, Parisi F, Marinelli G, Nanni Costa A, Rinaldi M. Urgent lung transplant programme in Italy: analysis of the first 14 months. Interact Cardiovasc Thorac Surg 2014; 19:795-800; discussion 800. [DOI: 10.1093/icvts/ivu257] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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34
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Loforte A, Musumeci F, Montalto A, Pilato E, Lilla Della Monica P, Grigioni F, Di Bartolomeo R, Marinelli G. Use of Mechanical Circulatory Support Devices in End-Stage Heart Failure Patients. J Card Surg 2014; 29:717-22. [DOI: 10.1111/jocs.12402] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Antonio Loforte
- Department of Cardiovascular Surgery and Transplantation; S. Orsola-Malpighi Hospital, Bologna University; Bologna Italy
| | - Francesco Musumeci
- Department of Cardiac Surgery and Transplantation; S. Camillo Hospital; Rome Italy
| | - Andrea Montalto
- Department of Cardiac Surgery and Transplantation; S. Camillo Hospital; Rome Italy
| | - Emanuele Pilato
- Department of Cardiovascular Surgery and Transplantation; S. Orsola-Malpighi Hospital, Bologna University; Bologna Italy
| | | | - Francesco Grigioni
- Department of Cardiovascular Surgery and Transplantation; S. Orsola-Malpighi Hospital, Bologna University; Bologna Italy
| | - Roberto Di Bartolomeo
- Department of Cardiovascular Surgery and Transplantation; S. Orsola-Malpighi Hospital, Bologna University; Bologna Italy
| | - Giuseppe Marinelli
- Department of Cardiovascular Surgery and Transplantation; S. Orsola-Malpighi Hospital, Bologna University; Bologna Italy
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Di Marco L, Pacini D, Leone A, Petridis FD, Bissoni L, Di Bartolomeo R, Marinelli G. Long-term outcome after acute type A aortic dissection: does an age limit still exist? J Cardiovasc Surg (Torino) 2014; 55:359-365. [PMID: 22669091] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
AIM Aim of the study was to analyze outcome in patients who underwent surgery following type A aortic dissections and to evaluate the long-term survival rates in patients 70 years of age and older and those under 70 years of age, and in males as compared to females. METHODS Between September 1997 and October 2008, 154 patients were retrospectively enrolled. There were 102 males (66.2%) and 52 females (33.8%) with a mean age of 63.5±12; seven patients (4.5%) were over 80 years of age, 46 (29.8%) were between 70 and 80 years of age and 101 were under 70 years of age at the time of surgery. We compared patients 70 years of age and older with those under 70 years of age, analyzing the early and long-term survival results and postoperative complications. RESULTS Overall in-hospital mortality was 17.5% and permanent neurological dysfunction occurred in 10 patients (6.5%). Twenty patients (12.9%) died during follow-up. Among the males, the long-term survival rate was 80%, 68% and 51% at 1, 5 and 10 years, respectively. Among the females, survival rate was 84.6%, 72.3% and 47.5% at 1, 5 and 10 years, respectively. Five- and 10-year survival rates were 78.1% and 59.4%, respectively, for patients under 70 years of age, and 50.8% at 5 years and 26.1% at 10 years for those over 70. CONCLUSION Patients might not be excluded from surgical intervention for acute type A aortic dissection (ATAAD) only due to age. It is important to consider biological age and the clinical features of the patients at the time of surgery. Age is a relative but not absolute contraindication for surgery in ATAAD. Long-term survival was not statistically different between males and females.
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Affiliation(s)
- L Di Marco
- Cardiac Surgery Department, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy -
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Loforte A, Marinelli G, Musumeci F, Folesani G, Pilato E, Martin Suarez S, Montalto A, Lilla Della Monica P, Grigioni F, Frascaroli G, Menichetti A, Di Bartolomeo R, Arpesella G. Extracorporeal Membrane Oxygenation Support in Refractory Cardiogenic Shock: Treatment Strategies and Analysis of Risk Factors. Artif Organs 2014; 38:E129-41. [DOI: 10.1111/aor.12317] [Citation(s) in RCA: 66] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- Antonio Loforte
- Department of Cardiovascular Surgery and Transplantation; S. Orsola-Malpighi Hospital; Bologna University; Bologna Italy
| | - Giuseppe Marinelli
- Department of Cardiovascular Surgery and Transplantation; S. Orsola-Malpighi Hospital; Bologna University; Bologna Italy
| | - Francesco Musumeci
- Department of Cardiac Surgery and Transplantation; S. Camillo Hospital; Rome Italy
| | - Gianluca Folesani
- Department of Cardiovascular Surgery and Transplantation; S. Orsola-Malpighi Hospital; Bologna University; Bologna Italy
| | - Emanuele Pilato
- Department of Cardiovascular Surgery and Transplantation; S. Orsola-Malpighi Hospital; Bologna University; Bologna Italy
| | - Sofia Martin Suarez
- Department of Cardiovascular Surgery and Transplantation; S. Orsola-Malpighi Hospital; Bologna University; Bologna Italy
| | - Andrea Montalto
- Department of Cardiac Surgery and Transplantation; S. Camillo Hospital; Rome Italy
| | | | - Francesco Grigioni
- Department of Cardiovascular Surgery and Transplantation; S. Orsola-Malpighi Hospital; Bologna University; Bologna Italy
| | - Guido Frascaroli
- Department of Cardiovascular Surgery and Transplantation; S. Orsola-Malpighi Hospital; Bologna University; Bologna Italy
| | - Antonio Menichetti
- Department of Cardiac Surgery and Transplantation; S. Camillo Hospital; Rome Italy
| | - Roberto Di Bartolomeo
- Department of Cardiovascular Surgery and Transplantation; S. Orsola-Malpighi Hospital; Bologna University; Bologna Italy
| | - Giorgio Arpesella
- Department of Cardiovascular Surgery and Transplantation; S. Orsola-Malpighi Hospital; Bologna University; Bologna Italy
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Pilato E, Loforte A, Martin-Suarez S, Montalto A, Lilla Della Monica P, Potena L, Grigioni F, Marinelli G, Frascaroli G, Menichetti A, Musumeci F, Arpesella G. 028 * EXTRACORPOREAL MEMBRANE OXYGENATION SYSTEM AS SALVAGE TREATMENT FOR PATIENTS WITH REFRACTORY CARDIOGENIC SHOCK. Interact Cardiovasc Thorac Surg 2013. [DOI: 10.1093/icvts/ivt372.28] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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38
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Loforte A, Pilato E, Martin-Suarez S, Montalto A, Lilla Della Monica P, Potena L, Grigioni F, Marinelli G, Frascaroli G, Menichetti A, Musumeci F, Arpesella G. Extracorporeal Membrane Oxygenation Support System as Bridge to Solution in Refractory Cardiogenic Shock. J Heart Lung Transplant 2013. [DOI: 10.1016/j.healun.2013.01.448] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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Pacini D, Careddu L, Pantaleo A, Berretta P, Leone O, Marinelli G, Gargiulo G, Di Bartolomeo R. Primary benign cardiac tumours: long-term results. Eur J Cardiothorac Surg 2011; 41:812-9. [PMID: 22219403 DOI: 10.1093/ejcts/ezr067] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
OBJECTIVES Primary heart tumours are rare lesions with variegated histological types. We reviewed our 35 years experience with a significant number of primary benign cardiac tumour cases. METHODS The patient database at University of Bologna was searched to identify patients with primary cardiac tumours between 1974 and 2009. Benign tumours were classified as myxomas and non-myxomas. Ninety-four were myxomas (mean age of 59.1 ± 15.6), and 13 were benign non-myxomas tumours (mean age of 39.7 ± 24.9; P = 0.0001). Complete resection of the masses was performed in all cases except in one. RESULTS In-hospital mortality was 3% in the myxoma group and 8% in the non-myxoma group. The mean follow-up was 15.1 and 7.4 years for the myxoma and non-myxoma groups, respectively. The long-term survival of discharged patients was 68 ± 7% for the myxoma group and 100% for the non-myxoma group at 20 years, respectively. Recurrence of a tumour occurred only in the myxoma group (four cases) after 1, 3, 5 and 8 years, respectively. Twenty patients had an extracardiac tumour that was diagnosed before operation in 12 (11 in the myxoma group) and during the follow-up in 8 patients (only in the myxoma group). CONCLUSIONS Primary cardiac tumours can be surgically treated with good short- and long-term results. Mortality and morbidity are mainly due to the status of preoperative patients'. An accurate follow-up is mandatory in order to detect the recurrence of a cardiac tumour such as to exclude the presence or the development of extracardiac tumours that we found frequently associated with the myxoma.
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Affiliation(s)
- Davide Pacini
- Department of Cardiac Surgery, S Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.
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Fischlein T, Otero-Coto E, Werkkala K, Passerone G, Marinelli G, Tarkka MR, Feindt P, Perez de Isla L, Zamorano JL. European multicenter study with the Soprano valve for aortic valve replacement: one-year clinical experience and hemodynamic data. J Heart Valve Dis 2011; 20:695-703. [PMID: 22655501] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
BACKGROUND AND AIM OF THE STUDY During recent years, pericardial bioprostheses have gained widespread acceptance as cardiac valve substitutes. The study aim was to evaluate the early clinical and hemodynamic performance of the Sorin SopranoTM supra-annular aortic bioprosthesis, as used for aortic valve replacement (AVR). METHODS Between January 2004 and August 2006, a total of 501 patients (55% males; mean age 75 +/- 6.4 years) was prospectively enrolled into the study, which involved 10 European institutions. The indications for AVR were aortic stenosis in 91% of patients, aortic incompetence in 8%, and redo surgery in 1%. Preoperatively, 62% of the patients were in NYHA class III, and 12% in class IV. The mean prosthesis size was 21.4 +/- 1.8 mm. A non-everting technique was used in 88% of patients. Concomitant procedures were performed in 52% of cases (mainly coronary artery bypass grafts; 41%). The mean cross-clamp and cardiopulmonary bypass times were 70 +/- 27.2 min and 99 +/- 39.7 min, respectively. Doppler echocardiography performed at one and 12 months after surgery was evaluated by an independent core laboratory. RESULTS Postoperatively, there were 25 early deaths (5%) and 13 late deaths, with an overall survival at one year of 92.9% (95% CI: 90.2-94.8) and freedom from valve-related death of 98.6% (95% CI: 97.5-99.6). After 12 months, most patients (87%) were in NYHA classes I-II. Actuarial freedoms from thromboembolism, bleeding, endocarditis and paraprosthetic leak at one year were 97.1% (CI: 95.1-98.2), 98.9% (CI: 97.4-99.5), 99.1% (CI: 97.7-99.7), and 99.6% (CI: 98.3-99.9), respectively. No events of thrombosis and structural valve deterioration (SVD) were observed. Subsequent echocardiographic evaluation showed low mean (11.1 +/- 5.1 mmHg at one year) and peak (19.5 +/- 8.9 mmHg at one year) transvalvular gradients, and a significant reduction in left ventricular mass, from 211 +/- 78.5 g at one month to 185 +/- 64.7 g at 12 months (p <0.0001). CONCLUSION After 12 months, the clinical outcome with the Soprano bioprosthesis, when used for AVR, was excellent. The bioprosthesis also showed good hemodynamic performance, with a significant reduction of left ventricular hypertrophy.
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Marchetti E, Mummolo S, Marzo G, Civisca A, Di Pietro C, Marinelli G. Effetto di un collutorio agli oli essenziali nella riduzione di placca e infiammazione interprossimali rispetto a una soluzione a base di etanolo. ACTA ACUST UNITED AC 2009. [DOI: 10.1016/j.pad.2009.04.003] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Martìn-Suàrez S, Mikus E, Pilato E, Bacchini M, Savini C, Grigioni F, Coccolo F, Marinelli G, Mikus P, Arpesella G. Cardiac Transplantation From a Carbon Monoxide Intoxicated Donor. Transplant Proc 2008; 40:1563-5. [DOI: 10.1016/j.transproceed.2008.03.155] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2007] [Accepted: 03/06/2008] [Indexed: 11/26/2022]
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Marzo G, Loffredi R, Marchetti E, DI Martino S, DI Pietro C, Marinelli G. In vitro antibacterial efficacy of Vicryl Plus suture (coated Polyglactin 910 with triclosan) using zone of inibition assays. Oral Implantol (Rome) 2008; 1:43-48. [PMID: 23285335 PMCID: PMC3476502] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
OBJECTIVES This study evaluates the in vitro antimicrobial efficacy, of an absorbable suture coated with triclosan (Vicryl Plus(®)) against two bacteria, potential responsible for the development of oral diseases: Pseudomonas aeruginosa and Streptococcus mutans. METHODS Vicryl Plus 3-0 and Vicryl 3-0 were tested for their efficiency against P. aeruginosa and S. Mutans. 27 segments 10 cm long each, of every suture, have been tested against P. Aeruginosa and S. Mutans respectively. Every sample has been dipped in a broth culture containing pure dried stocks of P. aeruginosa and S. mutans and placed in a Petri dish right after. Four hours later the sutures have been aseptically removed and placed in a selective culture. The incubation time was 18 hours for P. aeruginosa and 43 hours for S. mutans at 37°C. The antimicrobial efficacy of both sutures was performed by measuring the length of the bacteria-free suture segment. RESULTS A statistically significant difference between Vicryl Plus 3-0 and Vicryl 3-0 has been observed, with an higher bacterial growth on Vicryl 3-0 for both bacteria (P. aeruginosa and S. mutans). CONCLUSIONS Vicryl Plus presented an antibacterial effectiveness in vitro against both P. aeruginosa and S. mutans.
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Chiappini B, Di Bartolomeo R, Marinelli G. The surgical treatment of atrial fibrillation with microwave ablation: preliminary experience and results. Interact Cardiovasc Thorac Surg 2007; 2:327-30. [PMID: 17670059 DOI: 10.1016/s1569-9293(03)00071-9] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Atrial fibrillation (AF) is associated with a significant mortality and morbidity. Microwave (MW) ablation is a new technology for surgical treatment of this arrhythmia. We present our preliminary experience with MW ablation in patients with AF who underwent a concomitant open-heart surgery. From October 2001 to March 2002, a total of 10 patients underwent MW ablation of AF and an open-heart surgery at the Department of Cardiovascular Surgery of the University of Bologna. All patients experienced chronic AF and the mean duration of rhythm disturbance was 82.8 months, ranging from 24 to 360 months. There was no complication related to the surgical procedure. The overall survival rate, after discharge, was 100% and sinus rhythm recovery rate was 77.8% after a mean follow-up time of 12.4 months (10-15 months). Our preliminary results show that MW ablation may be a very effective way of converting patients with atrial fibrillation into sinus rhythm.
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Affiliation(s)
- Bruno Chiappini
- Department of Cardiovascular Surgery, Policlinico S. Orsola-Malpighi, University of Bologna, via Massarenti 9, 40138 Bologna, Italy.
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Botta L, Suarez SM, Dell'Amore A, Grigioni F, Arpesella G, Di Bartolomeo R, Marinelli G. Intraoperative rupture of the donor aorta during heart transplantation: surgical management with a Bentall-de Bono procedure. Transplant Proc 2007; 39:1573-4. [PMID: 17580191 DOI: 10.1016/j.transproceed.2006.11.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2006] [Revised: 10/06/2006] [Accepted: 11/02/2006] [Indexed: 11/30/2022]
Abstract
Aortic complications are uncommon in cardiac allograft recipients. Primary acute aortic rupture is an extremely rare and dramatic event that can occur in the early phase after transplantation. In this article we describe a case of acute intraoperative rupture of the donor aorta just after aortic declamping during orthotopic cardiac transplantation procedure, successfully treated with a Bentall-De Bono operation.
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Affiliation(s)
- L Botta
- Department of Cardiac Surgery, University of Bologna, S. Orsola-Malpighi Hospital, Via Massarenti 9, 40138 Bologna, Italy.
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Palmerini T, Marzocchi A, Marrozzini C, Reggiani LB, Savini C, Marinelli G, Di Bartolomeo R, Branzi A. Preoperative C-reactive protein levels predict 9-month mortality after coronary artery bypass grafting surgery for the treatment of left main coronary artery stenosis. Eur J Cardiothorac Surg 2007; 31:685-90. [PMID: 17236785 DOI: 10.1016/j.ejcts.2006.12.029] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/16/2006] [Revised: 12/20/2006] [Accepted: 12/22/2006] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVE Preprocedural levels of C-reactive protein predict mid-term mortality after percutaneous coronary intervention for the treatment of unprotected left main coronary artery stenosis. However, there are no data regarding the impact of C-reactive protein on mid-term mortality in patients with unprotected left main coronary artery stenosis treated with coronary artery bypass graft. METHODS The predictive value of preoperative C-reactive protein levels, leukocyte counts, and fibrinogen levels were evaluated in a series of 108 patients who underwent coronary artery bypass graft surgery at our Institution from 1st January 2002 to 31st April 2005. Patients were divided in two groups: Group 1 included patients with C-reactive protein levels in quartiles IV (C-reactive protein levels > or =1.22mg/dl) and Group 2 included patients with C-reactive protein levels in quartiles I+II+III. RESULTS At 9-month follow-up the rate of mortality was 25.9% in Group 1 and 4.9% in Group 2 (hazard ratio=5.86, 95% confidence intervals=1.71-20.03; p=0.005). In all patients who had cardiac mortality, C-reactive protein levels were >0.5mg/dl. In the multivariate analysis age >75 years, peripheral vascular disease and C-reactive protein quartiles were the only independent predictors of mortality. CONCLUSIONS Elevated preoperative levels of C-reactive protein indicate an increased risk of death after coronary artery bypass graft surgery for the treatment of unprotected left main coronary artery stenosis. Inflammatory risk assessment in patients with unprotected left main coronary artery stenosis provides incremental prognostic value for adequate preoperative patient stratification.
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Affiliation(s)
- Tullio Palmerini
- Department of Cardiology, Policlinico S Orsola, University of Bologna, Italy.
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Martìn-Suàrez S, Botta L, Dell'Amore A, Camurri N, Mikus E, Leone O, Marinelli G, Di Bartolomeo R. Mitral valve myxoma involving both leaflets. Cardiovasc Pathol 2007; 16:189-90. [PMID: 17502251 DOI: 10.1016/j.carpath.2006.11.007] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/10/2006] [Revised: 10/31/2006] [Accepted: 11/29/2006] [Indexed: 10/23/2022] Open
Abstract
Mitral valve myxomas are extremely uncommon, and their presence raises differential diagnosis with other pathologic conditions. We report on the case of a patient with an unspecific clinical presentation and an equivocal echocardiographic finding: mass prolapsing through the mitral valve into the left ventricle. The tumor was strongly attached by a wide pedicle, involving both the anterior and posterior mitral valve leaflets. Tumor excision was not feasible, and the mitral valve was replaced. Histologic analysis confirmed the myxomatous nature of the mass.
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Affiliation(s)
- Sofia Martìn-Suàrez
- Department of Cardiac Surgery, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy
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Pala A, Marinelli G, D'intinosante V, Ruzza AD, Carenza L. Preparation of 2-125I-Testosterone and Its Use as Ligand for Radioimmunoassay in Serum. ANAL LETT 2006. [DOI: 10.1080/00032718208064393] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Martìn-Suàrez S, Claysset B, Botta L, Ferlito M, Pacini D, Savini C, Marinelli G, DiBartolomeo R. Surgery for atrial fibrillation with radiofrequency ablation: four years experience. Interact Cardiovasc Thorac Surg 2006; 6:71-6. [PMID: 17669773 DOI: 10.1510/icvts.2006.136663] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
OBJECTIVES Atrial fibrillation (AF) is very common in patients undergoing open heart surgery. AF ablation with different sources of energy, enables the surgeon to create linear lesions rapidly and safely. However, results of these technologies need examination. We report the clinical results obtained in a 4-year experience using mono- and bipolar radiofrequency (RF) ablation of AF in a heterogeneous group of 183 patients. METHODS From May 2001 until December 2005 a total of 183 patients underwent pulmonary vein isolation using RF energy. In 73 cases, monopolar RF was used. Energy was applied in the endocardium in 40 cases (Group A) and in the epicardium in 33 cases (Group B). From May 2003, bipolar RF was used in a total of 110 patients (Group C). Duration of AF, left atrial dimensions, age or reoperations, were not considered contraindications to ablation. Ablation procedure for AF ablation was associated with a variety of cardiac procedures, from isolated mitral valve procedure to complex ascending aorta operations. RESULTS In-hospital mortality was 3.8% in the whole group (range 2.7-6.1%). Mortality and morbidity were not related with the ablation procedure. At the follow-up time of 50.9+/-3.3, 48.2+/-3.1, 32.7+/-0.9 months (Group A, B and C, respectively), sinus rhythm (SR) is present in a percentage of 75%, 67.7%, 79.4% of patients. Higher incidence of AF recurrence occurred in the first six months after surgery in all three groups. Late recurrence was higher in the epicardial group and overall freedom of AF was 64% in Group A, 46% in Group B and 71.1% in Group C (P=0.01). CONCLUSIONS Our results demonstrate that the epicardial monopolar RF ablation obtains worse results than the endocardial monopolar RF and the bipolar RF ablation. Bipolar RF theoretically grants transmurality and is easy and safe, and a complete ablation setting lines can be achieved. Bipolar RF enables extension of ablation to every patient on AF undergoing a cardiac operation.
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Affiliation(s)
- Sofìa Martìn-Suàrez
- Cardiac Surgery Department, Policlinico S. Orsola Malpighi, Bologna University, Bologna, Italy.
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Palmerini T, Marzocchi A, Marrozzini C, Ortolani P, Saia F, Savini C, Bacchi-Reggiani L, Gianstefani S, Virzì S, Manara F, Kiros Weldeab M, Marinelli G, Di Bartolomeo R, Branzi A. Comparison between coronary angioplasty and coronary artery bypass surgery for the treatment of unprotected left main coronary artery stenosis (the Bologna Registry). Am J Cardiol 2006; 98:54-9. [PMID: 16784920 DOI: 10.1016/j.amjcard.2006.01.070] [Citation(s) in RCA: 171] [Impact Index Per Article: 9.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/09/2005] [Revised: 01/12/2006] [Accepted: 01/12/2006] [Indexed: 11/25/2022]
Abstract
Although great interest exists in the relative efficacy of coronary artery bypass grafting (CABG) versus percutaneous coronary intervention (PCI) for the treatment of unprotected left main coronary artery stenosis, data comparing the 2 strategies are scant. Furthermore, no comparison has ever been performed between CABG and drug-eluting stents in this setting. From January 2002 to June 2005, 154 patients with unprotected left main coronary artery stenosis underwent CABG and 157 underwent PCI. Ninety-four patients received a drug-eluting stent in the left main artery. After a median follow-up of 430 days, the rate of mortality, acute myocardial infarction, and target lesion revascularization was 12.3%, 4.5%, and 2.6%, respectively, in the CABG group and 13.4%, 8.3%, and 25.5%, respectively, in the PCI group (death and myocardial infarction p = NS, target lesion revascularization p = 0.0001). Although patients treated with drug-eluting stents had a 25% relative risk reduction in the rate of death, myocardial infarction, and target lesion revascularization compared with patients treated with bare stents, event-free survival was still better for patients treated with CABG. In the multivariate analysis, age >or=70 years, New York Heart Association classes III and IV, acute coronary syndromes, and peripheral vascular disease were the only independent predictors of mortality. In conclusion, our results have indicated that at long-term follow-up no difference exists in the rate of mortality and myocardial infarction between PCI and CABG for the treatment of unprotected left main coronary artery stenosis. However, the rate of target lesion revascularization was higher in the PCI group.
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Affiliation(s)
- Tullio Palmerini
- Istituto di Cardiologia, Policlinico S. Orsola, University of Bologna, Bologna, Italy
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