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Radauskaite G, Rackauskas G, Danilenko S, Janusauskas V, Aidietis A. Long-Term Results of the Mini Maze Standalone Bi-Atrial Surgical Ablation: A 10-Year Follow-Up. J Clin Med 2024; 13:2195. [PMID: 38673468 PMCID: PMC11050341 DOI: 10.3390/jcm13082195] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2024] [Revised: 04/01/2024] [Accepted: 04/10/2024] [Indexed: 04/28/2024] Open
Abstract
Background: One way to treat atrial fibrillation is through surgical ablation. However, the literature only provides information on patient follow-up results for up to 5 years. Methods: In order to assess long-term monitoring data over ten years, this retrospective study included 58 patients with paroxysmal or persistent atrial fibrillation who underwent Mini Maze surgical ablation at Santaros Clinics between 1 February 2009 and 1 June 2014. The follow-up time after surgery was 144 ± 48 months. We evaluated the absence of atrial fibrillation, echocardiographic and clinical parameters, and EHRA score. Results: Sinus rhythm remained in 69.4%, 75.5%, 55.6%, and 44.1% of patients with paroxysmal AF, and 68,2%, 59.1%, 50%, and 41.9% of patients with persistent AF (p = 0.681). In the post-operative period, one patient (1.7%) had a transient ischemic attack, and another patient (1.7%) had a thoracotomy for post-operative bleeding. A total of 20% of patients were diagnosed with a post-operative respiratory tract infection. EHRA scores showed that patients' quality of life improved after they underwent Mini Maze surgical ablation. Conclusions: Despite AF recurrences after surgery, quality of life remains better than before surgery, showing that Mini Maze surgery is an effective and safe second-line treatment method for atrial fibrillation.
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Affiliation(s)
- Greta Radauskaite
- Department of Cardiovascular Medicine, Faculty of Medicine, Vilnius University, 01513 Vilniaus, Lithuania; (G.R.); (V.J.); (A.A.)
- Vilnius University Hospital Santaros Klinikos, 08661 Vilniaus, Lithuania
| | - Gediminas Rackauskas
- Department of Cardiovascular Medicine, Faculty of Medicine, Vilnius University, 01513 Vilniaus, Lithuania; (G.R.); (V.J.); (A.A.)
- Vilnius University Hospital Santaros Klinikos, 08661 Vilniaus, Lithuania
| | - Svetlana Danilenko
- Department of Mathematical Statistics, Vilnius Gediminas Technical University, 10223 Vilniaus, Lithuania;
| | - Vilius Janusauskas
- Department of Cardiovascular Medicine, Faculty of Medicine, Vilnius University, 01513 Vilniaus, Lithuania; (G.R.); (V.J.); (A.A.)
- Vilnius University Hospital Santaros Klinikos, 08661 Vilniaus, Lithuania
| | - Audrius Aidietis
- Department of Cardiovascular Medicine, Faculty of Medicine, Vilnius University, 01513 Vilniaus, Lithuania; (G.R.); (V.J.); (A.A.)
- Vilnius University Hospital Santaros Klinikos, 08661 Vilniaus, Lithuania
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Kezeviciute M, Zakarkaite D, Janusauskas V, Glaveckaite S. The puzzle of para-aortic mass. Eur Heart J Cardiovasc Imaging 2024; 25:e146. [PMID: 37972252 DOI: 10.1093/ehjci/jead314] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/12/2023] [Accepted: 11/12/2023] [Indexed: 11/19/2023] Open
Affiliation(s)
- Monika Kezeviciute
- Clinic of Cardiovascular Diseases, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, M.K. Ciurlionio St. 21, Vilnius 03101, Lithuania
| | - Diana Zakarkaite
- Clinic of Cardiovascular Diseases, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, M.K. Ciurlionio St. 21, Vilnius 03101, Lithuania
| | - Vilius Janusauskas
- Clinic of Cardiovascular Diseases, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, M.K. Ciurlionio St. 21, Vilnius 03101, Lithuania
| | - Sigita Glaveckaite
- Clinic of Cardiovascular Diseases, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, M.K. Ciurlionio St. 21, Vilnius 03101, Lithuania
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Abramikas Z, Zakarkaite D, Janusauskas V, Valeviciene N, Glaveckaite S. Successful surgical treatment of cardiac implantable electronic device - related infection. Acta Cardiol 2023; 78:1051-1052. [PMID: 37578302 DOI: 10.1080/00015385.2023.2229597] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2023] [Accepted: 06/19/2023] [Indexed: 08/15/2023]
Affiliation(s)
- Zygimantas Abramikas
- Faculty of Medicine, Clinic of Cardiovascular Diseases, Institute of Clinical Medicine, Vilnius University, Vilnius, Lithuania
- Centre of Cardiology and Angiology, Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania
| | - Diana Zakarkaite
- Faculty of Medicine, Clinic of Cardiovascular Diseases, Institute of Clinical Medicine, Vilnius University, Vilnius, Lithuania
- Centre of Cardiology and Angiology, Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania
| | - Vilius Janusauskas
- Faculty of Medicine, Clinic of Cardiovascular Diseases, Institute of Clinical Medicine, Vilnius University, Vilnius, Lithuania
| | - Nomeda Valeviciene
- Centre of Radiology and Nuclear Medicine, Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania
| | - Sigita Glaveckaite
- Faculty of Medicine, Clinic of Cardiovascular Diseases, Institute of Clinical Medicine, Vilnius University, Vilnius, Lithuania
- Centre of Cardiology and Angiology, Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania
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Scupakova N, Urbonas K, Jankuviene A, Puodziukaite L, Andrijauskas P, Janusauskas V, Zorinas A, Laurusonis K, Serpytis P, Samalavicius R. Extracorporeal Life Support for Cardiogenic Shock in Octogenarians: Single Center Experience. J Clin Med 2023; 12:jcm12020585. [PMID: 36675514 PMCID: PMC9860732 DOI: 10.3390/jcm12020585] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2022] [Revised: 01/05/2023] [Accepted: 01/09/2023] [Indexed: 01/12/2023] Open
Abstract
BACKGROUND The age limit for the use of extracorporeal membrane oxygenation (ECMO) support for post-cardiotomy cardiac failure is not defined. The aim of the study was to evaluate the outcomes of octogenarians supported with ECMO due to cardiogenic shock. METHODS A retrospective review of consecutive elderly patients supported with ECMO during a 13-year period in a tertiary care center. Patient's demographic variables, comorbidities, perioperative data and outcomes were collected from patient medical records. Data of octogenarian patients were compared with the septuagenarian group. The main outcomes of the study was in hospital mortality, 6-month survival and 1-year survival after hospital discharge and discharge options. Multivariate logistic regression analysis was performed to identify the factors associated with hospital survival. RESULTS Eleven patients (18.3%) in the elderly group were octogenarians (aged 80 years or above), and forty-nine (81.7%) were septuagenarians (aged 70-79 years). There were no differences except age in demographic and preoperative variables between groups. Pre ECMO SAVE, SOFA, SAPS-II and inotropic scores were significantly higher in septuagenarians than octogenarians. There was no statistically significant difference in hospital mortality, 6-month survival, 1 year survival or discharge options between groups. CONCLUSIONS ECMO could be successfully used in selected octogenarian patients undergoing cardiac surgery to support a failing heart. An early decision to initiate ECMO therapy in elderly post-cardiotomy shock patients is associated with favorable outcomes.
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Affiliation(s)
- Nadezda Scupakova
- II Department of Anaesthesiology and Intensive Care, Vilnius University Hospital Santaros Klinikos, LT-08661 Vilnius, Lithuania
- Clinic of Emergency Medicine, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, LT-08661 Vilnius, Lithuania
- Correspondence:
| | - Karolis Urbonas
- II Department of Anaesthesiology and Intensive Care, Vilnius University Hospital Santaros Klinikos, LT-08661 Vilnius, Lithuania
- Clinic of Emergency Medicine, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, LT-08661 Vilnius, Lithuania
| | - Agne Jankuviene
- II Department of Anaesthesiology and Intensive Care, Vilnius University Hospital Santaros Klinikos, LT-08661 Vilnius, Lithuania
| | - Lina Puodziukaite
- II Department of Anaesthesiology and Intensive Care, Vilnius University Hospital Santaros Klinikos, LT-08661 Vilnius, Lithuania
| | - Povilas Andrijauskas
- II Department of Anaesthesiology and Intensive Care, Vilnius University Hospital Santaros Klinikos, LT-08661 Vilnius, Lithuania
| | - Vilius Janusauskas
- Clinic of Cardiovascular Diseases, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, LT-08661 Vilnius, Lithuania
| | - Aleksejus Zorinas
- Clinic of Cardiovascular Diseases, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, LT-08661 Vilnius, Lithuania
| | | | - Pranas Serpytis
- Clinic of Emergency Medicine, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, LT-08661 Vilnius, Lithuania
- Clinic of Cardiovascular Diseases, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, LT-08661 Vilnius, Lithuania
| | - Robertas Samalavicius
- II Department of Anaesthesiology and Intensive Care, Vilnius University Hospital Santaros Klinikos, LT-08661 Vilnius, Lithuania
- Clinic of Emergency Medicine, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, LT-08661 Vilnius, Lithuania
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Scupakova N, Jankuviene A, Puodziukaite L, Andrijauskas P, Urbonas K, Jovaisiene I, Janusauskas V, Serpytis P, Samalavicius R. POST – CARDIOTOMY EXTRACORPOREAL LIFE SUPPORT IN OCTOGENARIANS: SINGLE CENTER EXPERIENCE. J Cardiothorac Vasc Anesth 2022. [DOI: 10.1053/j.jvca.2022.09.071] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/05/2022]
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Weber A, Taramasso M, Podkopajev A, Janusauskas V, Zakarkaite D, Vogel R, Carrel T. Mitral valve repair with a device for artificial chordal implantation at 2 years. JTCVS Open 2021; 8:280-289. [PMID: 36004154 PMCID: PMC9390769 DOI: 10.1016/j.xjon.2021.08.041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/22/2021] [Accepted: 08/09/2021] [Indexed: 11/07/2022]
Abstract
Objectives This study examines the early and midterm safety, efficacy, and durability of mitral valve repair for primary mitral regurgitation (MR) using the ChordArt device (CoreMedic) for chordal replacement. Methods Five patients with symptomatic severe primary degenerative MR due to isolated central posterior leaflet prolapse/flail were treated with the ChordArt device in a transseptal surgical approach and followed prospectively with periodical clinical and echocardiographic assessments for 2 years. Results Reduction of MR immediately after the implantation of artificial chords was achieved in all patients showing no or trace MR (<1+/4+). In all patients, MR <1+ was maintained during 24 months of follow-up. No dehiscence, detachment, or dislocation of the implanted ChordArt devices was observed. Transthoracic echocardiography showed that left ventricle end diastolic diameter significantly decreased during the whole follow-up period in comparison to baseline condition, especially at discharge and 1-month follow-up. Left ventricle end systolic diameter also significantly decreased during the whole follow-up period in comparison to baseline condition. Left atrial volume significantly decreased during the follow-up period in comparison to discharge. No major adverse events, as defined per protocol, were observed during the intervention or during the follow-up period. Conclusions The ChordArt device allows successful treatment of primary degenerative MR due to posterior mitral leaflet prolapse or flail, with a good safety profile and promising immediate clinical and echocardiographic benefits that are confirmed up to 24 months.
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Thourani VH, George I, Rucinskas K, Kalinauskas G, Janusauskas V, Zakarkaite D, Ailawadi G, Smith R, Mack MJ. First in human experience with an epicardial beating heart device for secondary mitral regurgitation. J Thorac Cardiovasc Surg 2021; 161:949-958.e4. [PMID: 33436291 DOI: 10.1016/j.jtcvs.2020.11.169] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [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: 05/31/2020] [Revised: 11/19/2020] [Accepted: 11/21/2020] [Indexed: 11/25/2022]
Abstract
OBJECTIVE We describe a novel, off-pump, epicardial implant that is intended to reshape both the mitral valve annulus and the left ventricle (LV) in those with secondary mitral regurgitation (MR). METHODS Five patients underwent an epicardial implant with the Mitral Touch device (Mitre Medical Corp, Morgan Hill, Calif), during concomitant off-pump coronary artery bypass for secondary MR. The median age was 71.2 years; 4 patients had severe MR and 1 moderate. Patients were followed for 1 year with transthoracic echocardiography and computed tomography. Safety, cardiac remodeling, and MR were assessed by an independent core laboratory. RESULTS One patient died within 30 days from nondevice-related organ failure and the remaining 4 survived through 1-year follow-up. Implant technical success was 100% and took an average of 52 minutes. Paired computed tomography showed mean left ventricular end-systolic volume remodeling at 1 and 12 months of -35% and -31%, respectively. They averaged left atrial end-systolic volume remodeling of -12% and -15% at 1 and 12 months. Right ventricular end-systolic volume changes of -19% and -8% and right atrial end-systolic volume remodeling of -5% and 1%, at the 1- and 12-month time points were noted. Regurgitant volume by transthoracic echocardiography decreased by 46% and 44% and the ejection fraction from 34.6% to 32.1% and 39.5%, at 1 and 12 months, respectively. There were no device-related complications reported to 1 year. CONCLUSIONS The Epicardial Mitral Touch System for Mitral Regurgitation (ENRAPT-MR) study demonstrates a first-in-man, off-pump, epicardial repair of secondary MR. Procedural safety and geometric correction of the mitral valve apparatus and LV was achieved. Further studies in the United States are underway.
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Affiliation(s)
- Vinod H Thourani
- Department of Cardiovascular Surgery, Marcus Valve Center, Piedmont Heart Institute, Atlanta, Ga.
| | - Isaac George
- Division of Cardiothoracic Surgery, New York Presbyterian Hospital-Columbia University Medical Center, New York, NY
| | - Kestutis Rucinskas
- Vilnius University Clinic of Cardiac and Vascular Diseases, Vilnius, Lithuania
| | | | - Vilius Janusauskas
- Vilnius University Clinic of Cardiac and Vascular Diseases, Vilnius, Lithuania
| | - Diana Zakarkaite
- Vilnius University Clinic of Cardiac and Vascular Diseases, Vilnius, Lithuania
| | - Gorav Ailawadi
- Division of Cardiothoracic Surgery, University of Virginia, Charlottesville, Va
| | - Robert Smith
- Baylor Scott & White Heart and Vascular Hospital, Plano, Tex
| | - Michael J Mack
- Baylor Scott & White Heart and Vascular Hospital, Plano, Tex
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Drasutiene A, Janusauskas V, Speziali G, Zakarkaite D, Budra M, Rucinskas K, Aidietis A. Minimaly invasive mitral valve repair with Neochord system in patients with degenerative mitral disease: echocardiographic assessment and predictors for mid-term outcome. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.2680] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Introduction
Various minimally invasive mitral valve (MV) repair techniques are available to treat degenerative mitral regurgitation (MR). Transapical implantation of artificial chordae on a beating heart is performed using the NeoChord DS1000 device with real-time TEE guidance.
Purpose
1)To assess preoperative and the mid-term follow-up echocardiographic data in patients after MV repair using the NeoChord DS1000 device; 2)to investigate the changes of left ventricle (LV), left atrium (LA) and mitral annulus dimensions during the follow-up period; 3)to assess the difference of baseline echocardiographic parameters between successful and not-successful (severe residual MR) MV repair groups; 4)to identify the preoperative echocardiographic variables that may be associated with recurrence of MR at mid-term follow.
Methods
All patients after transapical MV repair with Neochord implantation in Vilnius University hospital were prospectively entered into the study. The acquired preoperative and follow-up echocardiographic datasets were analysed. According to the residual MR at follow-up, patients were stratified to 2 groups: group A – successful durable MV repair (residual MR ≤2); group B – MV repair failure (recurrence of severe MR or reintervention). Values were expressed as Mean±SD. Univariable regression analysis was used to identify anatomical predictors of residual MR.
Results
53 (70.67%) patients had a residual MR ≤2 (Group A) and 22 (29.33%) residual MR≥2+ (Group B) at 26±6 months follow-up. At baseline, Group B patients had significantly larger left ventricle end diastolic diameter (LVEDD) (mean difference 5.67±1.29mm, p<0.0001) left ventricle end systolic diameter (LVESD) (mean difference 4.08±1.57mm, p=0.012), LA volume index (mean difference 21.57±5.003 p<0.0001) and higher systolic pulmonary pressure values (mean difference 10.46±3.34, p<0.003) compared with group A. Overall, a significant reduction in LA volume index (mean change 15.69±4.15ml/m2, p<0.001), LA diameter (mean change 3.15±1.24, p=0.012), LV diameter (mean change in LVEDD 4.78±0.88mm p<0.000) was observed at 24 months follow up. There was no significant changes in MV annular parameters at follow up. Left atrium volume (OR 1.018; 95% CI 1.006–1.035; p=0.009), left atrium volume index (OR 1.038; 95% CI 1.013–1.072; p=0.010), LVEDD (OR 1.201; 95% CI 1.088–1.353; p=0.0008), LVESD (OR 1.122; 95% CI 1.02–1.248); p=0.0236) and sPAP (OR 1.418; 95% CI 1.139–2.016; p=0.0014) were all significantly associated with the worse outcome (MR >2) after mini-invasive MV repair in univariable regression analysis.
Conclusions
Minimaly invasive MV repair with Neochord system on beating heart is effective in patients with degenerative MR. Baseline echocardiographic characteristics predictive for a worse middle term outcome are mainly related to LV and LA remodeling. Reverse remodeling of LV and LA is observed during the follow-up period with no significant changes in MV annulus.
Funding Acknowledgement
Type of funding source: None
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Affiliation(s)
- A Drasutiene
- Vilnius University, Clinic of Cardiac and Vascular Diseases, Faculty of Medicine, Vilnius, Lithuania
| | - V Janusauskas
- Vilnius University, Clinic of Cardiac and Vascular Diseases, Faculty of Medicine, Vilnius, Lithuania
| | - G Speziali
- Saint Louis University, Division of Cardiac Surgery, Saint Louis, United States of America
| | - D Zakarkaite
- Vilnius University, Clinic of Cardiac and Vascular Diseases, Faculty of Medicine, Vilnius, Lithuania
| | - M Budra
- Vilnius University, Clinic of Cardiac and Vascular Diseases, Faculty of Medicine, Vilnius, Lithuania
| | - K Rucinskas
- Vilnius University, Clinic of Cardiac and Vascular Diseases, Faculty of Medicine, Vilnius, Lithuania
| | - A Aidietis
- Vilnius University, Clinic of Cardiac and Vascular Diseases, Faculty of Medicine, Vilnius, Lithuania
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Petroniene J, Morkvenaite-Vilkonciene I, Miksiunas R, Bironaite D, Ramanaviciene A, Rucinskas K, Janusauskas V, Ramanavicius A. Scanning electrochemical microscopy for the investigation of redox potential of human myocardium-derived mesenchymal stem cells grown at 2D and 3D conditions. Electrochim Acta 2020. [DOI: 10.1016/j.electacta.2020.136956] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
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Samalavicius R, Norkiene I, Scupakova N, Sabliauskas J, Urbonas K, Andrijauskas P, Jankuviene A, Puodziukaite L, Zorinas A, Janusauskas V, Rucinskas K, Laurusonis K, Serpytis P. Evaluation of risk factors for adverse outcome in extracorporeal membrane oxygenation-supported elderly postcardiotomy patients. Perfusion 2020; 35:50-56. [PMID: 32397883 DOI: 10.1177/0267659120907746] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [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: 11/16/2022]
Abstract
BACKGROUND Recently extracorporeal membrane oxygenation is becoming the commonly used mechanical assist device for the treatment of severe cardiogenic shock in postcardiotomy patients. Evaluation of risk factors of negative outcome would be beneficial in decision-making in the elderly patient population. METHODS This was a retrospective single-centre analysis of elderly patients who underwent extracorporeal membrane oxygenation treatment for refractory cardiogenic shock in a tertiary care centre. Demographic data, comorbidities and perioperative parameters were collected to evaluate their impact on the outcome of extracorporeal membrane oxygenation treatment in this patient group. Logistic regression analysis of the variables was performed to identify factors predicting an adverse outcome. RESULTS Forty consecutive elderly patients underwent extracorporeal membrane oxygenation treatment during the study period. The mean age was 76.7 ± 3.8 years, 27 (68%) were male. The mean Survival after Veno-Arterial extracorporeal membrane oxygenation score before initiating extracorporeal membrane oxygenation support was - 11 ± 6. Intra-aortic counterpulsation was used as the first-line mechanical support in 31 (77%) patients. The mean duration of extracorporeal membrane oxygenation support was 172 ± 128 hours. Twenty-four patients (56%) were successfully weaned from extracorporeal membrane oxygenation, and 8 (20%) survived to hospital discharge. Lactate level before extracorporeal membrane oxygenation initiation was the only predictor of unfavourable outcome in multivariate analysis (p < 0.05). CONCLUSION High lactate level before initiation of extracorporeal membrane oxygenation was the most important prognostic values of an unfavourable outcome.
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Affiliation(s)
- Robertas Samalavicius
- II Department of Anesthesiology, Centre of Anesthesia, Intensive Care and Pain Management, Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania.,Clinic of Emergency Medicine, Vilnius University, Vilnius, Lithuania
| | - Ieva Norkiene
- Clinic of Anesthesiology and Intensive Care, Faculty of Medicine, Vilnius University, Vilnius, Lithuania
| | - Nadezda Scupakova
- II Department of Anesthesiology, Centre of Anesthesia, Intensive Care and Pain Management, Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania
| | - Jurij Sabliauskas
- II Department of Anesthesiology, Centre of Anesthesia, Intensive Care and Pain Management, Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania
| | - Karolis Urbonas
- II Department of Anesthesiology, Centre of Anesthesia, Intensive Care and Pain Management, Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania
| | - Povilas Andrijauskas
- II Department of Anesthesiology, Centre of Anesthesia, Intensive Care and Pain Management, Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania
| | - Agne Jankuviene
- II Department of Anesthesiology, Centre of Anesthesia, Intensive Care and Pain Management, Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania
| | - Lina Puodziukaite
- II Department of Anesthesiology, Centre of Anesthesia, Intensive Care and Pain Management, Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania
| | - Aleksejus Zorinas
- Clinic of Cardiac and Vascular Diseases, Vilnius University, Vilnius, Lithuania
| | - Vilius Janusauskas
- Clinic of Cardiac and Vascular Diseases, Vilnius University, Vilnius, Lithuania
| | - Kestutis Rucinskas
- Clinic of Cardiac and Vascular Diseases, Vilnius University, Vilnius, Lithuania
| | | | - Pranas Serpytis
- Clinic of Emergency Medicine, Vilnius University, Vilnius, Lithuania
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Petroniene J, Morkvenaite‐Vilkonciene I, Miksiunas R, Bironaite D, Ramanaviciene A, Mikoliunaite L, Kisieliute A, Rucinskas K, Janusauskas V, Plikusiene I, Labeit S, Ramanavicius A. Evaluation of Redox Activity of Human Myocardium‐derived Mesenchymal Stem Cells by Scanning Electrochemical Microscopy. ELECTROANAL 2020. [DOI: 10.1002/elan.201900723] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Affiliation(s)
- Jurate Petroniene
- Department of Physical ChemistryFaculty of Chemistry and GeosciencesVilnius University Naugadruko str. 24 LT-03225 Vilnius Lithuania
| | - Inga Morkvenaite‐Vilkonciene
- Laboratory of Electrochemical Energy ConversionState Research Institute Centre for Physical Sciences and Technology Universiteto str. 3 LT-01513 Vilnius Lithuania
- Department of Mechatronics and RoboticsFaculty of MechanicsVilnius Gediminas Technical University Universiteto str. 3 LT-01513 Vilnius Lithuania
| | - Rokas Miksiunas
- Department of Regenerative medicineState Research Institute Centre for Innovative Medicine Universiteto str. 3 LT-01513 Vilnius Lithuania
| | - Daiva Bironaite
- Department of Regenerative medicineState Research Institute Centre for Innovative Medicine Universiteto str. 3 LT-01513 Vilnius Lithuania
| | - Almira Ramanaviciene
- Nanotechnas-Centre of Nanotechnology and Materials ScienceFaculty of Chemistry and GeosciencesVilnius University Naugadruko str. 24 LT-03225 Vilnius Lithuania
| | - Lina Mikoliunaite
- Department of Physical ChemistryFaculty of Chemistry and GeosciencesVilnius University Naugadruko str. 24 LT-03225 Vilnius Lithuania
| | - Aura Kisieliute
- Department of Physical ChemistryFaculty of Chemistry and GeosciencesVilnius University Naugadruko str. 24 LT-03225 Vilnius Lithuania
| | - Kestutis Rucinskas
- Centre of Cardiothoracic Surgery of Vilnius University Hospital Santariskiu Klinikos Universiteto str. 3 LT-01513 Vilnius Lithuania
| | - Vilius Janusauskas
- Centre of Cardiothoracic Surgery of Vilnius University Hospital Santariskiu Klinikos Universiteto str. 3 LT-01513 Vilnius Lithuania
| | - Ieva Plikusiene
- Department of Physical ChemistryFaculty of Chemistry and GeosciencesVilnius University Naugadruko str. 24 LT-03225 Vilnius Lithuania
| | - Siegfried Labeit
- Department of Integrative PathophysiologyUniversitätsmedizin Mannheim Theodor-Kutzer-Uferstr. 1–3 DE-68167 Mannheim Germany
| | - Arunas Ramanavicius
- Department of Physical ChemistryFaculty of Chemistry and GeosciencesVilnius University Naugadruko str. 24 LT-03225 Vilnius Lithuania
- Laboratory of NanotechnologyState Research Institute Centre for Physical Sciences and Technology Sauletekio str. LT-10257 Vilnius Lithuania
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Balciunaite G, Rimkus A, Zurauskas E, Zaremba T, Palionis D, Valeviciene N, Aidietis A, Serpytis P, Rucinskas K, Sogaard P, Glaveckaite S, Zorinas A, Janusauskas V. Transthyretin cardiac amyloidosis in aortic stenosis: Prevalence, diagnostic challenges, and clinical implications. Hellenic J Cardiol 2019; 61:92-98. [PMID: 31740363 DOI: 10.1016/j.hjc.2019.10.004] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2019] [Revised: 09/08/2019] [Accepted: 10/16/2019] [Indexed: 12/29/2022] Open
Abstract
Transthyretin cardiac amyloidosis (ATTR-CA) is a challenging and underdiagnosed cause of heart failure. Advances in cardiac imaging have enabled noninvasive diagnosis of ATTR-CA, causing the recent upsurge in disease awareness and detection. ATTR-CA has been increasingly recognized in patients with degenerative aortic stenosis (AS). With the growing number of elderly patients undergoing aortic valve intervention, the identification of ATTR-CA in this group of patients is of high clinical importance. Timely and correct diagnosis is essential for amyloid-directed therapies, as well as deciding on the AS treatment strategy. This review provides a comprehensive overview of the recent studies investigating coexistence of these two entities. We present the data on the prevalence of ATTR-CA in AS and their prognostic associations. As the diagnosis of ATTR-CA may be challenging, special attention is paid to the diagnostic utility of different imaging modalities, namely, echocardiography, cardiovascular magnetic resonance, nuclear imaging, and distinctive imaging features, in patients with dual pathology. We also present a flowchart summarizing integrated imaging in patients with suspected ATTR-CA.
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Affiliation(s)
- Giedre Balciunaite
- Clinic of Cardiovascular Diseases, Institute of Clinical Medicine, Vilnius University Faculty of Medicine, Santariskiu st. 2, 08661, Vilnius, Lithuania.
| | - Arnas Rimkus
- Clinic of Cardiovascular Diseases, Institute of Clinical Medicine, Vilnius University Faculty of Medicine, Santariskiu st. 2, 08661, Vilnius, Lithuania
| | - Edvardas Zurauskas
- National Center of Pathology, Vilnius University Hospital Santaros Klinikos, P. Baublio str. 5, 08406, Vilnius, Lithuania
| | - Tomas Zaremba
- Clinic of Cardiovascular Diseases, Institute of Clinical Medicine, Vilnius University Faculty of Medicine, Santariskiu st. 2, 08661, Vilnius, Lithuania; Aalborg University Hospital, Clinical Institute of Aalborg University, Hobrovej 18-22, 9100, Aalborg, Denmark
| | - Darius Palionis
- Department of Radiology, Nuclear Medicine and Medical Physics, Institute of Biomedical Sciences, Vilnius University Faculty of Medicine, Santariskiu st. 2, 08661, Vilnius, Lithuania
| | - Nomeda Valeviciene
- Department of Radiology, Nuclear Medicine and Medical Physics, Institute of Biomedical Sciences, Vilnius University Faculty of Medicine, Santariskiu st. 2, 08661, Vilnius, Lithuania
| | - Audrius Aidietis
- Clinic of Cardiovascular Diseases, Institute of Clinical Medicine, Vilnius University Faculty of Medicine, Santariskiu st. 2, 08661, Vilnius, Lithuania
| | - Pranas Serpytis
- Clinic of Cardiovascular Diseases, Institute of Clinical Medicine, Vilnius University Faculty of Medicine, Santariskiu st. 2, 08661, Vilnius, Lithuania
| | - Kestutis Rucinskas
- Clinic of Cardiovascular Diseases, Institute of Clinical Medicine, Vilnius University Faculty of Medicine, Santariskiu st. 2, 08661, Vilnius, Lithuania
| | - Peter Sogaard
- Clinic of Cardiovascular Diseases, Institute of Clinical Medicine, Vilnius University Faculty of Medicine, Santariskiu st. 2, 08661, Vilnius, Lithuania; Aalborg University Hospital, Clinical Institute of Aalborg University, Hobrovej 18-22, 9100, Aalborg, Denmark
| | - Sigita Glaveckaite
- Clinic of Cardiovascular Diseases, Institute of Clinical Medicine, Vilnius University Faculty of Medicine, Santariskiu st. 2, 08661, Vilnius, Lithuania
| | - Aleksejus Zorinas
- Clinic of Cardiovascular Diseases, Institute of Clinical Medicine, Vilnius University Faculty of Medicine, Santariskiu st. 2, 08661, Vilnius, Lithuania
| | - Vilius Janusauskas
- Clinic of Cardiovascular Diseases, Institute of Clinical Medicine, Vilnius University Faculty of Medicine, Santariskiu st. 2, 08661, Vilnius, Lithuania
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Colli A, Manzan E, Aidietis A, Rucinskas K, Bizzotto E, Besola L, Pradegan N, Pittarello D, Janusauskas V, Zakarkaite D, Drasutiene A, Lipnevicius A, Danner BC, Sievert H, Vaskelyte L, Schnelle N, Salizzoni S, Marro M, Rinaldi M, Kurnicka K, Wrobel K, Ceffarelli M, Savini C, Pacini D, Gerosa G. Corrigendum to: 'An early European experience with transapical off-pump mitral valve repair with NeoChord implantation [Eur J Cardiothorac Surg 2018;54:460-6]. Eur J Cardiothorac Surg 2019; 55:1240. [PMID: 30863867 DOI: 10.1093/ejcts/ezz078] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- Andrea Colli
- Cardiac Surgery Unit, Department of Cardiac, Thoracic, and Vascular Sciences, University of Padua, Padua, Italy
| | - Erica Manzan
- Cardiac Surgery Unit, Department of Cardiac, Thoracic, and Vascular Sciences, University of Padua, Padua, Italy
| | - Audrius Aidietis
- Department of Cardiovascular Medicine, Vilnius University, Vilnius, Lithuania
| | - Kestutis Rucinskas
- Department of Cardiovascular Medicine, Vilnius University, Vilnius, Lithuania
| | - Eleonora Bizzotto
- Cardiac Surgery Unit, Department of Cardiac, Thoracic, and Vascular Sciences, University of Padua, Padua, Italy
| | - Laura Besola
- Cardiac Surgery Unit, Department of Cardiac, Thoracic, and Vascular Sciences, University of Padua, Padua, Italy
| | - Nicola Pradegan
- Cardiac Surgery Unit, Department of Cardiac, Thoracic, and Vascular Sciences, University of Padua, Padua, Italy
| | - Demetrio Pittarello
- Cardiac Surgery Unit, Department of Cardiac, Thoracic, and Vascular Sciences, University of Padua, Padua, Italy
| | - Vilius Janusauskas
- Department of Cardiovascular Medicine, Vilnius University, Vilnius, Lithuania
| | - Diana Zakarkaite
- Department of Cardiovascular Medicine, Vilnius University, Vilnius, Lithuania
| | - Agne Drasutiene
- Department of Cardiovascular Medicine, Vilnius University, Vilnius, Lithuania
| | - Arturas Lipnevicius
- Department of Cardiovascular Medicine, Vilnius University, Vilnius, Lithuania
| | - Bernhard C Danner
- Department of Thoracic and Cardiovascular Surgery, University Medical Center, Georg-August University, Göttingen, Germany
| | - Horst Sievert
- CardioVascular Center Frankfurt CVC, Sankt Katharinen, Frankfurt, Germany
| | - Laura Vaskelyte
- CardioVascular Center Frankfurt CVC, Sankt Katharinen, Frankfurt, Germany
| | - Nalan Schnelle
- CardioVascular Center Frankfurt CVC, Sankt Katharinen, Frankfurt, Germany
| | - Stefano Salizzoni
- Division of Cardiac Surgery, Department of Surgical Sciences, Città della Salute e della Scienza di Torino, University of Turin, Turin, Italy
| | - Matteo Marro
- Division of Cardiac Surgery, Department of Surgical Sciences, Città della Salute e della Scienza di Torino, University of Turin, Turin, Italy
| | - Mauro Rinaldi
- Division of Cardiac Surgery, Department of Surgical Sciences, Città della Salute e della Scienza di Torino, University of Turin, Turin, Italy
| | - Katarzyna Kurnicka
- Department of Internal Medicine and Cardiology, Medical University of Warsaw, Warsaw, Poland
| | - Kristof Wrobel
- Department of Cardiac Surgery, Medicover Hospital, Warsaw, Poland
| | - Mariano Ceffarelli
- Department of Cardiovascular Surgery, Sant'Orsola-Malpighi Hospital, Bologna University, Bologna, Italy
| | - Carlo Savini
- Department of Cardiovascular Surgery, Sant'Orsola-Malpighi Hospital, Bologna University, Bologna, Italy
| | - Davide Pacini
- Department of Cardiovascular Surgery, Sant'Orsola-Malpighi Hospital, Bologna University, Bologna, Italy
| | - Gino Gerosa
- Cardiac Surgery Unit, Department of Cardiac, Thoracic, and Vascular Sciences, University of Padua, Padua, Italy
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Norkiene I, Jovaisa T, Scupakova N, Janusauskas V, Rucinskas K, Serpytis P, Laurusonis K, Samalavicius R. Long-term quality of life in patients treated with extracorporeal membrane oxygenation for postcardiotomy cardiogenic shock. Perfusion 2018; 34:285-289. [DOI: 10.1177/0267659118815291] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [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
Objective: The aim of our study was to explore long-term health-related quality of life (HRQOL) and incidence of post-traumatic stress disorder (PTSD) in extracorporeal membrane oxygenation (ECMO) survivors. Methods: Single-center prospective follow-up study. All patients in whom ECMO was initiated due to refractory cardiogenic shock between 2009 and 2014 were included in the study. We used Medical Outcomes Study 36-Item Short-Form Health Survey to evaluate HRQOL and IES-R questionnaire to assess incidence of PTSD. Results: Sixty-nine patients were treated with venoarterial (VA) ECMO during the study period. Nineteen patients survived until hospital discharge and 15 patients were alive at the study cut-off point in June 2017; mean follow-up time was 70.6 ± 10 months. The average Physical Component Summary and Mental Component Summary scores amongst long-term survivors were 46.1 ± 7 and 47.1 ± 8, respectively. PTSD was evident in 4 out of 15 participants. Conclusions: Despite the complex clinical course and prolonged recovery, ECMO survivors achieved satisfactory levels of both mental and physical recovery, which were comparable to the age- and pathology-adjusted population means.
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Affiliation(s)
- Ieva Norkiene
- Clinic of Anaesthesiology and Reanimatology, Faculty of Medicine, Vilnius University, Vilnius, Lithuania
| | - Tomas Jovaisa
- Clinic of Anaesthesiology, Lithuanian University of Health Sciences, Kaunas, Lithuania
| | - Nadiezda Scupakova
- Clinic of Anaesthesiology and Reanimatology, Faculty of Medicine, Vilnius University, Vilnius, Lithuania
| | - Vilius Janusauskas
- Clinic of Cardiac and Vascular Diseases, Faculty of Medicine, Vilnius University, Vilnius, Lithuania
| | - Kestutis Rucinskas
- Clinic of Cardiac and Vascular Diseases, Faculty of Medicine, Vilnius University, Vilnius, Lithuania
| | - Pranas Serpytis
- Clinic of Cardiac and Vascular Diseases, Faculty of Medicine, Vilnius University, Vilnius, Lithuania
| | - Kestutis Laurusonis
- Kardiolita Clinics. Vilnius, Lithuania
- Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania
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Weber A, Carrel T, Vogel R, Zakarkaite D, Janusauskas V, Rucinskas K. TCT-803 Mitral Valve Repair with a Novel Transseptal Neochordal System: First-in-Man Experience. J Am Coll Cardiol 2018. [DOI: 10.1016/j.jacc.2018.08.2158] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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16
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Norkiene I, Janusauskas V, Lipnevicius A, Rucinskas K, Scupakova N, Samalavicius R. Perioperative management of patients undergoing off-pump transapical mitral valve repair. J Cardiothorac Vasc Anesth 2018. [DOI: 10.1053/j.jvca.2018.08.183] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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17
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Colli A, Manzan E, Aidietis A, Rucinskas K, Bizzotto E, Besola L, Pradegan N, Pittarello D, Janusauskas V, Zakarkaite D, Drasutiene A, Lipnevicius A, Danner BC, Sievert H, Vaskelyte L, Schnelle N, Salizzoni S, Marro M, Rinaldi M, Kurnicka K, Wrobel K, Ceffarelli M, Savini C, Pacini D, Gerosa G. An early European experience with transapical off-pump mitral valve repair with NeoChord implantation†. Eur J Cardiothorac Surg 2018. [DOI: 10.1093/ejcts/ezy064] [Citation(s) in RCA: 90] [Impact Index Per Article: 15.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- Andrea Colli
- Cardiac Surgery Unit, Department of Cardiac, Thoracic, and Vascular Sciences, University of Padua, Padua, Italy
| | - Erica Manzan
- Cardiac Surgery Unit, Department of Cardiac, Thoracic, and Vascular Sciences, University of Padua, Padua, Italy
| | - Audrius Aidietis
- Department of Cardiovascular Medicine, Vilnius University, Vilnius, Lithuania
| | - Kestutis Rucinskas
- Department of Cardiovascular Medicine, Vilnius University, Vilnius, Lithuania
| | - Eleonora Bizzotto
- Cardiac Surgery Unit, Department of Cardiac, Thoracic, and Vascular Sciences, University of Padua, Padua, Italy
| | - Laura Besola
- Cardiac Surgery Unit, Department of Cardiac, Thoracic, and Vascular Sciences, University of Padua, Padua, Italy
| | - Nicola Pradegan
- Cardiac Surgery Unit, Department of Cardiac, Thoracic, and Vascular Sciences, University of Padua, Padua, Italy
| | - Demetrio Pittarello
- Cardiac Surgery Unit, Department of Cardiac, Thoracic, and Vascular Sciences, University of Padua, Padua, Italy
| | - Vilius Janusauskas
- Department of Cardiovascular Medicine, Vilnius University, Vilnius, Lithuania
| | - Diana Zakarkaite
- Department of Cardiovascular Medicine, Vilnius University, Vilnius, Lithuania
| | - Agne Drasutiene
- Department of Cardiovascular Medicine, Vilnius University, Vilnius, Lithuania
| | - Arturas Lipnevicius
- Department of Cardiovascular Medicine, Vilnius University, Vilnius, Lithuania
| | - Bernhard C Danner
- Department of Thoracic and Cardiovascular Surgery, University Medical Center, Georg-August University, Göttingen, Germany
| | - Horst Sievert
- CardioVascular Center Frankfurt CVC, Sankt Katharinen, Frankfurt, Germany
| | - Laura Vaskelyte
- CardioVascular Center Frankfurt CVC, Sankt Katharinen, Frankfurt, Germany
| | - Nalan Schnelle
- CardioVascular Center Frankfurt CVC, Sankt Katharinen, Frankfurt, Germany
| | - Stefano Salizzoni
- Division of Cardiac Surgery, Department of Surgical Sciences, Città della Salute e della Scienza di Torino, University of Turin, Turin, Italy
| | - Matteo Marro
- Division of Cardiac Surgery, Department of Surgical Sciences, Città della Salute e della Scienza di Torino, University of Turin, Turin, Italy
| | - Mauro Rinaldi
- Division of Cardiac Surgery, Department of Surgical Sciences, Città della Salute e della Scienza di Torino, University of Turin, Turin, Italy
| | - Katarzyna Kurnicka
- Department of Internal Medicine and Cardiology, Medical University of Warsaw, Warsaw, Poland
| | - Kristof Wrobel
- Department of Cardiac Surgery, Medicover Hospital, Warsaw, Poland
| | - Mariano Ceffarelli
- Department of Cardiovascular Surgery, Sant'Orsola-Malpighi Hospital, Bologna University, Bologna, Italy
| | - Carlo Savini
- Department of Cardiovascular Surgery, Sant'Orsola-Malpighi Hospital, Bologna University, Bologna, Italy
| | - Davide Pacini
- Department of Cardiovascular Surgery, Sant'Orsola-Malpighi Hospital, Bologna University, Bologna, Italy
| | - Gino Gerosa
- Cardiac Surgery Unit, Department of Cardiac, Thoracic, and Vascular Sciences, University of Padua, Padua, Italy
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18
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Samalavicius RS, Norkiene I, Drasutiene A, Lipnevicius A, Janusauskas V, Urbonas K, Zakarkaite D, Aidietis A, Rucinskas K. Anesthetic Management and Procedural Outcomes of Patients Undergoing Off-Pump Transapical Implantation of Artificial Chordae to Correct Mitral Regurgitation. Anesth Analg 2018; 126:776-784. [DOI: 10.1213/ane.0000000000002767] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [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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Samalavicius R, Puodziukaite L, Radaviciute I, Norkiene I, Urbonas K, Misiuriene I, Janusauskas V, Zorinas A, Rucinskas K, Serpytis P. Prophylactic use of an intra-aortic balloon pump in a high-risk patient with peripartum cardiomyopathy requiring cesarean delivery. Int J Obstet Anesth 2018; 33:67-71. [DOI: 10.1016/j.ijoa.2017.07.004] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/10/2017] [Revised: 07/01/2017] [Accepted: 07/10/2017] [Indexed: 11/15/2022]
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20
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Colli A, Besola L, Bizzotto E, Manzan E, Zucchetta F, Pittarello D, Rucinskas K, Aidietis A, Janusauskas V, Zakarkaite D, Drasutiene A, Danner B, Sievert H, Kurnicka K, Wrobel K, Salizzoni S, Rinaldi M, Savini C, Pacini D, Cefarelli M, Gerosa G. TCT-42 Transcatheter echo guided Mitral Valve Repair with Neochord Implantation for posterior leaflet disease: Results from Neochord Independent International Registry. J Am Coll Cardiol 2016. [DOI: 10.1016/j.jacc.2016.09.180] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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21
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Janusauskas V, Puodziukaite L, Maneikiene VV, Zuoziene G, Radauskaite G, Burneikaite G, Samalavicius RS, Aidietiene S, Rucinskas K, Aidietis A. Long-term results of minimally invasive stand-alone bi-atrial surgical ablation with a bipolar ablation device for persistent and longstanding persistent AF: a single-center case series of 91 patients. J Cardiothorac Surg 2016; 11:23. [PMID: 26832227 PMCID: PMC4736089 DOI: 10.1186/s13019-016-0416-0] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2015] [Accepted: 01/19/2016] [Indexed: 11/20/2022] Open
Abstract
Background Minimally invasive surgical treatment of lone atrial fibrillation (AF) is an alternative for AF that is refractory to medical treatment. We present long-term results of standalone surgical ablation of AF using a bipolar ablation device in 91 consecutive patients. Methods This was an observational, retrospective study of 91 patients (77 % males; mean age, 53 ± 10 years [range, 23–75 years]) who underwent minimally invasive standalone surgical ablation of persistent and longstanding persistent AF using a bipolar ablation device from 2008 to 2014. Mean follow-up was 60 ± 21 months. The absence of arrhythmia was confirmed at 3, 6, and 12 months, and annually thereafter, with 24-hour Holter monitoring. Results The mean duration of preoperative AF was 6.5 ± 5.4 years. Persistent AF was present in 86 % of patients and longstanding persistent AF in 14 %. Mean left atrial diameter was 4.3 ± 0.8 cm. There were two postoperative strokes (2 %) and three conversions to median sternotomy (3 %). Permanent pacemakers were implanted in six (7 %) patients. There were no intra- or postoperative deaths. At 1, 2, 3, 4, and 5 years postoperatively, freedom from AF was 59, 45, 41, 38, and 38 % of patients, respectively. The failure to achieve pulmonary vein isolation was the only independent predictor of long-term recurrence of AF (HR −3 [95 % CI 1,858 to 8,586], p = 0,001). There was a tendency towards higher rates of SR at long term follow up in patients with pulmonary vein isolation if division of ligament of Marshall was performed (HR - 2 [95 % CI 0.987 to 4,202], p = 0,067). Conclusions In the present series, the efficacy of epicardial surgical ablation was similar to that reported previously. The rate of arrhythmia recurrence increased over time. Achieving pulmonary vein isolation is essential to AF elimination. The division of ligament of Marshall could contribute to improved rates of SR restoration in patients with persistent or long-standing persistent AF if PVI is achieved.
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Affiliation(s)
- Vilius Janusauskas
- Department of Cardiovascular Medicine, Vilnius University, Universiteto street 3, Vilnius, Lithuania.
| | - Lina Puodziukaite
- Department of Cardiovascular Medicine, Vilnius University, Universiteto street 3, Vilnius, Lithuania.
| | - Vyte Valerija Maneikiene
- Department of Cardiovascular Medicine, Vilnius University, Universiteto street 3, Vilnius, Lithuania.
| | - Gitana Zuoziene
- Department of Cardiovascular Medicine, Vilnius University, Universiteto street 3, Vilnius, Lithuania.
| | - Greta Radauskaite
- Department of Cardiovascular Medicine, Vilnius University, Universiteto street 3, Vilnius, Lithuania.
| | - Greta Burneikaite
- Department of Cardiovascular Medicine, Vilnius University, Universiteto street 3, Vilnius, Lithuania.
| | - Robertas Stasys Samalavicius
- Centre of Anesthesia, Intensive Care, and Pain Management, Department of Intensive Care, Vilnius University, Universiteto street 3, Vilnius, Lithuania.
| | - Sigita Aidietiene
- Department of Cardiovascular Medicine, Vilnius University, Universiteto street 3, Vilnius, Lithuania.
| | - Kestutis Rucinskas
- Department of Cardiovascular Medicine, Vilnius University, Universiteto street 3, Vilnius, Lithuania.
| | - Audrius Aidietis
- Department of Cardiovascular Medicine, Vilnius University, Universiteto street 3, Vilnius, Lithuania.
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22
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Svetikiene M, Janusauskas V. Successful Treatment of Right Heart Thrombi and Acute Massive Pulmonary Embolism by Repeated Thrombolysis. Exp Clin Cardiol 2016. [DOI: 10.4172/2155-9880.1000451] [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: 11/09/2022]
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23
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Rucinskas K, Janusauskas V, Zakarkaite D, Kramena R, Janaviciute G, Drasutiene A, Samalavicius RS, Aidietis A. Off pump mitral valve repair. J Cardiothorac Surg 2015. [PMCID: PMC4695734 DOI: 10.1186/1749-8090-10-s1-a318] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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24
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Zorinas A, Janusauskas V, Simkauskas R, Rucinskas K, Aidietis A. Surgical vs. catheter-based paravalvular mitral valve leak closure (trans apical approach). Early results. Single center experience. J Cardiothorac Surg 2015. [PMCID: PMC4695735 DOI: 10.1186/1749-8090-10-s1-a320] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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25
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Zuoziene G, Leibowitz D, Celutkiene J, Burneikaite G, Ivaskeviciene L, Kalinauskas G, Maneikiene VV, Palionis D, Janusauskas V, Valeviciene N, Laucevicius A. Multimodality imaging of myocardial revascularization using cardiac shock wave therapy. Int J Cardiol 2015; 187:229-30. [PMID: 25838218 DOI: 10.1016/j.ijcard.2015.03.306] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/17/2015] [Accepted: 03/19/2015] [Indexed: 10/23/2022]
Affiliation(s)
- G Zuoziene
- Vilnius University, Clinic of Cardiac and Vascular Diseases, Vilnius, Lithuania; Center for Innovative Medicine, Vilnius, Lithuania
| | - D Leibowitz
- Coronary Care Unit, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
| | - J Celutkiene
- Vilnius University, Clinic of Cardiac and Vascular Diseases, Vilnius, Lithuania
| | - G Burneikaite
- Vilnius University, Clinic of Cardiac and Vascular Diseases, Vilnius, Lithuania
| | - L Ivaskeviciene
- Vilnius University, Clinic of Cardiac and Vascular Diseases, Vilnius, Lithuania
| | - G Kalinauskas
- Vilnius University, Clinic of Cardiac and Vascular Diseases, Vilnius, Lithuania
| | - V V Maneikiene
- Vilnius University, Clinic of Cardiac and Vascular Diseases, Vilnius, Lithuania
| | - D Palionis
- Vilnius University, Center of Radiology and Nuclear Medicine, Vilnius, Lithuania
| | - V Janusauskas
- Vilnius University, Clinic of Cardiac and Vascular Diseases, Vilnius, Lithuania
| | - N Valeviciene
- Vilnius University, Center of Radiology and Nuclear Medicine, Vilnius, Lithuania
| | - A Laucevicius
- Vilnius University, Clinic of Cardiac and Vascular Diseases, Vilnius, Lithuania; Center for Innovative Medicine, Vilnius, Lithuania
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Goirigolzarri Artaza J, Gallego Delgado M, Jaimes Castellanos C, Cavero Gibanel M, Pastrana Ledesma M, Alonso Pulpon L, Gonzalez Mirelis J, Al Ansi RZ, Sokolovic S, Cerin G, Szychta W, Popa BA, Botezatu D, Benea D, Manganiello S, Corlan A, Jabour A, Igual Munoz B, Osaca Asensi J, Andres La Huerta A, Maceira Gonzalez A, Estornell Erill J, Cano Perez O, Sancho-Tello M, Alonso Fernandez P, Sepulveda Sanchez P, Montero Argudo A, Palombo C, Morizzo C, Baluci M, Kozakova M, Panajotu A, Karady J, Szeplaki G, Horvath T, Tarnoki D, Jermendy A, Geller L, Merkely B, Maurovich-Horvat P, Moustafa S, Mookadam F, Youssef M, Zuhairy H, Connelly M, Prieur T, Alvarez N, Ashikhmin Y, Drapkina O, Boutsikou M, Demerouti E, Leontiadis E, Petrou E, Karatasakis G, Kozakova M, Morizzo C, Bianchi V, Marchi B, Federico G, Palombo C, Chatzistamatiou E, Moustakas G, Memo G, Konstantinidis D, Mpampatzeva Vagena I, Manakos K, Traxanas K, Vergi N, Feretou A, Kallikazaros I, Goto M, Uejima T, Itatani K, Pedrizzetti G, Mada R, Daraban A, Duchenne J, Voigt J, Chiu DYY, Green D, Johnstone L, Sinha S, Kalra P, Abidin N, Sikora-Frac M, Zaborska B, Maciejewski P, Bednarz B, Budaj A, Nemes A, Sasi V, Gavaller H, Kalapos A, Domsik P, Katona A, Szucsborus T, Ungi T, Forster T, Ungi I, Pluchinotta F, Arcidiacono C, Saracino A, Carminati M, Bussadori C, Dahlslett T, Karlsen S, Grenne B, Sjoli B, Bendz B, Skulstad H, Smiseth O, Edvardsen T, Brunvand H, Vereckei A, Szelenyi Z, Szenasi G, Santoro C, Galderisi M, Niglio T, Santoro M, Stabile E, Rapacciuolo A, Spinelli L, De Simone G, Esposito G, Trimarco B, Hubert S, Jacquier A, Fromonot J, Resseguier C, Tessier A, Guieu R, Renard S, Haentjiens J, Lavoute C, Habib G, Menting ME, Koopman L, Mcghie J, Rebel B, Gnanam D, Helbing W, Van Den Bosch A, Roos-Hesselink J, Shiino K, Yamada A, Sugimoto K, Takada K, Takakuwa Y, Miyagi M, Iwase M, Ozaki Y, Hayashi T, Itatani K, Inuzuka R, Shindo T, Hirata Y, Shimizu N, Miyaji K, Henri C, Dulgheru R, Magne J, Kou S, Davin L, Nchimi A, Oury C, Pierard L, Lancellotti P, Kovalyova O, Honchar O, Tengku W, Ketaren A, Mingo Santos S, Monivas Palomero V, Restrepo Cordoba A, Rodriguez Gonzalez E, Goirigolzarri Artaza J, Sayago Silva I, Garcia Lunar I, Mitroi C, Cavero Gibanel M, Segovia Cubero J, Ryu S, Park J, Kim S, Choi J, Goh C, Byun Y, Choi J, Westholm C, Johnson J, Jernberg T, Winter R, Rio P, Moura Branco L, Galrinho A, Pinto Teixeira P, Viveiros Monteiro A, Portugal G, Pereira-Da-Silva T, Afonso Nogueira M, Abreu J, Cruz Ferreira R, Mazzone A, Botto N, Paradossi U, Chabane A, Francini M, Cerone E, Baroni M, Maffei S, Berti S, Ghattas A, Shantsila E, Griffiths H, Lip G, Galli E, Guirette Y, Daudin M, Auffret V, Mabo P, Donal E, Fabiani I, Conte L, Scatena C, Barletta V, Pratali S, De Martino A, Bortolotti U, Naccarato A, Di Bello V, Falanga G, Alati E, Di Giannuario G, Zito C, Cusma' Piccione M, Carerj S, Oreto G, Dattilo G, Alfieri O, La Canna G, Generati G, Bandera F, Pellegrino M, Alfonzetti E, Labate V, Guazzi M, Cengiz B, Sahin ST, Yurdakul S, Kahraman S, Bozkurt A, Aytekin S, Borges IP, Peixoto E, Peixoto R, Peixoto R, Marcolla V, Venkateshvaran A, Sola S, Dash PK, Thapa P, Manouras A, Winter R, Brodin L, Govind SC, Mizariene V, Verseckaite R, Bieseviciene M, Karaliute R, Jonkaitiene R, Vaskelyte J, Arzanauskiene R, Janenaite J, Jurkevicius R, Rosner S, Orban M, Nadjiri J, Lesevic H, Hadamitzky M, Sonne C, Manganaro R, Carerj S, Cusma-Piccione M, Caprino A, Boretti I, Todaro M, Falanga G, Oreto L, D'angelo M, Zito C, Le Tourneau T, Cueff C, Richardson M, Hossein-Foucher C, Fayad G, Roussel J, Trochu J, Vincentelli A, Cavalli G, Muraru D, Miglioranza M, Addetia K, Veronesi F, Cucchini U, Mihaila S, Tadic M, Lang R, Badano L, Polizzi V, Pino P, Luzi G, Bellavia D, Fiorilli R, Chialastri C, Madeo A, Malouf J, Buffa V, Musumeci F, Gripari P, Tamborini G, Bottari V, Maffessanti F, Carminati C, Muratori M, Vignati C, Bartorelli A, Alamanni F, Pepi M, Polymeros S, Dimopoulos A, Spargias K, Karatasakis G, Athanasopoulos G, Pavlides G, Dagres N, Vavouranakis E, Stefanadis C, Cokkinos D, Pradel S, Mohty D, Magne J, Darodes N, Lavergne D, Damy T, Beaufort C, Aboyans V, Jaccard A, Mzoughi K, Zairi I, Jabeur M, Ben Moussa F, Ben Chaabene A, Kamoun S, Mrabet K, Fennira S, Zargouni A, Kraiem S, Jovanova S, Arnaudova-Dezjulovic F, Correia CE, Cruz I, Marques N, Fernandes M, Bento D, Moreira D, Lopes L, Azevedo O, Keramida K, Kouris N, Kostopoulos V, Psarrou G, Giannaris V, Olympios C, Marketou M, Parthenakis F, Kalyva N, Pontikoglou C, Maragkoudakis S, Zacharis E, Patrianakos A, Roufas K, Papadaki H, Vardas P, Dominguez Rodriguez F, Monivas Palomero V, Mingo Santos S, Arribas Rivero B, Cuenca Parra S, Zegri Reiriz I, Vazquez Lopez-Ibor J, Garcia-Pavia P, Szulik M, Streb W, Wozniak A, Lenarczyk R, Sliwinska A, Kalarus Z, Kukulski T, Nemes A, Domsik P, Kalapos A, Forster T, Serra W, Lumetti F, Mozzani F, Del Sante G, Ariani A, Corros C, Colunga S, Garcia-Campos A, Diaz E, Martin M, Rodriguez-Suarez M, Leon V, Fidalgo A, Moris C, De La Hera J, Kylmala MM, Rosengard-Barlund M, Groop PH, Lommi J, Bruin De- Bon H, Bilt Van Der I, Wilde A, Brink Van Den R, Teske A, Rinkel G, Bouma B, Teixeira R, Monteiro R, Garcia J, Silva A, Graca M, Baptista R, Ribeiro M, Cardim N, Goncalves L, Duszanska A, Skoczylas I, Kukulski T, Polonski L, Kalarus Z, Choi JH, Park J, Ahn J, Lee J, Ryu S, Ahn J, Kim D, Lee H, Przewlocka-Kosmala M, Mlynarczyk J, Rojek A, Mysiak A, Kosmala W, Pellissier A, Larochelle E, Krsticevic L, Baron E, Le V, Roy A, Deragon A, Cote M, Garcia D, Tournoux F, Yiangou K, Azina C, Yiangou A, Zitti M, Ioannides M, Ricci F, Dipace G, Aquilani R, Radico F, Cicchitti V, Bianco F, Miniero E, Petrini F, De Caterina R, Gallina S, Jardim Prista Monteiro R, Teixeira R, Garcia J, Baptista R, Ribeiro M, Cardim N, Goncalves L, Chung H, Kim J, Joung B, Uhm J, Pak H, Lee M, Lee K, Ragab A, Abdelwahab A, Yazeed Y, El Naggar W, Spahiu K, Spahiu E, Doko A, Liesting C, Brugts J, 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R, Aidietiene S, Janusauskas V, Rucinskas K, Samalavicius R, Norkiene I, Speciali G, Aidietis A, Kemaloglu Oz T, Ozpamuk Karadeniz F, Akyuz S, Unal Dayi S, Esen Zencirci A, Atasoy I, Osken A, Eren M, Fazendas PR, Caldeira D, Stuart B, Cruz I, Rocha Lopes L, Almeida AR, Sousa P, Joao I, Cotrim C, Pereira H, Fazendas PR, Caldeira D, Stuart B, Cruz I, Rocha Lopes L, Almeida AR, Joao I, Cotrim C, Pereira H, Sinem Cakal S, Elif Eroglu E, Baydar O, Beytullah Cakal B, Mehmet Vefik Yazicioglu M, Mustafa Bulut M, Cihan Dundar C, Kursat Tigen K, Birol Ozkan B, Ali Metin Esen A, Yagasaki H, Kawasaki M, Tanaka R, Minatoguchi S, Houle H, Warita S, Ono K, Noda T, Watanabe S, Minatoguchi S, Cho EJ, Park SJ, Lim HJ, Chang SA, Lee SC, Park SW, Cho EJ, Park SJ, Lim HJ, Chang SA, Lee SC, Park SW, Mornos C, Cozma D, Ionac A, Mornos A, Popescu I, Ionescu G, Pescariu S, Melzer L, Faeh-Gunz A, Seifert B, Attenhofer Jost CH, Storve S, Haugen B, Dalen H, Grue J, Samstad S, Torp H, Ferrarotti L, Maggi E, Piccinino C, Sola D, Pastore F, Marino P, Ranjbar S, Karvandi M, Hassantash S, Karvandi M, Ranjbar S, Tierens S, Remory I, Bala G, Gillis K, Hernot S, Droogmans S, Cosyns B, Lahoutte T, Tran N, Poelaert J, Al-Mallah M, Alsaileek A, Nour K, Celeng C, Horvath T, Kolossvary M, Karolyi M, Panajotu A, Kitslaar P, Merkely B, Maurovich Horvat P, Aguiar Rosa S, Ramos R, Marques H, Portugal G, Pereira Da Silva T, Rio P, Afonso Nogueira M, Viveiros Monteiro A, Figueiredo L, Cruz Ferreira R. Poster session 6. Eur Heart J Cardiovasc Imaging 2014; 15:ii235-ii264. [PMCID: PMC4453635 DOI: 10.1093/ehjci/jeu271] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 08/13/2023] Open
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Colli A, Rucinskas K, Manzan E, Zucchetta F, Janusauskas V, Zakarkaite D, Aidietis A, Gerosa G. 168 * ACUTE SAFETY AND EFFICACY OF THE NEOCHORD PROCEDURE. Interact Cardiovasc Thorac Surg 2014. [DOI: 10.1093/icvts/ivu276.168] [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: 11/13/2022] Open
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Vohra H, Whistance R, Baliulis G, Janusauskas V, Kaarne M, Veldtman G, Roman K, Vettukattil J, Gnanapragasam J, Salmon A, Haw M. Midterm Evaluation of Biological Prosthetic Valves in the Pulmonary Position of Grown-Up Patients. Thorac Cardiovasc Surg 2012; 60:205-9. [DOI: 10.1055/s-0031-1295573] [Citation(s) in RCA: 5] [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: 10/28/2022]
Affiliation(s)
- Hunaid Vohra
- Wessex Cardiothoracic Centre, Southampton University Hospitals NHS Trust, Southampton, United Kingdom
| | - Robert Whistance
- Wessex Cardiothoracic Centre, Southampton University Hospitals NHS Trust, Southampton, United Kingdom
| | - Gedrius Baliulis
- Wessex Cardiothoracic Centre, Southampton University Hospitals NHS Trust, Southampton, United Kingdom
| | - Vilius Janusauskas
- Wessex Cardiothoracic Centre, Southampton University Hospitals NHS Trust, Southampton, United Kingdom
| | - Marrkku Kaarne
- Wessex Cardiothoracic Centre, Southampton University Hospitals NHS Trust, Southampton, United Kingdom
| | - Gruschen Veldtman
- Wessex Cardiothoracic Centre, Southampton University Hospitals NHS Trust, Southampton, United Kingdom
| | - Kevin Roman
- Wessex Cardiothoracic Centre, Southampton University Hospitals NHS Trust, Southampton, United Kingdom
| | - Joseph Vettukattil
- Wessex Cardiothoracic Centre, Southampton University Hospitals NHS Trust, Southampton, United Kingdom
| | - James Gnanapragasam
- Wessex Cardiothoracic Centre, Southampton University Hospitals NHS Trust, Southampton, United Kingdom
| | - Anthony Salmon
- Wessex Cardiothoracic Centre, Southampton University Hospitals NHS Trust, Southampton, United Kingdom
| | - Marcus Haw
- Wessex Cardiothoracic Centre, Southampton University Hospitals NHS Trust, Southampton, United Kingdom
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Zorinas A, Janusauskas V, Rucinskas K, Grebelis A. OP-020 CONTINUOUS SUTURE TECHNIQUE IN MITRAL VALVE REPLACEMENT — NOT SAFE ENOUGH. Int J Cardiol 2012. [DOI: 10.1016/s0167-5273(12)70014-1] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Janusauskas V, Rucinskas K, Jurkuvenas P, Burneikaite G, Maneikiene V, Zuoziene G, Aidietiene S, Aidietis A. OP-263 MINIMALLY INVASIVE SURGICAL MAZE PROCEDURE FOR LONE ATRIAL FIBRILLATION WITH BIPOLAR RADIOFREQUENCY DEVICE: A SINGLE CENTER EXPERIENCE. EARLY AND MIDTERM RESULTS. Int J Cardiol 2012. [DOI: 10.1016/s0167-5273(12)70169-9] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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