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  1. Article: Bilateral internal mammary artery in coronary artery bypass grafting using the latest da Vinci Xi robot.

    Smoczyñski, Radosław / Staromłyñski, Jakub / Bartczak, Maciej / Kowalewski, Mariusz / Pawłowski, Tomasz / Gil, Robert / Drobiñski, Dominik / Król, Zbigniew / Wierzba, Waldemar / Suwalski, Piotr

    Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery

    2022  Volume 19, Issue 3, Page(s) 158–160

    Language English
    Publishing date 2022-10-06
    Publishing country Poland
    Document type Journal Article
    ZDB-ID 2237053-5
    ISSN 1897-4252 ; 1731-5530
    ISSN (online) 1897-4252
    ISSN 1731-5530
    DOI 10.5114/kitp.2022.119766
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Comparative Analysis of Long-Term Outcomes in Valve-Sparing Aortic Root Reimplantation: Full Sternotomy versus Mini-Sternotomy Approach.

    Staromłyński, Jakub / Kowalówka, Adam / Gocoł, Radosław / Hudziak, Damian / Żurawska, Małgorzata / Nowak, Wojciech / Pasierski, Michał / Sarnowski, Wojciech / Smoczyński, Radosław / Bartczak, Maciej / Brączkowski, Jakub / Sadecka, Sabina / Drobiński, Dominik / Deja, Marek / Szymański, Piotr / Suwalski, Piotr / Kowalewski, Mariusz

    Journal of clinical medicine

    2024  Volume 13, Issue 9

    Abstract: Background: ...

    Abstract Background:
    Language English
    Publishing date 2024-05-03
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm13092692
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Severe respiratory failure in the course of coronavirus disease 2019 treated with extracorporeal membrane oxygenation.

    Suwalski, Piotr / Rydzewski, Andrzej / Wójtowicz, Rafał / Drobiński, Dominik / Walecki, Jerzy / Wierzba, Waldemar

    Kardiologia polska

    2020  Volume 78, Issue 9, Page(s) 913–915

    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; COVID-19 ; Coronavirus Infections/complications ; Coronavirus Infections/epidemiology ; Coronavirus Infections/physiopathology ; Coronavirus Infections/therapy ; Extracorporeal Membrane Oxygenation/methods ; Female ; Humans ; Male ; Middle Aged ; Pandemics ; Pneumonia, Viral/complications ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/physiopathology ; Pneumonia, Viral/therapy ; Poland/epidemiology ; Respiratory Insufficiency/epidemiology ; Respiratory Insufficiency/etiology ; Respiratory Insufficiency/therapy ; Respiratory Insufficiency/virology
    Keywords covid19
    Language English
    Publishing date 2020-06-20
    Publishing country Poland
    Document type Journal Article ; Systematic Review
    ZDB-ID 411492-9
    ISSN 1897-4279 ; 0022-9032
    ISSN (online) 1897-4279
    ISSN 0022-9032
    DOI 10.33963/KP.15444
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Effects of adding the second drainage cannula in severely hypoxemic patients supported with VV ECMO due to COVID-19-associated ARDS.

    Szułdrzyński, Konstanty / Kowalewski, Mariusz / Jankowski, Miłosz / Staromłyński, Jakub / Prokop, Joanna / Pasierski, Michał / Chudziński, Kamil / Drobiński, Dominik / Martucci, Gennaro / Lorusso, Roberto / Wierzba, Waldemar / Zaczyński, Artur / Król, Zbigniew / Suwalski, Piotr

    Artificial organs

    2023  Volume 47, Issue 10, Page(s) 1622–1631

    Abstract: Background: Extracorporeal membrane oxygenation (ECMO) is a recognized method of support in patients with severe and refractory acute respiratory distress syndrome (ARDS) caused by SARS-CoV-2 infection. While veno-venous (VV) ECMO is the most common ... ...

    Abstract Background: Extracorporeal membrane oxygenation (ECMO) is a recognized method of support in patients with severe and refractory acute respiratory distress syndrome (ARDS) caused by SARS-CoV-2 infection. While veno-venous (VV) ECMO is the most common type, some patients with severe hypoxemia may require modifications to the ECMO circuit. In this study, we aimed to investigate the effects of adding a second drainage cannula to the circuit in patients with refractory hypoxemia, on their gas exchange, mechanical ventilation, ECMO settings, and clinical outcomes.
    Methods: We conducted an observational retrospective study based on a single-center institutional registry including all consecutive cases of COVID-19 patients requiring ECMO admitted to the Centre of Extracorporeal Therapies in Warsaw between March 1, 2020 and March 1, 2022. We selected patients who had an additional drainage cannula inserted. Changes in ECMO and ventilator settings, blood oxygenation, and hemodynamic parameters, as well as clinical outcomes were assessed.
    Results: Of 138 VV ECMO patients, 12 (9%) patients met the inclusion criteria. Ten patients (83%) were men, and mean age was 42.2 ± 6.8. An addition of drainage cannula resulted in a significant raise in ECMO blood flow (4.77 ± 0.44 to 5.94 ± 0.81 [L/min]; p = 0.001), and the ratio of ECMO blood flow to ECMO pump rotations per minute (RPM), whereas the raise in ECMO RPM alone was not statistically significant (3432 ± 258 to 3673 ± 340 [1/min]; p = 0.064). We observed a significant drop in ventilator FiO
    Conclusions: The use of an additional drainage cannula in severe ARDS associated with COVID-19 allows for an increased ECMO blood flow and improved oxygenation. However, we observed no further improvement in lung-protective ventilation and poor survival.
    MeSH term(s) Adult ; Female ; Humans ; Male ; Middle Aged ; Cannula ; COVID-19/complications ; COVID-19/therapy ; Drainage ; Extracorporeal Membrane Oxygenation/methods ; Hypoxia/etiology ; Hypoxia/therapy ; Respiratory Distress Syndrome/etiology ; Respiratory Distress Syndrome/therapy ; Retrospective Studies ; SARS-CoV-2
    Language English
    Publishing date 2023-06-22
    Publishing country United States
    Document type Observational Study ; Journal Article
    ZDB-ID 441812-8
    ISSN 1525-1594 ; 0160-564X
    ISSN (online) 1525-1594
    ISSN 0160-564X
    DOI 10.1111/aor.14591
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  5. Article: Midterm results of less invasive approach to ascending aorta and aortic root surgery.

    Staromłyński, Jakub / Kowalewski, Mariusz / Sarnowski, Wojciech / Smoczyński, Radosław / Witkowska, Anna / Bartczak, Maciej / Drobiński, Dominik / Wierzba, Waldemar / Suwalski, Piotr

    Journal of thoracic disease

    2020  Volume 12, Issue 11, Page(s) 6446–6457

    Abstract: Background: Minimally invasive aortic valve (AV) surgery has become widely accepted alternative to standard sternotomy. Despite possible reduction in morbidity, this approach is not routinely performed for aortic surgery. Current report aimed to ... ...

    Abstract Background: Minimally invasive aortic valve (AV) surgery has become widely accepted alternative to standard sternotomy. Despite possible reduction in morbidity, this approach is not routinely performed for aortic surgery. Current report aimed to demonstrate early and mid-term outcomes in patients undergoing minimally invasive aortic root- and ascending aorta-replacement with or without concomitant AV replacement (AVR).
    Methods: Between 2011 and 2018, 167 selected low- and intermediate risk patients (mean age: 64.1±11.3; 70% men; EuroSCORE II 2.58±3.26) underwent minimally invasive aortic surgery. The "V" shaped partial upper sternotomy was performed through a 6-cm skin incision. Patients were divided into minimally invasive root reimplantation/replacement/remodelling (root RRR), supracoronary aorta replacements (SCAR) and SCAR+AVR. Kaplan-Meier estimates of survival were used.
    Results: Mean follow-up was 3.1 year (max 7.7 years). Of 167 patients, 82 (49%) underwent SCAR; 44 (26%) SCAR + AVR. Forty-one patients (25%) underwent minimally invasive root RRR. Average aortic diameter was 6.00±0.46 cm. The cardiopulmonary bypass and aortic cross-clamp time were 152.0±46.8 and 101.8±36.8 minutes. There was one conversion to sternotomy. Median intensive care unit stay was 2.0 (IQR: 1.0-3.0) days. Thirty-day mortality was 1%. Within investigated follow-up, there was one late reoperation due to aortic valve thrombosis; late survival was estimated at 95% without differences between types of surgery: hazard ratio, 0.81; 95% CI: 0.36-1.81; P=0.61.
    Conclusions: Minimally invasive aortic surgery performed through "V" shaped partial upper sternotomy is feasible and safe in selected patients regardless of the extent of repair, from supracoronary aorta replacements to complex root surgery.
    Language English
    Publishing date 2020-11-07
    Publishing country China
    Document type Journal Article
    ZDB-ID 2573571-8
    ISSN 2077-6624 ; 2072-1439
    ISSN (online) 2077-6624
    ISSN 2072-1439
    DOI 10.21037/jtd-20-2165
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: A propensity score-adjusted comparison of thoracoscopic periareolar and video-assisted approaches for minimally invasive mitral valve surgery.

    Suwalski, Piotr / Smoczynski, Radoslaw / Kowalewski, Mariusz / Witkowska, Anna / Drobinski, Dominik / Sarnowski, Wojciech / Wierzba, Waldemar / Wojciechowski, Dariusz / Gil, Robert / Staromlyński, Jakub

    Kardiologia polska

    2020  Volume 78, Issue 10, Page(s) 1029–1031

    MeSH term(s) Cardiac Surgical Procedures ; Humans ; Minimally Invasive Surgical Procedures ; Mitral Valve/diagnostic imaging ; Mitral Valve/surgery ; Propensity Score ; Treatment Outcome
    Language English
    Publishing date 2020-07-28
    Publishing country Poland
    Document type Journal Article
    ZDB-ID 411492-9
    ISSN 1897-4279 ; 0022-9032
    ISSN (online) 1897-4279
    ISSN 0022-9032
    DOI 10.33963/KP.15535
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Severe respiratory failure in the course of coronavirus disease 2019 treated with extracorporeal membrane oxygenation

    Suwalski, Piotr / Rydzewski, Andrzej / Wójtowicz, Rafal / Drobinski, Dominik / Walecki, Jerzy / Wierzba, Waldemar

    Kardiol Pol

    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #620985
    Database COVID19

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  8. Article: Ascending aortic dissection diagnosed with the use of point-of-care sonography. Case report.

    Wierzejski, Wojciech / Nowakowski, Piotr / Drobiński, Dominik

    Journal of ultrasonography

    2014  Volume 14, Issue 59, Page(s) 428–434

    Abstract: The presented case of a patient in cardiogenic shock in the course of aortic dissection with concomitant cerebral circulation illustrates the effectiveness of sonography in the intensive care unit as a tool that aids the diagnostic process. Point-of-care ...

    Abstract The presented case of a patient in cardiogenic shock in the course of aortic dissection with concomitant cerebral circulation illustrates the effectiveness of sonography in the intensive care unit as a tool that aids the diagnostic process. Point-of-care sonography involves ultrasound assessment performed by the attending physician, being an integral part of a physical examination. A 67-year-old female was brought to the emergency department with a suspicion of stroke, comatose, with focal neurological deficits and was admitted to the intensive care unit due to circulatory and respiratory failure. Based on the findings from a bedside ultrasound examination, the diagnostic process was extended, and the patient was rapidly transferred to the department of cardiac surgery with diagnosed ascending aortic dissection. The case presented demonstrates how point-of-care sonography facilitates and accerelates the diagnostic process and speeds up the implementation of de finitive treatment thus affecting the patient's outcome.
    Language English
    Publishing date 2014-12-30
    Publishing country Poland
    Document type Case Reports
    ZDB-ID 2843824-3
    ISSN 2084-8404
    ISSN 2084-8404
    DOI 10.15557/JoU.2014.0045
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Extracorporeal membrane oxygenation for severe COVID-19-associated acute respiratory distress syndrome in Poland: a multicenter cohort study.

    Trejnowska, Ewa / Drobiński, Dominik / Knapik, Piotr / Wajda-Pokrontka, Marta / Szułdrzyński, Konstanty / Staromłyński, Jakub / Nowak, Wojciech / Urlik, Maciej / Ochman, Marek / Goździk, Waldemar / Serednicki, Wojciech / Śmiechowicz, Jakub / Brączkowski, Jakub / Bąkowski, Wojciech / Kwinta, Anna / Zembala, Michał O / Suwalski, Piotr

    Critical care (London, England)

    2022  Volume 26, Issue 1, Page(s) 97

    Abstract: Background: In Poland, the clinical characteristics and outcomes of patients with COVID-19 requiring extracorporeal membrane oxygenation (ECMO) remain unknown. This study aimed to answer these unknowns by analyzing data collected from high-volume ECMO ... ...

    Abstract Background: In Poland, the clinical characteristics and outcomes of patients with COVID-19 requiring extracorporeal membrane oxygenation (ECMO) remain unknown. This study aimed to answer these unknowns by analyzing data collected from high-volume ECMO centers willing to participate in this project.
    Methods: This retrospective, multicenter cohort study was completed between March 1, 2020, and May 31, 2021 (15 months). Data from all patients treated with ECMO for COVID-19 were analyzed. Pre-ECMO laboratory and treatment data were compared between non-survivors and survivors. Independent predictors for death in the intensive care unit (ICU) were identified.
    Results: There were 171 patients admitted to participating centers requiring ECMO for refractory hypoxemia due to COVID-19 during the defined time period. A total of 158 patients (mean age: 46.3 ± 9.8 years) were analyzed, and 13 patients were still requiring ECMO at the end of the observation period. Most patients (88%) were treated after October 1, 2020, 77.8% were transferred to ECMO centers from another facility, and 31% were transferred on extracorporeal life support. The mean duration of ECMO therapy was 18.0 ± 13.5 days. The crude ICU mortality rate was 74.1%. In the group of 41 survivors, 37 patients were successfully weaned from ECMO support and four patients underwent a successful lung transplant. In-hospital death was independently associated with pre-ECMO lactate level (OR 2.10 per 1 mmol/L, p = 0.017) and BMI (OR 1.47 per 5 kg/m
    Conclusions: The ICU mortality rate among patients requiring ECMO for COVID-19 in Poland was high. In-hospital death was independently associated with increased pre-ECMO lactate levels and BMI.
    MeSH term(s) Adult ; COVID-19/complications ; COVID-19/therapy ; Cohort Studies ; Extracorporeal Membrane Oxygenation ; Hospital Mortality ; Humans ; Lactic Acid ; Middle Aged ; Poland/epidemiology ; Respiratory Distress Syndrome/therapy ; Retrospective Studies
    Chemical Substances Lactic Acid (33X04XA5AT)
    Language English
    Publishing date 2022-04-07
    Publishing country England
    Document type Journal Article ; Multicenter Study
    ZDB-ID 2041406-7
    ISSN 1466-609X ; 1364-8535
    ISSN (online) 1466-609X
    ISSN 1364-8535
    DOI 10.1186/s13054-022-03959-5
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  10. Article ; Online: Impact of rescue collapse on mortality rate in severe accidental hypothermia: A matched-pair analysis.

    Podsiadło, Paweł / Smoleń, Agata / Kosiński, Sylweriusz / Hymczak, Hubert / Waligórski, Szymon / Witt-Majchrzak, Anna / Drobiński, Dominik / Nowak, Ewelina / Barteczko-Grajek, Barbara / Toczek, Krzysztof / Skowronek, Radomir / Darocha, Tomasz

    Resuscitation

    2021  Volume 164, Page(s) 108–113

    Abstract: Aim: To assess the impact of the occurrence of cardiac arrest associated with initial management on the outcome of severely hypothermic patients who were rewarmed with Extracorporeal Life Support (ECLS).: Methods: We collected the individual data of ... ...

    Abstract Aim: To assess the impact of the occurrence of cardiac arrest associated with initial management on the outcome of severely hypothermic patients who were rewarmed with Extracorporeal Life Support (ECLS).
    Methods: We collected the individual data of patients in a state of severe accidental hypothermia who were found with spontaneous circulation and rewarmed with ECLS, from cardiac surgery departments. Patients were divided into two groups: those with a subsequent cardiac arrest (RC group); and those with the retained circulation (HT3 group), and compared by using a matched-pair analysis. The mortality rates and the neurological status in survivors were compared as the main outcomes. The difference in the risk of death between the HT3 and RC groups was calculated.
    Results: A total of 124 patients were included into the study: 45 in the HT3 group and 79 in the RC group. The matched cohorts consisted of 45 HT3 patients and 45 RC patients. The mortality rate in both groups was 24% and 49% (p = 0.02) respectively; the relative risk of death was 2.0 (p = 0.02). ICU length of stay was significantly longer in the RC group (p < 0.001). Factors associated with survival in the HT3 group included patient age, rewarming rate, and blood BE; while in the RC group, patient age and lactate concentration.
    Conclusions: The occurrence of rescue collapse is linked to a doubling of the risk of death in severely hypothermic patients. Procedures which are known as potential triggers of rescue collapse should be performed with special attention, including in conscious patients.
    MeSH term(s) Cardiopulmonary Resuscitation ; Heart Arrest/therapy ; Humans ; Hypothermia/therapy ; Matched-Pair Analysis ; Rewarming
    Language English
    Publishing date 2021-04-27
    Publishing country Ireland
    Document type Journal Article
    ZDB-ID 189901-6
    ISSN 1873-1570 ; 0300-9572
    ISSN (online) 1873-1570
    ISSN 0300-9572
    DOI 10.1016/j.resuscitation.2021.04.019
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