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  1. Article ; Online: A new tool in the arsenal.

    Venturini, Andrea / Gallingani, Alan

    JTCVS techniques

    2021  Volume 9, Page(s) 33–34

    Language English
    Publishing date 2021-08-05
    Publishing country United States
    Document type Journal Article
    ISSN 2666-2507
    ISSN (online) 2666-2507
    DOI 10.1016/j.xjtc.2021.07.031
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Difficult Respiratory Weaning after Cardiac Surgery: A Narrative Review.

    Nicolotti, Davide / Grossi, Silvia / Nicolini, Francesco / Gallingani, Alan / Rossi, Sandra

    Journal of clinical medicine

    2023  Volume 12, Issue 2

    Abstract: Respiratory weaning after cardiac surgery can be difficult or prolonged in up to 22.7% of patients. The inability to wean from a ventilator within the first 48 h after surgery is related to increased short- and long-term morbidity and mortality. Risk ... ...

    Abstract Respiratory weaning after cardiac surgery can be difficult or prolonged in up to 22.7% of patients. The inability to wean from a ventilator within the first 48 h after surgery is related to increased short- and long-term morbidity and mortality. Risk factors are mainly non-modifiable and include preoperative renal failure, New York Heart Association, and Canadian Cardiac Society classes as well as surgery and cardio-pulmonary bypass time. The positive effects of pressure ventilation on the cardiovascular system progressively fade during the progression of weaning, possibly leading to pulmonary oedema and failure of spontaneous breathing trials. To prevent this scenario, some parameters such as pulmonary artery occlusion pressure, echography-assessed diastolic function, brain-derived natriuretic peptide, and extravascular lung water can be monitored during weaning to early detect hemodynamic decompensation. Tracheostomy is considered for patients with difficult and prolonged weaning. In such cases, optimal patient selection, timing, and technique may be important to try to reduce morbidity and mortality in this high-risk population.
    Language English
    Publishing date 2023-01-07
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm12020497
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Very asymmetrical bicuspid aortic valve repair with the reimplantation technique: From type C to type B.

    Venturini, Andrea / Gallingani, Alan / Zoffoli, Giampaolo / Mangino, Domenico

    JTCVS techniques

    2022  Volume 15, Page(s) 58–61

    Language English
    Publishing date 2022-06-24
    Publishing country United States
    Document type Journal Article
    ISSN 2666-2507
    ISSN (online) 2666-2507
    DOI 10.1016/j.xjtc.2022.06.009
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Choice of prosthetic valve in infective endocarditis: the dilemma of prosthesis selection in the grey area of age.

    Formica, Francesco / Gallingani, Alan / Maestri, Francesco / Nicolini, Francesco

    European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery

    2022  Volume 62, Issue 1

    MeSH term(s) Endocarditis/surgery ; Endocarditis, Bacterial/surgery ; Humans ; Prostheses and Implants
    Language English
    Publishing date 2022-05-16
    Publishing country Germany
    Document type Letter ; Comment
    ZDB-ID 639293-3
    ISSN 1873-734X ; 1010-7940 ; 1567-4258
    ISSN (online) 1873-734X
    ISSN 1010-7940 ; 1567-4258
    DOI 10.1093/ejcts/ezac312
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2303: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  5. Article ; Online: Transapical combined transcatheter aortic valve-in-valve implant and ascending aorta endovascular repair.

    Agostinelli, Andrea / Gallingani, Alan / Borrello, Bruno / Nicolini, Francesco

    Interactive cardiovascular and thoracic surgery

    2022  Volume 34, Issue 6, Page(s) 1183–1185

    Abstract: We report the case of a 64-year-old patient who previously had an aortic valve replacement with a stentless aortic valve and an ascending aorta replacement for a DeBakey type II aortic dissection. The patient was referred to us for symptomatic aortic ... ...

    Abstract We report the case of a 64-year-old patient who previously had an aortic valve replacement with a stentless aortic valve and an ascending aorta replacement for a DeBakey type II aortic dissection. The patient was referred to us for symptomatic aortic regurgitation related to bioprosthesis degeneration and a pseudoaneurysm at the distal anastomotic site of the vascular graft. Due to the presence of several comorbidities, the patient had a combined transapical transcatheter aortic valve-in-valve implant and an ascending aorta endovascular repair.
    MeSH term(s) Aorta/surgery ; Aortic Valve/diagnostic imaging ; Aortic Valve/surgery ; Endovascular Procedures/adverse effects ; Heart Valve Prosthesis ; Humans ; Middle Aged ; Prosthesis Design ; Transcatheter Aortic Valve Replacement/adverse effects ; Treatment Outcome
    Language English
    Publishing date 2022-01-24
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 2095298-3
    ISSN 1569-9285 ; 1569-9293
    ISSN (online) 1569-9285
    ISSN 1569-9293
    DOI 10.1093/icvts/ivac002
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 5730: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  6. Article: Frozen Elephant Trunk: Technical Overview and Our Experience with a Patient-Tailored Approach.

    Gallingani, Alan / Venturini, Andrea / Scarpanti, Matteo / Mangino, Domenico / Formica, Francesco

    Journal of clinical medicine

    2022  Volume 11, Issue 4

    Abstract: Ever since the first hybrid prosthesis was used for a total aortic arch replacement, many other techniques have been developed to comply with the need for the treatment of a wide spectrum of patients and their clinical pictures. We hereby provide an ... ...

    Abstract Ever since the first hybrid prosthesis was used for a total aortic arch replacement, many other techniques have been developed to comply with the need for the treatment of a wide spectrum of patients and their clinical pictures. We hereby provide an overview of the most popular surgical techniques to perform a frozen elephant trunk, including our tailored approach revolving around the antegrade deployment of a Gore C-TAG endovascular stent graft sutured to a four-branched vascular prosthesis. This technique was applied to three cases of acute type A aortic dissection. Although our small series of patients consists of acute aortic dissections only, this technique could be applied to any other aortic arch pathology, such as chronic dissections or aneurysms. Moreover, we believe that, because of the individually tailored approach and widespread availability of the necessary materials, this technique can reveal itself useful in many different operative scenarios.
    Language English
    Publishing date 2022-02-20
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm11041120
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Commentary: Another glimpse of light for patients with Marfan syndrome.

    Gallingani, Alan / Maestri, Francesco / Nicolini, Francesco / Formica, Francesco

    The Journal of thoracic and cardiovascular surgery

    2021  Volume 166, Issue 1, Page(s) 35–36

    MeSH term(s) Humans ; Marfan Syndrome/complications ; Marfan Syndrome/diagnosis
    Language English
    Publishing date 2021-08-08
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 3104-5
    ISSN 1097-685X ; 0022-5223
    ISSN (online) 1097-685X
    ISSN 0022-5223
    DOI 10.1016/j.jtcvs.2021.08.011
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Uk I Zs.104: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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  8. Article ; Online: Commentary: Mitral bioprosthesis versus mechanical prosthesis in severe chronic mitral regurgitation: Bioprosthesis wins the duel.

    Formica, Francesco / Maestri, Francesco / Gallingani, Alan / Nicolini, Francesco

    The Journal of thoracic and cardiovascular surgery

    2021  

    Language English
    Publishing date 2021-02-27
    Publishing country United States
    Document type Editorial
    ZDB-ID 3104-5
    ISSN 1097-685X ; 0022-5223
    ISSN (online) 1097-685X
    ISSN 0022-5223
    DOI 10.1016/j.jtcvs.2021.02.082
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Uk I Zs.104: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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  9. Article ; Online: Radial Artery Versus Saphenous Vein as Third Conduit in Coronary Artery Bypass Graft Surgery for Multivessel Coronary Artery Disease: a Ten-Year Literature Review.

    Maestri, Francesco / Formica, Francesco / Gallingani, Alan / Gripshi, Florida / Nicolini, Francesco

    Acta bio-medica : Atenei Parmensis

    2022  Volume 93, Issue 2, Page(s) e2022049

    Abstract: Coronary artery bypass grafting is the gold standard strategy for obtaining complete coronary revascularization in patients with multivessel coronary artery disease. The recent AHA and EACTS guidelines on myocardial revascularization recommend total ... ...

    Abstract Coronary artery bypass grafting is the gold standard strategy for obtaining complete coronary revascularization in patients with multivessel coronary artery disease. The recent AHA and EACTS guidelines on myocardial revascularization recommend total arterial revascularization, especially in younger patients, whenever possible. However, the use of saphenous vein grafts in association with single or bilateral internal thoracic artery (SITA, BITA) instead of arterial grafts (radial arteries, right gastroepiploic artery and inferior epigastric artery) is widespread. We analyzed literature from the last ten years (January 2010 to December 2020) looking for evidence in favour of the use of a radial artery compared to a saphenous vein in association with BITA. We identified nine studies (4 Systematic Reviews and Meta-analyses and 6 large cohort observational studies with propensity score-matching) that compared arterial with saphenous grafts as third conduit. The main finding of the review is the higher rate of freedom from any cardiac adverse event in the population which reached Total Arterial myocardial Revascularization (TAR). A probable reason for the limited application of TAR as a strategy is the shortage of Randomized Controlled Trials (RCTs).
    MeSH term(s) Coronary Artery Bypass/adverse effects ; Coronary Artery Disease/surgery ; Humans ; Radial Artery/transplantation ; Saphenous Vein/transplantation ; Treatment Outcome
    Language English
    Publishing date 2022-05-11
    Publishing country Italy
    Document type Journal Article ; Review
    ZDB-ID 2114240-3
    ISSN 2531-6745 ; 0392-4203
    ISSN (online) 2531-6745
    ISSN 0392-4203
    DOI 10.23750/abm.v93i2.11370
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.B 925: Show issues Location:
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  10. Article ; Online: Results beyond 5-years of surgery or percutaneous approach in severe coronary disease. Reconstructed time-to-event meta-analysis of randomized trials.

    Formica, Francesco / Hernandez-Vaquero, Daniel / Tuttolomondo, Domenico / Gallingani, Alan / Singh, Gurmeet / Pattuzzi, Claudia / Niccoli, Giampaolo / Lorusso, Roberto / Nicolini, Francesco

    Revista espanola de cardiologia (English ed.)

    2023  Volume 77, Issue 5, Page(s) 383–392

    Abstract: Introduction and objectives: There is controversy about the optimal revascularization strategy in severe coronary artery disease (CAD), including left main disease and/or multivessel disease. Several meta-analyses have analyzed the results at 5-year ... ...

    Abstract Introduction and objectives: There is controversy about the optimal revascularization strategy in severe coronary artery disease (CAD), including left main disease and/or multivessel disease. Several meta-analyses have analyzed the results at 5-year follow-up but there are no results after the fifth year. We conducted a systematic review and meta-analysis of randomized clinical trials, comparing results after the fifth year, between coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI) using drug-eluting stents in patients with severe CAD.
    Methods: We analyzed all clinical trials between January 2010 and January 2023. The primary endpoint was all-cause mortality. The databases of the original articles were reconstructed from Kaplan-Meier curves, simulating an individual-level meta-analysis. Comparisons were made at certain cutoff points (5 and 10 years). The 10-year restricted median survival time difference between CABG and PCI was calculated. The random effects model and the DerSimonian-Laird method were applied.
    Results: The meta-analysis included 5180 patients. During the 10-year follow-up, PCI showed a higher overall incidence of all-cause mortality (HR, 1.19; 95%CI, 1.04-1.32; P=.008)]. PCI showed an increased risk of all-cause mortality within 5 years (HR, 1.2; 95%CI, 1.06-1.53; P=.008), while no differences in the 5-10-year period were revealed (HR, 1.03; 95%CI, 0.84-1.26; P=.76). Life expectancy of CABG patients was slightly higher than that of PCI patients (2.4 months more).
    Conclusions: In patients with severe CAD, including left main disease and/or multivessel disease, there was higher a incidence of all-cause mortality after PCI compared with CABG at 10 years of follow-up. Specifically, PCI has higher mortality during the first 5 years and comparable risk beyond 5 years.
    MeSH term(s) Humans ; Percutaneous Coronary Intervention/methods ; Randomized Controlled Trials as Topic ; Coronary Artery Disease/surgery ; Coronary Artery Bypass/methods ; Time Factors ; Drug-Eluting Stents ; Severity of Illness Index ; Global Health ; Survival Rate/trends
    Language Spanish
    Publishing date 2023-10-09
    Publishing country Spain
    Document type Journal Article ; Meta-Analysis ; Systematic Review
    ZDB-ID 2592481-3
    ISSN 1885-5857 ; 1885-5857
    ISSN (online) 1885-5857
    ISSN 1885-5857
    DOI 10.1016/j.rec.2023.09.007
    Database MEDical Literature Analysis and Retrieval System OnLINE

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