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  1. Article ; Online: Commentary: Re-exploration Versus Transfusion: The Choice is Clear.

    Giuliano, Katherine / Whitman, Glenn J R

    Seminars in thoracic and cardiovascular surgery

    2021  Volume 33, Issue 3, Page(s) 778–779

    MeSH term(s) Blood Transfusion ; Humans ; Postoperative Hemorrhage
    Language English
    Publishing date 2021-01-09
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 1038278-1
    ISSN 1532-9488 ; 1043-0679
    ISSN (online) 1532-9488
    ISSN 1043-0679
    DOI 10.1053/j.semtcvs.2020.12.013
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    Zs.A 2747: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  2. Article: Cystic tumor of the atrioventricular node.

    Giuliano, Katherine / Scully, Brandi / Etchill, Eric / Lawton, Jennifer

    Global cardiology science & practice

    2020  Volume 2020, Issue 2, Page(s) e202028

    Abstract: We present a case of a 71-year-old female with complete heart block and an incidentally found atrioventricular nodal inclusion cyst. ...

    Abstract We present a case of a 71-year-old female with complete heart block and an incidentally found atrioventricular nodal inclusion cyst.
    Language English
    Publishing date 2020-11-30
    Publishing country Qatar
    Document type Case Reports
    ZDB-ID 2738381-7
    ISSN 2305-7823
    ISSN 2305-7823
    DOI 10.21542/gcsp.2020.28
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  3. Article: Patent anomalous circumflex coronary artery stent occlusion following aortic valve replacement with coronary artery bypass.

    Kapoor, Shrey / Giuliano, Katherine / Etchill, Eric / Aziz, Hamza / Lawton, Jennifer S

    Global cardiology science & practice

    2022  Volume 2022, Issue 1-2, Page(s) e202212

    Abstract: An anomalous left circumflex artery branching arising from the right coronary artery is one of the most common congenital coronary artery abnormalities. Despite this, the incidence is low and our clinical understanding of the nuances in patients with ... ...

    Abstract An anomalous left circumflex artery branching arising from the right coronary artery is one of the most common congenital coronary artery abnormalities. Despite this, the incidence is low and our clinical understanding of the nuances in patients with such abnormalities remains limited. We present a case of a 73-year-old male with coronary artery disease status-post stenting of an anomalous circumflex artery who subsequently underwent coronary artery bypass grafting and surgical aortic valve replacement with EKG changes post-operatively. He was emergently taken to the cardiac catheterization lab, where catheterization revealed total occlusion of the proximal circumflex artery, just distal to the previous stent. Acute inferior ST-elevation myocardial infarction was suspected to be secondary to intraoperative external manipulation at the site of occlusion in the retro-aortic segment of the vessel. In patients with abnormal coronary artery anatomy, it is imperative to monitor for new EKG changes that may be indicative of new ischemia requiring further intervention.
    Language English
    Publishing date 2022-06-30
    Publishing country Qatar
    Document type Case Reports
    ZDB-ID 2738381-7
    ISSN 2305-7823
    ISSN 2305-7823
    DOI 10.21542/gcsp.2022.12
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  4. Article ; Online: A Primer for Students Regarding Cardiothoracic Imaging: Primer 4 of 7.

    Barbur, Iulia / Anderson, Nicholas / Bhagat, Rohun / Aranda-Michel, Edgar / Bianco, Valentino / Giuliano, Katherine / Louis, Clauden / Blitzer, David

    JTCVS open

    2023  Volume 14, Page(s) 331–338

    Language English
    Publishing date 2023-05-06
    Publishing country Netherlands
    Document type Journal Article
    ISSN 2666-2736
    ISSN (online) 2666-2736
    DOI 10.1016/j.xjon.2023.04.019
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  5. Article ; Online: Heart Allocation Change and Multiple Temporary Circulatory Support as Bridge-to-Bridge.

    Barbur, Iulia / Etchill, Eric W / Giuliano, Katherine / McGoldrick, Matthew T / Jager, Leah / Whitman, Glenn / Kilic, Ahmet

    The Journal of surgical research

    2023  Volume 285, Page(s) 35–44

    Abstract: Introduction: We investigated how the 2018 Organ Procurement and Transplantation Network heart allocation policy change was associated with changes in characteristics and outcomes of candidates receiving multiple temporary mechanical circulatory support ...

    Abstract Introduction: We investigated how the 2018 Organ Procurement and Transplantation Network heart allocation policy change was associated with changes in characteristics and outcomes of candidates receiving multiple temporary mechanical circulatory support (mtMCS) devices.
    Materials and methods: We included adult heart transplant candidates listed October 2014-January 2018 and October 2018-January 2022 in the United Network of Organ Sharing dataset. Prepolicy and postpolicy mtMCS recipients were compared at listing, transplant, 90-days, and 1-year post-transplant. Time between first and second devices and time between first device and transplant were modeled via multivariable linear regression. Transplantation likelihood was modeled using competing risks analysis.
    Results: Postpolicy, a higher proportion of transplant candidates received mtMCS (4% versus 1%, P < 0.001), and received their second device an adjusted 49 d sooner versus prepolicy (P = 0.001). Time to transplant was also an adjusted 35 d shorter postpolicy, with an 80% increased transplantation likelihood versus prepolicy (95% confidence interval: 1.6-1.9, P < 0.001). Postpolicy patients experienced reduced waitlist mortality (8% versus 14%, P = 0.04) with marked improvements in 90-day (93% versus 85%, P < 0.001) and 1-year (88% versus 70%, P = 0.01) post-transplant survival.
    Conclusions: Postpolicy mtMCS recipients are more likely to progress to transplantation sooner on the waitlist and their shorter waitlist course together with earlier change to a secondary device was associated with improved post-transplant survival versus prepolicy.
    MeSH term(s) Adult ; Humans ; Heart Transplantation ; Tissue and Organ Procurement ; Risk Assessment ; Probability ; Time Factors ; Waiting Lists ; Retrospective Studies ; Heart Failure ; Heart-Assist Devices
    Language English
    Publishing date 2023-01-12
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 80170-7
    ISSN 1095-8673 ; 0022-4804
    ISSN (online) 1095-8673
    ISSN 0022-4804
    DOI 10.1016/j.jss.2022.12.021
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    Zs.A 178: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  6. Article ; Online: Patient Safety Indicators are an insufficient performance metric to track and grade outcomes of open aortic repair.

    Sorber, Rebecca / Giuliano, Katherine A / Hicks, Caitlin W / Black, James H

    Journal of vascular surgery

    2020  Volume 73, Issue 1, Page(s) 240–249.e5

    Abstract: Objective: National rankings of hospitals rely on outcomes-based evaluation to assess the performance of surgical programs, particularly those performing high-risk elective surgical procedures such as open aortic repair. Various classification systems ... ...

    Abstract Objective: National rankings of hospitals rely on outcomes-based evaluation to assess the performance of surgical programs, particularly those performing high-risk elective surgical procedures such as open aortic repair. Various classification systems exist for tracking outcomes, but increasingly the International Classification of Diseases, Tenth Revision-based Agency for Healthcare Research and Quality Patient Safety Indicators (PSIs) are used as a publicly reported comparison measure of hospital quality performance. We sought to critically evaluate the accuracy of the existing vehicles to assess open aortic repair outcomes in an established program.
    Methods: This is a case-control study of patients who underwent open abdominal aortic aneurysm repair at the Johns Hopkins Medical Institutions from 2004 to 2018. Patients' characteristics and outcomes were collected as part of a prospectively maintained retrospective database. For each case, hemorrhagic, cardiac, respiratory, renal, wound, and thromboembolic complications were identified with the unique definitions used for open abdominal aortic aneurysm repair by the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database, the Society for Vascular Surgery Vascular Quality Initiative (VQI) database, and the Agency for Healthcare Research and Quality PSI initiative.
    Results: Of the 154 patients included in the study, 79 (51.0%) were identified as having a complication as defined by the VQI, 46 (29.7%) according to the NSQIP, and 15 (9.7%) according to the PSI system (P < .001). Patients most likely to incur a complication in the PSI system were those with a pararenal or more extensive aneurysm, with baseline congestive heart failure, requiring a supramesenteric clamp (all P < .01), or with an aneurysm >6.5 cm in diameter (P = .02). The NSQIP and VQI systems both identified more postoperative hemorrhagic, respiratory, renal, and wound complications than the PSI system did (P < .05). The VQI system identified the most renal complications (52; P < .001); factors unique to incurring a complication in the VQI include use of a suprarenal clamp and performance of an aortorenal bypass procedure as part of the repair (P < .01). Particularly weak correlation was noted between the PSI system and the VQI with respect to renal outcomes (ρ = 0.163).
    Conclusions: The PSI system identified fewer important complications than either of the clinically focused databases, with the VQI capturing the most postoperative events, mostly because of its stringent definition of renal injury. We conclude that the PSI system should not form the basis of grading hospital performance in comparing clinically relevant complications of open aortic surgery programs.
    MeSH term(s) Aged ; Aortic Aneurysm, Abdominal/surgery ; Female ; Humans ; Male ; Patient Safety ; Quality Indicators, Health Care/standards ; Retrospective Studies ; Risk Assessment/methods ; Vascular Surgical Procedures/standards
    Language English
    Publishing date 2020-05-20
    Publishing country United States
    Document type Journal Article
    ZDB-ID 605700-7
    ISSN 1097-6809 ; 0741-5214
    ISSN (online) 1097-6809
    ISSN 0741-5214
    DOI 10.1016/j.jvs.2020.04.517
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    Zs.A 1933: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    Jg. 1995 - 2021: Lesesall (1.OG)
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  7. Article ; Online: Cardiothoracic surgery educational research and training innovation: A review of 2018-2019.

    Hunt, Megan F / Giuliano, Katherine / Etchill, Eric / Yang, Stephen C

    The Journal of thoracic and cardiovascular surgery

    2020  Volume 160, Issue 4, Page(s) 1133–1137

    MeSH term(s) Humans ; Cardiac Surgical Procedures/education ; Curriculum ; Internship and Residency ; Surgeons/education ; Thoracic Surgery/education ; Thoracic Surgical Procedures/education
    Language English
    Publishing date 2020-04-23
    Publishing country United States
    Document type Journal Article
    ZDB-ID 3104-5
    ISSN 1097-685X ; 0022-5223
    ISSN (online) 1097-685X
    ISSN 0022-5223
    DOI 10.1016/j.jtcvs.2020.04.049
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    Uk I Zs.104: Show issues Location:
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  8. Article ; Online: What Kind of Surgeon Will You Be? An Analysis of Specialty Interest Changes Over the Course of General Surgery Residency.

    Giuliano, Katherine / Etchill, Eric / DiBrito, Sandra / Sacks, Bethany

    Medical science educator

    2020  Volume 30, Issue 4, Page(s) 1599–1604

    Abstract: Background: Integrated surgical residency programs and early specialization tracts have increased, with proposed benefits including shorter training time and increased exposure. Drawbacks include a loss of breadth and the need for earlier trainee career ...

    Abstract Background: Integrated surgical residency programs and early specialization tracts have increased, with proposed benefits including shorter training time and increased exposure. Drawbacks include a loss of breadth and the need for earlier trainee career decisions. We sought to assess the rate of changing specialty interests over the course of general surgery residency, and what, if any, factors influenced that decision.
    Methods: An 11-question, web-based survey was sent to alumni (2009-2019) of a single academic general surgery residency training program. It queried demographics and experiences during medical school and residency, whether specialty interest changed, and if so, what factors influenced that decision.
    Results: The survey was emailed to 53 alumni and completed by 59% (
    Conclusions: Nearly two-thirds of general surgery residents at a single academic institution changed their specialty interest over the course of residency. Our findings suggest that while integrated programs may provide benefits, many medical students are not being exposed to these potential fields.
    Language English
    Publishing date 2020-10-14
    Publishing country United States
    Document type Journal Article
    ISSN 2156-8650
    ISSN (online) 2156-8650
    DOI 10.1007/s40670-020-01110-z
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  9. Article: Extracorporeal cardiopulmonary resuscitation for the treatment of amlodipine overdose in a pediatric patient.

    Giuliano, Katherine / Chen, Y Julia / Coletti, Kristen / O'Brien, Caitlin / Jelin, Eric / Garcia, Alejandro

    Journal of surgical case reports

    2021  Volume 2021, Issue 2, Page(s) rjab014

    Abstract: We present the case of a 16-year-old female with systemic lupus erythematosus who presented with shock of unclear etiology, refractory to fluid resuscitation and triple vasopressors. She suffered pulseless electrical activity and underwent cannulation ... ...

    Abstract We present the case of a 16-year-old female with systemic lupus erythematosus who presented with shock of unclear etiology, refractory to fluid resuscitation and triple vasopressors. She suffered pulseless electrical activity and underwent cannulation onto veno-arterial extracorporeal membrane oxygenation (ECMO). After cannulation, it was discovered she had intentionally overdosed on her home medication, amlodipine, a calcium channel blocker (CCB). She was supported on ECMO, treated with IV calcium and insulin, and was able to be weaned off ECMO after 4 days. She developed oligoanuric acute kidney injury, treated with continuous renal replacement therapy followed by intermittent hemodialysis. At discharge, she was neurologically intact and did not require dialysis. Herein, we review the treatment of CCB overdose, review the literature on the use of ECMO in refractory shock due to cardiovascular medication overdose, and highlight the utility of ECMO in pediatric refractory shock and/or cardiac arrest of unclear etiology.
    Language English
    Publishing date 2021-02-16
    Publishing country England
    Document type Case Reports
    ISSN 2042-8812
    ISSN 2042-8812
    DOI 10.1093/jscr/rjab014
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  10. Article ; Online: Association of operative approach with outcomes in neonates with esophageal atresia and tracheoesophageal fistula.

    Etchill, Eric W / Giuliano, Katherine A / Boss, Emily F / Rhee, Daniel S / Kunisaki, Shaun M

    Journal of pediatric surgery

    2021  Volume 56, Issue 12, Page(s) 2172–2179

    Abstract: Purpose: We sought to evaluate the impact of thoracoscopic repair on perioperative outcomes in infants with esophageal atresia and tracheoesophageal fistula (EA/TEF).: Methods: The American College of Surgeons National Surgical Quality Improvement ... ...

    Abstract Purpose: We sought to evaluate the impact of thoracoscopic repair on perioperative outcomes in infants with esophageal atresia and tracheoesophageal fistula (EA/TEF).
    Methods: The American College of Surgeons National Surgical Quality Improvement Program pediatric database from 2014 to 2018 was queried for all neonates who underwent operative repair of EA/TEF. Operative approach based on intention to treat was correlated with perioperative outcomes, including 30-day postoperative adverse events, in logistic regression models.
    Results: Among 855 neonates, initial thoracoscopic repair was performed in 133 (15.6%) cases. Seventy (53%) of these cases were converted to open. Those who underwent thoracoscopic repair were more likely to be full-term (p = 0.03) when compared to those in the open repair group. There were no significant differences in perioperative outcome measures based on surgical approach except for operative time (thoracoscopic: 217 min vs. open: 180 min, p<0.001). A major cardiac comorbidity (OR 1.6, 95% CI 1.2-2.1; p = 0.003) and preoperative ventilator requirement (OR 1.4, 95% CI 1.0-1.9; p = 0.034) were the only risk factors associated with adverse events.
    Conclusions: Thoracoscopic neonatal repair of EA/TEF continues to be used sparingly, is associated with high conversion rates, and has similar perioperative outcomes when compared to open repair.
    Level of evidence: III.
    MeSH term(s) Child ; Esophageal Atresia/surgery ; Humans ; Infant ; Infant, Newborn ; Operative Time ; Thoracoscopy ; Tracheoesophageal Fistula/surgery
    Language English
    Publishing date 2021-04-20
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80165-3
    ISSN 1531-5037 ; 0022-3468
    ISSN (online) 1531-5037
    ISSN 0022-3468
    DOI 10.1016/j.jpedsurg.2021.04.006
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    Zs.A 607: Show issues Location:
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