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  1. Article ; Online: Vancomycin to Reduce Sternal Wound Infections: The Discussion Continues.

    St-Louis, Roxanne / Voisine, Pierre

    The Annals of thoracic surgery

    2022  Volume 116, Issue 2, Page(s) 441–442

    MeSH term(s) Humans ; Vancomycin/therapeutic use ; Wound Infection/drug therapy ; Anti-Bacterial Agents/therapeutic use ; Sternum/surgery ; Surgical Wound Infection/prevention & control ; Retrospective Studies ; Sternotomy
    Chemical Substances Vancomycin (6Q205EH1VU) ; Anti-Bacterial Agents
    Language English
    Publishing date 2022-12-24
    Publishing country Netherlands
    Document type Letter ; Comment
    ZDB-ID 211007-6
    ISSN 1552-6259 ; 0003-4975
    ISSN (online) 1552-6259
    ISSN 0003-4975
    DOI 10.1016/j.athoracsur.2022.12.022
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    Zs.A 252: Show issues Location:
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  2. Article ; Online: Assessment of Large Animal Vascular Dimensions for Intra-Aortic Device Research and Development: A Systematic Review.

    Georges, Gabriel / Couture, Thomas / Voisine, Pierre

    Innovations (Philadelphia, Pa.)

    2023  Volume 18, Issue 2, Page(s) 144–151

    Abstract: Animal studies are often required to evaluate new cardiovascular medical devices before they reach the market. Moreover, first-generation novel devices including aortic endovascular prostheses and circulatory support devices are often larger than later ... ...

    Abstract Animal studies are often required to evaluate new cardiovascular medical devices before they reach the market. Moreover, first-generation novel devices including aortic endovascular prostheses and circulatory support devices are often larger than later iterations or tested in a limited range of sizes. One of the challenges in evaluating these devices is finding a model that is both accessible and anatomically similar to humans, as there is a paucity of data on vascular dimensions in large animals. We set out to complete a comprehensive review of available reports on vascular dimensions in swine, ovine, and bovine models, with a particular focus on the descending aorta and ilio-femoral arteries. We searched Embase and MEDLINE databases for reports of descending aorta and peripheral vascular dimension in large animal models. Data from swine, ovine, and bovine models were separated by weight into 3 categories: 40 to 60 kg, 61 to 80 kg, and >80 kg. We also incorporate our computed tomography angiography data from 4 large sheep and 9 calves into this review. Swine, sheep, and calf >80 kg may serve as the best models to maximize aortic diameter resemblance to humans. If device implantation can be achieved in aortas of smaller dimensions, care should be taken to ensure access site suitability such as the common femoral artery in these smaller animals.
    MeSH term(s) Humans ; Animals ; Cattle ; Sheep ; Swine ; Aorta ; Angiography ; Computed Tomography Angiography ; Models, Animal
    Language English
    Publishing date 2023-04-08
    Publishing country United States
    Document type Systematic Review ; Journal Article ; Review
    ISSN 1559-0879
    ISSN (online) 1559-0879
    DOI 10.1177/15569845231164134
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  3. Article ; Online: Unveiling an intimate affair.

    Voisine, Pierre

    The Journal of thoracic and cardiovascular surgery

    2017  Volume 156, Issue 2, Page(s) 641–642

    MeSH term(s) Cardiac Surgical Procedures ; Humans ; Interpersonal Relations ; Mitral Valve ; Physicians
    Language English
    Publishing date 2017-11-20
    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.2017.11.021
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  4. Article ; Online: A Case of

    Guimaron, Samantha / Gervais, Philippe / Voisine, Pierre

    CJC open

    2022  Volume 4, Issue 7, Page(s) 663–666

    Abstract: We report the case of an immunocompromised patient admitted for chest pain secondary to pericardial effusion. Pericardiocentesis liquid analysis revealed ... ...

    Abstract We report the case of an immunocompromised patient admitted for chest pain secondary to pericardial effusion. Pericardiocentesis liquid analysis revealed an
    Language English
    Publishing date 2022-04-14
    Publishing country United States
    Document type Case Reports
    ISSN 2589-790X
    ISSN (online) 2589-790X
    DOI 10.1016/j.cjco.2022.04.001
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  5. Article ; Online: Unexpected find of native aortic leaflet thrombus during surgical myocardial revascularization.

    Salaun, Erwan / Villeneuve, Jacques / Voisine, Pierre

    European heart journal

    2022  

    Language English
    Publishing date 2022-10-26
    Publishing country England
    Document type Journal Article
    ZDB-ID 603098-1
    ISSN 1522-9645 ; 0195-668X
    ISSN (online) 1522-9645
    ISSN 0195-668X
    DOI 10.1093/eurheartj/ehac589
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    Zs.A 1563: Show issues Location:
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    Zs.MO 640: Show issues

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  6. Article ; Online: Sex-Specific Cardiometabolic Determinants of Postoperative Atrial Fibrillation After Cardiac Surgery.

    Paquin, Amélie / Voisine, Pierre / Poirier, Paul / Clavel, Marie-Annick / O'Connor, Sarah / Roberge, Jeanne / Piché, Marie-Eve

    The Canadian journal of cardiology

    2024  

    Abstract: Background: Cardiometabolic diseases increase the risk of postoperative atrial fibrillation (POAF), a complication leading to higher long-term risk of major cardiovascular events (MACE). It remains unknown whether the effect of these risk factors ... ...

    Abstract Background: Cardiometabolic diseases increase the risk of postoperative atrial fibrillation (POAF), a complication leading to higher long-term risk of major cardiovascular events (MACE). It remains unknown whether the effect of these risk factors differs according to sex. We sought to evaluate the sex-specific predictors of POAF after coronary artery bypass grafting (CABG).
    Methods: In a prospective registry of patients undergoing isolated CABG, we compared predictors of POAF between sexes with logistic regression models. Because of high prevalence of abdominal obesity in women, > 80% having a waist circumference (WC) ≥ 88 cm, median WC values were used to define abdominal obesity (men ≥ 102 cm, women ≥ 100 cm).
    Results: This analysis included 6177 individuals (17% women). Mean age was 65.6 ± 8.9 years. POAF occurred in 32% of men and 28% of women (P < 0.05). Compared with men, women with POAF had similar WC; higher prevalence of hypertension and diabetes; lower high-density lipoprotein (HDL)-cholesterol; and higher glucose, triglyceride, low- density lipoprotein (LDL)-cholesterol, and C-reactive protein levels (all P < 0.05). After adjustment, age and abdominal obesity were associated with POAF in both sexes (P < 0.05). The interaction of WC with sex suggested a worse impact of WC on POAF risk among women (adjusted odds ratio [OR], 1.97; 95% confidence interval [CI], 1.48-2.62 vs in men 1.33; 95% CI, 1.17-1.50; P for interaction = 0.01).
    Conclusions: Abdominal obesity is a major predictor of POAF in both sexes, with higher risk in women. These results emphasize the need for enhanced strategies to manage abdominal obesity and its cardiometabolic consequences in the general population and the potential to develop sex-specific preventive interventions to reduce risk of POAF.
    Language English
    Publishing date 2024-02-09
    Publishing country England
    Document type Journal Article
    ZDB-ID 632813-1
    ISSN 1916-7075 ; 0828-282X
    ISSN (online) 1916-7075
    ISSN 0828-282X
    DOI 10.1016/j.cjca.2024.02.002
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    Zs.A 2150: Show issues Location:
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  7. Article: Untangling the bilateral versus single internal mammary coronary artery bypass grafting debate.

    Voisine, Emile / Voisine, Pierre

    Annals of translational medicine

    2018  Volume 6, Issue 10, Page(s) 190

    Language English
    Publishing date 2018-06-26
    Publishing country China
    Document type Editorial ; Comment
    ZDB-ID 2893931-1
    ISSN 2305-5847 ; 2305-5839
    ISSN (online) 2305-5847
    ISSN 2305-5839
    DOI 10.21037/atm.2018.03.21
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  8. Article ; Online: Cardiovascular Collateral Damages at the Time of COVID-19.

    Jacques, Frédéric / Voisine, Pierre / Perrault, Louis

    The Canadian journal of cardiology

    2020  Volume 36, Issue 8, Page(s) 1327.e7

    MeSH term(s) Betacoronavirus ; COVID-19 ; Cardiovascular Diseases/epidemiology ; Cardiovascular Diseases/therapy ; Civil Defense/standards ; Coronavirus Infections/epidemiology ; Coronavirus Infections/prevention & control ; Health Services Needs and Demand ; Humans ; Infection Control/methods ; Organizational Innovation ; Pandemics/prevention & control ; Patient Care Management/organization & administration ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/prevention & control ; Quebec/epidemiology ; SARS-CoV-2 ; Tertiary Healthcare/organization & administration ; Tertiary Healthcare/standards
    Keywords covid19
    Language English
    Publishing date 2020-06-22
    Publishing country England
    Document type Letter
    ZDB-ID 632813-1
    ISSN 1916-7075 ; 0828-282X
    ISSN (online) 1916-7075
    ISSN 0828-282X
    DOI 10.1016/j.cjca.2020.06.011
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    Zs.A 2150: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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  9. Article ; Online: Impact of COVID-19 on the Prescribing Pattern of Oral Anticoagulants for Atrial Fibrillation After Cardiac Surgery.

    Brochu, Dannick / St-Arnaud, Amélie / Marchand, Louis-Étienne / Voisine, Pierre / Méthot, Julie

    Journal of cardiovascular pharmacology and therapeutics

    2022  Volume 27, Page(s) 10742484221128124

    Abstract: Background: Because of logistic challenges associated with the COVID-19 pandemic, direct oral anticoagulants (DOAC) were favored over warfarin in patients presenting postoperative atrial fibrillation (AF) after cardiac surgery in our institution. ... ...

    Abstract Background: Because of logistic challenges associated with the COVID-19 pandemic, direct oral anticoagulants (DOAC) were favored over warfarin in patients presenting postoperative atrial fibrillation (AF) after cardiac surgery in our institution. Considering the limited evidence supporting the use of DOAC in this context, we sought to evaluate the safety and efficacy of this practice change.
    Methods: A retrospective study was performed with patients from the Quebec City metropolitan area who were hospitalized at the Institut universitaire de cardiologie et de pneumologie de Québec-Université Laval following cardiac surgery and who required oral anticoagulant (OAC) for postoperative AF. The primary objective was to compare the pre- and peri-COVID-19 period for OAC prescribing patterns and the incidence of thrombotic and bleeding events at 3 months post-surgery. The secondary objective was to compare DOAC to warfarin in terms of thrombotic events and bleeding events.
    Results: A total of 233 patients were included, 142 from the pre-COVID-19 and 91 from the peri-COVID-19 period, respectively. Both groups had equivalent proportions of preoperative AF (48%) and new-onset postoperative AF (52%). The proportion of patients treated with a DOAC increased from 13% pre-COVID-19 to 82% peri-COVID-19. This change in practice was not associated with a significant difference in the incidence of thrombotic or bleeding events 3 months postoperatively. However, compared to DOAC, warfarin was associated with a higher incidence of major bleeding. Only 1 thrombotic event was reported with warfarin, and none were reported with DOAC.
    Conclusion: This study suggests that DOAC are an effective and safe alternative to warfarin to treat postoperative AF after cardiac surgery and that this practice can be safely maintained.
    MeSH term(s) Administration, Oral ; Anticoagulants/adverse effects ; Atrial Fibrillation/diagnosis ; Atrial Fibrillation/drug therapy ; Atrial Fibrillation/epidemiology ; COVID-19 ; Cardiac Surgical Procedures/adverse effects ; Hemorrhage/chemically induced ; Hemorrhage/epidemiology ; Humans ; Pandemics ; Retrospective Studies ; Stroke/epidemiology ; Warfarin/adverse effects
    Chemical Substances Anticoagulants ; Warfarin (5Q7ZVV76EI)
    Language English
    Publishing date 2022-10-03
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1329372-2
    ISSN 1940-4034 ; 1074-2484
    ISSN (online) 1940-4034
    ISSN 1074-2484
    DOI 10.1177/10742484221128124
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    Zs.A 4895: Show issues Location:
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  10. Article ; Online: Effect of concomitant surgical atrial fibrillation ablation in patients with reduced left ventricle ejection fraction: A propensity-score matching analysis.

    Rimac, Goran / Lauzon, Nicolas / Sénéchal, Mario / Dagenais, François / Jacques, Frédéric / Philippon, François / Voisine, Pierre

    Journal of cardiac surgery

    2022  Volume 37, Issue 11, Page(s) 3598–3606

    Abstract: Background: Atrial fibrillation (AF) is common in patients with reduced left ventricle ejection fraction (RLVEF). The impact of concomitant surgical atrial fibrillation ablation (SAFA) in patients with RLVEF is uncertain. The purpose of this study was ... ...

    Abstract Background: Atrial fibrillation (AF) is common in patients with reduced left ventricle ejection fraction (RLVEF). The impact of concomitant surgical atrial fibrillation ablation (SAFA) in patients with RLVEF is uncertain. The purpose of this study was to assess the outcomes of concomitant SAFA in patients with RLVEF undergoing heart surgery on heart failure (HF) rehospitalization and mortality.
    Methods: Using a local registry and electronic health records linked with provincial civil register survival data from July 2002 to April 2019, we analyzed treatment and outcomes in a cohort of patients with AF and HF defined by left ventricle ejection fraction (LVEF) ≤40%. Health records were used to collect treatment and International Classification of Diseases (ICD 10) codes to determine outcomes. A negative binomial model was used to compare outcomes such as all-cause mortality and rehospitalization for heart failure.
    Results: The cohort included 682 patients with RLVEF and AF who underwent coronary artery bypass graft and/or valve surgery. A total of 196 patients (29%) underwent concomitant SAFA. After matching, 132 patients with concomitant SAFA were compared to 159 patients who did not undergo concomitant SAFA. At 6.0 ± 3.7 years of follow-up, concomitant SAFA was not associated with lower all-cause mortality (p = .9861) and reduction in rehospitalizations for heart failure decompensation (p = .31) compared to patients who did not have concomitant SAFA performed. Postoperatively, concomitant SAFA might be associated with less vasopressor and mechanical support use (p = .01).
    Conclusions: Concomitant SAFA during index cardiac surgery is safe but does not reduce mortality or rehospitalizations for HF. The effects of concomitant SAFA in the context of RLVEF need to be better studied with prospective trials.
    MeSH term(s) Atrial Fibrillation/complications ; Atrial Fibrillation/surgery ; Catheter Ablation/adverse effects ; Heart Failure/surgery ; Heart Ventricles/surgery ; Humans ; Prospective Studies ; Stroke Volume ; Treatment Outcome ; Ventricular Function, Left
    Language English
    Publishing date 2022-09-14
    Publishing country United States
    Document type Journal Article
    ZDB-ID 639059-6
    ISSN 1540-8191 ; 0886-0440
    ISSN (online) 1540-8191
    ISSN 0886-0440
    DOI 10.1111/jocs.16927
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    Zs.A 2221: Show issues Location:
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