1,721,047 research outputs found
Co-Inventore (con Dr. Hermle ; vedi Certificati Correzione della USPTO) del Brevetto Numero US D664,652 S e US 664,651 S Data del Brevetto 31 Luglio 2012 (Divaricatore Atriale per Chirurgia Mitrale Mini Invasiva)
No full textAtrial retractor for minimally invasive surger
Brevetto Numero US D758 580 S Data del Brevetto : 7 Giugno 2016 (Strumento Chirurgico Chirurgia Mini Invasiva)
No full textSurgical Instruments on minimally invasive surger
Brevetto Numero US D701,305 S Data del Brevetto : 18 Marzo 2014 (Strumento Chirurgico Chirurgia Mini Invasiva)
No full textsurgical instruments for mitral valve surgery through minimal acces
Manejo Anestesico en cirugia cardiaca mediante minitoracotomia con Video asistencia Port-Access/Heart Port
No full textDescrizione della Tecnica Anestesiologica durante Chirurgia Miniinvasiva e Video assistita della valvola Mitrale ; con particolare attenzione all'uso dell'Ecografia Transesofagea Intraoperatori
A Pan-european training in cardio vascular or cardio thoracic surgery. update and current challenges
Full text linkCardiothoracic surgery is involved in the treatment of diseases and injuries of the heart, blood vessel and lungs. It is a young specialty which has grown rapidly since the Second World War.Finally an agreement among all UE countries on the syllabus and training should be attempted through EACTS and UEMS to offer the European Authorities a consensus instead of battles
The Treatment of Mitral Valve Disease—The Only Thing Constant is Change
Full text linkThe mitral valve is without doubt the part of the human body that is most under pressure [...
Echocardiography evaluation in ECMO patients
Full text linkExtracorporeal membrane oxygenation (ECMO) is a special form of organ support for selected cases of cardiovascular and severe respiratory failure. Echocardiography is a diagnostic and monitoring tool widely used in all aspects of ECMO support. The pathophysiology of ECMO, and its distinct effects on cardiorespiratory physiology, requires an echocardiographer with high skills to understand the interaction between the ECMO and the patient. In this chapter, we present the main application of echocardiography in ECMO patients and some general concepts on the ECMO working. ECMO, such as the standard cardiopulmonary bypass employed in cardiac surgery, V-V (veno-venous), can support the insufficient respiratory system by oxygenating and removing carbon dioxide from the blood. VA-ECMO (venous-arterial) can support haemodynamics by providing mechanical circulatory assistance. Today, ECMO can be used as bridge to decision, waiting for the development of the clinical conditions to support with other devices the evolution of cardiorespiratory failure or stop the assistance. Echocardiography (transthoracic (TTE) or transoesophageal (TOE)) can be used primarily to take decisions regarding appropriateness of ECMO support, therefore to control cannula insertion and confirm final position, to modify number and position of the cannulae in case of malfunctioning of these, and, finally, to assess clinical progress and suitability for weaning from ECMO
Circulacion Extracorporea a traves de puertos (sistema "Port Access")
No full textL'uso della Tecnica Miniinvasiva Port Access comporta un completo cambio del set-up della Circolazione Extracorporea e del Clampaggio aortico , con l'impiego di cannule e cateteri speciali il cui uso viene gestito anche attraverso l'impiego dell'ecografia transesofagea
Port-Access cardiac surgery: from a learning process to the standard.
Full text linkBackground: Port-AccessTM surgery has been one of the
most innovative and controversial methods in the spectrum
of minimally invasive techniques for cardiac operations and
has been widely used for the treatment of several cardiac diseases.
The technique was introduced in our center to evaluate
its efficacy in reproducing standardized results without an
additional risk.
Methods: Endovascular cardiopulmonary bypass (CPB)
through femoral access and endoluminal aortic occlusion
were used in 129 patients for a variety of surgical procedures,
all of which were video-assisted. A minimal (4-6 cm) anterior
thoracotomy through the fourth intercostal space was used in
all cases as the surgical approach.
Results: More than 96% of the planned cases concluded
as true Port-AccessTM procedures. Mean CBP and crossclamp
times were 87.2 min. ± 51.2 (range of 10-457) and
54.9 min. ± 30.6 (range of 10-190), respectively. Hospital
mortality for the overall group was 1.5%, and mitral valve
surgery had a 2.2% hospital death rate. The incidence of early
neurological events was 0.7%. Mean extubation time, ICU
stay, and total length of hospital stay were 5 hours ± 6 hrs.
(range of 2-32), 12 hours ± 11.8 hrs. (range of 5-78), and
7 days ± 7.03 days (range of 1-72), respectively.
Conclusions: Our experience indicates that the Port-
AccessTM technique is safe and permits reproduction of standardized
results with the use of a very limited surgical
approach. We are convinced that this is a superior procedure
for certain types of surgery, including isolated primary or
redo mitral surgery, repair of a variety of atrial septal defects
(ASDs), and atrial tumors. It is especially useful in high-risk
patients, such as elderly patients or those requiring reoperation.
Simplification of the procedure is nevertheless desirable
in order to further reduce the time of operation and to
address other drawbacks
The role of anthracyclines in cardio-oncology: oxidative stress, inflammation, and autophagy
Full text linkIn past decades, much effort was put to define the molecular mechanisms underlying the development of anthracycline-induced cardiomyopathy. As a result, administration protocols were refined and dosages were lowered according to new guidelines, whenever it was possible. To manage the delicate balance between tumor eradication and cardiac health of the patients, an increasing number of multidisciplinary cardio-oncology wards were created in past years in several hospitals. This new synergistic discipline is aimed at transferring from the bench to the bedside the novel approaches that come from basic and translational research
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