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Schloeglhofer T, Socha M, Shen S, Abart T, Riebandt J, Schima H, Marko C, Laufer G, Wiedemann D, Zimpfer D. Cold Atmospheric Plasma Therapy: A Powerful Tool for Treating Driveline Infections in Left Ventricular Assist Device Patients. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.1571] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/05/2023] Open
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Schloeglhofer T, Gross C, Abart T, Schaefer A, Widhalm G, Marko C, Röhrich M, Weigel I, Kaufmann F, Karner B, Riebandt J, Wiedemann D, Laufer G, Schima H, Granegger M, Zimpfer D. Beyond the Limits of Current Pump Monitoring - HeartMate 3 SNOOPY in Echocardiographic Speed Ramp Tests. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.1273] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/05/2023] Open
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Abart T, Gross C, Kohout F, Schaefer A, Riebandt J, Laufer G, Wiedemann D, Zimpfer D, Schloeglhofer T. Early Markers for Hemocompatibility Related Adverse Events Based on Routinely Available Pump Parameters from HeartMate 3 Left Ventricular Assist Device Patients. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.1514] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/05/2023] Open
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Widhalm G, Abart T, Noeske M, Kumer L, Rössler L, Atteneder C, Berger A, Laufer G, Wiedemann D, Zimpfer D, Schima H, Wagner M, Schloeglhofer T. The Patients’ Point of View: Eye Tracking Based Human Factors Analysis of Simulated Everyday and Emergency Scenarios with HeartMate 3 LVAD Peripherals. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.803] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/05/2023] Open
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Wittmann F, Schlöglhofer T, Riebandt J, Schaefer A, Wiedemann D, Laufer G, Zimpfer D. Off-Pump Implantation of Left Ventricular Assist Devices - A Single Center Experience. J Heart Lung Transplant 2022. [DOI: 10.1016/j.healun.2022.01.1540] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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Schlein J, Wiedemann D, Gabriel H, Simon P, Wollenek G, Kitzmüller E, Michel-Behnke I, Laufer G, Zimpfer D. Long-Term Outcomes after Surgical Repair of Supravalvular Aortic Stenosis in Pediatric Patients: 30 Years’ Single-Center Outcome. Thorac Cardiovasc Surg 2022. [DOI: 10.1055/s-0042-1743018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Koschutnik M, Dannenberg V, Dona C, Nitsche C, Kammerlander AA, Mora B, Bartunek A, Wiedemann D, Zimpfer D, Huelsmann M, Schneider M, Bartko PE, Goliasch G, Hengstenberg C, Mascherbauer J. Transcatheter versus surgical valve repair in patients with severe mitral regurgitation. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.1659] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Transcatheter edge-to-edge mitral valve repair (TMVR) is increasingly performed, however, its efficacy in comparison with surgical MV treatment (SMV) is unknown.
Methods
Consecutive patients with severe mitral regurgitation (MR) undergoing TMVR (68% functional, 32% degenerative) or SMV (9% functional, 91% degenerative; 23% MV replacement) were enrolled. To account for differences in baseline characteristics, propensity score-matching including age, EuroSCORE-II, left ventricular ejection fraction, and NT-proBNP was performed. A composite of heart failure (HF) hospitalization/death was defined as primary endpoint. Kaplan-Meier curves and Cox-regression analyses were used to investigate associations between baseline, imaging, and procedural parameters and outcome.
Results
Between July 2017 and April 2020, 245 patients were enrolled, of which 102 patients could be adequately matched (73y/o, 61% females, EuroSCORE-II: 5.7%, p>0.05 for all). Despite matching, TMVR patients were sicker at baseline (higher rates of prior myocardial infarction, coronary revascularization, pacemakers/defibrillators, and diabetes mellitus, p<0.009 for all).
Patients were followed for 28.3±27.2 months, during which 27 events (17 deaths, 10 HF hospitalizations) occurred.Postprocedural MR reduction (MR grade <2: TMVR vs. SMV: 88% vs. 94%, p=0.487) and freedom from HF hospitalization/death (log-rank: p=0.221) were similar at two years. By multivariable Cox analyses, EuroSCORE-II (adj.HR 1.07 [95% CI: 1.00–1.13], p=0.027) and postprocedural MR severity (adj.HR 1.85 [95% CI: 1.17–2.92], p=0.009) emerged as independent predictors of outcome.
Conclusions
In this propensity matched, all-comers cohort, 2-year outcomes after TMVR versus SMV were similar. Given the reported favorable long-term durability of TMVR, the interventional approach emerges as valuable alternative for a substantial number of patients with functional and degenerative MR at high/prohibitive surgical risk.
Funding Acknowledgement
Type of funding sources: None.
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Schlein J, Wiedemann D, Gabriel H, Wollenek G, Simon P, Michel-Behnke I, Laufer G, Zimpfer D. Long-Term Outcomes after Aortic Valve Repair in Pediatric Patients. Thorac Cardiovasc Surg 2021. [DOI: 10.1055/s-0041-1725735] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Schlöglhofer T, Aigner P, Migas M, Beitzke D, Wittmann F, Riebandt J, Wiedemann D, Laufer G, Moscato F, Schima H, Zimpfer D. Inflow Cannula Position as Predictor for Neurological Dysfunction in Patients with HeartMate 3 Left Ventricular Assist Device. J Heart Lung Transplant 2020. [DOI: 10.1016/j.healun.2020.01.946] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Dimitrov K, Angleitner P, Riebandt J, Wiedemann D, Gross C, Schlöglhofer T, Schima H, Laufer G, Zimpfer D. Incidence, Clinical Relevance and Treatment Options for Outflow Graft Stenosis after LVAD Implantation. J Heart Lung Transplant 2020. [DOI: 10.1016/j.healun.2020.01.1078] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Moayedifar R, Sandner S, Riebandt J, Wiedemann D, Haberl T, Schloeglhofer T, Laufer G, Zimpfer D. Renal Function after Ventricular Assist Device Implantation. J Heart Lung Transplant 2019. [DOI: 10.1016/j.healun.2019.01.881] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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Aigner P, Schloeglhofer T, Plunger L, Beitzke D, Wielandner A, Schima H, Wiedemann D, Zimpfer D, Moscato F. Relation Between Intraventricular HVAD Position and Pump Thrombosis. J Heart Lung Transplant 2018. [DOI: 10.1016/j.healun.2018.01.235] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
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Angleitner P, Wiedemann D, Schlöglhofer T, Riebandt J, Dimitrov K, Zuckermann A, Laufer G, Zimpfer D. Conservative Weight Reduction Is Insufficient in Obese Patients Receiving a Left-Ventricular Assist Device as Bridge-to-Candidacy. J Heart Lung Transplant 2017. [DOI: 10.1016/j.healun.2017.01.1232] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Haberl T, Riebandt J, Aliabadi-Zuckermann A, Wiedemann D, Moayedifar R, Osorio E, Hutschala D, Laufer G, Zuckermann A. Ischemia Time and the Eurotransplant Heart Donor Score as Predictors for Primary Graft Dysfunction. J Heart Lung Transplant 2017. [DOI: 10.1016/j.healun.2017.01.103] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Grabska J, Schlöglhofer T, Gross C, Dimitrov K, Wiedemann D, Zimpfer D, Schima H, Moscato F. Early Detection of Pump Thrombosis in Patients with Left Ventricular Assist Device. J Heart Lung Transplant 2017. [DOI: 10.1016/j.healun.2017.01.684] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Riebandt J, Haberl T, Wiedemann D, Dimitrov K, Angleitner P, Simon P, Moayedifar R, Schloeglhofer T, Laufer G, Zimpfer D. Mid-Term Outcomes after Limited Incision HeartWare Ventricular Assist Device Implantation. Thorac Cardiovasc Surg 2017. [DOI: 10.1055/s-0037-1598830] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Dimitrov K, Riebandt J, Wiedemann D, Moayedifar R, Simon P, Haberl T, Schlöglhofer T, Maw M, Gross C, Necid G, Schima H, Laufer G, Zimpfer D. Micro-Embolic Signals Correlate with Pump Thrombus Formation and Non-Thrombotic Outflow Graft Occlusion in Patients with Left Ventricular Assist Devices. Thorac Cardiovasc Surg 2017. [DOI: 10.1055/s-0037-1598794] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Moayedifar R, Riebandt J, Dimitrov K, Haberl T, Wiedemann D, Schlöglhofer T, Schima H, Laufer G, Zimpfer D. Off-Pump HeartWare HVAD Left Ventricular Assist Device Implantation. Thorac Cardiovasc Surg 2017. [DOI: 10.1055/s-0037-1598831] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Moayedifar R, Riebandt J, Haberl T, Dimitrov K, Wiedemann D, Schlöglhofer T, Schima H, Laufer G, Zimpfer D. Off-Pump HeartWare HVAD Left Ventricular Assist Device Implantation. J Heart Lung Transplant 2016. [DOI: 10.1016/j.healun.2016.01.913] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Dimitrov K, Riebandt J, Haberl T, Wiedemann D, Simon P, Moayedifar R, Schlöglhofer T, Necid G, Gross C, Maw M, Schima H, Laufer G, Zimpfer D. Micro-Embolic Signals Correlate with Pump Thrombus Formation and Non-Thrombotic Outflow Graft Occlusion in Patients with Left Ventricular Assist Devices. J Heart Lung Transplant 2016. [DOI: 10.1016/j.healun.2016.01.267] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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Riebandt J, Wiedemann D, Haberl T, Schloeglhofer T, Moayedifar R, Dimitrov K, Laufer G, Zimpfer D. Minimally Invasive Heartware HVAD Implantation with Outflow Graft Anastomosis to the Left Subclavian Artery. J Heart Lung Transplant 2016. [DOI: 10.1016/j.healun.2016.01.927] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Wiedemann D, Schlöglhofer T, Haberl T, Riebandt J, Horvat J, Dimitrov K, Schima H, Kastner J, Matzek W, Laufer G, Zimpfer D. Interventional Treatment of LVAD Outflow Graft Stenosis by Introduction of Bare Metal Stents. Thorac Cardiovasc Surg 2016. [DOI: 10.1055/s-0036-1571572] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Dimitrov K, Riebandt J, Haberl T, Wiedemann D, Simon P, Moayedifar R, Steinlechner B, Schlöglhofer T, Necid G, Schima H, Laufer G, Zimpfer D. Low-dose Intravenous Thrombolytic Therapy for Pump Thrombus Formation in Patients with Continuous Flow Left Ventricular Assist Device. Thorac Cardiovasc Surg 2016. [DOI: 10.1055/s-0036-1571569] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Riebandt J, Haberl T, Wiedemann D, Dimitrov K, Simon P, Moayedifar R, Schima H, Laufer G, Zimpfer D. Long-Term Outcomes After Limited Incision Left Ventricular Assist Device Implantation. J Heart Lung Transplant 2015. [DOI: 10.1016/j.healun.2015.01.587] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Riebandt J, Haberl T, Wiedemann D, Schlöglhofer T, Moayedifar R, Laufer G, Schima H, Zimpfer D. Institutional Experience with the HeartWare Ventricular Assist System in 100 Patients. Thorac Cardiovasc Surg 2015. [DOI: 10.1055/s-0035-1544489] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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