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Erbel R. [Is the introduction of innovative methods in cardiovascular diagnostics and therapy to quick?]. Herz 2016; 41:125-30. [PMID: 26873914 DOI: 10.1007/s00059-016-4408-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
Andreas Grüntzig can be regarded as the pioneer of modern cardiology. Based on the previous experiences of Charles Dotter in Portland, Oregon, and after many years of preparation as a young 38-year-old physician and consultant he carried out the first percutaneous transluminal coronary angioplasty (PTCA) in a 38-year-old patient in Zurich in 1977, supported by the cardiac surgeons A. Senning and M. Turina. Despite high ranking publications and early preparedness to share his experiences the development of PTCA stagnated and was met with great scepticism. The technique was new, technically difficult and aimed at aortocoronary bypass surgery, which was itself still in its infancy 10 years after the introduction in Cleveland in 1968. Even after several years only two patients per week were admitted for treatment in Zurich. In a similar way the young cardiac surgeon H.R. Andersen was a pioneer in Denmark whose ideas and own experiments with a balloon catheter-assisted aortic valve implantation were not initially taken up by the leading companies of the time and publication of the data suffered lengthy delays. It took 10 years before Prof. A. Cribier in Rouen followed up his ideas and carried out the first valve implantation again in pioneer work after many years of preparation in 2002. Again, the new method for treatment of very old and high risk patients needed many years before it was accepted. The breakthrough only became possible when this new technique began to be used in cardiac surgery after the introduction of hybrid cardiac catheter operating rooms. Despite evidence-based studies innovative methods are not subject to the same criteria throughout Europe with respect to the timely introduction of innovative and validated procedures also in consideration of reimbursement and this has become an important initiative of the European Society of Cardiology (ESC).
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Muñoz C, Beyersdorf F, Carrel T, Schönhoff F, Schlensak C, Krüger T, Eckstein HH, Reutersberg B, Erbel R, Janosi A, Siepe M, Rylski B. How Does the Aortic Geometry Change When the Descending Aorta Dissects? Thorac Cardiovasc Surg 2016. [DOI: 10.1055/s-0036-1571541] [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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Fang F, Santoro C, Hristova K, Yoon HJ, Abid L, Poller A, Erdei T, Ahmed T, Geraeli B, Gascuena R, Li YJ, Yang J, Bartel T, Erbel R, Ya Y, Yu CM, Schiano Lomoriello V, Esposito R, Casaretti L, Ilardi F, Fazio V, De Simone G, Trimarco B, Galderisi M, Hristova K, Marinov R, Marinov R, Katova TZ, Katova TZ, Kostova V, Kostova V, Simova I, Kim KH, Cho JY, Park JC, Ben Kahla S, Bech-Hanssen O, Sunderji I, Sanchez-Martinez S, Edwards J, Braim D, Price C, Bijnens B, Fraser AG, Mohmed LA, Abd-Elhady B, Abdellaha M, Mazen A, Sattarzadeh Badkoubeh R, Hassanbeigy HR, Tavoosi A, Larti F, Saberi K, Rubio L, Terol B, Rico C. Moderated Posters session: diastolic function in clinical perspectiveP1260Coronary flow reserve in patients with chest pain but without significant coronary stenosis: the role of hypertensionP1261Diastolic bicycle exercise: normal reference values and determinantsP1262Prediction of left ventricular diastolic dysfunction in breast cancer patients after chemotherapyP1263Impaired diastolic recovery is associated with adverse events in the patients with hypertensive heart failureP1264Diastolic strain parameters in hypertensive heart disease: Insights from a speckle tracking imagingP1265Standard echocardiographic parameters to assess right ventricular diastolic function does not detect increased end diastolic right ventricular pressure in pulmonary vascular diseaseP1266In heart failure with preserved ejection fraction carotid arterial stiffness is increased and may contribute to reduced functional reserveP1267Study of left atrial function by speckle tracking in young Egyptian females with unexplained dyspnea; pilot reportP1268stress effect on diastolic functionP1269Diastolic function and adjusted diastolic index in apparently healthy obese patients. Eur Heart J Cardiovasc Imaging 2015. [DOI: 10.1093/ehjci/jev271] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Schramm S, Sutcliffe R, McDonald K, Jöckel KH, Erbel R, Führer-Sakel D, Moebus S. Assoziation zwischen 25-Hydroxyvitamin D und Stadtgrün – Ergebnisse der Heinz Nixdorf Recall Studie. DAS GESUNDHEITSWESEN 2015. [DOI: 10.1055/s-0035-1563217] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Erbel R. [Progression of coronary atherosclerosis]. Herz 2015; 40:835-6. [PMID: 26296304 DOI: 10.1007/s00059-015-4348-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Mahabadi AA, Lehmann N, Dykun I, Müller T, Kälsch H, Erbel R. Progression of coronary artery calcification by cardiac computed tomography. Herz 2015; 40:863-8. [DOI: 10.1007/s00059-015-4342-z] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
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Erbel R, Aboyans V, Boileau C, Bossone E, Di Bartolomeo R, Eggebrecht H, Evangelista A, Falk V, Frank H, Gaemperli O, Grabenwoger M, Haverich A, Iung B, John Manolis A, Meijboom F, Nienaber CA, Roffi M, Rousseau H, Sechtem U, Sirnes PA, von Allmen RS, Vrints CJM. Corrigendum to: 2014 ESC Guidelines on the diagnosis and treatment of aortic diseases. Eur Heart J 2015; 36:2779. [DOI: 10.1093/eurheartj/ehv178] [Citation(s) in RCA: 58] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Erbel R, Thiele H. [Diagnostics in structural heart diseases]. Herz 2015; 40:567-8. [PMID: 25963036 DOI: 10.1007/s00059-015-4235-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Tsagakis K, Jánosi R, Dohle D, Benedik J, Kahlert P, Wendt D, Erbel R, Jakob H. Distal Malperfusion in Acute Type I Aortic Dissection: The Value of Endovascular Aortic Repair. Thorac Cardiovasc Surg 2015. [DOI: 10.1055/s-0035-1544399] [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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Möhlenkamp S, Heusch G, Erbel R. Kardiovaskuläre Risiken körperlicher Extrembelastungen. AKTUELLE KARDIOLOGIE 2014. [DOI: 10.1055/s-0034-1383310] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Eissmann M, Kahlert P, Erbel R, Janosi R, Soeholm H, Hassager C, Vejlstrup N, Arendrup H, Jensen M, Lund J, Ihlemann N, Neykova A, Molcard D, Moulla M, Valizadeh R, Alghandour M, Mahmoud M, Shimbo M, Watanabe H, Iino K, Ito H, Piriou N, Sassier J, Pallardy A, Valette F, Serfaty J, Trochu J, Cordovil A, Tude Rodrigues A, Piveta R, De Oliveira W, Ponchirolli A, Monaco C, De Lira Filho E, Vieira M, Fischer C, Morhy S. Case-based session: unusual and multitrouble cases: Saturday 6 December 2014, 08:30-10:0 * Location: Agora. Eur Heart J Cardiovasc Imaging 2014. [DOI: 10.1093/ehjci/jeu260] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Wendt D, Al-Rashid F, Kahlert P, El-Chilali K, Demircioglu E, Erbel R, Jakob HG, Thielmann M. 052 * CONVENTIONAL AORTIC VALVE REPLACEMENT OR TRANSCATHETER AORTIC VALVE IMPLANTATION IN PATIENTS WITH PREVIOUS CARDIAC SURGERY. Interact Cardiovasc Thorac Surg 2014. [DOI: 10.1093/icvts/ivu276.52] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Köhler C, Ahrens M, Behrens T, Eisenacher M, Braun K, Jöckel K, Erbel R, Tannapfel A, Brüning T, Käfferlein H. 437: Identification of a specific and sensitive urinary DNA hypermethylation signature for bladder cancer diagnosis. Eur J Cancer 2014. [DOI: 10.1016/s0959-8049(14)50391-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Wendt D, Plicht B, Kahlert P, Hartmann K, Al-Rashid F, Price V, Konorza T, Erbel R, Jakob H, Thielmann M. A novel calcium scoring system accurately predicts likelihood and location of post-TAVI paravalvular leak. THE JOURNAL OF CARDIOVASCULAR SURGERY 2014; 55:423-433. [PMID: 24189518] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
AIM Sclerosis distribution, topography and morphology in aortic stenosis may have an impact on the localisation of post-procedural paravalvular leakage (PVL) following transcatheter aortic valve implantation (TAVI). METHODS Between 05/2005 and 03/2011 a total of 208 patients underwent either transapical (TA) or transvascular (TV) TAVI using the Edwards-SAPIEN(TM), or CoreValve(TM) system. Aortic cusp and annular sclerosis distribution and aortic valve sclerosis symmetry were evaluated by preoperative transesophageal echocardiography (TOE). Mild, moderate and severe PVL after TAVI (group 1, N.=117) were analysed and compared to those patients with no signs of postprocedural PVL (group 2, N.=91). Commercial available image processing and analysing software were used to evaluate all relevant calcific sections (aortic sclerosis score 0-66; symmetry score 0-5) and were matched with the localization of the PVLs. RESULTS A total of 117 patients (83±6 years, mean logistic EuroSCORE 20.1±12.7%) were identified with a mild-moderate PVL (TV, N.=102; TA, N.=15). Mean aortic sclerosis score was 38.7±7.6 in group 1 compared to 33.7±8.3 in group 2 (P<0.001) showing highest calcification in the non-coronary part for both groups. The mean symmetry score was 1.9±1.0 group 1 compared to 1.7±1.0 in group 2 (P=0.12). Regression analysis showed a significant relation of preoperative cusp localisation to the corresponding paravalvular leakage (P<0.001). CONCLUSION The present study shows that a aortic sclerosis score constructed by TOE enables prediction of postoperative PVL and moreover, the localisation of PVL after TAVI correlates with the corresponding preoperative amount of sclerosis for each cusp.
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Kottenberg E, Dumont M, Frey UH, Heine T, Plicht B, Kahlert P, Erbel R, Peters J. The minimally invasive MitraClip™procedure for mitral regurgitation under general anaesthesia: immediate effects on the pulmonary circulation and right ventricular function. Anaesthesia 2014; 69:860-7. [DOI: 10.1111/anae.12712] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/31/2014] [Indexed: 11/30/2022]
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Naßenstein K, Schlosser T, Hunold P, Roggenbuck U, Lehmann N, Erbel R, Jöckel KH, Sievers B, Barkhausen J. Häufigkeit eines myokardialen Late Gadolinium Enhancements in Abhängigkeit vom Ausmaß der Koronarverkalkungen in einer asymptomatischen Screening-Population. ROFO-FORTSCHR RONTG 2014. [DOI: 10.1055/s-0034-1372892] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Kara K, Gronewold J, Neumann T, Mahabadi AA, Weimar C, Lehmann N, Berger K, Kälsch HIM, Bauer M, Broecker-Preuss M, Möhlenkamp S, Moebus S, Jöckel KH, Erbel R, Hermann DM. B-type natriuretic peptide predicts stroke of presumable cardioembolic origin in addition to coronary artery calcification. Eur J Neurol 2014; 21:914-21. [DOI: 10.1111/ene.12411] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2013] [Accepted: 02/07/2014] [Indexed: 01/17/2023]
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Ge J, Baumgart D, Haude M, Görge G, von Birgelen C, Sack S, Erbel R. Retraction Note - Role of intravascular ultrasound imaging in identifying vulnerable plaques. Herz 2014; 39:110. [DOI: 10.1007/s00059-013-4016-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Erbel R, Görge G. [New insights in pathogenesis and etiology of coronary artery disease]. Dtsch Med Wochenschr 2014; 139 Suppl 1:S4-8. [PMID: 24446043 DOI: 10.1055/s-0033-1359960] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
In clinical practice the non-invasive diagnosis of "coronary heart disease" is based on the clinical findings, the detection of ischemia at rest or during exercise, and elevations of cardiac enzymes. However, due to the compensatory enlargement of the vessel diameter at the beginning of plaque growth, the so-called Glagov effect, early stages of plaque development are missed by the angiography. By means of coronary angiography, changes of the coronary arteries become visible only in patients with angiographically recognizable lumen narrowing compared to the reference vessel segment. Thus, early or diffuse stages of atherosclerosis cannot be detected by ECG, stress-tests or coronary angiography. This limitation explains discrepancies, like positive troponin-test and even transmural ischemia, without angiographic visible coronary lumen narrowing. Diagnostic procedures such as intravascular ultrasound, optical coherence tomography, measurements of vasomotion and computed tomography can, in contrast, detect earlier stages of coronary artery disease and thus contribute to clarification in these patients. In addition, plaque rupture and plaque-erosion lead to acute or recurrent microembolism to distal myocardium with subsequent myocardial necrosis. In patients with formerly unexplained cardiovascular events, intravascular ultrasound, optical coherence tomography, and measurements of vasomotion help to understand the underlying pathophysiology. In the report after cardiac catheterization, the term "ruled out coronary heart disease" should be replaced by "No signs of obstructive coronary heart disease" and additional testing should be performed as necessary.
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Puri R, Libby P, Nissen SE, Wolski K, Ballantyne CM, Barter PJ, Chapman MJ, Erbel R, Raichlen JS, Uno K, Kataoka Y, Tuzcu EM, Nicholls SJ. Long-term effects of maximally intensive statin therapy on changes in coronary atheroma composition: insights from SATURN. Eur Heart J Cardiovasc Imaging 2014; 15:380-8. [DOI: 10.1093/ehjci/jet251] [Citation(s) in RCA: 124] [Impact Index Per Article: 12.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
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Kalsch H, Hennig F, Moebus S, Mohlenkamp S, Dragano N, Jakobs H, Memmesheimer M, Erbel R, Jockel KH, Hoffmann B, Roggenbuck U, Slomiany U, Beck EM, Offner A, Munkel S, Schrader S, Peter R, Hirche H, Meinertz T, Bode C, deFeyter PJ, Guntert B, Halli T, Gutzwiller F, Heinen H, Hess O, Klein B, Lowel H, Reiser M, Schmidt G, Schwaiger M, Steinmuller C, Theorell T, Willich SN. Are air pollution and traffic noise independently associated with atherosclerosis: the Heinz Nixdorf Recall Study. Eur Heart J 2013; 35:853-60. [DOI: 10.1093/eurheartj/eht426] [Citation(s) in RCA: 100] [Impact Index Per Article: 9.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Wendt D, Kahlert P, El Chilali K, Al-Rashid F, Tsagakis K, Erbel R, Jakob HG, Thielmann M. 312 * EXPANDING THE LIMITS: TRANSAPICAL TRANSCATHETER AORTIC VALVE IMPLANTATION FOR SEVERE AORTIC REGURGITATION. Interact Cardiovasc Thorac Surg 2013. [DOI: 10.1093/icvts/ivt372.312] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Wendt D, Kahlert P, Kastner S, Al-Rashid F, Patsalis P, Erbel R, Jakob HG, Thielmann M. 236 * COMPARISON BETWEEN DIFFERENT RISK SCORING ALGORITHMS IN ISOLATED CONVENTIONAL OR TRANSCATHETER AORTIC VALVE REPLACEMENT. Interact Cardiovasc Thorac Surg 2013. [DOI: 10.1093/icvts/ivt372.236] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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