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Attmann T, Pardun E, Jussli-Melchers J, Grothusen C, Jung O, Fischer G, Cremer J, Kramer HH, Scheewe J. Modification of the Norwood procedure: Early experience with patch enlargement of the left pulmonary artery. Thorac Cardiovasc Surg 2014. [DOI: 10.1055/s-0034-1367185] [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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77
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Haneya A, Jussli-Melchers J, Berndt R, Tautorat I, Schmidt K, Schoeneich F, Rahimi A, Grothusen C, Schöttler J, Cremer J. Outcome and quality of life following surgery for acute type A aortic dissection in the elderly: A single center experience. Thorac Cardiovasc Surg 2014. [DOI: 10.1055/s-0034-1367157] [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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78
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Grothusen C, Thiem A, Engler A, Matz K, Schöttler J, Cremer J, Attmann T. Short-term outcome after surgical embolectomy in pulmonary embolism: A single-center experience. Thorac Cardiovasc Surg 2014. [DOI: 10.1055/s-0034-1367425] [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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79
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Thiem A, Ernst K, Kowalski A, Hoffmann G, Haneya A, Schoeneich F, Cremer J, Schöttler J. Effects on antiarrhythmic and anticoagulation therapy after concomitant epicardial left atrial ablation procedure - one year results. Thorac Cardiovasc Surg 2014. [DOI: 10.1055/s-0034-1367439] [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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80
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Pokorny S, Bähr T, Huenges K, Engel A, Marczynski-Bühlow M, Morlock M, Cremer J, Lutter G. In vivo force measurement on apically fixated mitral valved stents. Thorac Cardiovasc Surg 2014. [DOI: 10.1055/s-0034-1367460] [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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81
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Huenges K, Pokorny S, Bähr T, Bax L, Marczynski-Bühlow M, Hansen J, Fischer G, Cremer J, Lutter G. Transcatheter off-pump mitral valved stent implantation: Enhanced survival and decreased paravalvular leakages. Thorac Cardiovasc Surg 2014. [DOI: 10.1055/s-0034-1367180] [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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82
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Hoffmann G, Barrabas M, Fraund-Cremer S, Petzina R, Haneya A, Cremer J. MIDCAB: a safe option in high risk patients. Thorac Cardiovasc Surg 2014. [DOI: 10.1055/s-0034-1367215] [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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83
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Attmann T, Grothusen C, Reinsdorf A, Schöttler J, Haneya A, Lutter G, Cremer J. Use of the eSVS mesh during CABG: Computed tomographic evaluation after 6 months. Thorac Cardiovasc Surg 2014. [DOI: 10.1055/s-0034-1367303] [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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84
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Petzina R, Buerbaum B, Hoffmann G, Renner J, Frank D, Frey N, Cremer J, Lutter G. The transaortic approach for TAVI - first results. Thorac Cardiovasc Surg 2014. [DOI: 10.1055/s-0034-1367344] [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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85
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Pokorny S, Huenges K, Bähr T, Bax L, Marczynski-Bühlow M, Morlock M, Cremer J, Lutter G. Off-pump mitral valved stent implantation: A 3D-transesophageal echocardiographic based comparison of apical and sub-annular fixation techniques. Thorac Cardiovasc Surg 2014. [DOI: 10.1055/s-0034-1367177] [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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86
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Grothusen C, Friedrich C, Ulbricht U, Attmann T, Haneya A, Cremer J, Schöttler J. Short-term outcome after operative myocardial revascularization in patients with acute myocardial infarction and cardiogenic shock. Thorac Cardiovasc Surg 2014. [DOI: 10.1055/s-0034-1367213] [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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87
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Petzina R, Frank D, Renner J, Frey N, Cremer J, Lutter G. The transaortic approach for TAVI - How we do it (video presentation). Thorac Cardiovasc Surg 2014. [DOI: 10.1055/s-0034-1367466] [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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88
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Haneya A, Jussli-Melchers J, Eckmann S, Berndt R, Thiem A, Hoffmann G, Schöttler J, Cremer J. Outcome of total arterial versus conventional myocardial revascularization in the elderly: a single center experience. Thorac Cardiovasc Surg 2014. [DOI: 10.1055/s-0034-1367217] [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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89
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Beckmann A, Beyersdorf F, Diegeler A, Mohr FW, Welz A, Rein JG, Cremer J. [Basic standards for a department of cardiac surgery. Quality requirements for the care of cardiac patients in connection with operations on the heart, the heart vessels and thoracic organ transplantation]. Thorac Cardiovasc Surg 2013; 61:651-5. [PMID: 24072516 DOI: 10.1055/s-0033-1357260] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Current evolutions and substantial amendments of the German health care system in combination with distinguished progress in cardiac surgery over the past years require both a reflection of principles in patient-centered care and an update of basic standard requirements for a department of cardiac surgery in Germany. In due consideration of the data from the voluntary registry of the German Society for Thoracic and Cardiovascular Surgery, this article accurately defines core requirements for a cardiac surgical department (cardiac surgery on-site), subdivided into facilities, staff and processes. If based on these standards, one may anticipate that cardiac surgical care is performed under appropriate conditions leading to an intrinsic benefit for patients.
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Hamm CW, Möllmann H, Holzhey D, Beckmann A, Veit C, Figulla HR, Cremer J, Kuck KH, Lange R, Zahn R, Sack S, Schuler G, Walther T, Beyersdorf F, Böhm M, Heusch G, Funkat AK, Meinertz T, Neumann T, Papoutsis K, Schneider S, Welz A, Mohr FW. The German Aortic Valve Registry (GARY): in-hospital outcome. Eur Heart J 2013; 35:1588-98. [PMID: 24022003 PMCID: PMC4065384 DOI: 10.1093/eurheartj/eht381] [Citation(s) in RCA: 251] [Impact Index Per Article: 22.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/22/2022] Open
Abstract
BACKGROUND Aortic stenosis is a frequent valvular disease especially in elderly patients. Catheter-based valve implantation has emerged as a valuable treatment approach for these patients being either at very high risk for conventional surgery or even deemed inoperable. The German Aortic Valve Registry (GARY) provides data on conventional and catheter-based aortic procedures on an all-comers basis. METHODS AND RESULTS A total of 13 860 consecutive patients undergoing repair for aortic valve disease [conventional surgery and transvascular (TV) or transapical (TA) catheter-based techniques] have been enrolled in this registry during 2011 and baseline, procedural, and outcome data have been acquired. The registry summarizes the results of 6523 conventional aortic valve replacements without (AVR) and 3464 with concomitant coronary bypass surgery (AVR + CABG) as well as 2695 TV AVI and 1181 TA interventions (TA AVI). Patients undergoing catheter-based techniques were significantly older and had higher risk profiles. The stroke rate was low in all groups with 1.3% (AVR), 1.9% (AVR + CABG), 1.7% (TV AVI), and 2.3% (TA AVI). The in-hospital mortality was 2.1% (AVR) and 4.5% (AVR + CABG) for patients undergoing conventional surgery, and 5.1% (TV AVI) and AVI 7.7% (TA AVI). CONCLUSION The in-hospital outcome results of this registry show that conventional surgery yields excellent results in all risk groups and that catheter-based aortic valve replacements is an alternative to conventional surgery in high risk and elderly patients.
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Hahné S, van Houdt R, Koedijk F, van Ballegooijen M, Cremer J, Bruisten S, Coutinho R, Boot H. Selective hepatitis B virus vaccination has reduced hepatitis B virus transmission in the Netherlands. PLoS One 2013; 8:e67866. [PMID: 23922651 PMCID: PMC3726692 DOI: 10.1371/journal.pone.0067866] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2013] [Accepted: 05/22/2013] [Indexed: 12/14/2022] Open
Abstract
BACKGROUND & AIMS In the Netherlands, a selective hepatitis B virus (HBV) vaccination programme started in 2002 for men having sex with men, drug users, commercial sex workers and heterosexuals with frequent partner changes. We assessed the programme's effectiveness to guide policy on HBV prevention. METHODS We analysed reports of acute HBV infection in the Netherlands between 2004 and 2010 requesting serum from patients for HBV-genome S- and C-region sequencing. We used coalescence analyses to assess genetic diversity of nonimported genotype-A cases over time. RESULTS 1687 patients with acute HBV infection were reported between 2004 and 2010. The incidence of reported acute HBV infection decreased from 1.8 to 1.2 per 100,000 inhabitants, mostly due to a reduction in the number of cases in men who have sex with men. Men were overrepresented among cases with an unknown route of transmission, especially among genotype A2 cases mainly associated with transmission through male homosexual contact. The genetic diversity of nonimported genotype-A strains obtained from men who have sex with men decreased from 2006 onwards, suggesting HBV incidence in this group decreased. CONCLUSIONS The selective HBV-vaccination programme for behavioural high-risk groups very likely reduced the incidence of HBV infection in the Netherlands mainly by preventing HBV infections in men who have sex with men. A considerable proportion of cases in men who did not report risk behaviour was probably acquired through homosexual contact. Our findings support continuation of the programme, and adopting similar approaches in other countries where HBV transmission is focused in high-risk adults.
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Hoffmann G, Schöttler J, Cremer J. Gerüsttragende Bioprothesen in Aortenposition. ZEITSCHRIFT FUR HERZ THORAX UND GEFASSCHIRURGIE 2013. [DOI: 10.1007/s00398-013-1012-4] [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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93
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Cremer J. Aortenklappe in Bewegung. ZEITSCHRIFT FUR HERZ THORAX UND GEFASSCHIRURGIE 2013. [DOI: 10.1007/s00398-012-0996-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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94
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Pokorny S, Hettich H, Bähr T, Dai HD, Marczynski-Bühlow M, Sattler B, Cremer J, Lutter G. Transapical mitral valved stent implantation: Computed tomographic comparison. Thorac Cardiovasc Surg 2013. [DOI: 10.1055/s-0032-1332410] [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]
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95
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Dai H, Marczynski-Bühlow M, Sarrahs B, Metzner A, Cremer J, Lutter G. Percutaneous mitral valved stent implantation: First in vitro prototype testing. Thorac Cardiovasc Surg 2013. [DOI: 10.1055/s-0032-1332352] [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]
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96
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Petzina R, Frank D, Bierbach B, Ernst M, Weißbrodt A, Stark S, Frey N, Lutter G, Cremer J. Cumulative complication rate in 111 consecutive patients treated by TAVI. Thorac Cardiovasc Surg 2013. [DOI: 10.1055/s-0032-1332528] [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]
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97
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Schöttler J, Grothusen C, Attmann T, Friedrich C, Freitag-Wolf S, Haake N, Cremer J. Interacting risk factors determine the outcome of patients with a prolonged intensive care unit stay after cardiac surgery. Thorac Cardiovasc Surg 2013. [DOI: 10.1055/s-0032-1332731] [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]
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98
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Huenges K, Pokorny S, Bähr T, Bönke F, Dai HD, Cremer J, Lutter G. Off-pump mitral valved stent implantation guided by Real-Time 3D-Transesophageal Echocardiography. Thorac Cardiovasc Surg 2013. [DOI: 10.1055/s-0032-1332521] [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]
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99
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Schöttler J, Friedrich C, Osberghaus C, Grothusen C, Attmann T, Schoeneich F, Cremer J. Factors determining short term outcome after early coronary artery bypass grafting in acute myocardial infarction. Thorac Cardiovasc Surg 2013. [DOI: 10.1055/s-0032-1332677] [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]
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100
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Ernst M, Reinecke A, vd Brelie M, Cremer J, Haake N. ICU after heart surgery-back and forth again – a single center experience -. Thorac Cardiovasc Surg 2013. [DOI: 10.1055/s-0032-1332730] [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]
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