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Schlachtenberger G, Dörr F, Menghesha H, Heldwein M, Woestmann D, Gaisendrees C, Wahlers T, Hekmat K. Safety and Efficacy of the Coaxial Drain after Lobectomy: A Randomized Controlled Trial. Thorac Cardiovasc Surg 2022. [DOI: 10.1055/s-0042-1742896] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
| | - F. Dörr
- University Hospital of Cologne, Köln, Deutschland
| | - H. Menghesha
- University Hospital of Cologne, Köln, Deutschland
| | - M. Heldwein
- University Hospital of Cologne, Cologne, Deutschland
| | | | | | - T. Wahlers
- University Hospital of Cologne, Cologne, Deutschland
| | - K. Hekmat
- University Hospital of Cologne, Cologne, Deutschland
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2
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Dörr F, Menghesha H, Schlachtenberger G, Heldwein M, Wahlers T, Hekmat K. Small Cell Lung Cancer Surgery: The New Old Way. Thorac Cardiovasc Surg 2022. [DOI: 10.1055/s-0042-1742829] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- F. Dörr
- University Hospital of Cologne, Köln, Deutschland
| | - H. Menghesha
- University Hospital of Cologne, Köln, Deutschland
| | | | - M. Heldwein
- University Hospital of Cologne, Cologne, Deutschland
| | - T. Wahlers
- University Hospital of Cologne, Cologne, Deutschland
| | - K. Hekmat
- University Hospital of Cologne, Cologne, Deutschland
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Dörr F, Giese A, Menghesha H, Schlachtenberger G, Heldwein M, Wahlers T, Hekmat K. New Smartphone Scoring App Precisely Predicts the Dignity of Pulmonary Nodules. Thorac Cardiovasc Surg 2022. [DOI: 10.1055/s-0042-1742897] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- F. Dörr
- University Hospital of Cologne, Köln, Deutschland
| | - A. Giese
- University Hospital of Cologne, Cologne, Deutschland
| | - H. Menghesha
- University Hospital of Cologne, Köln, Deutschland
| | | | - M. Heldwein
- University Hospital of Cologne, Cologne, Deutschland
| | - T. Wahlers
- University Hospital of Cologne, Cologne, Deutschland
| | - K. Hekmat
- University Hospital of Cologne, Cologne, Deutschland
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Menghesha H, Heldwein M, Dörr F, Schlachtenberger G, Wahlers T, Hekmat K. Blood Vessel Invasion: An Underestimated Factor in Determination of Adjuvant Therapy for NSCLC Patients. Thorac Cardiovasc Surg 2022. [DOI: 10.1055/s-0042-1742828] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- H. Menghesha
- University Hospital of Cologne, Köln, Deutschland
| | - M. Heldwein
- University Hospital of Cologne, Cologne, Deutschland
| | - F. Dörr
- University Hospital of Cologne, Köln, Deutschland
| | | | - T. Wahlers
- University Hospital of Cologne, Cologne, Deutschland
| | - K. Hekmat
- University Hospital of Cologne, Cologne, Deutschland
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Schlachtenberger G, Dörr F, Menghesha H, Hagmeyer L, Wahlers T, Hekmat K, Heldwein M. Sublobar Resection without Staging and Lymphadenectomy for Nodules <2 cm Is No Adequate Therapy for Patients with Non-Small Cell Lung Cancer. Thorac Cardiovasc Surg 2022. [DOI: 10.1055/s-0042-1742830] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
| | - F. Dörr
- University Hospital of Cologne, Köln, Deutschland
| | - H. Menghesha
- University Hospital of Cologne, Köln, Deutschland
| | - L. Hagmeyer
- Hospital Bethanien Solingen, Solingen, Deutschland
| | - T. Wahlers
- University Hospital of Cologne, Cologne, Deutschland
| | - K. Hekmat
- University Hospital of Cologne, Cologne, Deutschland
| | - M. Heldwein
- University Hospital of Cologne, Cologne, Deutschland
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6
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Liakopoulos OJ, Schlachtenberger G, Wendt D, Choi YH, Slottosch I, Welp H, Schiller W, Martens S, Welz A, Neuhäuser M, Jakob H, Wahlers T, Thielmann M. Early Clinical Outcomes of Surgical Myocardial Revascularization for Acute Coronary Syndromes Complicated by Cardiogenic Shock: A Report From the North-Rhine-Westphalia Surgical Myocardial Infarction Registry. J Am Heart Assoc 2020; 8:e012049. [PMID: 31070076 PMCID: PMC6585325 DOI: 10.1161/jaha.119.012049] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Abstract
Background Coronary artery bypass grafting for acute coronary syndrome complicated by cardiogenic shock (CS) is associated with a high mortality. This registry study aimed to distinguish between early surgical outcomes of CS patients with non–ST‐segment–elevation myocardial infarction (NSTEMI) and ST‐segment–elevation myocardial infarction (STEMI). Methods and Results Patients with NSTEMI (n=1218) or STEMI (n=618) referred for coronary artery bypass grafting were enrolled in a prospective multicenter registry between 2010 and 2017. CS was present in 227 NSTEMI (18.6%) and 243 STEMI patients (39.3%). Key clinical end points were in‐hospital mortality (IHM) and major adverse cardiocerebral events (MACCEs). Predictors for IHM and MACCEs were identified using multivariable logistic regression analysis. STEMI patients with CS were younger, had a lower prevalence of diabetes mellitus and multivessel disease, and exhibited higher myocardial injury (troponin 9±17 versus 3±6 ng/mL) before surgery compared with patients with NSTEMI (P<0.05). Emergency coronary artery bypass grafting was performed more often in STEMI (58%) versus NSTEMI (40%; P=0.002). On‐pump surgery with cardioplegia was the preferred surgical technique in CS. IHM and MACCE rates were 24% and 49% in STEMI patients with CS and were higher compared with NSTEMI (IHM 15% versus MACCE 34%; P<0.001). Predictors for IHM and MACCE in CS were a reduced ejection fraction and a higher European System for Cardiac Operative Risk Evaluation score. Conclusions Surgical revascularization in NSTEMI and STEMI patients with CS is associated with a substantial but not prohibitive IHM and MACCE rate. Worse early outcomes were found for patients with STEMI complicated by CS compared with NSTEMI patients.
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Affiliation(s)
- Oliver J Liakopoulos
- 1 Department of Cardiothoracic Surgery Heart Center of the University Hospital of Cologne Germany
| | - G Schlachtenberger
- 1 Department of Cardiothoracic Surgery Heart Center of the University Hospital of Cologne Germany
| | - Daniel Wendt
- 2 Department of Thoracic and Cardiovascular Surgery West German Heart Center University of Duisburg-Essen Essen Germany
| | - Yeong-Hoon Choi
- 1 Department of Cardiothoracic Surgery Heart Center of the University Hospital of Cologne Germany
| | - Ingo Slottosch
- 1 Department of Cardiothoracic Surgery Heart Center of the University Hospital of Cologne Germany
| | - Henryk Welp
- 4 Department of Cardiac Surgery University Hospital Münster Münster Germany
| | | | - Sven Martens
- 4 Department of Cardiac Surgery University Hospital Münster Münster Germany
| | - Armin Welz
- 5 Department of Cardiac Surgery University of Bonn Germany
| | - Markus Neuhäuser
- 3 Institute of Medical Computer Science, Biometry and Epidemiology University of Duisburg-Essen Essen Germany.,6 Department of Mathematics and Technique Koblenz University of Applied Science Remagen Germany
| | - Heinz Jakob
- 2 Department of Thoracic and Cardiovascular Surgery West German Heart Center University of Duisburg-Essen Essen Germany
| | - Thorsten Wahlers
- 1 Department of Cardiothoracic Surgery Heart Center of the University Hospital of Cologne Germany
| | - Matthias Thielmann
- 2 Department of Thoracic and Cardiovascular Surgery West German Heart Center University of Duisburg-Essen Essen Germany
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Abstract
The optimal surgical reconstruction of chest wall defects especially in the context of posttraumatic, oncological and congenital etiologies has a large impact on the recovery of the patients. Regardless of the etiology, various complications, such as a generally impaired respiratory physiology in an unstable thorax or decreased pulmonary clearance associated with acute and chronic pulmonary infections, may impair the recovery of affected patients. The postoperative occurrence of an intrathoracic dead space may lead to a difficult to treat empyema. Each thoracic wall defect must be accurately assessed and treated according to size, depth and location on the chest. The complexity of this condition and the resulting complications require the highest degree of surgical care which should be interdisciplinary both preoperatively and postoperatively.
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Affiliation(s)
- M Heldwein
- Klinik für Herz und Thoraxchirurgie, Uniklinik Köln, Universität zu Köln, Kerpener Str. 62, 50937, Köln, Deutschland
| | - F Doerr
- Klinik für Herz und Thoraxchirurgie, Uniklinik Köln, Universität zu Köln, Kerpener Str. 62, 50937, Köln, Deutschland
| | - G Schlachtenberger
- Klinik für Herz und Thoraxchirurgie, Uniklinik Köln, Universität zu Köln, Kerpener Str. 62, 50937, Köln, Deutschland
| | - K Hekmat
- Klinik für Herz und Thoraxchirurgie, Uniklinik Köln, Universität zu Köln, Kerpener Str. 62, 50937, Köln, Deutschland.
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Djordjevic I, Eghbalzadeh K, Heinen S, Schlachtenberger G, Weber C, Sabashnikov A, Mader N, Choi YH, Liakopoulos O, Wahlers T. Risk Factors Associated with In-hospital Mortality for Patients with Acute Abdomen after Cardiac Surgery. Thorac Cardiovasc Surg 2019. [DOI: 10.1055/s-0039-1678849] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- I. Djordjevic
- Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany
| | - K. Eghbalzadeh
- Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany
| | - S. Heinen
- Department of Cardiac Surgery, INCCI Heart Center, Luxembourg, Luxembourg
| | - G. Schlachtenberger
- Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany
| | - C. Weber
- Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany
| | - A. Sabashnikov
- Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany
| | - N. Mader
- Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany
| | - Y.-H. Choi
- Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany
| | - O. Liakopoulos
- Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany
| | - T. Wahlers
- Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany
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Braun I, Deppe A, Weber C, Mihaylova M, Paunel-Görgülü A, Schlachtenberger G, Gerfer S, Djordjevic I, Choi Y, Wahlers T. Limitation of Circulating cfDNA Under the Use of a Cytokine Elimination Adsorber (CytoSorb) in Cardiac Surgery. Thorac Cardiovasc Surg 2018. [DOI: 10.1055/s-0038-1628092] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- I. Braun
- Department of Cardiothoracic Surgery, University of Cologne, Cologne, Germany
| | - A. Deppe
- Department of Cardiothoracic Surgery, University of Cologne, Cologne, Germany
| | - C. Weber
- Department of Cardiothoracic Surgery, University of Cologne, Cologne, Germany
| | - M. Mihaylova
- Department of Cardiothoracic Surgery, University of Cologne, Cologne, Germany
| | - A. Paunel-Görgülü
- Department of Cardiothoracic Surgery, University of Cologne, Cologne, Germany
| | - G. Schlachtenberger
- Department of Cardiothoracic Surgery, University of Cologne, Cologne, Germany
| | - S. Gerfer
- Department of Cardiothoracic Surgery, University of Cologne, Cologne, Germany
| | - I. Djordjevic
- Department of Cardiothoracic Surgery, University of Cologne, Cologne, Germany
| | - Y. Choi
- Department of Cardiothoracic Surgery, University of Cologne, Cologne, Germany
| | - T. Wahlers
- Department of Cardiothoracic Surgery, University of Cologne, Cologne, Germany
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Gerfer S, Liakopoulos O, Mauri V, Schlachtenberger G, Choi Y, Rudolph T, Madershahian N, Wahlers T. Rapid Deployment Aortic Valve Replacement versus Transcatheter Aortic Valve Replacement: A Comparison of Two Self-expanding and Stented Aortic Bio-prostheses. Thorac Cardiovasc Surg 2018. [DOI: 10.1055/s-0038-1628114] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- S. Gerfer
- Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, Germany
| | - O. Liakopoulos
- Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, Germany
| | - V. Mauri
- Department of Cardiology, Heart Center, University Hospital of Cologne, Cologne, Germany
| | - G. Schlachtenberger
- Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, Germany
| | - Y. Choi
- Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, Germany
| | - T. Rudolph
- Department of Cardiology, Heart Center, University Hospital of Cologne, Cologne, Germany
| | - N. Madershahian
- Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, Germany
| | - T. Wahlers
- Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, Germany
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Wacker M, Slottosch I, Scherner M, Wendt S, Schlachtenberger G, Wahlers T, Wippermann J. Dealing with Sternal Wound Healing Disorders after Cardiac Surgery: Bacterial Spectrum and Implications for Antibiotic Therapy. Thorac Cardiovasc Surg 2018. [DOI: 10.1055/s-0038-1627932] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- M. Wacker
- Klinik für Herz- und Thoraxchirurgie, Uniklinik Magdeburg, Magdeburg, Germany
| | - I. Slottosch
- Klinik für Herz- und Thoraxchirurgie, Uniklinik Magdeburg, Magdeburg, Germany
| | - M. Scherner
- Klinik für Herz- und Thoraxchirurgie, Uniklinik Magdeburg, Magdeburg, Germany
| | - S. Wendt
- Klinik für Herz- und Thoraxchirurgie, Uniklinik Köln, Köln, Germany
| | | | - T. Wahlers
- Klinik für Herz- und Thoraxchirurgie, Uniklinik Köln, Köln, Germany
| | - J. Wippermann
- Klinik für Herz- und Thoraxchirurgie, Uniklinik Magdeburg, Magdeburg, Germany
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Schlachtenberger G, Liakopoulos O, Siskos D, Gerfer S, Braun I, Deppe A, Slottosch I, Wahlers T. Differences of the Treatment of Acute NSTEMI and STEMI. Thorac Cardiovasc Surg 2018. [DOI: 10.1055/s-0038-1627488] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
| | - O. Liakopoulos
- Department of Cardiothoracic Surgery, Uniklinik Köln, Cologne, Germany
| | - D. Siskos
- Department of Cardiothoracic Surgery, Uniklinik Köln, Cologne, Germany
| | - S. Gerfer
- Department of Cardiothoracic Surgery, Uniklinik Köln, Cologne, Germany
| | - I. Braun
- Department of Cardiothoracic Surgery, Uniklinik Köln, Cologne, Germany
| | - A. Deppe
- Department of Cardiothoracic Surgery, Uniklinik Köln, Cologne, Germany
| | - I. Slottosch
- Department of Cardiothoracic Surgery, Otto-von-Guericke Universität Magdeburg, Magdeburg, Germany
| | - T. Wahlers
- Department of Cardiothoracic Surgery, Uniklinik Köln, Cologne, Germany
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13
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Schlachtenberger G, Liakopoulos O, Siskos D, Gerfer S, Braun I, Deppe A, Slottosch I, Wahlers T. Clinical Outcomes of Patients Undergoing Urgent Surgical Revascularization for Acute Coronary Syndrome. Thorac Cardiovasc Surg 2018. [DOI: 10.1055/s-0038-1627484] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
| | - O. Liakopoulos
- Department of Cardiothoracic Surgery, Uniklinik Köln, Cologne, Germany
| | - D. Siskos
- Department of Cardiothoracic Surgery, Uniklinik Köln, Cologne, Germany
| | - S. Gerfer
- Department of Cardiothoracic Surgery, Uniklinik Köln, Cologne, Germany
| | - I. Braun
- Department of Cardiothoracic Surgery, Uniklinik Köln, Cologne, Germany
| | - A. Deppe
- Department of Cardiothoracic Surgery, Uniklinik Köln, Cologne, Germany
| | - I. Slottosch
- Department of Cardiothoracic Surgery, Otto-von-Guericke Universität Magdeburg, Magdeburg, Germany
| | - T. Wahlers
- Department of Cardiothoracic Surgery, Uniklinik Köln, Cologne, Germany
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