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Veluswamy P, Wippermann J, Wacker M. Feeding the vasculature with cruciferous vegetables: a secret for organ protection. Signal Transduct Target Ther 2024; 9:36. [PMID: 38388453 PMCID: PMC10884009 DOI: 10.1038/s41392-024-01747-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2023] [Revised: 01/08/2024] [Accepted: 01/14/2024] [Indexed: 02/24/2024] Open
Affiliation(s)
- Priya Veluswamy
- Heart Surgery Research, Department of Cardiothoracic Surgery, Otto-von-Guericke University Hospital, Magdeburg, Germany.
| | - Jens Wippermann
- Heart Surgery Research, Department of Cardiothoracic Surgery, Otto-von-Guericke University Hospital, Magdeburg, Germany
| | - Max Wacker
- Heart Surgery Research, Department of Cardiothoracic Surgery, Otto-von-Guericke University Hospital, Magdeburg, Germany
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Hülsmann J, Fraune T, Dodawatta B, Reuter F, Beutner M, Beck V, Hackert-Oschätzchen M, Ohl CD, Bettenbrock K, Janiga G, Wippermann J, Wacker M. Integrated biophysical matching of bacterial nanocellulose coronary artery bypass grafts towards bioinspired artery typical functions. Sci Rep 2023; 13:18274. [PMID: 37880281 PMCID: PMC10600183 DOI: 10.1038/s41598-023-45451-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2022] [Accepted: 10/19/2023] [Indexed: 10/27/2023] Open
Abstract
Revascularization via coronary artery bypass grafting (CABG) to treat cardiovascular disease is established as one of the most important lifesaving surgical techniques worldwide. But the shortage in functionally self-adaptive autologous arteries leads to circumstances where the clinical reality must deal with fighting pathologies coming from the mismatching biophysical functionality of more available venous grafts. Synthetic biomaterial-based CABG grafts did not make it to the market yet, what is mostly due to technical hurdles in matching biophysical properties to the complex demands of the CABG niche. But bacterial Nanocellulose (BNC) Hydrogels derived by growing biofilms hold a naturally integrative character in function-giving properties by its freedom in designing form and intrinsic fiber architecture. In this study we use this integral to combine impacts on the luminal fiber matrix, biomechanical properties and the reciprocal stimulation of microtopography and induced flow patterns, to investigate biomimetic and artificial designs on their bio-functional effects. Therefore, we produced tubular BNC-hydrogels at distinctive designs, characterized the structural and biomechanical properties and subjected them to in vitro endothelial colonization in bioreactor assisted perfusion cultivation. Results showed clearly improved functional properties and gave an indication of successfully realized stimulation by artery-typical helical flow patterns.
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Affiliation(s)
- Jörn Hülsmann
- Department for Cardiac Surgery, Medical Faculty, Otto von Guericke University, Magdeburg, Germany.
| | - Theresa Fraune
- Department for Cardiac Surgery, Medical Faculty, Otto von Guericke University, Magdeburg, Germany
| | - Baratha Dodawatta
- Laboratory of Fluid Dynamics and Technical Flows, Otto von Guericke University, Magdeburg, Germany
| | - Fabian Reuter
- Department Soft Matter, Otto von Guericke University, Magdeburg, Germany
| | - Martin Beutner
- Chair of Manufacturing Technology with Focus Machining, Institute of Manufacturing Technology and Quality Management, Otto von Guericke University, Magdeburg, Germany
| | - Viktoria Beck
- Department for Cardiac Surgery, Medical Faculty, Otto von Guericke University, Magdeburg, Germany
| | - Matthias Hackert-Oschätzchen
- Chair of Manufacturing Technology with Focus Machining, Institute of Manufacturing Technology and Quality Management, Otto von Guericke University, Magdeburg, Germany
| | - Claus Dieter Ohl
- Department Soft Matter, Otto von Guericke University, Magdeburg, Germany
| | - Katja Bettenbrock
- Max Plank Institute for Dynamics of Complex Technical Systems, Magdeburg, Germany
| | - Gabor Janiga
- Laboratory of Fluid Dynamics and Technical Flows, Otto von Guericke University, Magdeburg, Germany
| | - Jens Wippermann
- Department for Cardiac Surgery, Medical Faculty, Otto von Guericke University, Magdeburg, Germany
| | - Max Wacker
- Department for Cardiac Surgery, Medical Faculty, Otto von Guericke University, Magdeburg, Germany
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Wacker M, Gottschling S, Schmeißer A. ALCAPA Syndrome in Adulthood-a Rare Coronary Anomaly. Dtsch Arztebl Int 2023; 120:562. [PMID: 37732598 PMCID: PMC10546879 DOI: 10.3238/arztebl.m2023.0060] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/22/2023]
Affiliation(s)
- Max Wacker
- Klinik für Herz- und Thoraxchirurgie, Universitätsklinikum Magdeburg,
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Wacker M, Ball A, Beer HD, Schmitz I, Borucki K, Azizzadeh F, Scherner M, Awad G, Wippermann J, Veluswamy P. Immunophenotyping of Monocyte Migration Markers and Therapeutic Effects of Selenium on IL-6 and IL-1β Cytokine Axes of Blood Mononuclear Cells in Preoperative and Postoperative Coronary Artery Disease Patients. Int J Mol Sci 2023; 24:7198. [PMID: 37108367 PMCID: PMC10139122 DOI: 10.3390/ijms24087198] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2023] [Revised: 04/05/2023] [Accepted: 04/07/2023] [Indexed: 04/29/2023] Open
Abstract
Multivessel coronary artery disease (CAD) is characterized by underlying chronic vascular inflammation and occlusion in the coronary arteries, where these patients undergo coronary artery bypass grafting (CABG). Since post-cardiotomy inflammation is a well known phenomenon after CABG, attenuation of this inflammation is required to reduce perioperative morbidity and mortality. In this study, we aimed to phenotype circulating frequencies and intensities of monocyte subsets and monocyte migration markers, respectively, and to investigate the plasma level of inflammatory cytokines and chemokines between preoperative and postoperative CAD patients and later, to intervene the inflammation with sodium selenite. We found a higher amplitude of inflammation, postoperatively, in terms of CCR1high monocytes and significantly increased pro-inflammatory cytokines, IL-6, IL-8, and IL-1RA. Further, in vitro intervention with selenium displayed mitigating effects on the IL-6/STAT-3 axis of mononuclear cells derived from postoperative CAD patients. In addition, in vitro selenium intervention significantly reduced IL-1β production as well as decreased cleaved caspase-1 (p20) activity by preoperative (when stimulated) as well as postoperative CAD mononuclear cells. Though TNF-α exhibited a positive correlation with blood troponin levels in postoperative CAD patients, there was no obvious effect of selenium on the TNF-α/NF-κB axis. In conclusion, anti-inflammatory selenium might be utilized to impede systemic inflammatory cytokine axes to circumvent aggravating atherosclerosis and further damage to the autologous bypass grafts during the post-surgical period.
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Affiliation(s)
- Max Wacker
- Heart Surgery Research, Department of Cardiothoracic Surgery, Otto-von-Guericke University Hospital, Leipziger Straße 44, 39120 Magdeburg, Germany; (M.W.); (A.B.); (F.A.); (M.S.); (G.A.); (J.W.)
| | - Anna Ball
- Heart Surgery Research, Department of Cardiothoracic Surgery, Otto-von-Guericke University Hospital, Leipziger Straße 44, 39120 Magdeburg, Germany; (M.W.); (A.B.); (F.A.); (M.S.); (G.A.); (J.W.)
| | - Hans-Dietmar Beer
- Department of Dermatology, University Hospital Zurich, CH-8952 Schlieren, Switzerland;
| | - Ingo Schmitz
- Department of Molecular Immunology, Medical Faculty of Ruhr-University Bochum, 44801 Bochum, Germany;
| | - Katrin Borucki
- Institute of Clinical Chemistry and Pathobiochemistry, Otto-von-Guericke University, 39120 Magdeburg, Germany;
| | - Faranak Azizzadeh
- Heart Surgery Research, Department of Cardiothoracic Surgery, Otto-von-Guericke University Hospital, Leipziger Straße 44, 39120 Magdeburg, Germany; (M.W.); (A.B.); (F.A.); (M.S.); (G.A.); (J.W.)
| | - Maximilian Scherner
- Heart Surgery Research, Department of Cardiothoracic Surgery, Otto-von-Guericke University Hospital, Leipziger Straße 44, 39120 Magdeburg, Germany; (M.W.); (A.B.); (F.A.); (M.S.); (G.A.); (J.W.)
| | - George Awad
- Heart Surgery Research, Department of Cardiothoracic Surgery, Otto-von-Guericke University Hospital, Leipziger Straße 44, 39120 Magdeburg, Germany; (M.W.); (A.B.); (F.A.); (M.S.); (G.A.); (J.W.)
| | - Jens Wippermann
- Heart Surgery Research, Department of Cardiothoracic Surgery, Otto-von-Guericke University Hospital, Leipziger Straße 44, 39120 Magdeburg, Germany; (M.W.); (A.B.); (F.A.); (M.S.); (G.A.); (J.W.)
| | - Priya Veluswamy
- Heart Surgery Research, Department of Cardiothoracic Surgery, Otto-von-Guericke University Hospital, Leipziger Straße 44, 39120 Magdeburg, Germany; (M.W.); (A.B.); (F.A.); (M.S.); (G.A.); (J.W.)
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Awad G, Pohl R, Darius S, Thielmann B, Varghese S, Wacker M, Schmidt H, Wippermann J, Scherner M, Böckelmann I. Activation of the stress response among the cardiac surgical residents: comparison of teaching procedures and other (daily) medical activities. J Cardiothorac Surg 2022; 17:112. [PMID: 35545777 PMCID: PMC9092698 DOI: 10.1186/s13019-022-01873-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2021] [Accepted: 04/30/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The aim of this Pilot study was to investigate the cardiac surgical residents' workload during different surgical teaching interventions and to compare their stress levels with other working time spent in the intensive care unit or normal ward. METHODS The objective stress was assessed using two cardiac surgical residents' heart rate variability (HRV) both during surgical activities (32 selected teaching operations (coronary artery bypass graft n = 26 and transcatheter aortic valve implantation n = 6), and during non-surgical periods. Heart rate, time and frequency domains as well as non-linear parameters were analyzed using the Wilcoxon test. RESULTS The parasympathetic activity was significantly reduced during the surgical phase, compared to the non-surgical phase: Mean RR (675.7 ms vs. 777.3 ms), RMSSD (23.1 ms vs. 34.0 ms) and pNN50 (4.7% vs. 10.6%). This indicates that the residents had a higher stress level during surgical activities in comparison to the non-surgical times. The evaluation of the Stress Index during the operations and outside the operating room (8.07 vs. 10.6) and the parasympathetic nervous system index (- 1.75 to - 0.91) as well as the sympathetic nervous system index (1.84 vs. 0.65) confirm the higher stress level during surgery. This can be seen too used the FFT Analysis with higher intraoperative LF/HF ratio (6.7 vs. 3.8). CONCLUSION HRV proved to be a good, objective method of identifying stress among physicians both in and outside the operating room. Our results show that residents are exposed to high psychological workloads during surgical activities, especially as the operating surgeon.
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Affiliation(s)
- George Awad
- Department of Cardiothoracic Surgery, Otto-von-Guericke University Magdeburg, Leipziger Strasse 44, 39120, Magdeburg, Germany.
| | - Robert Pohl
- Department of Occupational Medicine, Otto-von-Guericke University Magdeburg, Magdeburg, Germany
| | - Sabine Darius
- Department of Occupational Medicine, Otto-von-Guericke University Magdeburg, Magdeburg, Germany
| | - Beatrice Thielmann
- Department of Occupational Medicine, Otto-von-Guericke University Magdeburg, Magdeburg, Germany
| | - Sam Varghese
- Department of Cardiothoracic Surgery, Otto-von-Guericke University Magdeburg, Leipziger Strasse 44, 39120, Magdeburg, Germany
| | - Max Wacker
- Department of Cardiothoracic Surgery, Otto-von-Guericke University Magdeburg, Leipziger Strasse 44, 39120, Magdeburg, Germany
| | - Hendrik Schmidt
- Clinic for Cardiology and Diabetology, Magdeburg Clinic, Magdeburg, Germany.,University Clinic for Internal Medicine III, Martin Luther University Halle-Wittenberg, Halle, Germany
| | - Jens Wippermann
- Department of Cardiothoracic Surgery, Otto-von-Guericke University Magdeburg, Leipziger Strasse 44, 39120, Magdeburg, Germany
| | - Maximilian Scherner
- Department of Cardiothoracic Surgery, Otto-von-Guericke University Magdeburg, Leipziger Strasse 44, 39120, Magdeburg, Germany
| | - Irina Böckelmann
- Department of Occupational Medicine, Otto-von-Guericke University Magdeburg, Magdeburg, Germany
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Wacker M, Thewes L, Lux A, Busk H, Zardo P, Scherner M, Awad G, Varghese S, Veluswamy P, Wippermann J, Slottosch I. Monitoring excimer laser-guided cardiac lead extractions by uniportal video-assisted thoracoscopy: A single center experience. Asian Cardiovasc Thorac Ann 2021; 30:561-566. [PMID: 34693749 DOI: 10.1177/02184923211054883] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND Though laser guided extractions of cardiac implantable electronic devices leads have become a routine procedure, the severe complications are associated with a high mortality. Here, we report our single center experience using uniportal video-assisted thoracoscopy for laser lead extraction and compare it to stand-alone laser lead extraction. METHODS The intraoperative data and postoperative clinical outcomes of patients undergoing laser lead extraction with concomitant thoracoscopy (N = 28) or without (N = 43) in our institution were analyzed retrospectively. RESULTS Neither the median x-ray time (612.0 s for the thoracoscopy group vs. 495.5 s for the non-thoracoscopy group, p = 0.962), length of the operation (112.5 vs. 100.0 min, p = 0.676) or the median length of hospital stay (9.0 vs. 10.0 days, p = 0.990) differed significantly. The mean intensive care unit stay was longer for patients in the non-thoracoscopy group (0.8 vs. 2.5 days, p = 0.005). The 30-day-mortality in the thoracoscopy group was zero, whereas five patients died in the non-thoracoscopy group. Furthermore, four patients in the non-thoracoscopy group had encountered haemothorax, while none were observed in the thoracoscopy group (p = 0.148). CONCLUSIONS The adoption of uniportal video-assisted thoracoscopy during laser-guided lead extraction of cardiac implantable electronic devices can be considered safe and does not lengthen the operating time or hospital stay. It might be useful in the detection of severe complications and, in experienced hands, possibly allow direct bleeding control.
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Affiliation(s)
- Max Wacker
- Department of Cardiothoracic Surgery, 39067University Hospital Magdeburg, Magdeburg, Germany
| | - Lena Thewes
- Department of Cardiothoracic Surgery, 39067University Hospital Magdeburg, Magdeburg, Germany
| | - Anke Lux
- Institute for Biometrics and Medical Informatics, 39067University Hospital Magdeburg, Magdeburg, Germany
| | - Henning Busk
- Department of Cardiothoracic Surgery, 39067University Hospital Magdeburg, Magdeburg, Germany
| | - Patrick Zardo
- Department of Cardiothoracic, Transplantation and Vascular Surgery, 9177Hannover Medical School, Hannover, Germany
| | - Maximilian Scherner
- Department of Cardiothoracic Surgery, 39067University Hospital Magdeburg, Magdeburg, Germany
| | - George Awad
- Department of Cardiothoracic Surgery, 39067University Hospital Magdeburg, Magdeburg, Germany
| | - Sam Varghese
- Department of Cardiothoracic Surgery, 39067University Hospital Magdeburg, Magdeburg, Germany
| | - Priya Veluswamy
- Department of Cardiothoracic Surgery, 39067University Hospital Magdeburg, Magdeburg, Germany
| | - Jens Wippermann
- Department of Cardiothoracic Surgery, 39067University Hospital Magdeburg, Magdeburg, Germany
| | - Ingo Slottosch
- Department of Cardiothoracic Surgery, 39067University Hospital Magdeburg, Magdeburg, Germany
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Wacker M, Riedel J, Walles H, Scherner M, Awad G, Varghese S, Schürlein S, Garke B, Veluswamy P, Wippermann J, Hülsmann J. Comparative Evaluation on Impacts of Fibronectin, Heparin-Chitosan, and Albumin Coating of Bacterial Nanocellulose Small-Diameter Vascular Grafts on Endothelialization In Vitro. Nanomaterials (Basel) 2021; 11:nano11081952. [PMID: 34443783 PMCID: PMC8398117 DOI: 10.3390/nano11081952] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/29/2021] [Revised: 07/22/2021] [Accepted: 07/25/2021] [Indexed: 12/18/2022]
Abstract
In this study, we contrast the impacts of surface coating bacterial nanocellulose small-diameter vascular grafts (BNC-SDVGs) with human albumin, fibronectin, or heparin–chitosan upon endothelialization with human saphenous vein endothelial cells (VEC) or endothelial progenitor cells (EPC) in vitro. In one scenario, coated grafts were cut into 2D circular patches for static colonization of a defined inner surface area; in another scenario, they were mounted on a customized bioreactor and subsequently perfused for cell seeding. We evaluated the colonization by emerging metabolic activity and the preservation of endothelial functionality by water soluble tetrazolium salts (WST-1), acetylated low-density lipoprotein (AcLDL) uptake assays, and immune fluorescence staining. Uncoated BNC scaffolds served as controls. The fibronectin coating significantly promoted adhesion and growth of VECs and EPCs, while albumin only promoted adhesion of VECs, but here, the cells were functionally impaired as indicated by missing AcLDL uptake. The heparin–chitosan coating led to significantly improved adhesion of EPCs, but not VECs. In summary, both fibronectin and heparin–chitosan coatings could beneficially impact the endothelialization of BNC-SDVGs and might therefore represent promising approaches to help improve the longevity and reduce the thrombogenicity of BNC-SDVGs in the future.
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Affiliation(s)
- Max Wacker
- Department of Cardiothoracic Surgery, University Hospital Magdeburg, 39112 Magdeburg, Germany; (J.R.); (M.S.); (G.A.); (S.V.); (P.V.); (J.W.); (J.H.)
- Correspondence: ; Tel.: +49-391-67-14102
| | - Jan Riedel
- Department of Cardiothoracic Surgery, University Hospital Magdeburg, 39112 Magdeburg, Germany; (J.R.); (M.S.); (G.A.); (S.V.); (P.V.); (J.W.); (J.H.)
| | - Heike Walles
- Core Facility Tissue Engineering, Otto-Von-Guericke University Magdeburg, 39106 Magdeburg, Germany;
| | - Maximilian Scherner
- Department of Cardiothoracic Surgery, University Hospital Magdeburg, 39112 Magdeburg, Germany; (J.R.); (M.S.); (G.A.); (S.V.); (P.V.); (J.W.); (J.H.)
| | - George Awad
- Department of Cardiothoracic Surgery, University Hospital Magdeburg, 39112 Magdeburg, Germany; (J.R.); (M.S.); (G.A.); (S.V.); (P.V.); (J.W.); (J.H.)
| | - Sam Varghese
- Department of Cardiothoracic Surgery, University Hospital Magdeburg, 39112 Magdeburg, Germany; (J.R.); (M.S.); (G.A.); (S.V.); (P.V.); (J.W.); (J.H.)
| | - Sebastian Schürlein
- Department Tissue Engineering and Regenerative Medicine (TERM), University Hospital Würzburg, 97070 Würzburg, Germany;
| | - Bernd Garke
- Institute of Experimental Physics, Otto-Von-Guericke University Magdeburg, 39106 Magdeburg, Germany;
| | - Priya Veluswamy
- Department of Cardiothoracic Surgery, University Hospital Magdeburg, 39112 Magdeburg, Germany; (J.R.); (M.S.); (G.A.); (S.V.); (P.V.); (J.W.); (J.H.)
| | - Jens Wippermann
- Department of Cardiothoracic Surgery, University Hospital Magdeburg, 39112 Magdeburg, Germany; (J.R.); (M.S.); (G.A.); (S.V.); (P.V.); (J.W.); (J.H.)
| | - Jörn Hülsmann
- Department of Cardiothoracic Surgery, University Hospital Magdeburg, 39112 Magdeburg, Germany; (J.R.); (M.S.); (G.A.); (S.V.); (P.V.); (J.W.); (J.H.)
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Veluswamy P, Wacker M, Stavridis D, Reichel T, Schmidt H, Scherner M, Wippermann J, Michels G. The SARS-CoV-2/Receptor Axis in Heart and Blood Vessels: A Crisp Update on COVID-19 Disease with Cardiovascular Complications. Viruses 2021; 13:1346. [PMID: 34372552 PMCID: PMC8310117 DOI: 10.3390/v13071346] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2021] [Revised: 07/02/2021] [Accepted: 07/06/2021] [Indexed: 01/08/2023] Open
Abstract
The SARS-CoV-2 virus causing COVID-19 disease has emerged expeditiously in the world and has been declared pandemic since March 2020, by World Health Organization (WHO). The destructive effects of SARS-CoV-2 infection are increased among the patients with pre-existing chronic conditions and, in particular, this review focuses on patients with underlying cardiovascular complications. The expression pattern and potential functions of SARS-CoV-2 binding receptors and the attributes of SARS-CoV-2 virus tropism in a physio-pathological state of heart and blood vessel are precisely described. Of note, the atheroprotective role of ACE2 receptors is reviewed. A detailed description of the possible detrimental role of SARS-CoV-2 infection in terms of vascular leakage, including endothelial glycocalyx dysfunction and bradykinin 1 receptor stimulation is concisely stated. Furthermore, the potential molecular mechanisms underlying SARS-CoV-2 induced clot formation in association with host defense components, including activation of FXIIa, complements and platelets, endothelial dysfunction, immune cell responses with cytokine-mediated action are well elaborated. Moreover, a brief clinical update on patient with COVID-19 disease with underlying cardiovascular complications and those who had new onset of cardiovascular complications post-COVID-19 disease was also discussed. Taken together, this review provides an overview of the mechanistic aspects of SARS-CoV-2 induced devastating effects, in vital organs such as the heart and vessels.
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Affiliation(s)
- Priya Veluswamy
- Heart Surgery Research, Department of Cardiothoracic Surgery, Faculty of Medicine, Otto-von-Guericke University, 39120 Magdeburg, Germany; (M.W.); (D.S.); (M.S.); (J.W.)
| | - Max Wacker
- Heart Surgery Research, Department of Cardiothoracic Surgery, Faculty of Medicine, Otto-von-Guericke University, 39120 Magdeburg, Germany; (M.W.); (D.S.); (M.S.); (J.W.)
| | - Dimitrios Stavridis
- Heart Surgery Research, Department of Cardiothoracic Surgery, Faculty of Medicine, Otto-von-Guericke University, 39120 Magdeburg, Germany; (M.W.); (D.S.); (M.S.); (J.W.)
| | - Thomas Reichel
- Department of Cardiology, Diabetology and Infectiology, Klinikum Magdeburg, 39130 Magdeburg, Germany; (T.R.); (H.S.)
| | - Hendrik Schmidt
- Department of Cardiology, Diabetology and Infectiology, Klinikum Magdeburg, 39130 Magdeburg, Germany; (T.R.); (H.S.)
| | - Maximilian Scherner
- Heart Surgery Research, Department of Cardiothoracic Surgery, Faculty of Medicine, Otto-von-Guericke University, 39120 Magdeburg, Germany; (M.W.); (D.S.); (M.S.); (J.W.)
| | - Jens Wippermann
- Heart Surgery Research, Department of Cardiothoracic Surgery, Faculty of Medicine, Otto-von-Guericke University, 39120 Magdeburg, Germany; (M.W.); (D.S.); (M.S.); (J.W.)
| | - Guido Michels
- Department of Acute and Emergency Care, Sankt Antonius-Hospital Eschweiler, 52249 Eschweiler, Germany;
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Awad G, Varghese S, Wacker M, Mkrtchyan T, Slottosch I, Fadel M, Wippermann J, Scherner M. Case series of late complications after transcatheter mitral annuloplasty using Cardioband and surgical treatment options. J Card Surg 2021; 36:2149-2152. [PMID: 33665876 DOI: 10.1111/jocs.15470] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2021] [Accepted: 02/13/2021] [Indexed: 11/28/2022]
Abstract
BACKGROUND Treatment of functional mitral regurgitation using transcatheter techniques such as the Cardioband annuloplasty device (Edwards Lifesciences) has gained wide acceptance in the recent years. However, complications of such devices are rarely reported. METHODS Here, we present a case series involving two patients with dislocation of the Cardioband device and discuss the surgical management. RESULTS In the former the valve was re-repaired by surgical implantation of an annuloplasty ring, and in the latter the valve had to be replaced due to severe damage of the mitral valve annulus. Both patients had an uncomplicated course and were discharged to rehabilitation Center. CONCLUSION Dislocation of the Cardioband devices can be successfully managed by surgical approaches. Depending on the extent of damage to the mitral valve annulus, the valve could be re-repaired or should be repalced.
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Affiliation(s)
- George Awad
- Department of Cardiothoracic Surgery, Otto-von-Guericke University Magdeburg, Magdeburg, Germany
| | - Sam Varghese
- Department of Cardiothoracic Surgery, Otto-von-Guericke University Magdeburg, Magdeburg, Germany
| | - Max Wacker
- Department of Cardiothoracic Surgery, Otto-von-Guericke University Magdeburg, Magdeburg, Germany
| | - Tigran Mkrtchyan
- Department of Cardiothoracic Surgery, Otto-von-Guericke University Magdeburg, Magdeburg, Germany
| | - Ingo Slottosch
- Department of Cardiothoracic Surgery, Otto-von-Guericke University Magdeburg, Magdeburg, Germany
| | - Mohammad Fadel
- Department of Cardiothoracic Surgery, Otto-von-Guericke University Magdeburg, Magdeburg, Germany
| | - Jens Wippermann
- Department of Cardiothoracic Surgery, Otto-von-Guericke University Magdeburg, Magdeburg, Germany
| | - Maximilian Scherner
- Department of Cardiothoracic Surgery, Otto-von-Guericke University Magdeburg, Magdeburg, Germany
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Wacker M, Thewes L, Lux A, Busk H, Scherner M, Awad G, Varghese S, Slottosch I. Uniportal Video-Assisted Thoracotomy during Excimer Laser-Guided Cardiac Implantable Electronic Devices Lead Extraction: A 5-Year Single-Centre Experience. Thorac Cardiovasc Surg 2021. [DOI: 10.1055/s-0041-1725712] [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: 10/21/2022]
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Wacker M, Riedel J, Scherner M, Awad G, Wippermann J, Veluswamy P, Walles H, Hülsmann J. Protein Coating of Bacterial Nanocellulose Small Diameter Vascular Grafts Leads to Improved Endothelialization. Thorac Cardiovasc Surg 2021. [DOI: 10.1055/s-0041-1725705] [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: 10/21/2022]
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Awad G, Pohl R, Darius S, Wacker M, Varghese S, Kuzmin B, Slottosch I, Wippermann J, Böckelmann I, Scherner M. Quantifying the Stress Levels of Cardiac Surgery Residents during Coronary Artery Bypass Grafting. Thorac Cardiovasc Surg 2021. [DOI: 10.1055/s-0041-1725848] [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: 10/21/2022]
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13
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Kuzmin B, Staack T, Wippermann J, Wacker M. Left atrial appendage occlusion device causing coronary obstruction: A word of caution. J Card Surg 2020; 36:723-725. [PMID: 33331003 DOI: 10.1111/jocs.15222] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2020] [Revised: 11/12/2020] [Accepted: 11/13/2020] [Indexed: 11/28/2022]
Abstract
Closure of the left atrial appendage is a common procedure for patients with atrial fibrillation undergoing cardiac surgery. The technique of left atrial appendage occlusion (LAAO) by an extracardiac clip (AtriClip) is established as a reliable method. Acute coronary obstruction of the circumflex artery has already been described after minimally invasive LAAO. Here, we report a case of delayed circumflex artery obstruction after open-heart surgery. A patient who had mitral and tricuspid valve surgery in combination with AtriClip implantation suffered from myocardial infarction 24 h after clip implantation. Cardiac catheterization showed that the circumflex artery was obstructed on the level of the AtriClip device. The stenosis was treated by percutaneous coronary intervention with stent implantation. In conclusion, the surgeon should consider placing the AtriClip device slightly far away from the base of the left atrial appendage to avoid coronary obstruction.
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Affiliation(s)
- Boris Kuzmin
- Department of Cardiothoracic Surgery, Otto-von-Guericke University, Magdeburg, Germany
| | - Thorsten Staack
- Department of Cardiothoracic Surgery, Otto-von-Guericke University, Magdeburg, Germany
| | - Jens Wippermann
- Department of Cardiothoracic Surgery, Otto-von-Guericke University, Magdeburg, Germany
| | - Max Wacker
- Department of Cardiothoracic Surgery, Otto-von-Guericke University, Magdeburg, Germany
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14
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Wacker M, Betke U, Borucki K, Hülsmann J, Awad G, Varghese S, Scherner M, Hansen M, Wippermann J, Veluswamy P. An In Vitro Hemodynamic Loop Model to Investigate the Hemocytocompatibility and Host Cell Activation of Vascular Medical Devices. J Vis Exp 2020. [PMID: 32894265 DOI: 10.3791/61570] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022] Open
Abstract
In this study, the hemocompatibility of tubes with an inner diameter of 5 mm made of polyvinyl chloride (PVC) and coated with different bioactive conjugates was compared to uncoated PVC tubes, latex tubes, and a stent for intravascular application that was placed inside the PVC tubes. Evaluation of hemocompatibility was done using an in vitro hemodynamic loop model that is recommended by the ISO standard 10993-4. The tubes were cut into segments of identical length and closed to form loops avoiding any gap at the splice, then filled with human blood and rotated in a water bath at 37 °C for 3 hours. Thereafter, the blood inside the tubes was collected for the analysis of whole blood cell count, hemolysis (free plasma hemoglobin), complement system (sC5b-9), coagulation system (fibrinopeptide A), and leukocyte activation (polymorphonuclear elastase, tumor necrosis factor and interleukin-6). Host cell activation was determined for platelet activation, leukocyte integrin status and monocyte platelet aggregates using flow cytometry. The effect of inaccurate loop closure was examined with x-ray microtomography and scanning electron microscopy, that showed thrombus formation at the splice. Latex tubes showed the strongest activation of both plasma and cellular components of the blood, indicating a poor hemocompatibility, followed by the stent group and uncoated PVC tubes. The coated PVC tubes did not show a significant decrease in platelet activation status, but showed an increased in complement and coagulation cascade compared to uncoated PVC tubes. The loop model itself did not lead to the activation of cells or soluble factors, and the hemolysis level was low. Therefore, the presented in vitro hemodynamic loop model avoids excessive activation of blood components by mechanical forces and serves as a method to investigate in vitro interactions between donor blood and vascular medical devices.
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Affiliation(s)
- Max Wacker
- Department of Cardiothoracic Surgery, Otto-von-Guericke-University;
| | - Ulf Betke
- Department of Mechanical Engineering, Institute for Materials and Joining Technology, Otto-von-Guericke-University
| | - Katrin Borucki
- Institute of Clinical Chemistry and Pathobiochemistry, Otto-von-Guericke-University
| | - Jörn Hülsmann
- Department of Cardiothoracic Surgery, Otto-von-Guericke-University
| | - George Awad
- Department of Cardiothoracic Surgery, Otto-von-Guericke-University
| | - Sam Varghese
- Department of Cardiothoracic Surgery, Otto-von-Guericke-University
| | | | - Michael Hansen
- Division of Cardiology and Angiology, Department of Internal Medicine, Otto-von-Guericke-University
| | - Jens Wippermann
- Department of Cardiothoracic Surgery, Otto-von-Guericke-University
| | - Priya Veluswamy
- Department of Cardiothoracic Surgery, Otto-von-Guericke-University
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15
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Wacker M, Kießwetter V, Slottosch I, Awad G, Paunel-Görgülü A, Varghese S, Klopfleisch M, Kupitz D, Klemm D, Nietzsche S, Petzold-Welcke K, Kramer F, Wippermann J, Veluswamy P, Scherner M. In vitro hemo- and cytocompatibility of bacterial nanocelluose small diameter vascular grafts: Impact of fabrication and surface characteristics. PLoS One 2020; 15:e0235168. [PMID: 32579611 PMCID: PMC7313737 DOI: 10.1371/journal.pone.0235168] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2019] [Accepted: 06/09/2020] [Indexed: 01/24/2023] Open
Abstract
Objective There is an increasing need for small diameter vascular grafts with superior host hemo- and cytocompatibilities, such as low activation of platelets and leukocytes. Therefore, we aimed to investigate whether the preparation of bacterial nanocellulose grafts with different inner surfaces has an impact on in vitro host cytocompatibility. Methods We have synthesized five different grafts in a bioreactor, namely open interface surface (OIS), inverted (INV), partially air dried (PAD), surface formed in air contact (SAC) and standard (STD) that were characterized by a different surface roughness. The grafts (length 55 mm, inner diameter 5 mm) were attached to heparinized polyvinyl chloride tubes, loaded with human blood and rotated at 37°C for 4 hours. Then, blood was analyzed for frequencies of cellular fractions, oxidative products, soluble complement and thrombin factors. The results were compared to clinically approved grafts made of polyethylene terephthalate and expanded polytetrafluoroethylene. Additionally, blood platelets were labelled with 111Indium-oxine to visualize the distribution of adherent platelets in the loop by scintigraphy. Results SAC nanocellulose grafts with the lowest surface roughness exhibited superior performance with <10% leukocyte and <50% thrombocyte loss in contrast to other grafts that exhibited >65% leukocyte and >90% thrombocyte loss. Of note, SAC nanocellulose grafts showed lowest radioactivity with scintigraphy analyses, indicating reduced platelet adhesion. Although the levels of reactive oxygen species and cell free DNA did not differ significantly, the levels of thrombin-antithrombin complexes were lowest in SAC grafts. However, all nanocellulose grafts exhibited enhanced complement activation. Conclusion The systematic variation of the inner surfaces of BNC vascular grafts significantly improves biocompatibility. Especially, SAC grafts exhibited the lowest loss of platelets as well as leukocytes and additionally significantly diminished activation of the coagulation system. Further animal studies are needed to study in vivo biocompatibilities.
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Affiliation(s)
- Max Wacker
- Department of Cardiothoracic Surgery, University Hospital of Magdeburg, Magdeburg, Germany
- * E-mail:
| | - Viktoria Kießwetter
- Department of Cardiothoracic Surgery, University Hospital of Magdeburg, Magdeburg, Germany
| | - Ingo Slottosch
- Department of Cardiothoracic Surgery, University Hospital of Magdeburg, Magdeburg, Germany
| | - George Awad
- Department of Cardiothoracic Surgery, University Hospital of Magdeburg, Magdeburg, Germany
| | - Adnana Paunel-Görgülü
- Department of Cardiothoracic Surgery, Heart Center of the University of Cologne, Cologne, Germany
| | - Sam Varghese
- Department of Cardiothoracic Surgery, University Hospital of Magdeburg, Magdeburg, Germany
| | - Maurice Klopfleisch
- Department of Nuclear Medicine, University Hospital of Magdeburg, Magdeburg, Germany
| | - Dennis Kupitz
- Department of Nuclear Medicine, University Hospital of Magdeburg, Magdeburg, Germany
| | - Dieter Klemm
- KKF Gesellschaft UG (haftungsbeschränkt), Jena, Germany
| | - Sandor Nietzsche
- Center for Electron Microscopy, University Hospital Jena, Jena, Germany
| | | | | | - Jens Wippermann
- Department of Cardiothoracic Surgery, University Hospital of Magdeburg, Magdeburg, Germany
| | - Priya Veluswamy
- Department of Cardiothoracic Surgery, University Hospital of Magdeburg, Magdeburg, Germany
| | - Maximilian Scherner
- Department of Cardiothoracic Surgery, University Hospital of Magdeburg, Magdeburg, Germany
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16
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Varghese S, Awad G, Saha S, Wacker M, Slottosch I, Staack T, Wippermann J, Scherner M. Complications following Left Ventricular Assist Device Implantation—Comparison of HeartWare and HeartMate III: A Single-Center 5-Year Experience. Thorac Cardiovasc Surg 2020. [DOI: 10.1055/s-0040-1705395] [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: 10/24/2022]
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17
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Kuzmin B, Knüppel P, Lux A, Scherner M, Slottosch I, Awad G, Varghese S, Argawi A, Wippermann J, Wacker M. Detection of Postoperative Atrial Fibrillation with a Smart Watch: Preliminary Results of a Clinical Investigation. Thorac Cardiovasc Surg 2020. [DOI: 10.1055/s-0040-1705422] [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: 10/24/2022]
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18
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Varghese S, Slottosch I, Saha S, Wacker M, Awad G, Wippermann J, Scherner M. Surgical Management of Iatrogenic Left Ventricle Perforation by Chest Tube Insertion. Ann Thorac Surg 2019; 108:e405-e407. [PMID: 31470008 DOI: 10.1016/j.athoracsur.2019.06.104] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/15/2019] [Revised: 06/24/2019] [Accepted: 06/30/2019] [Indexed: 10/26/2022]
Abstract
Chest tube thoracostomy is a standard procedure in every intensive care unit. Although it is regarded as a safe procedure in experienced hands, rare complications do occur. This report describes iatrogenic perforation of the left ventricle after placement of an intercostal catheter and the successful surgical management of this injury. Various operative situations that may arise in relation to iatrogenic perforation of the left ventricle are also discussed, as well as steps to manage this potentially life-threatening complication.
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Affiliation(s)
- Sam Varghese
- Department of Cardiothoracic Surgery, University Hospital, Otto-von-Guericke-University, Magdeburg, Germany.
| | - Ingo Slottosch
- Department of Cardiothoracic Surgery, University Hospital, Otto-von-Guericke-University, Magdeburg, Germany
| | - Shekhar Saha
- Department of Thoracic and Cardiovascular Surgery, University Hospital, Georg-August-University, Göttingen, Germany
| | - Max Wacker
- Department of Cardiothoracic Surgery, University Hospital, Otto-von-Guericke-University, Magdeburg, Germany
| | - George Awad
- Department of Cardiothoracic Surgery, University Hospital, Otto-von-Guericke-University, Magdeburg, Germany
| | - Jens Wippermann
- Department of Cardiothoracic Surgery, University Hospital, Otto-von-Guericke-University, Magdeburg, Germany
| | - Maximilian Scherner
- Department of Cardiothoracic Surgery, University Hospital, Otto-von-Guericke-University, Magdeburg, Germany
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19
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Weber C, Reinhardt S, Eghbalzadeh K, Wacker M, Guschlbauer M, Maul A, Sterner-Kock A, Wahlers T, Wippermann J, Scherner M. Patency and in vivo compatibility of bacterial nanocellulose grafts as small-diameter vascular substitute. J Vasc Surg 2018; 68:177S-187S.e1. [DOI: 10.1016/j.jvs.2017.09.038] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2017] [Accepted: 09/17/2017] [Indexed: 10/18/2022]
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20
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Wacker M, Slottosch I, Scherner M, Varghese S, Wippermann J. Late Onset Valve Dislocation of the Edwards Intuity Rapid-Deployment Bioprosthesis. Ann Thorac Surg 2018; 107:e243-e244. [PMID: 30315805 DOI: 10.1016/j.athoracsur.2018.08.047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/26/2018] [Revised: 07/10/2018] [Accepted: 08/12/2018] [Indexed: 11/18/2022]
Abstract
Over the last decade, aortic valve replacement with rapid-deployment biologic bioprostheses has become a common alternative to the use of mechanical or biologic stented valves for high-risk patients. A 63-year-old patient underwent uncomplicated valve replacement with the Edwards Intuity valve (Edwards Lifesciences, Irvine, CA). Two months postoperatively, the patient had progressive dyspnea. Echocardiography showed a dislocated aortic valve reaching into the left ventricular outflow tract and impairing the anterior mitral valve leaflet. Both valves were replaced by a conventional stented bioprosthesis. This case report describes the first case of valve migration for the Edwards Intuity Elite rapid-deployment aortic valve and discusses possible explanations.
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Affiliation(s)
- Max Wacker
- Department of Cardiothoracic Surgery, University Hospital of Magdeburg, Magdeburg, Germany.
| | - Ingo Slottosch
- Department of Cardiothoracic Surgery, University Hospital of Magdeburg, Magdeburg, Germany
| | - Maximilian Scherner
- Department of Cardiothoracic Surgery, University Hospital of Magdeburg, Magdeburg, Germany
| | - Sam Varghese
- Department of Cardiothoracic Surgery, University Hospital of Magdeburg, Magdeburg, Germany
| | - Jens Wippermann
- Department of Cardiothoracic Surgery, University Hospital of Magdeburg, Magdeburg, Germany
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21
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Slottosch I, Liakopoulos O, Scherner M, Kuhn E, Deppe AC, Wacker M, Wippermann J, Wahlers T. Preoperative intraaortic balloon pump before urgent coronary bypass grafting. Asian Cardiovasc Thorac Ann 2018; 26:353-360. [PMID: 29863415 DOI: 10.1177/0218492318782066] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Background Urgent or emergency coronary artery bypass grafting in patients with acute coronary syndrome is associated with increased morbidity and mortality. We investigated the effects of preoperative intraaortic balloon pump support in this high-risk patient cohort. Methods Our institutional database was retrospectively reviewed for patients with acute coronary syndrome and an urgent or emergency indication for coronary artery bypass from April 2010 to December 2016. Data of 1066 patients were analyzed. We assessed the impact of preoperative intraaortic balloon pump therapy on postoperative mortality and major adverse cardiovascular and cerebrovascular events, and performed propensity-score matching. Results Intraaortic balloon pump support was implemented in 223 (20.9%) patients: 55 (5.2%) preoperatively and 168 (15.8%) intra- or postoperatively. Overall hospital mortality was 8.8%. Patients with a preoperative intraaortic balloon pump had increased mortality (11/55, 20%) compared to controls ( p = 0.006). After propensity-score matching, all-cause mortality (20.0% vs. 18.2%, p = 0.834), cardiac mortality (18.2% vs. 14.5%, p = 0.651), and major adverse cardiovascular and cerebrovascular events (29.1% vs. 27.3%, p = 0.855) were comparable between groups. Conclusions Preoperative intraaortic balloon pump support does not confer any additional clinical benefit on patients undergoing coronary artery bypass grafting for acute coronary syndrome.
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Affiliation(s)
- Ingo Slottosch
- 1 Department of Cardiothoracic Surgery, University Hospital Magdeburg, Magdeburg, Germany
| | - Oliver Liakopoulos
- 2 Department of Cardiothoracic Surgery, University Hospital of Cologne, Cologne, Germany
| | - Maximilian Scherner
- 1 Department of Cardiothoracic Surgery, University Hospital Magdeburg, Magdeburg, Germany
| | - Elmar Kuhn
- 2 Department of Cardiothoracic Surgery, University Hospital of Cologne, Cologne, Germany
| | - Antje-Christin Deppe
- 2 Department of Cardiothoracic Surgery, University Hospital of Cologne, Cologne, Germany
| | - Max Wacker
- 1 Department of Cardiothoracic Surgery, University Hospital Magdeburg, Magdeburg, Germany
| | - Jens Wippermann
- 1 Department of Cardiothoracic Surgery, University Hospital Magdeburg, Magdeburg, Germany
| | - Thorsten Wahlers
- 2 Department of Cardiothoracic Surgery, University Hospital of Cologne, Cologne, Germany
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22
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Lutter J, Wacker M, Jörres RA, Schulz H, Karrasch S, Karch A, Leidl R, Watz H, Vogelmeier C, Holle R. Welche Faktoren prädizieren eine Verschlechterung der gesundheitsbezogenen Lebensqualität bei COPD? Erste längsschnittliche Ergebnisse der COSYCONET COPD-Kohorte. Pneumologie 2018. [DOI: 10.1055/s-0037-1619341] [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)
- J Lutter
- Institut für Gesundheitsökonomie und Management im Gesundheitswesen, Helmholtz Zentrum München; Comprehensive Pneumology Center Munich (CPC-M), Mitglied des Deutschen Zentrums für Lungenforschung (DZL)
| | - M Wacker
- Institut für Gesundheitsökonomie und Management im Gesundheitswesen, Helmholtz Zentrum München; Comprehensive Pneumology Center Munich (CPC-M), Mitglied des Deutschen Zentrums für Lungenforschung (DZL)
| | - RA Jörres
- Institut für Arbeits-, Sozial- und Umweltmedizin, Ludwigs-Maximilians-Universität München
| | - H Schulz
- Institut für Epidemiologie, Helmholtz Zentrum München; Comprehensive Pneumology Center Munich (CPC-M), Mitglied des Deutschen Zentrums für Lungenforschung (DZL)
| | - S Karrasch
- Institut für Epidemiologie, Helmholtz Zentrum München; Comprehensive Pneumology Center Munich (CPC-M), Mitglied des Deutschen Zentrums für Lungenforschung (DZL)
| | - A Karch
- Institut für Biometrie, Medizinische Hochschule Hannover
| | - R Leidl
- Institut für Gesundheitsökonomie und Management im Gesundheitswesen, Helmholtz Zentrum München; Comprehensive Pneumology Center Munich (CPC-M), Mitglied des Deutschen Zentrums für Lungenforschung (DZL)
| | - H Watz
- Pneumologisches Forschungsinstitut an der Lungenclinic Grosshansdorf GmbH, ARCN, Mitglied im Deutschen Zentrum für Lungenforschung (DZL)
| | - C Vogelmeier
- Klinik für Innere Medizin, Schwerpunkt Pneumologie, UGMLC, Philipps-Universität Marburg, Mitglied im Deutschen Zentrum für Lungenforschung (DZL)
| | - R Holle
- Institut für Gesundheitsökonomie und Management im Gesundheitswesen, Helmholtz Zentrum München; Comprehensive Pneumology Center Munich (CPC-M), Mitglied des Deutschen Zentrums für Lungenforschung (DZL)
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23
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Kreuter M, Herth FJF, Wacker M, Witt S, Kabitz HJ, Hagmeyer L, Hammerl P, Esselmann A, Wiederholf C, Skowasch D, Stolpe C, Joest M, Veitshans S, Leidl R, Hellmann A, Pfeifer M, Behr J, Kauschka D, Mall M, Günther A, Markart P. Diagnostik und Therapie von Patienten mit interstitiellen Lungenerkrankungen in Deutschland – das EXCITING ILD Register. Pneumologie 2018. [DOI: 10.1055/s-0037-1619191] [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 Kreuter
- Zentrum für Interstitielle und Seltene Lungenerkrankungen, Pneumologie und Beatmungsmedizin, Thoraxklinik; Universitätsklinikum Heidelberg und Translationales Zentrum für Lungenforschung Heidelberg (TLRC); Mitglied des Deutschen Zentrums für Lungenforschung (DZL)
| | - FJF Herth
- Centre for Interstitial and Rare Lung Diseases, Pneumology and Respiratory Critical Care Medicine, Thoraxklinik, University of Heidelberg
| | - M Wacker
- Institute of Health Economics and Healthcare Management, Helmholtz Centre Munich GmbH, German Research Centre for Environmental Health, Member of the German Centre for Lung Research (DZL), Comprehensive Pneumology Centre Munich (CPC-M)
| | - S Witt
- Institute of Health Economics and Healthcare Management, Helmholtz Centre Munich GmbH, German Research Centre for Environmental Health, Member of the German Centre for Lung Research (DZL), Comprehensive Pneumology Centre Munich (CPC-M)
| | | | - L Hagmeyer
- Clinic of Pneumology and Allergology, Center of Sleep Medicine and Respiratory Care, Hospital Bethanien Solingen
| | | | - A Esselmann
- Outpatient Center for Pulmonology, Warendorf
| | | | - D Skowasch
- Medical Clinic II, University Hospital Bonn
| | - C Stolpe
- Outpatient Center for Pulmonology, Ibbenbüren
| | - M Joest
- Malteser Center for Pulmonology and Allergology, Bonn
| | - S Veitshans
- Outpatient Center for Pulmonology, Böblingen
| | - R Leidl
- Institute of Health Economics and Healthcare Management, Helmholtz Centre Munich GmbH, German Research Centre for Environmental Health, Member of the German Centre for Lung Research (DZL), Comprehensive Pneumology Centre Munich (CPC-M)
| | - A Hellmann
- Outpatient Center for Pulmonology, Augsburg
| | - M Pfeifer
- Klinik Donaustauf und Universitätsklinikum Regensburg
| | | | | | - M Mall
- Translational Pulmonology, University of Heidelberg, Germany, Member of the German Center for Lung Research (TLRC)
| | - A Günther
- Universitätsklinikum Gießen und Marburg
| | - P Markart
- Medical Clinic II, University Hospital Gießen, Universities of Gießen and Marburg Lung Centre (Ugmlc), Member and Medical Clinic V (Pneumology), Cardiothoracic Centre, Campus Fulda, University Medicine Marburg
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24
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Kahnert K, Alter P, Young D, Lucke T, Heinrich J, Huber RM, Behr J, Wacker M, Biertz F, Watz H, Bals R, Welte T, Wirtz H, Herth FJF, Vestbo J, Wouters EFM, Vogelmeier C, Jörres RA. The revised GOLD 2017 COPD categorization in relation to comorbidities. Pneumologie 2018. [DOI: 10.1055/s-0037-1619396] [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)
- K Kahnert
- Medizinische Klinik V, Klinikum der Universität München LMU
| | - P Alter
- Innere Medizin, Schwerpunkt Pneumologie, Universitätsklinikum Gießen und Marburg, Standort Marburg
| | - D Young
- David Young Communications, Horsham, UK
| | - T Lucke
- Klinikum der Universität München
| | - J Heinrich
- Institut für Epidemiologie I, Helmholtz Zentrum München – Deutsches Forschungszentrum für Gesundheit und Umwelt; Comprehensive Pneumology Center Munich (CPC-M), Mitglied des Deutschen Zentrums für Lungenforschung (DZL); German Research Center for Environmental Health
| | - RM Huber
- Division of Respiratory Medicine and Thoracic Oncology, Department of Internal Medicine V, Ludwig Maximilian University of Munich and Thoracic Oncology Centre
| | - J Behr
- Medizinische Klinik und Poliklinik V, Klinikum der LMU München, Comprehensive Pneumology Center
| | - M Wacker
- Institut für Gesundheitsökonomie und Management im Gesundheitswesen, Helmholtz Zentrum München; Comprehensive Pneumology Center Munich (CPC-M), Mitglied des Deutschen Zentrums für Lungenforschung (DZL)
| | - F Biertz
- Institut für Biometrie, Medizinische Hochschule Hannover
| | - H Watz
- Pneumologisches Forschungsinstitut an der Lungenclinic Grosshansdorf
| | - R Bals
- Klinik für Innere Medizin V, Universitätsklinikum des Saarlandes, Homburg
| | - T Welte
- Klinik für Pneumologie, Medizinische Hochschule Hannover
| | - H Wirtz
- Pneumologie, Universitätsklinikum der Universität Leipzig
| | - FJF Herth
- Pneumology, Institute of Internal Medicine III, Thoraxklinik, University Hospital Heidelberg
| | - J Vestbo
- Respiratory Research Group, Manchester Academic Health Sciences Centre
| | | | - C Vogelmeier
- Pulmonary and Critical Care Medicine, Department of Medicine, University Medical Centre Gießen and Marburg, Phillips-University Marburg, Member of the German Centre for Lung Research (DZL)
| | - RA Jörres
- Institut und Poliklinik für Arbeits-, Sozial- und Umweltmedizin, Klinikum der LMU München
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25
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Witte H, Wacker M. Time-frequency Techniques in Biomedical Signal Analysis. Methods Inf Med 2018; 52:279-96. [DOI: 10.3414/me12-01-0083] [Citation(s) in RCA: 66] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2012] [Accepted: 11/16/2012] [Indexed: 11/09/2022]
Abstract
SummaryObjectives: This review outlines the method -ological fundamentals of the most frequently used non-parametric time-frequency analysis techniques in biomedicine and their main properties, as well as providing decision aids concerning their applications.Methods: The short-term Fourier transform (STFT), the Gabor transform (GT), the S-transform (ST), the continuous Morlet wavelet transform (CMWT), and the Hilbert transform (HT) are introduced as linear transforms by using a unified concept of the time-frequency representation which is based on a standardized analytic signal. The Wigner-Ville dis -tribution (WVD) serves as an example of the ‘quadratic transforms’ class. The combination of WVD and GT with the matching pursuit (MP) decomposition and that of the HT with the empirical mode decomposition (EMD) are explained; these belong to the class of signal-adaptive approaches.Results: Similarities between linear transforms are demonstrated and differences with regard to the time-frequency resolution and interference (cross) terms are presented in detail. By means of simulated signals the effects of different time-frequency resolutions of the GT, CMWT, and WVD as well as the resolution-related properties of the inter -ference (cross) terms are shown. The method-inherent drawbacks and their consequences for the application of the time-frequency techniques are demonstrated by instantaneous amplitude, frequency and phase measures and related time-frequency representations (spectrogram, scalogram, time-frequency distribution, phase-locking maps) of measured magnetoencephalographic (MEG) signals.Conclusions: The appropriate selection of a method and its parameter settings will ensure readability of the time-frequency representations and reliability of results. When the time-frequency characteristics of a signal strongly correspond with the time-frequency resolution of the analysis then a method may be considered ‘optimal’. The MP-based signal-adaptive approaches are preferred as these provide an appropriate time-frequency resolution for all frequencies while simultaneously reducing interference (cross) terms.
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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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Wacker M, Slottosch I, Scherner M, Varghese S, Wippermann J. First Case of Late Onset Valve Dislocation after Aortic Valve Replacement with the Edwards Intuity Elite Rapid-Deployment Bioprosthesis. Thorac Cardiovasc Surg 2018. [DOI: 10.1055/s-0038-1628112] [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. Varghese
- Klinik für Herz- und Thoraxchirurgie, Uniklinik Magdeburg Magdeburg, Germany
| | - J. Wippermann
- Klinik für Herz- und Thoraxchirurgie, Uniklinik Magdeburg Magdeburg, Germany
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Luzak A, Karrasch S, Wacker M, Nowak D, Peters A, Schulz H. Sind Beeinträchtigungen der Lebensqualität (Dimensionen des EQ-5D) bereits bei Lungengesunden mit Lungenfunktion assoziiert (KORA F4L & Age). Das Gesundheitswesen 2017. [DOI: 10.1055/s-0037-1605787] [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: 10/18/2022]
Affiliation(s)
- A Luzak
- Institut für Epidemiologie I, Helmholtz Zentrum München – Deutsches Forschungszentrum für Gesundheit und Umwelt, Neuherberg
| | - S Karrasch
- Institut für Epidemiologie I, Helmholtz Zentrum München – Deutsches Forschungszentrum für Gesundheit und Umwelt, Neuherberg
- Institut und Poliklinik für Arbeits-, Sozial- und Umweltmedizin, Klinikum der Ludwig-Maximilians-Universität, München
| | - M Wacker
- Institut für Gesundheitsökonomie und Management im Gesundheitswesen, Helmholtz Zentrum München – Deutsches Forschungszentrum für Gesundheit und Umwelt, Neuherberg
| | - D Nowak
- Institut und Poliklinik für Arbeits-, Sozial- und Umweltmedizin, Klinikum der Ludwig-Maximilians-Universität, München
- Comprehensive Pneumology Center Munich (CPC-M), Mitglied des Deutschen Zentrums für Lungenforschung (DZL), München
| | - A Peters
- Institut für Epidemiologie II, Helmholtz Zentrum München – Deutsches Forschungszentrum für Gesundheit und Umwelt, Neuherberg
| | - H Schulz
- Institut für Epidemiologie I, Helmholtz Zentrum München – Deutsches Forschungszentrum für Gesundheit und Umwelt, Neuherberg
- Comprehensive Pneumology Center Munich (CPC-M), Mitglied des Deutschen Zentrums für Lungenforschung (DZL), München
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Kessler ER, Gao D, Flaig TW, Breaker K, Wold M, Wacker M, Lam ET. Phase II study of cabazitaxel with or without abiraterone acetate and prednisone in patients with metastatic castrate resistant prostate cancer after prior docetaxel and abiraterone acetate. Ann Oncol 2017; 28:668. [PMID: 28426121 DOI: 10.1093/annonc/mdw674] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- E R Kessler
- University of Colorado School of Medicine, Division of Medical Oncology, Aurora, Colorado, USA
| | - D Gao
- Human Oncology and Pathogenesis Program, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - T W Flaig
- Division of Medical Oncology, University of Colorado, School of Medicine, University of Colorado Cancer Center, Aurora, Colorado, USA
| | - K Breaker
- Division of Medical Oncology, University of Colorado, School of Medicine, University of Colorado Cancer Center, Aurora, Colorado, USA
| | - M Wold
- Department of Hematology, St Olavs Hospital, Norwegian University of Science and Technology (NTNU), Trondheim, Norway
| | - M Wacker
- German Research Center for Environmental Health, Institute of Health Economics and Health Care Management, Member of the German Center for Lung Research, Comprehensive Pneumology Center Munich (CPC-M), Neuherberg, Germany
| | - E T Lam
- Division of Medical Oncology, University of Colorado, School of Medicine, University of Colorado Cancer Center, Aurora, Colorado, USA
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Karl FM, Holle R, Bals R, Greulich T, Jörres RA, Karch A, Karrasch S, Koch A, Leidl R, Schulz H, Vogelmeier C, Wacker M. Kosten und gesundheitsbezogene Lebensqualität bei COPD-Patienten mit Alpha-1-Antitrypsin-Mangel: Ergebnisse der COSYCONET COPD-Kohorte. Pneumologie 2017. [DOI: 10.1055/s-0037-1598549] [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: 10/20/2022]
Affiliation(s)
- FM Karl
- Helmholtz Zentrum München, Institut für Gesundheitsökonomie und Management Im Gesundheitswesen, Comprehensive Pneumology Center Munich (Cpc-M), Mitglied des Deutschen Zentrums für Lungenforschung (Dzl)
| | - R Holle
- Helmholtz Zentrum München, Institut für Gesundheitsökonomie und Management Im Gesundheitswesen, Comprehensive Pneumology Center Munich (Cpc-M), Mitglied des Deutschen Zentrums für Lungenforschung (Dzl)
| | - R Bals
- Klinik für Innere Medizin V, Universitätsklinikum des Saarlandes
| | - T Greulich
- Klinik für Innere Medizin Schwerpunkt Pneumologie, Universitätsklinikum Marburg, Universities Gießen and Marburg Lung Center (Ugmlc), Mitglied des Deutschen Zentrums für Lungenforschung
| | - RA Jörres
- Arbeits-, Sozial- und Umweltmedizin, Ludwig-Maximilians-Universität München
| | - A Karch
- Institut für Biometrie, Medizinische Hochschule Hannover
| | - S Karrasch
- Institut für Epidemiologie I, Helmholtz Zentrum München, Comprehensive Pneumology Center Munich (Cpc-M), Mitglied des Deutschen Zentrums für Lungenforschung (Dzl)
| | - A Koch
- Institut für Biometrie, Medizinische Hochschule Hannover
| | - R Leidl
- Helmholtz Zentrum München, Institut für Gesundheitsökonomie und Management Im Gesundheitswesen, Comprehensive Pneumology Center Munich (Cpc-M), Mitglied des Deutschen Zentrums für Lungenforschung (Dzl)
| | - H Schulz
- Institut für Epidemiologie I, Helmholtz Zentrum München, Comprehensive Pneumology Center Munich (Cpc-M), Mitglied des Deutschen Zentrums für Lungenforschung (Dzl)
| | - C Vogelmeier
- Klinik für Innere Medizin Schwerpunkt Pneumologie, Universitätsklinikum Marburg, Universities Gießen and Marburg Lung Center (Ugmlc), Mitglied des Deutschen Zentrums für Lungenforschung
| | - M Wacker
- Helmholtz Zentrum München, Institut für Gesundheitsökonomie und Management Im Gesundheitswesen, Comprehensive Pneumology Center Munich (Cpc-M), Mitglied des Deutschen Zentrums für Lungenforschung (Dzl)
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Kreuter M, Wacker M, Hammerl P, Wiederhold C, Kabitz HJ, Hagmeyer L, Skowasch D, Leidl R, Hellmann A, Pfeifer M, Behr J, Witt S, Kauschka D, Mall M, Günther A, Herth FJF, Markart P. Interims Analyse des EXCITING-ILD Registers (Registry for Exploring Clinical and Epidemiological Characteristics of Interstitial Lung Diseases). Pneumologie 2017. [DOI: 10.1055/s-0037-1598497] [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: 10/20/2022]
Affiliation(s)
- M Kreuter
- Pneumologie und Beatmungsmedizin, Thoraxklinik, Universitätsklinikum Heidelberg und Translationales Zentrum für Lungenforschung Heidelberg (Tlrc), Mitglied des Deutschen Zentrums für Lungenforschung (Dzl)
| | - M Wacker
- Helmholtz Zentrum München, Institut für Gesundheitsökonomie und Management Im Gesundheitswesen, Comprehensive Pneumology Center Munich (Cpc-M), Mitglied des Deutschen Zentrums für Lungenforschung (Dzl)
| | | | | | - HJ Kabitz
- II. Medizinische Klinik, Klinikum Konstanz
| | - L Hagmeyer
- Klinik für Pneumologie und Allergologie, Krankenhaus Bethanien gGmbH
| | - D Skowasch
- Medizinische Klinik II, Kardiologie, Pneumologie, Uniklinikum Bonn
| | - R Leidl
- Institut für Gesundheitsökonomie und Management Im Gesundheitswesen, Helmholtz Zentrum München, Comprehensive Pneumology Center Munich (Cpc-M), Mitglied des Deutschen Zentrums für Lungenforschung (Dzl)
| | | | - M Pfeifer
- Krankenhaus Donaustauf; Universität Regensburg
| | - J Behr
- Zentrum für Pneumologie und Thoraxchirurgie, Asklepios Fachkliniken München-Gauting; Med. Klinik V, LMU, München, Mitglied des Dzl
| | - S Witt
- Institut für Gesundheitsökonomie und Management Im Gesundheitswesen, Helmholtz Zentrum München
| | - D Kauschka
- C/O Dagmar Kauschka, 1. Vorsitzende, Lungenfibrose e.V
| | - M Mall
- Zentrum für Kinder- und Jugendmedizin, Sektion Pädiatrische Pneumologie & Allergologie und Mukoviszidose-Zentrum, Universitätsklinikum Heidelberg
| | - A Günther
- Med. Klinik II, Schwerpunkt Pneumologie, Univ.-Klinikum Gießen
| | - FJF Herth
- Pneumologie und Beatmungsmedizin, Thoraxklinik, Universitätsklinikum Heidelberg und Translationales Zentrum für Lungenforschung Heidelberg (Tlrc), Mitglied des Deutschen Zentrums für Lungenforschung (Dzl)
| | - P Markart
- Medizinische Klinik V, Klinikum Fulda
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Scherner M, Reinhardt S, Wacker M, Weber C, Eghbalzadeh K, Klemm D, Maul A, Sterner-Kock A, Wahlers T, Wippermann J. Tissue Engineered Blood Vessels of Bacterial Nanocellulose: Impact of Surface Modification on Patency and Cell Immigration. Thorac Cardiovasc Surg 2017. [DOI: 10.1055/s-0037-1598738] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- M. Scherner
- Heart Centre - Cardiothoracic Surgery, University of Cologne, Köln, Germany
| | - S. Reinhardt
- Heart Centre - Cardiothoracic Surgery, University of Cologne, Köln, Germany
| | - M. Wacker
- Heart Centre - Cardiothoracic Surgery, University of Cologne, Köln, Germany
| | - C. Weber
- Heart Centre - Cardiothoracic Surgery, University of Cologne, Köln, Germany
| | - K. Eghbalzadeh
- Heart Centre - Cardiothoracic Surgery, University of Cologne, Köln, Germany
| | - D. Klemm
- Chemistry, University of Jena, Jena, Germany
| | - A. Maul
- Experimental Medicine, University Hospital of Cologne, Köln, Germany
| | - A. Sterner-Kock
- Experimental Medicine, University Hospital of Cologne, Köln, Germany
| | - T. Wahlers
- Heart Centre - Cardiothoracic Surgery, University of Cologne, Köln, Germany
| | - J. Wippermann
- Heart Centre - Cardiothoracic Surgery, University of Cologne, Köln, Germany
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Wacker M, Hassan S, El M, Deppe A, Mehler O, Wahlers T, Paunel-Görgülü A. Neutrophil Extracellular Traps as Predictive Markers of Inflammation in Patients Undergoing Cardiac Surgery with Cardiopulmonary Bypass. Thorac Cardiovasc Surg 2017. [DOI: 10.1055/s-0037-1598943] [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: 10/20/2022]
Affiliation(s)
- M. Wacker
- University Hospital Cologne, Department of Cardiothoracic Surgery, Cologne, Germany
| | - S. Hassan
- University Hospital Cologne, Department of Cardiothoracic Surgery, Cologne, Germany
| | - M. El
- University Hospital Cologne, Department of Cardiothoracic Surgery, Cologne, Germany
| | - A. Deppe
- University Hospital Cologne, Department of Cardiothoracic Surgery, Cologne, Germany
| | - O. Mehler
- University Hospital Cologne, Department of Anaesthesiology and Intensive Care Medicine, Cologne, Germany
| | - T. Wahlers
- University Hospital Cologne, Department of Cardiothoracic Surgery, Cologne, Germany
| | - A. Paunel-Görgülü
- University Hospital Cologne, Department of Cardiothoracic Surgery, Cologne, Germany
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Karrasch S, Obst A, Söhler S, Thorand B, Huth C, Ladwig KH, Flexeder C, Wacker M, Peters A, Heinrich J, Ewert R, Jörres RA, Vogelmeier C, Gläser S, Schulz H. Prävalenz von Komorbiditäten bei COPD-Patienten und lungengesunden Kontrollen der Studie COSYCONET. Pneumologie 2016. [DOI: 10.1055/s-0036-1571970] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Kreuter M, Herth FJF, Wacker M, Leidl R, Hellmann A, Pfeifer M, Behr J, Witt S, Kauschka D, Mall M, Günther A, Markart P. Interims Analyse des EXCITING-ILD Registers (Registry for Exploring Clinical and Epidemiological Characteristics of Interstitial Lung Diseases). Pneumologie 2016. [DOI: 10.1055/s-0036-1572075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Wacker M, Jörres RA, Schulz H, Heinrich J, Karrasch S, Koch A, Karch A, Peters A, Leidl R, Vogelmeier C, Holle R. Direkte und indirekte Kosten bei COPD: Ergebnisse der COSYCONET COPD Kohorte im Vergleich zu bevölkerungsbezogenen Kontrollen. Pneumologie 2016. [DOI: 10.1055/s-0036-1572263] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Schwarzkopf L, Wacker M, Ertl J, Leidl R. Vergleich der Versorgungskosten von COPD-Patienten mit und ohne ischämische Herzerkrankung – erste Ergebnisse einer Kassendatenanalyse. Pneumologie 2016. [DOI: 10.1055/s-0036-1572267] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Affiliation(s)
- Max Wacker
- Department of Cardiothoracic Surgery, Heart Center of the University of Cologne, Cologne, Germany
| | - Jochen W U Fries
- Institute of Pathology, University Hospital of Cologne, Cologne, Germany
| | - Parwis Rahmanian
- Department of Cardiothoracic Surgery, Heart Center of the University of Cologne, Cologne, Germany
| | - Thorsten Wahlers
- Department of Cardiothoracic Surgery, Heart Center of the University of Cologne, Cologne, Germany
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Sommer S, Wegmann-Herr P, Wacker M, Fischer UF. Rationale for a Stronger Disposition of Chardonnay Wines for Stuck and Sluggish Fermentation. S AFR J ENOL VITIC 2015. [DOI: 10.21548/36-1-951] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
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Weistenhöfer W, Wacker M, Bernet F, Uter W, Drexler H. Occlusive gloves and skin conditions: is there a problem? Results of a cross-sectional study in a semiconductor company. Br J Dermatol 2015; 172:1058-65. [PMID: 25319754 DOI: 10.1111/bjd.13481] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/08/2014] [Indexed: 12/19/2022]
Abstract
BACKGROUND Although there is poor scientific evidence that working with occlusive gloves is as damaging as wet work, prolonged glove occlusion is considered to be a risk factor for developing hand eczema similar to wet work. OBJECTIVES To assess the effects of wearing occlusive gloves during the whole working day, without exposure to any additional hazardous substances, on skin condition and skin barrier function. METHODS We investigated 323 employees of a semiconductor production company in Germany: 177 clean-room workers wearing occlusive gloves during the whole shift (exposed group) and 146 employees working in administration (control group). A standardized interview was performed, the skin condition of both hands was studied using the quantitative skin score HEROS, and transepidermal water loss (TEWL) and stratum corneum hydration were measured. RESULTS There was no significant difference in skin condition between the two subgroups. Values for TEWL and corneometry were significantly higher in exposed participants (P < 0·05). However, the TEWL values were similar to control values if participants took off the occlusive gloves at least 30 min before the measurement. Hence, the effect of occlusion on skin barrier function seems to be transient. CONCLUSIONS Prolonged wearing of occlusive gloves with clean hands and without exposure to additional hazardous substances does not seem to affect the skin negatively.
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Affiliation(s)
- W Weistenhöfer
- Institute and Outpatient Clinic of Occupational, Social and Environmental Medicine, University of Erlangen-Nuremberg, D-91054, Erlangen, Germany
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Schwarzkopf L, Wacker M, Leidl R, Huber RM, Holle R. Analyse der Versorgungssitutation von Lungenkrebspatienten anhand von GKV-Routinedaten. Pneumologie 2015. [DOI: 10.1055/s-0035-1544651] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Lingner H, Aumann I, Gottlieb J, Leidl R, Vogel M, der Schulenburg JMV, Wacker M. DZL BeoNet Register: Daten für Fragestellungen der Versorgungsforschung und der Gesundheitsökonomie. Pneumologie 2015. [DOI: 10.1055/s-0035-1544848] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Kreuter M, Günther A, Leidl R, Hellmann A, Pfeifer M, Behr J, Wacker M, Witt S, Kauschka D, Mall M, Herth FJF, Markart P. Interimsanalyse des EXCITING-ILD Registers (Registry for Exploring Clinical and Epidemiological Characteristics of Interstitial Lung Diseases). Pneumologie 2015. [DOI: 10.1055/s-0035-1544823] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Hoogendoorn M, Feenstra T, Asukai Y, Borg S, Hansen RN, Jansson SA, Samyshkin Y, Wacker M, Briggs A, Lloyd A, Sullivan SD, Rutten-van Mölken MP. Cost-Effectiveness Models for Chronic Obstructive Pulmonary Disease (COPD): Cross-Model Comparison of Hypothetical Treatment Scenarios. Value Health 2014; 17:A557-A558. [PMID: 27201829 DOI: 10.1016/j.jval.2014.08.1836] [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] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Affiliation(s)
- M Hoogendoorn
- Erasmus University Rotterdam, Rotterdam, The Netherlands
| | | | - Y Asukai
- IMS Health, Economics and Outcomes Research, London, UK
| | - S Borg
- The Swedish Institute for Health Economics, Lund, Sweden
| | - R N Hansen
- School of Pharmacy, University of Washington, Seattle, WA, USA
| | | | - Y Samyshkin
- IMS Health, Economics and Outcomes Research, London, UK
| | - M Wacker
- Helmholtz Zentrum Munchen, Neuherberg, Germany
| | - A Briggs
- University of Glasgow, Glasgow, UK
| | - A Lloyd
- IMS Health, Economics and Outcomes Research, London, UK
| | - S D Sullivan
- University of Washington, Pharmaceutical Outcomes Research and Policy Program, Seattle, WA, USA
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Oppermann J, Wacker M, Stein G, Springorum HP, Neiss WF, Burkhart KJ, Eysel P, Dargel J. Anatomical fit of seven different palmar distal radius plates. Arch Orthop Trauma Surg 2014; 134:1483-9. [PMID: 25108754 DOI: 10.1007/s00402-014-2072-y] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/29/2014] [Indexed: 11/27/2022]
Abstract
INTRODUCTION The purpose of this study was to compare the anatomical fit of different, precontoured palmar distal radius plates. METHODS The anatomical fit of seven different types of palmar distal radius plates [Königsee variable fixed-angle radius plate 7/3-hole, Königsee variable fixed-angle radius plate 5/3-hole (Allendorf, Germany), Medartis 2.5 Adaptive TriLock, Medartis 2.5 TriLock, Medartis 2.5 TriLock extraarticular, (Basel, Switzerland), Synthes VA-LCP distal two-column-radius, Synthes LCP extraarticular (Bettlach, Switzerland)] were investigated in 25 embalmed human cadaveric radii. An imprint of the space between the well-positioned plate and the distal radius was attained using a silicone mass and the maximum height of the silicone imprint was digitally measured. The mean maximum imprint height was compared between the seven plates using an analysis of variance with repeated measures and Bonferroni correction for multiple comparisons. RESULTS The mean maximum distance between the plates and the radial cortex was <2 mm for all plates. The greatest difference was found with the Medartis Adaptive (1.99 ± 0.45 mm) and the least difference with the Synthes two-column (1.56 ± 0.76 mm), this difference being statistically significant (p = 0.005). CONCLUSION Although there was no complete congruency between the plates and the radial cortex, all distal palmar radius plates investigated in this study presented a reasonable anatomical shape. The Synthes VA-LCP distal two-column-radius plate palmar showed the best anatomical fit. A low profile and optimized anatomical precontouring minimizes irritation of the surrounding soft tissues and should be considered with plate design and implant choice.
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Affiliation(s)
- Johannes Oppermann
- Department of Orthopaedics and Trauma Surgery, Medical Faculty, University Hospital of Cologne, Kerpener Strasse 62, 50937, Cologne, Germany,
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Lingner H, Aumann I, Gottlieb J, Welte T, Leidl R, Vogl M, der Schulenburg JMV, Kreuter M, Wacker M. The primary care routine data registry BeoNet: health services and health economic research in COPD and ELD. Pneumologie 2014. [DOI: 10.1055/s-0034-1376779] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Wacker M, Holle R, Leidl R. Can health-economic modeling be adjusted to assess the cost-effectiveness of prognostic testing in COPD management? Pneumologie 2014. [DOI: 10.1055/s-0034-1376778] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Kreuter M, Günther A, Leidl R, Hellmann A, Pfeifer M, Behr J, Wacker M, Witt S, Kauschka D, Mall M, Herth FJF, Markart P. EXCITING (Registry for Exploring Clinical and Epidemiological Characteristics of Interstitial Lung Diseases) – ein aufregend neues deutsches ILD Register. Pneumologie 2014. [DOI: 10.1055/s-0034-1367998] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Hofmann B, Rödl CB, Kahnt AS, Maier TJ, Michel AA, Hoffmann M, Rau O, Awwad K, Pellowska M, Wurglics M, Wacker M, Zivković A, Fleming I, Schubert-Zsilavecz M, Stark H, Schneider G, Steinhilber D. Molecular pharmacological profile of a novel thiazolinone-based direct and selective 5-lipoxygenase inhibitor. Br J Pharmacol 2012; 165:2304-13. [PMID: 21955369 DOI: 10.1111/j.1476-5381.2011.01707.x] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
BACKGROUND AND PURPOSE The potency of many 5-lipoxygenase (5-LOX) inhibitors depends on the cellular peroxide tone and the mechanism of 5-LOX enzyme activation. Therefore, new inhibitors that act regardless of the mode of enzyme activation need to be developed. Recently, we identified a novel class of thiazolinone-based compounds as potent 5-LOX inhibitors. Here, we present the molecular pharmacological profile of (Z)-5-(4-methoxybenzylidene)-2-(p-tolyl)-5H-thiazol-4-one, compound C06. EXPERIMENTAL APPROACH Inhibition of 5-LOX product formation was determined in intact cells [polymorphonuclear leukocytes (PMNL), rat basophilic leukaemia-1, RAW264.7] and in cell-free assays [homogenates, 100, 000×g supernatant (S100), partially purified 5-LOX] applying different stimuli for 5-LOX activation. Inhibition of peroxisome proliferator-activated receptor (PPAR), cytosolic phospholipase A(2) (cPLA(2) ), 12-LOX, 15-LOX-1 and 15-LOX-2 as well as cyclooxygenase-2 (COX-2) were measured in vitro. KEY RESULTS C06 induced non-cytotoxic, direct 5-LOX inhibition with IC(50) values about 0.66 µM (intact PMNL, PMNL homogenates) and approximately 0.3 µM (cell-free PMNL S100, partially purified 5-LOX). Action of C06 was independent of the stimulus used for 5-LOX activation and cellular redox tone and was selective for 5-LOX compared with other arachidonic acid binding proteins (PPAR, cPLA(2) , 12-LOX, 15-LOX-1, 15-LOX-2, COX-2). Experimental results suggest an allosteric binding distinct from the active site and the C2-like domain of 5-LOX. CONCLUSIONS AND IMPLICATIONS C06 was identified as a potent selective direct 5-LOX inhibitor exhibiting a novel and unique mode of action, different from other established 5-LOX inhibitors. This thiazolinone may possess potential for intervention with inflammatory and allergic diseases and certain types of cancer.
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Affiliation(s)
- B Hofmann
- Institute of Pharmaceutical Chemistry, Goethe University, Frankfurt, Germany.
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Wacker M, Witte H. Adaptive Phase Extraction: Incorporating the Gabor Transform in the Matching Pursuit Algorithm. IEEE Trans Biomed Eng 2011; 58:2844-51. [DOI: 10.1109/tbme.2011.2160636] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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