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Gadelkarim I, Verevkin A, Von Aspern K, Deshmukh N, Holzhey D, Saeed D, Davierwala P, Misfeld M, Borger MA. 20 years outcomes after hybrid coronary revascularization. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.2165] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Hybrid coronary revascularization (HCR) is a Heart Team directed strategy for selected patients with mutlivessel coronary artery disease. However, data on long-term results are lacking.
Purpose
To analyse long-term outcomes after HCR over a 20-year period.
Methods
Between 1996 and 2020, a total of 2667 consecutive patients underwent minimally invasive direct coronary artery bypass grafting (MIDCAB) at our institution, and 177 of these were planned HCR cases. Planned HCR consisted of a MIDCAB procedure to the left anterior descending (LAD) artery preceded or followed by percutaneous intervention (PCI) of non-LAD lesions. We excluded patients who underwent prior cardiac surgery and patients with emergency indications for revascularization (either surgical or transcatheter). Short- and long-term results for the entire cohort were analysed and a propensity score-matched comparison was performed between MIDCAB-first and PCI-first revascularization strategies.
Results
The mean age of all patients was 67 (±12) years with 37% suffering from diabetes (n=67). The median time-interval between MIDCAB and PCI was 22 days (IQR 5–53). Thirty-day mortality was 3.9% for the entire cohort. A total of 9 patients (5.0%) underwent early target vessel revascularization; 4 patients (2.2%) involving the LAD following the MIDCAB procedure and 5 patients (2.8%) involving non-LAD vessels following PCI. The rate of incomplete revascularization following completion of HCR was 25.4% (n=45). Long-term survival was 53.5% at 15 years and 30.4% at 20 years and the rate of repeat revascularization with PCI or surgery was 15.8% (n=28). The propensity matched sub-analysis of MIDCAB- versus PCI-first strategy showed no significant differences with regard to short- and long-term outcomes. Age (HR: 1.01, 95% CI 0.98–1.04, p=0.042) and incomplete revascularization (HR: 2.60, 95% CI 1.26–5.34; p=0.01) were independent risk factors for follow-up mortality.
Conclusions
Hybrid coronary revascularization as a less invasive strategy for selected patients is associated with acceptable 20-year survival. However, repeat revascularization rates are substantial.
Funding Acknowledgement
Type of funding sources: None.
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Affiliation(s)
| | - A Verevkin
- Heart Center of Leipzig, Department of cardiothoracic surgery , Leipzig , Germany
| | - K Von Aspern
- Hospital Links der Weser, Department of cardiothoracic surgery , Bremen , Germany
| | - N Deshmukh
- Heart Center of Leipzig , Leipzig , Germany
| | - D Holzhey
- Helios Clinic Wuppertal, Department of cardiac surgery , Wuppertal , Germany
| | - D Saeed
- Heart Center of Leipzig, Department of cardiothoracic surgery , Leipzig , Germany
| | - P Davierwala
- Peter Munk Cardiac Centre, Department of cardiovascular surgery , Toronto , Canada
| | - M Misfeld
- Royal Prince Alfred Hospital, Department of cardiothoracic surgery , Sydney , Australia
| | - M A Borger
- Heart Center of Leipzig, Department of cardiothoracic surgery , Leipzig , Germany
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2
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Pfannmüller B, Budde LM, Davierwala P, Misfeld M, Borger M. Predictor for Operative Risk in Patients with Reoperative Isolated Tricuspid Valve Surgery. Thorac Cardiovasc Surg 2021. [DOI: 10.1055/s-0041-1725763] [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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3
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Cuartas MM, V. SD, Ramirez P, Borger M, Davierwala P. 10-Year Outcomes following Off-Pump or On-Pump Coronary Artery Bypass Graft Surgery in Patients with Severe Left Ventricular Dysfunction. Thorac Cardiovasc Surg 2021. [DOI: 10.1055/s-0041-1725628] [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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4
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Hara H, Takahashi K, Klaveren D, Ono M, Kawashima H, Kappetein P, Mohr F, Mack M, Holmes D, Morice M, Davierwala P, Head S, Thuijs D, Onuma Y, Serruys P. Ten-year all-cause death after percutaneous or surgical revascularization for men and women with multivessel or left main coronary artery disease: insights from the SYNTAX extended survival study. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.2497] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
In patients with complex coronary artery disease (CAD), women favored coronary artery bypass grafting surgery (CABG) compared to percutaneous coronary intervention (PCI) at 5 years in the SYNTAX trial, whereas mortality rates after PCI and CABG were not different in men. On the other hand, poor outcomes of women undergoing PCI were not observed in the PRECOMBAT and BEST trials.
The long-term optimal revascularization strategy according to gender has not been fully evaluated.
Purpose
In the SYNTAX Extended Survival (SYNTAXES) study, no significant difference existed in all-cause death between PCI and CABG at 10 years. This study aimed to assess treatment effect of PCI and CABG for 10-year all-cause death according to gender.
Methods
The SYNTAXES study evaluated vital status up to 10 years in 1,800 patients with de novo three-vessel disease (3VD) and/or left main coronary artery disease (LMCAD) randomized to treatment with CABG or PCI in the SYNTAX trial, and the pre-specified primary endpoint was all-cause death at 10 years. In this prespecified analysis, all-cause death at 10 years according to gender in patients undergoing PCI or CABG was evaluated.
Results
Of 1800 patients, 402 (22.3%) were women and 1398 (77.7%) were men. In women, the rate of mortality was significantly higher in the PCI arm at 5 years than in the CABG arm (19.3% vs. 10.3%; Log-rank p=0.010, Figure A), but the rates of mortality were not different at 10 years between the PCI and CABG arms (33.0% vs. 32.5%; Log-rank p=0.600, Figure A). In men, the mortality rate tended to be higher in the PCI arm at 10 years than in the CABG arm (27.0% vs. 22.5%; Log-rank p=0.082, Figure B), although the mortality rates were not different at 5 years between the PCI and CABG arms (12.4% vs. 12.3%; Log-rank p=0.957, Figure B).
Conclusion
The efficacy of CABG observed at 5 years disappeared at 10 years in women, whereas the efficacy of CABG became apparent after 5 years in men.
Figure 1
Funding Acknowledgement
Type of funding source: Public Institution(s). Main funding source(s): Erasmus University Medical Centre, Rotterdam, Netherlands, reference: MEC-2016-716
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Affiliation(s)
- H Hara
- Amsterdam UMC - Location Academic Medical Center, Amsterdam, Netherlands (The)
| | - K Takahashi
- Amsterdam UMC - Location Academic Medical Center, Amsterdam, Netherlands (The)
| | - D Klaveren
- Erasmus University Medical Centre, Rotterdam, Netherlands (The)
| | - M Ono
- Amsterdam UMC - Location Academic Medical Center, Amsterdam, Netherlands (The)
| | - H Kawashima
- Amsterdam UMC - Location Academic Medical Center, Amsterdam, Netherlands (The)
| | - P Kappetein
- Erasmus University Medical Centre, Rotterdam, Netherlands (The)
| | - F Mohr
- Heart Center of Leipzig, Leipzig, Germany
| | - M Mack
- Baylor University Medical Center, Dallas, United States of America
| | - D Holmes
- Mayo Clinic, Rochester, United States of America
| | - M Morice
- Jacques Cartier Private Hospital, Massy, France
| | | | - S Head
- Erasmus University Medical Centre, Rotterdam, Netherlands (The)
| | - D Thuijs
- Erasmus University Medical Centre, Rotterdam, Netherlands (The)
| | - Y Onuma
- National University of Ireland, Galway, Ireland
| | - P Serruys
- National University of Ireland, Galway, Ireland
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5
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Gao C, Wang R, Takahashi K, Kawashima H, Van Geuns R, Onuma Y, Morice M, Davierwala P, Holmes D, Mack M, Mohr F, Kappetein A, Head S, Thuijs D, Serruys P. Treatment of complex coronary artery disease in patients with diabetes mellitus and chronic kidney disease: 10-year results comparing outcomes of CABG and PCI in the SYNTAXES trial. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.2520] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
The SYNTAX Extended Survival (SYNTAXES) study is an investigator-driven extension of follow-up of the SYNTAX trial, which was a non-inferiority trial that compared percutaneous coronary intervention (PCI) using first-generation paclitaxel-eluting stents with coronary artery bypass grafting (CABG) in patients with de-novo three-vessel and left main coronary artery disease. The SYNTAXES study is the first randomized trial that reported the complete 10-year data on all-cause death in patients with complex coronary artery disease.
Purpose
Patients with coronary artery disease (CAD) and concomitant diabetes mellitus (DM) or chronic kidney disease (CKD) are more susceptible to major adverse cardiovascular and cerebrovascular events. However, to date, the long-term prognosis and which revascularization strategy was associated with better clinical outcomes for patients with complex coronary artery disease and concomitant with DM and CKD have not been documented.
Methods
In this sub-analysis of the SYNTAXES trial, a total of 1,638 patients were classified into four subgroups according to the DM and CKD status: DM−/CKD− (n=999, 60.1%), DM+/CKD− (n=323, 19.7%), DM−/CKD+ (n=231, 14.1%), and DM+/CKD+ (n=85, 5.2%). The treatment effects of PCI and CABG were analyzed in each subgroup. The primary endpoint was all-cause death at 10 years.
Results
Compared with the DM−/CKD− patients, patients with DM+/CKD+ were older, more often had a history of stroke, hypertension, heart failure, and were more frequently presented with total occlusion, bifurcation lesion and three-vessel disease. At 10 years, patients with DM+/CKD+ had a 3.94-fold higher incidence of all-cause mortality compared with DM−/CKD− individuals (54.1% versus 18.9%, 95% CI [2.85–5.44]). Patients with DM−/CKD+ (38.1%, HR 2.36; 95% CI [1.83–5.44]) or DM+/CKD− (28.2%, HR 1.61; 95% CI [1.26–2.07]) had intermediate risk profile. For DM+/CKD+ patients, compared with PCI, those who underwent CABG were associated with lower incidence of all-cause mortality (64.3% versus 44.2%, adjusted HR 0.52; 95% CI [0.27–0.99], p=0.047, pinteraction=0.443). The number of needed-to-treat to reduce mortality for CABG was 12.
Conclusion
In the SYNTAX population, patients with DM and CKD are at markedly increased risk of long-term mortality rate compared with patients one or neither of these risk factors. For patients with both comorbidities, CABG was associated with better clinical outcome compared with PCI. These findings should be interpreted as hypothesis-generating.
Figure 1. Kaplan-Meier curves showing the clinical events according to treatment and DM/CKD status.
Funding Acknowledgement
Type of funding source: Private company. Main funding source(s): Boston Scientific Corporation
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Affiliation(s)
- C Gao
- Xijing Hospital of the Fourth Military Medical University, Xi'an, China
| | - R.T Wang
- Xijing Hospital of the Fourth Military Medical University, Xi'an, China
| | | | - H Kawashima
- National University of Ireland, Galway, Ireland
| | - R.J Van Geuns
- University Medical Center St Radboud (UMCN), Nijmegen, Netherlands (The)
| | - Y Onuma
- National University of Ireland, Galway, Ireland
| | - M.C Morice
- ICPS Ramsay-Generale de Sante, Massy, France
| | | | - D Holmes
- Mayo Clinic, Rochester, United States of America
| | - M Mack
- Baylor Scott & White Health, Dallas, United States of America
| | - F Mohr
- Heart Center of Leipzig, Leipzig, Germany
| | - A Kappetein
- Erasmus University Medical Centre, Rotterdam, Netherlands (The)
| | - S Head
- Erasmus University Medical Centre, Rotterdam, Netherlands (The)
| | - D Thuijs
- Erasmus University Medical Centre, Rotterdam, Netherlands (The)
| | - P.W Serruys
- National University of Ireland, Galway, Ireland
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Hara H, Takahashi K, Ono M, Gao C, Wang R, Kappetein P, Mohr F, Mack M, Holmes D, Morice M, Davierwala P, Head S, Thuijs D, Onuma Y, Serruys P. Impact of periprocedural myocardial infarction on 10-year mortality after percutaneous coronary intervention or coronary artery bypass grafting for multivessel or left main coronary artery disease. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.2491] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Periprocedural myocardial infarction (PMI) occurs frequently after both percutaneous coronary intervention (PCI) and bypass grafting surgery (CABG) in patients with complex coronary artery disease (CAD), and PMI has been shown to have a detrimental impact on mortality. On the other hand, long-term impact of PMI on mortality has not been fully evaluated.
Purpose
This study aimed to assess the impact of PMI according to SCAI definition on 10-year all-cause death in patients with complex CAD.
Methods
The SYNTAX Extended Survival (SYNTAXES) study evaluated vital status up to 10 years in 1800 patients with de novo three-vessel disease and/or left main coronary artery disease randomized to treatment with CABG or PCI in the SYNTAX trial. Blood was sampled for creatine kinase (CK) pre- and post-revascularisation, and the cardiac specific MB iso-enzyme (CK-MB) was determined only if the CK ratio ≥2 x the upper limit of normal (ULN). If the CK ratio <2 ULN, CK-MB assessment was not mandated. In this analysis, patients with at least one blood sampling within 48 hours of the procedure were included. PMI was defined as follows; peak CK-MB measured within 48 hours of the procedure ≥10 x ULN, or ≥5 x ULN with new Q-waves in 2 contiguous leads or new persistent left bundle branch block.
Results
Of 1800 patients, 1679 (93.2%) patients were included. Of 877 patients treated with PCI, PMI occurred in 26 patients (3.0%), whereas 14 (1.7%) PMIs were observed in 802 patients treated with CABG. Compared with patients without PMI, patients with PMI presented with unstable angina more frequently (45.0% vs. 28.7, p=0.033), and had a higher rate of bifurcation lesion (87.5% vs. 72.5, p=0.046). PMI was associated with a higher all-cause mortality at 10 years compared with no PMI (55.3% vs. 25.4%; Log-rank p<0.001, Figure), which was mainly driven by a high mortality rate within 1 year. In patients undergoing PCI, the mortality rates were significantly higher in patients with PMI not only within 1 year (Log-rank p<0.001) but also beyond one year (Log-rank p=0.016), compare to patients without PMI (Figure). On the other hand, in patients undergoing CABG, a higher mortality rate in patients with PMI was observed until 1 year (Log-rank p<0.001), but the impact of PMI on mortality beyond one year after CABG subsided (Log-rank p=0.308) (Figure 1).
Conclusion
PMI was associated with a poor prognosis at 10 years. The impact of PMI on mortality was strong within one year. Of note, the impact of PMI on mortality persisted beyond 1 year only in patients undergoing PCI. Patients who were treated with PCI and suffered PMI need careful follow-up beyond one year after revascularization.
Figure 1
Funding Acknowledgement
Type of funding source: None
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Affiliation(s)
- H Hara
- Amsterdam UMC - Location Academic Medical Center, Amsterdam, Netherlands (The)
| | - K Takahashi
- Amsterdam UMC - Location Academic Medical Center, Amsterdam, Netherlands (The)
| | - M Ono
- Amsterdam UMC - Location Academic Medical Center, Amsterdam, Netherlands (The)
| | - C Gao
- University Hospital Nijmegen, Nijmegen, Netherlands (The)
| | - R Wang
- University Hospital Nijmegen, Nijmegen, Netherlands (The)
| | - P Kappetein
- Erasmus University Medical Centre, Rotterdam, Netherlands (The)
| | - F Mohr
- Heart Center of Leipzig, Leipzig, Germany
| | - M Mack
- Baylor University Medical Center, Dallas, United States of America
| | - D Holmes
- Mayo Clinic, Rochester, United States of America
| | - M Morice
- Jacques Cartier Private Hospital, Massy, France
| | | | - S Head
- Erasmus University Medical Centre, Rotterdam, Netherlands (The)
| | - D Thuijs
- Erasmus University Medical Centre, Rotterdam, Netherlands (The)
| | - Y Onuma
- National University of Ireland, Galway, Ireland
| | - P Serruys
- National University of Ireland, Galway, Ireland
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7
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Ono M, Takahashi K, Hara H, Gao C, Wang R, Kappetein P, Mohr F, Mack M, Holmes D, Morice M, Davierwala P, Head S, Onuma Y, Thuijs D, Serruys P. Ten-year all-cause death in elderly patients undergoing percutaneous coronary intervention or coronary artery bypass grafting: a prespecified subgroup analysis of the SYNTAX Extended Survival study. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.1490] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Background
Coronary artery disease is the leading cause of death among elderly men and women worldwide. The aging society worldwide will lead to increasing numbers of elderly patients with multivessel coronary artery disease. Although age is recognized as one of the most important factors in a decision-making for revascularization of multivessel coronary artery disease, the very long-term outcomes in patients undergoing revascularization by percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) is still unclear.
Objectives
The aim of the present study was to investigate the association between revascularization strategies and 10-year outcomes in elderly patients.
Methods
The SYNTAX Extended Survival (SYNTAXES) study (NCT 03417050) is an investigator-driven extension of follow-up of a multicentre, randomised controlled trial done in 85 hospitals across 18 North American and European countries, enrolling 1,800 patients with de novo three-vessel disease (3VD) and/or left main coronary artery disease (LMCAD) randomized to revascularization strategy with CABG versus PCI in the SYNTAX trial. Patients were divided into two groups according to the prespecified threshold of 70 years old; elderly patients (>70 years) and non-elderly patients (≤70 years). The primary endpoint of this study was all-cause death at 10 years.
Results
Out of 1,800 patients, 575 patients (31.9%) were classified as elderly (>70 years). The mean age ± standard deviation (SD) of the elderly patients and the non-elderly patients was 75.8±3.6 years and 60.1±7.4 years, respectively. Of note, elderly patients were more frequently female than non-elderly patients (33.6% vs. 17.1%, p<0.001). As expected, the elderly patients had higher prevalence of chronic kidney disease (43.4% vs. 7.9%, p<0.001), had higher anatomical SYNTAX score (30.2±11.8 vs 28.0±11.2 p<0.001) when compared to those of the non-elderly patients.
Up to 10 years, all-cause death occurred in 42.7% and 18.9% in the elderly and non-elderly patients, respectively (Log-rank p<0.001). The cubic spline curve showed an exponentially increase in all-cause death at 10 years according to the increase of age both in the PCI arm and the CABG arm. At 10 years, there was no significant difference in the risk of all-cause death between CABG vs. PCI either in elderly patients (41.5% vs. 44.0%; Log-rank p=0.53) or non-elderly patients (16.6% vs. 21.1%; Log-rank p=0.051).
Conclusion
CABG and PCI were equipoise in terms of risk of all-cause death at 10 years in patients with de novo 3VD and/or LMCAD irrespective of their age when stratified according to the prespecified threshold of 70 years old.
Kaplan-Meier curves
Funding Acknowledgement
Type of funding source: Foundation. Main funding source(s): German Foundation of Heart Research
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Affiliation(s)
- M Ono
- Amsterdam UMC, Amsterdam, Netherlands (The)
| | | | - H Hara
- Amsterdam UMC, Amsterdam, Netherlands (The)
| | - C Gao
- Radboud University Medical Center, Department of Cardiology, Nijmegen, Netherlands (The)
| | - R Wang
- Radboud University Medical Center, Department of Cardiology, Nijmegen, Netherlands (The)
| | - P Kappetein
- Erasmus University Medical Centre, Department of Cardiothoracic Surgery, Rotterdam, Netherlands (The)
| | - F Mohr
- Heart Center of Leipzig, Department of Cardiac Surgery, Leipzig, Germany
| | - M Mack
- Baylor University Medical Center, Department of Cardiothoracic Surgery, Dallas, United States of America
| | - D Holmes
- Mayo Clinic, Department of Cardiovascular Diseases and Internal Medicine, Rochester, United States of America
| | - M Morice
- Jacques Cartier Private Hospital, Département of Cardiologie, Massy, France
| | - P Davierwala
- Heart Center of Leipzig, Department of Cardiac Surgery, Leipzig, Germany
| | - S Head
- Erasmus University Medical Centre, Department of Cardiothoracic Surgery, Rotterdam, Netherlands (The)
| | - Y Onuma
- National University of Ireland, Department of Cardiology, Galway, Ireland
| | - D Thuijs
- Erasmus University Medical Centre, Department of Cardiothoracic Surgery, Rotterdam, Netherlands (The)
| | - P Serruys
- Imperial College London, NHLI, London, United Kingdom
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8
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Noack T, Thuijs D, Kappetein P, Serruys P, Mohr FW, Morice MC, Mack M, Holmes D, Davierwala P, Head S. Ten Year Survival after Coronary Artery Bypass Grafting versus Percutaneous Coronary Intervention: The SYNTAX Extended Survival (SYNTAXES) Study. Thorac Cardiovasc Surg 2020. [DOI: 10.1055/s-0040-1705342] [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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9
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Haunschild J, von Aspern K, Davierwala P, Holzhey DM, Misfeld M, Borger M, Etz C. Institutional Learning Curve over Two Decades for Complex Procedures Leads to Excellent Contemporary Results: 782 Bentall Procedures. Thorac Cardiovasc Surg 2020. [DOI: 10.1055/s-0040-1705511] [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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Lehmann S, Jawad K, Hoyer A, Dieterlen T, Funkat K, Meyer A, Garbade J, Davierwala P, Borger M. Is Extracorporeal Membrane Oxygenation an Option in Patients with Refractory Postcardiotomy Cardiogenic Shock? Long-Term Follow-up Over 1,500 Consecutive Adult Patients. Thorac Cardiovasc Surg 2019. [DOI: 10.1055/s-0039-1678800] [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)
- S. Lehmann
- Universitätsklinik für Herzchirurgie, Herzzentrum Leipzig, Leipzig, Germany
| | - K. Jawad
- Universitätsklinik für Herzchirurgie, Herzzentrum Leipzig, Leipzig, Germany
| | - A. Hoyer
- Universitätsklinik für Herzchirurgie, Herzzentrum Leipzig, Leipzig, Germany
| | - T. Dieterlen
- Universitätsklinik für Herzchirurgie, Herzzentrum Leipzig, Leipzig, Germany
| | - K. Funkat
- Leipzig Heart Institute, Leipzig, Germany
| | - A. Meyer
- Universitätsklinik für Herzchirurgie, Herzzentrum Leipzig, Leipzig, Germany
| | - J. Garbade
- Universitätsklinik für Herzchirurgie, Herzzentrum Leipzig, Leipzig, Germany
| | - P. Davierwala
- Universitätsklinik für Herzchirurgie, Herzzentrum Leipzig, Leipzig, Germany
| | - M.A. Borger
- Universitätsklinik für Herzchirurgie, Herzzentrum Leipzig, Leipzig, Germany
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11
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Lehmann S, Dieterlen MT, Garbade J, Meyer A, Funkat K, Hoyer A, Jawad K, Leontyev S, Davierwala P, Borger M. Impact of ABO Blood Group on Survival after Isolated Xenograft Aortic Valve Replacement. Thorac Cardiovasc Surg 2019. [DOI: 10.1055/s-0039-1678811] [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)
- S. Lehmann
- Universitätsklinik für Herzchirurgie, Herzzentrum Leipzig, Leipzig, Germany
| | - M.-T. Dieterlen
- Universitätsklinik für Herzchirurgie, Herzzentrum Leipzig, Leipzig, Germany
| | - J. Garbade
- Universitätsklinik für Herzchirurgie, Herzzentrum Leipzig, Leipzig, Germany
| | - A. Meyer
- Universitätsklinik für Herzchirurgie, Herzzentrum Leipzig, Leipzig, Germany
| | - K. Funkat
- Leipzig Heart Institute, Leipzig, Germany
| | - A. Hoyer
- Universitätsklinik für Herzchirurgie, Herzzentrum Leipzig, Leipzig, Germany
| | - K. Jawad
- Universitätsklinik für Herzchirurgie, Herzzentrum Leipzig, Leipzig, Germany
| | - S. Leontyev
- Universitätsklinik für Herzchirurgie, Herzzentrum Leipzig, Leipzig, Germany
| | - P. Davierwala
- Universitätsklinik für Herzchirurgie, Herzzentrum Leipzig, Leipzig, Germany
| | - M.A. Borger
- Universitätsklinik für Herzchirurgie, Herzzentrum Leipzig, Leipzig, Germany
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12
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Marin M, Noack T, Sieg F, Holzhey D, Misfeld M, Davierwala P, Seeburger J, Borger M. Isolated Mitral Valve Repair in Patients with Reduced Left Ventricular Function. Thorac Cardiovasc Surg 2019. [DOI: 10.1055/s-0039-1678960] [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)
- M. Marin
- Universitätsklinik für Herzchirurgie, Herzzentrum Leipzig, Leipzig, Germany
| | - T. Noack
- Universitätsklinik für Herzchirurgie, Herzzentrum Leipzig, Leipzig, Germany
| | - F. Sieg
- Universitätsklinik für Herzchirurgie, Herzzentrum Leipzig, Leipzig, Germany
| | - D. Holzhey
- Universitätsklinik für Herzchirurgie, Herzzentrum Leipzig, Leipzig, Germany
| | - M. Misfeld
- Universitätsklinik für Herzchirurgie, Herzzentrum Leipzig, Leipzig, Germany
| | - P. Davierwala
- Universitätsklinik für Herzchirurgie, Herzzentrum Leipzig, Leipzig, Germany
| | - J. Seeburger
- Universitätsklinik für Herzchirurgie, Herzzentrum Leipzig, Leipzig, Germany
| | - M.A. Borger
- Universitätsklinik für Herzchirurgie, Herzzentrum Leipzig, Leipzig, Germany
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13
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Noack T, Kiefer P, Sieg F, Marin M, Leontyev S, Holzhey M, Davierwala P, Pfannmueller B, Misfeld M, Seeburger J, Borger M. Dehiscence of Surgical Annuloplasty Rings and Bands after Mitral Valve Repair: Incidence, Localization, and Clinical Outcome after Redo Surgery. Thorac Cardiovasc Surg 2019. [DOI: 10.1055/s-0039-1678765] [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)
- T. Noack
- Department for Cardiac Surgery, Heart Center Leipzig, Leipzig, Germany
| | - P. Kiefer
- Department for Cardiac Surgery, Heart Center Leipzig, Leipzig, Germany
| | - F. Sieg
- Department for Cardiac Surgery, Heart Center Leipzig, Leipzig, Germany
| | - M. Marin
- Department for Cardiac Surgery, Heart Center Leipzig, Leipzig, Germany
| | - S. Leontyev
- Department for Cardiac Surgery, Heart Center Leipzig, Leipzig, Germany
| | - M. Holzhey
- Department for Cardiac Surgery, Heart Center Leipzig, Leipzig, Germany
| | - P. Davierwala
- Department for Cardiac Surgery, Heart Center Leipzig, Leipzig, Germany
| | - B. Pfannmueller
- Department for Cardiac Surgery, Heart Center Leipzig, Leipzig, Germany
| | - M. Misfeld
- Department for Cardiac Surgery, Heart Center Leipzig, Leipzig, Germany
| | - J. Seeburger
- Department for Cardiac Surgery, Heart Center Leipzig, Leipzig, Germany
| | - M.A. Borger
- Department for Cardiac Surgery, Heart Center Leipzig, Leipzig, Germany
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14
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Leontyev S, Davierwala P, Semenov M, Etz C, Krog G, Bakhtiary F, Misfeld M, Mohr F. Early and Late Outcome after Elective Aortic Arch Surgery. Thorac Cardiovasc Surg 2017. [DOI: 10.1055/s-0037-1598823] [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)
- S. Leontyev
- Herzzentrum Leipzig, Herzchirurgie, Leipzig, Germany
| | - P. Davierwala
- Herzzentrum Leipzig, Herzchirurgie, Leipzig, Germany
| | - M. Semenov
- Herzzentrum Leipzig, Herzchirurgie, Leipzig, Germany
| | - C.D. Etz
- Herzzentrum Leipzig, Herzchirurgie, Leipzig, Germany
| | - G. Krog
- Herzzentrum Leipzig, Herzchirurgie, Leipzig, Germany
| | - F. Bakhtiary
- Herzzentrum Leipzig, Herzchirurgie, Leipzig, Germany
| | - M. Misfeld
- Herzzentrum Leipzig, Herzchirurgie, Leipzig, Germany
| | - F.W. Mohr
- Herzzentrum Leipzig, Herzchirurgie, Leipzig, Germany
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15
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Pfannmüller B, Davierwala P, Misfeld M, Bakhtiary F, Mohr FW. Does Concomitant Tricuspid Valve Repair Elevate the Operative Risk Due to Prolonged Time of Surgery in Patients with Minimally Invasive Mitral Valve Repair? Thorac Cardiovasc Surg 2017. [DOI: 10.1055/s-0037-1598676] [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)
- B. Pfannmüller
- Heart Center Leipzig, University of Leipzig, Leipzig, Germany
| | - P. Davierwala
- Heart Center Leipzig, University of Leipzig, Leipzig, Germany
| | - M. Misfeld
- Heart Center Leipzig, University of Leipzig, Leipzig, Germany
| | - F. Bakhtiary
- Heart Center Leipzig, University of Leipzig, Leipzig, Germany
| | - F.-W. Mohr
- Heart Center Leipzig, University of Leipzig, Leipzig, Germany
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16
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Davierwala P, Penov K, Baiocchi M, Aydin M, Zoric M, Emrich F, Bakhtiary F, Misfeld M, Mohr FW. Total Arterial Revascularization with Bilateral Internal Thoracic Artery: A long-term, Propensity Score-matched Comparison of Composite Y - BITA - Grafts to BITA - in situ Grafting. Thorac Cardiovasc Surg 2016. [DOI: 10.1055/s-0036-1571500] [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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17
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Pfannmüller B, Misfeld M, Bakhtiary F, Davierwala P, Garbade J, Seeburger J, Mohr F. Analysis of Perioperative Parameters and Long-Term Outcomes of Patients with Isolated Mitral Valve Replacement. Thorac Cardiovasc Surg 2016. [DOI: 10.1055/s-0036-1571734] [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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18
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Garbade J, Kluttig R, Matz L, Davierwala P, Lehmann S, Borger M, Misfeld M, Mohr FW. Impact of Myocardial Preservation Technique in High Risk Complex Ischemic Mitral Valve Surgery: From Experience to Evidence. Thorac Cardiovasc Surg 2015. [DOI: 10.1055/s-0035-1544324] [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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19
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Pfannmüller B, Schon U, Misfeld M, Binner C, Davierwala P, Etz C, Garbade J, Mohr F. Mitral Valve Surgery in Patients with Isolated Mitral Valve Endocarditis - Analyzation of Perioperative Parameters and Long-Term Outcomes. Thorac Cardiovasc Surg 2015. [DOI: 10.1055/s-0035-1544461] [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: 10/20/2022]
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20
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Davierwala P, Penov K, Mende M, Amorim P, Ferreira B, Misfeld M, Borger M, Mohr FW. Total Arterial Revascularization with Composite Y/T Grafts: Comparison of Early and Long-Term Outcomes of Bilateral Internal Mammary Arteries with Left Internal Mammary-Radial Artery Composite Grafts. Thorac Cardiovasc Surg 2015. [DOI: 10.1055/s-0035-1544345] [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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21
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Davierwala PM, Leontyev S, Gunter K, Bakhtiary F, Borger M, Misfeld M, Mohr F, Davierwala P. 297 * EARLY AND LATE OUTCOMES OF COMPLEX AORTIC ROOT SURGERY IN PATIENTS WITH AORTIC ROOT ABSCESSES. Interact Cardiovasc Thorac Surg 2014. [DOI: 10.1093/icvts/ivu276.297] [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: 11/13/2022] Open
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22
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Leontyev S, Davierwala P, Misfeld M, Bakhtiary F, Holzhey D, Röhrig K, Borger M, Mohr F. Acute decompensated aortic and mitral valve disease: Short and long-term operative outcomes. Thorac Cardiovasc Surg 2014. [DOI: 10.1055/s-0034-1367238] [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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23
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Pfannmüller B, Kahmann M, Binner C, Davierwala P, Misfeld M, Garbade J, Dohmen P, Etz C, Borger M, Mohr FW. Tricuspid valve surgery in patients with isolated tricuspid valve endocarditis - Analyzation of perioperative parameters and long-term outcomes. Thorac Cardiovasc Surg 2014. [DOI: 10.1055/s-0034-1367194] [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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24
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Leontyev S, Hahg F, Lehmkuhl L, Borger M, Etz CD, Davierwala P, Gutberlet M, Mohr F. 299 * POSTOPERATIVE CHANGES IN DESCENDING AORTA AFTER SURGERY FOR ACUTE TYPE A AORTIC DISSECTION: IMPACT OF FALSE LUMEN PERFUSION AND SIZE OF DESCENDING AORTA. Interact Cardiovasc Thorac Surg 2013. [DOI: 10.1093/icvts/ivt372.299] [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: 11/13/2022] Open
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25
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Garbade J, Kluttig R, Seeburger J, Davierwala P, Lehmann S, Pfannmüller B, Borger MA, Mohr FW. Combined functional mitral valve surgery and coronary artery bypass grafting in patients with severe impaired left ventricles is still a challenge. Thorac Cardiovasc Surg 2013. [DOI: 10.1055/s-0032-1332288] [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: 10/27/2022]
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26
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Misfeld M, Davierwala P, Verevkin A, Leontyev S, Borger MA, Mohr FW. The impact of immediate management of peri-operative myocardial ischemia on mid-term survival in patients undergoing isolated coronary artery bypass surgery. Thorac Cardiovasc Surg 2013. [DOI: 10.1055/s-0032-1332241] [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: 10/27/2022]
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27
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Leontyev S, Davierwala P, Schneevoigt M, Lehmann S, Seeburger J, Misfeld M, Borger MA, Mohr FW. Early and long-term outcomes of surgery for acute decompensated mitral valve disease. Thorac Cardiovasc Surg 2013. [DOI: 10.1055/s-0032-1332638] [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: 10/27/2022]
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28
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Misfeld M, Davierwala P, Leontyev S, Schneevoigt M, Lehmann S, Borger MA, Mohr FW. Outcomes of aortic valve surgery in patients with acute decompensated aortic valve disease. A single center experience of 599 patients. Thorac Cardiovasc Surg 2012. [DOI: 10.1055/s-0031-1297535] [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: 10/14/2022]
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29
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Misfeld M, Subramanian S, Davierwala P, Leontyev S, Borger MA, Binner C, Mohr FW. The unidentified flying object (UFO) operation. Double valve replacement and intervalvular fibrous body reconstruction. Thorac Cardiovasc Surg 2012. [DOI: 10.1055/s-0031-1297615] [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: 10/14/2022]
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Sek J, Rastan AJ, Müller E, Funkat AK, Holzhey D, Davierwala P, Lehmann S, Garbade J, Mohr FW. Effect of prior percutaneous coronary intervention on the results of coronary artery bypass grafting in the drug-eluting stent era. Thorac Cardiovasc Surg 2012. [DOI: 10.1055/s-0031-1297710] [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: 10/14/2022]
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Rastan AJ, Müller E, Sek J, Funkat AK, Davierwala P, Holzhey D, Lehmann S, Mohr FW. Impact of previous percutaneous coronary intervention on early and long-term results of coronary artery bypass grafting. Thorac Cardiovasc Surg 2012. [DOI: 10.1055/s-0031-1297568] [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: 10/14/2022]
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32
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Misfeld M, Borger M, Leontyev S, Gindensperger O, Seeburger J, Davierwala P, Garbade J, Mohr FW. Brain protection during aortic arch surgery: Antegrade versus retrograde versus non-cerebral perfusion. Thorac Cardiovasc Surg 2011. [DOI: 10.1055/s-0030-1269129] [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: 10/18/2022]
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33
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Owais T, Garbade J, Rastan A, Davierwala P, Lehmann S, Bittner H, Borger M, Mohr FW. Minimally invasive strategy for resection of primary cardiac tumors: Single-center experience. Thorac Cardiovasc Surg 2011. [DOI: 10.1055/s-0030-1269343] [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: 10/18/2022]
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