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Biancari F, Juvonen T, Cho SM, Hernández Pérez FJ, L'Acqua C, Arafat AA, AlBarak MM, Laimoud M, Djordjevic I, Samalavicius R, Alonso-Fernandez-Gatta M, Sahli SD, Kaserer A, Dominici C, Mäkikallio T. External validation of the PC-ECMO score in postcardiotomy veno-arterial extracorporeal membrane oxygenation. Int J Artif Organs 2024; 47:313-317. [PMID: 38462690 DOI: 10.1177/03913988241237701] [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] [Indexed: 03/12/2024]
Abstract
Reliable stratification of the risk of early mortality after postcardiotomy veno-arterial extracorporeal membrane oxygenation (V-A-ECMO) remains elusive. In this study, we externally validated the PC-ECMO score, a specific risk scoring method for prediction of in-hospital mortality after postcardiotomy V-A-ECMO. Overall, 614 patients who required V-A-ECMO after adult cardiac surgery were gathered from an individual patient data meta-analysis of nine studies on this topic. The AUC of the logistic PC-ECMO score in predicting in-hospital mortality was 0.678 (95%CI 0.630-0.726; p < 0.0001). The AUC of the logistic PC-ECMO score in predicting on V-A-ECMO mortality was 0.652 (95%CI 0.609-0.695; p < 0.0001). The Brier score of the logistic PC-ECMO score for in-hospital mortality was 0.193, the slope 0.909, the calibration-in-the-large 0.074 and the expected/observed mortality ratio 0.979. 95%CIs of the calibration belt of fit relationship between observed and predicted in-hospital mortality were never above or below the bisector (p = 0.072). The present findings suggest that the PC-ECMO score may be a valuable tool in clinical research for stratification of the risk of patients requiring postcardiotomy V-A-ECMO.
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Affiliation(s)
- Fausto Biancari
- Department of Medicine, South-Karelia Central Hospital, University of Helsinki, Lappeenranta, Etelä-Karjala, Finland
- Heart and Lung Center, Helsinki University Hospital, Helsinki, Uusimaa, Finland
| | - Tatu Juvonen
- Heart and Lung Center, Helsinki University Hospital, Helsinki, Uusimaa, Finland
- Research Unit of Surgery, Anesthesia and Intensive Care, University of Oulu, Oulu, Finland
| | - Sung-Min Cho
- Divisions of Neurosciences, Critical Care and Cardiac Surgery, Departments of Neurology, Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA
| | | | - Camilla L'Acqua
- Anesthesia and Intensive Care Unit, Centro Cardiologico Monzino, Milan, Lombardy, Italy
- Anesthesia and Intensive Care Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy
| | - Amr A Arafat
- Adult Cardiac Surgery, Prince Sultan Cardiac Center, Riyadh, Saudi Arabia
- Cardiothoracic Surgery Department, Tanta University, Tanta, Gharbia Governorate, Egypt
| | - Mohammed M AlBarak
- Intensive Care Department, Prince Sultan Cardiac Center, Riyadh, Saudi Arabia
| | - Mohamed Laimoud
- Cardiac Surgical Intensive Care Department, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
- Critical Care Medicine Department, Cairo University, Cairo, Egypt
| | - Ilija Djordjevic
- Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany
| | - Robertas Samalavicius
- Second Department of Anesthesia, Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania
- Clinic of Emergency Medicine, Medical Faculty, Vilnius University, Vilnius, Lithuania
| | - Marta Alonso-Fernandez-Gatta
- Cardiology Department, University Hospital of Salamanca, Instituto de Investigación Biomédica de Salamanca, Salamanca, Castilla y León, Spain
- CIBER-CV Instituto de Salud Carlos III, Madrid, Spain
| | - Sebastian D Sahli
- Institute of Anesthesiology, University and University Hospital Zurich, Zurich, Switzerland
| | - Alexander Kaserer
- Institute of Anesthesiology, University and University Hospital Zurich, Zurich, Switzerland
| | - Carmelo Dominici
- Department of Cardiac Surgery, Campus Biomedico, Rome, Lazio, Italy
| | - Timo Mäkikallio
- Department of Medicine, South-Karelia Central Hospital, University of Helsinki, Lappeenranta, Etelä-Karjala, Finland
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Eghbalzadeh K, Kuhn EW, Gerfer S, Djordjevic I, Rahmanian P, Mader N, Wahlers TCW. Ten-Year Long-Term Analysis of Mechanical and Biological Aortic Valve Replacement. Thorac Cardiovasc Surg 2024; 72:167-172. [PMID: 35667381 DOI: 10.1055/s-0042-1744477] [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] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
BACKGROUND For patients undergoing aortic valve replacement (AVR), structural valve deterioration (SVD) of a bioprosthesis (BP) is substantially accelerated in younger patients and valve-in-valve implantation is not always a considerable option. The risk-benefit assessment between SVD versus the risk of bleeding and thromboembolic events in patients with a mechanical prosthesis (MP) resulted in an age limit shift irrespective of inconsistent results reported in literature. METHOD This retrospective single-center study compared 10-year long-term outcomes in patients undergoing isolated AVR with MP or BP. The risk-adjusted comparison of patients undergoing isolated AVR (n = 121) was performed after 1:1 propensity score matching (PSM) for age, sex, endocarditis, and chronic renal impairment (caliper of 0.2) leading to 29 pairs. Short- and long-term outcomes with respect to reoperation, major bleeding, stroke, all-cause and cardiovascular mortality, and overall survival at 10 years were analyzed. RESULTS After PSM, groups were comparable with respect to preoperative characteristics, including patients with a mean age of 65 ± 3 years (MP) and 66 ± 4 years (BP) and an incidence rate of 6.9% for infective endocarditis in both cohorts. Short-term outcomes (transient neurologic disorder = 0.0 vs. 6.9%; stroke = 0.0%; in-hospital mortality = 3.4%) and in-hospital stays were comparable between MP and BP. CONCLUSION After isolated AVR with MP and BP, 10-year long-term outcomes were comparable in the reported single-center cohort. MP can still be implanted safely without a disadvantage as regards long-term survival.
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Affiliation(s)
- Kaveh Eghbalzadeh
- Department of Cardiothoracic Surgery, Uniklinik Koln, Koln, Nordrhein-Westfalen, Germany
| | - Elmar W Kuhn
- Department of Cardiothoracic Surgery, Uniklinik Koln, Koln, Nordrhein-Westfalen, Germany
| | - Stephen Gerfer
- Department of Cardiothoracic Surgery, Uniklinik Koln, Koln, Nordrhein-Westfalen, Germany
| | - Ilija Djordjevic
- Department of Cardiothoracic Surgery, Uniklinik Koln, Koln, Nordrhein-Westfalen, Germany
| | - Parwis Rahmanian
- Department of Cardiothoracic Surgery, Uniklinik Koln, Koln, Nordrhein-Westfalen, Germany
| | - Navid Mader
- Department of Cardiothoracic Surgery, Uniklinik Koln, Koln, Nordrhein-Westfalen, Germany
| | - Thorsten C W Wahlers
- Department of Cardiothoracic Surgery, Uniklinik Koln, Koln, Nordrhein-Westfalen, Germany
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Rustenbach CJ, Reichert S, Berger R, Schano J, Nemeth A, Haeberle H, Charotte C, Caldonazo T, Saqer I, Saha S, Schnackenburg P, Djordjevic I, Krasivskyi I, Wendt S, Serna-Higuita LM, Doenst T, Hagl C, Wahlers T, Schlensak C, Sandoval Boburg R. Unraveling the Predictors for Delirium and ICU Stay Duration in Patients with Heart Failure and Reduced Ejection Fraction (HFrEF) Undergoing Coronary Artery Bypass Grafting-A Multicentric Analysis. Biomedicines 2024; 12:749. [PMID: 38672105 PMCID: PMC11048437 DOI: 10.3390/biomedicines12040749] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2024] [Revised: 03/21/2024] [Accepted: 03/26/2024] [Indexed: 04/28/2024] Open
Abstract
Objective: This study assesses predictors for postoperative delirium (POD) and ICU stay durations in HFrEF patients undergoing CABG, focusing on ONCAB versus OPCAB surgical methods. Summary Background Data: In cardiac surgery, especially CABG, POD significantly impacts patient recovery and healthcare resource utilization. With varying incidences based on surgical techniques, this study provides an in-depth analysis of POD in the context of HFrEF patients, a group particularly susceptible to this complication. Methods: A retrospective analysis of 572 patients who underwent isolated CABG surgery with a preoperative ejection fraction under 40% was conducted at four German university hospitals. Patients were categorized into ONCAB and OPCAB groups for comparative analysis. Results: Age and Euro Score II were significant predictors of POD. The ONCAB group showed higher incidences of re-sternotomy (OR: 3.37), ECLS requirement (OR: 2.29), and AKI (OR: 1.49), whereas OPCAB was associated with a lower incidence of delirium. Statistical analysis indicated a significant difference in ICU stay durations between the two groups, influenced by surgical complexity and postoperative complications. Conclusions: This study underscores the importance of surgical technique in determining postoperative outcomes in HFrEF patients undergoing CABG. OPCAB may offer advantages in reducing POD incidence. These findings suggest the need for tailored surgical decisions and comprehensive care strategies to enhance patient recovery and optimize healthcare resources.
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Affiliation(s)
- Christian Jörg Rustenbach
- Department of Thoracic and Cardiovascular Surgery, German Cardiac Competence Center, Eberhard-Karls-University of Tuebingen, Hoppe-Seyler-Strasse 3, 72076 Tuebingen, Germany; (S.R.); (J.S.); (A.N.); (C.S.); (R.S.B.)
| | - Stefan Reichert
- Department of Thoracic and Cardiovascular Surgery, German Cardiac Competence Center, Eberhard-Karls-University of Tuebingen, Hoppe-Seyler-Strasse 3, 72076 Tuebingen, Germany; (S.R.); (J.S.); (A.N.); (C.S.); (R.S.B.)
| | - Rafal Berger
- Department of Thoracic and Cardiovascular Surgery, German Cardiac Competence Center, Eberhard-Karls-University of Tuebingen, Hoppe-Seyler-Strasse 3, 72076 Tuebingen, Germany; (S.R.); (J.S.); (A.N.); (C.S.); (R.S.B.)
| | - Julia Schano
- Department of Thoracic and Cardiovascular Surgery, German Cardiac Competence Center, Eberhard-Karls-University of Tuebingen, Hoppe-Seyler-Strasse 3, 72076 Tuebingen, Germany; (S.R.); (J.S.); (A.N.); (C.S.); (R.S.B.)
| | - Attila Nemeth
- Department of Thoracic and Cardiovascular Surgery, German Cardiac Competence Center, Eberhard-Karls-University of Tuebingen, Hoppe-Seyler-Strasse 3, 72076 Tuebingen, Germany; (S.R.); (J.S.); (A.N.); (C.S.); (R.S.B.)
| | - Helene Haeberle
- Department of Anesthesiology and Intensive Care Medicine, Eberhard-Karls-University of Tuebingen, 72076 Tuebingen, Germany; (H.H.); (C.C.)
| | - Christophe Charotte
- Department of Anesthesiology and Intensive Care Medicine, Eberhard-Karls-University of Tuebingen, 72076 Tuebingen, Germany; (H.H.); (C.C.)
| | - Tulio Caldonazo
- Department of Cardiothoracic Surgery, University Hospital of Jena, Friedrich-Schiller-University, 07747 Jena, Germany; (T.C.); (I.S.); (T.D.)
| | - Ibrahim Saqer
- Department of Cardiothoracic Surgery, University Hospital of Jena, Friedrich-Schiller-University, 07747 Jena, Germany; (T.C.); (I.S.); (T.D.)
| | - Shekhar Saha
- Department of Cardiac Surgery, Ludwig-Maximilians-University, 80539 Munich, Germany (P.S.); (C.H.)
- German Centre for Cardiovascular Research (DZHK), Partner Site Munich Heart Alliance, 81377 Munich, Germany
| | - Philipp Schnackenburg
- Department of Cardiac Surgery, Ludwig-Maximilians-University, 80539 Munich, Germany (P.S.); (C.H.)
- German Centre for Cardiovascular Research (DZHK), Partner Site Munich Heart Alliance, 81377 Munich, Germany
| | - Ilija Djordjevic
- Department of Cardiothoracic Surgery, Heart Center, University of Cologne, 50923 Köln, Germany; (I.D.); (I.K.); (S.W.); (T.W.)
| | - Ihor Krasivskyi
- Department of Cardiothoracic Surgery, Heart Center, University of Cologne, 50923 Köln, Germany; (I.D.); (I.K.); (S.W.); (T.W.)
| | - Stefanie Wendt
- Department of Cardiothoracic Surgery, Heart Center, University of Cologne, 50923 Köln, Germany; (I.D.); (I.K.); (S.W.); (T.W.)
| | - Lina Maria Serna-Higuita
- Institute for Clinical Epidemiology and Applied Biostatistics, Eberhard-Karls-University of Tuebingen, 72074 Tuebingen, Germany;
| | - Torsten Doenst
- Department of Cardiothoracic Surgery, University Hospital of Jena, Friedrich-Schiller-University, 07747 Jena, Germany; (T.C.); (I.S.); (T.D.)
| | - Christian Hagl
- Department of Cardiac Surgery, Ludwig-Maximilians-University, 80539 Munich, Germany (P.S.); (C.H.)
- German Centre for Cardiovascular Research (DZHK), Partner Site Munich Heart Alliance, 81377 Munich, Germany
| | - Thorsten Wahlers
- Department of Cardiothoracic Surgery, Heart Center, University of Cologne, 50923 Köln, Germany; (I.D.); (I.K.); (S.W.); (T.W.)
| | - Christian Schlensak
- Department of Thoracic and Cardiovascular Surgery, German Cardiac Competence Center, Eberhard-Karls-University of Tuebingen, Hoppe-Seyler-Strasse 3, 72076 Tuebingen, Germany; (S.R.); (J.S.); (A.N.); (C.S.); (R.S.B.)
| | - Rodrigo Sandoval Boburg
- Department of Thoracic and Cardiovascular Surgery, German Cardiac Competence Center, Eberhard-Karls-University of Tuebingen, Hoppe-Seyler-Strasse 3, 72076 Tuebingen, Germany; (S.R.); (J.S.); (A.N.); (C.S.); (R.S.B.)
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Gerfer S, Großmann C, Gablac H, Elderia A, Wienemann H, Krasivskyi I, Mader N, Lee S, Mauri V, Djordjevic I, Adam M, Kuhn E, Baldus S, Eghbalzadeh K, Wahlers T. Low Left-Ventricular Ejection Fraction as a Predictor of Intraprocedural Cardiopulmonary Resuscitation in Patients Undergoing Transcatheter Aortic Valve Implantation. Life (Basel) 2024; 14:424. [PMID: 38672696 PMCID: PMC11051090 DOI: 10.3390/life14040424] [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] [Received: 02/04/2024] [Revised: 03/17/2024] [Accepted: 03/19/2024] [Indexed: 04/28/2024] Open
Abstract
Transcatheter aortic valve replacement (TAVR) has become an established alternative to surgical aortic valve replacement (AVR) for patients with moderate-to-high perioperative risk. Periprocedural TAVR complications decrease with growing expertise of implanters. Nevertheless, TAVR can still be accompanied by life-threatening adverse events such as intraprocedural cardiopulmonary resuscitation (CPR). This study analyzed the role of a reduced left-ventricular ejection fraction (LVEF) in intraprocedural complications during TAVR. Perioperative and postoperative outcomes from patients undergoing TAVR in a high-volume center (600 cases per year) were analyzed retrospectively with regard to their left-ventricular ejection fraction. Patients with a reduced left-ventricular ejection fraction (EF ≤ 40%) faced a significantly higher risk of perioperative adverse events. Within this cohort, patients were significantly more often in need of mechanical ventilation (35% vs. 19%). These patients also underwent CPR (17% vs. 5.8%), defibrillation due to ventricular fibrillation (13% vs. 5.4%), and heart-lung circulatory support (6.1% vs. 2.5%) more often. However, these intraprocedural adverse events showed no significant impact on postoperative outcomes regarding in-hospital mortality, stroke, or in-hospital stay. A reduced preprocedural LVEF is a risk factor for intraprocedural adverse events. With respect to this finding, the identified patient cohort should be treated with more caution to prevent intraprocedural incidents.
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Affiliation(s)
- Stephen Gerfer
- Department of Cardiothoracic Surgery, Heart Center of the University Hospital of Cologne, Kerpener Straße 62, 50937 Cologne, Germany (K.E.)
| | - Clara Großmann
- Department of Cardiothoracic Surgery, Heart Center of the University Hospital of Cologne, Kerpener Straße 62, 50937 Cologne, Germany (K.E.)
| | - Hannah Gablac
- Department of Cardiothoracic Surgery, Heart Center of the University Hospital of Cologne, Kerpener Straße 62, 50937 Cologne, Germany (K.E.)
| | - Ahmed Elderia
- Department of Cardiothoracic Surgery, Heart Center of the University Hospital of Cologne, Kerpener Straße 62, 50937 Cologne, Germany (K.E.)
| | - Hendrik Wienemann
- Clinic for Cardiology, Heart Center of the University Hospital of Cologne, Kerpener Straße 62, 50937 Cologne, Germany (V.M.)
| | - Ihor Krasivskyi
- Department of Cardiothoracic Surgery, Heart Center of the University Hospital of Cologne, Kerpener Straße 62, 50937 Cologne, Germany (K.E.)
| | - Navid Mader
- Department of Cardiothoracic Surgery, Heart Center of the University Hospital of Cologne, Kerpener Straße 62, 50937 Cologne, Germany (K.E.)
| | - Samuel Lee
- Clinic for Cardiology, Heart Center of the University Hospital of Cologne, Kerpener Straße 62, 50937 Cologne, Germany (V.M.)
| | - Victor Mauri
- Clinic for Cardiology, Heart Center of the University Hospital of Cologne, Kerpener Straße 62, 50937 Cologne, Germany (V.M.)
| | - Ilija Djordjevic
- Department of Cardiothoracic Surgery, Heart Center of the University Hospital of Cologne, Kerpener Straße 62, 50937 Cologne, Germany (K.E.)
| | - Matti Adam
- Clinic for Cardiology, Heart Center of the University Hospital of Cologne, Kerpener Straße 62, 50937 Cologne, Germany (V.M.)
| | - Elmar Kuhn
- Department of Cardiothoracic Surgery, Heart Center of the University Hospital of Cologne, Kerpener Straße 62, 50937 Cologne, Germany (K.E.)
| | - Stephan Baldus
- Clinic for Cardiology, Heart Center of the University Hospital of Cologne, Kerpener Straße 62, 50937 Cologne, Germany (V.M.)
| | - Kaveh Eghbalzadeh
- Department of Cardiothoracic Surgery, Heart Center of the University Hospital of Cologne, Kerpener Straße 62, 50937 Cologne, Germany (K.E.)
| | - Thorsten Wahlers
- Department of Cardiothoracic Surgery, Heart Center of the University Hospital of Cologne, Kerpener Straße 62, 50937 Cologne, Germany (K.E.)
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Rustenbach CJ, Reichert S, Salewski C, Schano J, Berger R, Nemeth A, Zdanyte M, Häberle H, Caldonazo T, Saqer I, Saha S, Schnackenburg P, Djordjevic I, Krasivskyi I, Serna-Higuita LM, Doenst T, Hagl C, Wahlers T, Schlensak C, Sandoval Boburg R. Influence of Obesity on Short-Term Surgical Outcomes in HFrEF Patients Undergoing CABG: A Retrospective Multicenter Study. Biomedicines 2024; 12:426. [PMID: 38398028 PMCID: PMC10887226 DOI: 10.3390/biomedicines12020426] [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] [Received: 01/21/2024] [Revised: 02/05/2024] [Accepted: 02/12/2024] [Indexed: 02/25/2024] Open
Abstract
Background: This retrospective multicenter study investigates the impact of obesity on short-term surgical outcomes in patients with heart failure and reduced ejection fraction (HFrEF) undergoing coronary artery bypass grafting (CABG). Given the rising global prevalence of obesity and its known cardiovascular implications, understanding its specific effects in high-risk groups like HFrEF patients is crucial. Methods: The study analyzed data from 574 patients undergoing CABG across four German university hospitals from 2017 to 2023. Patients were stratified into 'normal weight' (n = 163) and 'obese' (n = 158) categories based on BMI (WHO classification). Data on demographics, clinical measurements, health status, cardiac history, intraoperative management, postoperative outcomes, and laboratory insights were collected and analyzed using Chi-square, ANOVA, Kruskal-Wallis, and binary logistic regression. Results: Key findings are a significant higher mortality rate (6.96% vs. 3.68%, p = 0.049) and younger age in obese patients (mean age 65.84 vs. 69.15 years, p = 0.003). Gender distribution showed no significant difference. Clinical assessment scores like EuroScore II and STS Score indicated no differences. Paradoxically, the preoperative left ventricular ejection fraction (LVEF) was higher in the obese group (32.04% vs. 30.34%, p = 0.026). The prevalence of hypertension, COPD, hyperlipidemia, and other comorbidities did not significantly differ. Intraoperatively, obese patients required more packed red blood cells (p = 0.026), indicating a greater need for transfusion. Postoperatively, the obese group experienced longer hospital stays (median 14 vs. 13 days, p = 0.041) and higher ventilation times (median 16 vs. 13 h, p = 0.049). The incidence of acute kidney injury (AKI) (17.72% vs. 9.20%, p = 0.048) and delirium (p = 0.016) was significantly higher, while, for diabetes prevalence, there was an indicating a trend towards significance (p = 0.051) in the obesity group, while other complications like sepsis, and the need for ECLS were similar across groups. Conclusions: The study reveals that obesity significantly worsens short-term outcomes in HFrEF patients undergoing CABG, increasing risks like mortality, kidney insufficiency, and postoperative delirium. These findings highlight the urgent need for personalized care, from surgical planning to postoperative strategies, to improve outcomes for this high-risk group, urging further tailored research.
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Affiliation(s)
- Christian Jörg Rustenbach
- Department of Thoracic and Cardiovascular Surgery, German Cardiac Competence Center, Eberhard-Karls-University, 72076 Tuebingen, Germany; (S.R.); (C.S.); (J.S.); (R.B.); (A.N.); (C.S.); (R.S.B.)
| | - Stefan Reichert
- Department of Thoracic and Cardiovascular Surgery, German Cardiac Competence Center, Eberhard-Karls-University, 72076 Tuebingen, Germany; (S.R.); (C.S.); (J.S.); (R.B.); (A.N.); (C.S.); (R.S.B.)
| | - Christoph Salewski
- Department of Thoracic and Cardiovascular Surgery, German Cardiac Competence Center, Eberhard-Karls-University, 72076 Tuebingen, Germany; (S.R.); (C.S.); (J.S.); (R.B.); (A.N.); (C.S.); (R.S.B.)
| | - Julia Schano
- Department of Thoracic and Cardiovascular Surgery, German Cardiac Competence Center, Eberhard-Karls-University, 72076 Tuebingen, Germany; (S.R.); (C.S.); (J.S.); (R.B.); (A.N.); (C.S.); (R.S.B.)
| | - Rafal Berger
- Department of Thoracic and Cardiovascular Surgery, German Cardiac Competence Center, Eberhard-Karls-University, 72076 Tuebingen, Germany; (S.R.); (C.S.); (J.S.); (R.B.); (A.N.); (C.S.); (R.S.B.)
| | - Attila Nemeth
- Department of Thoracic and Cardiovascular Surgery, German Cardiac Competence Center, Eberhard-Karls-University, 72076 Tuebingen, Germany; (S.R.); (C.S.); (J.S.); (R.B.); (A.N.); (C.S.); (R.S.B.)
| | - Monika Zdanyte
- Department of Cardiology, German Cardiac Competence Center, Eberhard-Karls-University, 72076 Tuebingen, Germany;
| | - Helene Häberle
- Department of Anesthesiology and Intensive Care Medicine, Eberhard-Karls-University, 72076 Tuebingen, Germany;
| | - Túlio Caldonazo
- Department of Cardiothoracic Surgery, Jena University Hospital, 07747 Jena, Germany; (T.C.); (I.S.); (T.D.)
| | - Ibrahim Saqer
- Department of Cardiothoracic Surgery, Jena University Hospital, 07747 Jena, Germany; (T.C.); (I.S.); (T.D.)
| | - Shekhar Saha
- Department of Cardiac Surgery, Ludwig-Maximilians-University, 80539 Munich, Germany (P.S.); (C.H.)
| | - Philipp Schnackenburg
- Department of Cardiac Surgery, Ludwig-Maximilians-University, 80539 Munich, Germany (P.S.); (C.H.)
| | - Ilija Djordjevic
- Department of Cardiothoracic Surgery, Heart Center, University of Cologne, 50923 Köln, Germany; (I.D.); (I.K.); (T.W.)
| | - Ihor Krasivskyi
- Department of Cardiothoracic Surgery, Heart Center, University of Cologne, 50923 Köln, Germany; (I.D.); (I.K.); (T.W.)
| | - Lina María Serna-Higuita
- Institute for Clinical Epidemiology and Applied Biostatistics, Eberhard-Karls-University, 72076 Tuebingen, Germany;
| | - Torsten Doenst
- Department of Cardiothoracic Surgery, Jena University Hospital, 07747 Jena, Germany; (T.C.); (I.S.); (T.D.)
| | - Christian Hagl
- Department of Cardiac Surgery, Ludwig-Maximilians-University, 80539 Munich, Germany (P.S.); (C.H.)
| | - Thorsten Wahlers
- Department of Cardiothoracic Surgery, Heart Center, University of Cologne, 50923 Köln, Germany; (I.D.); (I.K.); (T.W.)
| | - Christian Schlensak
- Department of Thoracic and Cardiovascular Surgery, German Cardiac Competence Center, Eberhard-Karls-University, 72076 Tuebingen, Germany; (S.R.); (C.S.); (J.S.); (R.B.); (A.N.); (C.S.); (R.S.B.)
| | - Rodrigo Sandoval Boburg
- Department of Thoracic and Cardiovascular Surgery, German Cardiac Competence Center, Eberhard-Karls-University, 72076 Tuebingen, Germany; (S.R.); (C.S.); (J.S.); (R.B.); (A.N.); (C.S.); (R.S.B.)
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Großmann C, Krasivskiy I, Djordjevic I, Mihaylova M, Wahlers T, Eghbalzadeh K. Aortic root enlargement and replacement of the ascending aorta in type 0 aortic valve stenosis. Perfusion 2024:2676591241233143. [PMID: 38325808 DOI: 10.1177/02676591241233143] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/09/2024]
Abstract
INTRODUCTION This case report aims to describe an aortic root enlargement in combination with the replacement of the ascending aorta in a patient presenting with severe aortic valve stenosis. CASE REPORT A 68-year-old woman with severe aortic stenosis due to a type 0 bicuspid aortic valve and an aortic aneurysm underwent surgery for treatment. The annulus was preoperatively measured with 19 mm. Enlargement was performed by using a tissue patch to create a neo-noncoronary sinus and enlarge the root. DISCUSSION Patients with a small aortic root face an increased risk of patient prosthesis mismatch. Enlarging the aortic root can mitigate this, but it extends cross-clamp and overall operative times. This case shows the need for carefully planned surgical interventions to optimize outcomes in complex anatomies. CONCLUSIONS Each step of the performed surgery is well-established, however the combination and the creation of a neo-noncoronary sinus is not described so far.
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Affiliation(s)
- Clara Großmann
- Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, Germany
| | - Ihor Krasivskiy
- Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, Germany
| | - Ilija Djordjevic
- Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, Germany
| | - Mariya Mihaylova
- Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, Germany
| | - Thorsten Wahlers
- Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, Germany
| | - Kaveh Eghbalzadeh
- Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, Germany
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Gaisendrees C, Eghbalzadeh K, Adam M, Djordjevic I, Mehler O, Wahlers T, Kuhn EW. Improving the effectiveness of CPR during interventional procedures. Perfusion 2024:2676591241232279. [PMID: 38302468 DOI: 10.1177/02676591241232279] [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: 02/03/2024]
Abstract
INTRODUCTION The number of interventional procedures, such as transcatheter aortic valve replacements or thoracic endovascular aortic repairs, is on the rise. Intraprocedural cardiac arrest is a rare occurrence during high-risk procedures. Modern hybrid-operating tables may adversely affect chest compression quality due to their flexibility. To investigate this relationship, we analyzed the blood pressure generated during chest compressions at different degrees of table extension and assessed the effect of an additional stabilization bar to secure the table. METHODS A CPR manikin was connected to online blood pressure monitoring on a hybrid operating table. Chest compressions were administered using a mechanical device (at 100 bpm and 80 bpm). Hemodynamic effects were evaluated at various degrees of table extension (0%, 50%, 100% table extension) and with the addition of a stabilization bar. RESULTS A greater degree of table extension was associated with lower diastolic blood pressure. The addition of a stabilization bar alleviated this drop in diastolic blood pressure and enabled the generation of higher mean arterial pressures at 50% and 100% table extension during chest compressions. CONCLUSION The flexibility of a hybrid operating table adversely impacts the hemodynamic effect of chest compressions. This effect may be mitigated by using a stabilization bar. These results may be relevant for providing further recommendations for CPR guidelines in hybrid OR settings.
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Affiliation(s)
| | - Kaveh Eghbalzadeh
- Department of Cardiothoracic Surgery, University Hospital of Cologne, Cologne, Germany
| | - Matti Adam
- Department of Cardiology, University Hospital of Cologne, Cologne, Germany
| | - Ilija Djordjevic
- Department of Cardiothoracic Surgery, University Hospital of Cologne, Cologne, Germany
| | - Oliver Mehler
- Department of Anesthesiology, University Hospital of Cologne, Cologne, Germany
| | - Thorsten Wahlers
- Department of Cardiothoracic Surgery, University Hospital of Cologne, Cologne, Germany
| | - Elmar W Kuhn
- Department of Cardiothoracic Surgery, University Hospital of Cologne, Cologne, Germany
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Ivanov B, Krasivskyi I, Förster F, Gaisendrees C, Elderia A, Großmann C, Mihaylova M, Djordjevic I, Eghbalzadeh K, Sabashnikov A, Kuhn E, Deppe AC, Rahmanian PB, Mader N, Gerfer S, Wahlers T. Impact of pulmonary hypertension on short-term outcomes in patients undergoing surgical aortic valve replacement for severe aortic valve stenosis. Perfusion 2024:2676591241227883. [PMID: 38213127 DOI: 10.1177/02676591241227883] [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: 01/13/2024]
Abstract
OBJECTIVES In patients with left heart disease and severe aortic stenosis (AS), pulmonary hypertension (PH) is a common comorbidity and predictor of poor prognosis. Untreated AS aggravates PH leading to an increased right ventricular afterload and, in line to right ventricular dysfunction. The surgical benefit of aortic valve replacement (AVR) in elderly patients with severe AS and PH could be limited due to the multiple comorbidities and poor outcomes. Therefore, we purposed to investigate the impact of PH on short-term outcomes in patients with moderate to severe AS who underwent surgical AVR in our heart center. METHODS In this study we retrospectively analyzed a cohort of 99 patients with severe secondary post-capillary PH who underwent surgical AVR (AVR + PH group) at our heart center between 2010 and 2021 with a regard to perioperative outcomes. In order to investigate the impact of PH on short-term outcomes, the control group of 99 patients without pulmonary hypertension who underwent surgical AVR (AVR group) at our heart center with similar risk profile was accordingly analyzed regarding pre-, intra- and postoperative data. RESULTS Atrial fibrillation occurred significantly more often (p = .013) in patients who suffered from PH undergoing AVR. In addition, the risk for cardiac surgery (EUROSCORE II) was significantly higher (p < .001) in the above-mentioned group. Likewise, cardiopulmonary bypass time (p = .018), aortic cross-clamp time (p = .008) and average operation time (p = .009) were significantly longer in the AVR + PH group. Furthermore, the in-hospital survival rate was significantly higher (p = .044) in the AVR group compared to the AVR + PH group. Moreover, the dialysis rate was significantly higher (p < .001) postoperatively in patients who suffered PH compared to the patients without PH undergoing AVR. CONCLUSION In our study, patients with severe PH and severe symptomatic AS who underwent surgical aortic valve replacement showed adverse short-term outcomes compared to patients without PH.
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Affiliation(s)
- Borko Ivanov
- Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany
- Department of Cardiothoracic Surgery, Helios Hospital Siegburg, Siegburg, Germany
| | - Ihor Krasivskyi
- Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany
| | - Friedrich Förster
- Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany
| | | | - Ahmed Elderia
- Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany
| | - Clara Großmann
- Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany
| | - Mariya Mihaylova
- Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany
| | - Ilija Djordjevic
- Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany
| | - Kaveh Eghbalzadeh
- Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany
| | - Anton Sabashnikov
- Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany
| | - Elmar Kuhn
- Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany
| | - Antje-Christin Deppe
- Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany
| | | | - Navid Mader
- Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany
| | - Stephen Gerfer
- Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany
| | - Thorsten Wahlers
- Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany
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Elderia A, Wallau AM, Bennour W, Gerfer S, Gaisendrees C, Krasivskyi I, Djordjevic I, Wahlers T, Weber C. Impact of Aortic Root Abscess on Surgical Outcomes of Infective Endocarditis. Life (Basel) 2024; 14:92. [PMID: 38255707 PMCID: PMC10820780 DOI: 10.3390/life14010092] [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] [Received: 11/30/2023] [Revised: 01/02/2024] [Accepted: 01/05/2024] [Indexed: 01/24/2024] Open
Abstract
Locally destructive infective endocarditis (IE) of the aortic valve complicated by abscess formation in the aortic root may seriously affect patients' outcomes. Surgical repair of such conditions is often challenging. This is a single-center observational analysis of consecutive patients treated surgically for IE between 2009 and 2019. We divided the cohort into two groups considering the presence of an aortic root abscess and compared the characteristics and postoperative outcomes of patients accordingly. Moreover, we examined three different procedures performed in abscess patients regarding operative data and postoperative results: an isolated surgical aortic valve replacement (AVR), AVR with patch reconstruction of the aortic root (AVR + RR) or the Bentall procedure. The whole cohort comprised 665 patients, including 140 (21.0%) patients with an aortic root abscess and 525 (78.9%) as the control group. The abscess group of patients received either AVR (66.4%), AVR + RR (17.8%), or the Bentall procedure (15.7%). The mean age in the whole cohort was 62.1 ± 14.8. The mean EuroSCORE II was 8.0 ± 3.5 in the abscess group and 8.4 ± 3.7 in the control group (p = 0.259). The 30-day and 1-year mortality rates were 19.6% vs. 11.3% (p = 0.009) and 40.1% vs. 29.6% (p = 0.016) in the abscess compared to the control group. The multivariable regression analysis did not reveal aortic root abscess as an independent predictor of mortality. Rather, age > 60 correlated with 30-day mortality and infection with Streptococcus spp. correlated with 1-year mortality. In the analysis according to the performed procedures, KM estimates exhibited comparable long-term survival (log-rank p = 0.325). IE recurrence was noticed in 12.3% of patients after AVR, 26.7% after AVR + RR and none after Bentall (p = 0.069). We concluded that patients with an aortic root abscess suffer worse short and long-term outcomes compared to other IE patients. The post-procedural survival among ARA patients did not significantly vary based on the procedures performed.
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Affiliation(s)
- Ahmed Elderia
- Department of Cardiothoracic Surgery, Heart Center, University of Cologne, 50937 Köln, Germany (C.W.)
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Biancari F, Mäkikallio T, Loforte A, Kaserer A, Ruggieri VG, Cho SM, Kang JK, Dalén M, Welp H, Jónsson K, Ragnarsson S, Hernández Pérez FJ, Gatti G, Alkhamees K, Fiore A, Lechiancole A, Rosato S, Spadaccio C, Pettinari M, Perrotti A, Sahli SD, L'Acqua C, Arafat AA, Albabtain MA, AlBarak MM, Laimoud M, Djordjevic I, Krasivskyi I, Samalavicius R, Jankuviene A, Alonso-Fernandez-Gatta M, Wilhelm MJ, Juvonen T, Mariscalco G. Inter-institutional analysis of the outcome after postcardiotomy veno-arterial extracorporeal membrane oxygenation. Int J Artif Organs 2024; 47:25-34. [PMID: 38053227 DOI: 10.1177/03913988231214934] [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] [Indexed: 12/07/2023]
Abstract
INTRODUCTION Patients requiring postcardiotomy veno-arterial extracorporeal membrane oxygenation (V-A-ECMO) have a high risk of early mortality. In this analysis, we evaluated whether any interinstitutional difference exists in the results of postcardiotomy V-A-ECMO. METHODS Studies on postcardiotomy V-A-ECMO were identified through a systematic review for individual patient data (IPD) meta-analysis. Analysis of interinstitutional results was performed using direct standardization, estimation of observed/expected in-hospital mortality ratio and propensity score matching. RESULTS Systematic review of the literature yielded 31 studies. Data from 10 studies on 1269 patients treated at 25 hospitals were available for the present analysis. In-hospital mortality was 66.7%. The relative risk of in-hospital mortality was significantly higher in six hospitals. Observed versus expected in-hospital mortality ratio showed that four hospitals were outliers with significantly increased mortality rates, and one hospital had significantly lower in-hospital mortality rate. Participating hospitals were classified as underperforming and overperforming hospitals if their observed/expected in-hospital mortality was higher or lower than 1.0, respectively. Among 395 propensity score matched pairs, the overperforming hospitals had significantly lower in-hospital mortality (60.3% vs 71.4%, p = 0.001) than underperforming hospitals. Low annual volume of postcardiotomy V-A-ECMO tended to be predictive of poor outcome only when adjusted for patients' risk profile. CONCLUSIONS In-hospital mortality after postcardiotomy V-A-ECMO differed significantly between participating hospitals. These findings suggest that in many centers there is room for improvement of the results of postcardiotomy V-A-ECMO.
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Affiliation(s)
- Fausto Biancari
- Heart and Lung Center, Helsinki University Hospital, Helsinki, Finland
- Department of Medicine, South-Karelia Central Hospital, University of Helsinki, Helsinki, Finland
| | - Timo Mäkikallio
- Department of Medicine, South-Karelia Central Hospital, University of Helsinki, Helsinki, Finland
| | - Antonio Loforte
- Department of Cardiothoracic, Transplantation and Vascular Surgery, S. Orsola Hospital, University of Bologna, Bologna, and Department of Surgical Science, University of Turin, Turin, Italy
| | - Alexander Kaserer
- Institute of Anesthesiology, University and University Hospital Zurich, Zurich, Switzerland
| | - Vito G Ruggieri
- Division of Cardiothoracic and Vascular Surgery, Robert Debré University Hospital, Reims, France
| | - Sung-Min Cho
- Division of Neurosciences, Critical Care and Cardiac Surgery, Departments of Neurology, Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA
| | - Jin Kook Kang
- Division of Neurosciences, Critical Care and Cardiac Surgery, Departments of Neurology, Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA
| | - Magnus Dalén
- Department of Molecular Medicine and Surgery, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden
| | - Henryk Welp
- Department of Cardiothoracic Surgery, Münster University Hospital, Münster, Germany
| | - Kristján Jónsson
- Department of Cardiac Surgery, Sahlgrenska University Hospital, Gothenburg, Sweden
| | | | | | - Giuseppe Gatti
- Division of Cardiac Surgery, Cardio-Thoracic and Vascular Department, University Hospital of Trieste, Trieste, Italy
| | | | - Antonio Fiore
- Department of Cardiac Surgery, Hôpitaux Universitaires Henri Mondor, Creteil, France
| | | | - Stefano Rosato
- Center for Global Health, Italian National Institute, Rome, Italy
| | | | - Matteo Pettinari
- Department of Cardiovascular Surgery, Ziekenhuis Oost-Limburg, Genk, Belgium
| | - Andrea Perrotti
- Department of Thoracic and Cardio-Vascular Surgery, University Hospital Jean Minjoz, Besançon, France
| | - Sebastian D Sahli
- Institute of Anesthesiology, University and University Hospital Zurich, Zurich, Switzerland
| | - Camilla L'Acqua
- Anesthesia and Intensive Care Unit, Centro Cardiologico Monzino, Milan, Italy
- Anesthesia and Intensive Care Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy
| | - Amr A Arafat
- Adult Cardiac Surgery, Prince Sultan Cardiac Center, Riyadh, Saudi Arabia
- Cardiothoracic Surgery Department, Tanta University, Tanta, Egypt
| | - Monirah A Albabtain
- Cardiology Clinical Pharmacy, Prince Sultan Cardiac Center, Riyadh, Saudi Arabia
| | - Mohammed M AlBarak
- Intensive Care Department, Prince Sultan Cardiac Center, Riyadh, Saudi Arabia
| | - Mohamed Laimoud
- Cardiac Surgical Intensive Care Department, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
- Critical Care Medicine Department, Cairo University, Cairo, Egypt
| | - Ilija Djordjevic
- Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany
| | - Ihor Krasivskyi
- Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany
| | - Robertas Samalavicius
- II Department of Anesthesia, Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania
- Clinic of Emergency Medicine, Medical Faculty, Vilnius University, Vilnius, Lithuania
| | - Agne Jankuviene
- II Department of Anesthesia, Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania
| | - Marta Alonso-Fernandez-Gatta
- Cardiology Department, University Hospital of Salamanca, Instituto de Investigación Biomédica de Salamanca, Salamanca, Spain
- CIBER-CV Instituto de Salud Carlos III, Madrid, Spain
| | - Markus J Wilhelm
- Clinic for Cardiac Surgery, University Heart Center, University and University Hospital Zurich, Zurich, Switzerland
| | - Tatu Juvonen
- Heart and Lung Center, Helsinki University Hospital, Helsinki, Finland
- Research Unit of Surgery, Anesthesia and Intensive Care, University of Oulu, Oulu, Finland
| | - Giovanni Mariscalco
- Department of Intensive Care Medicine and Cardiac Surgery, Glenfield Hospital, University Hospitals of Leicester, Leicester, UK
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Krasivskyi I, Großmann C, Aswadi W, Ivanov B, Gerfer S, Gaisendrees C, Elderia A, Mihaylova M, Eghbalzadeh K, Deppe AC, Sabashnikov A, Rahmanian PB, Mader N, Wahlers T, Djordjevic I. Impact of thrombocytopenia on short-term outcomes in patients undergoing mobile extracorporeal membrane oxygenation support. Perfusion 2023:2676591231224635. [PMID: 38146253 DOI: 10.1177/02676591231224635] [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: 12/27/2023]
Abstract
INTRODUCTION The prolonged use of extracorporeal membrane oxygenation (ECMO) support is associated with increased consumption of platelets and hemolysis. The prognostic impact of thrombocytopenia prior to and during ECMO support on patient's short-, mid- and long-term outcomes has been critically evaluated and discussed over the last years. However, only few data have been published on thrombocytopenia caused by mobile ECMO support. The aim of this study was to evaluate the impact of thrombocytopenia on short-term outcomes and predictors of in-hospital mortality in patients supported by mobile ECMO for transportation and subsequent weaning in a tertiary centre. METHODS This retrospective single-centre study analyzed a total of 117 patients requiring mobile veno-arterial (va) ECMO support and subsequent transportation from referral hospitals to our department from January 2015 until December 2021. A total of 15 patients had to be excluded from the analysis for missing data regarding baseline platelet count. Patients were divided into two groups: thrombocytopenia group (<130 × 109/L, n = 44) and non-thrombocytopenia group (≥130 × 109/L, n = 58). The primary outcome was in-hospital mortality. Secondary outcomes were successful ECMO-weaning, and the incidence of associated complications (bleeding, acute hepatic failure, acute renal failure, dialysis, and septic shock). RESULTS The dialysis rate before ECMO initiation was significantly higher (p = .041) in the thrombocytopenia group compared to the non-thrombocytopenia group. The rates of bleeding complications (p = .032) and limb ischemia (p = .003) were significantly higher in patients with low platelet count. Moreover, complication rates of acute hepatic failure (p < .001), acute renal failure (p < .001) and dialysis (p = .033) were significantly higher in the thrombocytopenia group. Also, in-hospital mortality was significantly higher (p = .002) in patients with low platelet count before initiation of ECMO support. CONCLUSION Based on the results of the present study, patients with thrombocytopenia prior to mobile vaECMO support may be at significantly higher risk for associated complications and short-term mortality.
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Affiliation(s)
- Ihor Krasivskyi
- Department of Cardiac Surgery, Intensive Care Medicine and Thoracic Surgery, University Hospital Cologne, Cologne, Germany
| | - Clara Großmann
- Department of Cardiac Surgery, Intensive Care Medicine and Thoracic Surgery, University Hospital Cologne, Cologne, Germany
| | - Wasil Aswadi
- Department of Cardiac Surgery, Intensive Care Medicine and Thoracic Surgery, University Hospital Cologne, Cologne, Germany
| | - Borko Ivanov
- Department of Cardiothoracic Surgery, Helios Hospital Siegburg, Siegburg, Germany
| | - Stephen Gerfer
- Department of Cardiac Surgery, Intensive Care Medicine and Thoracic Surgery, University Hospital Cologne, Cologne, Germany
| | - Christopher Gaisendrees
- Department of Cardiac Surgery, Intensive Care Medicine and Thoracic Surgery, University Hospital Cologne, Cologne, Germany
| | - Ahmed Elderia
- Department of Cardiac Surgery, Intensive Care Medicine and Thoracic Surgery, University Hospital Cologne, Cologne, Germany
| | - Mariya Mihaylova
- Department of Cardiac Surgery, Intensive Care Medicine and Thoracic Surgery, University Hospital Cologne, Cologne, Germany
| | - Kaveh Eghbalzadeh
- Department of Cardiac Surgery, Intensive Care Medicine and Thoracic Surgery, University Hospital Cologne, Cologne, Germany
| | - Antje-Christin Deppe
- Department of Cardiac Surgery, Intensive Care Medicine and Thoracic Surgery, University Hospital Cologne, Cologne, Germany
| | - Anton Sabashnikov
- Department of Cardiac Surgery, Intensive Care Medicine and Thoracic Surgery, University Hospital Cologne, Cologne, Germany
| | - Parwis Baradaran Rahmanian
- Department of Cardiac Surgery, Intensive Care Medicine and Thoracic Surgery, University Hospital Cologne, Cologne, Germany
| | - Navid Mader
- Department of Cardiac Surgery, Intensive Care Medicine and Thoracic Surgery, University Hospital Cologne, Cologne, Germany
| | - Thorsten Wahlers
- Department of Cardiac Surgery, Intensive Care Medicine and Thoracic Surgery, University Hospital Cologne, Cologne, Germany
| | - Ilija Djordjevic
- Department of Cardiac Surgery, Intensive Care Medicine and Thoracic Surgery, University Hospital Cologne, Cologne, Germany
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Mo L, Zohner CM, Reich PB, Liang J, de Miguel S, Nabuurs GJ, Renner SS, van den Hoogen J, Araza A, Herold M, Mirzagholi L, Ma H, Averill C, Phillips OL, Gamarra JGP, Hordijk I, Routh D, Abegg M, Adou Yao YC, Alberti G, Almeyda Zambrano AM, Alvarado BV, Alvarez-Dávila E, Alvarez-Loayza P, Alves LF, Amaral I, Ammer C, Antón-Fernández C, Araujo-Murakami A, Arroyo L, Avitabile V, Aymard GA, Baker TR, Bałazy R, Banki O, Barroso JG, Bastian ML, Bastin JF, Birigazzi L, Birnbaum P, Bitariho R, Boeckx P, Bongers F, Bouriaud O, Brancalion PHS, Brandl S, Brearley FQ, Brienen R, Broadbent EN, Bruelheide H, Bussotti F, Cazzolla Gatti R, César RG, Cesljar G, Chazdon RL, Chen HYH, Chisholm C, Cho H, Cienciala E, Clark C, Clark D, Colletta GD, Coomes DA, Cornejo Valverde F, Corral-Rivas JJ, Crim PM, Cumming JR, Dayanandan S, de Gasper AL, Decuyper M, Derroire G, DeVries B, Djordjevic I, Dolezal J, Dourdain A, Engone Obiang NL, Enquist BJ, Eyre TJ, Fandohan AB, Fayle TM, Feldpausch TR, Ferreira LV, Finér L, Fischer M, Fletcher C, Frizzera L, Gianelle D, Glick HB, Harris DJ, Hector A, Hemp A, Hengeveld G, Hérault B, Herbohn JL, Hillers A, Honorio Coronado EN, Hui C, Ibanez T, Imai N, Jagodziński AM, Jaroszewicz B, Johannsen VK, Joly CA, Jucker T, Jung I, Karminov V, Kartawinata K, Kearsley E, Kenfack D, Kennard DK, Kepfer-Rojas S, Keppel G, Khan ML, Killeen TJ, Kim HS, Kitayama K, Köhl M, Korjus H, Kraxner F, Kucher D, Laarmann D, Lang M, Lu H, Lukina NV, Maitner BS, Malhi Y, Marcon E, Marimon BS, Marimon-Junior BH, Marshall AR, Martin EH, Meave JA, Melo-Cruz O, Mendoza C, Mendoza-Polo I, Miscicki S, Merow C, Monteagudo Mendoza A, Moreno VS, Mukul SA, Mundhenk P, Nava-Miranda MG, Neill D, Neldner VJ, Nevenic RV, Ngugi MR, Niklaus PA, Oleksyn J, Ontikov P, Ortiz-Malavasi E, Pan Y, Paquette A, Parada-Gutierrez A, Parfenova EI, Park M, Parren M, Parthasarathy N, Peri PL, Pfautsch S, Picard N, Piedade MTF, Piotto D, Pitman NCA, Poulsen AD, Poulsen JR, Pretzsch H, Ramirez Arevalo F, Restrepo-Correa Z, Rodeghiero M, Rolim SG, Roopsind A, Rovero F, Rutishauser E, Saikia P, Salas-Eljatib C, Saner P, Schall P, Schelhaas MJ, Schepaschenko D, Scherer-Lorenzen M, Schmid B, Schöngart J, Searle EB, Seben V, Serra-Diaz JM, Sheil D, Shvidenko AZ, Silva-Espejo JE, Silveira M, Singh J, Sist P, Slik F, Sonké B, Souza AF, Stereńczak KJ, Svenning JC, Svoboda M, Swanepoel B, Targhetta N, Tchebakova N, Ter Steege H, Thomas R, Tikhonova E, Umunay PM, Usoltsev VA, Valencia R, Valladares F, van der Plas F, Van Do T, van Nuland ME, Vasquez RM, Verbeeck H, Viana H, Vibrans AC, Vieira S, von Gadow K, Wang HF, Watson JV, Werner GDA, Wiser SK, Wittmann F, Woell H, Wortel V, Zagt R, Zawiła-Niedźwiecki T, Zhang C, Zhao X, Zhou M, Zhu ZX, Zo-Bi IC, Gann GD, Crowther TW. Integrated global assessment of the natural forest carbon potential. Nature 2023; 624:92-101. [PMID: 37957399 PMCID: PMC10700142 DOI: 10.1038/s41586-023-06723-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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2022] [Accepted: 10/06/2023] [Indexed: 11/15/2023]
Abstract
Forests are a substantial terrestrial carbon sink, but anthropogenic changes in land use and climate have considerably reduced the scale of this system1. Remote-sensing estimates to quantify carbon losses from global forests2-5 are characterized by considerable uncertainty and we lack a comprehensive ground-sourced evaluation to benchmark these estimates. Here we combine several ground-sourced6 and satellite-derived approaches2,7,8 to evaluate the scale of the global forest carbon potential outside agricultural and urban lands. Despite regional variation, the predictions demonstrated remarkable consistency at a global scale, with only a 12% difference between the ground-sourced and satellite-derived estimates. At present, global forest carbon storage is markedly under the natural potential, with a total deficit of 226 Gt (model range = 151-363 Gt) in areas with low human footprint. Most (61%, 139 Gt C) of this potential is in areas with existing forests, in which ecosystem protection can allow forests to recover to maturity. The remaining 39% (87 Gt C) of potential lies in regions in which forests have been removed or fragmented. Although forests cannot be a substitute for emissions reductions, our results support the idea2,3,9 that the conservation, restoration and sustainable management of diverse forests offer valuable contributions to meeting global climate and biodiversity targets.
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Affiliation(s)
- Lidong Mo
- Institute of Integrative Biology, ETH Zurich (Swiss Federal Institute of Technology), Zurich, Switzerland.
| | - Constantin M Zohner
- Institute of Integrative Biology, ETH Zurich (Swiss Federal Institute of Technology), Zurich, Switzerland.
| | - Peter B Reich
- Department of Forest Resources, University of Minnesota, St. Paul, MN, USA
- Hawkesbury Institute for the Environment, Western Sydney University, Penrith, New South Wales, Australia
- Institute for Global Change Biology, University of Michigan, Ann Arbor, MI, USA
| | - Jingjing Liang
- Department of Forestry and Natural Resources, Purdue University, West Lafayette, IN, USA
| | - Sergio de Miguel
- Department of Agricultural and Forest Sciences and Engineering, University of Lleida, Lleida, Spain
- Joint Research Unit CTFC - AGROTECNIO - CERCA, Solsona, Spain
| | | | - Susanne S Renner
- Department of Biology, Washington University, St. Louis, MO, USA
| | - Johan van den Hoogen
- Institute of Integrative Biology, ETH Zurich (Swiss Federal Institute of Technology), Zurich, Switzerland
| | - Arnan Araza
- Wageningen University & Research, Wageningen, The Netherlands
| | - Martin Herold
- Remote Sensing and Geoinformatics Section, Helmholtz GFZ German Research Centre for Geosciences, Potsdam, Germany
| | - Leila Mirzagholi
- Institute of Integrative Biology, ETH Zurich (Swiss Federal Institute of Technology), Zurich, Switzerland
| | - Haozhi Ma
- Institute of Integrative Biology, ETH Zurich (Swiss Federal Institute of Technology), Zurich, Switzerland
| | - Colin Averill
- Institute of Integrative Biology, ETH Zurich (Swiss Federal Institute of Technology), Zurich, Switzerland
| | | | - Javier G P Gamarra
- Forestry Division, Food and Agriculture Organization of the United Nations, Rome, Italy
| | - Iris Hordijk
- Institute of Integrative Biology, ETH Zurich (Swiss Federal Institute of Technology), Zurich, Switzerland
| | - Devin Routh
- Central IT - Teaching and Research, University of Zürich, Zürich, Switzerland
| | - Meinrad Abegg
- Swiss Federal Institute for Forest, Snow and Landscape Research WSL, Birmensdorf, Switzerland
| | - Yves C Adou Yao
- UFR Biosciences, University Félix Houphouët-Boigny, Abidjan, Côte d'Ivoire
| | - Giorgio Alberti
- Department of Agricultural, Food, Environmental and Animal Sciences, University of Udine, Udine, Italy
- National Biodiversity Future Center (NBFC), Palermo, Italy
| | - Angelica M Almeyda Zambrano
- Spatial Ecology and Conservation Lab, Center for Latin American Studies, University of Florida, Gainesville, FL, USA
| | | | | | | | - Luciana F Alves
- Center for Tropical Research, Institute of the Environment and Sustainability, University of California, Los Angeles (UCLA), Los Angeles, CA, USA
| | - Iêda Amaral
- National Institute of Amazonian Research, Manaus, Brazil
| | - Christian Ammer
- Silviculture and Forest Ecology of the Temperate Zones, University of Göttingen, Göttingen, Germany
| | - Clara Antón-Fernández
- Division of Forest and Forest Resources, Norwegian Institute of Bioeconomy Research (NIBIO), Ås, Norway
| | | | - Luzmila Arroyo
- Museo de Historia Natural Noel Kempff Mercado, Santa Cruz de la Sierra, Bolivia
| | | | - Gerardo A Aymard
- Programa de Ciencias del Agro y el Mar, Herbario Universitario (PORT), UNELLEZ-Guanare, Portuguesa, Venezuela
- Compensation International Progress S. A. Ciprogress Greenlife, Bogotá, Colombia
| | | | - Radomir Bałazy
- Department of Geomatics, Forest Research Institute, Sękocin Stary, Poland
| | - Olaf Banki
- Naturalis Biodiversity Center, Leiden, The Netherlands
| | - Jorcely G Barroso
- Centro Multidisciplinar, Universidade Federal do Acre, Rio Branco, Brazil
| | - Meredith L Bastian
- Proceedings of the National Academy of Sciences, Washington, DC, USA
- Department of Evolutionary Anthropology, Duke University, Durham, NC, USA
| | - Jean-Francois Bastin
- TERRA Teaching and Research Centre, Gembloux Agro-Bio Tech, University of Liege, Liege, Belgium
| | | | - Philippe Birnbaum
- Institut Agronomique néo-Calédonien (IAC), Nouméa, New Caledonia
- AMAP, Univ. Montpellier, Montpellier, France
- CIRAD, CNRS, INRAE, IRD, Montpellier, France
| | - Robert Bitariho
- Institute of Tropical Forest Conservation, Mbarara University of Science & Technology, Mbarara, Uganda
| | - Pascal Boeckx
- Isotope Bioscience Laboratory - ISOFYS, Ghent University, Ghent, Belgium
| | - Frans Bongers
- Wageningen University & Research, Wageningen, The Netherlands
| | | | - Pedro H S Brancalion
- Department of Forest Sciences, Luiz de Queiroz College of Agriculture, University of São Paulo, Piracicaba, Brazil
| | | | - Francis Q Brearley
- Department of Natural Sciences, Manchester Metropolitan University, Manchester, UK
| | - Roel Brienen
- School of Geography, University of Leeds, Leeds, UK
| | - Eben N Broadbent
- Spatial Ecology and Conservation Lab, Center for Latin American Studies, University of Florida, Gainesville, FL, USA
| | - Helge Bruelheide
- Institute of Biology/Geobotany and Botanical Garden, Martin Luther University Halle-Wittenberg, Halle-Wittenberg, Germany
- German Centre for Integrative Biodiversity Research (iDiv) Halle-Jena-Leipzig, Leipzig, Germany
| | - Filippo Bussotti
- Department of Agriculture, Food, Environment and Forest (DAGRI), University of Firenze, Florence, Italy
| | - Roberto Cazzolla Gatti
- Department of Biological, Geological, and Environmental Sciences, University of Bologna, Bologna, Italy
| | - Ricardo G César
- Department of Forest Sciences, Luiz de Queiroz College of Agriculture, University of São Paulo, Piracicaba, Brazil
| | - Goran Cesljar
- Department of Spatial Regulation, GIS and Forest Policy, Institute of Forestry, Belgrade, Serbia
| | - Robin L Chazdon
- Department of Ecology and Evolutionary Biology, University of Connecticut, Storrs, CT, USA
- Tropical Forests and People Research Centre, University of the Sunshine Coast, Sippy Downs, Queensland, Australia
| | - Han Y H Chen
- Faculty of Natural Resources Management, Lakehead University, Thunder Bay, Ontario, Canada
| | - Chelsea Chisholm
- Institute of Integrative Biology, ETH Zurich (Swiss Federal Institute of Technology), Zurich, Switzerland
| | - Hyunkook Cho
- Division of Forest Resources Information, Korea Forest Promotion Institute, Seoul, South Korea
| | - Emil Cienciala
- IFER - Institute of Forest Ecosystem Research, Jilove u Prahy, Czech Republic
- Global Change Research Institute CAS, Brno, Czech Republic
| | - Connie Clark
- Nicholas School of the Environment, Duke University, Durham, NC, USA
| | - David Clark
- Department of Biology, University of Missouri-St. Louis, St. Louis, MO, USA
| | - Gabriel D Colletta
- Programa de Pós-graduação em Biologia Vegetal, Instituto de Biologia, Universidade Estadual de Campinas, Campinas, Brazil
| | - David A Coomes
- Conservation Research Institute, Department of Plant Sciences, University of Cambridge, Cambridge, UK
| | | | - José J Corral-Rivas
- Facultad de Ciencias Forestales y Ambientales, Universidad Juárez del Estado de Durango, Durango, Mexico
| | - Philip M Crim
- Department of Biology, West Virginia University, Morgantown, WV, USA
- Department of Physical and Biological Sciences, The College of Saint Rose, Albany, NY, USA
| | | | - Selvadurai Dayanandan
- Biology Department, Centre for Structural and Functional Genomics, Concordia University, Montreal, Quebec, Canada
| | - André L de Gasper
- Natural Science Department, Universidade Regional de Blumenau, Blumenau, Brazil
| | | | - Géraldine Derroire
- Cirad, UMR EcoFoG (AgroParisTech, CNRS, INRAE, Université des Antilles, Université de la Guyane), Campus Agronomique, Kourou, French Guiana
| | - Ben DeVries
- Department of Geography, Environment and Geomatics, University of Guelph, Guelph, Ontario, Canada
| | | | - Jiri Dolezal
- Institute of Botany, The Czech Academy of Sciences, Třeboň, Czech Republic
- Department of Botany, Faculty of Science, University of South Bohemia, České Budějovice, Czech Republic
| | - Aurélie Dourdain
- Cirad, UMR EcoFoG (AgroParisTech, CNRS, INRAE, Université des Antilles, Université de la Guyane), Campus Agronomique, Kourou, French Guiana
| | | | - Brian J Enquist
- Department of Ecology and Evolutionary Biology, University of Arizona, Tucson, AZ, USA
- The Santa Fe Institute, Santa Fe, NM, USA
| | - Teresa J Eyre
- Department of Environment and Science, Queensland Herbarium and Biodiversity Science, Toowong, Queensland, Australia
| | | | - Tom M Fayle
- School of Biological and Behavioural Sciences, Queen Mary University of London, London, UK
- Biology Centre of the Czech Academy of Sciences, Institute of Entomology, České Budějovice, Czech Republic
| | - Ted R Feldpausch
- Geography, Faculty of Environment, Science and Economy, University of Exeter, Exeter, UK
| | - Leandro V Ferreira
- Museu Paraense Emílio Goeldi, Coordenação de Ciências da Terra e Ecologia, Belém, Brazil
| | - Leena Finér
- Natural Resources Institute Finland (Luke), Joensuu, Finland
| | - Markus Fischer
- Institute of Plant Sciences, University of Bern, Bern, Switzerland
| | | | - Lorenzo Frizzera
- Research and Innovation Centre, Fondazione Edmund Mach, San Michele All'adige, Italy
| | - Damiano Gianelle
- Research and Innovation Centre, Fondazione Edmund Mach, San Michele All'adige, Italy
| | | | | | - Andrew Hector
- Department of Biology, University of Oxford, Oxford, UK
| | - Andreas Hemp
- Department of Plant Systematics, University of Bayreuth, Bayreuth, Germany
| | | | - Bruno Hérault
- Cirad, UPR Forêts et Sociétés, University of Montpellier, Montpellier, France
- Department of Forestry and Environment, National Polytechnic Institute (INP-HB), Yamoussoukro, Côte d'Ivoire
| | - John L Herbohn
- Forest Research Institute, University of the Sunshine Coast, Sippy Downs, Queensland, Australia
| | - Annika Hillers
- Centre for Conservation Science, The Royal Society for the Protection of Birds, Sandy, UK
- Wild Chimpanzee Foundation, Liberia Office, Monrovia, Liberia
| | | | - Cang Hui
- Centre for Invasion Biology, Department of Mathematical Sciences, Stellenbosch University, Stellenbosch, South Africa
- Theoretical Ecology Unit, African Institute for Mathematical Sciences, Cape Town, South Africa
| | - Thomas Ibanez
- AMAP, Univ. Montpellier, CIRAD, CNRS, INRAE, IRD, Montpellier, France
| | - Nobuo Imai
- Department of Forest Science, Tokyo University of Agriculture, Tokyo, Japan
| | - Andrzej M Jagodziński
- Institute of Dendrology, Polish Academy of Sciences, Kórnik, Poland
- Department of Game Management and Forest Protection, Poznań University of Life Sciences, Poznań, Poland
| | - Bogdan Jaroszewicz
- Faculty of Biology, Białowieża Geobotanical Station, University of Warsaw, Białowieża, Poland
| | - Vivian Kvist Johannsen
- Department of Geosciences and Natural Resource Management, University of Copenhagen, Copenhagen, Denmark
| | - Carlos A Joly
- Department of Plant Biology, Institute of Biology, University of Campinas, UNICAMP, Campinas, Brazil
| | - Tommaso Jucker
- School of Biological Sciences, University of Bristol, Bristol, UK
| | - Ilbin Jung
- Division of Forest Resources Information, Korea Forest Promotion Institute, Seoul, South Korea
| | - Viktor Karminov
- Forestry Faculty, Mytischi Branch of Bauman Moscow State Technical University, Mytischi, Russian Federation
| | - Kuswata Kartawinata
- Negaunee Integrative Research Center, Field Museum of Natural History, Chicago, IL, USA
| | - Elizabeth Kearsley
- CAVElab - Computational & Applied Vegetation Ecology, Department of Environment, Ghent University, Ghent, Belgium
| | - David Kenfack
- CTFS-ForestGEO, Smithsonian Tropical Research Institute, Balboa, Panama
| | - Deborah K Kennard
- Department of Physical and Environmental Sciences, Colorado Mesa University, Grand Junction, CO, USA
| | - Sebastian Kepfer-Rojas
- Department of Geosciences and Natural Resource Management, University of Copenhagen, Copenhagen, Denmark
| | - Gunnar Keppel
- UniSA STEM and Future Industries Institute, University of South Australia, Adelaide, South Australia, Australia
| | - Mohammed Latif Khan
- Department of Botany, Dr. Harisingh Gour Vishwavidyalaya (A Central University), Sagar, India
| | - Timothy J Killeen
- Museo de Historia Natural Noel Kempff Mercado, Santa Cruz de la Sierra, Bolivia
| | - Hyun Seok Kim
- Department of Agriculture, Forestry and Bioresources, Seoul National University, Seoul, South Korea
- Interdisciplinary Program in Agricultural and Forest Meteorology, Seoul National University, Seoul, South Korea
- National Center for Agro Meteorology, Seoul, South Korea
- Research Institute for Agriculture and Life Sciences, Seoul National University, Seoul, South Korea
| | | | - Michael Köhl
- Institute for World Forestry, University of Hamburg, Hamburg, Germany
| | - Henn Korjus
- Institute of Forestry and Engineering, Estonian University of Life Sciences, Tartu, Estonia
| | - Florian Kraxner
- Biodiversity and Natural Resources Program, International Institute for Applied Systems Analysis, Laxenburg, Austria
| | - Dmitry Kucher
- Peoples' Friendship University of Russia (RUDN University), Moscow, Russian Federation
| | - Diana Laarmann
- Institute of Forestry and Engineering, Estonian University of Life Sciences, Tartu, Estonia
| | - Mait Lang
- Institute of Forestry and Engineering, Estonian University of Life Sciences, Tartu, Estonia
| | - Huicui Lu
- Faculty of Forestry, Qingdao Agricultural University, Qingdao, China
| | - Natalia V Lukina
- Center for Forest Ecology and Productivity, Russian Academy of Sciences, Moscow, Russian Federation
| | - Brian S Maitner
- Department of Ecology and Evolutionary Biology, University of Arizona, Tucson, AZ, USA
| | - Yadvinder Malhi
- Environmental Change Institute, School of Geography and the Environment, University of Oxford, Oxford, UK
| | - Eric Marcon
- AgroParisTech, UMR-AMAP, Cirad, CNRS, INRA, IRD, Université de Montpellier, Montpellier, France
| | | | - Ben Hur Marimon-Junior
- Departamento de Ciências Biológicas, Universidade do Estado de Mato Grosso, Nova Xavantina, Brazil
| | - Andrew R Marshall
- Forest Research Institute, University of the Sunshine Coast, Sippy Downs, Queensland, Australia
- Department of Environment and Geography, University of York, York, UK
- Flamingo Land Ltd., Kirby Misperton, UK
| | - Emanuel H Martin
- Department of Wildlife Management, College of African Wildlife Management, Mweka, Tanzania
| | - Jorge A Meave
- Departamento de Ecología y Recursos Naturales, Facultad de Ciencias, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | | | - Casimiro Mendoza
- Colegio de Profesionales Forestales de Cochabamba, Cochabamba, Bolivia
| | | | - Stanislaw Miscicki
- Department of Forest Management, Dendrometry and Forest Economics, Warsaw University of Life Sciences, Warsaw, Poland
| | - Cory Merow
- Department of Ecology and Evolutionary Biology, University of Connecticut, Storrs, CT, USA
| | - Abel Monteagudo Mendoza
- Jardín Botánico de Missouri, Oxapampa, Peru
- Universidad Nacional de San Antonio Abad del Cusco, Cusco, Peru
| | - Vanessa S Moreno
- Department of Forest Sciences, Luiz de Queiroz College of Agriculture, University of São Paulo, Piracicaba, Brazil
| | - Sharif A Mukul
- Forest Research Institute, University of the Sunshine Coast, Sippy Downs, Queensland, Australia
- Department of Environment and Development Studies, United International University, Dhaka, Bangladesh
| | - Philip Mundhenk
- Institute for World Forestry, University of Hamburg, Hamburg, Germany
| | - María Guadalupe Nava-Miranda
- Instituto de Silvicultura e Industria de la Madera, Universidad Juárez del Estado de Durango, Durango, Mexico
- Programa de Doctorado en Ingeniería para el Desarrollo Rural y Civil, Escuela de Doctorado Internacional de la Universidad de Santiago de Compostela (EDIUS), Santiago de Compostela, Spain
| | - David Neill
- Universidad Estatal Amazónica, Puyo, Ecuador
| | - Victor J Neldner
- Department of Environment and Science, Queensland Herbarium and Biodiversity Science, Toowong, Queensland, Australia
| | | | - Michael R Ngugi
- Department of Environment and Science, Queensland Herbarium and Biodiversity Science, Toowong, Queensland, Australia
| | - Pascal A Niklaus
- Department of Evolutionary Biology and Environmental Studies, University of Zürich, Zürich, Switzerland
| | - Jacek Oleksyn
- Institute of Dendrology, Polish Academy of Sciences, Kórnik, Poland
| | - Petr Ontikov
- Forestry Faculty, Mytischi Branch of Bauman Moscow State Technical University, Mytischi, Russian Federation
| | | | - Yude Pan
- Climate, Fire, and Carbon Cycle Sciences, USDA Forest Service, Durham, NH, USA
| | - Alain Paquette
- Centre for Forest Research, Université du Québec à Montréal, Montréal, Quebec, Canada
| | | | - Elena I Parfenova
- V. N. Sukachev Institute of Forest, FRC KSC, Siberian Branch of the Russian Academy of Sciences, Krasnoyarsk, Russian Federation
| | - Minjee Park
- Department of Forestry and Natural Resources, Purdue University, West Lafayette, IN, USA
- Department of Agriculture, Forestry and Bioresources, Seoul National University, Seoul, South Korea
| | - Marc Parren
- Forest Ecology and Forest Management Group, Wageningen University & Research, Wageningen, The Netherlands
| | | | - Pablo L Peri
- Instituto Nacional de Tecnología Agropecuaria (INTA), Universidad Nacional de la Patagonia Austral (UNPA), Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Río Gallegos, Argentina
| | - Sebastian Pfautsch
- School of Social Sciences (Urban Studies), Western Sydney University, Penrith, New South Wales, Australia
| | | | | | - Daniel Piotto
- Laboratório de Dendrologia e Silvicultura Tropical, Centro de Formação em Ciências Agroflorestais, Universidade Federal do Sul da Bahia, Itabuna, Brazil
| | | | | | - John R Poulsen
- Global Change Research Institute CAS, Brno, Czech Republic
- The Nature Conservancy, Boulder, CO, USA
| | - Hans Pretzsch
- Chair of Forest Growth and Yield Science, Department of Life Science Systems, TUM School of Life Sciences, Technical University of Munich, Freising, Germany
- Sustainable Forest Management Research Institute (iuFOR), University Valladolid, Valladolid, Spain
| | | | - Zorayda Restrepo-Correa
- Servicios Ecosistémicos y Cambio Climático (SECC), Fundación Con Vida & Corporación COL-TREE, Medellín, Colombia
| | - Mirco Rodeghiero
- Research and Innovation Centre, Fondazione Edmund Mach, San Michele All'adige, Italy
- Centro Agricoltura, Alimenti, Ambiente, University of Trento, San Michele All'adige, Italy
| | - Samir G Rolim
- Laboratório de Dendrologia e Silvicultura Tropical, Centro de Formação em Ciências Agroflorestais, Universidade Federal do Sul da Bahia, Itabuna, Brazil
| | - Anand Roopsind
- Center for Natural Climate Solutions, Conservation International, Arlington, VA, USA
| | - Francesco Rovero
- Department of Biology, University of Florence, Florence, Italy
- Tropical Biodiversity Section, MUSE - Museo delle Scienze, Trento, Italy
| | | | - Purabi Saikia
- Department of Environmental Sciences, Central University of Jharkhand, Ranchi, India
| | - Christian Salas-Eljatib
- Vicerrectoría de Investigación y Postgrado, Universidad de La Frontera, Temuco, Chile
- Departamento de Gestión Forestal y su Medio Ambiente, Universidad de Chile, Santiago, Chile
| | | | - Peter Schall
- Silviculture and Forest Ecology of the Temperate Zones, University of Göttingen, Göttingen, Germany
| | | | - Dmitry Schepaschenko
- Biodiversity and Natural Resources Program, International Institute for Applied Systems Analysis, Laxenburg, Austria
- Siberian Federal University, Krasnoyarsk, Russian Federation
| | | | - Bernhard Schmid
- Remote Sensing Laboratories, Department of Geography, University of Zürich, Zürich, Switzerland
| | | | - Eric B Searle
- Centre for Forest Research, Université du Québec à Montréal, Montréal, Quebec, Canada
| | - Vladimír Seben
- National Forest Centre, Forest Research Institute Zvolen, Zvolen, Slovakia
| | - Josep M Serra-Diaz
- Université de Lorraine, AgroParisTech, INRAE, Silva, Nancy, France
- Center for Biodiversity Dynamics in a Changing World (BIOCHANGE), Department of Biology, Aarhus University, Aarhus, Denmark
| | - Douglas Sheil
- Forest Ecology and Forest Management Group, Wageningen University & Research, Wageningen, The Netherlands
- Faculty of Environmental Sciences and Natural Resource Management, Norwegian University of Life Sciences, Ås, Norway
| | - Anatoly Z Shvidenko
- Biodiversity and Natural Resources Program, International Institute for Applied Systems Analysis, Laxenburg, Austria
| | | | - Marcos Silveira
- Centro de Ciências Biológicas e da Natureza, Universidade Federal do Acre, Rio Branco, Brazil
| | - James Singh
- Guyana Forestry Commission, Georgetown, French Guiana
| | - Plinio Sist
- Cirad, UPR Forêts et Sociétés, University of Montpellier, Montpellier, France
| | - Ferry Slik
- Environmental and Life Sciences, Faculty of Science, Universiti Brunei Darussalam, Gadong, Brunei Darussalam
| | - Bonaventure Sonké
- Plant Systematic and Ecology Laboratory, Department of Biology, Higher Teachers' Training College, University of Yaoundé I, Yaoundé, Cameroon
| | - Alexandre F Souza
- Departamento de Ecologia, Universidade Federal do Rio Grande do Norte, Natal, Brazil
| | | | - Jens-Christian Svenning
- Center for Ecological Dynamics in a Novel Biosphere (ECONOVO) & Center for Biodiversity Dynamics in a Changing World (BIOCHANGE), Department of Biology, Aarhus University, Aarhus, Denmark
- Section for Ecoinformatics and Biodiversity, Department of Biology, Aarhus University, Aarhus, Denmark
| | - Miroslav Svoboda
- Faculty of Forestry and Wood Sciences, Czech University of Life Sciences, Prague, Czech Republic
| | | | | | - Nadja Tchebakova
- V. N. Sukachev Institute of Forest, FRC KSC, Siberian Branch of the Russian Academy of Sciences, Krasnoyarsk, Russian Federation
| | - Hans Ter Steege
- Naturalis Biodiversity Center, Leiden, The Netherlands
- Quantitative Biodiversity Dynamics, Department of Biology, Utrecht University, Utrecht, The Netherlands
| | - Raquel Thomas
- Iwokrama International Centre for Rainforest Conservation and Development (IIC), Georgetown, French Guiana
| | - Elena Tikhonova
- Center for Forest Ecology and Productivity, Russian Academy of Sciences, Moscow, Russian Federation
| | - Peter M Umunay
- School of Forestry and Environmental Studies, Yale University, New Haven, CT, USA
| | - Vladimir A Usoltsev
- Botanical Garden of Ural Branch of Russian Academy of Sciences, Ural State Forest Engineering University, Yekaterinburg, Russian Federation
| | | | | | - Fons van der Plas
- Plant Ecology and Nature Conservation Group, Wageningen University, Wageningen, The Netherlands
| | - Tran Van Do
- Silviculture Research Institute, Vietnamese Academy of Forest Sciences, Hanoi, Vietnam
| | | | | | - Hans Verbeeck
- CAVElab - Computational & Applied Vegetation Ecology, Department of Environment, Ghent University, Ghent, Belgium
| | - Helder Viana
- Centre for the Research and Technology of Agro-Environmental and Biological Sciences, CITAB, UTAD, Quinta de Prados, Vila Real, Portugal
- Agricultural High School, Polytechnic Institute of Viseu, IPV, Viseu, Portugal
| | - Alexander C Vibrans
- Natural Science Department, Universidade Regional de Blumenau, Blumenau, Brazil
- Department of Forest Engineering, Universidade Regional de Blumenau, Blumenau, Brazil
| | - Simone Vieira
- Environmental Studies and Research Center, University of Campinas, UNICAMP, Campinas, Brazil
| | - Klaus von Gadow
- Department of Forest and Wood Science, Stellenbosch University, Stellenbosch, South Africa
| | - Hua-Feng Wang
- Key Laboratory of Tropical Biological Resources, Ministry of Education, School of Life and Pharmaceutical Sciences, Hainan University, Haikou, China
| | - James V Watson
- Division of Forestry and Natural Resources, West Virginia University, Morgantown, WV, USA
| | | | - Susan K Wiser
- Manaaki Whenua - Landcare Research, Lincoln, New Zealand
| | - Florian Wittmann
- Department of Wetland Ecology, Institute of Geography and Geoecology, Karlsruhe Institute for Technology, Karlsruhe, Germany
| | | | - Verginia Wortel
- Centre for Agricultural Research in Suriname (CELOS), Paramaribo, Suriname
| | - Roderik Zagt
- Tropenbos International, Wageningen, The Netherlands
| | | | - Chunyu Zhang
- Research Center of Forest Management Engineering of State Forestry and Grassland Administration, Beijing Forestry University, Beijing, China
| | - Xiuhai Zhao
- Research Center of Forest Management Engineering of State Forestry and Grassland Administration, Beijing Forestry University, Beijing, China
| | - Mo Zhou
- Department of Forestry and Natural Resources, Purdue University, West Lafayette, IN, USA
| | - Zhi-Xin Zhu
- Key Laboratory of Tropical Biological Resources, Ministry of Education, School of Life and Pharmaceutical Sciences, Hainan University, Haikou, China
| | - Irie C Zo-Bi
- Department of Forestry and Environment, National Polytechnic Institute (INP-HB), Yamoussoukro, Côte d'Ivoire
| | - George D Gann
- Society for Ecological Restoration (SER), Washington, DC, USA
| | - Thomas W Crowther
- Institute of Integrative Biology, ETH Zurich (Swiss Federal Institute of Technology), Zurich, Switzerland.
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Rustenbach CJ, Reichert S, Radwan M, Doll I, Mustafi M, Nemeth A, Marinos SL, Berger R, Baumbach H, Zdanyte M, Haeberle H, Caldonazo T, Saqer I, Saha S, Schnackenburg P, Djordjevic I, Krasivskyi I, Wendt S, Kuhn E, Higuita LMS, Doenst T, Hagl C, Wahlers T, Boburg RS, Schlensak C. On- vs. Off-Pump CABG in Heart Failure Patients with Reduced Ejection Fraction (HFrEF): A Multicenter Analysis. Biomedicines 2023; 11:3043. [PMID: 38002044 PMCID: PMC10669606 DOI: 10.3390/biomedicines11113043] [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] [Received: 09/25/2023] [Revised: 11/06/2023] [Accepted: 11/08/2023] [Indexed: 11/26/2023] Open
Abstract
OBJECTIVE This study aimed to compare postoperative outcomes and 30-day mortality in patients with reduced ejection fraction (<40%) who underwent isolated coronary artery bypass grafting (CABG) with (ONCAB) and without (OPCAB) the use of cardiopulmonary bypass. METHODS data from four university hospitals in Germany, spanning from January 2017 to December 2021, were retrospectively analyzed. A total of 551 patients were included in the study, and various demographic, intraoperative, and postoperative data were compared. RESULTS demographic parameters did not exhibit any differences. However, the OPCAB group displayed notably higher rates of preoperative renal insufficiency, urgent surgeries, and elevated EuroScore II and STS score. During surgery, the ONCAB group showed a significantly higher rate of complete revascularization, whereas the OPCAB group required fewer intraoperative transfusions. No disparities were observed in 30-day/in-hospital mortality for the entire cohort and the matched population between the two groups. Subsequent to surgery, the OPCAB group demonstrated significantly shorter mechanical ventilation times, reduced stays in the intensive care unit, and lower occurrences of ECLS therapy, acute kidney injury, delirium, and sepsis. CONCLUSIONS the study's findings indicate that OPCAB surgery presents a safe and viable alternative, yielding improved postoperative outcomes in this specific patient population compared to ONCAB surgery. Despite comparable 30-day/in-hospital mortality rates, OPCAB patients enjoyed advantages such as decreased mechanical ventilation durations, shorter ICU stays, and reduced incidences of ECLS therapy, acute kidney injury, delirium, and sepsis. These results underscore the potential benefits of employing OPCAB as a treatment approach for patients with coronary heart disease and reduced ejection fraction.
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Affiliation(s)
- Christian Jörg Rustenbach
- Department of Thoracic and Cardiovascular Surgery, German Cardiac Competence Center, Eberhard-Karls-University of Tuebingen, 72076 Tübingen, Germany; (C.J.R.); (M.R.); (I.D.); (M.M.); (A.N.); (S.L.M.); (R.B.); (R.S.B.); (C.S.)
| | - Stefan Reichert
- Department of Thoracic and Cardiovascular Surgery, German Cardiac Competence Center, Eberhard-Karls-University of Tuebingen, 72076 Tübingen, Germany; (C.J.R.); (M.R.); (I.D.); (M.M.); (A.N.); (S.L.M.); (R.B.); (R.S.B.); (C.S.)
| | - Medhat Radwan
- Department of Thoracic and Cardiovascular Surgery, German Cardiac Competence Center, Eberhard-Karls-University of Tuebingen, 72076 Tübingen, Germany; (C.J.R.); (M.R.); (I.D.); (M.M.); (A.N.); (S.L.M.); (R.B.); (R.S.B.); (C.S.)
| | - Isabelle Doll
- Department of Thoracic and Cardiovascular Surgery, German Cardiac Competence Center, Eberhard-Karls-University of Tuebingen, 72076 Tübingen, Germany; (C.J.R.); (M.R.); (I.D.); (M.M.); (A.N.); (S.L.M.); (R.B.); (R.S.B.); (C.S.)
| | - Migdat Mustafi
- Department of Thoracic and Cardiovascular Surgery, German Cardiac Competence Center, Eberhard-Karls-University of Tuebingen, 72076 Tübingen, Germany; (C.J.R.); (M.R.); (I.D.); (M.M.); (A.N.); (S.L.M.); (R.B.); (R.S.B.); (C.S.)
| | - Attila Nemeth
- Department of Thoracic and Cardiovascular Surgery, German Cardiac Competence Center, Eberhard-Karls-University of Tuebingen, 72076 Tübingen, Germany; (C.J.R.); (M.R.); (I.D.); (M.M.); (A.N.); (S.L.M.); (R.B.); (R.S.B.); (C.S.)
| | - Spiros Lukas Marinos
- Department of Thoracic and Cardiovascular Surgery, German Cardiac Competence Center, Eberhard-Karls-University of Tuebingen, 72076 Tübingen, Germany; (C.J.R.); (M.R.); (I.D.); (M.M.); (A.N.); (S.L.M.); (R.B.); (R.S.B.); (C.S.)
| | - Rafal Berger
- Department of Thoracic and Cardiovascular Surgery, German Cardiac Competence Center, Eberhard-Karls-University of Tuebingen, 72076 Tübingen, Germany; (C.J.R.); (M.R.); (I.D.); (M.M.); (A.N.); (S.L.M.); (R.B.); (R.S.B.); (C.S.)
| | - Hardy Baumbach
- Independent Researcher, Roter-Stich 127, 70376 Stuttgart, Germany;
| | - Monika Zdanyte
- Department of Cardiology, German Cardiac Competence Center, Eberhard-Karls-University of Tuebingen, 72076 Tübingen, Germany;
| | - Helene Haeberle
- Department of Anesthesiology and Intensive Care Medicine, Eberhard-Karls-University of Tuebingen, 72076 Tübingen, Germany;
| | - Tulio Caldonazo
- Department of Cardiothoracic Surgery, Jena University Hospital, 07743 Jena, Germany; (T.C.); (I.S.); (T.D.)
| | - Ibrahim Saqer
- Department of Cardiothoracic Surgery, Jena University Hospital, 07743 Jena, Germany; (T.C.); (I.S.); (T.D.)
| | - Shekhar Saha
- Department of Cardiac Surgery, LMU University Hospital, 80539 Munich, Germany; (S.S.); (P.S.); (C.H.)
- German Centre for Cardiovascular Research (DZHK), Partner site Munich Heart Alliance, 80802 Munich, Germany
| | - Philipp Schnackenburg
- Department of Cardiac Surgery, LMU University Hospital, 80539 Munich, Germany; (S.S.); (P.S.); (C.H.)
- German Centre for Cardiovascular Research (DZHK), Partner site Munich Heart Alliance, 80802 Munich, Germany
| | - Ilija Djordjevic
- Department of Cardiothoracic Surgery, Heart Center, University of Cologne, 50923 Cologne, Germany; (I.D.); (I.K.); (S.W.); (E.K.); (T.W.)
| | - Ihor Krasivskyi
- Department of Cardiothoracic Surgery, Heart Center, University of Cologne, 50923 Cologne, Germany; (I.D.); (I.K.); (S.W.); (E.K.); (T.W.)
| | - Stefanie Wendt
- Department of Cardiothoracic Surgery, Heart Center, University of Cologne, 50923 Cologne, Germany; (I.D.); (I.K.); (S.W.); (E.K.); (T.W.)
| | - Elmar Kuhn
- Department of Cardiothoracic Surgery, Heart Center, University of Cologne, 50923 Cologne, Germany; (I.D.); (I.K.); (S.W.); (E.K.); (T.W.)
| | - Lina Maria Serna Higuita
- Institute for Clinical Epidemiology and Applied Biostatistics, Eberhard-Karls-University of Tuebingen, 72074 Tübingen, Germany;
| | - Torsten Doenst
- Department of Cardiothoracic Surgery, Jena University Hospital, 07743 Jena, Germany; (T.C.); (I.S.); (T.D.)
| | - Christian Hagl
- Department of Cardiac Surgery, LMU University Hospital, 80539 Munich, Germany; (S.S.); (P.S.); (C.H.)
- German Centre for Cardiovascular Research (DZHK), Partner site Munich Heart Alliance, 80802 Munich, Germany
| | - Thorsten Wahlers
- Department of Cardiothoracic Surgery, Heart Center, University of Cologne, 50923 Cologne, Germany; (I.D.); (I.K.); (S.W.); (E.K.); (T.W.)
| | - Rodrigo Sandoval Boburg
- Department of Thoracic and Cardiovascular Surgery, German Cardiac Competence Center, Eberhard-Karls-University of Tuebingen, 72076 Tübingen, Germany; (C.J.R.); (M.R.); (I.D.); (M.M.); (A.N.); (S.L.M.); (R.B.); (R.S.B.); (C.S.)
| | - Christian Schlensak
- Department of Thoracic and Cardiovascular Surgery, German Cardiac Competence Center, Eberhard-Karls-University of Tuebingen, 72076 Tübingen, Germany; (C.J.R.); (M.R.); (I.D.); (M.M.); (A.N.); (S.L.M.); (R.B.); (R.S.B.); (C.S.)
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14
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Gerfer S, Ivanov B, Krasivskyi I, Djordjevic I, Gaisendrees C, Avgeridou S, Kuhn-Régnier F, Mader N, Rahmanian P, Kröner A, Kuhn E, Wahlers T. Heart surgery and simultaneous carotid endarterectomy - 10-years single-center experience. Perfusion 2023; 38:1617-1622. [PMID: 35841145 DOI: 10.1177/02676591221114953] [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] [Indexed: 12/24/2022]
Abstract
BACKGROUND Patients with coronary artery heart disease frequently suffer concomitant carotid vascular disease and are at high perioperative risk for neurological adverse events. Several concepts regarding the timing and modality of carotid revascularization are controversially discussed in patients with heart disease. Current guidelines recommendations on myocardial revascularization recommend a concomitant carotid endarterectomy (CEA) in patients with a history of stroke/transient ischemic attack (TIA) or 50-99% grade of the carotid stenosis. Our study aimed to analyze early outcome parameters of patients undergoing coronary artery bypass grafting (CABG), but also including concomitant heart valve surgery and simultaneous CEA. METHODS This study retrospectively analyzed a cohort of 111 patients from our institutional database undergoing heart surgery with CABG or heart-valve surgery between 2010 and 2020 with concomitant carotid surgery due to significant carotid stenosis. RESULTS Patients undergoing heart and simultaneous carotid surgery were 77 ± 8.0 years of age with a body mass index of 28 ± 1.7 kg/m2 and a mean EuroSCORE II of 6.5 ± 2.3. Most patients (61%) had a smoking history and arterial hypertension (97%). The preoperative mean grade of internal carotid stenosis was 87 ± 4.2%, 13% of patients suffered from internal carotid artery stenosis on both sites. In total, 4.5% of patients had previously undergone internal carotid artery intervention before and 6.3% had a history of stroke with a persistent neurologic disorder in 1.8%, 8.9% of cases had prior TIA. Thirty-day all-cause mortality was 6.3% and postoperative neurologic events occurred with 7.2% TIA and 4.5% of disabling stroke. CONCLUSION Within the reported patient population of coronary artery heart disease and significant internal carotid stenosis, a one-time approach with CABG or heart-valve surgery and CEA is safe and feasible as justified by clinical and neurological postoperative outcomes.
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Affiliation(s)
- Stephen Gerfer
- Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, Germany
| | - Borko Ivanov
- Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, Germany
| | - Ihor Krasivskyi
- Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, Germany
| | - Ilija Djordjevic
- Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, Germany
| | - Christopher Gaisendrees
- Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, Germany
| | - Soi Avgeridou
- Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, Germany
| | - Ferdinand Kuhn-Régnier
- Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, Germany
| | - Navid Mader
- Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, Germany
| | - Parwis Rahmanian
- Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, Germany
| | - Axel Kröner
- Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, Germany
| | - Elmar Kuhn
- Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, Germany
| | - Thorsten Wahlers
- Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, Germany
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15
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Ma H, Crowther TW, Mo L, Maynard DS, Renner SS, van den Hoogen J, Zou Y, Liang J, de-Miguel S, Nabuurs GJ, Reich PB, Niinemets Ü, Abegg M, Adou Yao YC, Alberti G, Almeyda Zambrano AM, Alvarado BV, Alvarez-Dávila E, Alvarez-Loayza P, Alves LF, Ammer C, Antón-Fernández C, Araujo-Murakami A, Arroyo L, Avitabile V, Aymard GA, Baker TR, Bałazy R, Banki O, Barroso JG, Bastian ML, Bastin JF, Birigazzi L, Birnbaum P, Bitariho R, Boeckx P, Bongers F, Bouriaud O, Brancalion PHS, Brandl S, Brearley FQ, Brienen R, Broadbent EN, Bruelheide H, Bussotti F, Cazzolla Gatti R, César RG, Cesljar G, Chazdon R, Chen HYH, Chisholm C, Cho H, Cienciala E, Clark C, Clark D, Colletta GD, Coomes DA, Valverde FC, Corral-Rivas JJ, Crim PM, Cumming JR, Dayanandan S, de Gasper AL, Decuyper M, Derroire G, DeVries B, Djordjevic I, Dolezal J, Dourdain A, Engone Obiang NL, Enquist BJ, Eyre TJ, Fandohan AB, Fayle TM, Feldpausch TR, Ferreira LV, Finér L, Fischer M, Fletcher C, Fridman J, Frizzera L, Gamarra JGP, Gianelle D, Glick HB, Harris DJ, Hector A, Hemp A, Hengeveld G, Hérault B, Herbohn JL, Herold M, Hillers A, Honorio Coronado EN, Hui C, Ibanez TT, Amaral I, Imai N, Jagodziński AM, Jaroszewicz B, Johannsen VK, Joly CA, Jucker T, Jung I, Karminov V, Kartawinata K, Kearsley E, Kenfack D, Kennard DK, Kepfer-Rojas S, Keppel G, Khan ML, Killeen TJ, Kim HS, Kitayama K, Köhl M, Korjus H, Kraxner F, Kucher D, Laarmann D, Lang M, Lewis SL, Lu H, Lukina NV, Maitner BS, Malhi Y, Marcon E, Marimon BS, Marimon-Junior BH, Marshall AR, Martin EH, Meave JA, Melo-Cruz O, Mendoza C, Merow C, Monteagudo Mendoza A, Moreno VS, Mukul SA, Mundhenk P, Nava-Miranda MG, Neill D, Neldner VJ, Nevenic RV, Ngugi MR, Niklaus PA, Oleksyn J, Ontikov P, Ortiz-Malavasi E, Pan Y, Paquette A, Parada-Gutierrez A, Parfenova EI, Park M, Parren M, Parthasarathy N, Peri PL, Pfautsch S, Phillips OL, Picard N, Piedade MTF, Piotto D, Pitman NCA, Mendoza-Polo I, Poulsen AD, Poulsen JR, Pretzsch H, Ramirez Arevalo F, Restrepo-Correa Z, Rodeghiero M, Rolim SG, Roopsind A, Rovero F, Rutishauser E, Saikia P, Salas-Eljatib C, Saner P, Schall P, Schelhaas MJ, Schepaschenko D, Scherer-Lorenzen M, Schmid B, Schöngart J, Searle EB, Seben V, Serra-Diaz JM, Sheil D, Shvidenko AZ, Silva-Espejo JE, Silveira M, Singh J, Sist P, Slik F, Sonké B, Souza AF, Miścicki S, Stereńczak KJ, Svenning JC, Svoboda M, Swanepoel B, Targhetta N, Tchebakova N, Ter Steege H, Thomas R, Tikhonova E, Umunay PM, Usoltsev VA, Valencia R, Valladares F, van der Plas F, Van Do T, van Nuland ME, Vasquez RM, Verbeeck H, Viana H, Vibrans AC, Vieira S, von Gadow K, Wang HF, Watson JV, Werner GDA, Westerlund B, Wiser SK, Wittmann F, Woell H, Wortel V, Zagt R, Zawiła-Niedźwiecki T, Zhang C, Zhao X, Zhou M, Zhu ZX, Zo-Bi IC, Zohner CM. The global biogeography of tree leaf form and habit. Nat Plants 2023; 9:1795-1809. [PMID: 37872262 PMCID: PMC10654052 DOI: 10.1038/s41477-023-01543-5] [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] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/14/2022] [Accepted: 09/18/2023] [Indexed: 10/25/2023]
Abstract
Understanding what controls global leaf type variation in trees is crucial for comprehending their role in terrestrial ecosystems, including carbon, water and nutrient dynamics. Yet our understanding of the factors influencing forest leaf types remains incomplete, leaving us uncertain about the global proportions of needle-leaved, broadleaved, evergreen and deciduous trees. To address these gaps, we conducted a global, ground-sourced assessment of forest leaf-type variation by integrating forest inventory data with comprehensive leaf form (broadleaf vs needle-leaf) and habit (evergreen vs deciduous) records. We found that global variation in leaf habit is primarily driven by isothermality and soil characteristics, while leaf form is predominantly driven by temperature. Given these relationships, we estimate that 38% of global tree individuals are needle-leaved evergreen, 29% are broadleaved evergreen, 27% are broadleaved deciduous and 5% are needle-leaved deciduous. The aboveground biomass distribution among these tree types is approximately 21% (126.4 Gt), 54% (335.7 Gt), 22% (136.2 Gt) and 3% (18.7 Gt), respectively. We further project that, depending on future emissions pathways, 17-34% of forested areas will experience climate conditions by the end of the century that currently support a different forest type, highlighting the intensification of climatic stress on existing forests. By quantifying the distribution of tree leaf types and their corresponding biomass, and identifying regions where climate change will exert greatest pressure on current leaf types, our results can help improve predictions of future terrestrial ecosystem functioning and carbon cycling.
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Affiliation(s)
- Haozhi Ma
- Institute of Integrative Biology, ETH Zurich (Swiss Federal Institute of Technology), Zurich, Switzerland.
| | - Thomas W Crowther
- Institute of Integrative Biology, ETH Zurich (Swiss Federal Institute of Technology), Zurich, Switzerland
| | - Lidong Mo
- Institute of Integrative Biology, ETH Zurich (Swiss Federal Institute of Technology), Zurich, Switzerland
| | - Daniel S Maynard
- Institute of Integrative Biology, ETH Zurich (Swiss Federal Institute of Technology), Zurich, Switzerland
- Department of Genetics, Evolution, and Environment, University College London, London, United Kingdom
| | - Susanne S Renner
- Department of Biology, Washington University, Saint Louis, MO, USA
| | - Johan van den Hoogen
- Institute of Integrative Biology, ETH Zurich (Swiss Federal Institute of Technology), Zurich, Switzerland
| | - Yibiao Zou
- Institute of Integrative Biology, ETH Zurich (Swiss Federal Institute of Technology), Zurich, Switzerland
| | - Jingjing Liang
- Department of Forestry and Natural Resources, Purdue University, West Lafayette, IN, USA
| | - Sergio de-Miguel
- Department of Agricultural and Forest Sciences and Engineering, University of Lleida, Lleida, Spain
- Joint Research Unit CTFC - AGROTECNIO - CERCA, Solsona, Spain
| | | | - Peter B Reich
- Department of Forest Resources, University of Minnesota, St. Paul, MN, USA
- Hawkesbury Institute for the Environment, Western Sydney University, Penrith, New South Wales, Australia
- Institute for Global Change Biology, and School for Environment and Sustainability, University of Michigan, Ann Arbor, MI, USA
| | - Ülo Niinemets
- Chair of Crop Science and Plant Biology, Estonian University of Life Sciences, Tartu, Estonia
| | - Meinrad Abegg
- Swiss Federal Institute for Forest, Snow and Landscape Research WSL, Birmensdorf, Switzerland
| | - Yves C Adou Yao
- UFR Biosciences, University Félix Houphouët-Boigny, Abidjan, Côte d'Ivoire
| | - Giorgio Alberti
- Department of Agricultural, Food, Environmental and Animal Sciences, University of Udine, Udine, Italy
- National Biodiversity Future Center (NBFC), Palermo, Italy
| | - Angelica M Almeyda Zambrano
- Spatial Ecology and Conservation Laboratory, Department of Tourism, Recreation and Sport Management, University of Florida, Gainesville, FL, USA
| | | | | | | | - Luciana F Alves
- Center for Tropical Research, Institute of the Environment and Sustainability, UCLA, Los Angeles, CA, USA
| | - Christian Ammer
- Silviculture and Forest Ecology of the Temperate Zones, University of Göttingen, Göttingen, Germany
| | - Clara Antón-Fernández
- Division of Forest and Forest Resources, Norwegian Institute of Bioeconomy Research (NIBIO), Ås, Norway
| | | | - Luzmila Arroyo
- Museo de Historia natural Noel kempff Mercado, Santa Cruz, Bolivia
| | | | - Gerardo A Aymard
- UNELLEZ-Guanare, Programa de Ciencias del Agro y el Mar, Herbario Universitario (PORT), Portuguesa, Venezuela
- Compensation International S. A. Ci Progress-GreenLife, Bogotá, D.C., Colombia
| | | | - Radomir Bałazy
- Department of Geomatics, Forest Research Institute, Raszyn, Poland
| | - Olaf Banki
- Naturalis Biodiversity Center, Leiden, the Netherlands
| | - Jorcely G Barroso
- Centro Multidisciplinar, Universidade Federal do Acre, Rio Branco, Brazil
| | - Meredith L Bastian
- Proceedings of the National Academy of Sciences, Washington, DC, USA
- Department of Evolutionary Anthropology, Duke University, Durham, NC, USA
| | - Jean-Francois Bastin
- TERRA Teach and Research Centre, Gembloux Agro Bio-Tech, University of Liege, Liege, Belgium
| | | | - Philippe Birnbaum
- Institut Agronomique néo-Calédonien (IAC), Nouméa, New Caledonia
- AMAP, Univ. Montpellier, Montpellier, France
- CIRAD, CNRS, INRAE, IRD, Montpellier, France
| | - Robert Bitariho
- Institute of Tropical Forest Conservation, Mbarara University of Sciences and Technology, Mbarara, Uganda
| | - Pascal Boeckx
- Isotope Bioscience Laboratory - ISOFYS, Ghent University, Ghent, Belgium
| | - Frans Bongers
- Wageningen University and Research, Wageningen, the Netherlands
| | | | - Pedro H S Brancalion
- Department of Forest Sciences, Luiz de Queiroz College of Agriculture, University of São Paulo, Piracicaba, Brazil
| | | | - Francis Q Brearley
- Department of Natural Sciences, Manchester Metropolitan University, Manchester, UK
| | - Roel Brienen
- School of Geography, University of Leeds, Leeds, UK
| | - Eben N Broadbent
- Spatial Ecology and Conservation Laboratory, Department of Tourism, Recreation and Sport Management, University of Florida, Gainesville, FL, USA
| | - Helge Bruelheide
- Institute of Biology, Geobotany and Botanical Garden, Martin Luther University Halle-Wittenberg, Halle-Wittenberg, Germany
- German Centre for Integrative Biodiversity Research (iDiv) Halle-Jena-Leipzig, Leipzig, Germany
| | - Filippo Bussotti
- Department of Agriculture, Food, Environment and Forest (DAGRI), University of Firenze, Florence, Italy
| | - Roberto Cazzolla Gatti
- Department of Biological, Geological, and Environmental Sciences, University of Bologna, Bologna, Italy
| | - Ricardo G César
- Department of Forest Sciences, Luiz de Queiroz College of Agriculture, University of São Paulo, Piracicaba, Brazil
| | - Goran Cesljar
- Department of Spatial Regulation GIS and Forest Policy, Institute of Forestry, Belgrade, Serbia
| | - Robin Chazdon
- Department of Ecology and Evolutionary Biology, University of Connecticut, Storrs, CT, USA
- Tropical Forest and People Research Centre, University of the Sunshine Coast, Sippy Downs, Queensland, Australia
| | - Han Y H Chen
- Faculty of Natural Resources Management, Lakehead University, Thunder Bay, Ontario, Canada
| | - Chelsea Chisholm
- Institute of Integrative Biology, ETH Zurich (Swiss Federal Institute of Technology), Zurich, Switzerland
| | - Hyunkook Cho
- Division of Forest Resources Information, Korea Forest Promotion Institute, Seoul, South Korea
| | - Emil Cienciala
- IFER - Institute of Forest Ecosystem Research, Jilove u Prahy, Czech Republic
- Global Change Research Institute CAS, Brno, Czech Republic
| | - Connie Clark
- Nicholas School of the Environment, Duke University, Durham, NC, USA
| | - David Clark
- Department of Biology, University of Missouri-St Louis, St. Louis, MO, USA
| | - Gabriel D Colletta
- Programa de Pós-graduação em Biologia Vegetal, Instituto de Biologia, Universidade Estadual de Campinas, Campinas, Brazil
| | - David A Coomes
- Department of Plant Sciences and Conservation Research Institute, University of Cambridge, Cambridge, UK
| | | | - José J Corral-Rivas
- Facultad de Ciencias Forestales y Ambientales, Universidad Juárez del Estado de Durango, Durango, Mexico
| | - Philip M Crim
- Department of Biology, West Virginia University, Morgantown, WV, USA
- Department of Physical and Biological Sciences, The College of Saint Rose, Albany, NY, USA
| | | | - Selvadurai Dayanandan
- Biology Department, Centre for Structural and Functional Genomics, Concordia University, Montreal, Quebec, Canada
| | - André L de Gasper
- Natural Science Department, Universidade Regional de Blumenau, Blumenau, Brazil
| | | | - Géraldine Derroire
- Cirad, UMR EcoFoG (AgroParisTech, CNRS, INRAE, Université des Antilles Université de la Guyane), Campus Agronomique, Kourou, French Guiana
| | - Ben DeVries
- Department of Geography, Environment and Geomatics, University of Guelph, Guelph, Ontario, Canada
| | | | - Jiri Dolezal
- Institute of Botany, The Czech Academy of Sciences, Třeboň, Czech Republic
- Department of Botany, Faculty of Science, University of South Bohemia, České Budějovice, Czech Republic
| | - Aurélie Dourdain
- Cirad, UMR EcoFoG (AgroParisTech, CNRS, INRAE, Université des Antilles Université de la Guyane), Campus Agronomique, Kourou, French Guiana
| | | | - Brian J Enquist
- Department of Ecology and Evolutionary Biology, University of Arizona, Tucson, AZ, USA
- The Santa Fe Institute, Santa Fe, NM, USA
| | - Teresa J Eyre
- Queensland Herbarium and Biodiversity Science, Department of Environment and Science, Toowong, Queensland, Australia
| | | | - Tom M Fayle
- School of Biological and Behavioural Sciences, Queen Mary University of London, London, UK
- Biology Centre of the Czech Academy of Sciences, Institute of Entomology, Ceske Budejovice, Czech Republic
| | - Ted R Feldpausch
- Geography, College of Life and Environmental Sciences, University of Exeter, Exeter, UK
| | - Leandro V Ferreira
- Museu Paraense Emílio Goeldi. Coordenação de Ciências da Terra e Ecologia, Belém, Pará, Brasil
| | - Leena Finér
- Natural Resources Institute Finland (Luke), Joensuu, Finland
| | - Markus Fischer
- Institute of Plant Sciences, University of Bern, Bern, Switzerland
| | | | - Jonas Fridman
- Department of Forest Resource Management, Swedish University of Agricultural Sciences SLU, Umea, Sweden
| | - Lorenzo Frizzera
- Research and Innovation Center, Fondazione Edmund Mach, San Michele All'adige, Italy
| | - Javier G P Gamarra
- Forestry Division, Food and Agriculture Organization of the United Nations, Rome, Italy
| | - Damiano Gianelle
- Research and Innovation Center, Fondazione Edmund Mach, San Michele All'adige, Italy
| | | | | | - Andrew Hector
- Department of Biology, University of Oxford, Oxford, UK
| | - Andreas Hemp
- Department of Plant Systematics, University of Bayreuth, Bayreuth, Germany
| | | | - Bruno Hérault
- Cirad, UPR Forêts et Sociétés, University of Montpellier, Montpellier, France
- Department of Forestry and Environment, National Polytechnic Institute (INP-HB), Yamoussoukro, Côte d'Ivoire
| | - John L Herbohn
- Forest Research Institute, University of the Sunshine Coast, Sippy Downs, Queensland, Australia
| | - Martin Herold
- Helmholtz GFZ German Research Centre for Geosciences, Remote Sensing and Geoinformatics Section, Telegrafenberg, Potsdam, Germany
| | - Annika Hillers
- Centre for Conservation Science, The Royal Society for the Protection of Birds, Sandy, UK
- Wild Chimpanzee Foundation, Liberia Office, Monrovia, Liberia
| | | | - Cang Hui
- Centre for Invasion Biology, Department of Mathematical Sciences, Stellenbosch University, Stellenbosch, South Africa
- Theoretical Ecology Unit, African Institute for Mathematical Sciences, Cape Town, South Africa
| | - Thomas T Ibanez
- AMAP, Univ Montpellier, CIRAD, CNRS, INRAE, IRD, Montpellier, France
| | - Iêda Amaral
- National Institute of Amazonian Research, Manaus, Brazil
| | - Nobuo Imai
- Department of Forest Science, Tokyo University of Agriculture, Tokyo, Japan
| | - Andrzej M Jagodziński
- Institute of Dendrology, Polish Academy of Sciences, Kórnik, Poland
- Department of Game Management and Forest Protection, Poznań University of Life Sciences, Poznań, Poland
| | - Bogdan Jaroszewicz
- Faculty of Biology, Białowieża Geobotanical Station, University of Warsaw, Białowieża, Poland
| | - Vivian Kvist Johannsen
- Department of Geosciences and Natural Resource Management, University of Copenhagen, Copenhagen, Denmark
| | - Carlos A Joly
- Department of Plant Biology, Institute of Biology, University of Campinas, UNICAMP, Campinas, Brazil
| | - Tommaso Jucker
- School of Biological Sciences, University of Bristol, Bristol, UK
| | - Ilbin Jung
- Division of Forest Resources Information, Korea Forest Promotion Institute, Seoul, South Korea
| | - Viktor Karminov
- Forestry Faculty, Mytischi Branch of Bauman Moscow State Technical University, Mytischi, Russian Federation
| | - Kuswata Kartawinata
- Negaunee Integrative Research Center, Field Museum of Natural History, Chicago, IL, USA
| | - Elizabeth Kearsley
- CAVElab-Computational and Applied Vegetation Ecology, Department of Environment, Ghent University, Ghent, Belgium
| | - David Kenfack
- CTFS-ForestGEO, Smithsonian Tropical Research Institute, Balboa, Panama
| | - Deborah K Kennard
- Department of Physical and Environmental Sciences, Colorado Mesa University, Grand Junction, CO, USA
| | - Sebastian Kepfer-Rojas
- Department of Geosciences and Natural Resource Management, University of Copenhagen, Copenhagen, Denmark
| | - Gunnar Keppel
- UniSA STEM and Future Industries Institute, University of South Australia, Adelaide, South Australia, Australia
| | - Mohammed Latif Khan
- Department of Botany, Dr Harisingh Gour Vishwavidyalaya (A Central University), Sagar, India
| | | | - Hyun Seok Kim
- Department of Agriculture, Forestry and Bioresources, Seoul National University, Seoul, South Korea
- Interdisciplinary Program in Agricultural and Forest Meteorology, Seoul National University, Seoul, South Korea
- National Center for Agro Meteorology, Seoul, South Korea
- Research Institute for Agriculture and Life Sciences, Seoul National University, Seoul, South Korea
| | | | - Michael Köhl
- Institute for World Forestry, University of Hamburg, Hamburg, Germany
| | - Henn Korjus
- Institute of Forestry and Engineering, Estonian University of Life Sciences, Tartu, Estonia
| | - Florian Kraxner
- Biodiversity and Natural Resources Program, International Institute for Applied Systems Analysis, Laxenburg, Austria
| | - Dmitry Kucher
- Peoples Friendship University of Russia (RUDN University), Moscow, Russian Federation
| | - Diana Laarmann
- Institute of Forestry and Engineering, Estonian University of Life Sciences, Tartu, Estonia
| | - Mait Lang
- Institute of Forestry and Engineering, Estonian University of Life Sciences, Tartu, Estonia
| | - Simon L Lewis
- School of Geography, University of Leeds, Leeds, UK
- Department of Geography, University College London, London, UK
| | - Huicui Lu
- Faculty of Forestry, Qingdao Agricultural University, Qingdao, China
| | - Natalia V Lukina
- Center for Forest Ecology and Productivity, Russian Academy of Sciences, Moscow, Russian Federation
| | - Brian S Maitner
- Department of Ecology and Evolutionary Biology, University of Arizona, Tucson, AZ, USA
| | - Yadvinder Malhi
- Environmental Change Institute, School of Geography and the Environment, University of Oxford, Oxford, UK
| | - Eric Marcon
- AgroParisTech, UMR-AMAP, Cirad, CNRS, INRA, IRD, Université de Montpellier, Montpellier, France
| | | | - Ben Hur Marimon-Junior
- Departamento de Ciências Biológicas, Universidade do Estado de Mato Grosso, Nova Xavantina, Brazil
| | - Andrew R Marshall
- Forest Research Institute, University of the Sunshine Coast, Sippy Downs, Queensland, Australia
- Department of Environment and Geography, University of York, York, UK
- Flamingo Land Ltd, Kirby Misperton, UK
| | - Emanuel H Martin
- Department of Wildlife Management, College of African Wildlife Management, Mweka, Tanzania
| | - Jorge A Meave
- Departamento de Ecología y Recursos Naturales, Facultad de Ciencias, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | | | - Casimiro Mendoza
- Colegio de Profesionales Forestales de Cochabamba, Cochabamba, Bolivia
| | - Cory Merow
- Department of Ecology and Evolutionary Biology, University of Connecticut, Storrs, CT, USA
| | - Abel Monteagudo Mendoza
- Jardín Botánico de Missouri, Pasco, Peru
- Universidad Nacional de San Antonio Abad del Cusco, Cusco, Peru
| | - Vanessa S Moreno
- Department of Forest Sciences, Luiz de Queiroz College of Agriculture, University of São Paulo, Piracicaba, Brazil
| | - Sharif A Mukul
- Forest Research Institute, University of the Sunshine Coast, Sippy Downs, Queensland, Australia
- Department of Environment and Development Studies, United International University, Dhaka, Bangladesh
| | - Philip Mundhenk
- Institute for World Forestry, University of Hamburg, Hamburg, Germany
| | - María Guadalupe Nava-Miranda
- Instituto de Silvicultura e Industria de la Madera, Universidad Juárez del Estado de Durango, Durango, Mexico
- Programa de doctorado en Ingeniería para el desarrollo rural y civil, Escuela de Doctorado Internacional de la Universidad de Santiago de Compostela (EDIUS), Santiago de Compostela, Spain
| | - David Neill
- Universidad Estatal Amazónica, Puyo, Pastaza, Ecuador
| | - Victor J Neldner
- Queensland Herbarium and Biodiversity Science, Department of Environment and Science, Toowong, Queensland, Australia
| | | | - Michael R Ngugi
- Queensland Herbarium and Biodiversity Science, Department of Environment and Science, Toowong, Queensland, Australia
| | - Pascal A Niklaus
- Department of Evolutionary Biology and Environmental Studies, University of Zürich, Zurich, Switzerland
| | - Jacek Oleksyn
- Institute of Dendrology, Polish Academy of Sciences, Kórnik, Poland
| | - Petr Ontikov
- Forestry Faculty, Mytischi Branch of Bauman Moscow State Technical University, Mytischi, Russian Federation
| | | | - Yude Pan
- Climate, Fire, and Carbon Cycle Sciences, USDA Forest Service, Durham, NC, USA
| | - Alain Paquette
- Centre for Forest Research, Université du Québec à Montréal, Montréal, Québec, Canada
| | | | - Elena I Parfenova
- V. N. Sukachev Institute of Forest, FRC KSC, Siberian Branch of the Russian Academy of Sciences, Krasnoyarsk, Russian Federation
| | - Minjee Park
- Department of Forestry and Natural Resources, Purdue University, West Lafayette, IN, USA
- Department of Agriculture, Forestry and Bioresources, Seoul National University, Seoul, South Korea
| | - Marc Parren
- Forest Ecology and Forest Management Group, Wageningen University and Research, Wageningen, the Netherlands
| | | | - Pablo L Peri
- Instituto Nacional de Tecnología Agropecuaria (INTA), Universidad Nacional de la Patagonia Austral (UNPA), Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Río Gallegos, Argentina
| | - Sebastian Pfautsch
- School of Social Sciences (Urban Studies), Western Sydney University, Penrith, New South Wales, Australia
| | | | | | | | - Daniel Piotto
- Laboratório de Dendrologia e Silvicultura Tropical, Centro de Formação em Ciências Agroflorestais, Universidade Federal do Sul da Bahia, Itabuna, Brazil
| | | | | | | | - John R Poulsen
- Nicholas School of the Environment, Duke University, Durham, NC, USA
- The Nature Conservancy, Boulder, CO, USA
| | - Hans Pretzsch
- Chair for Forest Growth and Yield Science, Department of Life Science Systems, TUM School for Life Sciences, Technical University of Munich, Freising, Germany
- Sustainable Forest Management Research Institute iuFOR, University Valladolid, Valladolid, Spain
| | | | - Zorayda Restrepo-Correa
- Servicios Ecosistémicos y Cambio Climático (SECC), Fundación Con Vida and Corporación COL-TREE, Medellín, Colombia
| | - Mirco Rodeghiero
- Research and Innovation Center, Fondazione Edmund Mach, San Michele All'adige, Italy
- Centro Agricoltura, Alimenti, Ambiente, University of Trento, San Michele All'adige, Italy
| | - Samir G Rolim
- Laboratório de Dendrologia e Silvicultura Tropical, Centro de Formação em Ciências Agroflorestais, Universidade Federal do Sul da Bahia, Itabuna, Brazil
| | - Anand Roopsind
- Center for Natural Climate Solutions, Conservation International, Arlington, VA, USA
| | - Francesco Rovero
- Department of Biology, University of Florence, Florence, Italy
- Tropical Biodiversity, MUSE - Museo delle Scienze, Trento, Italy
| | | | - Purabi Saikia
- Department of Environmental Sciences, Central University of Jharkhand, Ranchi, Jharkhand, India
| | - Christian Salas-Eljatib
- Centro de Modelación y Monitoreo de Ecosistemas, Universidad Mayor, Santiago, Chile
- Vicerrectoría de Investigación y Postgrado, Universidad de La Frontera, Temuco, Chile
- Departamento de Silvicultura y Conservación de la Naturaleza, Universidad de Chile, Temuco, Chile
| | | | - Peter Schall
- Silviculture and Forest Ecology of the Temperate Zones, University of Göttingen, Göttingen, Germany
| | | | - Dmitry Schepaschenko
- Biodiversity and Natural Resources Program, International Institute for Applied Systems Analysis, Laxenburg, Austria
- Siberian Federal University, Krasnoyarsk, Russian Federation
| | | | - Bernhard Schmid
- Department of Geography, Remote Sensing Laboratories, University of Zürich, Zurich, Switzerland
| | | | - Eric B Searle
- Centre for Forest Research, Université du Québec à Montréal, Montréal, Québec, Canada
| | - Vladimír Seben
- National Forest Centre, Forest Research Institute Zvolen, Zvolen, Slovakia
| | - Josep M Serra-Diaz
- Université de Lorraine, AgroParisTech, INRAE, Silva, Nancy, France
- Center for Biodiversity Dynamics in a Changing World (BIOCHANGE), Department of Biology, Aarhus University, Aarhus, Denmark
| | - Douglas Sheil
- Forest Ecology and Forest Management Group, Wageningen University and Research, Wageningen, the Netherlands
- Faculty of Environmental Sciences and Natural Resource Management, Norwegian University of Life Sciences, Ås, Norway
| | - Anatoly Z Shvidenko
- Biodiversity and Natural Resources Program, International Institute for Applied Systems Analysis, Laxenburg, Austria
| | | | - Marcos Silveira
- Centro de Ciências Biológicas e da Natureza, Universidade Federal do Acre, Rio Branco, Acre, Brazil
| | - James Singh
- Guyana Forestry Commission, Georgetown, French Guiana
| | - Plinio Sist
- Cirad, UPR Forêts et Sociétés, University of Montpellier, Montpellier, France
| | - Ferry Slik
- Environmental and Life Sciences, Faculty of Science, Universiti Brunei Darussalam, Gadong, Brunei Darussalam
| | - Bonaventure Sonké
- Plant Systematic and Ecology Laboratory, Department of Biology, Higher Teachers' Training College, University of Yaoundé I, Yaoundé, Cameroon
| | - Alexandre F Souza
- Departamento de Ecologia, Universidade Federal do Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
| | - Stanislaw Miścicki
- Department of Forest Management, Dendrometry and Forest Economics, Warsaw University of Life Sciences, Warsaw, Poland
| | | | - Jens-Christian Svenning
- Center for Ecological Dynamics in a Novel Biosphere (ECONOVO) & Center for Biodiversity Dynamics in a Changing World (BIOCHANGE), Department of Biology, Aarhus University, Aarhus C, Denmark
- Section for Ecoinformatics and Biodiversity, Department of Biology, Aarhus University, Aarhus, Denmark
| | - Miroslav Svoboda
- Faculty of Forestry and Wood Sciences, Czech University of Life Sciences, Prague, Czech Republic
| | | | | | - Nadja Tchebakova
- V. N. Sukachev Institute of Forest, FRC KSC, Siberian Branch of the Russian Academy of Sciences, Krasnoyarsk, Russian Federation
| | - Hans Ter Steege
- Naturalis Biodiversity Center, Leiden, the Netherlands
- Quantitative Biodiversity Dynamics, Department of Biology, Utrecht University, Utrecht, the Netherlands
| | - Raquel Thomas
- Iwokrama International Centre for Rainforest Conservation and Development (IIC), Georgetown, French Guiana
| | - Elena Tikhonova
- Center for Forest Ecology and Productivity, Russian Academy of Sciences, Moscow, Russian Federation
| | - Peter M Umunay
- School of Forestry and Environmental Studies, Yale University, New Haven, CT, USA
| | - Vladimir A Usoltsev
- Botanical Garden of Ural Branch of Russian Academy of Sciences, Ural State Forest Engineering University, Yekaterinburg, Russian Federation
| | | | | | - Fons van der Plas
- Plant Ecology and Nature Conservation Group, Wageningen University, Wageningen, the Netherlands
| | - Tran Van Do
- Silviculture Research Institute, Vietnamese Academy of Forest Sciences, Hanoi, Vietnam
| | | | | | - Hans Verbeeck
- CAVElab-Computational and Applied Vegetation Ecology, Department of Environment, Ghent University, Ghent, Belgium
| | - Helder Viana
- Agricultural High School, ESAV, Polytechnic Institute of Viseu, IPV, Viseu, Portugal
- Centre for the Research and Technology of Agro-Environmental and Biological Sciences, CITAB, UTAD, Quinta de Prados, Vila Real, Portugal
| | - Alexander C Vibrans
- Natural Science Department, Universidade Regional de Blumenau, Blumenau, Brazil
- Department of Forest Engineering, Universidade Regional de Blumenau, Blumenau, Brazil
| | - Simone Vieira
- Environmental Studies and Research Center, University of Campinas, UNICAMP, Campinas, Brazil
| | - Klaus von Gadow
- Department of Forest and Wood Science, University of Stellenbosch, Stellenbosch, South Africa
| | - Hua-Feng Wang
- Key Laboratory of Tropical Biological Resources, Ministry of Education, School of Life and Pharmaceutical Sciences, Hainan University, Haikou, China
| | - James V Watson
- Division of Forestry and Natural Resources, West Virginia University, Morgantown, WV, USA
| | | | - Bertil Westerlund
- Department of Forest Resource Management, Swedish University of Agricultural Sciences SLU, Umea, Sweden
| | - Susan K Wiser
- Manaaki Whenua-Landcare Research, Lincoln, New Zealand
| | - Florian Wittmann
- Department of Wetland Ecology, Institute for Geography and Geoecology, Karlsruhe Institute for Technology, Karlsruhe, Germany
| | - Hannsjoerg Woell
- Independent Researcher, Sommersbergseestrasse, Bad Aussee, Austria
| | - Verginia Wortel
- Centre for Agricultural Research in Suriname (CELOS), Paramaribo, Suriname
| | - Roderick Zagt
- Tropenbos International, Wageningen, the Netherlands
| | | | - Chunyu Zhang
- Research Center of Forest Management Engineering of State Forestry and Grassland Administration, Beijing Forestry University, Beijing, China
| | - Xiuhai Zhao
- Research Center of Forest Management Engineering of State Forestry and Grassland Administration, Beijing Forestry University, Beijing, China
| | - Mo Zhou
- Department of Forestry and Natural Resources, Purdue University, West Lafayette, IN, USA
| | - Zhi-Xin Zhu
- Key Laboratory of Tropical Biological Resources, Ministry of Education, School of Life and Pharmaceutical Sciences, Hainan University, Haikou, China
| | - Irie C Zo-Bi
- Department of Forestry and Environment, National Polytechnic Institute (INP-HB), Yamoussoukro, Côte d'Ivoire
| | - Constantin M Zohner
- Institute of Integrative Biology, ETH Zurich (Swiss Federal Institute of Technology), Zurich, Switzerland
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Delavaux CS, Crowther TW, Zohner CM, Robmann NM, Lauber T, van den Hoogen J, Kuebbing S, Liang J, de-Miguel S, Nabuurs GJ, Reich PB, Abegg M, Adou Yao YC, Alberti G, Almeyda Zambrano AM, Alvarado BV, Alvarez-Dávila E, Alvarez-Loayza P, Alves LF, Ammer C, Antón-Fernández C, Araujo-Murakami A, Arroyo L, Avitabile V, Aymard GA, Baker TR, Bałazy R, Banki O, Barroso JG, Bastian ML, Bastin JF, Birigazzi L, Birnbaum P, Bitariho R, Boeckx P, Bongers F, Bouriaud O, Brancalion PHS, Brandl S, Brienen R, Broadbent EN, Bruelheide H, Bussotti F, Gatti RC, César RG, Cesljar G, Chazdon R, Chen HYH, Chisholm C, Cho H, Cienciala E, Clark C, Clark D, Colletta GD, Coomes DA, Cornejo Valverde F, Corral-Rivas JJ, Crim PM, Cumming JR, Dayanandan S, de Gasper AL, Decuyper M, Derroire G, DeVries B, Djordjevic I, Dolezal J, Dourdain A, Engone Obiang NL, Enquist BJ, Eyre TJ, Fandohan AB, Fayle TM, Feldpausch TR, Ferreira LV, Fischer M, Fletcher C, Frizzera L, Gamarra JGP, Gianelle D, Glick HB, Harris DJ, Hector A, Hemp A, Hengeveld G, Hérault B, Herbohn JL, Herold M, Hillers A, Honorio Coronado EN, Hui C, Ibanez TT, Amaral I, Imai N, Jagodziński AM, Jaroszewicz B, Johannsen VK, Joly CA, Jucker T, Jung I, Karminov V, Kartawinata K, Kearsley E, Kenfack D, Kennard DK, Kepfer-Rojas S, Keppel G, Khan ML, Killeen TJ, Kim HS, Kitayama K, Köhl M, Korjus H, Kraxner F, Laarmann D, Lang M, Lewis SL, Lu H, Lukina NV, Maitner BS, Malhi Y, Marcon E, Marimon BS, Marimon-Junior BH, Marshall AR, Martin EH, Martynenko O, Meave JA, Melo-Cruz O, Mendoza C, Merow C, Mendoza AM, Moreno VS, Mukul SA, Mundhenk P, Nava-Miranda MG, Neill D, Neldner VJ, Nevenic RV, Ngugi MR, Niklaus PA, Oleksyn J, Ontikov P, Ortiz-Malavasi E, Pan Y, Paquette A, Parada-Gutierrez A, Parfenova EI, Park M, Parren M, Parthasarathy N, Peri PL, Pfautsch S, Phillips OL, Picard N, Piedade MTTF, Piotto D, Pitman NCA, Polo I, Poorter L, Poulsen AD, Pretzsch H, Ramirez Arevalo F, Restrepo-Correa Z, Rodeghiero M, Rolim SG, Roopsind A, Rovero F, Rutishauser E, Saikia P, Salas-Eljatib C, Saner P, Schall P, Schepaschenko D, Scherer-Lorenzen M, Schmid B, Schöngart J, Searle EB, Seben V, Serra-Diaz JM, Sheil D, Shvidenko AZ, Silva-Espejo JE, Silveira M, Singh J, Sist P, Slik F, Sonké B, Souza AF, Miscicki S, Stereńczak KJ, Svenning JC, Svoboda M, Swanepoel B, Targhetta N, Tchebakova N, Ter Steege H, Thomas R, Tikhonova E, Umunay PM, Usoltsev VA, Valencia R, Valladares F, van der Plas F, Do TV, van Nuland ME, Vasquez RM, Verbeeck H, Viana H, Vibrans AC, Vieira S, von Gadow K, Wang HF, Watson JV, Werner GDA, Wiser SK, Wittmann F, Woell H, Wortel V, Zagt R, Zawiła-Niedźwiecki T, Zhang C, Zhao X, Zhou M, Zhu ZX, Zo-Bi IC, Maynard DS. Author Correction: Native diversity buffers against severity of non-native tree invasions. Nature 2023; 622:E2. [PMID: 37752352 PMCID: PMC10567547 DOI: 10.1038/s41586-023-06654-9] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/28/2023]
Affiliation(s)
- Camille S Delavaux
- Institute of Integrative Biology, ETH Zurich (Swiss Federal Institute of Technology), Zurich, Switzerland.
| | - Thomas W Crowther
- Institute of Integrative Biology, ETH Zurich (Swiss Federal Institute of Technology), Zurich, Switzerland
| | - Constantin M Zohner
- Institute of Integrative Biology, ETH Zurich (Swiss Federal Institute of Technology), Zurich, Switzerland
| | - Niamh M Robmann
- Institute of Integrative Biology, ETH Zurich (Swiss Federal Institute of Technology), Zurich, Switzerland
| | - Thomas Lauber
- Institute of Integrative Biology, ETH Zurich (Swiss Federal Institute of Technology), Zurich, Switzerland
| | - Johan van den Hoogen
- Institute of Integrative Biology, ETH Zurich (Swiss Federal Institute of Technology), Zurich, Switzerland
| | - Sara Kuebbing
- The Forest School at The Yale School of the Environment, Yale University, New Haven, CT, USA
| | - Jingjing Liang
- Department of Forestry and Natural Resources, Purdue University, West Lafayette, IN, USA
| | - Sergio de-Miguel
- Department of Crop and Forest Sciences, University of Lleida, Lleida, Spain
- Joint Research Unit CTFC-AGROTECNIO-CERCA, Solsona, Spain
| | | | - Peter B Reich
- Department of Forest Resources, University of Minnesota, St Paul, MN, USA
- Hawkesbury Institute for the Environment, Western Sydney University, Penrith, New South Wales, Australia
- Institute for Global Change Biology, and School for Environment and Sustainability, University of Michigan, Ann Arbor, MI, USA
| | - Meinrad Abegg
- Swiss Federal Institute for Forest, Snow and Landscape Research WSL, Birmensdorf, Switzerland
| | - Yves C Adou Yao
- UFR Biosciences, University Félix Houphouët-Boigny, Abidjan, Côte d'Ivoire
| | - Giorgio Alberti
- Department of Agricultural, Food, Environmental and Animal Sciences, University of Udine, Udine, Italy
- Faculty of Science and Technology, Free University of Bolzano, Bolzano, Italy
| | - Angelica M Almeyda Zambrano
- Spatial Ecology and Conservation Laboratory, Department of Tourism, Recreation and Sport Management, University of Florida, Gainesville, FL, USA
| | | | | | | | - Luciana F Alves
- Center for Tropical Research, Institute of the Environment and Sustainability, UCLA, Los Angeles, CA, USA
| | - Christian Ammer
- Silviculture and Forest Ecology of the Temperate Zones, University of Göttingen, Göttingen, Germany
| | - Clara Antón-Fernández
- Division of Forest and Forest Resources, Norwegian Institute of Bioeconomy Research (NIBIO), Ås, Norway
| | | | - Luzmila Arroyo
- Museo de Historia Natural Noel kempff Mercado, Santa Cruz, Bolivia
| | | | - Gerardo A Aymard
- UNELLEZ-Guanare, Programa de Ciencias del Agro y el Mar, Herbario Universitario (PORT), Portuguesa, Venezuela
- Compensation International S. A. Ci Progress-GreenLife, Bogotá, Colombia
| | | | - Radomir Bałazy
- Department of Geomatics, Forest Research Institute, Raszyn, Poland
| | - Olaf Banki
- Naturalis Biodiversity Center, Leiden, The Netherlands
| | - Jorcely G Barroso
- Centro Multidisciplinar, Universidade Federal do Acre, Rio Branco, Brazil
| | - Meredith L Bastian
- Proceedings of the National Academy of Sciences, Washington, DC, USA
- Department of Evolutionary Anthropology, Duke University, Durham, NC, USA
| | - Jean-Francois Bastin
- TERRA Teach and Research Centre, Gembloux Agro Bio-Tech, University of Liege, Liege, Belgium
| | - Luca Birigazzi
- United Nation Framework Convention on Climate Change, Bonn, Germany
| | - Philippe Birnbaum
- Institut Agronomique néo-Calédonien (IAC), Nouméa, New Caledonia
- AMAP, University of Montpellier, Montpellier, France
- AMAP, University of Montpellier, CIRAD, CNRS, INRAE, IRD, Montpellier, France
| | - Robert Bitariho
- Institute of Tropical Forest Conservation, Mbarara University of Sciences and Technology, Mbarara, Uganda
| | - Pascal Boeckx
- Isotope Bioscience Laboratory-ISOFYS, Ghent University, Ghent, Belgium
| | - Frans Bongers
- Wageningen University and Research, Wageningen, The Netherlands
| | - Olivier Bouriaud
- Integrated Center for Research, Development and Innovation in Advanced Materials, Nanotechnologies, and Distributed Systems for Fabrication and Control (MANSiD), Stefan cel Mare University of Suceava, Suceava, Romania
| | - Pedro H S Brancalion
- Department of Forest Sciences, Luiz de Queiroz College of Agriculture, University of São Paulo, Piracicaba, Brazil
| | | | - Roel Brienen
- School of Geography, University of Leeds, Leeds, UK
| | - Eben N Broadbent
- Spatial Ecology and Conservation Laboratory, School of Forest Resources and Conservation, University of Florida, Gainesville, FL, USA
| | - Helge Bruelheide
- Institute of Biology, Geobotany and Botanical Garden, Martin Luther University Halle-Wittenberg, Halle-Wittenberg, Germany
- German Centre for Integrative Biodiversity Research (iDiv) Halle-Jena-Leipzig, Leipzig, Germany
| | - Filippo Bussotti
- Department of Agriculture, Food, Environment and Forest (DAGRI), University of Firenze, Florence, Italy
| | - Roberto Cazzolla Gatti
- Department of Biological, Geological, and Environmental Sciences, University of Bologna, Bologna, Italy
| | - Ricardo G César
- Department of Forest Sciences, Luiz de Queiroz College of Agriculture, University of São Paulo, Piracicaba, Brazil
| | - Goran Cesljar
- Department of Spatial Regulation, GIS and Forest Policy, Institute of Forestry, Belgrade, Serbia
| | - Robin Chazdon
- Department of Ecology and Evolutionary Biology, University of Connecticut, Storrs, CT, USA
- Forest Research Institute, University of the Sunshine Coast, Sippy Downs, Queensland, Australia
| | - Han Y H Chen
- Faculty of Natural Resources Management, Lakehead University, Thunder Bay, Ontario, Canada
| | - Chelsea Chisholm
- Institute of Integrative Biology, ETH Zurich (Swiss Federal Institute of Technology), Zurich, Switzerland
| | - Hyunkook Cho
- Division of Forest Resources Information, Korea Forest Promotion Institute, Seoul, South Korea
| | - Emil Cienciala
- IFER-Institute of Forest Ecosystem Research, Jilove u Prahy, Czech Republic
- Global Change Research Institute CAS, Brno, Czech Republic
| | - Connie Clark
- Nicholas School of the Environment, Duke University, Durham, NC, USA
| | - David Clark
- Department of Biology, University of Missouri-St Louis, St Louis, MO, USA
| | - Gabriel D Colletta
- Programa de Pós-graduação em Biologia Vegetal, Instituto de Biologia, Universidade Estadual de Campinas, Campinas, Brazil
| | - David A Coomes
- Department of Plant Sciences and Conservation Research Institute, University of Cambridge, Cambridge, UK
| | | | - José J Corral-Rivas
- Facultad de Ciencias Forestales y Ambientales, Universidad Juárez del Estado de Durango, Durango, Mexico
| | - Philip M Crim
- Department of Biology, West Virginia University, Morgantown, WV, USA
- Department of Physical and Biological Sciences, The College of Saint Rose, Albany, NY, USA
| | | | - Selvadurai Dayanandan
- Biology Department, Centre for Structural and Functional Genomics, Concordia University, Montreal, Quebec, Canada
| | - André L de Gasper
- Natural Science Department, Universidade Regional de Blumenau, Blumenau, Brazil
| | - Mathieu Decuyper
- Wageningen University and Research, Wageningen, The Netherlands
- World Agroforestry (ICRAF), Nairobi, Kenya
| | - Géraldine Derroire
- Cirad, UMR EcoFoG (AgroParisTech, CNRS, INRAE), Université des Antilles, Université de la Guyane, Campus Agronomique, Kourou, France
| | - Ben DeVries
- Department of Geographical Sciences, University of Maryland, College Park, MD, USA
| | | | - Jiri Dolezal
- Institute of Botany, The Czech Academy of Sciences, Třeboň, Czech Republic
- Department of Botany, Faculty of Science, University of South Bohemia, České Budějovice, Czech Republic
| | - Aurélie Dourdain
- Cirad, UMR EcoFoG (AgroParisTech, CNRS, INRAE), Université des Antilles, Université de la Guyane, Campus Agronomique, Kourou, France
| | | | - Brian J Enquist
- Department of Ecology and Evolutionary Biology, University of Arizona, Tucson, AZ, USA
- The Santa Fe Institute, Santa Fe, NM, USA
| | - Teresa J Eyre
- Queensland Herbarium, Department of Environment and Science, Toowong, Queensland, Australia
| | | | - Tom M Fayle
- School of Biological and Behavioural Sciences, Queen Mary University of London, London, UK
- Biology Centre of the Czech Academy of Sciences, Institute of Entomology, Ceske Budejovice, Czech Republic
| | - Ted R Feldpausch
- Geography, College of Life and Environmental Sciences, University of Exeter, Exeter, UK
| | - Leandro V Ferreira
- Museu Paraense Emílio Goeldi. Coordenação de Ciências da Terra e Ecologia, Belém, Pará, Brazil
| | - Markus Fischer
- Institute of Plant Sciences, University of Bern, Bern, Switzerland
| | | | - Lorenzo Frizzera
- Research and Innovation Center, Fondazione Edmund Mach, San Michele All'adige, Italy
| | - Javier G P Gamarra
- Forestry Division, Food and Agriculture Organization of the United Nations, Rome, Italy
| | - Damiano Gianelle
- Research and Innovation Center, Fondazione Edmund Mach, San Michele All'adige, Italy
| | | | | | - Andrew Hector
- Department of Plant Sciences, University of Oxford, Oxford, UK
| | - Andreas Hemp
- Department of Plant Systematics, University of Bayreuth, Bayreuth, Germany
| | | | - Bruno Hérault
- Cirad, UPR Forêts et Sociétés, University of Montpellier, Montpellier, France
- Department of Forestry and Environment, National Polytechnic Institute (INP-HB), Yamoussoukro, Côte d'Ivoire
| | - John L Herbohn
- Forest Research Institute, University of the Sunshine Coast, Sippy Downs, Queensland, Australia
- Tropical Forests and People Research Centre, University of the Sunshine Coast, Maroochydore, Queensland, Australia
| | - Martin Herold
- Wageningen University and Research, Wageningen, The Netherlands
| | - Annika Hillers
- Centre for Conservation Science, The Royal Society for the Protection of Birds, Sandy, UK
- Wild Chimpanzee Foundation, Liberia Office, Monrovia, Liberia
| | | | - Cang Hui
- Centre for Invasion Biology, Department of Mathematical Sciences, Stellenbosch University, Stellenbosch, South Africa
- Theoretical Ecology Unit, African Institute for Mathematical Sciences, Cape Town, South Africa
| | - Thomas T Ibanez
- AMAP, University of Montpellier, CIRAD, CNRS, INRAE, IRD, Montpellier, France
| | - Iêda Amaral
- National Institute of Amazonian Research, Manaus, Brazil
| | - Nobuo Imai
- Department of Forest Science, Tokyo University of Agriculture, Tokyo, Japan
| | - Andrzej M Jagodziński
- Institute of Dendrology, Polish Academy of Sciences, Kórnik, Poland
- Poznań University of Life Sciences, Department of Game Management and Forest Protection, Poznań, Poland
| | - Bogdan Jaroszewicz
- Faculty of Biology, Białowieża Geobotanical Station, University of Warsaw, Białowieża, Poland
| | - Vivian Kvist Johannsen
- Department of Geosciences and Natural Resource Management, University of Copenhagen, Copenhagen, Denmark
| | - Carlos A Joly
- Department of Plant Biology, Institute of Biology, University of Campinas, UNICAMP, Campinas, Brazil
| | - Tommaso Jucker
- School of Biological Sciences, University of Bristol, Bristol, UK
| | - Ilbin Jung
- Division of Forest Resources Information, Korea Forest Promotion Institute, Seoul, South Korea
| | - Viktor Karminov
- Forestry Faculty, Bauman Moscow State Technical University, Mytischi, Russia
| | | | - Elizabeth Kearsley
- CAVElab-Computational and Applied Vegetation Ecology, Department of Environment, Ghent University, Ghent, Belgium
| | - David Kenfack
- CTFS-ForestGEO, Smithsonian Tropical Research Institute, Balboa, Panama
| | - Deborah K Kennard
- Department of Physical and Environmental Sciences, Colorado Mesa University, Grand Junction, CO, USA
| | - Sebastian Kepfer-Rojas
- Department of Geosciences and Natural Resource Management, University of Copenhagen, Copenhagen, Denmark
| | - Gunnar Keppel
- UniSA STEM and Future Industries Institute, University of South Australia, Adelaide, South Australia, Australia
| | - Mohammed Latif Khan
- Department of Botany, Dr Harisingh Gour Vishwavidyalaya (A Central University), Sagar, India
| | | | - Hyun Seok Kim
- Department of Agriculture, Forestry and Bioresources, Seoul National University, Seoul, South Korea
- Interdisciplinary Program in Agricultural and Forest Meteorology, Seoul National University, Seoul, South Korea
- National Center for Agro Meteorology, Seoul, South Korea
- Research Institute for Agriculture and Life Sciences, Seoul National University, Seoul, South Korea
| | | | - Michael Köhl
- Institute for World Forestry, University of Hamburg, Hamburg, Germany
| | - Henn Korjus
- Institute of Forestry and Engineering, Estonian University of Life Sciences, Tartu, Estonia
| | - Florian Kraxner
- Biodiversity and Natural Resources Program, International Institute for Applied Systems Analysis (IIASA), Laxenburg, Austria
| | - Diana Laarmann
- Institute of Forestry and Engineering, Estonian University of Life Sciences, Tartu, Estonia
| | - Mait Lang
- Institute of Forestry and Engineering, Estonian University of Life Sciences, Tartu, Estonia
| | - Simon L Lewis
- School of Geography, University of Leeds, Leeds, UK
- Department of Geography, University College London, London, UK
| | - Huicui Lu
- Faculty of Forestry, Qingdao Agricultural University, Qingdao, China
| | - Natalia V Lukina
- Center for Forest Ecology and Productivity, Russian Academy of Sciences, Moscow, Russia
| | - Brian S Maitner
- Department of Ecology and Evolutionary Biology, University of Arizona, Tucson, AZ, USA
| | - Yadvinder Malhi
- Environmental Change Institute, School of Geography and the Environment, University of Oxford, Oxford, UK
| | - Eric Marcon
- AgroParisTech, UMR-AMAP, Cirad, CNRS, INRA, IRD, Université de Montpellier, Montpellier, France
| | | | - Ben Hur Marimon-Junior
- Departamento de Ciências Biológicas, Universidade do Estado de Mato Grosso, Nova Xavantina, Brazil
| | - Andrew R Marshall
- Forest Research Institute, University of the Sunshine Coast, Sippy Downs, Queensland, Australia
- Department of Environment and Geography, University of York, York, UK
- Flamingo Land, Malton, UK
| | - Emanuel H Martin
- Department of Wildlife Management, College of African Wildlife Management, Mweka, Tanzania
| | - Olga Martynenko
- Forestry Faculty, Bauman Moscow State Technical University, Mytischi, Russia
| | - Jorge A Meave
- Departamento de Ecología y Recursos Naturales, Facultad de Ciencias, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | | | - Casimiro Mendoza
- Colegio de Profesionales Forestales de Cochabamba, Cochabamba, Bolivia
| | - Cory Merow
- Department of Ecology and Evolutionary Biology, University of Connecticut, Storrs, CT, USA
| | - Abel Monteagudo Mendoza
- Jardín Botánico de Missouri, Pasco, Peru
- Universidad Nacional de San Antonio Abad del Cusco, Cusco, Peru
| | - Vanessa S Moreno
- Department of Forest Sciences, Luiz de Queiroz College of Agriculture, University of São Paulo, Piracicaba, Brazil
| | - Sharif A Mukul
- Forest Research Institute, University of the Sunshine Coast, Sippy Downs, Queensland, Australia
- Department of Environment and Development Studies, United International University, Dhaka, Bangladesh
| | - Philip Mundhenk
- Institute for World Forestry, University of Hamburg, Hamburg, Germany
| | - María Guadalupe Nava-Miranda
- Laboratorio de geomática, Instituto de Silvicultura e Industria de la Madera, Universidad Juárez del Estado de Durango, Durango, Mexico
- Programa de doctorado en Ingeniería para el desarrollo rural y civil, Escuela de Doctorado Internacional de la Universidad de Santiago de Compostela, Santiago de Compostela, Spain
- Department of Environment and Development Studies, United International University, Dhaka, Bangladesh
| | - David Neill
- Universidad Estatal Amazónica, Puyo, Pastaza, Ecuador
| | - Victor J Neldner
- Queensland Herbarium, Department of Environment and Science, Toowong, Queensland, Australia
| | | | - Michael R Ngugi
- Queensland Herbarium, Department of Environment and Science, Toowong, Queensland, Australia
| | - Pascal A Niklaus
- Department of Evolutionary Biology and Environmental Studies, University of Zürich, Zurich, Switzerland
| | - Jacek Oleksyn
- Institute of Dendrology, Polish Academy of Sciences, Kórnik, Poland
| | - Petr Ontikov
- Forestry Faculty, Bauman Moscow State Technical University, Mytischi, Russia
| | | | - Yude Pan
- Climate, Fire, and Carbon Cycle Sciences, USDA Forest Service, Durham, NC, USA
| | - Alain Paquette
- Centre for Forest Research, Université du Québec à Montréal, Montreal, Quebec, Canada
| | | | - Elena I Parfenova
- V. N. Sukachev Institute of Forest, FRC KSC, Siberian Branch of the Russian Academy of Sciences, Krasnoyarsk, Russia
| | - Minjee Park
- Department of Forestry and Natural Resources, Purdue University, West Lafayette, IN, USA
- Department of Agriculture, Forestry and Bioresources, Seoul National University, Seoul, South Korea
| | - Marc Parren
- Forest Ecology and Forest Management Group, Wageningen University and Research, Wageningen, The Netherlands
| | | | - Pablo L Peri
- Instituto Nacional de Tecnología Agropecuaria (INTA), Universidad Nacional de la Patagonia Austral (UNPA), Consejo Nacional de Investigaciones Científicas y Tecnicas (CONICET), Río Gallegos, Argentina
| | - Sebastian Pfautsch
- School of Social Sciences (Urban Studies), Western Sydney University, Penrith, New South Wales, Australia
| | | | - Nicolas Picard
- Forestry Department, Food and Agriculture Organization of the United Nations, Rome, Italy
| | | | - Daniel Piotto
- Laboratório de Dendrologia e Silvicultura Tropical, Centro de Formação em Ciências Agroflorestais, Universidade Federal do Sul da Bahia, Itabuna, Brazil
| | | | - Irina Polo
- Jardín Botánico de Medellín, Medellin, Colombia
| | - Lourens Poorter
- Wageningen University and Research, Wageningen, The Netherlands
| | | | - Hans Pretzsch
- Chair for Forest Growth and Yield Science, TUM School for Life Sciences, Technical University of Munich, Munich, Germany
| | | | - Zorayda Restrepo-Correa
- Servicios Ecosistémicos y Cambio Climático (SECC), Fundación Con Vida & Corporación COL-TREE, Medellín, Colombia
| | - Mirco Rodeghiero
- Research and Innovation Center, Fondazione Edmund Mach, San Michele All'adige, Italy
- Centro Agricoltura, Alimenti, Ambiente, University of Trento, San Michele All'adige, Italy
| | - Samir G Rolim
- Laboratório de Dendrologia e Silvicultura Tropical, Centro de Formação em Ciências Agroflorestais, Universidade Federal do Sul da Bahia, Itabuna, Brazil
| | - Anand Roopsind
- Department of Biological Sciences, Boise State University, Boise, ID, USA
| | - Francesco Rovero
- Department of Biology, University of Florence, Florence, Italy
- Tropical Biodiversity, MUSE-Museo delle Scienze, Trento, Italy
| | | | - Purabi Saikia
- Department of Environmental Sciences, Central University of Jharkhand, Ranchi, Jharkhand, India
| | - Christian Salas-Eljatib
- Centro de Modelación y Monitoreo de Ecosistemas, Universidad Mayor, Santiago, Chile
- Vicerrectoria de Investigacion y Postgrado, Universidad de La Frontera, Temuco, Chile
- Depto. de Silvicultura y Conservacion de la Naturaleza, Universidad de Chile, Temuco, Chile
| | | | - Peter Schall
- Silviculture and Forest Ecology of the Temperate Zones, University of Göttingen, Göttingen, Germany
| | - Dmitry Schepaschenko
- Biodiversity and Natural Resources Program, International Institute for Applied Systems Analysis (IIASA), Laxenburg, Austria
- V. N. Sukachev Institute of Forest, FRC KSC, Siberian Branch of the Russian Academy of Sciences, Krasnoyarsk, Russia
- Siberian Federal University, Krasnoyarsk Russian Federation, Krasnoyarsk, Russia
| | | | - Bernhard Schmid
- Department of Evolutionary Biology and Environmental Studies, University of Zürich, Zurich, Switzerland
| | | | - Eric B Searle
- Centre for Forest Research, Université du Québec à Montréal, Montreal, Quebec, Canada
| | - Vladimír Seben
- National Forest Centre, Forest Research Institute Zvolen, Zvolen, Slovakia
| | - Josep M Serra-Diaz
- Université de Lorraine, AgroParisTech, INRAE, Silva, Nancy, France
- Center for Ecological Dynamics in a Novel Biosphere (ECONOVO) and Center for Biodiversity Dynamics in a Changing World (BIOCHANGE), Department of Biology, Aarhus University, Aarhus, Denmark
| | - Douglas Sheil
- Forest Ecology and Forest Management, Wageningen University and Research, Wageningen, The Netherlands
- Faculty of Environmental Sciences and Natural Resource Management, Norwegian University of Life Sciences, Ås, Norway
| | - Anatoly Z Shvidenko
- Biodiversity and Natural Resources Program, International Institute for Applied Systems Analysis (IIASA), Laxenburg, Austria
| | | | - Marcos Silveira
- Centro de Ciências Biológicas e da Natureza, Universidade Federal do Acre, Rio Branco, Acre, Brazil
| | - James Singh
- Guyana Forestry Commission, Georgetown, France
| | - Plinio Sist
- Cirad, UPR Forêts et Sociétés, University of Montpellier, Montpellier, France
| | - Ferry Slik
- Environmental and Life Sciences, Faculty of Science, Universiti Brunei Darussalam, Bandar Seri Begawan, Brunei
| | - Bonaventure Sonké
- Plant Systematic and Ecology Laboratory, Department of Biology, Higher Teachers' Training College, University of Yaoundé I, Yaoundé, Cameroon
| | - Alexandre F Souza
- Departamento de Ecologia, Universidade Federal do Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
| | | | | | - Jens-Christian Svenning
- Center for Ecological Dynamics in a Novel Biosphere (ECONOVO) and Center for Biodiversity Dynamics in a Changing World (BIOCHANGE), Department of Biology, Aarhus University, Aarhus, Denmark
- Section for Ecoinformatics & Biodiversity, Department of Biology, Aarhus University, Aarhus, Denmark
| | - Miroslav Svoboda
- Faculty of Forestry and Wood Sciences, Czech University of Life Sciences, Prague, Czech Republic
| | | | | | - Nadja Tchebakova
- V. N. Sukachev Institute of Forest, FRC KSC, Siberian Branch of the Russian Academy of Sciences, Krasnoyarsk, Russia
| | - Hans Ter Steege
- Naturalis Biodiversity Center, Leiden, The Netherlands
- Quantitative Biodiversity Dynamics, Betafaculty, Utrecht University, Utrecht, The Netherlands
| | - Raquel Thomas
- Iwokrama International Centre for Rainforest Conservation and Development (IIC), Georgetown, Guyana
| | - Elena Tikhonova
- Center for Forest Ecology and Productivity, Russian Academy of Sciences, Moscow, Russia
| | - Peter M Umunay
- School of Forestry and Environmental Studies, Yale University, New Haven, CT, USA
| | - Vladimir A Usoltsev
- Botanical Garden of Ural Branch of Russian Academy of Sciences, Ural State Forest Engineering University, Yekaterinburg, Russia
| | | | | | - Fons van der Plas
- Plant Ecology and Nature Conservation Group, Wageningen University, Wageningen, The Netherlands
| | - Tran Van Do
- Silviculture Research Institute, Vietnamese Academy of Forest Sciences, Hanoi, Vietnam
| | | | | | - Hans Verbeeck
- CAVElab-Computational and Applied Vegetation Ecology, Department of Environment, Ghent University, Ghent, Belgium
| | - Helder Viana
- Centre for the Research and Technology of Agro-Environmental and Biological Sciences, CITAB, University of Trás-os-Montes and Alto Douro, UTAD, Viseu, Portugal
- Department of Ecology and Sustainable Agriculture, Agricultural High School, Polytechnic Institute of Viseu, Viseu, Portugal
| | - Alexander C Vibrans
- Natural Science Department, Universidade Regional de Blumenau, Blumenau, Brazil
- Department of Forest Engineering Universidade Regional de Blumenau, Blumenau, Brazil
| | - Simone Vieira
- Environmental Studies and Research Center, University of Campinas, UNICAMP, Campinas, Brazil
| | - Klaus von Gadow
- Department of Forest and Wood Science, University of Stellenbosch, Stellenbosch, South Africa
| | - Hua-Feng Wang
- Key Laboratory of Tropical Biological Resources, Ministry of Education, School of Life and Pharmaceutical Sciences, Hainan University, Haikou, China
| | - James V Watson
- Division of Forestry and Natural Resources, West Virginia University, Morgantown, WV, USA
| | | | - Susan K Wiser
- Manaaki Whenua-Landcare Research, Lincoln, New Zealand
| | - Florian Wittmann
- Department of Wetland Ecology, Institute for Geography and Geoecology, Karlsruhe Institute for Technology, Karlsruhe, Germany
| | | | - Verginia Wortel
- Centre for Agricultural Research in Suriname (CELOS), Paramaribo, Suriname
| | - Roderik Zagt
- Tropenbos International, Wageningen, The Netherlands
| | | | - Chunyu Zhang
- Research Center of Forest Management Engineering of State Forestry and Grassland Administration, Beijing Forestry University, Beijing, China
| | - Xiuhai Zhao
- Research Center of Forest Management Engineering of State Forestry and Grassland Administration, Beijing Forestry University, Beijing, China
| | - Mo Zhou
- Department of Forestry and Natural Resources, Purdue University, West Lafayette, IN, USA
| | - Zhi-Xin Zhu
- Key Laboratory of Tropical Biological Resources, Ministry of Education, School of Life and Pharmaceutical Sciences, Hainan University, Haikou, China
| | - Irie C Zo-Bi
- Department of Forestry and Environment, National Polytechnic Institute (INP-HB), Yamoussoukro, Côte d'Ivoire
| | - Daniel S Maynard
- Institute of Integrative Biology, ETH Zurich (Swiss Federal Institute of Technology), Zurich, Switzerland
- Department of Genetics, Evolution, and Environment, University College London, London, UK
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17
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Elderia A, Kiehn E, Djordjevic I, Gerfer S, Eghbalzadeh K, Gaisendrees C, Deppe AC, Kuhn E, Wahlers T, Weber C. Impact of Chronic Kidney Disease and Dialysis on Outcome after Surgery for Infective Endocarditis. J Clin Med 2023; 12:5948. [PMID: 37762889 PMCID: PMC10532068 DOI: 10.3390/jcm12185948] [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] [Received: 08/02/2023] [Revised: 09/04/2023] [Accepted: 09/12/2023] [Indexed: 09/29/2023] Open
Abstract
Infective endocarditis (IE) carries a heavy burden of morbidity and mortality in chronic kidney disease (CKD) and hemodialysis (HD) patients. We investigated the risk factors, pathognomonic profile and outcomes of surgically treated IE in CKD and HD patients. We preoperatively identified patients with CKD under hemodialysis (HD group) and compared them with patients without hemodialysis (Non-HD group). Furthermore, we divided the cohort into four groups according to the underlying stage of CKD, with a subsequent outcome analysis. Between 2009 and 2018, 534 Non-HD and 58 HD patients underwent surgery for IE at our institution. The median age was 65.1 [50.6-73.6] and 63.2 [53.4-72.8] years in the Non-HD and HD groups, respectively (p = 0.861). The median EuroSCORE II was 8.0 [5.0-10.0] vs. 9.5 [7.0-12.0] in the Non-HD vs. HD groups (p = 0.004). Patients without CKD had a mortality rate of 5.6% at 30 days and 15.5% at 1 year. Mortality rates proportionally rose with the severity of CKD. Among HD patients, 30-day and 1-year mortality rates were 38.1% and 75.6%, respectively (p < 0.001). Staphylococcus aureus IE was significantly more frequent in the HD group (p = 0.006). In conclusion, outcomes after surgery for IE correlated with the severity of the underlying CKD, with HD patients exhibiting the most unfavorable results. Pre-existing CKD and staphylococcus aureus infection were independent risk factors for 1-year mortality.
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Affiliation(s)
- Ahmed Elderia
- Department of Cardiothoracic Surgery, Heart Center, University of Cologne, 50937 Köln, Germany; (E.K.); (I.D.); (S.G.); (K.E.); (C.G.); (A.-C.D.); (E.K.); (T.W.)
| | | | | | | | | | | | | | | | | | - Carolyn Weber
- Department of Cardiothoracic Surgery, Heart Center, University of Cologne, 50937 Köln, Germany; (E.K.); (I.D.); (S.G.); (K.E.); (C.G.); (A.-C.D.); (E.K.); (T.W.)
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18
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Delavaux CS, Crowther TW, Zohner CM, Robmann NM, Lauber T, van den Hoogen J, Kuebbing S, Liang J, de-Miguel S, Nabuurs GJ, Reich PB, Abegg M, Adou Yao YC, Alberti G, Almeyda Zambrano AM, Alvarado BV, Alvarez-Dávila E, Alvarez-Loayza P, Alves LF, Ammer C, Antón-Fernández C, Araujo-Murakami A, Arroyo L, Avitabile V, Aymard GA, Baker TR, Bałazy R, Banki O, Barroso JG, Bastian ML, Bastin JF, Birigazzi L, Birnbaum P, Bitariho R, Boeckx P, Bongers F, Bouriaud O, Brancalion PHS, Brandl S, Brienen R, Broadbent EN, Bruelheide H, Bussotti F, Gatti RC, César RG, Cesljar G, Chazdon R, Chen HYH, Chisholm C, Cho H, Cienciala E, Clark C, Clark D, Colletta GD, Coomes DA, Cornejo Valverde F, Corral-Rivas JJ, Crim PM, Cumming JR, Dayanandan S, de Gasper AL, Decuyper M, Derroire G, DeVries B, Djordjevic I, Dolezal J, Dourdain A, Engone Obiang NL, Enquist BJ, Eyre TJ, Fandohan AB, Fayle TM, Feldpausch TR, Ferreira LV, Fischer M, Fletcher C, Frizzera L, Gamarra JGP, Gianelle D, Glick HB, Harris DJ, Hector A, Hemp A, Hengeveld G, Hérault B, Herbohn JL, Herold M, Hillers A, Honorio Coronado EN, Hui C, Ibanez TT, Amaral I, Imai N, Jagodziński AM, Jaroszewicz B, Johannsen VK, Joly CA, Jucker T, Jung I, Karminov V, Kartawinata K, Kearsley E, Kenfack D, Kennard DK, Kepfer-Rojas S, Keppel G, Khan ML, Killeen TJ, Kim HS, Kitayama K, Köhl M, Korjus H, Kraxner F, Laarmann D, Lang M, Lewis SL, Lu H, Lukina NV, Maitner BS, Malhi Y, Marcon E, Marimon BS, Marimon-Junior BH, Marshall AR, Martin EH, Martynenko O, Meave JA, Melo-Cruz O, Mendoza C, Merow C, Mendoza AM, Moreno VS, Mukul SA, Mundhenk P, Nava-Miranda MG, Neill D, Neldner VJ, Nevenic RV, Ngugi MR, Niklaus PA, Oleksyn J, Ontikov P, Ortiz-Malavasi E, Pan Y, Paquette A, Parada-Gutierrez A, Parfenova EI, Park M, Parren M, Parthasarathy N, Peri PL, Pfautsch S, Phillips OL, Picard N, Piedade MTTF, Piotto D, Pitman NCA, Polo I, Poorter L, Poulsen AD, Pretzsch H, Ramirez Arevalo F, Restrepo-Correa Z, Rodeghiero M, Rolim SG, Roopsind A, Rovero F, Rutishauser E, Saikia P, Salas-Eljatib C, Saner P, Schall P, Schepaschenko D, Scherer-Lorenzen M, Schmid B, Schöngart J, Searle EB, Seben V, Serra-Diaz JM, Sheil D, Shvidenko AZ, Silva-Espejo JE, Silveira M, Singh J, Sist P, Slik F, Sonké B, Souza AF, Miscicki S, Stereńczak KJ, Svenning JC, Svoboda M, Swanepoel B, Targhetta N, Tchebakova N, Ter Steege H, Thomas R, Tikhonova E, Umunay PM, Usoltsev VA, Valencia R, Valladares F, van der Plas F, Do TV, van Nuland ME, Vasquez RM, Verbeeck H, Viana H, Vibrans AC, Vieira S, von Gadow K, Wang HF, Watson JV, Werner GDA, Wiser SK, Wittmann F, Woell H, Wortel V, Zagt R, Zawiła-Niedźwiecki T, Zhang C, Zhao X, Zhou M, Zhu ZX, Zo-Bi IC, Maynard DS. Native diversity buffers against severity of non-native tree invasions. Nature 2023; 621:773-781. [PMID: 37612513 PMCID: PMC10533391 DOI: 10.1038/s41586-023-06440-7] [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: 11/02/2022] [Accepted: 07/14/2023] [Indexed: 08/25/2023]
Abstract
Determining the drivers of non-native plant invasions is critical for managing native ecosystems and limiting the spread of invasive species1,2. Tree invasions in particular have been relatively overlooked, even though they have the potential to transform ecosystems and economies3,4. Here, leveraging global tree databases5-7, we explore how the phylogenetic and functional diversity of native tree communities, human pressure and the environment influence the establishment of non-native tree species and the subsequent invasion severity. We find that anthropogenic factors are key to predicting whether a location is invaded, but that invasion severity is underpinned by native diversity, with higher diversity predicting lower invasion severity. Temperature and precipitation emerge as strong predictors of invasion strategy, with non-native species invading successfully when they are similar to the native community in cold or dry extremes. Yet, despite the influence of these ecological forces in determining invasion strategy, we find evidence that these patterns can be obscured by human activity, with lower ecological signal in areas with higher proximity to shipping ports. Our global perspective of non-native tree invasion highlights that human drivers influence non-native tree presence, and that native phylogenetic and functional diversity have a critical role in the establishment and spread of subsequent invasions.
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Affiliation(s)
- Camille S Delavaux
- Institute of Integrative Biology, ETH Zurich (Swiss Federal Institute of Technology), Zurich, Switzerland.
| | - Thomas W Crowther
- Institute of Integrative Biology, ETH Zurich (Swiss Federal Institute of Technology), Zurich, Switzerland
| | - Constantin M Zohner
- Institute of Integrative Biology, ETH Zurich (Swiss Federal Institute of Technology), Zurich, Switzerland
| | - Niamh M Robmann
- Institute of Integrative Biology, ETH Zurich (Swiss Federal Institute of Technology), Zurich, Switzerland
| | - Thomas Lauber
- Institute of Integrative Biology, ETH Zurich (Swiss Federal Institute of Technology), Zurich, Switzerland
| | - Johan van den Hoogen
- Institute of Integrative Biology, ETH Zurich (Swiss Federal Institute of Technology), Zurich, Switzerland
| | - Sara Kuebbing
- The Forest School at The Yale School of the Environment, Yale University, New Haven, CT, USA
| | - Jingjing Liang
- Department of Forestry and Natural Resources, Purdue University, West Lafayette, IN, USA
| | - Sergio de-Miguel
- Department of Crop and Forest Sciences, University of Lleida, Lleida, Spain
- Joint Research Unit CTFC-AGROTECNIO-CERCA, Solsona, Spain
| | | | - Peter B Reich
- Department of Forest Resources, University of Minnesota, St Paul, MN, USA
- Hawkesbury Institute for the Environment, Western Sydney University, Penrith, New South Wales, Australia
- Institute for Global Change Biology, and School for Environment and Sustainability, University of Michigan, Ann Arbor, MI, USA
| | - Meinrad Abegg
- Swiss Federal Institute for Forest, Snow and Landscape Research WSL, Birmensdorf, Switzerland
| | - Yves C Adou Yao
- UFR Biosciences, University Félix Houphouët-Boigny, Abidjan, Côte d'Ivoire
| | - Giorgio Alberti
- Department of Agricultural, Food, Environmental and Animal Sciences, University of Udine, Udine, Italy
- Faculty of Science and Technology, Free University of Bolzano, Bolzano, Italy
| | - Angelica M Almeyda Zambrano
- Spatial Ecology and Conservation Laboratory, Department of Tourism, Recreation and Sport Management, University of Florida, Gainesville, FL, USA
| | | | | | | | - Luciana F Alves
- Center for Tropical Research, Institute of the Environment and Sustainability, UCLA, Los Angeles, CA, USA
| | - Christian Ammer
- Silviculture and Forest Ecology of the Temperate Zones, University of Göttingen, Göttingen, Germany
| | - Clara Antón-Fernández
- Division of Forest and Forest Resources, Norwegian Institute of Bioeconomy Research (NIBIO), Ås, Norway
| | | | - Luzmila Arroyo
- Museo de Historia Natural Noel kempff Mercado, Santa Cruz, Bolivia
| | | | - Gerardo A Aymard
- UNELLEZ-Guanare, Programa de Ciencias del Agro y el Mar, Herbario Universitario (PORT), Portuguesa, Venezuela
- Compensation International S. A. Ci Progress-GreenLife, Bogotá, Colombia
| | | | - Radomir Bałazy
- Department of Geomatics, Forest Research Institute, Raszyn, Poland
| | - Olaf Banki
- Naturalis Biodiversity Center, Leiden, The Netherlands
| | - Jorcely G Barroso
- Centro Multidisciplinar, Universidade Federal do Acre, Rio Branco, Brazil
| | - Meredith L Bastian
- Proceedings of the National Academy of Sciences, Washington, DC, USA
- Department of Evolutionary Anthropology, Duke University, Durham, NC, USA
| | - Jean-Francois Bastin
- TERRA Teach and Research Centre, Gembloux Agro Bio-Tech, University of Liege, Liege, Belgium
| | - Luca Birigazzi
- United Nation Framework Convention on Climate Change, Bonn, Germany
| | - Philippe Birnbaum
- Institut Agronomique néo-Calédonien (IAC), Nouméa, New Caledonia
- AMAP, University of Montpellier, Montpellier, France
- CIRAD, CNRS, INRAE, IRD, Montpellier, France
| | - Robert Bitariho
- Institute of Tropical Forest Conservation, Mbarara University of Sciences and Technology, Mbarara, Uganda
| | - Pascal Boeckx
- Isotope Bioscience Laboratory-ISOFYS, Ghent University, Ghent, Belgium
| | - Frans Bongers
- Wageningen University and Research, Wageningen, The Netherlands
| | - Olivier Bouriaud
- Integrated Center for Research, Development and Innovation in Advanced Materials, Nanotechnologies, and Distributed Systems for Fabrication and Control (MANSiD), Stefan cel Mare University of Suceava, Suceava, Romania
| | - Pedro H S Brancalion
- Department of Forest Sciences, Luiz de Queiroz College of Agriculture, University of São Paulo, Piracicaba, Brazil
| | | | - Roel Brienen
- School of Geography, University of Leeds, Leeds, UK
| | - Eben N Broadbent
- Spatial Ecology and Conservation Laboratory, School of Forest Resources and Conservation, University of Florida, Gainesville, FL, USA
| | - Helge Bruelheide
- Institute of Biology, Geobotany and Botanical Garden, Martin Luther University Halle-Wittenberg, Halle-Wittenberg, Germany
- German Centre for Integrative Biodiversity Research (iDiv) Halle-Jena-Leipzig, Leipzig, Germany
| | - Filippo Bussotti
- Department of Agriculture, Food, Environment and Forest (DAGRI), University of Firenze, Florence, Italy
| | - Roberto Cazzolla Gatti
- Department of Biological, Geological, and Environmental Sciences, University of Bologna, Bologna, Italy
| | - Ricardo G César
- Department of Forest Sciences, Luiz de Queiroz College of Agriculture, University of São Paulo, Piracicaba, Brazil
| | - Goran Cesljar
- Department of Spatial Regulation, GIS and Forest Policy, Institute of Forestry, Belgrade, Serbia
| | - Robin Chazdon
- Department of Ecology and Evolutionary Biology, University of Connecticut, Storrs, CT, USA
- Forest Research Institute, University of the Sunshine Coast, Sippy Downs, Queensland, Australia
| | - Han Y H Chen
- Faculty of Natural Resources Management, Lakehead University, Thunder Bay, Ontario, Canada
| | - Chelsea Chisholm
- Institute of Integrative Biology, ETH Zurich (Swiss Federal Institute of Technology), Zurich, Switzerland
| | - Hyunkook Cho
- Division of Forest Resources Information, Korea Forest Promotion Institute, Seoul, South Korea
| | - Emil Cienciala
- IFER-Institute of Forest Ecosystem Research, Jilove u Prahy, Czech Republic
- Global Change Research Institute CAS, Brno, Czech Republic
| | - Connie Clark
- Nicholas School of the Environment, Duke University, Durham, NC, USA
| | - David Clark
- Department of Biology, University of Missouri-St Louis, St Louis, MO, USA
| | - Gabriel D Colletta
- Programa de Pós-graduação em Biologia Vegetal, Instituto de Biologia, Universidade Estadual de Campinas, Campinas, Brazil
| | - David A Coomes
- Department of Plant Sciences and Conservation Research Institute, University of Cambridge, Cambridge, UK
| | | | - José J Corral-Rivas
- Facultad de Ciencias Forestales y Ambientales, Universidad Juárez del Estado de Durango, Durango, Mexico
| | - Philip M Crim
- Department of Biology, West Virginia University, Morgantown, WV, USA
- Department of Physical and Biological Sciences, The College of Saint Rose, Albany, NY, USA
| | | | - Selvadurai Dayanandan
- Biology Department, Centre for Structural and Functional Genomics, Concordia University, Montreal, Quebec, Canada
| | - André L de Gasper
- Natural Science Department, Universidade Regional de Blumenau, Blumenau, Brazil
| | - Mathieu Decuyper
- Wageningen University and Research, Wageningen, The Netherlands
- World Agroforestry (ICRAF), Nairobi, Kenya
| | - Géraldine Derroire
- Cirad, UMR EcoFoG (AgroParisTech, CNRS, INRAE), Université des Antilles, Université de la Guyane, Campus Agronomique, Kourou, France
| | - Ben DeVries
- Department of Geographical Sciences, University of Maryland, College Park, MD, USA
| | | | - Jiri Dolezal
- Institute of Botany, The Czech Academy of Sciences, Třeboň, Czech Republic
- Department of Botany, Faculty of Science, University of South Bohemia, České Budějovice, Czech Republic
| | - Aurélie Dourdain
- Cirad, UMR EcoFoG (AgroParisTech, CNRS, INRAE), Université des Antilles, Université de la Guyane, Campus Agronomique, Kourou, France
| | | | - Brian J Enquist
- Department of Ecology and Evolutionary Biology, University of Arizona, Tucson, AZ, USA
- The Santa Fe Institute, Santa Fe, NM, USA
| | - Teresa J Eyre
- Queensland Herbarium, Department of Environment and Science, Toowong, Queensland, Australia
| | | | - Tom M Fayle
- School of Biological and Behavioural Sciences, Queen Mary University of London, London, UK
- Biology Centre of the Czech Academy of Sciences, Institute of Entomology, Ceske Budejovice, Czech Republic
| | - Ted R Feldpausch
- Geography, College of Life and Environmental Sciences, University of Exeter, Exeter, UK
| | - Leandro V Ferreira
- Museu Paraense Emílio Goeldi. Coordenação de Ciências da Terra e Ecologia, Belém, Pará, Brazil
| | - Markus Fischer
- Institute of Plant Sciences, University of Bern, Bern, Switzerland
| | | | - Lorenzo Frizzera
- Research and Innovation Center, Fondazione Edmund Mach, San Michele All'adige, Italy
| | - Javier G P Gamarra
- Forestry Division, Food and Agriculture Organization of the United Nations, Rome, Italy
| | - Damiano Gianelle
- Research and Innovation Center, Fondazione Edmund Mach, San Michele All'adige, Italy
| | | | | | - Andrew Hector
- Department of Plant Sciences, University of Oxford, Oxford, UK
| | - Andreas Hemp
- Department of Plant Systematics, University of Bayreuth, Bayreuth, Germany
| | | | - Bruno Hérault
- Cirad, UPR Forêts et Sociétés, University of Montpellier, Montpellier, France
- Department of Forestry and Environment, National Polytechnic Institute (INP-HB), Yamoussoukro, Côte d'Ivoire
| | - John L Herbohn
- Forest Research Institute, University of the Sunshine Coast, Sippy Downs, Queensland, Australia
- Tropical Forests and People Research Centre, University of the Sunshine Coast, Maroochydore, Queensland, Australia
| | - Martin Herold
- Wageningen University and Research, Wageningen, The Netherlands
| | - Annika Hillers
- Centre for Conservation Science, The Royal Society for the Protection of Birds, Sandy, UK
- Wild Chimpanzee Foundation, Liberia Office, Monrovia, Liberia
| | | | - Cang Hui
- Centre for Invasion Biology, Department of Mathematical Sciences, Stellenbosch University, Stellenbosch, South Africa
- Theoretical Ecology Unit, African Institute for Mathematical Sciences, Cape Town, South Africa
| | - Thomas T Ibanez
- AMAP, University of Montpellier, Montpellier, France
- CIRAD, CNRS, INRAE, IRD, Montpellier, France
| | - Iêda Amaral
- National Institute of Amazonian Research, Manaus, Brazil
| | - Nobuo Imai
- Department of Forest Science, Tokyo University of Agriculture, Tokyo, Japan
| | - Andrzej M Jagodziński
- Institute of Dendrology, Polish Academy of Sciences, Kórnik, Poland
- Poznań University of Life Sciences, Department of Game Management and Forest Protection, Poznań, Poland
| | - Bogdan Jaroszewicz
- Faculty of Biology, Białowieża Geobotanical Station, University of Warsaw, Białowieża, Poland
| | - Vivian Kvist Johannsen
- Department of Geosciences and Natural Resource Management, University of Copenhagen, Copenhagen, Denmark
| | - Carlos A Joly
- Department of Plant Biology, Institute of Biology, University of Campinas, UNICAMP, Campinas, Brazil
| | - Tommaso Jucker
- School of Biological Sciences, University of Bristol, Bristol, UK
| | - Ilbin Jung
- Division of Forest Resources Information, Korea Forest Promotion Institute, Seoul, South Korea
| | - Viktor Karminov
- Forestry Faculty, Bauman Moscow State Technical University, Mytischi, Russia
| | | | - Elizabeth Kearsley
- CAVElab-Computational and Applied Vegetation Ecology, Department of Environment, Ghent University, Ghent, Belgium
| | - David Kenfack
- CTFS-ForestGEO, Smithsonian Tropical Research Institute, Balboa, Panama
| | - Deborah K Kennard
- Department of Physical and Environmental Sciences, Colorado Mesa University, Grand Junction, CO, USA
| | - Sebastian Kepfer-Rojas
- Department of Geosciences and Natural Resource Management, University of Copenhagen, Copenhagen, Denmark
| | - Gunnar Keppel
- UniSA STEM and Future Industries Institute, University of South Australia, Adelaide, South Australia, Australia
| | - Mohammed Latif Khan
- Department of Botany, Dr Harisingh Gour Vishwavidyalaya (A Central University), Sagar, India
| | | | - Hyun Seok Kim
- Department of Agriculture, Forestry and Bioresources, Seoul National University, Seoul, South Korea
- Interdisciplinary Program in Agricultural and Forest Meteorology, Seoul National University, Seoul, South Korea
- National Center for Agro Meteorology, Seoul, South Korea
- Research Institute for Agriculture and Life Sciences, Seoul National University, Seoul, South Korea
| | | | - Michael Köhl
- Institute for World Forestry, University of Hamburg, Hamburg, Germany
| | - Henn Korjus
- Institute of Forestry and Engineering, Estonian University of Life Sciences, Tartu, Estonia
| | - Florian Kraxner
- Biodiversity and Natural Resources Program, International Institute for Applied Systems Analysis (IIASA), Laxenburg, Austria
| | - Diana Laarmann
- Institute of Forestry and Engineering, Estonian University of Life Sciences, Tartu, Estonia
| | - Mait Lang
- Institute of Forestry and Engineering, Estonian University of Life Sciences, Tartu, Estonia
| | - Simon L Lewis
- School of Geography, University of Leeds, Leeds, UK
- Department of Geography, University College London, London, UK
| | - Huicui Lu
- Faculty of Forestry, Qingdao Agricultural University, Qingdao, China
| | - Natalia V Lukina
- Center for Forest Ecology and Productivity, Russian Academy of Sciences, Moscow, Russia
| | - Brian S Maitner
- Department of Ecology and Evolutionary Biology, University of Arizona, Tucson, AZ, USA
| | - Yadvinder Malhi
- Environmental Change Institute, School of Geography and the Environment, University of Oxford, Oxford, UK
| | - Eric Marcon
- AgroParisTech, UMR-AMAP, Cirad, CNRS, INRA, IRD, Université de Montpellier, Montpellier, France
| | | | - Ben Hur Marimon-Junior
- Departamento de Ciências Biológicas, Universidade do Estado de Mato Grosso, Nova Xavantina, Brazil
| | - Andrew R Marshall
- Forest Research Institute, University of the Sunshine Coast, Sippy Downs, Queensland, Australia
- Department of Environment and Geography, University of York, York, UK
- Flamingo Land, Malton, UK
| | - Emanuel H Martin
- Department of Wildlife Management, College of African Wildlife Management, Mweka, Tanzania
| | - Olga Martynenko
- Forestry Faculty, Bauman Moscow State Technical University, Mytischi, Russia
| | - Jorge A Meave
- Departamento de Ecología y Recursos Naturales, Facultad de Ciencias, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | | | - Casimiro Mendoza
- Colegio de Profesionales Forestales de Cochabamba, Cochabamba, Bolivia
| | - Cory Merow
- Department of Ecology and Evolutionary Biology, University of Connecticut, Storrs, CT, USA
| | - Abel Monteagudo Mendoza
- Jardín Botánico de Missouri, Pasco, Peru
- Universidad Nacional de San Antonio Abad del Cusco, Cusco, Peru
| | - Vanessa S Moreno
- Department of Forest Sciences, Luiz de Queiroz College of Agriculture, University of São Paulo, Piracicaba, Brazil
| | - Sharif A Mukul
- Forest Research Institute, University of the Sunshine Coast, Sippy Downs, Queensland, Australia
- Department of Environment and Development Studies, United International University, Dhaka, Bangladesh
| | - Philip Mundhenk
- Institute for World Forestry, University of Hamburg, Hamburg, Germany
| | - María Guadalupe Nava-Miranda
- Laboratorio de geomática, Instituto de Silvicultura e Industria de la Madera, Universidad Juárez del Estado de Durango, Durango, Mexico
- Programa de doctorado en Ingeniería para el desarrollo rural y civil, Escuela de Doctorado Internacional de la Universidad de Santiago de Compostela, Santiago de Compostela, Spain
- Department of Environment and Development Studies, United International University, Dhaka, Bangladesh
| | - David Neill
- Universidad Estatal Amazónica, Puyo, Pastaza, Ecuador
| | - Victor J Neldner
- Queensland Herbarium, Department of Environment and Science, Toowong, Queensland, Australia
| | | | - Michael R Ngugi
- Queensland Herbarium, Department of Environment and Science, Toowong, Queensland, Australia
| | - Pascal A Niklaus
- Department of Evolutionary Biology and Environmental Studies, University of Zürich, Zurich, Switzerland
| | - Jacek Oleksyn
- Institute of Dendrology, Polish Academy of Sciences, Kórnik, Poland
| | - Petr Ontikov
- Forestry Faculty, Bauman Moscow State Technical University, Mytischi, Russia
| | | | - Yude Pan
- Climate, Fire, and Carbon Cycle Sciences, USDA Forest Service, Durham, NC, USA
| | - Alain Paquette
- Centre for Forest Research, Université du Québec à Montréal, Montreal, Quebec, Canada
| | | | - Elena I Parfenova
- V. N. Sukachev Institute of Forest, FRC KSC, Siberian Branch of the Russian Academy of Sciences, Krasnoyarsk, Russia
| | - Minjee Park
- Department of Forestry and Natural Resources, Purdue University, West Lafayette, IN, USA
- Department of Agriculture, Forestry and Bioresources, Seoul National University, Seoul, South Korea
| | - Marc Parren
- Forest Ecology and Forest Management Group, Wageningen University and Research, Wageningen, The Netherlands
| | | | - Pablo L Peri
- Instituto Nacional de Tecnología Agropecuaria (INTA), Universidad Nacional de la Patagonia Austral (UNPA), Consejo Nacional de Investigaciones Científicas y Tecnicas (CONICET), Río Gallegos, Argentina
| | - Sebastian Pfautsch
- School of Social Sciences (Urban Studies), Western Sydney University, Penrith, New South Wales, Australia
| | | | - Nicolas Picard
- Forestry Department, Food and Agriculture Organization of the United Nations, Rome, Italy
| | | | - Daniel Piotto
- Laboratório de Dendrologia e Silvicultura Tropical, Centro de Formação em Ciências Agroflorestais, Universidade Federal do Sul da Bahia, Itabuna, Brazil
| | | | - Irina Polo
- Jardín Botánico de Medellín, Medellin, Colombia
| | - Lourens Poorter
- Wageningen University and Research, Wageningen, The Netherlands
| | | | - Hans Pretzsch
- Chair for Forest Growth and Yield Science, TUM School for Life Sciences, Technical University of Munich, Munich, Germany
| | | | - Zorayda Restrepo-Correa
- Servicios Ecosistémicos y Cambio Climático (SECC), Fundación Con Vida & Corporación COL-TREE, Medellín, Colombia
| | - Mirco Rodeghiero
- Research and Innovation Center, Fondazione Edmund Mach, San Michele All'adige, Italy
- Centro Agricoltura, Alimenti, Ambiente, University of Trento, San Michele All'adige, Italy
| | - Samir G Rolim
- Laboratório de Dendrologia e Silvicultura Tropical, Centro de Formação em Ciências Agroflorestais, Universidade Federal do Sul da Bahia, Itabuna, Brazil
| | - Anand Roopsind
- Department of Biological Sciences, Boise State University, Boise, ID, USA
| | - Francesco Rovero
- Department of Biology, University of Florence, Florence, Italy
- Tropical Biodiversity, MUSE-Museo delle Scienze, Trento, Italy
| | | | - Purabi Saikia
- Department of Environmental Sciences, Central University of Jharkhand, Ranchi, Jharkhand, India
| | - Christian Salas-Eljatib
- Centro de Modelación y Monitoreo de Ecosistemas, Universidad Mayor, Santiago, Chile
- Vicerrectoria de Investigacion y Postgrado, Universidad de La Frontera, Temuco, Chile
- Depto. de Silvicultura y Conservacion de la Naturaleza, Universidad de Chile, Temuco, Chile
| | | | - Peter Schall
- Silviculture and Forest Ecology of the Temperate Zones, University of Göttingen, Göttingen, Germany
| | - Dmitry Schepaschenko
- Biodiversity and Natural Resources Program, International Institute for Applied Systems Analysis (IIASA), Laxenburg, Austria
- V. N. Sukachev Institute of Forest, FRC KSC, Siberian Branch of the Russian Academy of Sciences, Krasnoyarsk, Russia
- Siberian Federal University, Krasnoyarsk Russian Federation, Krasnoyarsk, Russia
| | | | - Bernhard Schmid
- Department of Evolutionary Biology and Environmental Studies, University of Zürich, Zurich, Switzerland
| | | | - Eric B Searle
- Centre for Forest Research, Université du Québec à Montréal, Montreal, Quebec, Canada
| | - Vladimír Seben
- National Forest Centre, Forest Research Institute Zvolen, Zvolen, Slovakia
| | - Josep M Serra-Diaz
- Université de Lorraine, AgroParisTech, INRAE, Silva, Nancy, France
- Center for Ecological Dynamics in a Novel Biosphere (ECONOVO) and Center for Biodiversity Dynamics in a Changing World (BIOCHANGE), Department of Biology, Aarhus University, Aarhus, Denmark
| | - Douglas Sheil
- Forest Ecology and Forest Management, Wageningen University and Research, Wageningen, The Netherlands
- Faculty of Environmental Sciences and Natural Resource Management, Norwegian University of Life Sciences, Ås, Norway
| | - Anatoly Z Shvidenko
- Biodiversity and Natural Resources Program, International Institute for Applied Systems Analysis (IIASA), Laxenburg, Austria
| | | | - Marcos Silveira
- Centro de Ciências Biológicas e da Natureza, Universidade Federal do Acre, Rio Branco, Acre, Brazil
| | - James Singh
- Guyana Forestry Commission, Georgetown, France
| | - Plinio Sist
- Cirad, UPR Forêts et Sociétés, University of Montpellier, Montpellier, France
| | - Ferry Slik
- Environmental and Life Sciences, Faculty of Science, Universiti Brunei Darussalam, Bandar Seri Begawan, Brunei
| | - Bonaventure Sonké
- Plant Systematic and Ecology Laboratory, Department of Biology, Higher Teachers' Training College, University of Yaoundé I, Yaoundé, Cameroon
| | - Alexandre F Souza
- Departamento de Ecologia, Universidade Federal do Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
| | | | | | - Jens-Christian Svenning
- Center for Ecological Dynamics in a Novel Biosphere (ECONOVO) and Center for Biodiversity Dynamics in a Changing World (BIOCHANGE), Department of Biology, Aarhus University, Aarhus, Denmark
- Section for Ecoinformatics & Biodiversity, Department of Biology, Aarhus University, Aarhus, Denmark
| | - Miroslav Svoboda
- Faculty of Forestry and Wood Sciences, Czech University of Life Sciences, Prague, Czech Republic
| | | | | | - Nadja Tchebakova
- V. N. Sukachev Institute of Forest, FRC KSC, Siberian Branch of the Russian Academy of Sciences, Krasnoyarsk, Russia
| | - Hans Ter Steege
- Naturalis Biodiversity Center, Leiden, The Netherlands
- Quantitative Biodiversity Dynamics, Betafaculty, Utrecht University, Utrecht, The Netherlands
| | - Raquel Thomas
- Iwokrama International Centre for Rainforest Conservation and Development (IIC), Georgetown, Guyana
| | - Elena Tikhonova
- Center for Forest Ecology and Productivity, Russian Academy of Sciences, Moscow, Russia
| | - Peter M Umunay
- School of Forestry and Environmental Studies, Yale University, New Haven, CT, USA
| | - Vladimir A Usoltsev
- Botanical Garden of Ural Branch of Russian Academy of Sciences, Ural State Forest Engineering University, Yekaterinburg, Russia
| | | | | | - Fons van der Plas
- Plant Ecology and Nature Conservation Group, Wageningen University, Wageningen, The Netherlands
| | - Tran Van Do
- Silviculture Research Institute, Vietnamese Academy of Forest Sciences, Hanoi, Vietnam
| | | | | | - Hans Verbeeck
- CAVElab-Computational and Applied Vegetation Ecology, Department of Environment, Ghent University, Ghent, Belgium
| | - Helder Viana
- Centre for the Research and Technology of Agro-Environmental and Biological Sciences, CITAB, University of Trás-os-Montes and Alto Douro, UTAD, Viseu, Portugal
- Department of Ecology and Sustainable Agriculture, Agricultural High School, Polytechnic Institute of Viseu, Viseu, Portugal
| | - Alexander C Vibrans
- Natural Science Department, Universidade Regional de Blumenau, Blumenau, Brazil
- Department of Forest Engineering Universidade Regional de Blumenau, Blumenau, Brazil
| | - Simone Vieira
- Environmental Studies and Research Center, University of Campinas, UNICAMP, Campinas, Brazil
| | - Klaus von Gadow
- Department of Forest and Wood Science, University of Stellenbosch, Stellenbosch, South Africa
| | - Hua-Feng Wang
- Key Laboratory of Tropical Biological Resources, Ministry of Education, School of Life and Pharmaceutical Sciences, Hainan University, Haikou, China
| | - James V Watson
- Division of Forestry and Natural Resources, West Virginia University, Morgantown, WV, USA
| | | | - Susan K Wiser
- Manaaki Whenua-Landcare Research, Lincoln, New Zealand
| | - Florian Wittmann
- Department of Wetland Ecology, Institute for Geography and Geoecology, Karlsruhe Institute for Technology, Karlsruhe, Germany
| | | | - Verginia Wortel
- Centre for Agricultural Research in Suriname (CELOS), Paramaribo, Suriname
| | - Roderik Zagt
- Tropenbos International, Wageningen, The Netherlands
| | | | - Chunyu Zhang
- Research Center of Forest Management Engineering of State Forestry and Grassland Administration, Beijing Forestry University, Beijing, China
| | - Xiuhai Zhao
- Research Center of Forest Management Engineering of State Forestry and Grassland Administration, Beijing Forestry University, Beijing, China
| | - Mo Zhou
- Department of Forestry and Natural Resources, Purdue University, West Lafayette, IN, USA
| | - Zhi-Xin Zhu
- Key Laboratory of Tropical Biological Resources, Ministry of Education, School of Life and Pharmaceutical Sciences, Hainan University, Haikou, China
| | - Irie C Zo-Bi
- Department of Forestry and Environment, National Polytechnic Institute (INP-HB), Yamoussoukro, Côte d'Ivoire
| | - Daniel S Maynard
- Institute of Integrative Biology, ETH Zurich (Swiss Federal Institute of Technology), Zurich, Switzerland
- Department of Genetics, Evolution, and Environment, University College London, London, UK
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Djordjevic I, Maier-Trauth J, Gerfer S, Elskamp M, Muehlbauer T, Maul A, Rademann P, Ivanov B, Krasivskyi I, Sabashnikov A, Kuhn E, Slottosch I, Wahlers T, Liakopoulos O, Deppe AC. Fluid Management in Veno-Arterial Extracorporeal Membrane Oxygenation Therapy-Analysis of an Experimental Pig Model. J Clin Med 2023; 12:5330. [PMID: 37629372 PMCID: PMC10455548 DOI: 10.3390/jcm12165330] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2023] [Revised: 08/07/2023] [Accepted: 08/14/2023] [Indexed: 08/27/2023] Open
Abstract
(1) Background: Fluid resuscitation is a necessary part of therapeutic measures to maintain sufficient hemodynamics in extracorporeal membrane oxygenation (ECMO) circulation. In a post-hoc analysis, we aimed to investigate the impact of increased volume therapy in veno-arterial ECMO circulation on renal function and organ edema in a large animal model. (2) Methods: ECMO therapy was performed in 12 female pigs (Deutsche Landrasse × Pietrain) for 10 h with subsequent euthanasia. Applicable volume, in regard to the necessary maintenance of hemodynamics, was divided into moderate and extensive volume therapy (MVT/EVT) due to the double quantity of calculated physiologic urine output for the planned study period. Respiratory and hemodynamic data were measured continuously. Additionally, renal function and organ edema were assessed by blood and tissue samples. (3) Results: Four pigs received MVT, and eight pigs received EVT. After 10 h of ECMO circulation, no major differences were seen between the groups in regard to hemodynamic and respiratory data. The relative change in creatinine after 10 h of ECMO support was significantly higher in EVT (1.3 ± 0.3 MVT vs. 1.8 ± 0.5 EVT; p = 0.033). No major differences were evident for lung, heart, liver, and kidney samples in regard to organ edema in comparison of EVT and MVT. Bowel tissue showed a higher percentage of edema in EVT compared to MVT (77 ± 2% MVT vs. 80 ± 3% EVT; p = 0.049). (4) Conclusions: The presented data suggest potential deterioration of renal function and intestinal mucosa function by an increase in tissue edema due to volume overload in ECMO therapy.
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Affiliation(s)
- Ilija Djordjevic
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
| | - Johanna Maier-Trauth
- Division of Thoracic and Cardiovascular Surgery, HELIOS Klinikum Siegburg, 53721 Siegburg, Germany
| | - Stephen Gerfer
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
| | - Mara Elskamp
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
| | - Thomas Muehlbauer
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
| | - Alexandra Maul
- Faculty of Medicine, University Hospital of Cologne, Experimental Medicine, University of Cologne, 50937 Cologne, Germany
| | - Pia Rademann
- Faculty of Medicine, University Hospital of Cologne, Experimental Medicine, University of Cologne, 50937 Cologne, Germany
| | - Borko Ivanov
- Division of Thoracic and Cardiovascular Surgery, HELIOS Klinikum Siegburg, 53721 Siegburg, Germany
| | - Ihor Krasivskyi
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
| | - Anton Sabashnikov
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
| | - Elmar Kuhn
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
| | - Ingo Slottosch
- Department of Cardiothoracic Surgery, Otto-von-Guericke University Magdeburg, 39106 Magdeburg, Germany
| | - Thorsten Wahlers
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
| | - Oliver Liakopoulos
- Department of Cardiac Surgery, Kerckhoff-Clinic Bad Nauheim, Campus Kerckhoff, University of Giessen, 35392 Giessen, Germany
| | - Antje Christin Deppe
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
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20
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Gerfer S, Bennour W, Chigri A, Elderia A, Krasivskyi I, Großmann C, Gaisendrees C, Ivanov B, Avgeridou S, Eghbalzadeh K, Rahmanian P, Kuhn-Régnier F, Mader N, Djordjevic I, Sabashnikov A, Wahlers T. Major Adverse Cardiac and Cerebrovascular Events in Patients Undergoing Simultaneous Heart Surgery and Carotid Endarterectomy. J Cardiovasc Dev Dis 2023; 10:330. [PMID: 37623343 PMCID: PMC10455249 DOI: 10.3390/jcdd10080330] [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] [Received: 05/18/2023] [Revised: 07/13/2023] [Accepted: 08/01/2023] [Indexed: 08/26/2023] Open
Abstract
BACKGROUND Patients with simultaneous relevant internal carotid artery stenosis and coronary artery heart or valve disease represent a high-risk collective with respect to cerebral or cardiovascular severe events when undergoing surgery. There exist several concepts regarding the timing and modality of carotid revascularization, which are controversially discussed in patients with heart disease. More data regarding outcome predictors and measures are needed to gain a better understanding of the best treatment option of the discussed patient collective. METHODS This single-center study retrospectively analyzed n = 111 patients undergoing heart surgery with coronary artery bypass grafting or heart-valve surgery and concomitant carotid surgery due to significant internal carotid artery stenosis. In order to do so, patients were divided into two groups with respect to postoperative major adverse cardiac and cerebrovascular events (MACCE) with thirty-day all-cause mortality, valve related mortality, myocardial infarction, stroke and transitory ischemic attack. RESULTS Preoperative patient's characteristic in the no-MACCE and MACCE group were mainly balanced, other than higher rates of chronic obstructive pulmonary disease, chronic kidney disease, instable angina pectoris and prior transitory ischemic attack in the MACCE cohort. The analysis of intraoperative characteristics revealed a higher number of intra-aortic balloon pump implantation, which is in line for a higher number of postoperative supports. Besides MACCE, patients suffered significantly more often from postoperative bleeding events and re-thoracotomy, cardiopulmonary reanimation, new onset postoperative dialysis and prolonged intensive care unit stay related complications. CONCLUSIONS Within the reported patient population suffering from MACCE after a simultaneous carotid endarterectomy and heart surgery, a preoperative history of transitory ischemic attack and kidney disease might account for worse outcomes, as severe events were not only neurologically driven but also associated with postoperative cardiovascular complications following heart surgical procedures.
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Affiliation(s)
- Stephen Gerfer
- Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, 50937 Cologne, Germany (A.E.); (S.A.)
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21
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Gaisendrees C, Schlachtenberger G, Gerfer S, Krasivskyi I, Djordjevic I, Sabashnikov A, Kosmopoulos M, Jaeger D, Luehr M, Kuhn E, Deppe AC, Wahlers T. The impact of levosimendan on survival and weaning from ECMO after extracorporeal cardiopulmonary resuscitation. Artif Organs 2023; 47:1351-1360. [PMID: 37032531 DOI: 10.1111/aor.14540] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2022] [Revised: 03/20/2023] [Accepted: 04/06/2023] [Indexed: 04/11/2023]
Abstract
OBJECTIVES Extracorporeal cardiopulmonary resuscitation (eCPR) is increasingly used due to its beneficial outcomes and results compared to conventional CPR. After cardiac arrest, the overall ejection fraction is severely impaired; thus, weaning from ECMO is often prolonged or impossible. We hypothesized that early application of levosimendan in these patients facilitates ECMO weaning and survival. METHODS From 2016 until 2020, patients who underwent eCPR after cardiac arrest at our institution were analyzed retrospectively and divided into two groups: patients who received levosimendan during ICU stay (n = 24) and those who did not receive levosimendan (n = 84) and analyzed for outcome parameters. Furthermore, we used propensity-score matching and multinomial regression analysis to show the effect of levosimendan on outcome parameters. RESULTS Overall, in-hospital mortality was significantly lower in the group which received levosimendan (28% vs. 88%, p ≤ 0.01), and ECMO weaning was more feasible in patients who received levosimendan (88% vs. 20%, p ≤ 0.01). CPR duration until ECMO cannulation was significantly shorter in the levosimendan group (44 + 26 vs. 65 + 28, p = 0.002); interestingly, the rate of mechanical chest compressions before ECMO cannulation was lower in the levosimendan group (50% vs. 69%, p = 0.005). CONCLUSION In patients after cardiac arrest treated with eCPR, levosimendan seems to contribute to higher success rates of ECMO weaning, potentially due to a short to mid-term increase in inotropy. Also, the survival after levosimendan application was higher than patients who did not receive levosimendan.
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Affiliation(s)
| | | | - Stephen Gerfer
- Department of Cardiothoracic Surgery, University Hospital of Cologne, Cologne, Germany
| | - Ihor Krasivskyi
- Department of Cardiothoracic Surgery, University Hospital of Cologne, Cologne, Germany
| | - Ilija Djordjevic
- Department of Cardiothoracic Surgery, University Hospital of Cologne, Cologne, Germany
| | - Anton Sabashnikov
- Department of Cardiothoracic Surgery, University Hospital of Cologne, Cologne, Germany
| | - Marinos Kosmopoulos
- Center for Resuscitation Medicine, University of Minnesota, Minneapolis, Minnesota, USA
| | - Deborah Jaeger
- Department of Emergency Medicine, INSERM U 1116, University of Lorraine, Vandœuvre-lès-Nancy, France, Nancy, France
| | - Maximilian Luehr
- Department of Cardiothoracic Surgery, University Hospital of Cologne, Cologne, Germany
| | - Elmar Kuhn
- Department of Cardiothoracic Surgery, University Hospital of Cologne, Cologne, Germany
| | - Antje-Christin Deppe
- Department of Cardiothoracic Surgery, University Hospital of Cologne, Cologne, Germany
| | - Thorsten Wahlers
- Department of Cardiothoracic Surgery, University Hospital of Cologne, Cologne, Germany
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Gerfer S, Eghbalzadeh K, Brinkschröder S, Djordjevic I, Rustenbach C, Rahmanian P, Mader N, Kuhn E, Wahlers T. Is It Reasonable to Perform Isolated SAVR by Residents in the TAVI Era? Thorac Cardiovasc Surg 2023; 71:376-386. [PMID: 34808679 DOI: 10.1055/s-0041-1736206] [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] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
BACKGROUND The role of conventional surgical aortic valve replacement (SAVR) is increasingly questioned since the indication for transcatheter aortic valve implantations (TAVIs) is currently extended. While the number of patients referred to SAVR decreases, it is unclear if SAVR should be performed by junior resident surgeons in the course of a heart surgeons training. METHODS Patients with isolated aortic valve replacement (AVR) were analyzed with respect to the surgeon's qualification. AVR performed by resident surgeons was compared with AVR by senior surgeons. The collective was analyzed with respect to clinical short-term outcomes comparing full sternotomy (FS) with minimally invasive surgery and ministernotomy (MS) with right anterior thoracotomy (RAT) after a 1:1 propensity score matching. RESULTS The 30-day all-cause mortality was 2.3 and 3.4% for resident versus senior AVR groups, cerebrovascular event rates were 1.1 versus 2.6%, and no cases of significant paravalvular leak were detected. Clinical short-term outcomes between FS and minimally invasive access, as well after MS and RAT were comparable. CONCLUSION Our current data show feasibility and safety of conventional SAVR procedure performed by resident surgeons in the era of TAVI. Minimally invasive surgery should be trained and performed in higher volumes early in the educational process as it is a safe treatment option.
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Affiliation(s)
- Stephen Gerfer
- Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, Germany
| | - Kaveh Eghbalzadeh
- Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, Germany
| | - Sarah Brinkschröder
- Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, Germany
| | - Ilija Djordjevic
- Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, Germany
| | - Christian Rustenbach
- Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, Germany
| | - Parwis Rahmanian
- Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, Germany
| | - Navid Mader
- Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, Germany
| | - Elmar Kuhn
- Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, Germany
| | - Thorsten Wahlers
- Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, Germany
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23
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Krasivskyi I, Ivanov B, Gerfer S, Großmann C, Mihaylova M, Eghbalzadeh K, Sabashnikov A, Deppe AC, Rahmanian PB, Mader N, Djordjevic I, Wahlers T. Acute stroke in patients undergoing coronary artery bypass grafting surgery in acute coronary syndrome: Predictors and outcomes. Perfusion 2023:2676591231193636. [PMID: 37504576 DOI: 10.1177/02676591231193636] [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: 07/29/2023]
Abstract
OBJECTIVES Coronary artery bypass grafting (CABG) surgery in patients with acute coronary syndrome (ACS) remains a high-risk procedure and is associated with adverse outcomes. The risk factors of acute stroke in the above-mentioned patients stay unclear and some appropriate data is lacking in the literature. Thus, we aimed to investigate the predictors of acute stroke in patients undergoing CABG surgery in ACS. METHODS The retrospective single-centre cohort analysis was conducted. All patients (n = 1344) who suffered from acute coronary syndrome and underwent CABG procedure at the University hospital Cologne from June 2011 until October 2019 were included in our study. In order to find the risk factors of acute stroke after bypass surgery, patients were divided into two groups (non-stroke group (n = 1297) and stroke group (n = 47)). In order to even above-mentioned groups propensity score matching (PSM) analysis was performed (non-stroke group (n = 46) and stroke group (n = 46). RESULTS Duration of cardiopulmonary bypass (p = .015) and cross clamp time (p = .006) were significantly longer in patients who suffered stroke. Perioperative myocardial infarction was significantly higher (p = .030) in the stroke group. Likewise, the duration of intensive care unit stay (p < .001) and in-hospital stay (p < .001) were significantly longer in patients with stroke. However, the mortality rate did not differ significantly (p = .131) between above-mentioned groups. Univariate and multivariate analysis showed cardiogenic shock (p = .003), peripheral vascular disease (PVD, p = .025) and previous stroke (p = .045) as relevant independent predictors for acute stroke after CABG procedure in patients with ACS. CONCLUSION Based on our findings, acute stroke after bypass surgery in patients with ACS is associated with increased mortality and adverse outcomes. Cardiogenic shock, peripheral vascular disease and previous stroke were independent predictors of stroke after CABG procedure. Therefore, preoperative evaluation of potential risk factors may be crucial to improve postoperative results.
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Affiliation(s)
- Ihor Krasivskyi
- Department of Cardiothoracic Surgery, University Hospital Cologne, Kerpener street 62, 50937 Cologne, Germany
| | - Borko Ivanov
- Department of Cardiothoracic Surgery, Helios Hospital Siegburg, Siegburg, Germany
| | - Stephen Gerfer
- Department of Cardiothoracic Surgery, University Hospital Cologne, Kerpener street 62, 50937 Cologne, Germany
| | - Clara Großmann
- Department of Cardiothoracic Surgery, University Hospital Cologne, Kerpener street 62, 50937 Cologne, Germany
| | - Mariya Mihaylova
- Department of Cardiothoracic Surgery, University Hospital Cologne, Kerpener street 62, 50937 Cologne, Germany
| | - Kaveh Eghbalzadeh
- Department of Cardiothoracic Surgery, University Hospital Cologne, Kerpener street 62, 50937 Cologne, Germany
| | - Anton Sabashnikov
- Department of Cardiothoracic Surgery, University Hospital Cologne, Kerpener street 62, 50937 Cologne, Germany
| | - Antje-Christin Deppe
- Department of Cardiothoracic Surgery, University Hospital Cologne, Kerpener street 62, 50937 Cologne, Germany
| | - Parwis Baradaran Rahmanian
- Department of Cardiothoracic Surgery, University Hospital Cologne, Kerpener street 62, 50937 Cologne, Germany
| | - Navid Mader
- Department of Cardiothoracic Surgery, University Hospital Cologne, Kerpener street 62, 50937 Cologne, Germany
| | - Ilija Djordjevic
- Department of Cardiothoracic Surgery, University Hospital Cologne, Kerpener street 62, 50937 Cologne, Germany
| | - Thorsten Wahlers
- Department of Cardiothoracic Surgery, University Hospital Cologne, Kerpener street 62, 50937 Cologne, Germany
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Gerfer S, Djordjevic I, Maier J, Movahed A, Elskamp M, Kuhn E, Liakopoulos O, Wahlers T, Deppe AC. Endothelial and Hemodynamic Function in a Large Animal Model in Relation to Different Extracorporeal Membrane Oxygenation Cannulation Strategies and Intra-Aortic Balloon Pumping. J Clin Med 2023; 12:4038. [PMID: 37373730 DOI: 10.3390/jcm12124038] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2023] [Revised: 06/02/2023] [Accepted: 06/09/2023] [Indexed: 06/29/2023] Open
Abstract
BACKGROUND The use of simultaneous veno-arterial extracorporeal membrane oxygenation (ECMO) with or without an Intra-Aortic Balloon Pump (IABP) is a widely used tool for mechanical hemodynamic support. Endothelial function, especially in relation to different cannulation techniques, is rarely investigated in the setting of extracorporeal life support (ECLS). In this study, we analyzed endothelial function in relation to hemodynamic and laboratory parameters for central and peripheral ECMO, with or without concomitant IABP support in a large animal model to gain a better understanding of the underlying basic mechanisms. METHODS In this large animal model, healthy female pigs with preserved ejection fraction were divided into the following groups related to cannulation strategy for ECMO and simultaneous IBAP support: control (no ECMO, no IABP), peripheral ECMO (pECMO), central ECMO (cECMO), pECMO and IABP or cECMO and IABP. During the experimental setting, the blood flow in the ascending aorta, left coronary artery and arteria carotis was measured. Afterwards, endothelial function was investigated after harvesting the right coronary artery, arteria carotis and renal artery. In addition, laboratory markers, such as creatine kinase (CK), creatine kinase muscle-brain (CK-MB), troponin, creatinine and endothelin were analyzed. RESULTS The blood flow in the ascending aorta and the left coronary artery was significantly lower in all discussed experimental settings compared to the control group. Of note, the cECMO cannulation strategy generated favorable hemodynamic circumstances with higher blood flow in the coronary arteries than pECMO regardless of flow circumstances in the ascending aorta. The concomitant usage of IABP did not result in an improvement of the coronary blood flow, but partially showed a negative impact on the endothelial function of coronary arteries in comparison to the control. These findings correlate to higher CK/CK-MB levels in the setting of cECMO + IABP and pECMO + IABP. CONCLUSIONS The usage of mechanical circulatory support with concomitant ECMO and IABP in a large animal model might have an influence on the endothelial function of coronary arteries while not improving the coronary artery perfusion in healthy hearts with preserved ejection.
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Affiliation(s)
- Stephen Gerfer
- Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, University of Cologne, 50924 Cologne, Germany
| | - Ilija Djordjevic
- Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, University of Cologne, 50924 Cologne, Germany
| | - Johanna Maier
- Division of Thoracic and Cardiovascular Surgery, HELIOS Klinikum Siegburg, 53721 Siegburg, Germany
| | - Ana Movahed
- Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, University of Cologne, 50924 Cologne, Germany
| | - Mara Elskamp
- Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, University of Cologne, 50924 Cologne, Germany
| | - Elmar Kuhn
- Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, University of Cologne, 50924 Cologne, Germany
| | - Oliver Liakopoulos
- Department of Cardiac Surgery, Kerckhoff-Clinic Bad Nauheim, Campus Kerckhoff, University of Giessen, 61231 Bad Nauheim, Germany
| | - Thorsten Wahlers
- Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, University of Cologne, 50924 Cologne, Germany
| | - Antje C Deppe
- Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, University of Cologne, 50924 Cologne, Germany
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Gaisendrees C, Schlachtenberger G, Walter S, Gerfer S, Djordjevic I, Krasivskyi I, Cagman B, Weber C, Jaeger D, Kosmopoulos M, Luehr M, Mader N, Wahlers T. Long-term outcomes after minimal right lateral thoracotomy for the resection of cardiac tumors. Surg Oncol 2023; 49:101952. [PMID: 37285759 DOI: 10.1016/j.suronc.2023.101952] [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] [Received: 02/08/2023] [Revised: 03/15/2023] [Accepted: 05/15/2023] [Indexed: 06/09/2023]
Abstract
OBJECTIVES Cardiac tumors are a rare and heterogeneous entity, with a cumulative incidence of up to 0.02%. This study aimed to investigate one of the largest patient cohorts for long-term outcomes after minimally-invasive cardiac surgery using right-anterior thoracotomy and femoral cardiopulmonary bypass (CPB) cannulation. METHODS Between 2009 and 2021, patients who underwent minimally-invasive cardiac tumor removal at our department were included. The diagnosis was confirmed postoperatively by (immune-) histopathological analysis. Preoperative baseline characteristics, intraoperative data, and long-term survival were analyzed. RESULTS Between 2009 and 2021, 183 consecutive patients underwent surgery for a cardiac tumor at our department. Of these, n = 74 (40%) were operated on using a minimally-invasive approach. The majority, n = 73 (98.6%), had a benign cardiac tumor, and 1 (1.4%) had a malignant cardiac tumor. The mean age was 60 ± 14 years, and n = 45 (61%) of patients were female. The largest group of tumors was myxoma (n = 62; 84%). Tumors were predominantly located in the left atrium in 89% (n = 66). CPB-time was 97 ± 36min and aortic cross-clamp time 43 ± 24 min s. The mean hospital stay was 9.7 ± 4.5 days. The perioperative mortality was 0%, and all-cause mortality after ten years was 4.1%. CONCLUSION Minimally-invasive tumor excision is feasible and safe, predominantly in benign cardiac tumors, even in combination with concurrent procedures. Patients who require cardiac tumor removal should be evaluated for minimally-invasive cardiac surgery at a specialized center, as it is highly effective and associated with good long-term survival.
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Affiliation(s)
- Christopher Gaisendrees
- University Hospital Cologne, Heart Centre, Department of Cardiothoracic Surgery, Cologne, Germany.
| | - Georg Schlachtenberger
- University Hospital Cologne, Heart Centre, Department of Cardiothoracic Surgery, Cologne, Germany
| | - Sebastian Walter
- University Hospital Cologne, Department of Orthopaedics, Cologne, Germany
| | - Stephen Gerfer
- University Hospital Cologne, Heart Centre, Department of Cardiothoracic Surgery, Cologne, Germany
| | - Ilija Djordjevic
- University Hospital Cologne, Heart Centre, Department of Cardiothoracic Surgery, Cologne, Germany
| | - Ihor Krasivskyi
- University Hospital Cologne, Heart Centre, Department of Cardiothoracic Surgery, Cologne, Germany
| | - Burak Cagman
- University Hospital Cologne, Heart Centre, Department of Cardiothoracic Surgery, Cologne, Germany
| | - Carolyn Weber
- University Hospital Cologne, Heart Centre, Department of Cardiothoracic Surgery, Cologne, Germany
| | - Deborah Jaeger
- Emergency Department, University Hospital of Nancy, Nancy, France
| | - Marinos Kosmopoulos
- Center for Resuscitation Medicine, University of Minnesota, Minneapolis, USA
| | - Maximilian Luehr
- University Hospital Cologne, Heart Centre, Department of Cardiothoracic Surgery, Cologne, Germany
| | - Navid Mader
- University Hospital Cologne, Heart Centre, Department of Cardiothoracic Surgery, Cologne, Germany
| | - Thorsten Wahlers
- University Hospital Cologne, Heart Centre, Department of Cardiothoracic Surgery, Cologne, Germany
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Biancari F, Kaserer A, Perrotti A, Ruggieri VG, Cho SM, Kang JK, Dalén M, Welp H, Jónsson K, Ragnarsson S, Hernández Pérez FJ, Gatti G, Alkhamees K, Loforte A, Lechiancole A, Rosato S, Spadaccio C, Pettinari M, Mariscalco G, Mäkikallio T, Sahli SD, L'Acqua C, Arafat AA, Albabtain MA, AlBarak MM, Laimoud M, Djordjevic I, Krasivskyi I, Samalavicius R, Puodziukaite L, Alonso-Fernandez-Gatta M, Spahn DR, Fiore A. Hyperlactatemia and poor outcome After postcardiotomy veno-arterial extracorporeal membrane oxygenation: An individual patient data meta-Analysis. Perfusion 2023:2676591231170978. [PMID: 37066850 DOI: 10.1177/02676591231170978] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/18/2023]
Abstract
INTRODUCTION Postcardiotomy veno-arterial extracorporeal membrane oxygenation (V-A-ECMO) is associated with significant mortality. Identification of patients at very high risk for death is elusive and the decision to initiate V-A-ECMO is based on clinical judgment. The prognostic impact of pre-V-A-ECMO arterial lactate level in these critically ill patients has been herein evaluated. METHODS A systematic review was conducted to identify studies on postcardiotomy VA-ECMO for the present individual patient data meta-analysis. RESULTS Overall, 1269 patients selected from 10 studies were included in this analysis. Arterial lactate level at V-A-ECMO initiation was increased in patients who died during the index hospitalization compared to those who survived (9.3 vs 6.6 mmol/L, p < 0.0001). Accordingly, in hospital mortality increased along quintiles of pre-V-A-ECMO arterial lactate level (quintiles: 1, 54.9%; 2, 54.9%; 3, 67.3%; 4, 74.2%; 5, 82.2%, p < 0.0001). The best cut-off for arterial lactate was 6.8 mmol/L (in-hospital mortality, 76.7% vs. 55.7%, p < 0.0001). Multivariable multilevel mixed-effect logistic regression model including arterial lactate level significantly increased the area under the receiver operating characteristics curve (0.731, 95% CI 0.702-0.760 vs 0.679, 95% CI 0.648-0.711, DeLong test p < 0.0001). Classification and regression tree analysis showed the in-hospital mortality was 85.2% in patients aged more than 70 years with pre-V-A-ECMO arterial lactate level ≥6.8 mmol/L. CONCLUSIONS Among patients requiring postcardiotomy V-A-ECMO, hyperlactatemia was associated with a marked increase of in-hospital mortality. Arterial lactate may be useful in guiding the decision-making process and the timing of initiation of postcardiotomy V-A-ECMO.
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Affiliation(s)
- Fausto Biancari
- Heart and Lung Center, Helsinki University Hospital, Helsinki, Finland
- Department of Medicine, South-Karelia Central Hospital, University of Helsinki, Lappeenranta, Finland
| | - Alexander Kaserer
- Institute of Anesthesiology, University and University Hospital Zurich, Zurich, Switzerland
| | - Andrea Perrotti
- Department of Thoracic and Cardio-Vascular Surgery, University Hospital Jean Minjoz, Besançon, France
| | - Vito G Ruggieri
- Division of Cardiothoracic and Vascular Surgery, Robert Debré University Hospital, Reims, France
| | - Sung-Min Cho
- Departments of Neurology, Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, USA
| | - Jin Kook Kang
- Departments of Neurology, Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, USA
| | - Magnus Dalén
- Department of Molecular Medicine and Surgery, and Cardiac Surgery, Karolinska Institutet, Stockholm, Sweden
| | - Henryk Welp
- Department of Cardiothoracic Surgery, Münster University Hospital, Münster, Germany
| | - Kristján Jónsson
- Department of Cardiac Surgery, Sahlgrenska University Hospital, Gothenburg, Sweden
| | | | | | - Giuseppe Gatti
- Cardio-Thoracic and Vascular Department, University Hospital of Trieste, Trieste, Italy
| | | | - Antonio Loforte
- Department of Cardiothoracic, Transplantation and Vascular Surgery, S. Orsola Hospital, Bologna, Italy
| | | | - Stefano Rosato
- Center for Global Health, Italian National Institute, Rome, Italy
| | | | - Matteo Pettinari
- Department of Cardiovascular Surgery, Ziekenhuis Oost-Limburg, 3600 Genk, Belgium
| | - Giovanni Mariscalco
- Department of Intensive Care Medicine and Cardiac Surgery, Glenfield Hospital, Leicester, UK
| | - Timo Mäkikallio
- Department of Medicine, South-Karelia Central Hospital, University of Helsinki, Lappeenranta, Finland
| | - Sebastian D Sahli
- Institute of Anesthesiology, University and University Hospital Zurich, Zurich, Switzerland
| | - Camilla L'Acqua
- Anesthesia and Intensive Care Unit, Centro Cardiologico Monzino, Italy
- Anesthesia and Intensive Care Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Italy
| | - Amr A Arafat
- Adult Cardiac Surgery, Prince Sultan Cardiac Center, Riyadh, Saudi Arabia
- Cardiothoracic Surgery Department, Tanta University, Tanta, Egypt
| | - Monirah A Albabtain
- Cardiology Clinical Pharmacy, Prince Sultan Cardiac Center, Riyadh, Saudi Arabia
| | - Mohammed M AlBarak
- Intensive Care Department, Prince Sultan Cardiac Center, Riyadh, Saudi Arabia
| | - Mohamed Laimoud
- Cardiac Surgical Intensive Care Department, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
- Critical Care Medicine Department, Cairo University, Cairo, Egypt
| | - Ilija Djordjevic
- Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany
| | - Ihor Krasivskyi
- Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany
| | - Robertas Samalavicius
- 2nd Department of Anesthesia, Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania
- Clinic of Emergency Medicine, Medical Faculty, Vilnius University, Vilnius, Lithuania
| | - Lina Puodziukaite
- 2nd Department of Anesthesia, Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania
| | - Marta Alonso-Fernandez-Gatta
- Cardiology Department, University Hospital of Salamanca, Instituto de Investigación Biomédica de Salamanca, Salamanca, Spain
- CIBER-CV Instituto de Salud Carlos III, Madrid, Spain
| | - Donat R Spahn
- Institute of Anesthesiology, University and University Hospital Zurich, Zurich, Switzerland
| | - Antonio Fiore
- Department of Cardiac Surgery, Hôpitaux Universitaires Henri Mondor, Creteil, France
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27
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Merkle-Storms J, Djordjevic I, Gaisendrees C, Ivanov B, Weber C, Krasivskyi I, Avgeridou S, Mihaylova M, Mader N, Kuhn-Régnier F, Sabashnikov A, Wahlers T. Impact of postoperative acute kidney injury on short-term outcomes of patients with Bentall surgery for any reason. Perfusion 2023; 38:631-636. [PMID: 35099323 DOI: 10.1177/02676591211073865] [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] [Indexed: 11/15/2022]
Abstract
BACKGROUND Acute kidney injury (AKI) after cardiac surgery is a well-known risk factor for increased postoperative mortality and morbidity. The effect of postoperative developed AKI on postoperative outcomes in patients after Bentall procedure has been incompletely investigated. The present study was dedicated to assessing the impact of postoperative AKI on morbidity and 30-day mortality in this specific cohort. METHODS In a retrospective observational study, we investigated 249 patients undergoing Bentall procedure from January 2014 to March 2018 at the University Hospital of Cologne, Germany. After excluding patients with preoperative renal impairment, patients were divided into an AKI group (n = 88) and a non-AKI group (n = 97). Postoperative outcomes and 30-day mortality were analyzed using univariate regression analysis. AKI was defined by AKIN criteria. RESULTS Mortality during ICU and hospital stay, as well as 30-day mortality, was significantly higher in the AKI group (all p < 0.001). Patients with postoperative developed AKI revealed 9.3-fold higher odds for ICU mortality and 6.7-fold higher odds for 30-day mortality in comparison to non-AKI group (all p < 0.004) as well as 4.5-fold higher odds for stroke. Coronary artery bypass time, as well as cross-clamp time, were similarly distributed between groups, whereas incidences of postoperative bleeding, myocardial infarction, and need for rethoracotomy occurred significantly more often in patients with postoperatively developed AKI (all p < 0.04). CONCLUSION Patients undergoing Bentall surgery who postoperatively developed AKI showed significantly higher morbidity and mortality. AKI points out to be an early predictor for poor outcomes. Thus, as a consequence, patients with postoperatively developed AKI should be highly monitored for immediate intervention.
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Affiliation(s)
- Julia Merkle-Storms
- Department of Cardiothoracic Surgery, 27182University Hospital of Cologne, Cologne, Germany
| | - Ilija Djordjevic
- Department of Cardiothoracic Surgery, 27182University Hospital of Cologne, Cologne, Germany
| | | | - Borko Ivanov
- Department of Cardiothoracic Surgery, 27182University Hospital of Cologne, Cologne, Germany
| | - Carolyn Weber
- Department of Cardiothoracic Surgery, 27182University Hospital of Cologne, Cologne, Germany
| | - Ihor Krasivskyi
- Department of Cardiothoracic Surgery, 27182University Hospital of Cologne, Cologne, Germany
| | - Soi Avgeridou
- Department of Cardiothoracic Surgery, 27182University Hospital of Cologne, Cologne, Germany
| | - Mariya Mihaylova
- Department of Cardiothoracic Surgery, 27182University Hospital of Cologne, Cologne, Germany
| | - Navid Mader
- Department of Cardiothoracic Surgery, 27182University Hospital of Cologne, Cologne, Germany
| | - Ferdinand Kuhn-Régnier
- Department of Cardiothoracic Surgery, 27182University Hospital of Cologne, Cologne, Germany
| | - Anton Sabashnikov
- Department of Cardiothoracic Surgery, 27182University Hospital of Cologne, Cologne, Germany
| | - Thorsten Wahlers
- Department of Cardiothoracic Surgery, 27182University Hospital of Cologne, Cologne, Germany
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Krasivskyi I, Djordjevic I, Ivanov B, Eghbalzadeh K, Großmann C, Reichert S, Radwan M, Sandoval Boburg R, Sabashnikov A, Schlensak C, Wahlers T, Rustenbach CJ. Gender-Related Discrepancies in Short-Term Outcomes in Patients Undergoing Off-Pump Coronary Artery Bypass Grafting Surgery. J Clin Med 2023; 12:jcm12062202. [PMID: 36983204 PMCID: PMC10056417 DOI: 10.3390/jcm12062202] [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] [Received: 02/16/2023] [Revised: 03/02/2023] [Accepted: 03/10/2023] [Indexed: 03/18/2023] Open
Abstract
The sex differences in patients undergoing off-pump coronary artery bypass grafting (OPCAB) surgery are still unclear. Our aim was to investigate the impact of gender on short-term outcomes in males and females after off-pump bypass procedures. Our research was designed as a double-center retrospective analysis. Generally, 343 patients (men (n = 255) and women (n = 88)) who underwent an OPCAB procedure were included in our study. To provide a statistical analysis of unequal cohorts, we created a propensity score-based matching (PSM) analysis (men, n = 61; women, n = 61). The primary endpoint was all-cause in-hospital mortality. Dialysis, transient ischemic attack (TIA), low cardiac output syndrome (LCOS), reoperation due to postoperative bleeding, wound infection and duration of hospital stay were secondary outcomes in our analysis. No significant differences were detected within the male and female groups regarding age (p = 0.116), BMI (p = 0.221), diabetes (p = 0.853), cardiogenic shock (0.256), STEMI (p = 0.283), NSTEMI (p = 0.555) and dialysis (p = 0.496). Males underwent significantly more frequently (p = 0.005) total-arterial revascularization with T-graft technique (p = 0.005) than females. In contrast, temporary pacer use was significantly higher (p = 0.022) in females compared to males. The in-hospital mortality rate was not significantly higher (p = 0.496) in the female group compared to the male group. Likewise, secondary outcomes did not differ significantly between the non-adjusted and the adjusted groups. Based on our findings, gender has no impact on short-term outcomes after OPCAB surgery.
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Affiliation(s)
- Ihor Krasivskyi
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
- Correspondence: ; Tel.: +49-176-353-88-719
| | - Ilija Djordjevic
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
| | - Borko Ivanov
- Department of Cardiothoracic Surgery, Helios Hospital Siegburg, 53721 Siegburg, Germany
| | - Kaveh Eghbalzadeh
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
| | - Clara Großmann
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
| | - Stefan Reichert
- Department of Cardiothoracic Surgery, University Hospital Tuebingen, 72016 Tuebingen, Germany
| | - Medhat Radwan
- Department of Cardiothoracic Surgery, University Hospital Tuebingen, 72016 Tuebingen, Germany
| | - Rodrigo Sandoval Boburg
- Department of Cardiothoracic Surgery, University Hospital Tuebingen, 72016 Tuebingen, Germany
| | - Anton Sabashnikov
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
| | - Christian Schlensak
- Department of Cardiothoracic Surgery, University Hospital Tuebingen, 72016 Tuebingen, Germany
| | - Thorsten Wahlers
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
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Gerfer S, Kuhn EW, Gablac H, Ivanov B, Djordjevic I, Mauri V, Adam M, Mader N, Baldus S, Eghbalzadeh K, Wahlers TCW. Outcomes and Characteristics of Patients with Intraprocedural Cardiopulmonary Resuscitation during TAVR. Thorac Cardiovasc Surg 2023; 71:101-106. [PMID: 35853463 DOI: 10.1055/s-0042-1750304] [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: 10/17/2022]
Abstract
BACKGROUND Transcatheter aortic valve replacement (TAVR) has become an established alternative to surgical aortic valve replacement (AVR) for higher risk patients. Periprocedural TAVR complications decreased with a growing expertise of implanters. Yet, TAVR can be accompanied by life-threatening adverse events such as intraprocedural cardiopulmonary resuscitation (CPR). This study retrospectively analyzed predictors and outcomes in a cohort of patients from a high-volume center undergoing periprocedural CPR during TAVR. METHODS A total of 729 patients undergoing TAVR, including 59 with intraprocedural CPR, were analyzed with respect to peri- and postprocedural outcomes. RESULTS Patients undergoing CPR showed a significantly lower left ventricular ejection fraction (LVEF) and lower baseline transvalvular mean and peak pressure gradients. The systolic blood pressure measured directly preoperatively was significantly lower in the CPR cohort. CPR patients were in a higher need for intraprocedural defibrillation, heart-lung circulatory support, and conversion to open heart surgery. Further, they showed a higher incidence of atrioventricular block grade III , valve malpositioning, and pericardial tamponade. The in-hospital mortality was significantly higher after intraprocedural CPR, accompanied by a higher incidence of disabling stroke, new pacemaker implantation, more red blood cell transfusion, and longer stay in intensive care unit. CONCLUSION Impaired preoperative LVEF and instable hemodynamics before valve deployment are independent risk factors for CPR and are associated with compromised outcomes. Heart rhythm disturbances, malpositioning of the prosthesis, and pericardial tamponade are main causes of the high mortality of 17% reported in the CPR group. Nevertheless, mechanical circulatory support and conversion to open heart surgery reduce mortality rates of CPR patients.
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Affiliation(s)
- Stephen Gerfer
- Department of Cardiothoracic Surgery, University Hospital Cologne, Koln, Nordrhein-Westfalen, Germany
| | - Elmar W Kuhn
- Department of Cardiothoracic Surgery, University Hospital Cologne, Koln, Nordrhein-Westfalen, Germany
| | - Hannah Gablac
- Department of Cardiothoracic Surgery, University Hospital Cologne, Koln, Nordrhein-Westfalen, Germany
| | - Borko Ivanov
- Department of Cardiothoracic Surgery, University Hospital Cologne, Koln, Nordrhein-Westfalen, Germany
| | - Ilija Djordjevic
- Department of Cardiothoracic Surgery, University Hospital Cologne, Koln, Nordrhein-Westfalen, Germany
| | - Victor Mauri
- Department of Cardiology, Heart Center, University Hospital of Cologne, Cologne, Germany
| | - Matti Adam
- Department of Cardiology, Heart Center, University Hospital of Cologne, Cologne, Germany
| | - Navid Mader
- Department of Cardiothoracic Surgery, University Hospital Cologne, Koln, Nordrhein-Westfalen, Germany
| | - Stephan Baldus
- Department of Cardiology, Heart Center, University Hospital of Cologne, Cologne, Germany
| | - Kaveh Eghbalzadeh
- Department of Cardiothoracic Surgery, University Hospital Cologne, Koln, Nordrhein-Westfalen, Germany
| | - Thorsten C W Wahlers
- Department of Cardiothoracic Surgery, University Hospital Cologne, Koln, Nordrhein-Westfalen, Germany
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Krasivskyi I, Ivanov B, Djordjevic I, Gaisendress C, Gerfer S, Eghbalzadeh K, Kuhn E, Wahlers T, Mader N. Giant Partial Endocardial Cushion Defect Challenging Mitral Valve Replacement in Adults: Surgical Approach. Heart Lung Circ 2023; 32:e12-e13. [PMID: 36460553 DOI: 10.1016/j.hlc.2022.10.016] [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] [Received: 08/25/2022] [Revised: 10/21/2022] [Accepted: 10/28/2022] [Indexed: 12/02/2022]
Affiliation(s)
- Ihor Krasivskyi
- Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany.
| | - Borko Ivanov
- Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany
| | - Ilija Djordjevic
- Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany
| | | | - Stephen Gerfer
- Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany
| | - Kaveh Eghbalzadeh
- Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany
| | - Elmar Kuhn
- Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany
| | - Thorsten Wahlers
- Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany
| | - Navid Mader
- Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany
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31
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Gaisendrees C, Ivanov B, Gerfer S, Sabashnikov A, Eghbalzadeh K, Schlachtenberger G, Avgeridou S, Rustenbach C, Merkle J, Adler C, Kuhn E, Mader N, Kuhn-Régnier F, Djordjevic I, Wahlers T. Predictors of acute kidney injury in patients after extracorporeal cardiopulmonary resuscitation. Perfusion 2023; 38:292-298. [PMID: 34628988 DOI: 10.1177/02676591211049767] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [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: 11/15/2022]
Abstract
OBJECTIVES Extracorporeal cardiopulmonary resuscitation (eCPR) is increasingly used due to its beneficial outcomes and results compared with conventional CPR. Data after eCPR for acute kidney injury (AKI) are lacking. We sought to investigate factors predicting AKI in patients who underwent eCPR. METHODS From January 2016 until December 2020, patients who underwent eCPR at our institution were retrospectively analyzed and divided into two groups: patients who developed AKI (n = 60) and patients who did not develop AKI (n = 35) and analyzed for outcome parameters. RESULTS Overall, 63% of patients suffered AKI after eCPR and 45% of patients who developed AKI needed subsequent dialysis. Patients who developed AKI showed higher values of creatinine (1.1 mg/dL vs 1.5 mg/dL, p ⩽ 0.01), urea (34 mg/dL vs 42 mg/dL, p = 0.04), CK (creatine kinase) (923 U/L vs 1707 U/L, p = 0.07) on admission, and CK after 24 hours of ECMO support (1705 U/L vs 4430 U/L, p = 0.01). ECMO explantation was significantly more often performed in patients who suffered AKI (24% vs 48%, p = 0.01). In-hospital mortality (86% vs 70%; p = 0.07) did not differ significantly. CONCLUSION Patients after eCPR are at high risk for AKI, comparable to those after conventional CPR. Baseline urea levels predict the development of AKI during the hospital stay.
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Affiliation(s)
- Christopher Gaisendrees
- Heart Center, Department of Cardiothoracic Surgery, University Hospital of Cologne, Cologne, Germany
| | - Borko Ivanov
- Heart Center, Department of Cardiothoracic Surgery, University Hospital of Cologne, Cologne, Germany
| | - Stephen Gerfer
- Heart Center, Department of Cardiothoracic Surgery, University Hospital of Cologne, Cologne, Germany
| | - Anton Sabashnikov
- Heart Center, Department of Cardiothoracic Surgery, University Hospital of Cologne, Cologne, Germany
| | - Kaveh Eghbalzadeh
- Heart Center, Department of Cardiothoracic Surgery, University Hospital of Cologne, Cologne, Germany
| | - Georg Schlachtenberger
- Heart Center, Department of Cardiothoracic Surgery, University Hospital of Cologne, Cologne, Germany
| | - Soi Avgeridou
- Heart Center, Department of Cardiothoracic Surgery, University Hospital of Cologne, Cologne, Germany
| | - Christian Rustenbach
- Heart Center, Department of Cardiothoracic Surgery, University Hospital of Cologne, Cologne, Germany
| | - Julia Merkle
- Heart Center, Department of Cardiothoracic Surgery, University Hospital of Cologne, Cologne, Germany
| | - Christopher Adler
- Heart Center, Department of Cardiology, University Hospital of Cologne, Cologne, Germany
| | - Elmar Kuhn
- Heart Center, Department of Cardiothoracic Surgery, University Hospital of Cologne, Cologne, Germany
| | - Navid Mader
- Heart Center, Department of Cardiothoracic Surgery, University Hospital of Cologne, Cologne, Germany
| | - Ferdinand Kuhn-Régnier
- Heart Center, Department of Cardiothoracic Surgery, University Hospital of Cologne, Cologne, Germany
| | - Ilija Djordjevic
- Heart Center, Department of Cardiothoracic Surgery, University Hospital of Cologne, Cologne, Germany
| | - Thorsten Wahlers
- Heart Center, Department of Cardiothoracic Surgery, University Hospital of Cologne, Cologne, Germany
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Krasivskyi I, Djordjevic I, Ivanov B, Eghbalzadeh K, Großmann C, Reichert S, Radwan M, Sandoval Boburg R, Sabashnikov A, Schlensak C, Wahlers T, Rustenbach CJ. Consequences of Obesity on Short-Term Outcomes in Patients Who Underwent Off-Pump Coronary Artery Bypass Grafting Surgery. J Clin Med 2023; 12:jcm12051929. [PMID: 36902716 PMCID: PMC10003424 DOI: 10.3390/jcm12051929] [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] [Received: 02/11/2023] [Revised: 02/22/2023] [Accepted: 02/27/2023] [Indexed: 03/05/2023] Open
Abstract
The correlation between off-pump coronary artery bypass (OPCAB) surgery and obesity-related outcomes is still uncertain. The aim of our study was to analyse the pre-, intra-, and postoperative short-term outcomes between obese and non-obese patients after off-pump bypass surgery. We performed a retrospective analysis from January 2017 until November 2022, including a total of 332 (non-obese (n = 193) and obese (n = 139)) patients who underwent an OPCAB procedure due to coronary artery disease (CAD). The primary outcome was all-cause in-hospital mortality. Our results showed no difference regarding mean age of the study population between both groups. The use of the T-graft technique was significantly higher (p = 0.045) in the non-obese group compared to the obese group. The dialysis rate was significantly lower in non-obese patients (p = 0.019). In contrast, the wound infection rate was significantly higher (p = 0.014) in the non-obese group compared to the obese group. The all-cause in-hospital mortality rate did not differ significantly (p = 0.651) between the two groups. Furthermore, ST-elevation myocardial infarction (STEMI) and reoperation were relevant predictors for in-hospital mortality. Therefore, OPCAB surgery remains a safe procedure even in obese patients.
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Affiliation(s)
- Ihor Krasivskyi
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
- Correspondence: ; Tel.: +49-176-353-88-719
| | - Ilija Djordjevic
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
| | - Borko Ivanov
- Department of Cardiothoracic Surgery, Helios Hospital Siegburg, 53721 Siegburg, Germany
| | - Kaveh Eghbalzadeh
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
| | - Clara Großmann
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
| | - Stefan Reichert
- Department of Cardiothoracic Surgery, University Hospital Tuebingen, 72076 Tuebingen, Germany
| | - Medhat Radwan
- Department of Cardiothoracic Surgery, University Hospital Tuebingen, 72076 Tuebingen, Germany
| | - Rodrigo Sandoval Boburg
- Department of Cardiothoracic Surgery, University Hospital Tuebingen, 72076 Tuebingen, Germany
| | - Anton Sabashnikov
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
| | - Christian Schlensak
- Department of Cardiothoracic Surgery, University Hospital Tuebingen, 72076 Tuebingen, Germany
| | - Thorsten Wahlers
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
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Krasivskyi I, Großmann C, Dechow M, Djordjevic I, Ivanov B, Gerfer S, Bennour W, Kuhn E, Sabashnikov A, Rahmanian PB, Mader N, Eghbalzadeh K, Wahlers T. Acute Limb Ischaemia during ECMO Support: A 6-Year Experience. Life (Basel) 2023; 13:life13020485. [PMID: 36836842 PMCID: PMC9962883 DOI: 10.3390/life13020485] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2022] [Revised: 02/06/2023] [Accepted: 02/08/2023] [Indexed: 02/12/2023] Open
Abstract
The use of veno-arterial extracorporeal membrane oxygenation (VA-ECMO) for cardiogenic shock is rising. Acute limb ischaemia remains one of the main complications after ECMO initiation. We analysed 104 patients from our databank from January 2015 to December 2021 who were supported with mobile ECMO therapy. We aimed to identify the impact of acute limb ischaemia on short-term outcomes in patients placed on ECMO in our institution. The main indication for ECMO therapy was left ventricular (LV) failure with cardiogenic shock (57.7%). Diameters of arterial cannulas (p = 0.365) showed no significant differences between both groups. Furthermore, concomitant intra-aortic balloon pump (IABP, p = 0.589) and Impella (p = 0.385) implantation did not differ significantly between both groups. Distal leg perfusion was established in approximately 70% of patients in two groups with no statistically significant difference (p = 0.960). Acute limb ischaemia occurred in 18.3% of cases (n = 19). In-hospital mortality was not significantly different (p = 0.799) in both groups. However, the bleeding rate was significantly higher (p = 0.005) in the limb ischaemia group compared to the no-limb ischaemia group. Therefore, early diagnosis and prevention of acute limb ischaemia might decrease haemorrhage complications in patients during ECMO therapy.
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Affiliation(s)
- Ihor Krasivskyi
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
- Correspondence: ; Tel.: +49-176-353-88719
| | - Clara Großmann
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
| | - Marit Dechow
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
| | - Ilija Djordjevic
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
| | - Borko Ivanov
- Department of Cardiothoracic Surgery, Heart Centre, Helios Hospital Siegburg, 53721 Siegburg, Germany
| | - Stephen Gerfer
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
| | - Walid Bennour
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
| | - Elmar Kuhn
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
| | - Anton Sabashnikov
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
| | | | - Navid Mader
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
| | - Kaveh Eghbalzadeh
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
| | - Thorsten Wahlers
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
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Krasivskyi I, Djordjevic I, Tayeh M, Eghbalzadeh K, Ivanov B, Avgeridou S, Gerfer S, Gaisendrees C, Suhr L, Sabashnikov A, Rustenbach CJ, Mader N, Doerr F, Wahlers T. Short-Term Outcomes and Risk Factors of In-Hospital Mortality in Patients Suffering Acute Mesenteric Ischemia after Cardiac Surgery: Role of Opioids and Lactic Acid. J Clin Med 2023; 12:jcm12030857. [PMID: 36769505 PMCID: PMC9918177 DOI: 10.3390/jcm12030857] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2022] [Revised: 12/08/2022] [Accepted: 01/19/2023] [Indexed: 01/24/2023] Open
Abstract
Acute mesenteric ischemia (AMI) is associated with poor clinical results after cardiac surgery. The aim of this study was to analyse the influence of AMI on short-term outcomes and all relevant risk factors of in-hospital mortality after cardiac surgery. Moreover, we aimed to investigate the role of opioids and lactic acid in the detection and prevention of AMI. Between August 2011 and September 2015, 176 consecutive patients with gastrointestinal complications after undergoing open-heart surgery were identified and included in this study. All patients were divided into two groups: AMI group (n = 39) and non-AMI group (n = 137). In terms of comorbidities, the groups were fairly equal and showed no significant differences. Dialysis was significantly higher (p < 0.001) in patients that suffered from AMI. Moreover, gastro-intestinal symptoms such as muscular defense (p = 0.004) and the laparotomy rate (p < 0.001) were significantly higher in the AMI group. Likewise, in-hospital mortality (p < 0.001) was significantly higher in patients with detected AMI. Univariate (p < 0.001) and multivariate analysis (p = 0.025) of both groups revealed that lactic acid value >2 mmol/L and present treatment with opioids are independent combined predictors of mesenteric ischemia in patients after undergoing cardiac surgery. Moreover, multivariate analysis showed peripheral vascular disease (p = 0.004), dialysis (p = 0.010), and septic shock (p = 0.003) as relevant predictors of in-hospital mortality. Prolonged analgetic treatment with opioids and sudden increase of lactic acid levels are independent combined predictors of mesenteric ischemia in patients after undergoing cardiac surgery. Furthermore, peripheral vascular disease, dialysis, and septic shock are relevant predictors for in-hospital mortality.
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Affiliation(s)
- Ihor Krasivskyi
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
- Correspondence: ; Tel.: +49-176-353-88-719
| | - Ilija Djordjevic
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
| | - Mahmoud Tayeh
- Department of Vascular Surgery, Evangelical Hospital Bergisch Gladbach, 51465 Bergisch Gladbach, Germany
| | - Kaveh Eghbalzadeh
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
| | - Borko Ivanov
- Department of Cardiothoracic Surgery, Helios Hospital Siegburg, 53721 Siegburg, Germany
| | - Soi Avgeridou
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
| | - Stephen Gerfer
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
| | | | - Laura Suhr
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
| | - Anton Sabashnikov
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
| | | | - Navid Mader
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
| | - Fabian Doerr
- Department of Thoracic Surgery, University Medicine Essen—Ruhrlandklinik, University Duisburg—Essen, 45239 Essen, Germany
| | - Thorsten Wahlers
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
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Ivanov B, Eghbalzadeh K, Djordjevic I, Zeriouh M, Gerfer S, Gaisendrees C, Sabashnikov A, Rustenbach C, Rahmanian P, Kuhn-Regnier F, Mader N, Adam M, Baldus S, Wahlers T, Kuhn E. Clinical results and 30-day outcomes of self-expanding transcatheter aortic valves: comparative case-matched analysis of CoreValve ® versus ACURATE neo™. Perfusion 2023; 38:115-123. [PMID: 34472999 DOI: 10.1177/02676591211042562] [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: 01/24/2023]
Abstract
BACKGROUND Transcatheter aortic valve replacement (TAVR) is associated with excellent results in patients with severe aortic stenosis. In highly calcified aortic anuli with increased risk of annulus rupture and in favor of the supra-annular design, self-expandable prostheses are frequently used. In this regard, we aimed to perform a comparative analysis of clinical and 30-day outcomes after TAVR using the self-expanding CoreValve® Evolut R or ACURATE neo™ prosthesis. METHODS Out of 343 consecutive patients treated with either CoreValve® Evolut R or ACURATE neo™ from January 2014 to December 2017, 76 patients were assigned each per group after 1:1 propensity score matching in regard of preoperative characteristics. Pre- and periprocedural outcomes were retrospectively collected and assessed. Outcomes at 30 days are reported according to the established Valve Academic Research Consortium (VARC-2) criteria. RESULTS Device success and 30-day survival accounted for 93.4% (n = 71), respectively 97.4% (n = 74) in both groups (p = 1.00). No statistically significant differences regarding clinical parameters were observed. The combined safety endpoint at 30 days was comparable (84.2% (n = 64) CoreValve® vs 85.5% (n = 65) ACURATE neo™; p = 0.848). Except a trend toward higher stroke (p = 0.08) and pacemaker (p = 0.07) rate in the CoreValve® group, major vascular complications, incidence of life-threatening or disabling bleeding, and incidence of postoperative acute kidney injury were comparable. Postoperative hemodynamic parameters showed no significant differences between the implanted valves. CONCLUSION Both self-expandable prostheses showed good postoperative hemodynamic performance with a low incidence of severe paravalvular leakage, all- cause mortality, and comparable clinical outcomes.
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Affiliation(s)
- Borko Ivanov
- Department of Cardiothoracic Surgery, Heart Centre Cologne, University Hospital Cologne, Cologne, Germany
| | - Kaveh Eghbalzadeh
- Department of Cardiothoracic Surgery, Heart Centre Cologne, University Hospital Cologne, Cologne, Germany
| | - Ilija Djordjevic
- Department of Cardiothoracic Surgery, Heart Centre Cologne, University Hospital Cologne, Cologne, Germany
| | - Mohamed Zeriouh
- Department of Cardiac Surgery, Campus Kerckhoff, University of Giessen, Bad Nauheim, Germany
| | - Stephen Gerfer
- Department of Cardiothoracic Surgery, Heart Centre Cologne, University Hospital Cologne, Cologne, Germany
| | - Christopher Gaisendrees
- Department of Cardiothoracic Surgery, Heart Centre Cologne, University Hospital Cologne, Cologne, Germany
| | - Anton Sabashnikov
- Department of Cardiothoracic Surgery, Heart Centre Cologne, University Hospital Cologne, Cologne, Germany
| | - Christian Rustenbach
- Department of Cardiothoracic Surgery, Heart Centre Cologne, University Hospital Cologne, Cologne, Germany
| | - Parwis Rahmanian
- Department of Cardiothoracic Surgery, Heart Centre Cologne, University Hospital Cologne, Cologne, Germany
| | - Ferdinand Kuhn-Regnier
- Department of Cardiothoracic Surgery, Heart Centre Cologne, University Hospital Cologne, Cologne, Germany
| | - Navid Mader
- Department of Cardiothoracic Surgery, Heart Centre Cologne, University Hospital Cologne, Cologne, Germany
| | - Matti Adam
- Department of Cardiology, Heart Centre Cologne, University Hospital Cologne, Cologne, Germany
| | - Stephan Baldus
- Department of Cardiology, Heart Centre Cologne, University Hospital Cologne, Cologne, Germany
| | - Thorsten Wahlers
- Department of Cardiothoracic Surgery, Heart Centre Cologne, University Hospital Cologne, Cologne, Germany
| | - Elmar Kuhn
- Department of Cardiothoracic Surgery, Heart Centre Cologne, University Hospital Cologne, Cologne, Germany
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36
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Biancari F, Kaserer A, Perrotti A, Ruggieri VG, Cho SM, Kang JK, Dalén M, Welp H, Jónsson K, Ragnarsson S, Hernández Pérez FJ, Gatti G, Alkhamees K, Loforte A, Lechiancole A, Rosato S, Spadaccio C, Pettinari M, Fiore A, Mäkikallio T, Sahli SD, L’Acqua C, Arafat AA, Albabtain MA, AlBarak MM, Laimoud M, Djordjevic I, Krasivskyi I, Samalavicius R, Puodziukaite L, Alonso-Fernandez-Gatta M, Wilhelm MJ, Mariscalco G. Central versus Peripheral Postcardiotomy Veno-Arterial Extracorporeal Membrane Oxygenation: Systematic Review and Individual Patient Data Meta-Analysis. J Clin Med 2022; 11:jcm11247406. [PMID: 36556021 PMCID: PMC9785985 DOI: 10.3390/jcm11247406] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2022] [Revised: 12/01/2022] [Accepted: 12/12/2022] [Indexed: 12/15/2022] Open
Abstract
BACKGROUND It is unclear whether peripheral arterial cannulation is superior to central arterial cannulation for postcardiotomy veno-arterial extracorporeal membrane oxygenation (VA-ECMO). METHODS A systematic review was conducted using PubMed, Scopus, and Google Scholar to identify studies on postcardiotomy VA-ECMO for the present individual patient data (IPD) meta-analysis. Analysis was performed according to the intention-to-treat principle. RESULTS The investigators of 10 studies agreed to participate in the present IPD meta-analysis. Overall, 1269 patients were included in the analysis. Crude rates of in-hospital mortality after central versus peripheral arterial cannulation for VA-ECMO were 70.7% vs. 63.7%, respectively (adjusted OR 1.38, 95% CI 1.08-1.75). Propensity score matching yielded 538 pairs of patients with balanced baseline characteristics and operative variables. Among these matched cohorts, central arterial cannulation VA-ECMO was associated with significantly higher in-hospital mortality compared to peripheral arterial cannulation VA-ECMO (64.5% vs. 70.8%, p = 0.027). These findings were confirmed by aggregate data meta-analysis, which showed that central arterial cannulation was associated with an increased risk of in-hospital mortality compared to peripheral arterial cannulation (OR 1.35, 95% CI 1.04-1.76, I2 21%). CONCLUSIONS Among patients requiring postcardiotomy VA-ECMO, central arterial cannulation was associated with an increased risk of in-hospital mortality compared to peripheral arterial cannulation. This increased risk is of limited magnitude, and further studies are needed to confirm the present findings and to identify the mechanisms underlying the potential beneficial effects of peripheral VA-ECMO.
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Affiliation(s)
- Fausto Biancari
- Heart and Lung Center, Helsinki University Hospital, Haartmaninkatu 4, P.O. Box 340, 00029 Helsinki, Finland
- Department of Medicine, South-Karelia Central Hospital, University of Helsinki, 53130 Lappeenranta, Finland
- Correspondence:
| | - Alexander Kaserer
- Institute of Anesthesiology, University and University Hospital Zurich, 8091 Zurich, Switzerland
| | - Andrea Perrotti
- Department of Thoracic and Cardio-Vascular Surgery, University Hospital Jean Minjoz, 25030 Besançon, France
| | - Vito G. Ruggieri
- Division of Cardiothoracic and Vascular Surgery, Robert Debré University Hospital, 51100 Reims, France
| | - Sung-Min Cho
- Divisions of Neurosciences, Critical Care and Cardiac Surgery, Departments of Neurology, Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21201, USA
| | - Jin Kook Kang
- Divisions of Neurosciences, Critical Care and Cardiac Surgery, Departments of Neurology, Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21201, USA
| | - Magnus Dalén
- Department of Molecular Medicine and Surgery, Department of Cardiac Surgery, Karolinska Institutet, Karolinska University Hospital, 17176 Stockholm, Sweden
| | - Henryk Welp
- Department of Cardiothoracic Surgery, Münster University Hospital, 48149 Münster, Germany
| | - Kristján Jónsson
- Department of Cardiac Surgery, Sahlgrenska University Hospital, 41345 Gothenburg, Sweden
| | - Sigurdur Ragnarsson
- Department of Cardiothoracic Surgery, University of Lund, 10392 Lund, Sweden
| | | | - Giuseppe Gatti
- Division of Cardiac Surgery, Cardio-Thoracic and Vascular Department, University Hospital of Trieste, 34128 Trieste, Italy
| | | | - Antonio Loforte
- Department of Cardiothoracic, Transplantation and Vascular Surgery, S. Orsola Hospital, University of Bologna, 40138 Bologna, Italy
| | - Andrea Lechiancole
- Cardiothoracic Department, University Hospital of Udine, 33100 Udine, Italy
| | - Stefano Rosato
- Center for Global Health, Italian National Institute, 00161 Rome, Italy
| | | | - Matteo Pettinari
- Department of Cardiovascular Surgery, Ziekenhuis Oost-Limburg, 3600 Genk, Belgium
| | - Antonio Fiore
- Department of Cardiac Surgery, Hôpitaux Universitaires Henri Mondor, Assistance Publique-Hôpitaux de Paris, 94000 Creteil, France
| | - Timo Mäkikallio
- Department of Medicine, South-Karelia Central Hospital, University of Helsinki, 53130 Lappeenranta, Finland
| | - Sebastian D. Sahli
- Institute of Anesthesiology, University and University Hospital Zurich, 8091 Zurich, Switzerland
| | - Camilla L’Acqua
- Anesthesia and Intensive Care Unit, Centro Cardiologico Monzino, 20138 Milan, Italy
- Anesthesia and Intensive Care Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, 20133 Milan, Italy
| | - Amr A. Arafat
- Adult Cardiac Surgery, Prince Sultan Cardiac Center, Riyadh 12611, Saudi Arabia
- Cardiothoracic Surgery Department, Tanta University, Tanta 31527, Egypt
| | - Monirah A. Albabtain
- Cardiology Clinical Pharmacy, Prince Sultan Cardiac Center, Riyadh 12611, Saudi Arabia
| | - Mohammed M. AlBarak
- Intensive Care Department, Prince Sultan Cardiac Center, Riyadh 12611, Saudi Arabia
| | - Mohamed Laimoud
- Cardiac Surgical Intensive Care Department, King Faisal Specialist Hospital and Research Center, Riyadh 11564, Saudi Arabia
- Critical Care Medicine Department, Cairo University, Cairo 12613, Egypt
| | - Ilija Djordjevic
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
| | - Ihor Krasivskyi
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
| | - Robertas Samalavicius
- 2nd Department of Anesthesia, Vilnius University Hospital Santaros Klinikos, 08410 Vilnius, Lithuania
- Clinic of Emergency Medicine, Medical Faculty, Vilnius University, 03101 Vilnius, Lithuania
| | - Lina Puodziukaite
- 2nd Department of Anesthesia, Vilnius University Hospital Santaros Klinikos, 08410 Vilnius, Lithuania
| | - Marta Alonso-Fernandez-Gatta
- Cardiology Department, University Hospital of Salamanca, Instituto de Investigación Biomédica de Salamanca, 37007 Salamanca, Spain
- CIBER-CV Instituto de Salud Carlos III, 28029 Madrid, Spain
| | - Markus J. Wilhelm
- Clinic for Cardiac Surgery, University Heart Center, University and University Hospital Zurich, 8091 Zurich, Switzerland
| | - Giovanni Mariscalco
- Department of Intensive Care Medicine and Cardiac Surgery, Glenfield Hospital, University Hospitals of Leicester, Leicester LE2 9QP, UK
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Krasivskyi I, Djordjevic I, Ivanov B, Gerfer S, Suhr L, Avgeridou S, Sabashnikov A, Kuhn E, Rahmanian P, Mader N, Eghbalzadeh K, Wahlers T. High Incidence of Transient Permanent Pacemaker Rate After Rapid Deployment Valve Replacement: Insights of a 9-Year Single-Centre Experience. Heart Lung Circ 2022; 31:1658-1665. [PMID: 36155721 DOI: 10.1016/j.hlc.2022.08.003] [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] [Received: 06/16/2022] [Revised: 08/01/2022] [Accepted: 08/06/2022] [Indexed: 12/27/2022]
Abstract
INTRODUCTION The incidence of new permanent pacemaker implantation (PPI) after rapid deployment aortic valve replacement (RDAVR) remains debated. Expertise in this field has significantly increased over the last decade. This study aimed to investigate the need for PPI following implantation of a rapid deployment (RD) valve. METHODS Analysis of n=372 patients who underwent Edwards INTUITY (Edwards Lifesciences, Irvine, CA, USA) (n=251) and Perceval (Sorin/LivaNova Group, Saluggia, Italy) (n=121) valve replacement at the current institution between May 2012 and August 2018 was performed. Coronary artery bypass graft procedures were additionally performed in patients with coronary artery disease. Baseline, preoperative and postoperative outcomes were examined regarding correctness and completeness of the procedure. Statistical analysis was performed using SPSS Version 23.0.0 (IBM Corp, Armonk, NY, USA). RESULTS A total of 372 patients (aged 75±6.3 yrs) with a high grade of aortic valve stenosis underwent either Edwards INTUITY (67%) or Perceval (33%) valve replacement. Seventy-six (76) patients (20%) presented with preoperative conduction disorders. Sixty (60) patients (16%) underwent PPI, which in most cases was performed during the first month after the initial operation. Follow-up was performed up to 9 years, presenting a persistent pacemaker dependency rate of 50% among all patients who underwent PPI. Twenty (20) (40%) PPI recipients showed no dependency on pacemaker, while 10 (10%) required temporary pacemaker support. Mean length of ICU stay was 4±5.1 days and in-hospital stay was 8.2±7.6 days. CONCLUSIONS The incidence of PPI after RD valve implantation still remains high compared with conventional aortic valve replacement. However, this study shows that this phenomenon appears to be transient in a significant proportion of the patients undergoing RD valve replacement. These findings might contribute to the scientific discussion and should be taken into consideration for the indication of RD valve replacement.
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Affiliation(s)
- Ihor Krasivskyi
- University Hospital Cologne, Heart Center Cologne, Department of Cardiothoracic Surgery, Cologne, Germany.
| | - Ilija Djordjevic
- University Hospital Cologne, Heart Center Cologne, Department of Cardiothoracic Surgery, Cologne, Germany
| | - Borko Ivanov
- University Hospital Cologne, Heart Center Cologne, Department of Cardiothoracic Surgery, Cologne, Germany
| | - Stephen Gerfer
- University Hospital Cologne, Heart Center Cologne, Department of Cardiothoracic Surgery, Cologne, Germany
| | - Laura Suhr
- University Hospital Cologne, Heart Center Cologne, Department of Cardiothoracic Surgery, Cologne, Germany
| | - Soi Avgeridou
- University Hospital Cologne, Heart Center Cologne, Department of Cardiothoracic Surgery, Cologne, Germany
| | - Anton Sabashnikov
- University Hospital Cologne, Heart Center Cologne, Department of Cardiothoracic Surgery, Cologne, Germany
| | - Elmar Kuhn
- University Hospital Cologne, Heart Center Cologne, Department of Cardiothoracic Surgery, Cologne, Germany
| | - Parwis Rahmanian
- University Hospital Cologne, Heart Center Cologne, Department of Cardiothoracic Surgery, Cologne, Germany
| | - Navid Mader
- University Hospital Cologne, Heart Center Cologne, Department of Cardiothoracic Surgery, Cologne, Germany
| | - Kaveh Eghbalzadeh
- University Hospital Cologne, Heart Center Cologne, Department of Cardiothoracic Surgery, Cologne, Germany
| | - Thorsten Wahlers
- University Hospital Cologne, Heart Center Cologne, Department of Cardiothoracic Surgery, Cologne, Germany
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Gerfer S, Ivanov B, Großmann C, Djordjevic I, Gaisendrees C, Eghbalzadeh K, Kuhn E, Kuhn-Régnier F, Mader N, Rahmanian P, Wahlers T. Mitral valve surgery after failed MitraClip-Operation for the inoperable? J Card Surg 2022; 37:4219-4224. [PMID: 35842819 DOI: 10.1111/jocs.16762] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [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: 04/30/2022] [Revised: 05/23/2022] [Accepted: 05/31/2022] [Indexed: 01/06/2023]
Abstract
BACKGROUND Percutaneous edge-to-edge mitral valve repair technique (MitraClip) is a widely used treatment for mitral regurgitation (MR) in patients assessed with high surgical risk or inoperability. Only limited experiences with this highest-risk patient population exist. Procedural failure for MitraClip or recurrent MR is a strong predictor of 1-year mortality. Open mitral valve surgery constitutes the last bailout for patients within this cohort. METHODS This retrospective single-center cohort study analyzed 17 mitral valve surgery patients after failed MitraClip. We, therefore, analyzed a high-risk patient population (EuroSCORE II = 10 ± 2.0) with persistent mitral valve regurgitation, which was mainly caused by detachment or dislocation of the MitraClip. RESULTS Symptomatic patients with failed MitraClip need a convenient operation (mean time to mitral valve surgery = 23 ± 44 days). The patient's collective showed many complex reoperations with the need for concomitant surgery. Considering the high-risk patient population, we showed an average 30-day all-cause mortality (18%, n = 3) accompanied by typical postoperative complications related to prolonged mechanical ventilation (44 ± 48 h) and ICU stay (11 ± 11 days), reflecting high-risk patients. Further, excellent valve-related outcomes were shown regarding adverse cardiac events (valve-related mortality 6%, n = 1) and postoperative echocardiographic results (moderate or severe paravalvular leak 6%, n = 1). CONCLUSION Failure of MitraClip represents a challenging situation limited by high-risk profiles of patients and limits the possibility of surgical valve repair, shown by a high rate of mitral valve replacement (94%, n = 16). Secondary surgery was associated with moderate 30-day and postdischarge outcomes. Therefore, a careful evaluation of patients undergoing MitraClip is of paramount importance.
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Affiliation(s)
- Stephen Gerfer
- Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, Germany
| | - Borko Ivanov
- Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, Germany
| | - Clara Großmann
- Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, Germany
| | - Ilija Djordjevic
- Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, Germany
| | - Christopher Gaisendrees
- Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, Germany
| | - Kaveh Eghbalzadeh
- Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, Germany
| | - Elmar Kuhn
- Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, Germany
| | - Ferdinand Kuhn-Régnier
- Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, Germany
| | - Navid Mader
- Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, Germany
| | - Parwis Rahmanian
- Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, Germany
| | - Thorsten Wahlers
- Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, Germany
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Ivanov B, Krasivskyi I, Gerfer S, Sabashnikov A, Doss M, Holzhey D, Eghbalzadeh K, Rustenbach C, Kuhn E, Rahmanian PB, Mader N, Djordjevic I, Wahlers T. Impact of Initial Operative Urgency on Short-Term Outcomes in Patients Treated with ECMO Due to Postcardiotomy Cardiogenic Shock. Life (Basel) 2022; 12:life12111872. [PMID: 36431007 PMCID: PMC9696618 DOI: 10.3390/life12111872] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2022] [Revised: 11/10/2022] [Accepted: 11/11/2022] [Indexed: 11/16/2022] Open
Abstract
The outcomes of patients with PCS and following ECMO therapy are associated with several preoperative risk factors. Our aim was to compare clinical presentation, ECMO-related data and in-hospital outcomes of patients treated with ECMO due to PCS after cardiac surgery, in regard to elective or emergent cardiac surgery procedures. Between April 2006 and October 2016, 164 consecutive patients that received VA-ECMO therapy due to PCS were identified and included in this retrospective cohort study. The patients were divided into groups based on the urgency of the initial procedures performed: elective group (ELG; n = 95) and an emergency group (EMG; n = 69). To compare the unequal patient groups, a propensity score-based matching (PSM) was applied (ELG, n = 56 vs. EMG, n = 56). The EMG primarily received ECMO intraoperatively (p ≤ 0.001). In contrast, the ELG were needed ECMO support more frequently postoperatively (p < 0.001). In-hospital mortality accounted for 71% (n = 40) in the ELG and 76% (n = 43) in the EMG (p = 0.518). Outcome data showed no major differences in the (abdominal ischemia (p = 0.371); septic shock (p = 0.393): rhythm disturbances (p = 0.575); emergency re-thoracotomy (p = 0.418)) between the groups. The urgency of the initial procedures performed is secondary in patients suffering PCS and following ECMO. In this regard, PCS itself seems to trigger outcomes in cardiac surgery ECMO patients substantially.
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Affiliation(s)
- Borko Ivanov
- Department of Cardiothoracic Surgery, Heart Centre, Helios Hospital Siegburg, 53721 Siegburg, Germany
| | - Ihor Krasivskyi
- Department of Cardiothoracic Surgery, Heart Centre, University Hospital Cologne, 50937 Cologne, Germany
- Correspondence: ; Tel.: +49-176-35388719
| | - Stephen Gerfer
- Department of Cardiothoracic Surgery, Heart Centre, University Hospital Cologne, 50937 Cologne, Germany
| | - Anton Sabashnikov
- Department of Cardiothoracic Surgery, Heart Centre, University Hospital Cologne, 50937 Cologne, Germany
| | - Mirko Doss
- Department of Cardiothoracic Surgery, Heart Centre, Helios Hospital Siegburg, 53721 Siegburg, Germany
| | - David Holzhey
- Department of Cardiothoracic Surgery, Helios University Hospital Wuppertal, University Witten/Herdecke, 42117 Wuppertal, Germany
| | - Kaveh Eghbalzadeh
- Department of Cardiothoracic Surgery, Heart Centre, University Hospital Cologne, 50937 Cologne, Germany
| | - Christian Rustenbach
- Department of Cardiothoracic Surgery, University Hospital Tuebingen, 72076 Tuebingen, Germany
| | - Elmar Kuhn
- Department of Cardiothoracic Surgery, Heart Centre, University Hospital Cologne, 50937 Cologne, Germany
| | | | - Navid Mader
- Department of Cardiothoracic Surgery, Heart Centre, University Hospital Cologne, 50937 Cologne, Germany
| | - Ilija Djordjevic
- Department of Cardiothoracic Surgery, Heart Centre, University Hospital Cologne, 50937 Cologne, Germany
| | - Thorsten Wahlers
- Department of Cardiothoracic Surgery, Heart Centre, University Hospital Cologne, 50937 Cologne, Germany
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Djordjevic I, Liakopoulos O, Elskamp M, Maier-Trauth J, Gerfer S, Mühlbauer T, Slottosch I, Kuhn E, Sabashnikov A, Rademann P, Maul A, Paunel-Görgülü A, Wahlers T, Deppe AC. Concomitant Intra-Aortic Balloon Pumping Significantly Reduces Left Ventricular Pressure during Central Veno-Arterial Extracorporeal Membrane Oxygenation-Results from a Large Animal Model. Life (Basel) 2022; 12:life12111859. [PMID: 36430994 PMCID: PMC9694613 DOI: 10.3390/life12111859] [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] [Figures] [Subscribe] [Scholar Register] [Received: 10/27/2022] [Revised: 11/10/2022] [Accepted: 11/10/2022] [Indexed: 11/16/2022]
Abstract
(1) Introduction: Simultaneous ECMO and IABP therapy is frequently used. Haemodynamic changes responsible for the success of the concomitant mechanical circulatory support system approach are rarely investigated. In a large-animal model, we analysed haemodynamic parameters before and during ECMO therapy, comparing central and peripheral ECMO circulation with and without simultaneous IABP support. (2) Methods: Thirty-three female pigs were divided into five groups: (1) SHAM, (2) (peripheral)ECMO(-)IABP, (3) (p)ECMO(+)IABP, (4) (central)ECMO(-)IABP, and (5) (c)ECMO(+)IABP. Pigs were cannulated in accordance with the group and supported with ECMO (±IABP) for 10 h. Systemic haemodynamics, cardiac index (CI), and coronary and carotid artery blood flow were determined before, directly after, and at five and ten hours on extracorporeal support. Systemic inflammation (IL-6; IL-10; TNFα; IFNγ), immune response (NETs; cf-DNA), and endothelial injury (ET-1) were also measured. (3) Results: IABP support during antegrade ECMO circulation led to a significant reduction of left ventricular pressure in comparison to retrograde flow in (p)ECMO(-)IABP and (p)ECMO(+)IABP. Blood flow in the left anterior coronary and carotid artery was not affected by extracorporeal circulation. (4) Conclusions: Concomitant central ECMO and IABP therapy leads to significant reduction of intracavitary cardiac pressure, reduces cardiac work, and might therefore contribute to improved recovery in ECMO patients.
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Affiliation(s)
- Ilija Djordjevic
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
- Correspondence: ; Tel.: +49-(0)-221-478-30-835
| | - Oliver Liakopoulos
- Department of Cardiac Surgery, Kerckhoff-Clinic Bad Nauheim, Campus Kerckhoff, University of Giessen, 61231 Bad Nauheim, Germany
| | - Mara Elskamp
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
| | - Johanna Maier-Trauth
- Division of Thoracic and Cardiovascular Surgery, HELIOS Klinikum Siegburg, 53721 Siegburg, Germany
| | - Stephen Gerfer
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
| | - Thomas Mühlbauer
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
| | - Ingo Slottosch
- Department of Cardiothoracic Surgery, Otto-von-Guericke University Magdeburg, 39120 Magdeburg, Germany
| | - Elmar Kuhn
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
| | - Anton Sabashnikov
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
| | - Pia Rademann
- Experimental Medicine, Faculty of Medicine and University Hospital of Cologne, University of Cologne, 51109 Cologne, Germany
| | - Alexandra Maul
- Experimental Medicine, Faculty of Medicine and University Hospital of Cologne, University of Cologne, 51109 Cologne, Germany
| | - Adnana Paunel-Görgülü
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
| | - Thorsten Wahlers
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
| | - Antje Christin Deppe
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
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Krasivskyi I, Ivanov B, Vehrenberg J, Eghbalzadeh K, Gerfer S, Gaisendrees C, Kuhn E, Sabashnikov A, Mader N, Djordjevic I, Wahlers T. Sex-Related Differences in Short-Term Outcomes after Mobile VA-ECMO Implantation: Five-Year Experience of an ECMO Retrieval Program. Life (Basel) 2022; 12:life12111746. [PMID: 36362901 PMCID: PMC9695761 DOI: 10.3390/life12111746] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2022] [Revised: 10/20/2022] [Accepted: 10/21/2022] [Indexed: 11/06/2022] Open
Abstract
Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) represents an increasingly used method for circulatory support. Despite the ongoing research, survival following VA-ECMO therapy remains low. Sex-related differences might impact the outcome of therapeutic measures. We aimed to compare all-cause mortality among female and male patients who underwent VA-ECMO as a bridge to recovery investigating sex-related differences. From January 2015 until August 2020, 87 patients were supported by VA-ECMO as a part of our out-of-center mobile ECMO program. In order to analyze sex-associated differences in early clinical outcomes, patients were divided into two sex categories: men (n = 62) and women (n = 25). All relevant data (in-hospital mortality, ICU and hospital stay, renal failure requiring dialysis, lung failure, bleeding, stroke and septic shock) were analyzed retrospectively after the extraction from our institutional database. Mean age of the study population was 53 ± 14 years. Mean EuroSCORE II predicted mortality was 6.5 ± 3.7. In-hospital mortality rate was not significantly lower in the female group (58.3%) vs. the male group (71.2%), p = 0.190. The mean length of ICU and hospital stay was 9 ± 11 in the male group vs. 10 ± 13 in the female group, p = 0.901, and 10 ± 12 (male group) vs. 11 ± 13 (female group), p = 0.909, respectively. Renal failure requiring hemodialysis (36.2% (males) vs. 28.6% (females), p = 0.187) was comparable between both groups. Respiratory failure was diagnosed in 31 (56.4%) male vs. 8 (34.8%) female patients, p = 0.068, while 16 (28.6%) male vs. 3 (13.0%) female patients (p = 0.118) suffered from septic shock. Based on our data, there were no sex-specific outcome discrepancies in patients treated with mobile VA-ECMO implantation.
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Affiliation(s)
- Ihor Krasivskyi
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
- Correspondence: ; Tel.: +49-176-353-88-719
| | - Borko Ivanov
- Department of Cardiothoracic Surgery, Helios Hospital Siegburg, 53721 Siegburg, Germany
| | - Johannes Vehrenberg
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
| | - Kaveh Eghbalzadeh
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
| | - Stephen Gerfer
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
| | | | - Elmar Kuhn
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
| | - Anton Sabashnikov
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
| | - Navid Mader
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
| | - Ilija Djordjevic
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
| | - Thorsten Wahlers
- Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, Germany
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Rustenbach CJ, Djordjevic I, Eghbalzadeh K, Baumbach H, Wendt S, Radwan M, Marinos SL, Mustafi M, Lescan M, Berger R, Salewski C, Sandoval Boburg R, Steger V, Nemeth A, Reichert S, Wahlers T, Schlensak C. Treatment of Complex Two-Vessel Coronary Heart Disease with Single Left Internal Mammary Artery as T-Graft with Itself—A Retrospective Double Center Analysis of Short-Term Outcomes. Medicina (B Aires) 2022; 58:medicina58101415. [PMID: 36295575 PMCID: PMC9610783 DOI: 10.3390/medicina58101415] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2022] [Revised: 09/23/2022] [Accepted: 09/27/2022] [Indexed: 11/16/2022] Open
Abstract
Background and Objectives: The strategy of revascularization may be constrained in patients with insufficient bypass grafts and with increased risk of wound healing disorders. Among those with complex left-sided double-vessel disease in whom a percutaneous coronary intervention (PCI), as well as the surgical procedure of minimally invasive coronary artery bypass grafting via left minithoracotomy (MICS CABG), is not a treatment option, CABG using the left internal mammary artery as a T-graft with itself may be an effective treatment strategy. Materials and Methods: We reviewed the data from patients treated in Cologne and Tuebingen from 2019 to 2022. We included 40 patients who received left internal mammary artery (LIMA) grafting, and additional T-graft with the LIMA itself. The objective was focused on intraoperative and short-term outcomes. Results: A total of 40 patients were treated with the LIMA-LIMA T-graft procedure with a Fowler score calculated at 20.1 ± 3.0. A total of 37.5% of all patients had lacking venous graft material due to prior vein stripping, and 21 patients presented severe vein varicosis. An overall of 2.6 ± 0.5 distal anastomoses (target vessels were left anterior descending, diagonal, intermediate branch, and/or left marginal ramus) were performed, partly sequentially. Mean flow of LIMA-Left anterior descending (LAD) anastomosis was 59.31 ± 11.04 mL/min with a mean PI of 1.21 ± 0.18. Mean flow of subsequent T-Graft accounted for 51.31 ± 3.81 mL/min with a mean PI of 1.39 ± 0.47. Median hospital stay was 6.2 (5.0; 7.5) days. No incidence of postoperative wound healing disorders was observed, and all patients were discharged. There was one 30-day readmission with a diagnosis of pericardial effusion (2.5%). There was no 30-day mortality within the cohort. Conclusions: Patients requiring surgical myocardial revascularization due to complex two-vessel coronary artery disease (CAD) can be easily managed with LIMA alone, despite an elevated Fowler score and a promising outcome. A prospective study needs to be conducted, as well as longer term surveillance, to substantiate and benchmark the long-term results, as well as the patency rates.
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Affiliation(s)
- Christian Jörg Rustenbach
- Department of Thoracic and Cardiovascular Surgery, German Cardiac Competence Center, University of Tuebingen, 72076 Tübingen, Germany
| | - Ilija Djordjevic
- Department of Cardiothoracic Surgery, Heart Center, University of Cologne, 50937 Cologne, Germany
| | - Kaveh Eghbalzadeh
- Department of Cardiothoracic Surgery, Heart Center, University of Cologne, 50937 Cologne, Germany
| | | | - Stefanie Wendt
- Department of Cardiothoracic Surgery, Heart Center, University of Cologne, 50937 Cologne, Germany
| | - Medhat Radwan
- Department of Thoracic and Cardiovascular Surgery, German Cardiac Competence Center, University of Tuebingen, 72076 Tübingen, Germany
- Correspondence: ; Tel.: +49-7071-29-68492
| | - Spiro Lukas Marinos
- Department of Thoracic and Cardiovascular Surgery, German Cardiac Competence Center, University of Tuebingen, 72076 Tübingen, Germany
| | - Migdat Mustafi
- Department of Thoracic and Cardiovascular Surgery, German Cardiac Competence Center, University of Tuebingen, 72076 Tübingen, Germany
| | - Mario Lescan
- Department of Thoracic and Cardiovascular Surgery, German Cardiac Competence Center, University of Tuebingen, 72076 Tübingen, Germany
| | - Rafal Berger
- Department of Thoracic and Cardiovascular Surgery, German Cardiac Competence Center, University of Tuebingen, 72076 Tübingen, Germany
| | - Christoph Salewski
- Department of Thoracic and Cardiovascular Surgery, German Cardiac Competence Center, University of Tuebingen, 72076 Tübingen, Germany
| | - Rodrigo Sandoval Boburg
- Department of Thoracic and Cardiovascular Surgery, German Cardiac Competence Center, University of Tuebingen, 72076 Tübingen, Germany
| | - Volker Steger
- Department of Thoracic and Cardiovascular Surgery, German Cardiac Competence Center, University of Tuebingen, 72076 Tübingen, Germany
| | - Attila Nemeth
- Department of Thoracic and Cardiovascular Surgery, German Cardiac Competence Center, University of Tuebingen, 72076 Tübingen, Germany
| | - Stefan Reichert
- Department of Thoracic and Cardiovascular Surgery, German Cardiac Competence Center, University of Tuebingen, 72076 Tübingen, Germany
| | - Thorsten Wahlers
- Department of Cardiothoracic Surgery, Heart Center, University of Cologne, 50937 Cologne, Germany
| | - Christian Schlensak
- Department of Thoracic and Cardiovascular Surgery, German Cardiac Competence Center, University of Tuebingen, 72076 Tübingen, Germany
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Gaisendrees C, Gerfer S, Schröder C, Schlachtenberger G, Walter S, Ivanov B, Eghbalzadeh K, Lühr M, Djordjevic I, Rahmanian P, Mader N, Kuhn-Régnier F, Wahlers T. Benign and malignant cardiac masses: long-term outcomes after surgical resection. Expert Rev Anticancer Ther 2022; 22:1153-1158. [PMID: 35997214 DOI: 10.1080/14737140.2022.2116006] [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: 11/04/2022]
Abstract
BACKGROUND Cardiac tumors represent a rare and heterogenous pathologic entity, with a cumulative incidence of up to 0.02%. This study aimed to investigate one of the largest patient cohorts published for clinical presentation and long-term outcomes after surgical resection. RESEARCH DESIGN Between 2009 and 2021, 183 consecutive patients underwent surgery for tumor excision in our center. Preoperative baseline characteristics, intraoperative data, and long-term survival were analyzed. The diagnosis was confirmed postoperatively by histology and Immunohistochemical investigations. Kaplan-Meier curves assessed survival, and the Cox, proportional hazards model, was used to identify prognostic factors for overall survival. RESULTS This series included 183 consecutive patients; most (n=169, 92.3%) were diagnosed with benign cardiac masses. The mean age of patients was 60 ± 16 years, and 48% (n=88) were females. The largest group of tumors is represented by myxoma (n = 98; 54%). The most common malignant tumor was sarcomas (n = 5; 2.7%). The mean hospital stay was 11 ± 6.5 days, and all-cause mortality after ten years was 14%. CONCLUSION Surgery represents the gold standard in treating primary cardiac tumors; in benign tumors, it is highly effective and curative, whereas, in malignant tumors, it remains associated with more prolonged survival.
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Affiliation(s)
- Christopher Gaisendrees
- University Hospital Cologne, Heart Centre, Department of Cardiothoracic Surgery, Cologne, Germany
| | - Stephen Gerfer
- University Hospital Cologne, Heart Centre, Department of Cardiothoracic Surgery, Cologne, Germany
| | - Charlotte Schröder
- University Hospital Cologne, Heart Centre, Department of Cardiothoracic Surgery, Cologne, Germany
| | - Georg Schlachtenberger
- University Hospital Cologne, Heart Centre, Department of Cardiothoracic Surgery, Cologne, Germany
| | - Sebastian Walter
- University Hospital Cologne, Department of Orthopaedics, Cologne, Germany
| | - Borko Ivanov
- University Hospital Cologne, Heart Centre, Department of Cardiothoracic Surgery, Cologne, Germany
| | - Kaveh Eghbalzadeh
- University Hospital Cologne, Heart Centre, Department of Cardiothoracic Surgery, Cologne, Germany
| | - Maximilian Lühr
- University Hospital Cologne, Heart Centre, Department of Cardiothoracic Surgery, Cologne, Germany
| | - Ilija Djordjevic
- University Hospital Cologne, Heart Centre, Department of Cardiothoracic Surgery, Cologne, Germany
| | - Parwis Rahmanian
- University Hospital Cologne, Heart Centre, Department of Cardiothoracic Surgery, Cologne, Germany
| | - Navid Mader
- University Hospital Cologne, Heart Centre, Department of Cardiothoracic Surgery, Cologne, Germany
| | - Ferdinand Kuhn-Régnier
- University Hospital Cologne, Heart Centre, Department of Cardiothoracic Surgery, Cologne, Germany
| | - Thorsten Wahlers
- University Hospital Cologne, Heart Centre, Department of Cardiothoracic Surgery, Cologne, Germany
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44
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Suhr L, Eghbalzadeh K, Djordjevic I, Gaisendrees C, Avgeridou S, Kuhn-Régnier F, Wahlers T. “A Stab in the Heart” Caused by a Cement Fragment After Kyphoplasty. JACC Case Rep 2022; 4:906-910. [PMID: 35912319 PMCID: PMC9334150 DOI: 10.1016/j.jaccas.2022.05.024] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2022] [Revised: 05/18/2022] [Accepted: 05/19/2022] [Indexed: 11/29/2022]
Affiliation(s)
- Laura Suhr
- Address for correspondence: Dr Laura Suhr, University Hospital Cologne, Department of Cardiothoracic Surgery, Kerpener Strasse 62, 50937 Cologne, Germany.
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45
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Gaisendrees C, Gerfer S, Schlachtenberger G, Walter SG, Ivanov B, Merkle-Storms J, Mihaylova M, Sabashnikov A, Djordjevic I, Rahmanian P, Mader N, Kuhn-Régnier F, Wahlers T. Cardiac tumors-sex-related characteristics and outcomes after surgical resection. J Surg Oncol 2022; 126:823-829. [PMID: 35665932 DOI: 10.1002/jso.26971] [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] [Received: 03/25/2022] [Revised: 05/18/2022] [Accepted: 05/22/2022] [Indexed: 11/08/2022]
Abstract
OBJECTIVES Cardiac tumors represent a rare and heterogeneous pathological entity, with a cumulative incidence of up to 0.02%. Gender was previously reported to influence outcomes after tumor surgery. This study aimed to investigate for gender-related differences in outcomes after cardiac surgery. METHODS Between 2009 and 2021, 95 male and 88 female patients underwent surgery for tumor extirpation in our center. Preoperative baseline characteristics, intraoperative data, and long-term survival were analyzed. The diagnosis was confirmed postoperatively by (immune-)histopathological analysis. RESULTS There were no significant differences in baseline characteristics and survival. Myxoma was the most common tumor type overall and was more diagnosed in women (n = 36 vs. n = 62, p ≤ 0.001). Sarcoma was the most common malignant tumor type (n = 5). Tumor location at the atrial septum was more likely in women (n = 26 vs. n = 16, p = 0.041), whereas ventricular localization was more common in male patients (n = 20 vs. n = 7, p = 0.001). Minimally invasive tumor extirpation was significantly more often performed in women, and in-hospital stay was shorter in female patients. CONCLUSION The localization and dignity of cardiac tumors differ between genders, not affecting survival. Surgical tumor extirpation remains the gold standard of treatment for cardiac tumors in both genders as it is highly effective and associated with good long-term survivorship.
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Affiliation(s)
- Christopher Gaisendrees
- Department of Cardiothoracic Surgery, University Hospital Cologne, Heart Centre, Cologne, Germany
| | - Stephen Gerfer
- Department of Cardiothoracic Surgery, University Hospital Cologne, Heart Centre, Cologne, Germany
| | - Georg Schlachtenberger
- Department of Cardiothoracic Surgery, University Hospital Cologne, Heart Centre, Cologne, Germany
| | - Sebastian G Walter
- Department of Orthopaedic Surgery and Traumatology, University Hospital Cologne, Cologne, Germany
| | - Borko Ivanov
- Department of Cardiothoracic Surgery, University Hospital Cologne, Heart Centre, Cologne, Germany
| | - Julia Merkle-Storms
- Department of Cardiothoracic Surgery, University Hospital Cologne, Heart Centre, Cologne, Germany
| | - Mariya Mihaylova
- Department of Cardiothoracic Surgery, University Hospital Cologne, Heart Centre, Cologne, Germany
| | - Anton Sabashnikov
- Department of Cardiothoracic Surgery, University Hospital Cologne, Heart Centre, Cologne, Germany
| | - Ilija Djordjevic
- Department of Cardiothoracic Surgery, University Hospital Cologne, Heart Centre, Cologne, Germany
| | - Parwis Rahmanian
- Department of Cardiothoracic Surgery, University Hospital Cologne, Heart Centre, Cologne, Germany
| | - Navid Mader
- Department of Cardiothoracic Surgery, University Hospital Cologne, Heart Centre, Cologne, Germany
| | - Ferdinand Kuhn-Régnier
- Department of Cardiothoracic Surgery, University Hospital Cologne, Heart Centre, Cologne, Germany
| | - Thorsten Wahlers
- Department of Cardiothoracic Surgery, University Hospital Cologne, Heart Centre, Cologne, Germany
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Suhr L, Djordjevic I, Ivanov B, Avgeridou S, Gaisendrees C, Gerfer S, Eghbalzadeh K, Sabashnikov A, Rahmanian P, Wahlers T. Concomitant IABP Improves ECMO Weaning: A Single-Center Experience. Thorac Cardiovasc Surg 2022. [DOI: 10.1055/s-0042-1742931] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- L. Suhr
- Department of Cardiothoracic Surgery, University Hospital Cologne, Köln, Deutschland
| | - I. Djordjevic
- Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Deutschland
| | - B. Ivanov
- Department of Cardiothoracic Surgery, University Hospital Cologne, Köln, Deutschland
| | - S. Avgeridou
- Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Deutschland
| | - C. Gaisendrees
- Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Deutschland
| | - S. Gerfer
- Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Deutschland
| | - K. Eghbalzadeh
- Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Deutschland
| | - A. Sabashnikov
- Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Deutschland
| | - P. Rahmanian
- Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Deutschland
| | - T. Wahlers
- Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Deutschland
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47
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Ivanov B, Djordjevic I, Gerfer S, Gaisendrees C, Eghbalzadeh K, Risteski P, Kuhn E, Sabashnikov A, Wahlers T, Rahmanian P. Obesity-Associated Effect on In-Hospital Outcomes in Patients Receiving VA ECMO. Thorac Cardiovasc Surg 2022. [DOI: 10.1055/s-0042-1742930] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- B. Ivanov
- Department of Cardiac Surgery, Heart Center Cologne, Köln, Deutschland
| | - I. Djordjevic
- Department of Cardiac Surgery, Heart Center Cologne, Cologne, Deutschland
| | - S. Gerfer
- Department of Cardiac Surgery, Heart Center Cologne, Cologne, Deutschland
| | - C. Gaisendrees
- Department of Cardiac Surgery, Heart Center Cologne, Cologne, Deutschland
| | - K. Eghbalzadeh
- Department of Cardiac Surgery, Heart Center Cologne, Cologne, Deutschland
| | - P. Risteski
- Helios Klinikum Siegburg, Department of Cardiovascular Surgery, Siegburg, Deutschland
| | - E. Kuhn
- Department of Cardiac Surgery, Heart Center Cologne, Köln, Deutschland
| | - A. Sabashnikov
- Department of Cardiac Surgery, Heart Center Cologne, Cologne, Deutschland
| | - T. Wahlers
- Department of Cardiac Surgery, Heart Center Cologne, Cologne, Deutschland
| | - P. Rahmanian
- Department of Cardiac Surgery, Heart Center Cologne, Cologne, Deutschland
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48
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Kuhn E, Eghbalzadeh K, Krasivskyi I, Djordjevic I, Adam M, Körber MI, Baldus S, Wahlers T. Early Clinical Results with the Tendyne Transcatheter Mitral Valve. Thorac Cardiovasc Surg 2022. [DOI: 10.1055/s-0042-1742890] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- E. Kuhn
- University Hospital of Cologne, Köln, Deutschland
| | | | - I. Krasivskyi
- Department of Cardiac Surgery, Heart Center Cologne, Cologne, Deutschland, Köln, Deutschland
| | - I. Djordjevic
- University Hospital of Cologne, Cologne, Deutschland
| | - M. Adam
- Department of Internal Medicine III, Heart Center Cologne, Köln, Deutschland
| | - M. I. Körber
- Department of Internal Medicine III, Heart Center Cologne, Cologne, Deutschland
| | - S. Baldus
- Department of Internal Medicine III, Heart Center Cologne, Köln, Deutschland
| | - T. Wahlers
- University Hospital of Cologne, Köln, Deutschland
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49
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Krasivskyi I, Eghbalzadeh K, Djordjevic I, Kuhn E, Gerfer S, Ivanov B, Rahmanian P, Wahlers T. Long-Term Pacemaker Dependency after Rapid Deployment Aortic Valve Replacement. Thorac Cardiovasc Surg 2022. [DOI: 10.1055/s-0042-1742926] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
| | | | - I. Djordjevic
- University Hospital of Cologne, Cologne, Deutschland
| | - E. Kuhn
- Department of Cardiac Surgery, Heart Center Cologne, Köln, Deutschland
| | - S. Gerfer
- University Hospital of Cologne, Cologne, Deutschland
| | - B. Ivanov
- Department of Cardiac Surgery, Heart Center Cologne, Köln, Deutschland
| | - P. Rahmanian
- Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Deutschland
| | - T. Wahlers
- University Hospital of Cologne, Cologne, Deutschland
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50
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Djordjevic I, Maier-Trauth J, Gerfer S, Elskamp M, Mühlbauer T, Maul A, Rademann P, Sabashnikov A, Eghbalzadeh K, Ivanov B, Kuhn E, Deppe AC, Liakopoulos O, Wahlers T. Fluid Management in ECMO Therapy: Analysis of an Experimental Pig Model. Thorac Cardiovasc Surg 2022. [DOI: 10.1055/s-0042-1742929] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
| | | | - S. Gerfer
- University Hospital of Cologne, Köln, Deutschland
| | - M. Elskamp
- University Hospital of Cologne, Köln, Deutschland
| | - T. Mühlbauer
- University Hospital of Cologne, Köln, Deutschland
| | - A. Maul
- University Hospital of Cologne, Köln, Deutschland
| | - P. Rademann
- University Hospital of Cologne, Köln, Deutschland
| | | | | | - B. Ivanov
- University Hospital of Cologne, Köln, Deutschland
| | - E. Kuhn
- University Hospital of Cologne, Köln, Deutschland
| | - A. C. Deppe
- University Hospital of Cologne, Köln, Deutschland
| | - O. Liakopoulos
- Department of Cardiac Surgery, Kerhoff-Heart Center, Bad Nauheim, Deutschland
| | - T. Wahlers
- University Hospital of Cologne, Köln, Deutschland
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