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1,131 results on '"Sundt, Thoralf M."'

5. A Pilot Study Using Machine Learning Algorithms and Wearable Technology for the Early Detection of Postoperative Complications After Cardiothoracic Surgery

Author

Beqari, Jorind, Powell, Joseph, Hurd, Jacob, Potter, Alexandra L., McCarthy, Meghan, Srinivasan, Deepti, Wang, Danny, Cranor, James, Zhang, Lizi, Webster, Kyle, Kim, Joshua, Rosenstein, Allison, Zheng, Zeyuan, Lin, Tung Ho, Li, Jing, Fang, Zhengyu, Zhang, Yuhang, Anderson, Alex, Madsen, James, Anderson, Jacob, Clark, Anne, Yang, Margaret E., Nurko, Andrea, El-Jawahri, Areej R., Sundt, Thoralf M., Melnitchouk, Serguei, Jassar, Arminder S., D’Alessandro, David, Panda, Nikhil, Schumacher-Beal, Lana Y., Wright, Cameron D., Auchincloss, Hugh G., Sachdeva, Uma M., Lanuti, Michael, Colson, Yolonda L., Langer, Nathaniel, Osho, Asishana, Yang, Chi-Fu Jeffrey, and Li, Xiao

Published
2024
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6. Survival after operative repair of acute type A aortic dissection varies according to the presence and type of preoperative malperfusion

Author

Wolfe, Stanley B., Sundt, Thoralf M., III, Isselbacher, Eric M., Cameron, Duke E., Trimarchi, Santi, Bekeredjian, Raffi, Leshnower, Bradley, Bavaria, Joseph E., Brinster, Derek R., Sultan, Ibrahim, Pai, Chih-Wen, Kachroo, Puja, Ouzounian, Maral, Coselli, Joseph S., Myrmel, Truls, Pacini, Davide, Eagle, Kim, Patel, Himanshu J., and Jassar, Arminder S.

Published
2024
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9. Editor's Choice – Trends in Management and Outcomes of Type B Aortic Dissection: A Report From the International Registry of Aortic Dissection

Author

Trimarchi, Santi, Gleason, Tom G., Brinster, Derek R., Bismuth, Jean, Bossone, Eduardo, Sundt, Thoralf M., Montgomery, Daniel G., Pai, Chih-Wen, Bissacco, Daniele, de Beaufort, Hector W.L., Bavaria, Joseph E., Mussa, Firas, Bekeredjian, Raffi, Schermerhorn, Marc, Pacini, Davide, Myrmel, Truls, Ouzounian, Maral, Korach, Amit, Chen, Edward P., Coselli, Joseph S., Eagle, Kim A., and Patel, Himanshu J.

Published
2023
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13. Managing Severe Aortic Stenosis in the COVID-19 Era

Author

Tanguturi, Varsha K, Lindman, Brian R, Pibarot, Philippe, Passeri, Jonathan J, Kapadia, Samir, Mack, Michael J, Inglessis, Ignacio, Langer, Nathan B, Sundt, Thoralf M, Hung, Judy, and Elmariah, Sammy

Subjects
Biomedical and Clinical Sciences, Clinical Sciences, Cardiovascular, Health Services, Prevention, Clinical Research, Heart Disease, 7.1 Individual care needs, Management of diseases and conditions, Good Health and Well Being, Aortic Valve, Aortic Valve Stenosis, Betacoronavirus, COVID-19, Coronavirus Infections, Global Health, Hospital Mortality, Humans, Pandemics, Pneumonia, Viral, Risk Factors, SARS-CoV-2, Transcatheter Aortic Valve Replacement, aortic stenosis, SAVR, TAVR, Cardiorespiratory Medicine and Haematology, Cardiovascular System & Hematology, Cardiovascular medicine and haematology
Abstract

The novel coronavirus disease-2019 (COVID-19) pandemic has created uncertainty in the management of patients with severe aortic stenosis. This population experiences high mortality from delays in treatment of valve disease but is largely overlapping with the population of highest mortality from COVID-19. The authors present strategies for managing patients with severe aortic stenosis in the COVID-19 era. The authors suggest transitions to virtual assessments and consultation, careful pruning and planning of necessary testing, and fewer and shorter hospital admissions. These strategies center on minimizing patient exposure to COVID-19 and expenditure of human and health care resources without significant sacrifice to patient outcomes during this public health emergency. Areas of innovation to improve care during this time include increased use of wearable and remote devices to assess patient performance and vital signs, devices for facile cardiac assessment, and widespread use of clinical protocols for expedient discharge with virtual physical therapy and cardiac rehabilitation options.

Published
2020

19. Treatment and outcomes of mechanical complications of acute myocardial infarction during the Covid-19 era: A comparison with the pre-Covid-19 period. A systematic review and meta-analysis

Author

Spadaccio Cristiano, Pisani Angelo, Salsano Antonio, Nenna Antonio, Fardman Alexander, D’Alessandro David, Santini Francesco, Gaudino Mario F. L., Sundt Thoralf M., and Rose David

Subjects
myocardial infarction, mechanical complications, covid-19, Medicine
Abstract

This study aims to compare treatments and outcomes of mechanical complications of acute myocardial infarction (MI) during the Covid-19 and in the pre-Covid-19 era. Electronic databases have been searched for MI mechanical complications during the Covid-19 era and in the previous period from January 1998 to January 2020 (pre-Covid-19 era), until October 2021. To perform a quantitative analysis of non-comparative series, a meta-analysis of proportion has been conducted. Early mortality after surgical treatment was 15.0% while it was significantly higher after conservative treatment (62.4%) (P = 0.026). Early mortality after surgical treatment was seemingly higher in the pre-Covid-19 era but the difference did not reach statistical significance (15.0% vs 38.9%; P = 0.13). Mortality in patients treated conservatively, or turned down for surgery, was lower during the Covid-19 pandemic (62.4% vs 97.7%; P = 0.001). The crude mean prevalence of the use rate of conservative or surgical treatment across the studies during Covid-19 and in the pre-Covid-19 era was comparable. The current increased incidence of MI mechanical complications might be a consequence of delayed presentation or restricted access to hospital facilities. Despite the general negative impact of Covid-19 on cardiac surgery volumes and outcomes and the apparent increase of the incidence of MI complications, the outcomes of their surgical and clinical treatment seem not to have been affected during the pandemic.

Published
2022
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23. Presentation and outcomes of women and men undergoing surgery for degenerative mitral regurgitation.

Author

Kampen, Antonia van, Butte, Sophie, Paneitz, Dane C, Nagata, Yasufumi, Langer, Nathaniel B, Borger, Michael A, D'Alessandro, David A, Sundt, Thoralf M, and Melnitchouk, Serguei

Subjects
MITRAL valve insufficiency, ARTIFICIAL blood circulation, ARRHYTHMIA, MITRAL valve, MITRAL valve surgery
Abstract

OBJECTIVES Degenerative mitral regurgitation is associated with heart failure, arrhythmia and mortality. The impact of sex on timing of surgical referral and outcomes has not been reported comprehensively. We examined preoperative status and surgical outcomes of male versus female degenerative mitral valve regurgitation patients undergoing surgery. METHODS We reviewed our institutional database for all patients undergoing surgery for degenerative mitral regurgitation between 2013 and 2021. Preoperative clinical and echocardiographic variables, surgical characteristics and outcomes were compared, and left atrial strain in available images. RESULTS Of 963 patients, 314 (32.6%) were female. Women were older (67 vs 64 years, P  = 0.031) and more often had bileaflet prolapse (19.4% vs 13.8%, P  = 0.028), mitral annular calcification (12.1% vs 5.4%, P  < 0.001) and tricuspid regurgitation (TR; 31.8% vs 22.5%, P  = 0.001). Indexed left ventricular end-diastolic and end-systolic diameters were higher in women, with 29.4 vs 26.7 mm/m2 (P  < 0.001) and 18.2 vs 17 mm/m2 (P  < 0.001), respectively, and left atrial conduit strain lower (17.6% vs, 21.2%, P  = 0.001). Predicted risk of mortality was 0.73% vs 0.54% in men (P  = 0.023). Women required mechanical circulatory support more frequently (1.3% vs 0%, P  = 0.011), had longer intensive care unit stay (29 vs 26 h, P  < 0.001), mechanical ventilation (5.4 vs 5 h, P  = 0.036), and overall hospitalization (7 vs 6 days, P  < 0.001). There was no difference in long-term reoperation-free survival (P  = 0.35). CONCLUSIONS Women undergoing mitral valve repair are older and show indicators of more advanced disease with long-standing left ventricular impairment. Guidelines may need to be adjusted and address this disparity, to improve postoperative recovery times and outcomes. [ABSTRACT FROM AUTHOR]

Published
2024
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27. 2020 ACC/AHA Guideline for the Management of Patients With Valvular Heart Disease: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines

Author

Otto, Catherine M., Nishimura, Rick A., Bonow, Robert O., Carabello, Blase A., Erwin, John P., III, Gentile, Federico, Jneid, Hani, Krieger, Eric V., Mack, Michael, McLeod, Christopher, O’Gara, Patrick T., Rigolin, Vera H., Sundt, Thoralf M., III, Thompson, Annemarie, and Toly, Christopher

Published
2021
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28. 2020 ACC/AHA Guideline for the Management of Patients With Valvular Heart Disease: Executive Summary: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines

Author

Otto, Catherine M., Nishimura, Rick A., Bonow, Robert O., Carabello, Blase A., Erwin, John P., III, Gentile, Federico, Jneid, Hani, Krieger, Eric V., Mack, Michael, McLeod, Christopher, O’Gara, Patrick T., Rigolin, Vera H., Sundt, Thoralf M., III, Thompson, Annemarie, and Toly, Christopher

Published
2021
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32. Surgical repair of bicuspid aortopathy at small diameters: Clinical and institutional factors

Author

Bossone, Eduardo, Citro, Rodolfo, Body, Simon, Muehlschlegel, J. Daniel, Shahram, Jasmine T., Nguyen, Thy B., Stefano Nistri, Vicenza, Gilon, Dan, Durst, Ronen, de Vincentiis, Carlo, Pluchinotta, Francesca R., Sundt, Thoralf M., Michelena, Hector I., Limongelli, Giuseppe, McCarthy, Patrick M., Malaisrie, S. Chris, Bavishi, Aakash, Bissell, Malenka M., Huggins, Gordon S., Dayan, Victor, Dagenais, Francois, Corte, Alessandro Della, Girdsaukas, Evaldas, Yang, Bo, Eagle, Kim, Prakash, Siddharth K., Milewicz, Dianna M., Nguyen, Tom C., Sandhu, Harleen K., Safi, Hazim J., Denny, Josh C., Evangelista, Arturo, Galian-Gay, Laura, Eagle, Kim A., Ravekes, Williams, Dietz, Harry C., Holmes, Kathryn W., Habashi, Jennifer, LeMaire, Scott A., Coselli, Joseph S., Morris, Shaine A., Maslen, Cheryl L., Song, Howard K., Silberbach, G. Michael, Pyeritz, Reed E., Bavaria, Joseph E., Milewski, Karianna, Devereux, Richard B., Weinsaft, Jonathan W., Roman, Mary J., Shohet, Ralph V., McDonnell, Nazli, Asch, Federico M., Tolunay, H. Eser, Desvigne-Nickens, Patrice, Tseng, Hung, Kroner, Barbara L., Nissen, Alexander P., Truong, Van Thi Thanh, Alhafez, Bader A., Puthumana, Jyothy J., Estrera, Anthony L., and Body, Simon C.

Published
2020
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36. Rationale and Design of the Randomized Controlled Trial of New Oral Anticoagulants Versus Warfarin for Post Cardiac Surgery Atrial Fibrillation: The NEW-AF Trial

Author

Osho, Asishana A., Moonsamy, Philicia, Ethridge, Breanna R., Leya, Gregory A., D’Alessandro, David A., Jassar, Arminder S., Villavicencio, Mauricio A., Melnitchouk, Serguei I., Tolis, George, Langer, Nathaniel B., Funamoto, Masaki, Li, Selena S., Colon, Katia M., Mohan, Navyatha, Locascio, Joseph J., Lubitz, Steven A., Akeju, Oluwaseun, and Sundt, Thoralf M.

Published
2022
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40. 2019 AATS/ACC/ASE/SCAI/STS expert consensus systems of care document: A proposal to optimize care for patients with valvular heart disease: A joint report of the American Association for Thoracic Surgery, American College of Cardiology, American Society of Echocardiography, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons

Author

Nishimura, Rick A., O’Gara, Patrick T., Bavaria, Joseph E., Brindis, Ralph G., Carroll, John D., Kavinsky, Clifford J., Lindman, Brian R., Linderbaum, Jane A., Little, Stephen H., Mack, Michael J., Mauri, Laura, Miranda, William R., Shahian, David M., and Sundt, Thoralf M., III

Published
2019
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42. 2018 AATS/ACC/SCAI/STS Expert Consensus Systems of Care Document: Operator and institutional recommendations and requirements for transcatheter aortic valve replacement: A joint report of the American Association for Thoracic Surgery, American College of Cardiology, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons

Author

Bavaria, Joseph E., Tommaso, Carl L., Brindis, Ralph G., Carroll, John D., Deeb, G. Michael, Feldman, Ted E., Gleason, Thomas G., Horlick, Eric M., Kavinsky, Clifford J., Kumbhani, Dharam J., Miller, D. Craig, Seals, A. Allen, Shahian, David M., Shemin, Richard J., Sundt, Thoralf M., III, and Thourani, Vinod H.

Published
2019
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44. Enhanced recovery protocols after surgery: A systematic review and meta‐analysis of randomized trials in cardiac surgery.

Author

Spadaccio, Cristiano, Salsano, Antonio, Pisani, Angelo, Nenna, Antonio, Nappi, Francesco, Osho, Asishana, D'Alessandro, David, Sundt, Thoralf M., Crestanello, Juan, Engelman, Daniel, and Rose, David

Subjects
ENHANCED recovery after surgery protocol, CARDIAC surgery, REVASCULARIZATION (Surgery), PERIOPERATIVE care, SURGICAL complications
Abstract

Background: Previous meta‐analyses combining randomized and observational evidence in cardiac surgery have shown positive impact of enhanced recovery protocols after surgery (ERAS) on postoperative outcomes. However, definitive data based on randomized studies are missing, and the entirety of the ERAS measures and pathway, as recently systematized in guidelines and consensus statements, have not been captured in the published studies. The available literature actually focuses on "ERAS‐like" protocols or only limited number of ERAS measures. This study aims at analyzing all randomized studies applying ERAS‐like protocols in cardiac surgery for perioperative outcomes. Methods: A meta‐analysis of randomized controlled trials (RCTs) comparing ERAS‐like with standard protocols of perioperative care was performed (PROSPERO registration CRD42021283765). PRISMA guidelines were used for abstracting and assessing data. Results: Thirteen single center RCTs (N = 1704, 850 in ERAS‐like protocol and 854 in the standard care group) were selected. The most common procedures were surgical revascularization (66.3%) and valvular surgery (24.9%). No difference was found in the incidence of inhospital mortality between the ERAS and standard treatment group (risk ratio [RR] 0.61 [0.31; 1.20], p = 0.15). ERAS was associated with reduced intensive care unit (standardized mean difference [SMD] −0.57, p < 0.01) and hospital stay (SMD −0.23, p < 0.01) and reduced rates of overall complications when compared to the standard protocol (RR 0.60, p < 0.01) driven by the reduction in stroke (RR 0.29 [0.13; 0.62], p < 0.01). A significant heterogeneity in terms of the elements of the ERAS protocol included in the studies was observed. Conclusions: ERAS‐like protocols have no impact on short‐term survival after cardiac surgery but allows for a faster hospital discharge while potentially reducing surgical complications. However, this study highlights a significant nonadherence and heterogeneity to the entirety of ERAS protocols warranting further RCTs in this field including a greater number of elements of the framework. [ABSTRACT FROM AUTHOR]

Published
2024
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47. Veno-venous Extracorporeal Membrane Oxygenation for Respiratory Failure in COVID-19 Patients: Early Experience From a Major Academic Medical Center in North America

Author

Osho, Asishana A., Moonsamy, Philicia, Hibbert, Kathryn A., Shelton, Kenneth T., Trahanas, John M., Attia, Rizwan Q., Bloom, Jordan P., Onwugbufor, Michael T., D’Alessandro, David A., Villavicencio, Mauricio A., Sundt, Thoralf M., Crowley, Jerome C., Raz, Yuval, and Funamoto, Masaki

Published
2020
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48. Changes in operative strategy for patients enrolled in the International Registry of Acute Aortic Dissection interventional cohort program

Author

Parikh, Neil, Trimarchi, Santi, Gleason, Thomas G., Kamman, Arnoud V., di Eusanio, Marco, Myrmel, Truls, Korach, Amit, Maniar, Hersh, Ota, Takeyoshi, Khoynezhad, Ali, Montgomery, Daniel G., Desai, Nimesh D., Eagle, Kim A., Nienaber, Christoph A., Isselbacher, Eric M., Bavaria, Joseph, Sundt, Thoralf M., and Patel, Himanshu J.

Published
2017
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49. Postoperative myocardial infarction in acute type A aortic dissection: A report from the International Registry of Acute Aortic Dissection

Author

Waterford, Stephen D., Di Eusanio, Marco, Ehrlich, Marek P., Reece, T. Brett, Desai, Nimesh D., Sundt, Thoralf M., Myrmel, Truls, Gleason, Thomas G., Forteza, Alberto, de Vincentiis, Carlo, DiScipio, Anthony W., Montgomery, Daniel G., Eagle, Kim A., Isselbacher, Eric M., Muehle, Anja, Shah, Aamir, Chou, Daisy, Nienaber, Christoph A., and Khoynezhad, Ali

Published
2017
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