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185 results on '"Ender, Jörg"'

2. Echocardiographic Outcomes With Transcatheter Edge-to-Edge Repair for Degenerative Mitral Regurgitation in Prohibitive Surgical Risk Patients

Author

Marcoff, Leo, Koulogiannis, Konstantinos, Aldaia, Lilian, Mediratta, Anuj, Chadderdon, Scott M., Makar, Moody M., Ruf, Tobias Friedrich, Gößler, Theresa, Zaroff, Jonathan G., Leung, Gordon K., Ku, Ivy A., Nabauer, Michael, Grayburn, Paul A., Wang, Zuyue, Hawthorne, Katie M., Fowler, Dale E., Dal-Bianco, Jacob P., Vannan, Mani A., Bevilacqua, Carmine, Meineri, Massimiliano, Ender, Joerg, Forner, Anna Flo, Puthumana, Jyothy J., Mansoor, Atizazul Hassan, Lloyd, Dustin J., Voskanian, Steven J., Ghobrial, Andrew, Hahn, Rebecca T., Mahmood, Feroze, Haeffele, Christiane, Ong, Geraldine, Schneider, Leonhard Moritz, Wang, Dee Dee, Sekaran, Nishant K., Koss, Elana, Mehla, Priti, Harb, Serge, Miyasaka, Rhonda, Ivannikova, Maria, Stewart-Dehner, Terri, Mitchel, Lucas, Raissi, Sasan R., Kalbacher, Daniel, Biswas, Santanu, Ho, Edwin C., Goldberg, Ythan, Smith, Robert L., Hausleiter, Jörg, Lim, D. Scott, and Gillam, Linda D.

Published
2024
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3. Perioperative Care in Cardiac Surgery: A Joint Consensus Statement by the Enhanced Recovery After Surgery (ERAS) Cardiac Society, ERAS International Society, and The Society of Thoracic Surgeons (STS)

Author

Grant, Michael C., Crisafi, Cheryl, Alvarez, Adrian, Arora, Rakesh C., Brindle, Mary E., Chatterjee, Subhasis, Ender, Joerg, Fletcher, Nick, Gregory, Alexander J., Gunaydin, Serdar, Jahangiri, Marjan, Ljungqvist, Olle, Lobdell, Kevin W., Morton, Vicki, Reddy, V. Seenu, Salenger, Rawn, Sander, Michael, Zarbock, Alexander, and Engelman, Daniel T.

Published
2024
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7. Impact of Anesthesia Strategy and Valve Type on Clinical Outcomes After Transcatheter Aortic Valve Replacement

Author

Feistritzer, Hans-Josef, Kurz, Thomas, Stachel, Georg, Hartung, Philipp, Lurz, Philipp, Eitel, Ingo, Marquetand, Christoph, Nef, Holger, Doerr, Oliver, Vigelius-Rauch, Ursula, Lauten, Alexander, Landmesser, Ulf, Treskatsch, Sascha, Abdel-Wahab, Mohamed, Sandri, Marcus, Holzhey, David, Borger, Michael, Ender, Jörg, Ince, Hüseyin, Öner, Alper, Meyer-Saraei, Roza, Hambrecht, Rainer, Wienbergen, Harm, Fach, Andreas, Augenstein, Thomas, Frey, Norbert, König, Inke R., Vonthein, Reinhard, Funkat, Anne-Kathrin, Berggreen, Astrid E., Heringlake, Matthias, Desch, Steffen, de Waha-Thiele, Suzanne, and Thiele, Holger

Published
2021
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9. Perspectives on the Fellowship Training in Cardiac, Thoracic, and Vascular Anesthesia and Critical Care in Europe From Program Directors and Educational Leads Around Europe

Author

El Tahan, Mohamed R., Vasquez LE, Mendoza, RP, Alston, Erdoes, Gabor, Schreiber, Jan U., Fassl, Jens, Wilkinson, Kirstin, A, Flo Forner, von Dossow, Vera, Greenhalgh, Donna, Plamondon, Marie-Jo, Neto C, Nigro, Paternoster, Gianluca, Landoni, Giovanni, Erb, Joachim M., Guarracino, Fabio, Mukherjee, Chirojit, Rosseel, Peter, Howell, Simon, Ender, Joerg, Rasmussen, Bodil S., Heba, Arafat, and Antoniou, Theofani

Published
2020
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14. Mortality in patients with normal left ventricular function requiring emergency VA-ECMO for postcardiotomy cardiogenic shock due to coronary malperfusion.

Author

Kang, Jagdip, Marin-Cuartas, Mateo, Flo Forner, Anna, Menon, Priya R., Ginther, André, Saaed, Diyar, de Waha, Suzanne, Meineri, Massimiliano, Ender, Jörg, and Borger, Michael A.

Subjects
CARDIOGENIC shock, INTRA-aortic balloon counterpulsation, CORONARY vasospasm, ACUTE kidney failure, EXTRACORPOREAL membrane oxygenation, PERIPHERAL vascular diseases, VENTRICULAR ejection fraction, TRANSCRANIAL magnetic stimulation
Abstract

Objectives: To analyze outcomes in patients with normal preoperative left ventricular ejection fraction (LVEF) undergoing venoarterial extracorporeal membrane oxygenation (VA-ECMO) therapy due to postcardiotomy cardiogenic shock (PCCS) related to coronary malperfusion. Methods: Retrospective single-center analysis in patients with normal preoperative LVEF treated with VA-ECMO for coronary malperfusion-related PCCS between May 1998 and May 2018. The primary outcome was 30-day mortality, which was compared using the Kaplan-Meier method and the log-rank test. Multivariable logistic regression was performed to identify predictors of mortality. Results: During the study period, a total of 62,125 patients underwent cardiac surgery at our institution. Amongst them, 59 patients (0.1%) with normal preoperative LVEF required VA-ECMO support due to coronary malperfusion-related PCCS. The mean duration of VA-ECMO support was 6 days (interquartile range 4–7 days). The 30-day mortality was 50.8%. Under VA-ECMO therapy, a complication composite outcome of bleeding, re-exploration for bleeding, acute renal failure, acute liver failure, and sepsis occurred in 51 (86.4%) patients. Independent predictors of 30-day mortality were lactate levels > 9.9 mmol/l before VA-ECMO implantation (odds ratio [OR]: 3.3; 95% confidence interval [CI] 1.5–7.0; p = 0.002), delay until revascularization > 278 minutes (OR: 2.9; 95% CI 1.3–6.4; p = 0.008) and peripheral arterial artery disease (OR: 3.3; 95% 1.6–7.5; p = 0.001). Conclusions: Mortality rates are high in patients with normal preoperative LVEF who develop PCCS due to coronary malperfusion. The early implantation of VA-ECMO before the development of profound tissue hypoxia and early coronary revascularization increases the likelihood of survival. Lactate levels are useful to define optimal timing for the VA-ECMO initiation. [ABSTRACT FROM AUTHOR]

Published
2024
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15. Short‐Term Effects of Different Transcatheter Edge‐to‐Edge Devices on Mitral Valve Geometry

Author

Rosch, Sebastian, primary, Kösser, Luise, additional, Besler, Christian, additional, Kister, Tobias, additional, Kresoja, Karl‐Patrik, additional, Kiefer, Philipp, additional, Marin‐Cuartas, Mateo, additional, Meineri, Massimiliano, additional, Leontyev, Sergey, additional, Abdel‐Wahab, Mohamed, additional, Borger, Michael A., additional, Thiele, Holger, additional, Ender, Jörg, additional, Lurz, Philipp, additional, and Noack, Thilo, additional

Published
2023
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17. General versus Local Anesthesia with Conscious Sedation in Transcatheter Aortic Valve Implantation: The Randomized SOLVE-TAVI Trial

Author

Thiele, Holger, Kurz, Thomas, Feistritzer, Hans-Josef, Stachel, Georg, Hartung, Philipp, Lurz, Philipp, Eitel, Ingo, Marquetand, Christoph, Nef, Holger, Doerr, Oliver, Vigelius-Rauch, Ursula, Lauten, Alexander, Landmesser, Ulf, Treskatsch, Sascha, Abdel-Wahab, Mohamed, Sandri, Marcus, Holzhey, David, Borger, Michael, Ender, Jörg, Ince, Hüseyin, Öner, Alper, Meyer-Saraei, Roza, Hambrecht, Rainer, Fach, Andreas, Augenstein, Thomas, Frey, Norbert, König, Inke R., Vonthein, Reinhard, Rückert, Yvonne, Funkat, Anne-Kathrin, Desch, Steffen, Berggreen, Astrid E., Heringlake, Matthias, and de Waha-Thiele, Suzanne

Published
2020
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21. Survey on the Updated German S3 Guideline for Intensive Care in Cardiac Surgery Patients.

Author

Zajonz, Thomas Simon, Habicher, Marit, Böning, Andreas, Heringlake, Matthias, Ender, Jörg, Markewitz, Andreas, Brenck, Florian, and Sander, Michael

Subjects
CARDIAC intensive care, CARDIAC surgery, SURGICAL intensive care, CARDIAC patients, TRANSESOPHAGEAL echocardiography
Abstract

Background The German guideline on intensive care treatment of cardiac surgical patients provides evidence-based recommendations on management and monitoring. It remains unclear if, respectively, to which degree the guidelines are implemented into the daily practice. Therefore, this study aims to characterize the implementation of guideline recommendations in German cardiac surgical intensive care units (ICUs). Methods An internet-based online survey (42 questions, 9 topics) was sent to 158 German head physicians of cardiac surgical ICUs. To compare the effect over time, most questions were based on a previously performed survey (2013) after introduction of the last guideline update in 2008. Results A total of n = 65 (41.1%) questionnaires were included. Monitoring changed to increased provision of available transesophageal echocardiography specialists in 86% (2013: 72.6%), Sv O2 measurement in 93.8% (2013: 55.1%), and electroencephalography in 58.5% (2013: 2.6%). The use of hydroxyethyl starch declined (9.4% vs. 2013: 38.7%), gelatin 4% presented the most administered colloid with 23.4% (2013: 17.4%). Low cardiac output syndrome was primarily treated with levosimendan (30.8%) and epinephrine (23.1%), while norepinephrine (44.6%) and dobutamine (16.9%) represented the most favored drug combination. The main way of distribution was web-based (50.9%), with increasing impact on therapy regimens (36.9% vs. 2013: 24%). Conclusion Changes were found in all questioned sectors compared with the preceding survey, with persisting variability between ICUs. Recommendations of the updated guideline have increasingly entered clinical practice, with participants valuing the updated publication as clinically relevant. [ABSTRACT FROM AUTHOR]

Published
2024
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28. Prognostic value of pre-interventional cerebral oxygen saturation in transcatheter aortic valve replacement: a prespecified secondary analysis of the SOLVE–TAVI trial

Author

Heringlake, Matthias, primary, Berggreen, Astrid E., additional, Baumgärtel, Romina, additional, Kurz, Thomas, additional, Vigelius-Rauch, Ursula, additional, Treskatsch, Sascha, additional, Ender, Jörg, additional, de Waha-Thiele, Suzanne, additional, Desch, Steffen, additional, Thiele, Holger, additional, Feistritzer, Hans-Josef, additional, Stachel, Georg, additional, Hartung, Philipp, additional, Lurz, Philipp, additional, Eitel, Ingo, additional, Marquetand, Christoph, additional, Nef, Holger, additional, Doerr, Oliver, additional, Lauten, Alexander, additional, Landmesser, Ulf, additional, Abdel-Wahab, Mohamed, additional, Sandri, Marcus, additional, Holzhey, David, additional, Borger, Michael, additional, Ince, Hüseyin, additional, Öner, Alper, additional, Meyer-Saraei, Roza, additional, Hambrecht, Rainer, additional, Fach, Andreas, additional, Augenstein, Thomas, additional, Frey, Norbert, additional, König, Inke R., additional, Vonthein, Reinhard, additional, Rückert, Yvonne, additional, and Funkat, Anne-Kathrin, additional

Published
2022
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32. Prognostic value of pre-interventional cerebral oxygen saturation in transcatheter aortic valve replacement: a prespecified secondary analysis of the SOLVE–TAVI trial

Author

Feistritzer, Hans-Josef, Stachel, Georg, Hartung, Philipp, Lurz, Philipp, Eitel, Ingo, Marquetand, Christoph, Nef, Holger, Doerr, Oliver, Lauten, Alexander, Landmesser, Ulf, Abdel-Wahab, Mohamed, Sandri, Marcus, Holzhey, David, Borger, Michael, Ince, Hüseyin, Öner, Alper, Meyer-Saraei, Roza, Hambrecht, Rainer, Fach, Andreas, Augenstein, Thomas, Frey, Norbert, König, Inke R., Vonthein, Reinhard, Rückert, Yvonne, Funkat, Anne-Kathrin, Heringlake, Matthias, Berggreen, Astrid E., Baumgärtel, Romina, Kurz, Thomas, Vigelius-Rauch, Ursula, Treskatsch, Sascha, Ender, Jörg, de Waha-Thiele, Suzanne, Desch, Steffen, and Thiele, Holger

Published
2022
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34. Is perioperative fast-track management the future of proximal aortic repair?

Author

Haunschild, Josephina, Kampen, Antonia van, Misfeld, Martin, Aspern, Konstantin Von, Ender, Jörg, Zakhary, Waseem, Borger, Michael A, and Etz, Christian D

Subjects
HOSPITAL mortality, PROPENSITY score matching, AORTA, AORTIC root aneurysms, INTENSIVE care units
Abstract

Open in new tab Download slide OBJECTIVES The Bentall procedure is the gold standard for patients with combined aortic root dilation and valve dysfunction. Over the past decade, fast-track (FT) perioperative anaesthetic management protocols have progressively evolved. We reviewed our results for selected patients undergoing Bentall surgery under an FT protocol. METHODS We retrospectively analysed a consecutive cohort of patients who underwent elective Bentall procedures at our institution between 2000 and 2018. Complex aortic root repair (i.e. David and Ross procedure, redo surgery, major concomitant procedures, emergency repair for acute dissections) was excluded. Patients who underwent conventional perioperative treatment and those treated according to our institutional FT concept were compared following 1:1 propensity score matching. RESULTS Of 772 patients who fit the in- and exclusion criteria, 565 were treated conventionally post-surgery, while 207 were treated using the FT protocol. Propensity score matching resulted in 197 pairs, with no differences in baseline characteristics after matching. In-house mortality, 30-day mortality and overall all-cause long-term mortality were comparable between the FT and the conventionally treated cohort. Postoperative anaesthetic care unit/intensive care unit length-of-stay (6.2 vs 20.6 h, P  = 0.03) and postoperative ventilation times (158.9 vs 465.5 min, P  < 0.001) were significantly shorter in the FT cohort. There were no differences in rates of postoperative adverse events. CONCLUSIONS In centres with experienced anaesthesiologists, perioperative FT management is non-inferior to conventionally treated patients undergoing elective Bentall procedures without compromising patient safety. [ABSTRACT FROM AUTHOR]

Published
2023
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47. Impact of a one-day three-dimensional transesophageal echocardiography workshop on clinical practice at a single academic centre.

Author

Menon, Priya, Meineri, Massimiliano, Ender, Jörg, Forner, Anna, Menon, Priya R, and Forner, Anna Flo

Abstract

Background: Transesophageal echocardiography (TEE) is a powerful diagnostic tool which has become an integral part in the management of cardiac surgery patients. We developed a one-day 3D TEE workshop specifically designed to meet the needs of perioperative cardiac anaesthesiologists. We hypothesized that participation in the workshop would increase the uptake of 3D TEE in routine perioperative practice.Aims: To examine the impact of one-day 3D TEE workshop on 3D TEE image acquisition and incorporation into routine perioperative practice.Setting: Tertiary care hospital.Design: Prospective observational monocentric study.Subjects and Methods: A convenience sample of 20 cardiac anesthesiologists (with an option to attend the one- day workshop midway through the study) from a single center consented to have their intraoperative TEE images collected during the course of the study reviewed for research purposes. Images acquired 6 months before, immediately after, and 6 months following the workshop and images were examined by a blinded, expert echocardiographer.Results: Data collected for 16 participants (8 workshop attendees, 8 non-attendees) indicate that the TEE workshop increased the number of 3D TEE images, but not x images acquired immediately following the workshop (P=0.006). No difference was observed in number of 3D images at six months' post workshop. Workshop participants obtained more 3D and multi-plane images after the workshop and more 3D images at 6 months compared to those who did not attend the workshop.Conclusion: Our study suggests that a single day hands-on 3D TEE workshop may have had an impact on the implementation of intraoperative 3D TEE in experienced echocardiographers. [ABSTRACT FROM AUTHOR]

Published
2022
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48. A Comparison of Patients Undergoing On- vs. Off-Pump Coronary Artery Bypass Surgery Managed with a Fast-Track Protocol

Author

Grützner, Henrike, Forner, Anna Flo, Meineri, Massimiliano, Janai, Aniruddha, Ender, Jörg, Zakhary, Waseem Zakaria Aziz, Grützner, Henrike, Forner, Anna Flo, Meineri, Massimiliano, Janai, Aniruddha, Ender, Jörg, and Zakhary, Waseem Zakaria Aziz

Abstract

The purpose of this study was to compare patients who underwent on- vs. off-pump coronary artery bypass surgery managed with a fast-track protocol. Between September 2012 and December 2018, n = 3505 coronary artery bypass surgeries were managed with a fast-track protocol in our specialized post-anesthesia care unit. Propensity score matching was applied and resulted in two equal groups of n = 926. There was no significant difference in ventilation time (on-pump 75 (55–120) min vs. off-pump 80 (55–120) min, p = 0.973). We found no statistically significant difference in primary fast-track failure in on-pump (8.2% (76)) vs. off-pump (6% (56)) groups (p = 0.702). The secondary fast-track failure rate was comparable (on-pump 12.9% (110) vs. off-pump 12.3% (107), p = 0.702). There were no significant differences between groups in regard to the post-anesthesia care unit, the intermediate care unit, and the hospital length of stay. Postoperative outcome and complications were also comparable, except for a statistically significant difference in PACU postoperative blood loss in on-pump (234 mL) vs. off-pump (323 mL, p < 0.0001) and red blood cell transfusion (11%) and (5%, p < 0.001), respectively. Our results suggest that on- and off-pump coronary artery bypass surgery in fast-track settings are comparable in terms of ventilation time, fast-track failure rate, and postoperative complications rate.

Published
2021

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