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10. Editor's Choice – Infective Native Aortic Aneurysms: A Delphi Consensus Document on Terminology, Definition, Classification, Diagnosis, and Reporting Standards

Author

Sörelius, Karl, Wyss, Thomas R, Academic Research Consortium of Infective Native Aortic Aneurysm (ARC of INAA), Adam, Donald, Beck, Adam W, Berard, Xavier, Budtz-Lilly, Jacob, Chakfé, Nabil, Clough, Rachel, Czerny, Martin, D'Oria, Mario, Dang, Michael, di Summa, Pietro G, Eldrup, Nikolaj, Fourneau, Inge, Heinola, Ivika, Hosaka, Akihiro, Hsu, Ron-Bin, Huang, Yao-Kuang, Jutidamrongphan, Warissara, Kan, Chung-Dann, Kölbel, Tilo, Lau, Christopher, Lawaetz, Martin, Mani, Kevin, Moulakakis, Konstantinos, Oderich, Gustavo S, Resch, Timothy, Schmidli, Jürg, Sedivy, Petr, Shirasu, Takuro, Suwannanon, Ruedeekorn, Szeberin, Zoltan, Touma, Joseph, van den Berg, Jos C, Veger, Hugo, Wanhainen, Anders, and Weiss, Salome

Subjects
Mycotic aneurysm, Infective native aortic aneurysm, Diagnosis, Surgery, Definition, Classification, Cardiology and Cardiovascular Medicine, Criteria
Abstract

OBJECTIVE: There is no consensus regarding the terminology, definition, classification, diagnostic criteria, and algorithm, or reporting standards for the disease of infective native aortic aneurysm (INAA), previously known as mycotic aneurysm. The aim of this study was to establish this by performing a consensus study. METHODS: The Delphi methodology was used. Thirty-seven international experts were invited via mail to participate. Four two week Delphi rounds were performed, using an online questionnaire, initially with 22 statements and nine reporting items. The panellists rated the statements on a five point Likert scale. Comments on statements were analysed, statements revised, and results presented in iterative rounds. Consensus was defined as ≥ 75% of the panel selecting "strongly agree" or "agree" on the Likert scale, and consensus on the final assessment was defined as Cronbach's alpha coefficient > .80. RESULTS: All 38 panellists completed all four rounds, resulting in 100% participation and agreement that this study was necessary, and the term INAA was agreed to be optimal. Three more statements were added based on the results and comments of the panel, resulting in a final 25 statements and nine reporting items. All 25 statements reached an agreement of ≥ 87%, and all nine reporting items reached an agreement of 100%. The Cronbach's alpha increased for each consecutive round (round 1 = .84, round 2 = .87, round 3 = .90, and round 4 = .92). Thus, consensus was reached for all statements and reporting items. CONCLUSION: This Delphi study established the first consensus document on INAA regarding terminology, definition, classification, diagnostic criteria, and algorithm, as well as reporting standards. The results of this study create essential conditions for scientific research on this disease. The presented consensus will need future amendments in accordance with newly acquired knowledge. ispartof: Eur J Vasc Endovasc Surg vol:65 issue:3 pages:323-329 ispartof: location:England status: published

Published
2023

12. Myocardial Flow Assessment After Heart Transplantation Using Dynamic Cadmium-Zinc-Telluride Single-Photon Emission Computed Tomography With 201 Tl and 99m Tc Tracers and Validated by 13 N-NH 3 Positron Emission Tomography

Author

Ko, Kuan-Yin, primary, Ko, Chi-Lun, additional, Lee, Chii-Ming, additional, Cheng, Ju-Shin, additional, Wu, Yen-Wen, additional, Hsu, Ron-Bin, additional, Chen, Yih-Sharng, additional, Wang, Shoei-Shen, additional, Yen, Ruoh-Fang, additional, and Cheng, Mei-Fang, additional

Published
2023
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14. Infective Native Aortic Aneurysms: A Delphi Consensus Document on Terminology, Definition, Classification, Diagnosis, and Reporting Standards

Author

Sörelius, Karl, primary, Wyss, Thomas R., additional, Adam, Donald, additional, Beck, Adam W., additional, Berard, Xavier, additional, Budtz-Lilly, Jacob, additional, Chakfé, Nabil, additional, Clough, Rachel, additional, Czerny, Martin, additional, D’Oria, Mario, additional, Dang, Michael, additional, di Summa, Pietro G., additional, Eldrup, Nikolaj, additional, Fourneau, Inge, additional, Heinola, Ivika, additional, Hosaka, Akihiro, additional, Hsu, Ron-Bin, additional, Huang, Yao-Kuang, additional, Jutidamrongphan, Warissara, additional, Kan, Chung-Dann, additional, Kölbel, Tilo, additional, Lau, Christopher, additional, Lawaetz, Martin, additional, Mani, Kevin, additional, Moulakakis, Konstantinos, additional, Oderich, Gustavo S., additional, Resch, Timothy, additional, Schmidli, Jürg, additional, Sedivy, Petr, additional, Shirasu, Takuro, additional, Suwannanon, Ruedeekorn, additional, Szeberin, Zoltan, additional, Touma, Joseph, additional, van den Berg, Jos C., additional, Veger, Hugo, additional, Wanhainen, Anders, additional, and Weiss, Salome, additional

Published
2022
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17. Impact of duration of mechanical support on heart transplantation: Hasty transplantation may not have a good long‐term outcome

Author

Yu, Sz‐Han, primary, Chou, Heng‐Wen, additional, Wang, Chih‐Hsien, additional, Tsao, Chuan‐I, additional, Fu, Hsun‐Yi, additional, Chen, Kevin Po‐Hsun, additional, Chi, Nai‐Hsin, additional, Huang, Shu‐Chien, additional, Chou, Nai‐Kuan, additional, Hsu, Ron‐Bin, additional, Yu, Hsi‐Yu, additional, Lin, Jou‐Wei, additional, and Chen, Yih‐Sharng, additional

Published
2022
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21. The Sequential Change in Left Ventricular Function among Various Cardiovascular Diseases: A 12-Year Study

Author

Chang, Sheng-Nan, primary, Lin, Jou-Wei, additional, Wang, Yi-Chih, additional, Wu, Cho-Kai, additional, Cheng, Jun-Jack, additional, Hwang, Juey-Jen, additional, Lin, Jiunn-Lee, additional, Chiang, Fu-Tien, additional, Chen, Yih-Sharng, additional, Hsu, Ron-Bin, additional, Chen, William, additional, Chen, Jin-Jer, additional, and Lien, Wen-Pin, additional

Published
2022
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22. sj-docx-2-jet-10.1177_15266028211068755 ��� Supplemental material for Change in Abdominal Aortic Aneurysm Sac Diameter After Endovascular Repair: A Single-Center Experience From Taiwan

Author

Tseng, Hsien-Wei, Chang, Po-Ya, Chang, Chin-Hao, Wu, I-Hui, Hsu, Ron-Bin, and Chan, Chih-Yang

Subjects
FOS: Clinical medicine, cardiovascular system, Cardiology, Medicine, 110323 Surgery, cardiovascular diseases, sense organs, skin and connective tissue diseases, humanities
Abstract

Supplemental material, sj-docx-2-jet-10.1177_15266028211068755 for Change in Abdominal Aortic Aneurysm Sac Diameter After Endovascular Repair: A Single-Center Experience From Taiwan by Hsien-Wei Tseng, Po-Ya Chang, Chin-Hao Chang, I-Hui Wu, Ron-Bin Hsu and Chih-Yang Chan in Journal of Endovascular Therapy

Published
2022
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23. sj-docx-1-jet-10.1177_15266028211068755 ��� Supplemental material for Change in Abdominal Aortic Aneurysm Sac Diameter After Endovascular Repair: A Single-Center Experience From Taiwan

Author

Tseng, Hsien-Wei, Chang, Po-Ya, Chang, Chin-Hao, Wu, I-Hui, Hsu, Ron-Bin, and Chan, Chih-Yang

Subjects
FOS: Clinical medicine, cardiovascular system, Cardiology, Medicine, 110323 Surgery, cardiovascular diseases, sense organs, skin and connective tissue diseases, humanities
Abstract

Supplemental material, sj-docx-1-jet-10.1177_15266028211068755 for Change in Abdominal Aortic Aneurysm Sac Diameter After Endovascular Repair: A Single-Center Experience From Taiwan by Hsien-Wei Tseng, Po-Ya Chang, Chin-Hao Chang, I-Hui Wu, Ron-Bin Hsu and Chih-Yang Chan in Journal of Endovascular Therapy

Published
2022
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30. Change in Abdominal Aortic Aneurysm Sac Diameter After Endovascular Repair: A Single-Center Experience From Taiwan.

Author

Tseng, Hsien-Wei, Chang, Po-Ya, Chang, Chin-Hao, Wu, I-Hui, Hsu, Ron-Bin, and Chan, Chih-Yang

Abstract

Purpose: The purpose of this study was to investigate the change in the diameter of infrarenal abdominal aortic aneurysm (AAA) sacs after endovascular aortic repair (EVAR) in Taiwanese patients and to depict its association with clinical outcomes. Materials and Methods: This retrospective cohort study was conducted on patients who underwent EVAR for infrarenal AAA between January 2011 and December 2016. All preoperative and follow-up computed tomography (CT) images were reviewed. Postoperative CT angiography was arranged after 1 month and annually thereafter. The maximal diameter on the axial plane and the maximal diameter perpendicular to the centerline on the coronal and sagittal planes were measured. The study examined post-EVAR sac diameter change over time and compared the differences in adverse events (AEs) among groups. Results: The survey included a total of 191 patients with a median follow-up duration of 2.5 (interquartile range: 1.1–2.9) years. Overall survival rates at 1, 2, and 5 years were 92%, 81%, and 76%, respectively. According to their last CT scans, the patients were categorized into 3 groups as follows: shrinkage, stationary, and enlargement, which comprised 58 (30.4%), 118 (61.8%), and 15 (7.9%) patients, respectively. Pre-EVAR characteristics and sac diameters were similar among the groups. Sac shrinkage was exclusively observed in the first 2 years, whereas sac enlargement developed at all follow-up periods. Patients with sac enlargement had higher incidence rates of endoleaks, complications, and reintervention than the other groups. Conclusion: Based on our observations, post-EVAR sac shrinkage only occurs in the first 2 years; however, post-EVAR sacs may enlarge at any point and even after 5 years. In our study, patients with sac enlargement had higher rates of adverse events and reintervention. [ABSTRACT FROM AUTHOR]

Published
2023
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40. Streptococcus mutansPrsA mediates AtlA secretion contributing to extracellular DNA release and biofilm formation in the pathogenesis of infective endocarditis

Author

Hsu, Chih-Chieh, Hsu, Ron-Bin, Oon, Xoong-Harng, Chen, Ya-Tang, Chen, Jeng-Wei, Hsu, Che-Hao, Kuo, Yu-Min, Shih, Yi-Hsien, Chia, Jean-San, and Jung, Chiau-Jing

Abstract

ABSTRACTThe role of secretion chaperone-regulated virulence proteins in the pathogenesis of infective endocarditis (IE) induced by viridans streptococci such as Streptococcus mutansis unclear. In this study, we investigated the contribution of the foldase protein PrsA, a putative parvulin-type peptidyl-prolyl isomerase, to the pathogenesis of S. mutans-induced IE. We found that a prsA-deficient strain had reduced virulence in terms of formation of vegetation on damaged heart valves, as well as reduced autolysis activity, eDNA release and biofilm formation capacity. The secretion and surface exposure of AtlA in vitrowas reduced in the prsA-deficient mutant strain, and complementation of recombinant AtlA in the culture medium restored a wild type biofilm phenotype of the prsA-deficient mutant strain. This result suggests that secretion and surface localization of AtlA is regulated by PrsA during biofilm formation. Together, these results demonstrate that S. mutansPrsA could regulate AtlA-mediated eDNA release to contribute to biofilm formation in the pathogenesis of IE.

Published
2022
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43. Impact of pre‐transplant bloodstream infection on clinical outcomes after heart transplantation.

Author

Chen, Jeng‐Wei, Chou, Heng‐Wen, Chou, Nai‐Kuan, Wang, Chih‐Hsien, Chi, Nai‐Hsin, Huang, Shu‐Chien, Yu, Hsi‐Yu, Chen, Yih‐Sharng, and Hsu, Ron‐Bin

Subjects
TRANSPLANTATION of organs, tissues, etc., HEART transplantation, ARTIFICIAL blood circulation, TREATMENT effectiveness, RENAL replacement therapy, LOGISTIC regression analysis
Abstract

Background: Active bloodstream infection (BSI) is a contraindication for heart transplantation (HT). However, some critical patients with BSI may undergo HT as a life‐saving procedure. We aimed to investigate the impact of pre‐transplant BSI on the clinical outcomes after HT. Methods: We enrolled 511 consecutive patients who underwent HT between 1999 and 2019. Patients were divided into two groups based on the presence of BSI within 30 days preoperatively. Forty‐three patients (8.4%) with BSI who were clinically stable and had no metastatic infection were considered for HT on an individual basis. In‐hospital mortality, incidence of early postoperative BSI, length of postoperative hospital stays, and long‐term survival were compared between the groups. Logistic and Cox regression analyses were performed to identify risk factors for in‐hospital and 1‐year mortality. Results: Patients with pre‐transplant BSI had a high incidence of previous cardiopulmonary resuscitation, pre‐transplant ventilator use, mechanical circulatory support use, renal replacement therapy, United Network for Organ Sharing status 1A, and a prolonged preoperative hospital waiting period. The in‐hospital mortality rate was higher in patients with pre‐transplant BSI (21% vs. 12%, p =.081), and the mortality rate was very high (33.3%) for those with BSI 0–15 days before HT. In addition, patients with pre‐transplant BSI had a significantly longer postoperative hospital stay than patients in the control group. However, long‐term survival was similar in both groups. Conclusions: Although pre‐transplant BSI was associated with higher in‐hospital mortality and prolonged postoperative hospital stay, patients who survived the early period had a similar long‐term prognosis. [ABSTRACT FROM AUTHOR]

Published
2022
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47. Poststernotomy mediastinitis due to methicillin-resistant staphylococcus aureus endemic in a hospital

Author

Lin, Cheng-Hsin, Hsu, Ron-Bin, Chang, Shan-Chwen, Lin, Fang-Yue, and Chu, Shu-Hsun

Subjects
Mortality -- Health aspects, Mortality -- Causes of, Drug resistance -- Health aspects, Drug resistance -- Physiological aspects, Methicillin -- Physiological aspects, Staphylococcus -- Health aspects, Communicable diseases -- Research, Communicable diseases -- Health aspects, Communicable diseases -- Diagnosis, Communicable diseases -- Prevention, Communicable diseases -- Complications, Patients -- Health aspects, Patients -- Care and treatment, Patients -- Case studies, Mortality -- United States, Health, Health care industry
Published
2003

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