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158 results on '"Kirov, Hristo"'

7. Deactivation of LVAD support for myocardial recovery—surgical perspectives

Author

Nickel, Ian, Potapov, Evgenij, Sun, Benjamin, Zimpfer, Daniel, Koliopoulou, Antigone, Adachi, Iki, Anyanwu, Anelechi, Falk, Volkmar, Atluri, Pavan, Faerber, Gloria, Goldstein, Daniel, Yarboro, Leora, Slaughter, Mark S., Milano, Carmelo, Tsukashita, Masaki, D’Alessandro, David, Silvestry, Scott, Kirov, Hristo, Bommareddi, Swaroop, Lanmüller, Pia, Doenst, Torsten, and Selzman, Craig H.

Published
2024
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17. Coronary surgery—A literature review 2023

Author

Kirov, Hristo, primary, Fleckenstein, Philine, additional, Caldonazo, Tulio, additional, Fischer, Johannes, additional, Runkel, Angelique, additional, Mukharayamov, Murat, additional, Börgermann, Jochen, additional, and Doenst, Torsten, additional

Published
2024
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19. Cardiac Surgery 2023 Reviewed

Author

Kirov, Hristo, additional, Caldonazo, Tulio, additional, Mukharyamov, Murat, additional, Toshmatov, Sultonbek, additional, Fischer, Johannes, additional, Schneider, Ulrich, additional, Siemeni, Thierry, additional, and Doenst, Torsten, additional

Published
2024
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24. Reply to Condello

Author

Mukharyamov, Murat, primary, Kirov, Hristo, additional, Caldonazo, Tulio, additional, and Doenst, Torsten, additional

Published
2024
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26. Thorax support vest to prevent sternal wound infections in cardiac surgery patients—a systematic review and meta-analysis

Author

Caldonazo, Tulio, primary, Dell’Aquila, Michele, additional, Cancelli, Gianmarco, additional, Harik, Lamia, additional, Soletti, Giovanni, additional, Fischer, Johannes, additional, Kirov, Hristo, additional, Rahouma, Mohamed, additional, Ibrahim, Mudathir, additional, Demetres, Michelle, additional, An, Kevin R, additional, Girardi, Leonard, additional, Doenst, Torsten, additional, and Gaudino, Mario, additional

Published
2024
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32. Effect of haemoadsorption during cardiac surgery for Staphylococcus aureus endocarditis: a REMOVE trial post hoc analysis.

Author

Caldonazo, Tulio, Eynde, Jef Van den, Doenst, Torsten, Kirov, Hristo, Franz, Marcus, Hagel, Stefan, Lehmann, Thomas, Diab, Mahmoud, and Investigators, the REMOVE Trial

Subjects
CARDIAC surgery, STAPHYLOCOCCUS aureus, ENDOCARDITIS, INFECTIVE endocarditis, MULTIPLE organ failure, IMMUNOADSORPTION
Abstract

Open in new tab Download slide OBJECTIVES Multi-organ failure is one of the leading causes of mortality after cardiac surgery for infective endocarditis (IE). Although the randomized evidence does not support the use of haemoadsorption during cardiac surgery for IE, observational studies suggest a beneficial effect in selected patient groups. Staphylococcus aureus is the most common pathogen, and its presence is an independent mortality predictor. We aimed to analyse the effect of haemoadsorption in patients with IE caused by S. aureus. METHODS This is a post hoc analysis of the REMOVE trial that randomized 288 patients with IE who underwent cardiac surgery with haemoadsorption using CytoSorb® or control. The primary outcome was ΔSequential Organ Failure Assessment (SOFA), defined as the difference between the mean total postoperative and baseline SOFA score within 24 h of surgery. RESULTS Among the total of 282 patients included in the modified intention-to-treat analysis of the REMOVE trial, 73 (25.9%) had S. aureus IE (38 patients in the haemoadsorption group and 35 patients in the control group). The overall ΔSOFA did not differ between the intervention groups in patients with S. aureus IE (mead difference = −0.4, 95% confidence interval −2.3 to 1.4, P  = 0.66) and neither did 30-day mortality (hazard ratios = 1.32, 95% confidence interval 0.53–3.28, P  = 0.55). No differences were observed with regard to any of the other secondary outcomes. CONCLUSIONS Based on a post hoc analysis from REMOVE trial, the intraoperative use of haemoadsorption in patients with S. aureus IE was not associated with reduction of postoperative organ dysfunction, 30-day mortality or other major clinical end points. [ABSTRACT FROM AUTHOR]

Published
2024
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33. Differences in Postoperative Atrial Fibrillation Incidence and Outcomes After Cardiac Surgery According to Assessment Method and Definition: A Systematic Review and Meta‐Analysis

Author

Perezgrovas‐Olaria, Roberto, primary, Alzghari, Talal, additional, Rahouma, Mohammed, additional, Dimagli, Arnaldo, additional, Harik, Lamia, additional, Soletti, Giovanni J., additional, An, Kevin R., additional, Caldonazo, Tulio, additional, Kirov, Hristo, additional, Cancelli, Gianmarco, additional, Audisio, Katia, additional, Yaghmour, Mohammad, additional, Polk, Hillary, additional, Toor, Rajbir, additional, Sathi, Swetha, additional, Demetres, Michelle, additional, Girardi, Leonard N., additional, Biondi‐Zoccai, Giuseppe, additional, and Gaudino, Mario, additional

Published
2023
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36. Cardiac surgery 2017 reviewed

Author

Doenst, Torsten, Kirov, Hristo, Moschovas, Alexandros, Gonzalez-Lopez, David, Safarov, Rauf, Diab, Mahmoud, Bargenda, Steffen, and Faerber, Gloria

Published
2018
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37. Cardiac Surgery 2022 Reviewed

Author

Doenst, Torsten, additional, Schneider, Ulrich, additional, Caldonazo, Tulio, additional, Toshmatov, Sultonbek, additional, Diab, Mahmoud, additional, Siemeni, Thierry, additional, Färber, Gloria, additional, and Kirov, Hristo, additional

Published
2023
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40. Impact of a 36-hour Nonstop Training Course on Academic, Physical, and Mental Skills as well as Psychological Stress Perception in Cardiac Surgery Residents.

Author

Caldonazo, Tulio, Kirov, Hristo, Schneider, Ulrich, Beckmann, Andreas, W., K., Weber, Günter, Iglauer-Sander, Regina, Färber, Gloria, and Doenst, Torsten

Subjects
*CARDIAC surgery, *PSYCHOLOGICAL stress, *GROUP dynamics, *SLEEP deprivation, *LABOR laws, *SURGICAL education, *IRRITABILITY (Psychology), *TRAINING of surgeons
Abstract

Background Making the right decision in stressful situations is required for goal-oriented action in cardiac surgery. Current labor laws prevent residents to be subjected to situations that test their stress tolerance. These situations often occur only later in the career. We simulated such conditions in a structured non-stop 36-hour cardiac surgical training course and assessed the participant's performance. Methods Fourteen advanced residents/junior staff surgeons were selected. The course was conducted in collaboration with the national antiterror police forces that provided coaching for teamplay, leadership, and responsibility awareness. The candidates attended graded and evaluated workshops/lectures and performed academic and surgical tasks. Psychological and surgical skill assessments were conducted at times 0, 12, 24, 36 hours. Results Progressive reductions in individual motivation, associated with increased stress and irritability levels, worsening mood, and fatigue were observed. Long- and short-term memory functions were unaffected and practical surgical performance even increased over time. Conclusion Among the candidates, 36 hours of sleep deprivation did not lead to relevant changes in the skills required from a cardiac surgeon in daily life. Importantly, group dynamics substantially improved during the course, suggesting advances in the perception of responsibility and teamwork. [ABSTRACT FROM AUTHOR]

Published
2023
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41. Myocardial protection in cardiac surgery—hindsight from the 2020s.

Author

Mukharyamov, Murat, Schneider, Ulrich, Kirov, Hristo, Caldonazo, Tulio, and Doenst, Torsten

Subjects
CARDIAC surgery, TWENTY twenties, CARDIOPULMONARY bypass, INDUCED cardiac arrest, MYOCARDIAL reperfusion, BLOOD flow
Abstract

Open in new tab Download slide Myocardial protection and specifically cardioplegia have been extensively investigated in the beginnings of cardiac surgery. After cardiopulmonary bypass had become routine, more and more cardiac operations were possible, requiring reliable and reproducible protection for times of blood flow interruptions to the most energy-demanding organ of the body. The concepts of hypothermia and cardioplegia evolved as tools to extend cardiac ischaemia tolerance to a degree considered safe for the required operation. A plethora of different solutions and delivery techniques were developed achieving remarkable outcomes with cross-clamp times of up to 120 min and more. With the beginning of the new millennium, interest in myocardial protection research declined and, as a consequence, conventional cardiac surgery is currently performed using myocardial protection strategies that have not changed in decades. However, the context, in which cardiac surgery is currently performed, has changed during this time. Patients are now older and suffer from more comorbidities and, thus, other organs move more and more into the centre of risk assessment. Yet, systemic effects of cardioplegic solutions have never been in the focus of attention. They say hindsight is always 20–20. We therefore review the biochemical principles of ischaemia, reperfusion and cardioplegic extension of ischaemia tolerance and address the concepts of myocardial protection with 'hindsight from the 2020s'. In light of rising patient risk profiles, minimizing surgical trauma and improving perioperative morbidity management becomes key today. For cardioplegia, this means accounting not only for cardiac, but also for systemic effects of cardioplegic solutions. [ABSTRACT FROM AUTHOR]

Published
2023
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44. Association of liver dysfunction with outcomes after cardiac surgery—a meta-analysis

Author

Kirov, Hristo, primary, Caldonazo, Tulio, additional, Audisio, Katia, additional, Rahouma, Mohamed, additional, Robinson, N Bryce, additional, Cancelli, Gianmarco, additional, Soletti, Giovanni J, additional, Demetres, Michelle, additional, Ibrahim, Mudathir, additional, Faerber, Gloria, additional, Gaudino, Mario, additional, and Doenst, Torsten, additional

Published
2022
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45. Cardiac surgery 2016 reviewed

Author

Doenst, Torsten, Essa, Yasin, Jacoub, Khalil, Moschovas, Alexandros, Gonzalez-Lopez, David, Kirov, Hristo, Diab, Mahmoud, Bargenda, Steffen, and Faerber, Gloria

Published
2017
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46. Cardiac surgery 2015 reviewed

Author

Doenst, Torsten, Strüning, Constanze, Moschovas, Alexandros, Gonzalez-Lopez, David, Essa, Yasin, Kirov, Hristo, Diab, Mahmoud, and Faerber, Gloria

Published
2016
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48. Cardiac surgery 2014 reviewed

Author

Doenst, Torsten, Strüning, Constanze, Moschovas, Alexandros, Gonzalez-Lopez, David, Valchanov, Ilija, Kirov, Hristo, Diab, Mahmoud, and Faerber, Gloria

Published
2015
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