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921 results on '"Kofler, Markus"'

3. Cortical Silent Period

Author

Kofler, Markus, Ziemann, Ulf, Kimiskidis, Vasilios K., Wassermann, Eric M., book editor, Peterchev, Angel V., book editor, Ziemann, Ulf, book editor, Lisanby, Sarah H., book editor, Siebner, Hartwig R., book editor, and Walsh, Vincent, book editor

Published
2024
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25. The role of concomitant coronary artery bypass grafting in acute type A aortic dissection complicated by coronary malperfusion.

Author

Pitts, Leonard, Kofler, Markus, Montagner, Matteo, Heck, Roland, Kurz, Stephan Dominik, Sündermann, Simon, Falk, Volkmar, and Kempfert, Jörg

Subjects
*CORONARY artery bypass, *ARTERIAL dissections, *AORTIC dissection, *CARDIAC output, *TREATMENT effectiveness
Abstract

OBJECTIVES Managing acute type A aortic dissection with coronary malperfusion is challenging. This study outlines our revascularization strategy for these patients. METHODS Patients undergoing surgery for acute type A aortic dissection with coronary malperfusion and aortic root involvement from January 2000 to December 2021 were included. Patients were classified using the Neri classification for coronary dissection, including a novel 'Neri −' class (no coronary dissection). Patients undergoing revascularization either as a planned or as a bailout strategy due to persisting low cardiac output were compared additionally. RESULTS The cohort comprised 195 patients: 43 (22%) Neri −, 43 (22%) Neri A, 74 (38%) Neri B and 35 (18%) Neri C. Aortic root replacement was mainly performed in 25 Neri C patients (71%; P  < 0.001). Concomitant bypass surgery was performed in 4 (9%) of Neri −, 5 (12%) of Neri A, 21 (28%) of Neri B and 32 (91%) of Neri C patients (P  < 0.001). Thirty-day mortality was 42% with 21 (49%) Neri −, 12 (28%) Neri A, 30 (41%) Neri B and 19 (54%) Neri C patients (P  = 0.087). Bailout revascularization was primarily performed in 11 Neri B patients (69%; P  = 0.001) and associated with a higher 30-day mortality of 81% compared to 48% for planned revascularization (P  = 0.042). CONCLUSIONS Postoperative outcomes in case of coronary malperfusion are poor, irrespective of the anatomic dissection pattern. The decision for concomitant bypass surgery is crucial but may be considered in Neri C patients combined with aortic root replacement. Bailout revascularization was most common in Neri B and showed dismal outcome. [ABSTRACT FROM AUTHOR]

Published
2024
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43. Balloon-expandable transaortic transcatheter aortic valve implantation with or without predilation

Author

Bonaros, Nikolaos, Kofler, Markus, Frank, Derk, Cocchieri, Riccardo, Jagielak, Dariusz, Aiello, Marco, Lapeze, Joel, Laine, Mika, Chocron, Sidney, Muir, Douglas, Eichinger, Walter, Thielmann, Matthias, Labrousse, Louis, Bapat, Vinayak, Rein, Kjell Arne, Verhoye, Jean-Philippe, Gerosa, Gino, Baumbach, Hardy, Deutsch, Cornelia, Bramlage, Peter, Thoenes, Martin, and Romano, Mauro

Published
2018
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