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14 results on '"Montibello, M"'

4. Evoluzione nel trattamento delle mediastiniti: esperienza di un singolo centro

Author

DE FEO, Marisa, Vicchio M, Pirozzi F, Miraglia M, Montibello M, Borrelli M, Della Ratta EE, Cefarelli M, NAPPI, Gianantonio, SANTE', Pasquale, DE FEO, Marisa, Vicchio, M, Sante', Pasquale, Pirozzi, F, Miraglia, M, Montibello, M, Borrelli, M, Della Ratta, Ee, Cefarelli, M, and Nappi, Gianantonio

Published
2011

12. LACK OF DEFINITE INDICATION CRITERIA FOR CHOOSING BETWEEN TRANSCATHETER IMPLANTATION AND SURGICAL REPLACEMENT OF THE AORTIC VALVE

Author

F Amendolara, Salvatore Giordano, Mariano Vicchio, Gianantonio Nappi, Maurizio Cotrufo, Alessandro Della Corte, Raffaela Provenzano, M.V. Montibello, Marisa De Feo, DE FEO, Marisa, Vicchio, M, DELLA CORTE, Alessandro, Provenzano, R, Giordano, Diego Sandro, Amendolara, F, Montibello, M, Nappi, Gianantonio, and Cotrufo, M.

Subjects
Aortic valve, Male, medicine.medical_specialty, Cardiac Catheterization, Time Factors, Decision Making, Risk Assessment, Severity of Illness Index, Aortic valve replacement, Risk Factors, Internal medicine, medicine, Humans, Myocardial infarction, Hospital Mortality, Aged, Retrospective Studies, Aged, 80 and over, Heart Valve Prosthesis Implantation, business.industry, EuroSCORE, General Medicine, Perioperative, Aortic Valve Stenosis, medicine.disease, Stenosis, Standardized mortality ratio, medicine.anatomical_structure, Treatment Outcome, Italy, Aortic valve stenosis, Aortic Valve, Cardiology, Female, Cardiology and Cardiovascular Medicine, business
Abstract

AIMS Age over 75 years and logistic Euroscore over 20% have been jointly proposed by European scientific associations as the criteria for aortic valve stenosis patients to be considered 'high-risk' for surgical aortic valve replacement (AVR) and candidates for transcatheter aortic valve implantation (TAVI). We aimed to verify traditional AVR outcomes in the presence of the above criteria. METHODS Between January 2001 and January 2011, 180 patients with severe aortic valve stenosis (mean aortic valve area = 0.4±0.1 cm/m), with age range 75-88 years (mean 78.2±3), logistic Euroscore between 4.5 and 40% (mean 12.6±7.4%), underwent surgical AVR. The patient population was divided into group A (118 patients between 75 and 79 years of age), further divided into subgroups A1 (76 patients) and A2 (42 patients) with logistic Euroscore, respectively, less than 20% and at least 20%; and group B (62 patients between 80 and 88 years of age), subdivided into B1 (34 patients) and B2 (28 patients) with logistic Euroscore, respectively, less than 20% and at least 20%. Hospital outcomes were retrospectively evaluated. Univariate and multivariate analyses, including age and logistic Euroscore, were performed to individuate predictors of hospital mortality. RESULTS Overall observed/expected mortality ratio was 0.4. Hospital mortality was 5.3% in group A1, 4.8% in A2, 5.9% in B1, 3.6% in B2 (P=NS). Mortality with age over 75 and Euroscore at least 20% was 4.3%. As regards postoperative morbidity, atrio-ventricular bock indicating pacemaker implantation occurred in four patients, pneumonia in three, stroke in two, perioperative myocardial infarction in one. Age and Euroscore were not independent predictors of mortality, morbidity or composite endpoint in multivariable analysis. CONCLUSION Age and logistic Euroscore might be inadequate criteria for the identification of patients with severe aortic stenosis unsuitable for AVR and addressable to TAVI.

Published
2012

13. Surgical aspects of valve replacement in carcinoid heart disease.

Author

Albåge A and Montibello M

Subjects
Humans, Prognosis, Carcinoid Heart Disease complications, Carcinoid Heart Disease diagnostic imaging, Carcinoid Heart Disease surgery, Cardiac Surgical Procedures, Heart Failure, Heart Valve Prosthesis Implantation
Abstract

Tricuspid and pulmonary valve replacement in patients with advanced carcinoid heart disease (CaHD) reduces right heart failure and improves prognosis. The surgical literature is limited concerning description of technical aspects of valve replacement in CaHD. Although a dedicated multidisciplinary care is required for these frail patients, optimization of surgical technique is important and may lead to better postoperative outcomes., (© 2020 The Authors. Journal of Cardiac Surgery published by Wiley Periodicals LLC.)

Published
2021
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14. Lack of definite indication criteria for choosing between transcatheter implantation and surgical replacement of the aortic valve.

Author

De Feo M, Vicchio M, Della Corte A, Provenzano R, Giordano S, Amendolara F, Montibello M, Nappi G, and Cotrufo M

Subjects
Aged, Aged, 80 and over, Aortic Valve, Aortic Valve Stenosis mortality, Female, Heart Valve Prosthesis Implantation mortality, Hospital Mortality trends, Humans, Italy epidemiology, Male, Retrospective Studies, Risk Factors, Severity of Illness Index, Time Factors, Treatment Outcome, Aortic Valve Stenosis surgery, Cardiac Catheterization methods, Decision Making, Heart Valve Prosthesis Implantation methods, Risk Assessment methods
Abstract

Aims: Age over 75 years and logistic Euroscore over 20% have been jointly proposed by European scientific associations as the criteria for aortic valve stenosis patients to be considered 'high-risk' for surgical aortic valve replacement (AVR) and candidates for transcatheter aortic valve implantation (TAVI). We aimed to verify traditional AVR outcomes in the presence of the above criteria., Methods: Between January 2001 and January 2011, 180 patients with severe aortic valve stenosis (mean aortic valve area = 0.4±0.1 cm/m), with age range 75-88 years (mean 78.2±3), logistic Euroscore between 4.5 and 40% (mean 12.6±7.4%), underwent surgical AVR. The patient population was divided into group A (118 patients between 75 and 79 years of age), further divided into subgroups A1 (76 patients) and A2 (42 patients) with logistic Euroscore, respectively, less than 20% and at least 20%; and group B (62 patients between 80 and 88 years of age), subdivided into B1 (34 patients) and B2 (28 patients) with logistic Euroscore, respectively, less than 20% and at least 20%. Hospital outcomes were retrospectively evaluated. Univariate and multivariate analyses, including age and logistic Euroscore, were performed to individuate predictors of hospital mortality., Results: Overall observed/expected mortality ratio was 0.4. Hospital mortality was 5.3% in group A1, 4.8% in A2, 5.9% in B1, 3.6% in B2 (P=NS). Mortality with age over 75 and Euroscore at least 20% was 4.3%. As regards postoperative morbidity, atrio-ventricular bock indicating pacemaker implantation occurred in four patients, pneumonia in three, stroke in two, perioperative myocardial infarction in one. Age and Euroscore were not independent predictors of mortality, morbidity or composite endpoint in multivariable analysis., Conclusion: Age and logistic Euroscore might be inadequate criteria for the identification of patients with severe aortic stenosis unsuitable for AVR and addressable to TAVI.

Published
2013
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