Early LVAD Implantation in a Patient with Left Ventricular Failure after Aortic Dissection with Left Main Stem Involvement
Coronary involvement in aortic dissection heralds a poor outcome. Involvement of the left main stem may lead to left ventricular (LV) failure requiring mechanical circulatory support.
Implementation of a Mechanical CPR Device in a Physician Staffed HEMS – A Prospective Observational Study
In this prospective, observational study we describe the incidence and characteristics of out of hospital cardiac arrest (OHCA) cases who received mechanical CPR, after the implementation of a mechanical CPR device.
Hybrid Extracorporeal Membrane Oxygenation
Veno-venous (VV) and veno-arterial (VA) extracorporeal membrane oxygenation (ECMO) therapy is widely used in critically ill patients with refractory cardiogenic shock and cardiac arrest or suffering from severe respiratory failure. Besides traditional ECMO cannulation, changes in patients' conditions or the occurrence of specific complications (i.e., cerebral hypoxia or left ventricular dilation) may require modifications in cannulation strategies or the combination of ECMO with additional invasive or minimally invasive procedures, to improve organ function and ECMO efficiency.
Perspectives on the 2014 ESC/EACTS Guidelines on Myocardial Revascularization : Fifty Years of Revascularization: Where Are We and Where Are We Heading?
The joint European Society of Cardiology and European Association of Cardio-Thoracic Surgery (ESC/EACTS) guidelines on myocardial revascularization collect and summarize the evidence regarding decision-making, diagnostics, and therapeutics in various clinical scenarios of coronary artery disease, including elective, urgent, and emergency settings.
Mechanical or Biologic Prostheses for Aortic-Valve and Mitral-Valve Replacement
We compared long-term mortality and rates of reoperation, stroke, and bleeding between inverse-probability-weighted cohorts of patients who underwent primary aortic-valve replacement or mitral-valve replacement with a mechanical or biologic prosthesis in California in the period from 1996 through 2013.
Redefining Hypertension — Assessing the New Blood-Pressure Guidelines
The new Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults issued by the American College of Cardiology (ACC) and the American Heart Association (AHA) tries to accomplish this task by extending the Seventh Report of the Joint National Committee (JNC7) and the Expert Panel Report to include updated data from clinical trials and by accentuating previously underemphasized sections of the 2003 and 2013 reports.
CABG at 50 (or 107?) — The Complex Course of Therapeutic Innovation
The history of coronary-artery bypass grafting (CABG) demonstrates the subtleties of medical innovation well. Fifty years ago, on May 9, 1967, Cleveland Clinic surgeon René Favaloro performed his first CABG procedure.