A5049895416- Mechanical Circulatory Support Devices
- Cardiac Arrhythmias and Treatments
- Atrial Fibrillation Management and Outcomes
- Cardiac Arrest and Resuscitation
- Cardiac electrophysiology and arrhythmias
- Lung Cancer Diagnosis and Treatment
- Pleural and Pulmonary Diseases
- Cardiac Structural Anomalies and Repair
- Cardiac Valve Diseases and Treatments
- Cardiac Ischemia and Reperfusion
- Cardiac pacing and defibrillation studies
- Cardiovascular Syncope and Autonomic Disorders
- Trauma Management and Diagnosis
- Salivary Gland Tumors Diagnosis and Treatment
- Pectus Deformity Diagnosis and Treatment
- Surgical site infection prevention
- Cardiac, Anesthesia and Surgical Outcomes
- Cardiac and Coronary Surgery Techniques
- Elbow and Forearm Trauma Treatment
- Receptor Mechanisms and Signaling
- Intravenous Infusion Technology and Safety
- Traumatic Ocular and Foreign Body Injuries
- Ultrasound in Clinical Applications
- Aortic aneurysm repair treatments
- Heart Rate Variability and Autonomic Control
Zuyderland Medisch Centrum
2019-2024
Maastricht University Medical Centre
2013-2019
Maastricht University
2015-2018
Abstract Background Multiportal video-assisted thoracic surgery (mVATS) is the standard approach for surgical treatment of spontaneous pneumothorax. However, uniportal VATS (uVATS) has emerged as an alternative aiming to minimize morbidity. This study aims strengthen evidence on safety and efficiency uVATS compared mVATS. Methods From January 2004 December 2020, records patients who had undergone primary or secondary pneumothorax were evaluated eligibility. Patients pleurectomy combined with...
To assess the results and impact of lesion set surgical technique on long-term success ablation during mitral surgery. The patient population consisted 685 subjects with persistent long-standing atrial fibrillation (AF) undergoing cardiac surgery for valve disease as primary indication concomitant between January 2003 2012 at three institutions. One hundred sixty-six underwent unipolar (24.2%), 371 (54.2%) bipolar, 148 (21.6%) had combined ablation. Median follow-up was 58.4 months...
We compare a short and standard-size balloon with same filling volumes to verify the differences in terms of visceral flow, coronary circulation haemodynamic performance during aortic counterpulsation an animal model myocardial ischaemia–reperfusion injury. Eighteen healthy pigs underwent 120-min ligation left anterior descending artery followed by 6 h reperfusion, they were randomly assigned have intra-aortic (IABP) 40-ml short-balloon (n = 6) or standard-length 6), undergo no IABP...
We evaluated the influence of intra-aortic balloon size and volume on mesenteric renal flows.Thirty healthy swine underwent 120-minute ligation left anterior descending coronary artery followed by 6 hours reperfusion. Then, they were randomly assigned to following five groups animals, with six animals in each group: no pump (IABP), a short 35-mL IABP, 40-mL long IABP IABP. Superior (SMA) flows measured at baseline (t0), 2-hour ischemia (t1) every hour thereafter until reperfusion (from tR1...
Reconduction across an ablation line is a common reason for arrhythmia recurrence over time. The hybrid procedure combines epicardial of the pulmonary vein (PV) and creation box lesion with endocardial touch-ups any electrical gaps. A high contact force (CF) between tip cardiac tissue may increase risk thrombus formation, catheter charring, steam pop even perforation. CF monitoring significant new parameter titration creating adequate lesion.Thirty-eight consecutive patients underwent using...
New Findings What is the central question of this study? Visceral ischaemia one most feared complications during use an intra‐aortic balloon pump. Using animal model, we measured flows at abdominal level directly and examined flow patterns to enable investigation main finding its importance? We show that there a significant balloon‐related reduction in superior mesenteric both early mid‐diastole. Abstract A number previous studies have shown blood visceral arteries altered pump (IABP)...
The current preferred approach for surgical mediastinal staging of non-small-cell lung carcinoma is video-assisted mediastinoscopy. An alternative technique in which lymph nodes are resected instead biopsied mediastinoscopic lymphadenectomy (VAMLA) that suggested to be superior detecting N2 disease. Yet, evidence conflicting and furthermore limited by sample size. objective was compare through VAMLA mediastinoscopy.A single-center cohort study conducted. All consecutive patients underwent...
This proof-of-concept study examined the haemodynamic performance as well coronary and visceral organ perfusion using a new short balloon for intra-aortic counterpulsation (IABP) in swine model of myocardial ischaemia. Eighteen healthy pigs underwent 120-min ligation left anterior descending artery followed by 6 h reperfusion, they were randomly assigned into 3 groups undergoing IABP implantation with 35-ml (n = 6), 40-ml 6) or no (controls, n 6). Haemodynamics, flows measured at baseline...
Mediastinitis is a severe complication of cardiac surgery. Sternal instability concomitantly present in most cases. Broken steel wires may cause sternal instability. In this study, the role broken closure was evaluated patients who developed poststernotomy mediastinitis.Preoperative, perioperative, and postoperative data underwent thoracic surgery between 1996 2006 were retrieved from SUMMIT registry database. Patients needing reoperation for mediastinitis identified. Patients' charts chest...
We investigated the impact and predictive value of sinus rhythm at 12 months (SR12) on subscales three different HrQoL questionnaires: SF-36., EuroQoL MFI 20. Data 125 cardiac surgery patients with pre-operative AF from our previous randomized trial were used. Based their outcome divided in two groups: SR12 or follow up (non-SR12). All questionnaires self-administered pre-operatively 3 months, 6 after surgery. Synus rhytm was improvement SF36- mental score (MS, p = 0.021), Euro-QoL-MS (p...
We present the first testing study on ABLA-BOX, a new in vitro module of hybrid atrial fibrillation ablation.ABLA-BOX consists two chambers that mimic epicardial and endocardial sides heart. The septum between provides catheter access both sites cardiac tissue. A circuit, filled with freshly obtained porcine blood, including pump, an oxygenator, heating device, circulate blood inside system. Left fresh tissue is mounted holder magnetically fixed. Epicardial catheters are fixed holders...
Objective Visceral ischemia can be a potentially life-threatening complication of intra-aortic balloon pump (IABP) support. A shorter IABP catheter might lead to reduction visceral complications. In this animal study, we evaluate the effects 35-mL short in comparison with 40-mL standard-sized catheter. Methods Eighteen healthy swine underwent 120-minute ligation left anterior descending coronary artery followed by 6 hours reperfusion being supported either (short group) (n = 6) or long (long...
OBJECTIVESWe investigated real-life oral anticoagulation (OAC) treatment after surgical ablation and examined its adherence to current recommendations. We also explored factors related OAC use preoperatively at follow-up.
Abstract OBJECTIVES The objective of this study was to define the learning process video-assisted mediastinoscopic lymphadenectomy (VAMLA) by assessment consecutive procedural metrics. METHODS We conducted a single-centre retrospective observational all VAMLAs performed between 2011 and 2018 for staging non-small-cell lung carcinoma. Learning curves were assessed using non-risk adjusted cumulative observed minus expected (CUSUM) failure charts complications. Boundary lines defined acceptable...
Data on epicardial contact force efficacy in dual epicardial–endocardial atrial fibrillation ablation procedures are lacking. We present an vitro study the importance of and endocardial forces during this procedure. The setup consists two separate chambers, mimicking sides heart. A circuit, including a pump heat exchanger, circulates porcine blood through chamber. septum, with cut out, allows placement magnetically fixed tissue holder, securing tissue, middle both chambers. Two trocars...