Justine M. Ravaux
A5089916588- Cardiac Valve Diseases and Treatments
- Cardiac Structural Anomalies and Repair
- Mechanical Circulatory Support Devices
- Infective Endocarditis Diagnosis and Management
- Cardiac Arrest and Resuscitation
- Cardiac pacing and defibrillation studies
- Heart Failure Treatment and Management
- Cardiac Arrhythmias and Treatments
- Coronary Interventions and Diagnostics
- Vascular Procedures and Complications
- Central Venous Catheters and Hemodialysis
- Trauma Management and Diagnosis
- Aortic Disease and Treatment Approaches
- Cardiovascular Function and Risk Factors
- Atrial Fibrillation Management and Outcomes
- Reconstructive Surgery and Microvascular Techniques
- Aortic aneurysm repair treatments
- Neurological Complications and Syndromes
- Organ Donation and Transplantation
- Surgical site infection prevention
- Pleural and Pulmonary Diseases
- Organ Transplantation Techniques and Outcomes
- Cardiac and Coronary Surgery Techniques
- Pulmonary Hypertension Research and Treatments
Maastricht University
2020-2024
Maastricht University Medical Centre
2020-2023
Heinrich Heine University Düsseldorf
2023
Grand Charleroi Hospital
2018-2019
Background Extracorporeal membrane oxygenation (ECMO) has been increasingly used for postcardiotomy cardiogenic shock, but without a concomitant reduction in observed in-hospital mortality. Long-term outcomes are unknown. This study describes patients' characteristics, outcome, and 10-year survival after ECMO. Variables associated with postdischarge mortality investigated reported. Methods Results The retrospective international multicenter observational PELS-1 (Postcardiotomy Life Support)...
ObjectivesPostcardiotomy extracorporeal membrane oxygenation (ECMO) can be initiated intraoperatively or postoperatively based on indications, settings, patient profile, and conditions. The topic of implantation timing only recently gained attention from the clinical community. We compare characteristics as well in-hospital long-term survival between intraoperative postoperative ECMO.MethodsThe retrospective, multicenter, observational Postcardiotomy Extracorporeal Life Support (PELS-1)...
OBJECTIVES: Peripheral venoarterial extracorporeal membrane oxygenation (ECMO) with femoral access is obtained through unilateral or bilateral groin cannulation. Whether one cannulation strategy associated a lower risk for limb ischemia remains unknown. We aim to assess if preferable. DESIGN: A retrospective cohort study based on the Extracorporeal Life Support Organization registry. SETTING: ECMO centers worldwide included in PATIENTS: All adult patients (≥ 18 yr) who received peripheral...
Atrioventricular conduction disturbance leading to permanent pacemaker (PM) implantation is a frequent and relevant complication after transcatheter aortic valve (TAVI). We aimed evaluate the rate of post-TAVI PM over time identify predictive factors for PM. The data were retrospectively collected by Netherlands Heart Registration (NHR). In total, 7489 isolated TAVI patients between 2013 2019 included in final analysis. primary endpoint was within 30 days following TAVI. incidence 12%....
Extracorporeal membrane oxygenation (ECMO) for postcardiotomy cardiogenic shock has been increasingly used without concomitant mortality reduction. This study aims to investigate determinants of in-hospital and postdischarge in patients requiring ECMO the Netherlands.The Netherlands Heart Registration collects nationwide prospective data from cardiac surgery units. Adults receiving intraoperative or postoperative included register January 2013 December 2019 were studied. Survival status was...
Atrioventricular conductions disturbances, requiring permanent pacemaker implantation (PPI), represent a potential complication after transcatheter aortic valve (TAVI), However, little is known about the dependency PPI in this patient setting. This systematic review analyses incidence of PPI, short-term (1-year) pacing dependency, and predictors for such state TAVI.We performed search PUBMED, EMBASE, MEDLINE to identify potentially relevant literature investigating requirement TAVI. Study...
Data regarding the impact of infra-Hisian conduction disturbances leading to permanent pacemaker implantation (PPI) after transcatheter aortic valve (TAVI) remain limited. The aim this study was determine right and/or left bundle branch block (RBBB/LBBB) on post-TAVI PPI. We performed a systematic literature review identify studies reporting RBBB LBBB status and Study design, patient characteristics, presence were analyzed. Odds ratios (ORs) with 95% CI extracted. final analysis included 36...
Objective Permanent pacemaker implantation (PPI) after surgical aortic valve replacement (SAVR) remains a frequent complication. Predictors, however, have been mainly investigated in single-center studies. Therefore, nationwide data were used to identify patients—and procedural risk factors for postoperative PPI. Materials and Methods Data retrospectively collected from the Netherlands Heart Registration (NHR). Patients enrolled NHR undergoing isolated SAVR 2013 2019 analyzed. Primary...
Limb ischemia is a severe complication of peripheral veno-arterial extracorporeal life support (V-A ECLS). Several techniques have been developed to prevent this, but it remains major and frequent adverse event (incidence: 10-30%). In 2019, new cannula with bidirectional flow (retrograde towards the heart antegrade distal limb) has introduced. A single-centre experience this in patients undergoing V-A ECLS herewith reported.This prospective observational study included adults (≥18 years)...
•In a retrospective multicenter study, around 1% of the patients require PPI after cardiac surgery.•More than 30% these recover A/V conduction property within months.•Pacemaker dependency is associated with higher mortality.•SR before surgery seems to have protective effect on pacemaker dependency. Permanent implantation (PPI) represents rare complication surgery, no uniform agreement timing and information follow-up. A study was designed assess (PMD) long-term mortality procedures. Between...
High-quality evidence for post-cardiotomy extracorporeal life support (PC-ECLS) management is lacking. This study investigated the real-world PC-ECLS clinical practices.This cross-sectional, multi-institutional, international pilot survey explored center organization, anticoagulation management, left ventricular unloading, distal limb perfusion, monitoring and transfusions practices. Twenty-nine questions were distributed among 34 hospitals participating in Post-cardiotomy Extra-Corporeal...
Post-cardiotomy extracorporeal life support (ECLS) cannulation might occur in a general post-operative ward due to emergent conditions. Its characteristics have been poorly reported and investigated This study investigates the outcomes of adult patients receiving ECLS cardiac ward.
Bilateral internal mammary arteries (BIMAs) remain underused in coronary artery bypass grafting (CABG), especially elderly, diabetic, and obese patients. This study investigated incidence of sternal wound infection (SWI), instability (SI), reintervention for bleeding (RIB) this high-risk population.A single-center retrospective observational was performed "Grand Hôpital de Charleroi, Gilly, Belgium." A total 319 patients undergoing CABG from December 2011 to 2015 were included. Three main...
Abstract OBJECTIVES Post-acute myocardial infarction mechanical complications (post-AMI MCs) represent rare but life-threatening conditions, including free-wall rupture, ventricular septal rupture and papillary muscle rupture. During the coronavirus disease-19 (COVID-19) pandemic, an overwhelming pressure on healthcare systems led to delayed potentially suboptimal treatments for time-dependent conditions. As AMI-related hospitalizations decreased, limited information is available whether...
Subclavian (SC) and transapical (TA) approaches are the main alternatives to default femoral delivery for transcatheter aortic valve implantation (TAVI). The aim of this study was compare complications morbidity/mortality associated with SC TA in a long-term time frame.From January 2007 July 2015, 1506 patients underwent TAVI surgery 36 United Kingdom centers. Primary outcomes were according VARC-2 criteria. secondary outcome survival.The enrolled distributed as follows: 1216 group 290...