A5023164383- Cardiac Valve Diseases and Treatments
- Cardiac Structural Anomalies and Repair
- Infective Endocarditis Diagnosis and Management
- Cardiovascular Function and Risk Factors
- Mechanical Circulatory Support Devices
- Cardiac Imaging and Diagnostics
- Cardiac, Anesthesia and Surgical Outcomes
- Cardiac pacing and defibrillation studies
- Vascular Procedures and Complications
- Cardiac and Coronary Surgery Techniques
- Transplantation: Methods and Outcomes
- Cardiac Arrest and Resuscitation
- Atrial Fibrillation Management and Outcomes
- Pericarditis and Cardiac Tamponade
- Palliative Care and End-of-Life Issues
- Vascular anomalies and interventions
- Pulmonary Hypertension Research and Treatments
- Parvovirus B19 Infection Studies
- Kawasaki Disease and Coronary Complications
- Neuroendocrine Tumor Research Advances
- Acute Ischemic Stroke Management
- Cardiovascular Issues in Pregnancy
- Orthopedic Infections and Treatments
- Coronary Artery Anomalies
- Cardiomyopathy and Myosin Studies
Vilnius University
2016-2025
Vilnius University Hospital Santariskiu Klinikos
2016
Essex Cardiothoracic Centre
2010
The aim of this study was to assess the efficacy and safety Occlutech Paravalvular Leak Device (PLD) for percutaneous closure paravalvular leaks (PVL).Patients with PVL were enrolled at 21 sites from nine countries. Indications heart failure and/or haemolytic anaemia. Endpoint measures changes in PV regurgitation grade, NYHA class requirement haemolysis-related transfusion. One-hundred thirty-six patients mitral (67.6%) or aortic (32.4%) included (mean age 66.7 years, 58% male); 31% had...
Between December 2014 and March 2021, 144 patients with aortic (Ao) or mitral (Mi) paravalvular leaks (PVLs) were enrolled at 21 sites in 10 countries. Safety data available for 137 patients, who included the safety analysis fraction (SAF), 93 Mi PVLs 44 Ao PVLs. The full set (FAS) comprised 112 stratum (aortic/mitral leak) as well baseline (BL), 180-day later assessments (2 years). Procedural success (implantation of device a proper closure PVL, defined reduction regurgitation ≥one grade...
Prosthetic paravalvular leaks (PVLs) are associated with congestive heart failure and hemolysis. Surgical PVL closure carries high risks. Transcatheter implantation of occluding devices in is a lower risk but challenging procedure. Of the available devices, only two have been specifically approved Europe for transcatheter (tPVLc): Occlutech® Paravalvular Leak Device (PLD) Amplatzer™ ParaValvular Plug 3 (AVP 3). Here, we review various tools used tPVLc, based on three observational registries...
ENWEndNote BIBJabRef, Mendeley RISPapers, Reference Manager, RefWorks, Zotero AMA Zorinas A, Janusauskas V, Davidavicius G, et al. Fusion of real-time 3D transesophageal echocardiography and cardiac fluoroscopy imaging in transapical catheter-based mitral paravalvular leak closure. Advances Interventional Cardiology/Postępy w Kardiologii Interwencyjnej. 2017;13(3):263-268. doi:10.5114/aic.2017.70200. APA Zorinas, A., Janusauskas, V., Davidavicius, G., Puodziukaite, L., Zakarkaite, D., &...
Due to the recent lack of definitions establish severity paravalvular leak (PVL) and endpoints for its treatment, effectiveness safety a new device PVL closure have not been comprehensively analyzed.To analyze single center's experience mitral in surgical transapical catheter-based fashion with purpose-specific device.This is retrospective cohort study patients following device. Data were analyzed at baseline, perioperatively, discharge, six months annually after procedure.Nineteen underwent...
Abstract An uncommon complication of percutaneous coronary intervention (PCI) is entrapment and/or fracture the catheter guidewire. This report describes “delayed” surgical removal retained guidewire from ascending aorta following a PCI. The potential complications and management options are further discussed. (J Card Surg 2011;26:46-48)
Background: Recently extracorporeal membrane oxygenation is becoming the commonly used mechanical assist device for treatment of severe cardiogenic shock in postcardiotomy patients. Evaluation risk factors negative outcome would be beneficial decision-making elderly patient population. Methods: This was a retrospective single-centre analysis patients who underwent refractory tertiary care centre. Demographic data, comorbidities and perioperative parameters were collected to evaluate their...
Widespread catheter-based interventions for structural heart disease have overtaken the treatment of paravalvular leaks (PVL). Multimodality imaging techniques play a crucial role in accurate diagnosis, procedure planning and performance. However, PVL closure is often technically challenging due to complex anatomy defects their relation surrounding anatomical structures. The application echocardiography fluoroscopy fusion (EFF) may simplify imaginative three-dimensional reconstruction...
The age limit for the use of extracorporeal membrane oxygenation (ECMO) support post-cardiotomy cardiac failure is not defined. aim study was to evaluate outcomes octogenarians supported with ECMO due cardiogenic shock.A retrospective review consecutive elderly patients during a 13-year period in tertiary care center. Patient's demographic variables, comorbidities, perioperative data and were collected from patient medical records. Data octogenarian compared septuagenarian group. main...
Abstract Background Adverse cardiac remodeling with a myocardial fibrosis as key pathophysiologic component may be associated to worse survival in aortic stenosis (AS) patients. Therefore, the application of advanced imaging we aim investigate left ventricular severe AS patients undergoing valve replacement (AVR) and determine its impact post-intervention clinical outcomes. Methods In prospective, observational, cohort study scheduled either for surgical or transcatheter AVR will recruited...
BackgroundWe report 3 cases of rescue transventricular off-pump mitral valve (MV) repair in high-risk patients with acute regurgitation (MR) due to post–myocardial infarction (MI) papillary muscle rupture (PMR).MethodsThe presented inferior ST elevation myocardial infarction, cardiogenic shock, and pulmonary edema. Their preoperative peak troponin I levels were 1909 ng/L, 16,963 8299 ng/L. All underwent successful percutaneous intervention the culprit coronary artery, antiplatelet therapy...
Following surgical mitral valve replacement paravalvular leaks may occur in up to 17% of patients. A significant fraction these patients present with a symptoms heart failure and/or anaemia. Conventional closure is associated increased morbidity and mortality. Alternative transcatheter has been developed being introduced into the clinical practice reasonable success. More evidence needed compare efficacy safety between catheter-based leak closure.
Background: There is a lack of studies where the outcomes mitral paravalvular leak treatment were compared between surgery and catheter-based closure. The aim this study was to compare re-do with transapical Methods: This retrospective observational at single institution; 76 patients included. According treatment, two groups formed: “Surgical” group (49 after surgery) “Catheter” (27 catheter–based treatment). Results: In-hospital myocardial infarction occurred in 9 (18%) cases none group, p...
Background: Bacteria-caused acute pericarditis is a very rare entity. It usually associated with an underlying infection or compromised immune system. Primary purulent in previously healthy individual highly unexpected; therefore, it likely to have delayed diagnosis and poor outcomes. Case: We report case of adult immunocompetent patient primary bacterial caused by member the commensal oral flora Streptococcus constellatus. The presented septic shock cardiac tamponade, was further...
Accurate sizing of the tricuspid valve annulus is essential for determining optimal timing (TV) intervention. Two-dimensional (2D) echocardiography has limitations comprehensive TV analysis. Three-dimensional (3D) imaging provides a better understanding its spatial anatomy and enables more accurate measurements structures.The study aimed to analyze (TA) parameters in normal heart different grades functional regurgitation (TR); compare TA obtained by 2D 3D echocardiography.One hundred...
The presence of a relative apical sparing (RAS) echocardiographic strain pattern raises suspicion underlying cardiac amyloidosis (CA). However, it is also increasingly observed in patients with aortic stenosis (AS). We aimed to evaluate the prevalence, dynamics, and clinical characteristics RAS severe AS who had been referred for surgical valve replacement (SAVR). A total 77 without CA were included mean age 70 (62-73) years, 58% female, area index 0.45 ± 0.1 cm2/m2, gradient 54.9 (45-70)...
Conventional mitral valve repair (CMVR) is well-established, safe and effective treatment for degenerative regurgitation (MR). Transapical off-pump implantation of artificial chordae (TA) has been introduced into practice gained interest among surgeons. However, there are no publications comparing the results between TA CMVR.To compare early postoperative outcomes CMVR with in patients MR.This was a retrospective cohort study. A total 169 who underwent 2011 2018 were included this analysis....