Robert Pruna‐Guillen
A5083552412- Aortic Disease and Treatment Approaches
- Aortic aneurysm repair treatments
- Cardiac Valve Diseases and Treatments
- Cardiac, Anesthesia and Surgical Outcomes
- Cardiac Structural Anomalies and Repair
- Infectious Aortic and Vascular Conditions
- Mechanical Circulatory Support Devices
- Congenital Heart Disease Studies
- Infective Endocarditis Diagnosis and Management
- Cardiomyopathy and Myosin Studies
- Cardiac Arrest and Resuscitation
- Reconstructive Surgery and Microvascular Techniques
- Moyamoya disease diagnosis and treatment
- Intensive Care Unit Cognitive Disorders
- Sepsis Diagnosis and Treatment
- Transplantation: Methods and Outcomes
- Heparin-Induced Thrombocytopenia and Thrombosis
- Respiratory Support and Mechanisms
- Cardiac tumors and thrombi
- Foreign Body Medical Cases
- Platelet Disorders and Treatments
- Vascular anomalies and interventions
- Trauma Management and Diagnosis
- Neurofibromatosis and Schwannoma Cases
- Metal and Thin Film Mechanics
Hospital Clínic de Barcelona
2021-2025
Universitat de Barcelona
2021-2025
St Bartholomew's Hospital
2024-2025
Barts Health NHS Trust
2025
The aim of this study was to evaluate the outcomes different surgical strategies for acute Stanford type A aortic dissection (TAAD).
Abstract Background Acute Stanford type A aortic dissection is a severe emergency condition that, if left untreated, associated with high mortality rate. The extent of surgical repair may impact the outcomes these patients. Method Patients operated for acute from multicentre European registry were included. categorized based on following types intervention: isolated ascending replacement, replacement concomitant valve root partial or total arch and replacement. primary outcome was rate, both...
Background Data on the prognostic impact of type A aortic dissection involving common carotid arteries (CCAs) are scarce. Methods status CCAs were available in 1106 patients who underwent surgery for acute DeBakey 1 recruited a retrospective, multicentre European registry, that is, ERTAAD. Postoperative neurological complications defined as ischaemic stroke, haemorrhagic stroke and/or global brain ischaemia. Results Patients without artery dissection, those with unilateral or bilateral CCA...
Abstract The management of thoraco-abdominal aortic aneurysms (TAAA) remains challenging particularly in patients considered unsuitable for conventional endovascular due to unfavourable anatomy or unfit traditional open surgical approaches comorbidities. In response these limitations, a novel hybrid prosthesis has emerged as an alternative designed reduce invasiveness, avoid cross-clamping and extracorporeal circulation. Thoracoflo® (Terumo Aortic, Glasgow, UK), been developed bridge the gap...
A 68-year-old man was diagnosed with a very large right atrium mass that gave him symptoms of constitutional and right-sided heart failure. Echocardiography magnetic resonance imaging showed tricuspid occlusion by the tumoural during diastole suggested an implant base near inferior vena cava–right junction. video-assisted thoracoscopic port-access approach used to remove it surgically. Bicaval jugular femoral cannulation for cardiopulmonary bypass implemented. Antegrade del Nido cardioplegia...
To evaluate the impact of individual institutions on outcome after surgery for Stanford type A aortic dissection (TAAD).This is an observational, multicenter, retrospective cohort study including 3902 patients who underwent TAAD at 18 university and non-university hospitals.Logistic regression showed that four hospitals had increased risk in-hospital mortality, while two were associated with decreased mortality. Risk-adjusted mortality rates lower in higher other compared to overall rate...
Background Surgery for type A aortic dissection (TAAD) is associated with high risk of mortality. Current scoring methods have a limited predictive accuracy. Methods Subjects were patients who underwent surgery acute TAAD at 18 European centers cardiac from the Registry Type Aortic Dissection (ERTAAD). Results Out 3,902 included in ERTAAD, 2,477 fulfilled inclusion criteria. In validation dataset (2,229 patients), rate in-hospital mortality was 18.4%. The composite outcome (in-hospital...
Extended aortic repair is considered a key issue for the long-term durability of surgery DeBakey type 1 dissection. The risk degeneration may be higher in young patients due to their long life expectancy. early outcome and these were investigated present study.
The outcomes after prolonged treatment in the intensive care unit (ICU) surgery for Stanford type A aortic dissection (TAAD) have not been previously investigated.
The current study aims to report the presentation of malperfusion syndrome in patients with acute type A aortic dissection admitted surgery and its impact on mortality. Data were retrieved from multicenter European Registry Type Aortic Dissection. Penn classification was used categorize syndromes. machine-learning algorithm applied assess multivariate interaction's importance regarding in-hospital total 3902 consecutive underwent repair for dissection. Local occurred 1584 (40.59%) patients....
Introduction and objectives: Septal myectomy remains the first septal reduction therapy for hypertrophic obstructive cardiomyopathy in young patients those requiring concomitant procedures. Its role advanced ages is questioned due to perceived increased risk. We assess outcomes of surgical relief obstruction beyond 65 years old. Methods: A single-center retrospective review ≥ old undergoing through median sternotomy between April 2015 February 2020. Results: identified 52 patients. Mean age...
(1) Background: Acute Stanford type A aortic dissection (TAAD) may complicate the outcome of cardiovascular procedures. Data on after surgery for iatrogenic acute TAAD is scarce. (2) Methods: The European Registry Type Aortic Dissection (ERTAAD) a multicenter, retrospective study including patients who underwent at 18 hospitals from eight countries. primary outcomes were in-hospital mortality and 5-year mortality. Twenty-seven secondary evaluated. (3) Results: Out 3902 consecutive TAAD, 103...
BackgroundAcute type A aortic dissection (TAAD) is associated with significant mortality and morbidity. In this study we evaluated the prognostic significance of preoperative arterial lactate concentration on outcome after surgery for TAAD.MethodsThe ERTAAD registry included consecutive patients who underwent acute at 18 European centers cardiac surgery.ResultsData immediately before were available in 2798 (71.7 %) patients. Preoperative was an independent predictor in-hospital (mean, 3.5 ±...
Gender difference in the outcome after type A aortic dissection (TAAD) surgery remains an issue of ongoing debate. In this study, we aimed to evaluate impact gender on short- and long-term for TAAD.
On some occasions, postoperative mediastinal bleeding or right ventricular failure forces surgical teams to pursue a strategy of open-chest management and delayed sternal closure. One notable source is the sternum, either due medullar bone margin oozing, which may be difficult control. Furthermore, in cases with dilatation needing an strategy, margins might erode injure anterior wall. We propose simple but effective protection technique during further chest Using leftover tubing from...
Background: Type A aortic dissection (TAAD) is a life-threatening condition which requires prompt diagnosis and surgical treatment. When TAAD involves the root, valve-sparing or Bentall procedures are main treatment options. Method: The subjects of this analysis were 3735 patients included in European Registry Aortic Dissection (ERTAAD). Propensity score matching was performed by estimating propensity from being treated with David procedure using multilevel mixed-effects logistics,...