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Minerva cardioangiologica最新文献

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Mapping decision making for bypass surgery in the era of interventional medicine: towards an integrative model of patient-centeredness. 介入医学时代搭桥手术的绘图决策:迈向以患者为中心的整合模式。
Minerva cardioangiologica Pub Date : 2020-10-01 Epub Date: 2020-07-10 DOI: 10.23736/S0026-4725.20.05228-7
Milan Milojevic, Petar Milacic, Ivana Petrovic, Milovan Bojic, Aleksandar Milojevic, Aleksandar Nikolic, Sigrid Sandner, Miguel Sousa-Uva
{"title":"Mapping decision making for bypass surgery in the era of interventional medicine: towards an integrative model of patient-centeredness.","authors":"Milan Milojevic,&nbsp;Petar Milacic,&nbsp;Ivana Petrovic,&nbsp;Milovan Bojic,&nbsp;Aleksandar Milojevic,&nbsp;Aleksandar Nikolic,&nbsp;Sigrid Sandner,&nbsp;Miguel Sousa-Uva","doi":"10.23736/S0026-4725.20.05228-7","DOIUrl":"https://doi.org/10.23736/S0026-4725.20.05228-7","url":null,"abstract":"<p><p>This article reviews the context and evidence of recent myocardial revascularization trials on PCI versus CABG with particular emphasis on patient selection and treatment of surgical patients. Moreover, one of our intended purposes is to identify the values underpinning the integrated care model, which incorporates decision to proceed with surgical myocardial revascularization in conjunction with established pillars of the use of optimal surgical techniques, and aggressive risk-factor modification through guideline-directed pharmacological therapies and lifestyle modifications.</p>","PeriodicalId":18565,"journal":{"name":"Minerva cardioangiologica","volume":"68 5","pages":"469-479"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38148048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Myocardial revascularization in chronic coronary syndromes: does viability matter? 慢性冠状动脉综合征的心肌血运重建术:生存能力重要吗?
Minerva cardioangiologica Pub Date : 2020-10-01 DOI: 10.23736/S0026-4725.20.05312-8
Alessandra Scatteia, Anna Baritussio, Chiara Bucciarelli-Ducci
{"title":"Myocardial revascularization in chronic coronary syndromes: does viability matter?","authors":"Alessandra Scatteia,&nbsp;Anna Baritussio,&nbsp;Chiara Bucciarelli-Ducci","doi":"10.23736/S0026-4725.20.05312-8","DOIUrl":"https://doi.org/10.23736/S0026-4725.20.05312-8","url":null,"abstract":"<p><p>Coronary artery disease (CAD) is the leading cause of death worldwide and improving the prognosis and survival of patients with ischemic heart disease remains a priority of cardiovascular specialists. This article will review the principles of myocardial viability, present the noninvasive imaging tests available to clinicians, as well as critically appraise the latest literature on myocardial viability, coronary revascularization and outcome with a final outlook at studies in the pipelines and future evidence in myocardial viability that will be soon available.</p>","PeriodicalId":18565,"journal":{"name":"Minerva cardioangiologica","volume":"68 5","pages":"386-392"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38573432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Artificial intelligence in cardiothoracic surgery. 人工智能在心胸外科的应用。
Minerva cardioangiologica Pub Date : 2020-10-01 Epub Date: 2020-09-29 DOI: 10.23736/S0026-4725.20.05235-4
Roger D Dias, Julie A Shah, Marco A Zenati
{"title":"Artificial intelligence in cardiothoracic surgery.","authors":"Roger D Dias, Julie A Shah, Marco A Zenati","doi":"10.23736/S0026-4725.20.05235-4","DOIUrl":"10.23736/S0026-4725.20.05235-4","url":null,"abstract":"<p><p>The tremendous and rapid technological advances that humans have achieved in the last decade have definitely impacted how surgical tasks are performed in the operating room (OR). As a high-tech work environment, the contemporary OR has incorporated novel computational systems into the clinical workflow, aiming to optimize processes and support the surgical team. Artificial intelligence (AI) is increasingly important for surgical decision making to help address diverse sources of information, such as patient risk factors, anatomy, disease natural history, patient values and cost, and assist surgeons and patients to make better predictions regarding the consequences of surgical decisions. In this review, we discuss the current initiatives that are using AI in cardiothoracic surgery and surgical care in general. We also address the future of AI and how high-tech ORs will leverage human-machine teaming to optimize performance and enhance patient safety.</p>","PeriodicalId":18565,"journal":{"name":"Minerva cardioangiologica","volume":"68 5","pages":"532-538"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7959017/pdf/nihms-1658490.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38431251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Thoracic aortic surgery: status and upcoming novelties. 胸主动脉手术:现状和即将到来的新事物。
Minerva cardioangiologica Pub Date : 2020-10-01 Epub Date: 2020-04-21 DOI: 10.23736/S0026-4725.20.05263-9
Cristiano Spadaccio, Haiou Hu, Chengnan Li, Zhiyu Qiao, Yipeng Ge, Zheng Tie, Junming Zhu, Marc R Moon, Mark Danton, Lizhong Sun, Mario F Gaudino
{"title":"Thoracic aortic surgery: status and upcoming novelties.","authors":"Cristiano Spadaccio,&nbsp;Haiou Hu,&nbsp;Chengnan Li,&nbsp;Zhiyu Qiao,&nbsp;Yipeng Ge,&nbsp;Zheng Tie,&nbsp;Junming Zhu,&nbsp;Marc R Moon,&nbsp;Mark Danton,&nbsp;Lizhong Sun,&nbsp;Mario F Gaudino","doi":"10.23736/S0026-4725.20.05263-9","DOIUrl":"https://doi.org/10.23736/S0026-4725.20.05263-9","url":null,"abstract":"<p><p>Several novel technological developments and surgical approaches have characterized the field of aortic surgery in the recent decade. The progressive introduction of endovascular procedures, minimally invasive surgical techniques and hybrid approaches have changed the practice in aortic surgery and generated new trends and questions. Also, the advancements in the manufacturing of tissue engineered vascular grafts as substitutes for aortic replacements are enlightening new avenues in the treatment of aortic disease. This review will provide an overview of the current novel perspectives, debates and trends in major thoracic aortic surgery.</p>","PeriodicalId":18565,"journal":{"name":"Minerva cardioangiologica","volume":"68 5","pages":"518-531"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37859988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Endothelial damage inhibitors for improvement of saphenous vein graft patency in coronary artery bypass grafting. 内皮损伤抑制剂改善冠状动脉旁路移植术中隐静脉通畅。
Minerva cardioangiologica Pub Date : 2020-10-01 Epub Date: 2020-04-23 DOI: 10.23736/S0026-4725.20.05234-2
Sigrid E Sandner, Catherine J Pachuk, Thomas Aschacher, Milan Milojevic, Etem Caliskan, Maximilian Y Emmert
{"title":"Endothelial damage inhibitors for improvement of saphenous vein graft patency in coronary artery bypass grafting.","authors":"Sigrid E Sandner,&nbsp;Catherine J Pachuk,&nbsp;Thomas Aschacher,&nbsp;Milan Milojevic,&nbsp;Etem Caliskan,&nbsp;Maximilian Y Emmert","doi":"10.23736/S0026-4725.20.05234-2","DOIUrl":"https://doi.org/10.23736/S0026-4725.20.05234-2","url":null,"abstract":"<p><p>The saphenous vein graft (SVG) remains the most commonly used conduit in coronary artery bypass grafting (CABG). In light of this further research must be aimed at the development of strategies to optimize SVG patency and thereby improve both short- and long-term outcomes of CABG surgery. SVG patency in large part depends on the protection of the structural and functional integrity of the vascular endothelium at the time of conduit harvesting, including optimal storage conditions to prevent endothelial damage. This review provides an overview of currently available storage and preservation solutions, including novel endothelial damage inhibitors, and their role in mitigating endothelial damage and vein graft failure.</p>","PeriodicalId":18565,"journal":{"name":"Minerva cardioangiologica","volume":"68 5","pages":"480-488"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37865339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Left ventricular global longitudinal strain and cardiac surgical outcomes. 左心室整体纵向应变与心脏手术结果。
Minerva cardioangiologica Pub Date : 2020-10-01 Epub Date: 2020-05-29 DOI: 10.23736/S0026-4725.20.05251-2
Lisa Q Rong, Peter J Neuburger, Jiwon Kim, Richard B Devereux
{"title":"Left ventricular global longitudinal strain and cardiac surgical outcomes.","authors":"Lisa Q Rong,&nbsp;Peter J Neuburger,&nbsp;Jiwon Kim,&nbsp;Richard B Devereux","doi":"10.23736/S0026-4725.20.05251-2","DOIUrl":"https://doi.org/10.23736/S0026-4725.20.05251-2","url":null,"abstract":"<p><p>Global longitudinal strain (GLS) has emerged as a valuable diagnostic and prognostic tool for evaluating left ventricular (LV) function. GLS has been shown to be a more sensitive marker of LV dysfunction than LV ejection fraction alone and have prognostic impact in non-surgical cardiac populations. GLS, is validated, reproducible, and easily obtained from 2-dimensional speckle-tracking echocardiography. While there is strong evidence for using GLS in clinical decision-making in non-surgical populations, there is less summarized evidence on using GLS in the cardiac surgical population. This review combines the evidence on the implications of using baseline transthoracic echocardiography (TTE) and transesophageal echocardiography (TEE) GLS in cardiac surgical populations including ischemic and structural heart disease to determine surgical outcomes. We found that results seem promising on the prognostic utility of LV strain in cardiac surgical populations. However due to the variability of study populations and outcomes, and modalities (TTE versus TEE), further research on normal versus abnormal values for different surgical populations, as well potential treatment options that may modify and potentially decrease surgical risk for those with abnormal GLS are needed.</p>","PeriodicalId":18565,"journal":{"name":"Minerva cardioangiologica","volume":"68 5","pages":"489-496"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37988972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Performing a PCI through a trifurcated aortic graft: a new challenging access route. 通过三瓣主动脉移植物行PCI:一种新的具有挑战性的通路。
Minerva cardioangiologica Pub Date : 2020-10-01 Epub Date: 2020-06-10 DOI: 10.23736/S0026-4725.20.05258-5
Gregorio Menzà, Fabrizio D'Ascenzo, Matteo Attisani, Michele La Torre, Fabio Verzini, Mauro Rinaldi, Gaetano M De Ferrari
{"title":"Performing a PCI through a trifurcated aortic graft: a new challenging access route.","authors":"Gregorio Menzà,&nbsp;Fabrizio D'Ascenzo,&nbsp;Matteo Attisani,&nbsp;Michele La Torre,&nbsp;Fabio Verzini,&nbsp;Mauro Rinaldi,&nbsp;Gaetano M De Ferrari","doi":"10.23736/S0026-4725.20.05258-5","DOIUrl":"https://doi.org/10.23736/S0026-4725.20.05258-5","url":null,"abstract":"","PeriodicalId":18565,"journal":{"name":"Minerva cardioangiologica","volume":"68 5","pages":"373-375"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38032971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Novelties in cardiac surgery: an introduction. 心脏外科的新进展:导论。
Minerva cardioangiologica Pub Date : 2020-10-01 Epub Date: 2020-05-29 DOI: 10.23736/S0026-4725.20.05324-4
N Bryce Robinson, Mario F Gaudino
{"title":"Novelties in cardiac surgery: an introduction.","authors":"N Bryce Robinson,&nbsp;Mario F Gaudino","doi":"10.23736/S0026-4725.20.05324-4","DOIUrl":"https://doi.org/10.23736/S0026-4725.20.05324-4","url":null,"abstract":"","PeriodicalId":18565,"journal":{"name":"Minerva cardioangiologica","volume":"68 5","pages":"451-452"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37988452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Disentangling the epigenetic landscape in cardiovascular patients: a path toward personalized medicine. 解开心血管患者的表观遗传景观:通往个性化医疗的道路。
Minerva cardioangiologica Pub Date : 2020-09-30 DOI: 10.23736/S0026-4725.20.05326-8
S. Ambrosini, S. Mohammed, S. Costantino, F. Paneni
{"title":"Disentangling the epigenetic landscape in cardiovascular patients: a path toward personalized medicine.","authors":"S. Ambrosini, S. Mohammed, S. Costantino, F. Paneni","doi":"10.23736/S0026-4725.20.05326-8","DOIUrl":"https://doi.org/10.23736/S0026-4725.20.05326-8","url":null,"abstract":"Despite significant advances in our understanding of cardiovascular disease (CVD) we are still far from having developed breakthrough strategies to combat coronary atherosclerosis and heart failure, which account for most of CV deaths worldwide. Available cardiovascular therapies have failed to show to be equally effective in all patients, suggesting that interindividual diversity is an important factor when it comes to conceive and deliver effective personalized treatments. Genome mapping has proved useful in identifying patients who could benefit more from specific drugs depending on genetic variances; however, our genetic make-up determines only a limited part of an individual's risk profile. Recent studies have demonstrated that epigenetic changes - defined as dynamic changes of DNA and histones which do not affect DNA sequence - are key players in the pathophysiology of cardiovascular disease and may participate to delineate cardiovascular risk trajectories over the lifetime. Epigenetic modifications include changes in DNA methylation, histone modifications and non-coding RNAs and these epigenetic signals have shown to cooperate in modulating chromatin accessibility to transcription factors and gene expression. Environmental factors such as air pollution, smoking, psychosocial context and unhealthy diet regimens have shown to significantly modify the epigenome thus leading to altered transcriptional programs and CVD phenotypes. Therefore, the integration of genetic and epigenetic information might be invaluable to build individual maps of cardiovascular risk and hence, could be employed for the design of customized diagnostic and therapeutic strategies. In the present review, we discuss the growing importance of epigenetic information and its putative implications in cardiovascular precision medicine.","PeriodicalId":18565,"journal":{"name":"Minerva cardioangiologica","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76686566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Provisional stenting or not provisional stenting: seven critical points for bifurcations treatment with a glimpse on LM bifurcation stenting. 临时支架术或不临时支架术:分枝治疗的七个关键点& LM分枝支架术的初步探讨。
Minerva cardioangiologica Pub Date : 2020-09-30 DOI: 10.23736/S0026-4725.20.05294-9
Riccardo Iorio, A. Cereda, Augustin Vecchia, E. Romagnoli, P. Cioffi, Gaetano Chiricolo, G. Sangiorgi
{"title":"Provisional stenting or not provisional stenting: seven critical points for bifurcations treatment with a glimpse on LM bifurcation stenting.","authors":"Riccardo Iorio, A. Cereda, Augustin Vecchia, E. Romagnoli, P. Cioffi, Gaetano Chiricolo, G. Sangiorgi","doi":"10.23736/S0026-4725.20.05294-9","DOIUrl":"https://doi.org/10.23736/S0026-4725.20.05294-9","url":null,"abstract":"Stenting of coronary bifurcation lesions represents a challenge for the interventional cardiologist. A bifurcation lesion could be treated with several techniques. Therefore, it is of paramount importance to decide the strategical approach at the beginning of the procedure evaluating the patient's bifurcation anatomy, the angle between main and side branch, plaque burden at the level of the carina, and size of the side branch. Although it is clear that all bifurcation's treatment techniques have each one their advantages and disadvantages, provisional stenting remains the gold-standard technique, because it leaves the possibility to switch to other technical solutions with optimal angiographic and long-term clinical results. In this mini-review, different tips and tricks for LM and bifurcation stenting are debated.","PeriodicalId":18565,"journal":{"name":"Minerva cardioangiologica","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73072056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
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