Alessandro Barbone
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View article: Left main percutaneous or surgical revascularisation and subsequent risk of transient and persistent renal dysfunction
Left main percutaneous or surgical revascularisation and subsequent risk of transient and persistent renal dysfunction Open
Background Acute kidney injury (AKI) often complicates percutaneous coronary intervention (PCI) and coronary artery bypass graft (CABG). However, evidence on the incidence and prognostic impact of AKI after revascularisation for left main …
View article: The Hidden Dangers of Additional Shunts in Patent Foramen Ovale Treatment
The Hidden Dangers of Additional Shunts in Patent Foramen Ovale Treatment Open
This case highlights the rare coexistence of PFO, UCS, and dual PAPVC, emphasizing the need for comprehensive diagnostic evaluation and tailored surgical intervention for complex congenital defects.
View article: Case Report: Primary adrenal insufficiency due to bilateral adrenal infarction and antiphospholipid syndrome in Covid19 - A complicate case of cardiogenic shock
Case Report: Primary adrenal insufficiency due to bilateral adrenal infarction and antiphospholipid syndrome in Covid19 - A complicate case of cardiogenic shock Open
We report a clinical case of multifactorial shock and primary adrenal insufficiency (PAI), caused by bilateral adrenal hemorrhage in the context of catastrophic antiphospholipid syndrome (CAPS) triggered by a COVID-19 infection. A 54-year-…
View article: Survival and Durability of Minimally Invasive Mitral Valve Repair: Insights from Different Repair Techniques
Survival and Durability of Minimally Invasive Mitral Valve Repair: Insights from Different Repair Techniques Open
This study evaluates the long-term outcomes of minimally invasive mitral valve repair (MIMVR) in patients with degenerative mitral regurgitation, focusing on survival, mitral valve repair failure, and re-operation rates. A cohort of patien…
View article: Unexpected Infective Endocarditis: Towards a New Alert for Clinicians
Unexpected Infective Endocarditis: Towards a New Alert for Clinicians Open
Despite the clear indications and worldwide application of specific guidelines, the recognition of Infective Endocarditis (IE) may be challenging in day-to-day clinical practice. Significant changes in the epidemiological and clinical prof…
View article: Post‐cardiotomy extracorporeal life support: A cohort of cannulation in the general ward
Post‐cardiotomy extracorporeal life support: A cohort of cannulation in the general ward Open
Objectives 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 c…
View article: Neurologic Complications in Patients Receiving Aortic vs Subclavian vs Femoral Arterial Cannulation for Post-cardiotomy Extracorporeal Life Support: Results of the PELS Observational Multicenter Study
Neurologic Complications in Patients Receiving Aortic vs Subclavian vs Femoral Arterial Cannulation for Post-cardiotomy Extracorporeal Life Support: Results of the PELS Observational Multicenter Study Open
Background: Cerebral perfusion may change depending on arterial cannulation site and may affect the incidence of neurologic adverse events in post-cardiotomy extracorporeal life support (ECLS). The current study compares patients' neurolog…
View article: Characteristics and Outcomes of Prolonged Venoarterial Extracorporeal Membrane Oxygenation After Cardiac Surgery: The Post-Cardiotomy Extracorporeal Life Support (PELS-1) Cohort Study
Characteristics and Outcomes of Prolonged Venoarterial Extracorporeal Membrane Oxygenation After Cardiac Surgery: The Post-Cardiotomy Extracorporeal Life Support (PELS-1) Cohort Study Open
OBJECTIVES: Most post-cardiotomy (PC) extracorporeal membrane oxygenation (ECMO) runs last less than 7 days. Studies on the outcomes of longer runs have provided conflicting results. This study investigates patient characteristics and shor…
View article: Impella versus VA-ECMO for the treatment of patients with cardiogenic shock: the Impella Network Project – observational study protocol for cost-effectiveness and budget impact analyses
Impella versus VA-ECMO for the treatment of patients with cardiogenic shock: the Impella Network Project – observational study protocol for cost-effectiveness and budget impact analyses Open
Introduction The treatment of patients with cardiogenic shock (CS) encompasses several health technologies including Impella pumps and venoarterial extracorporeal membrane oxygenation (VA-ECMO). However, while they are widely used in clini…
View article: Surgical Challenges in Infective Endocarditis: State of the Art
Surgical Challenges in Infective Endocarditis: State of the Art Open
Infective endocarditis (IE) is still a life-threatening disease with frequent lethal outcomes despite the profound changes in its clinical, microbiological, imaging, and therapeutic profiles. Nowadays, the scenario for IE has changed since…
View article: Patient and Management Variables Associated With Survival After Postcardiotomy Extracorporeal Membrane Oxygenation in Adults: The PELS‐1 Multicenter Cohort Study
Patient and Management Variables Associated With Survival After Postcardiotomy Extracorporeal Membrane Oxygenation in Adults: The PELS‐1 Multicenter Cohort Study Open
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 descri…
View article: Heterogeneity in clinical practices for post‐cardiotomy extracorporeal life support: A pilot survey from the <scp>PELS</scp>‐1 multicenter study
Heterogeneity in clinical practices for post‐cardiotomy extracorporeal life support: A pilot survey from the <span>PELS</span>‐1 multicenter study Open
Background High‐quality evidence for post‐cardiotomy extracorporeal life support (PC‐ECLS) management is lacking. This study investigated real‐world PC‐ECLS clinical practices. Methods This cross‐sectional, multi‐institutional, internation…
View article: 28 CONSTRICTIVE PERICARDITIS: A ROOM FOR MULTI-MODALITY IMAGING
28 CONSTRICTIVE PERICARDITIS: A ROOM FOR MULTI-MODALITY IMAGING Open
Introduction The diagnosis of constrictive pericarditis can be challenging through conventional imaging. Novel imaging techniques have been proposed to improve it. Clinical Case A 74-year-old man with a previous diagnosis of heart failure …
View article: 759 LEFT MAIN PERCUTANEOUS OR SURGICAL REVASCULARIZATION AND SUBSEQUENT RISK OF ACUTE KIDNEY INJURY: INSIGHTS FROM THE LUCKY REGISTRY
759 LEFT MAIN PERCUTANEOUS OR SURGICAL REVASCULARIZATION AND SUBSEQUENT RISK OF ACUTE KIDNEY INJURY: INSIGHTS FROM THE LUCKY REGISTRY Open
Background Recent evidence has rendered percutaneous coronary intervention (PCI) a valuable alternative to coronary artery bypass grafting (CABG) in patients with left main coronary artery disease (LMCAD). Nevertheless, the optimal managem…
View article: Prognostic value of SARS‐CoV‐2 on patients undergoing cardiac surgery
Prognostic value of SARS‐CoV‐2 on patients undergoing cardiac surgery Open
As expected, SARS-CoV-2 infection, either before or soon after cardiac surgery significantly increases in-hospital mortality. Moreover, among COVID-19-positive patients, older age and poor oxygenation upon admission seem to be associated w…
View article: Impella 5.0 support before, during, and after surgical ventriculoplasty following acute myocardial infarction in the COVID-19 era: a case report
Impella 5.0 support before, during, and after surgical ventriculoplasty following acute myocardial infarction in the COVID-19 era: a case report Open
Background Left ventricular (LV) aneurysms complicate anterior myocardial infarctions (MIs) in 8–15% of cases. In case of associated LV dysfunction, rapidly evolving heart failure may follow, and urgent surgery becomes life-saving. Case su…
View article: Minimally Invasive Valve Repair in Bi-Leaflets Prolapse Mitral Regurgitation (Barlow’s Disease)
Minimally Invasive Valve Repair in Bi-Leaflets Prolapse Mitral Regurgitation (Barlow’s Disease) Open
Background and Aim of the Study: Barlow’s disease is characterized by excess myxomatous degenerative tissue, leaflets prolapse and/or billowing, chordal-elongation, and annular-dilation. We reviewed our experience in Minimally Invasive Mit…
View article: A call to action becomes practice: cardiac and vascular surgery during the COVID-19 pandemic based on the Lombardy emergency guidelines
A call to action becomes practice: cardiac and vascular surgery during the COVID-19 pandemic based on the Lombardy emergency guidelines Open
OBJECTIVES During the Severe Acute Respiratory Syndrome-Coronavirus-2 (SARS-CoV-2) pandemic, Northern Italy had to completely reorganize its hospital activity. In Lombardy, the hub-and-spoke system was introduced to guarantee emergency and…