Bartosz Rylski
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View article: Minimally Invasive Off-Pump Coronary Artery Bypass as Palliative Revascularization in High-Risk Patients
Minimally Invasive Off-Pump Coronary Artery Bypass as Palliative Revascularization in High-Risk Patients Open
Background: In high-risk and frail patients with multivessel coronary artery disease (MV CAD), guidelines indicated complete revascularization with or without the use of cardiopulmonary bypass (CPB) bears a high morbidity and mortality ris…
View article: Attention to early stages: predicting acute kidney injury in a post cardiosurgical ICU setting using an inclusive time-to-event model
Attention to early stages: predicting acute kidney injury in a post cardiosurgical ICU setting using an inclusive time-to-event model Open
We demonstrated the importance of early-stage AKI predictions and presented a novel approach to achieve this. Under similar assumptions, our results showed improvement and approached outcomes comparable to the literature. While practical v…
View article: Medium- and Long-Term Outcomes of 597 Patients Following Minimally Invasive Multi-Vessel Coronary Off-Pump Bypass Surgery
Medium- and Long-Term Outcomes of 597 Patients Following Minimally Invasive Multi-Vessel Coronary Off-Pump Bypass Surgery Open
Background: Minimally invasive multi-vessel off-pump coronary artery bypass grafting (MICS CABG) through left anterior mini-thoracotomy avoids both extracorporeal circulation and sternotomy and is a very elegant, safe, and effective surgic…
View article: Are current follow-up intervals justified in patients with non-emergent aortic surgeries?
Are current follow-up intervals justified in patients with non-emergent aortic surgeries? Open
OBJECTIVES Evidence for different surveillance protocols following aortic treatment is still lacking. The aim of this study was to analyse the clinical relevance of a first follow-up visit after 6 months. METHODS Between January 2018 and D…
View article: Clinical cases referring to the 2023 EACTS/STS Guidelines for diagnosing and treating acute and chronic syndromes of the aortic organ
Clinical cases referring to the 2023 EACTS/STS Guidelines for diagnosing and treating acute and chronic syndromes of the aortic organ Open
Summary Clinical cases referring to the EACTS/STS Guidelines for diagnosing and treating acute and chronic syndromes of the aortic organ aim to assist physicians in selecting the best management strategies for individual patients with a gi…
View article: Ascending Geometry After Thoracic Endovascular Aortic Repair for Descending Aortic Dissection
Ascending Geometry After Thoracic Endovascular Aortic Repair for Descending Aortic Dissection Open
Our data suggest no significant changes in the ascending aorta following TEVAR of the descending thoracic aorta during mid-term follow-up when under stringent blood pressure medication. Additionally, we did not find any modifiable risk fac…
View article: Endovascular aortic repair in patients with Marfan and Loeys–Dietz syndrome is safe and durable when employed by a multi-disciplinary aortic team
Endovascular aortic repair in patients with Marfan and Loeys–Dietz syndrome is safe and durable when employed by a multi-disciplinary aortic team Open
OBJECTIVES The aim of this study was to report on mid-term outcomes after endovascular aortic repair (EVAR) in patients with Marfan (MFS) or Loeys–Dietz (LDS) syndrome. METHODS We analysed data from 2 European centres of patients with MFS …
View article: Radiographic complicated and uncomplicated descending aortic dissections: aortic morphological differences by CT angiography and risk factor analysis
Radiographic complicated and uncomplicated descending aortic dissections: aortic morphological differences by CT angiography and risk factor analysis Open
Aims To identify radiographic differences between patients with uncomplicated and complicated descending aortic dissections. Methods and results Between April 2009 and July 2021, 209 patients with acute descending aortic dissections were a…
View article: EACTS/STS Guidelines for diagnosing and treating acute and chronic syndromes of the aortic organ
EACTS/STS Guidelines for diagnosing and treating acute and chronic syndromes of the aortic organ Open
A clinical guideline aims to apply to all patients with a specific condition.However, there will inevitably be situations where its recommendations aren't suitable for a particular patient.While healthcare professionals and others are enco…
View article: Treatment of right-sided aortic arch aneurysms with aberrant left subclavian artery with Kommerell’s diverticulum using the frozen elephant trunk technique
Treatment of right-sided aortic arch aneurysms with aberrant left subclavian artery with Kommerell’s diverticulum using the frozen elephant trunk technique Open
OBJECTIVES The ideal treatment for aneuryms of aberrant left subclavian arteries with Kommerell's diverticulum arising from right aortic arches remains open. METHODS Between January 2015 and December 2020, 5 patients with aneurysms from a …
View article: Retrospective investigation of >400 patients undergoing thoracic endovascular aortic repair with or without cerebrospinal fluid drainage
Retrospective investigation of >400 patients undergoing thoracic endovascular aortic repair with or without cerebrospinal fluid drainage Open
OBJECTIVES The aim of this study was to analyse the risks and benefits of cerebrospinal fluid drainage (CSFD) placement in patients undergoing thoracic endovascular aortic repair. METHODS Between 2009 and 2020, 411 patients underwent thora…
View article: Perioperative Mass Transfusion Affects In-Hospital but Not Follow-Up Survival in Patients with Acute Type A Aortic Dissection
Perioperative Mass Transfusion Affects In-Hospital but Not Follow-Up Survival in Patients with Acute Type A Aortic Dissection Open
Background and Objectives: The aim of this study was to analyze the influence of mass transfusion on the postoperative outcome and survival in patients presenting with acute Type A aortic dissection. Materials and Methods: Between 2002 and…
View article: Comparative Study of Male and Female Patients Undergoing Frozen Elephant Trunk Total Arch Replacement
Comparative Study of Male and Female Patients Undergoing Frozen Elephant Trunk Total Arch Replacement Open
Background: Our aim was to investigate outcomes and long-term survival in male and female patients after frozen elephant trunk (FET) total arch replacement. Methods: Between March 2013 and January 2023, 362 patients underwent aortic arch r…
View article: Branched endovascular iliac artery repair using the Zenith® Branch Endovascular Iliac Bifurcation graft: outcomes and reinterventions in our retrospective cohort
Branched endovascular iliac artery repair using the Zenith® Branch Endovascular Iliac Bifurcation graft: outcomes and reinterventions in our retrospective cohort Open
Endovascular repair of degenerative iliac artery aneurysms with Zenith Branch Iliac Bifurcation device is a feasible and safe option. Perioperative morbidity and mortality are low with good graft patency rates. The risk for secondary iliac…
View article: Training in Aortic Arch Surgery as a Blueprint for a Structured Educational Team Approach: A Review
Training in Aortic Arch Surgery as a Blueprint for a Structured Educational Team Approach: A Review Open
Background and objectives: The treatment of pathologies of the aortic arch is a complex field of cardiovascular surgery that has witnessed enormous progress recently. Such treatment is mainly performed in high-volume centres, and surgeons …
View article: The importance of stentgraft anchoring in the aortic annulus in endovascular treatment of acute aortic dissection type A
The importance of stentgraft anchoring in the aortic annulus in endovascular treatment of acute aortic dissection type A Open
Journal Article The importance of stentgraft anchoring in the aortic annulus in endovascular treatment of acute aortic dissection type A Get access Bartosz Rylski, Bartosz Rylski Department of Cardiovascular Surgery, Faculty of Medicine, U…
View article: Thoracic aortic emergencies involving the aortic arch: An integrated cardiovascular surgical treatment approach
Thoracic aortic emergencies involving the aortic arch: An integrated cardiovascular surgical treatment approach Open
Thoracic aortic emergencies involving the aortic arch are potentially fatal conditions that require the entire surgical repertoire of conventional surgery, such as complete aortic arch replacement using the frozen-elephant-trunk technique,…
View article: Concomitant aortic root replacement during frozen elephant trunk implantation does not increase perioperative risk
Concomitant aortic root replacement during frozen elephant trunk implantation does not increase perioperative risk Open
OBJECTIVES Our aim was to evaluate the risk of concomitant aortic root replacement during frozen elephant trunk (FET) total arch replacement. METHODS Between March 2013 and February 2021, 303 patients underwent aortic arch replacement usin…
View article: Routine versus selective near-infrared spectroscopy-guided shunting during carotid eversion endarterectomy
Routine versus selective near-infrared spectroscopy-guided shunting during carotid eversion endarterectomy Open
OBJECTIVES The aim of this study was to compare outcomes of routine shunting to near-infrared spectroscopy (NIRS)-guided shunting in patients undergoing eversion endarterectomy (EEA) under general anaesthesia. METHODS We retrospectively ev…
View article: Subsequent cardiac surgery after transcatheter aortic valve implantation: Indications and outcomes
Subsequent cardiac surgery after transcatheter aortic valve implantation: Indications and outcomes Open
Subsequent open-cardiac surgery after TAVI is rare, but may urgently become necessary due to TAVI related complications or progressing other cardiac pathologies. Despite a substantial early attrition rate clinical outcome is acceptable and…
View article: Similarities, differences and unmet needs regarding prosthetic materials in aortic arch replacement using the frozen elephant trunk technique: a review
Similarities, differences and unmet needs regarding prosthetic materials in aortic arch replacement using the frozen elephant trunk technique: a review Open
The constant improvement of operative techniques offers the possibility of treating an increasing number of patients with complex acute and chronic thoracic aortic pathologies involving the aortic arch. Reliable and durable prosthetic mate…
View article: Frozen Elephant Trunk Procedure and Risk for Distal Stent-Graft-Induced New Entries
Frozen Elephant Trunk Procedure and Risk for Distal Stent-Graft-Induced New Entries Open
The frozen elephant trunk (FET) procedure is known as an effective treatment option for patients with any aortic pathology involving the aortic arch. However, there is growing evidence that many patients often require secondary intended, e…
View article: Type 1 Endoleak: Management following Thoracic Endovascular Aortic Repair
Type 1 Endoleak: Management following Thoracic Endovascular Aortic Repair Open
The best treatment option for type IA endoleak after thoracic endovascular aortic repair (TEVAR) is its avoidance by understanding the underlying disease process, having/creating adequate landing zones, as well as respecting anatomy in com…
View article: Postoperative In-Stent Thrombus Formation Following Frozen Elephant Trunk Total Arch Repair
Postoperative In-Stent Thrombus Formation Following Frozen Elephant Trunk Total Arch Repair Open
Objectives Our aim was to investigate the occurrence and clinical consequence of postoperative in-stent thrombus formation following the frozen elephant trunk (FET) procedure. Methods Postoperative computed tomography angiography (CTA) sca…
View article: Distal Aortic Failure Following the Frozen Elephant Trunk Procedure for Aortic Dissection
Distal Aortic Failure Following the Frozen Elephant Trunk Procedure for Aortic Dissection Open
Background Aim of this study was to report and to identify risk factors for distal aortic failure following aortic arch replacement via the frozen elephant trunk (FET) procedure. Methods One hundred eighty-six consecutive patients underwen…
View article: Thoracic endovascular aortic repair: Current evidence and challenges
Thoracic endovascular aortic repair: Current evidence and challenges Open
In 1987 Nikolay Volodos performed the world's first endovascular treatment of aortic aneurysms. Endovascular technology has progressed significantly since then. There are now many thoracic endovascular aortic repair (TEVAR) systems commerc…
View article: Downstream thoracic endovascular aortic repair following the frozen elephant trunk procedure
Downstream thoracic endovascular aortic repair following the frozen elephant trunk procedure Open
The frozen elephant trunk technique has become a well-established treatment option for patients presenting all thoracic aortic pathologies including acute and chronic dissection, aortic aneurysms and even penetrating aortic ulcers involvin…
View article: False lumen/true lumen wall pressure ratio is increased in acute non-A non-B aortic dissection
False lumen/true lumen wall pressure ratio is increased in acute non-A non-B aortic dissection Open
OBJECTIVES We aimed to determine whether non-A non-B aortic dissection (AD) differs in morphologic and haemodynamic properties from type B AD. METHODS We simulated and compared haemodynamics of patients with acute type B or acute non-A non…
View article: Treatment of the aortic root in acute aortic dissection type A: insights from the German Registry for Acute Aortic Dissection Type A
Treatment of the aortic root in acute aortic dissection type A: insights from the German Registry for Acute Aortic Dissection Type A Open
OBJECTIVES Surgery of the aortic root in acute aortic dissection type A (AADA) remains a topic of vague evidence since the extend of dissection and surgeons’ capability and interpretation of the disease vary remarkably. We aimed to interpr…