Wael I. Awad
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View article: The clinical and physiological profiles of kissing stents in endovascular reconstruction of aortoiliac occlusive disease
The clinical and physiological profiles of kissing stents in endovascular reconstruction of aortoiliac occlusive disease Open
Aortoiliac occlusive disease affecting the abdominal aorta and iliac arteries is conventionally treated with open surgical repair and is the mainstay of treatment. Endovascular techniques have become a less invasive alternative, especially…
View article: EuroSCORE II: Current limitations and physiological gaps in risk stratification
EuroSCORE II: Current limitations and physiological gaps in risk stratification Open
Risk stratification remains critical in cardiac surgery, enabling clinicians to predict adverse outcomes and guide perioperative management. The European System for Cardiac Operative Risk Evaluation (EuroSCORE) II, introduced in 2011, inco…
View article: 152 Left Ventricular Unloading to Facilitate Ventricular Remodelling in Heart Failure: A Narrative Review of Mechanical Circulatory Support
152 Left Ventricular Unloading to Facilitate Ventricular Remodelling in Heart Failure: A Narrative Review of Mechanical Circulatory Support Open
Heart failure represents a dynamic clinical challenge with the continuous rise of a multi-morbid and ageing population. Yet, the evolving nature of mechanical circulatory support offers a variety of means to manage candidates who might ben…
View article: Comparison of mortality trends in patients with rheumatic mitral valve disease and nonrheumatic mitral valve disease: A retrospective study in US from 1999 to 2020
Comparison of mortality trends in patients with rheumatic mitral valve disease and nonrheumatic mitral valve disease: A retrospective study in US from 1999 to 2020 Open
View article: Aortic Root Surgery with Hypothermic Circulatory Arrest in a Patient with Malignant Hyperthermia and Osteogenesis Imperfecta: A Bridge Too Far
Aortic Root Surgery with Hypothermic Circulatory Arrest in a Patient with Malignant Hyperthermia and Osteogenesis Imperfecta: A Bridge Too Far Open
Malignant hyperthermia (MH) is a rare and life-threatening disorder of skeletal muscle most often triggered by volatile anaesthetic gases and succinylcholine that can lead to a dramatic increase in body temperature with possible fatal outc…
View article: Impact of patient gender on surgical outcomes of infective endocarditis in adults: a systematic review and meta-analysis protocol
Impact of patient gender on surgical outcomes of infective endocarditis in adults: a systematic review and meta-analysis protocol Open
Introduction: Infective endocarditis is a rare but severe disease affecting 3–10 per 100 000 each year associated with a mortality of 25%. However, it is thought to affect females more severely than men, despite lower incidence. However, r…
View article: Left Ventricular Hypertrophy in Aortic Stenosis: Early Cell and Matrix Regression 2 Months Post-Aortic Valve Replacement
Left Ventricular Hypertrophy in Aortic Stenosis: Early Cell and Matrix Regression 2 Months Post-Aortic Valve Replacement Open
BACKGROUND: In aortic stenosis, the myocardium responds with left ventricular hypertrophy, which is characterized by increased left ventricular mass due to cellular hypertrophy and extracellular matrix expansion. Following aortic valve rep…
View article: Utilisation of the National Early Warning Score (NEWS) and Assessment of Patient Outcomes Following Cardiac Surgery
Utilisation of the National Early Warning Score (NEWS) and Assessment of Patient Outcomes Following Cardiac Surgery Open
Objectives: The national early warning score (NEWS) was introduced to improve the detection of, and standardise the assessment of, the severity of acute illness in the National Health Service (NHS). We assessed whether the recommended thre…
View article: Left ventricular unloading to facilitate ventricular remodelling in heart failure: A narrative review of mechanical circulatory support
Left ventricular unloading to facilitate ventricular remodelling in heart failure: A narrative review of mechanical circulatory support Open
Heart failure represents a dynamic clinical challenge with the continuous rise of a multi‐morbid and ageing population. Yet, the evolving nature of mechanical circulatory support offers a variety of means to manage candidates who might ben…
View article: Survival and predictors of outcome in moderate mixed aortic valve disease
Survival and predictors of outcome in moderate mixed aortic valve disease Open
Background Coexisting moderate aortic stenosis and regurgitation (MAVD) is common. The haemodynamic effect of MAVD is poorly understood with sparse data to guide risk stratification. Purpose This study aims to compare all-cause mortality i…
View article: Scenarios for Impact of information technology on the planning and architectural rates of educational services after the Corona pandemic
Scenarios for Impact of information technology on the planning and architectural rates of educational services after the Corona pandemic Open
The cancellation of most schools and educational institutions due to the Corona virus had an impact on the development of planning theories, rates and standards of educational services, and the research devises a number of future perceptio…
View article: Myths and methodologies: Cardiopulmonary exercise testing for surgical risk stratification in patients with an abdominal aortic aneurysm; balancing risk over benefit
Myths and methodologies: Cardiopulmonary exercise testing for surgical risk stratification in patients with an abdominal aortic aneurysm; balancing risk over benefit Open
The extent to which patients with an abdominal aortic aneurysm (AAA) should exercise remains unclear, given theoretical concerns over the perceived risk of blood pressure‐induced rupture, which is often catastrophic. This is especially per…
View article: Cardiothoracic Surgery Leadership and Learning Are Indispensable To Each Other
Cardiothoracic Surgery Leadership and Learning Are Indispensable To Each Other Open
Cardiothoracic surgery is facing a multitude of challenges in leadership and training on the global scale, these being a complex and aging patient population, shortage of cardiac surgeons, diminishing student interest and trainee enthusias…
View article: Risk Prediction Models for Management of Patients following Acute Aortic Dissection
Risk Prediction Models for Management of Patients following Acute Aortic Dissection Open
Risk prediction of adverse outcomes post aortic dissection is dependet not only on the postdissection-associated clinical factors but on the very foundation of the risk factors that lead up to the dissection itself. There are various such …
View article: Concomitant Atrial Fibrillation Procedures During Cardiac Surgery in a UK Center: Reflection of Worldwide Practice?
Concomitant Atrial Fibrillation Procedures During Cardiac Surgery in a UK Center: Reflection of Worldwide Practice? Open
Background Guidelines recommend concomitant atrial fibrillation (AF) ablation during cardiac surgery to restore normal sinus rhythm (NSR). The study determines, to what extent patients with AF undergoing cardiac surgery at our institution …
View article: Severe hyponatraemia in a patient with a large left atrial myxoma: a case report
Severe hyponatraemia in a patient with a large left atrial myxoma: a case report Open
Background Atrial myxomas (AMs) are the most commonly encountered cardiac tumours. They can be genetically inherited and are commonly found in the left atrium. They usually present with dyspnoea, syncopal episodes, heart failure from mitra…
View article: Outcomes of trans-catheter versus surgical aortic valve replacement for patients with classic low-flow low-gradient aortic stenosis
Outcomes of trans-catheter versus surgical aortic valve replacement for patients with classic low-flow low-gradient aortic stenosis Open
Background Classical low-flow low-gradient aortic stenosis (cLFLG-AS) is frequently encountered within clinical practice [1], and is often associated with high mortality [2]. Whilst aortic valve replacement can improve outcomes, there is a…
View article: The management of severe aortic stenosis during the COVID-19 pandemic: an observational study comparing TAVI and SAVR
The management of severe aortic stenosis during the COVID-19 pandemic: an observational study comparing TAVI and SAVR Open
Introduction Outcomes and characteristics of patients with severe aortic stenosis (AS) treated during the COVID-19 pandemic is unknown. Methods This was a single-centre observational study of patients undergoing AS treatment with transcath…
View article: Comparison of cardiothoracic surgical training before and during the COVID-19 pandemic in the United Kingdom
Comparison of cardiothoracic surgical training before and during the COVID-19 pandemic in the United Kingdom Open
COVID-19 has had a significant impact on surgical training, with concerns that these effects could have further implications downstream. Simulation training has been underused thus far, and trainees face an uphill challenge to enhance thei…
View article: 841 The psychological impact of Foundation Interim Year 1 Placements on Final Year UK Medical Students Transitioning to Foundation Year One During the COVID Era
841 The psychological impact of Foundation Interim Year 1 Placements on Final Year UK Medical Students Transitioning to Foundation Year One During the COVID Era Open
Introduction During the COVID pandemic, the 2019-2020 cohort of final year students were invited to participate in Foundation interim Year 1 placements (FiY1). FiY1 aimed to ease transition to Foundation Year 1 doctor (FY1). We assessed th…
View article: NHS staff mental health status in the active phase of the COVID-19 era: a staff survey in a large London hospital
NHS staff mental health status in the active phase of the COVID-19 era: a staff survey in a large London hospital Open
Background Experiencing a pandemic can be very unsettling and may have a negative impact on the mental health of frontline healthcare workers (HCWs). This may have serious consequences for the overall well-being of HCWs, which in turn may …
View article: Management of aortic stenosis: a systematic review of clinical practice guidelines and recommendations
Management of aortic stenosis: a systematic review of clinical practice guidelines and recommendations Open
Multiple guidelines exist for the management of aortic stenosis (AS). We systematically reviewed current guidelines and recommendations, developed by national or international medical organizations, on management of AS to aid clinical deci…
View article: Mechanical circulatory support—Challenges, strategies, and preparations
Mechanical circulatory support—Challenges, strategies, and preparations Open
HF incidence, prevalence, and undertreatment will grow as a result of new COVID-19-related heart disease. ECMO should be reserved for highly selected cases of COVID-19 with a reasonable probability of recovery. Special considerations are n…
View article: Same-day cardiac surgery cancellations at a large UK centre and patient satisfaction survey
Same-day cardiac surgery cancellations at a large UK centre and patient satisfaction survey Open
Background: Same-day cancellation of cardiac surgeries is a disheartening experience for patients. The primary aims of this study were to determine the frequency and reasons for same-day cancellations, and associated patients’ outcomes. Th…
View article: Mechanical Circulatory Support - Challenges, Strategies and Preparations
Mechanical Circulatory Support - Challenges, Strategies and Preparations Open
Background COVID‐19 is usually mild, but patients can present with pneumonia, acute respiratory distress syndrome (ARDS) and circulatory shock. Although the symptoms of the disease are predominantly respiratory, involvement of the cardiova…
View article: Severe Aortic stenosis: Is urgent transcatheter aortic valve replacement better than Balloon aortic valvuloplasty better than?
Severe Aortic stenosis: Is urgent transcatheter aortic valve replacement better than Balloon aortic valvuloplasty better than? Open
Severe Aortic stenosis: Is urgent transcatheter aortic valve replacement better than Balloon aortic valvuloplasty better than?Wael Awad FRCS(C/Th)1, Mohammed Idhrees MS, MCh, FAIS2, Mohamad Bashir MD, PhD, MRCS 31. Department of Cardiothor…
View article: Cardiothoracic surgery in the midst of a pandemic: Operative outcomes and maintaining a coronavirus disease 2019 (COVID-19)–free environment
Cardiothoracic surgery in the midst of a pandemic: Operative outcomes and maintaining a coronavirus disease 2019 (COVID-19)–free environment Open
View article: Aortic valve replacement with sutureless Perceval S valve: A case report of aortic root homograft failure in the setting of <i>Streptococcus constellatus</i> endocarditis
Aortic valve replacement with sutureless Perceval S valve: A case report of aortic root homograft failure in the setting of <i>Streptococcus constellatus</i> endocarditis Open
We consider heavily calcified failed homografts to be a good indication for sutureless (rapid deployment) valves.
View article: Coronary artery bypass grafting surgery versus percutaneous coronary intervention: What is the clinical decision framework amid COVID‐19 era?
Coronary artery bypass grafting surgery versus percutaneous coronary intervention: What is the clinical decision framework amid COVID‐19 era? Open
Journal of Cardiac SurgeryVolume 35, Issue 10 p. 2464-2466 EDITORIAL Coronary artery bypass grafting surgery versus percutaneous coronary intervention: What is the clinical decision framework amid COVID-19 era? Wael I. Awad FRCS(C/Th), Cor…
View article: Same-day Cardiac Surgery Cancellations at a Large UK Centre and Patient Satisfaction Survey - Quality Improvement Study
Same-day Cardiac Surgery Cancellations at a Large UK Centre and Patient Satisfaction Survey - Quality Improvement Study Open
Background Same-day cancellation of cardiac surgeries is a disheartening experience for patients.The primary aims of this study were to determine the frequency and reasons for same-day cancellations, and associated patients' outcomes.The s…