Velia Marta Antonini’s Post

🫀Thoracoabdominal normothermic regional perfusion using fully mobile, modified closed #ECMO circuit could be safe strategy to support combined thoracic/abdominal organs recovery also in peripheral centers without cardiac surgery program, contributing to the expansion of DCD programs, increasing availability/quality of grafts, improving recipients’ outcome. Open access #FOAMcc on ASAIO Journal 🔓 https://bit.ly/TANRPasaio

#Endotoxemia is frequent in critically ill patients, including patients undergoing cardiac surgery [1], or patients who are being resuscitated after cardiac arrest [2]. One of the reasons why, is that ischemia-reperfusion can cause endotoxin to leak from the gut into the bloodstream [3]. Endotoxin can lead to direct or indirect organ damage, including biological and functional damage on cardiomyocytes [4] and in the worst cases lead to unresponsive endotoxic shock causing death. Polymyxin B HemoAdsorption (PMX-HA, medical device Toraymyxin®) is the most potent endotoxin neutralizer, combining the unique properties of Polymyxin B with HemoAdsorption. Our partner #EUROSETS is present at the #EUROELSO Annual Meeting which takes place in Krakow on 24-27 April.                                                     Discover PMX-HA at EUROELSO – We will wait for you at the #EUROSETS booth! #Endotoxemia #Endotoxicshock #PolymyxinBHemoAdsorption #EUROELSO 1. Klein, D. Crit Care 2011 Vol. 15 Issue 1 Pages R69 2. Grimaldi, D. Crit Care Med, 2015. 43(12): p. 2597-604. 3. Fink, M.P. Crit Care Clin, 2005. 21(2): p. 177-96. 4. Hobai, I.A. J Surg Res, 2015. 193(2): p. 888-901.

🚀 Another successful complex high-risk PCI with the support of iVAC 2L, pulsatile percutaneous ventricular assist device, was performed by Dr. Anton Farkas, Director Medical Affairs Cardiology Center Agel, Košice and cathlab team. 👨⚕️ Procedure: male, 79 years old, NYHA class IV, EF 10%, SYNTAX Score 41, elective, Peripheral Artery Disease, Surgery refusal, 3-vessel disease. Vessels to be treated LM, LCx, RCA. Femoral artery was heavily calcified and Shockwave IVL System was used. One stent deployed in RCA. PCI support time with iVAC 2L was 68 minutes, flow 1.8 L/min. ACT target around 309. Femoral artery closed with double Perclose ProGlide closure device. ⚡️Congratulations and thank you to Dr. Anton Farkas and cathlabteam. We are grateful for the long-standing and trustful cooperation in the field of short-term Mechanical Circulatory Support, also big thanks to our partner Globalmed Michal Rzounek, Jozef Kubela and team. Helena Podrzaj   #PulseCath #iVAC2L #MCS #pVAD #interventionalcardiology #medicaldevices #healthcareinnovation 

Today, I had a surprise visit and the opportunity to host my daughter Lilly for a perfusion session. During our time together, I presented the history and evolution of cardiac surgery, highlighting the differences between a heart-lung machine and a Perfusion System. After I was thrilled to introduce her to the Quantum Perfusion System and its unique features. Innovative Quantum Modes: - Retrograde Autologous Priming (RAP) - Auto Initiation Mode - Circulatory Arrest - Cerebral Mode - Mini Bypass Mode - Weaning Mode Unique Quantum Functionalities: -Non invasive measurements of Hg, HCT, SVO2, Art. Sat., PaO2 and PaCO2. - Auto-Regulation of PaO2 and PaCO2 - Pressure-Regulated Flow Delivery - Quantum Ventilation Module: WAG and VAVD - Zero Flow and Bubble Delay - Safe Flow Function - Pulsatile Flow Function - Smart Occluders - Quantum Directed Perfusion, including TDR and AUC Quantum Safety Apps: - Best Practice Application - Checklist Application - Clinical Guidance Application - Formula Editor - Critical Care Scoring - Live Vue Real-Time Remote Monitoring The Quantum Perfusion System truly represents a leap forward in cardiac care, combining innovative modes, unique functionalities, and comprehensive safety applications to enhance patient outcomes. It was a pleasure sharing this cutting-edge technology and its potential impact with Lilly today. #CardiacSurgery #Perfusion #MedicalInnovation #QuantumPerfusionSystem #TheFutureIsNow Spectrum Medical Ltd

⚡Case of the week! 🔥 🌈 A 61-year-old man presented with syncope. ECG revealed atrial fibrillation. TTE revealed a large hyperechogenic mass in the LA attached to the interatrial septum and moving closely to the mitral valve. Coronary CTA (performed for CAD diagnosis) showed a smoothly demarcated lesion located in the left atrium and originating from the oval fossa, not allowing a certain differentiation between myxoma and thrombi. CMR was performed, demonstrating signal characteristics consistent with an atrial myxoma: - Isointensity of the T1 signal - Increased intensity in T2 - Partial perfusion of the mass on first-pass imaging - Heterogeneous pattern of enhancement on LGE imaging - Parametric CMR showed elevated native T1 and T2 relaxation times, reflecting an increased interstitial space and fluid content. The patient was referred for surgery to remove the mass. Department of Cardiology and Angiology of the Elisabeth Krankenhaus Essen #yesCT #whyCMR #myxom Oliver Bruder Chara Maltsinioti Georgios Zarogiannis Prof. Dr. Heinrich Wieneke

Tal Golesworthy was born with a genetic condition called Marfan syndrome which affects the body’s connective tissue and can lead to cardiovascular, skeletal and visual problems. For Tal, an engineer by trade, the condition took a particular toll on his heart, weakening the walls of the aorta and causing them to expand. Surgical intervention would involve total root replacement of the aorta, including the valve, and re-implanting the coronary arteries. The idea of major surgery, and the ensuing lifelong dependency on anticoagulant medicine to prevent blood clots, was enough for Tal to explore an alternative route. With the help of Professor John Pepper, now retired from his position as cardiac surgeon at Royal Brompton Hospital, Tal drew on his expertise as an engineer to develop a prototype of a device – called a Personalised External Aortic Root Support (PEARS) – that could be placed around the ascending aorta and prevent aortic root expansion. In 2004, four years after conceiving the idea, Tal became the first patient to undergo this surgical procedure, which was performed by Professor John Pepper himself. In this episode of our podcast, More than a Hospital, Tal and Professor Pepper recall the journey that led to that moment, and how they forged an unexpected partnership to help not only Tal, but the hundreds of lives that the revolutionary procedure would go on to benefit. Listen now: https://lnkd.in/eFfviSSU #MedicalInnovation #PatientStory #HealthPodcast

An exciting procedure was recently performed at UH Cleveland Medical Center in Cleveland, OH. Dr. Gabriel Smith and Dr. Dana Defta treated a patient who presented with moderate to severe Degenerative Disc Disease (DDD) with foraminal stenosis at L4-5 and L5-S1, and a lateral and superior disc herniation on the left side at L4-L5. The surgical team planned and executed an L4-S1 minimally invasive surgery for transforaminal lumbar interbody fusion (MIS TLIF) with navigation to address both levels. The team leveraged the NuVasive Tube System for minimally invasive access, paired with MOD-EX PL expandable interbodies for customized lordotic and posterior height expansion. The low-profile design of the expandable technology enabled the team to add 2mm of posterior height to the disc space, directly decompressing the foramen and neural elements to help relieve the patient's symptoms. Discover more about our MIS TLIF offerings at https://hubs.la/Q02w2vch0 #NuVasiveTubeSystem #ExpandableInterbodies #MISTLIF #SpineSurgery #SpineSurgeons #MedicalDevice #Healthcare #Robotics #MedTech #GlobusMedical #LifeMovesUs

New from Royal Brompton and Harefield hospitals cardiology and #TAVI team including David Smith, Suzy Browne, Pottle Alison, Mark Bowers, Ian McGovern, Thomas F. Lüscher & Miles Dalby that describes shared decision making in patients with #aortic stenosis. Transcatheter aortic valve implantation (TAVI) is an alternative to surgical aortic valve replacement for patients with aortic valve stenosis. The choice between TAVI, surgery, or a conservative approach should be based upon multiple factors including clinical considerations, technical feasibility, and informed patient preference. In this context, engaging patients in a shared decision-making (SDM) process becomes essential, but this practice is generally underused. #cardiology #consent #cardiacsurgery #choices #patientled #decision

🔵 Saving the Hypogastric Artery: A Game-Changer for Complex Iliac Aneurysms! 🚀 Complex iliac (or aortoiliac) aneurysms with a twist: the iliac axis is unsalvageable, but the homolateral hypogastric artery must be preserved. Sound impossible? Let’s rethink the approach! 🤔💡 When faced with scenarios where proximal and distal iliac landing zones are absent on one side—and hypogastric preservation of the same side is crucial—most surgeons opt for a sacrifice of this axis with an aorto-uniliac endografting combined with hybrid surgical techniques for hypogastric artery rescue. But is there a smarter, less invasive way? 💡 Here’s the alternative: This simple and nice endovascular technique not only ensures hypogastric artery preservation but also avoids compromising future options. By directing an iliac limb of a bifurcated endograft toward the hypogastric artery, we maintain flow while securing the aneurysmal neck. If needed, the setup can even be converted later into an aorto-uniliac configuration by simply occluding the hypogastric limb with a plug. ✅ Key Advantages: ✔️ Preserves the hypogastric artery in anatomically challenging situations. ✔️ Offers flexibility for future interventions without compromising access. ✔️ Minimizes invasiveness compared to traditional hybrid approaches. Why settle for conventional methods when a more elegant solution exists? This technique bridges the gap between innovation and practicality, pushing the boundaries of what’s possible in iliac aneurysm management. 🚀✨ N.B. Axillary access needed for hypogastric leg deployment ⬇️ 🔄 What’s Your Approach? Faced a similar challenge? How do you balance hypogastric preservation with tricky iliac anatomies? Feel free to share your insights below 💬👇 Sharing knowledge to standardize care and shape the future of vascular treatments 🔄✨ 🚀🫀🩺🧑⚕️ #vascular #vascularsurgery #endovascular #vasculartips #cardiology #InterventionalCardiology #betrasversal #EndovascularTechniques #tech #interventionalradiology

What makes Retina World Congress unique is that it is truly a global congress! Dr. Barbara Parolini (Italy) has spent the past 15 years studying Myopic Traction Maculopathy and discuses the best way in treating the disease. According to Dr. Parolini, MTM affects 1/3 of pathologic myopia (PM) eyes and is projected to affect roughly 1million people by 2050. Based on her research, Dr. Parolini has published the #MTM staging system and identified guidelines and treatment protocols per stage. Take a listen to this video and hear Dr. Parolini’s summary of her presentation at Retina World Congress 2024. References:  Parolini. B. Macular Buckle for Myopic Traction Maculopathy: 15 Years Results on a Large Series of 270 Cases. Presented at: Retina World Congress; May 9-12, 2024; Fort Lauderdale, Florida. #retinadisease #mtm #macularbuckle #retinaworldcongress Healio | Ocular Surgery News Retina World Congress Vindico Medical Education