المؤلفون: Eerdekens, Rob, van Steenbergen, Gijs, El Farissi, Mohamed, Demandt, Jesse, van ’t Veer, Marcel, Daeter, Edgar, Timmers, Leo, de Weger, Arend, Medendorp, Niki, Tonino, Pim, van den Branden, B., Vis, M.M., Tonino, W. A. L., van Mieghem, N. M. D. A., Schotborgh, C. E., Hermanides, R., van der Kley, F., Kats, S., Porta, F., Stoel, M. G., Amoroso, G., van Wely, M., Timmers, L., Voskuil, M., van der Werf, H. W., Bramer, S., van Boven, W. J. P., Vonk, A. B. A., Koene, B. M. J. A., Bekkers, J. A., Hoohenkerk, G. J. F., Markou, A. L. P., de Weger, A., Segers, P., Speekenbrink, R. G. H., Stooker, W., Li, W. W. L., Daeter, E. J., van der Kaaij, N. P., Douglas, Y.

المصدر: Netherlands Heart Journal ; volume 31, issue 12, page 473-478 ; ISSN 1568-5888 1876-6250

مصطلحات موضوعية: Cardiology and Cardiovascular Medicine

الوصف: Introduction Based on European guidelines, transcatheter aortic valve implementation (TAVI) could be the therapy of choice in patients with severe aortic stenosis aged ≥ 75 years. In the Netherlands, there has been a debate between healthcare providers and the National Health Care Institute regarding reimbursement for TAVI, which resulted in an indication document that defines TAVI patients who are eligible for reimbursement. This document has been effective since 1 January 2021. Methods We extracted data from the Netherlands Heart Registry for patients who underwent biological surgical aortic valve replacement (SAVR) or TAVI in the Netherlands from 2018 through 2021. We compared baseline characteristics and variables from the indication document for the subsequent years and age groups. We also analysed the annual SAVR/TAVI ratio. Results The total number of patients treated with SAVR or TAVI was constant in 2018–2021. Baseline characteristics of patients treated with TAVI did not differ throughout the years. The SAVR/TAVI ratio shifted towards a higher percentage of TAVI from 2018 to 2019. From 2019 to 2020, the TAVI percentage was constant. Since the implementation of the indication document (in 2021), a change in the SAVR/TAVI ratio was not found either. Conclusion Since the implementation of the national indication document for AVR in 2021, no major effect was seen for the SAVR versus TAVI landscape in the Netherlands.

الإتاحة: https://doi.org/10.1007/s12471-023-01811-1Test

المؤلفون: Olsthoorn, Jules R., Heuts, Samuel, Houterman, Saskia, Maessen, Jos G., Sardari Nia, Peyman, Bramer, S., van Boven, W. J. P., Vonk, A. B. A., Koene, B. M. J. A., Bekkers, J. A., Hoohenkerk, G. J. F., Markou, A. L. P., de Weger, A., Segers, P., Porta, F., Speekenbrink, R. G. H., Stooker, W., Li, W. W. L., Daeter, E. J., van der Kaaij, N. P., Douglas, Y.

المصدر: Olsthoorn , J R , Heuts , S , Houterman , S , Maessen , J G , Sardari Nia , P , Bramer , S , van Boven , W J P , Vonk , A B A , Koene , B M J A , Bekkers , J A , Hoohenkerk , G J F , Markou , A L P , de Weger , A , Segers , P , Porta , F , Speekenbrink , R G H , Stooker , W , Li , W W L , Daeter , E J , van ....

الوصف: OBJECTIVES: Mitral valve (MV) surgery after prior cardiac surgery is conventionally performed through resternotomy and associated with increased morbidity and mortality. Alternatively, MV can be approached minimally invasively [minimally invasive mitral valve surgery (MIMVS)], but longer-term follow-up of this approach for MV surgery after prior cardiac surgery is lacking. Therefore, the aim of the current study is to evaluate short- and mid-term outcomes of MIMVS versus MV surgery through resternotomy in patients with prior sternotomy, using a nationwide registry. METHODS: Patients undergoing isolated MV surgery after prior cardiac surgery between 2013 and 2018 were included. Primary outcomes were short-term morbidity and mortality and mid-term survival. Cox proportional hazard analysis was used to investigate the association between surgical approach and mortality. Propensity score matching was used to correct for potential confounders. RESULTS: In total, 290 patients underwent MV surgery after prior cardiac surgery, of whom 205 patients were operated through resternotomy and 85 patients through MIMVS. No significant differences in 30-day mortality (3.4% vs 2%, P = 0.99) were observed between both groups. Five-year survival was 86.3% in the resternotomy group, compared to 89.4% in the MIMVS group (log-rank P = 0.45). In the multivariable analysis, surgical approach showed no relation with mid-term mortality [hazard ratio 0.73 (0.34-1.60); P = 0.44]. A lower incidence of prolonged intubation and new-onset arrhythmia was observed in MIMVS. CONCLUSIONS: MV surgery after prior cardiac surgery has excellent short- and mid-term results in the Netherlands, and MIMVS and resternotomy appear to be equally efficacious. MIMVS is associated with a lower incidence of new-onset arrhythmia and prolonged intubation.

العلاقة: https://research.vumc.nl/en/publications/93821ebe-6a4e-4f07-a080-e39c0a021c36Test

الإتاحة: https://doi.org/10.1093/ejcts/ezac420Test
https://research.vumc.nl/en/publications/93821ebe-6a4e-4f07-a080-e39c0a021c36Test
http://www.scopus.com/inward/record.url?scp=85140274761&partnerID=8YFLogxKTest

المؤلفون: Wesselink, R., Neefs, J., van den Berg, N. W. E., Meulendijks, E. R., Terpstra, M. M., Kawasaki, M., Nariswari, F. A., Piersma, F. R., van Boven, W. J. P., Driessen, A. H. G., de Groot, J. R.

المصدر: Wesselink , R , Neefs , J , van den Berg , N W E , Meulendijks , E R , Terpstra , M M , Kawasaki , M , Nariswari , F A , Piersma , F R , van Boven , W J P , Driessen , A H G & de Groot , J R 2022 , ' Does left atrial epicardial conduction time reflect atrial fibrosis and the risk of atrial fibrillation recurrence after thoracoscopic ablation? Post hoc analysis of the AFACT trial ' , BMJ Open , vol. 12 , no. 3 , e056829 ....

الوصف: Objectives To determine the association between left atrial epicardial conduction time (LAECT), fibrosis and atrial fibrillation (AF) recurrence after thoracoscopic surgical ablation of persistent AF. Setting Single tertiary care centre in the Netherlands. Participants Patients with persistent AF from the randomised Atrial Fibrillation Ablation and Autonomic Modulation via Thoracoscopic Surgery (AFACT)-trial were included. Patients eligible for thoracoscopic AF ablation were included, full inclusion and exclusion criteria were previously published. All patients underwent thoracoscopic ablation, encompassing pulmonary vein isolation with an additional roof and trigone lesion. In patients with conduction block across the roof and trigone lesion, LAECT was measured. LAECT was defined as the time to local activation at one side of the roofline on pacing from the opposite side. Collagen fibre density was quantified from left atrial appendage histology. Outcome measures Primary outcome: AF recurrence during 2 years of follow-up. Results 121 patients were included, of whom 35(29%) were women, age was 60.4±7.8 and 51% (62) had at least one AF recurrence during 2 years of follow-up. LAECT was longer in patients with versus without AF recurrence (182±43 ms vs 147±29 ms, p<0.001). LAECT was longer in older patients, in patients with a higher body mass index (BMI) and in patients using class IC antiarrhythmic drugs. LAECT was shorter in patients with higher collagen fibre density. A previously failed catheter ablation, LAECT and BMI were independently associated with AF recurrence. Conclusion LAECT is correlated with collagen fibre density and BMI and is independently associated with AF recurrence in patients with persistent AF. In these patients, LAECT appears to reflect substrate characteristics beyond clinical AF type and left atrial volume. Trial registration number NCT01091389.

العلاقة: https://research.vumc.nl/en/publications/9df59270-d7a6-465c-a84a-96dcf25f8248Test

الإتاحة: https://doi.org/10.1136/bmjopen-2021-056829Test
https://research.vumc.nl/en/publications/9df59270-d7a6-465c-a84a-96dcf25f8248Test
http://www.scopus.com/inward/record.url?scp=85126077941&partnerID=8YFLogxKTest

المؤلفون: de Beaufort, Hector W. L., Roefs, Maaike M., Daeter, Edgar J., Heijmen, R. H., Bramer, S., van Boven, W. J. P., Vonk, A. B. A., Koene, B. M. J. A., Bekkers, J. A., Hoohenkerk, G. J. F., Markou, A. L. P., de Weger, A., Segers, P., Porta, F., Speekenbrink, R. G. H., Stooker, W., Li, W. W. L., Daeter, E. J., van der Kaaij, N. P., Douglas, Y. L.

المصدر: de Beaufort , H W L , Roefs , M M , Daeter , E J , Heijmen , R H , Bramer , S , van Boven , W J P , Vonk , A B A , Koene , B M J A , Bekkers , J A , Hoohenkerk , G J F , Markou , A L P , de Weger , A , Segers , P , Porta , F , Speekenbrink , R G H , Stooker , W , Li , W W L , Daeter , E J , van der ....

الوصف: OBJECTIVES: The aim of this study was to evaluate the effects of the coronavirus 2019 pandemic on elective and acute thoracic aortic surgery in the Netherlands. METHODS: The Netherlands Heart Registration database was used to compare the volume of elective and acute surgery on the thoracic aorta in 2019 and 2020, starting from week 11 in both years. A sub-analysis was done to assess the impact of the pandemic on high-volume and low-volume aortic centres. RESULTS: During the pandemic, the number of elective thoracic aortic operations declined by 18% [incidence rate ratio (IRR) 0.82 [0.73-0.91]; P < 0.01]. The decline in volume of elective surgery was significant in both high-volume (IRR 0.82 [0.71-0.94]; P < 0.01) and low-volume aortic centres (IRR 0.81 [0.68-0.98]; P = 0.03). The overall number of acute aortic operations during the pandemic remained similar to that in 2019 (505 vs 499; P = 0.85), but an increased share of these operations occurred at high-volume centres. The number of acute operations performed in high-volume centres increased by 20% (IRR 1.20 [1.01-1.42]; P = 0.04), while the number of acute operations performed in low-volume centres decreased by 17% (IRR 0.83 [0.69-1.00]; P = 0.04). CONCLUSIONS: The coronavirus 2019 pandemic led to a significant decrease in elective thoracic aortic surgery but did not cause a change in the volume of acute thoracic aortic surgery in the Netherlands. Moreover, the pandemic led to a centralization of care for acute thoracic aortic surgery.

العلاقة: https://research.vumc.nl/en/publications/787e0798-081a-4f09-8224-04a52632f30fTest

الإتاحة: https://doi.org/10.1093/ejcts/ezab550Test
https://research.vumc.nl/en/publications/787e0798-081a-4f09-8224-04a52632f30fTest
http://www.scopus.com/inward/record.url?scp=85127889382&partnerID=8YFLogxKTest

المؤلفون: Olsthoorn, Jules R., Heuts, Samuel, Houterman, Saskia, Maessen, Jos G., Sardari Nia, Peyman, Bramer, S., van Boven, W. J. P., Vonk, A. B. A., Koene, B. M. J. A., Bekkers, J. A., Hoohenkerk, G. J. F., Markou, A. L. P., de Weger, A., Segers, P., Porta, F., Speekenbrink, R. G. H., Stooker, W., Li, W. W. L., Daeter, E. J., van der Kaaij, N. P., Douglas, Y.

المساهمون: CTC, MUMC+: MA Med Staf Artsass CTC (9), RS: Carim - Vessels, MUMC+: MA Cardiothoracale Chirurgie (3), RS: Carim - V04 Surgical intervention, MUMC+: MA Med Staf Spec CTC (9), Cardio-thoracic surgery, ACS - Atherosclerosis & ischemic syndromes, ACS - Heart failure & arrhythmias, ACS - Microcirculation, Cardiothoracic Surgery

المصدر: European Journal of Cardio-Thoracic Surgery, 62(5):ezac420. Oxford University Press
European Journal of Cardio-thoracic Surgery, 62(5):ezac420. Elsevier
European journal of cardio-thoracic surgery, 62(5):ezac420. Elsevier
Olsthoorn, J R, Heuts, S, Houterman, S, Maessen, J G, Sardari Nia, P, Bramer, S, van Boven, W J P, Vonk, A B A, Koene, B M J A, Bekkers, J A, Hoohenkerk, G J F, Markou, A L P, de Weger, A, Segers, P, Porta, F, Speekenbrink, R G H, Stooker, W, Li, W W L, Daeter, E J, van der Kaaij, N P & Douglas, Y 2022, ' Minimally invasive approach compared to resternotomy for mitral valve surgery in patients with prior cardiac surgery : retrospective multicentre study based on the Netherlands Heart Registration ', European Journal of Cardio-thoracic Surgery, vol. 62, no. 5, ezac420 . https://doi.org/10.1093/ejcts/ezac420Test

مصطلحات موضوعية: Pulmonary and Respiratory Medicine, Reoperation, Mitral valve surgery, Mitral Valve Insufficiency, General Medicine, Resternotomy, Sternotomy, Nationwide registry, Treatment Outcome, Minimally invasive mitral valve surgery, Humans, Minimally Invasive Surgical Procedures, Mitral Valve, Surgery, Cardiac Surgical Procedures, Cardiology and Cardiovascular Medicine, Netherlands, Retrospective Studies

الوصف: OBJECTIVES Mitral valve (MV) surgery after prior cardiac surgery is conventionally performed through resternotomy and associated with increased morbidity and mortality. Alternatively, MV can be approached minimally invasively [minimally invasive mitral valve surgery (MIMVS)], but longer-term follow-up of this approach for MV surgery after prior cardiac surgery is lacking. Therefore, the aim of the current study is to evaluate short- and mid-term outcomes of MIMVS versus MV surgery through resternotomy in patients with prior sternotomy, using a nationwide registry. METHODS Patients undergoing isolated MV surgery after prior cardiac surgery between 2013 and 2018 were included. Primary outcomes were short-term morbidity and mortality and mid-term survival. Cox proportional hazard analysis was used to investigate the association between surgical approach and mortality. Propensity score matching was used to correct for potential confounders. RESULTS In total, 290 patients underwent MV surgery after prior cardiac surgery, of whom 205 patients were operated through resternotomy and 85 patients through MIMVS. No significant differences in 30-day mortality (3.4% vs 2%, P = 0.99) were observed between both groups. Five-year survival was 86.3% in the resternotomy group, compared to 89.4% in the MIMVS group (log-rank P = 0.45). In the multivariable analysis, surgical approach showed no relation with mid-term mortality [hazard ratio 0.73 (0.34–1.60); P = 0.44]. A lower incidence of prolonged intubation and new-onset arrhythmia was observed in MIMVS. CONCLUSIONS MV surgery after prior cardiac surgery has excellent short- and mid-term results in the Netherlands, and MIMVS and resternotomy appear to be equally efficacious. MIMVS is associated with a lower incidence of new-onset arrhythmia and prolonged intubation.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b590518ebf2893df3c7c3458821c29fdTest
http://www.scopus.com/inward/record.url?scp=85140274761&partnerID=8YFLogxKTest

المؤلفون: Wesselink, R, Neefs, J, Van Den Berg, N W E, Baalman, S W E, Berger, W R, Krul, S P J, Van Praag, E M, Terpstra, M M, Piersma, F R, Van Boven, W J P, Driessen, A H G, De Groot, J R

المصدر: European Heart Journal ; volume 39, issue suppl_1 ; ISSN 0195-668X 1522-9645

مصطلحات موضوعية: Cardiology and Cardiovascular Medicine

الإتاحة: https://doi.org/10.1093/eurheartj/ehy564.465Test
http://academic.oup.com/eurheartj/article-pdf/39/suppl_1/ehy564.465/25567506/ehy564.465.pdfTest

المؤلفون: Olsthoorn, Jules R., Heuts, Samuel, Houterman, Saskia, Maessen, Jos G., Sardari Nia, Peyman, Bramer, S., van Boven, W. J. P., Vonk, A. B. A., Koene, B. M. J. A., Bekkers, J. A., Hoohenkerk, G. J. F., Markou, A. L. P., Weger, A. De, Segers, P., Porta, F., Speekenbrink, R. G. H., Stooker, W., Li, W. W. L., Daeter, E. J., van der Kaaij, N. P., Vigano, G.

المساهمون: RS: Carim - Vessels, MUMC+: MA Med Staf Artsass CTC (9), CTC, MUMC+: MA Cardiothoracale Chirurgie (3), RS: Carim - V04 Surgical intervention, MUMC+: MA Med Staf Spec CTC (9), Cardiothoracic Surgery, ACS - Heart failure & arrhythmias

المصدر: European Journal of Cardio-Thoracic Surgery, 61, 1099-1106
European Journal of Cardio-Thoracic Surgery, 61(5), 1099-1106. Oxford University Press
European Journal of Cardio-Thoracic Surgery, 61, 5, pp. 1099-1106
European journal of cardio-thoracic surgery, 61(5), 1099-1106. Elsevier

مصطلحات موضوعية: REPAIR, Pulmonary and Respiratory Medicine, Other Research Radboud Institute for Health Sciences [Radboudumc 0], Mitral valve surgery, SOCIETY, General Medicine, Sternotomy, Cohort Studies, OPERATIONS, Nationwide registry, Treatment Outcome, Minimally invasive mitral valve surgery, VOLUME, Humans, Minimally Invasive Surgical Procedures, Mitral Valve, Surgery, Cardiology and Cardiovascular Medicine, Mitral valve repair, Netherlands, Retrospective Studies

الوصف: OBJECTIVES Minimally invasive mitral valve surgery (MIMVS) has been performed increasingly for the past 2 decades; however, large comparative studies on short- and long-term outcomes have been lacking. This study aims to compare short- and long-term outcomes of patients undergoing MIMVS versus median sternotomy (MST) based on real-world data, extracted from the Netherlands Heart Registration. METHODS Patients undergoing mitral valve surgery, with or without tricuspid valve, atrial septal closure and/or rhythm surgery between 2013 and 2018 were included. Primary outcomes were short-term morbidity and mortality and long-term survival. Propensity score matching analyses were performed. RESULTS In total, 2501 patients were included, 1776 were operated through MST and 725 using an MIMVS approach. After propensity matching, no significant differences in baseline characteristics persisted. There were no between-group differences in 30-day mortality (1.1% vs 0.7%, P = 0.58), 1-year mortality (2.6% vs 2.1%, P = 0.60) or perioperative stroke rate (1.1% vs 0.6%, P = 0.25) between MST and MIMVS, respectively. An increased rate of postoperative arrhythmia was observed in the MST group (31.3% vs 22.4%, P CONCLUSIONS The MIMVS approach is as safe as the sternotomy approach for the surgical treatment of mitral valve disease. However, it comes at a cost of a reduced repair rate and more reinterventions in the long term, in the real-world.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::2111923df2415d6c396f1e86ee0df71eTest
http://hdl.handle.net/2066/251615Test

المؤلفون: Olsthoorn, Jules R, Heuts, Samuel, Houterman, Saskia, Maessen, Jos G, Sardari Nia, Peyman, Bramer, S, van Boven, W J P, Vonk, A B A, Koene, B M J A, Bekkers, J A, Hoohenkerk, G J F, Markou, A L P, Weger, A de, Segers, P, Porta, F, Speekenbrink, R G H, Stooker, W, Li, W W L, Daeter, E J, van der Kaaij, N P, Vigano, G

المصدر: European Journal of Cardio-Thoracic Surgery ; volume 61, issue 5, page 1099-1106 ; ISSN 1010-7940 1873-734X

الوصف: OBJECTIVES Minimally invasive mitral valve surgery (MIMVS) has been performed increasingly for the past 2 decades; however, large comparative studies on short- and long-term outcomes have been lacking. This study aims to compare short- and long-term outcomes of patients undergoing MIMVS versus median sternotomy (MST) based on real-world data, extracted from the Netherlands Heart Registration. METHODS Patients undergoing mitral valve surgery, with or without tricuspid valve, atrial septal closure and/or rhythm surgery between 2013 and 2018 were included. Primary outcomes were short-term morbidity and mortality and long-term survival. Propensity score matching analyses were performed. RESULTS In total, 2501 patients were included, 1776 were operated through MST and 725 using an MIMVS approach. After propensity matching, no significant differences in baseline characteristics persisted. There were no between-group differences in 30-day mortality (1.1% vs 0.7%, P = 0.58), 1-year mortality (2.6% vs 2.1%, P = 0.60) or perioperative stroke rate (1.1% vs 0.6%, P = 0.25) between MST and MIMVS, respectively. An increased rate of postoperative arrhythmia was observed in the MST group (31.3% vs 22.4%, P < 0.001). A higher repair rate was found in the MST group (80.9% vs 76.3%, P = 0.04). No difference in 5-year survival was found between the matched groups (95.0% vs 94.3%, P = 0.49). Freedom from mitral reintervention was 97.9% for MST and 96.8% in the MIMVS group (P = 0.01), without a difference in reintervention-free survival (P = 0.30). CONCLUSIONS The MIMVS approach is as safe as the sternotomy approach for the surgical treatment of mitral valve disease. However, it comes at a cost of a reduced repair rate and more reinterventions in the long term, in the real-world.

الإتاحة: https://doi.org/10.1093/ejcts/ezab507Test
https://academic.oup.com/ejcts/article-pdf/61/5/1099/43518054/ezab507.pdfTest

المؤلفون: De Raet, J. M., Vos, J. A., Morshuis, W. J., van Boven, W.-J. P.

المصدر: Interactive CardioVascular and Thoracic Surgery ; volume 15, issue 5, page 915-917 ; ISSN 1569-9293 1569-9285

مصطلحات موضوعية: Cardiology and Cardiovascular Medicine, Pulmonary and Respiratory Medicine, Surgery

الإتاحة: https://doi.org/10.1093/icvts/ivs316Test
http://academic.oup.com/icvts/article-pdf/15/5/915/2699051/ivs316.pdfTest

المؤلفون: Baalman, S W E, Van Den Berg, N W E, Neefs, J, Berger, W R, Meulendijks, E R, De Bruin-Bon, R.H.A.C.M, Van Boven, W J P, Driessen, A H G, De Groot, J R

المصدر: European Heart Journal ; volume 40, issue Supplement_1 ; ISSN 0195-668X 1522-9645

مصطلحات موضوعية: Cardiology and Cardiovascular Medicine

الوصف: Background Left atrial (LA) strain has a prognostic value for atrial fibrillation (AF) recurrence after AF ablation. The value of LA strain as a predictor of AF recurrence after thoracoscopic AF surgery in patients in sinus rhythm (SR) or AF during echocardiography is unknown. Purpose To assess the association between LA strain and AF recurrence after thoracoscopic surgery for AF in both patients in SR and AF during baseline echocardiography. Methods Patients participating in the AFACT trial (n=240) with baseline transthoracic echocardiography (TTE) suitable for LA strain analysis were included in this subanalyses. All patients underwent thoracoscopic pulmonary vein isolation (PVI) with left atrial appendage (LAA) exclusion, and were randomized to ganglion plexus (GP) or no GP ablation. LA strain and mechanical dispersion (MD) of the LA reservoir, conduit and contraction phase were determined retrospectively from TTE images of both patients in AF and SR before thoracoscopic AF surgery. AF recurrence was defined as any recorded atrial tachyarrhythmia lasting >30 sec during a one year FU period. Results A total of 204 patients (58.6±7.8 years, 73% male, 57% persistent AF) were included. Of the 204 patients 121 (59%) were in SR and 83 (41%) were in AF during baseline TTE. Patients in SR during TTE had higher LA strain values and lower MD compared to patients in AF. Of all patients, those with AF recurrence had lower LA strain of the reservoir phase (13.0% vs. 16.6%; p=0.003) and contraction phase (7.4% vs. 11.5%; p=0.012). MD of the contraction phase was increased in patients with AF recurrence (65.1msec vs. 19.2 msec; p=0.003). Multivariable cox regression analysis showed an association between LA strain, MD and AF recurrence (figure). Conclusions Left atrial strain and mechanical dispersion prior to thoracoscopic AF surgery are associated with recurrence of AF. LA strain showed to be a valuable tool to add in the decision making for thoracoscopic AF surgery regardless rhythm during baseline ...

الإتاحة: https://doi.org/10.1093/eurheartj/ehz748.0786Test
http://academic.oup.com/eurheartj/article-pdf/40/Supplement_1/ehz748.0786/30203223/ehz748.0786.pdfTest