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However, data on the utility and validation of these techniques are limited. Methods One-hundred-ninety-seven patients undergoing primary percutaneous coronary intervention in acute STEMI were included.

All measurements were done offline by blinded observers. Klug, U. Hecker, H. Feistritzer, C. Kremser, A. Mayr, T. Trieb, O. Pachinger, B.

Granitz, M. Granitz, J. Kraus, K. Hergan, M. Pichler, J. This study investigates the use of local ascending aortic DC ascending in healthy volunteers and patients with CAD and compares the results to regional and local pulse wave velocities.

This is of clinical importance since we showed previously the limitations of local PWV determination in a diseased population.

Measurements were performed at the levels of the ascending and descending thoracic, as well as the abdominal aorta.

Flow-volume curves and cross-sectional area changes were determined during early systole. Regional PWVTT was determined by the established transit-time method and served as a reference standard.

DC ascending was determined as the product of the relative area change during systole and the pulse pressure mmHg. Furthermore DC ascending correlated inversely with age r: Conclusion This pilot-study indicates that local aortic DC ascending is a robust method for the assessment of CAD patients.

Local PWVQA, however, failed to detect differences in local aortic stiffness between the 2 studygroups. Die Indikationsstellung muss daher sehr streng erfolgen.

Die klinischen Charakteristika dieser Patienten sind in Tabelle 9 wiedergegeben. Tabelle 9: C. Granitz et al. Myokardinfarkt anamnest.

PCI anamnest. Klug, S. Schenk, A. Mayr, M. Nocker, T. Trieb, M. Schocke, O. Clinical follow-up was conducted after a median of 52 months.

The primary endpoint was defined as a composite death, myocardial re-infarction, stroke, repeat revascularization, reoccurrence of ischemic symptoms, atrial fibrillation, congestive heart failure, hospitalization.

Results 52 pre-defined events occurred during follow-up. Initially 65 patients showed early MVO. Early MVO was independently associated with the composite primary endpoint in the multivariable Cox regression analysis adjusting for age, ejection fraction and infarct size.

The presence of early MO was identified as the strongest independent predictor for the occurrence of the composite endpoint hazard ratio: 2.

Leherbauer, C. Sonneck-Koenne, B. Heydari, R. Zakavi, P. Knoll, N. Taheri, S. Mirzaei, K. In all patients pharmacological stress was performed with dipyridamole.

Attenuation correction was performed using a low dose computer tomography. Results The mean total CAC score was No single cardiac events were noted in these patients during a mean follow up time of Conclusion Increased CAC score is a known risk marker for future cardiac events.

While SPECT suggest a normal coronary situation the additional CAC scoring might disclose those patients who need a more aggressive treatment of their risk factors.

Mayr, A. Runge, G. Klug, M. Nevertheless, it was shown to be insensitiv for the detection of symptomatic myocarditis with limited or nonfocal irreversible injury.

We aimed to identify focal as well as diffuse, visually not detectable regions of necrotic myocytes by a pixel-based volumetry PBV assessment of LE sequences and compared it with CMR acquired functional parameters.

PBV of LE areas were calculated using an individual signal intensity cut-off value of the myocardium in each patient. Parameters of global left ventricular function were determined from short-axis cine cardiac magnetic resonance sequences.

Conclusion Left ventricular ejection fraction was significantly higher in patients with diffuse myocarditis than in patients with focal myocarditis.

Our approach of using a pixel-based volumetry of CMR late enhancement images based on individual signal intensity cut-off values offers an accurate quantitative assessment of disseminated myocarditis.

Size Matters! Pfaffenberger, E. Lolic, P. Bartko, E. Pernicka, T. Binder, G. Maurer, J. The judgment whether a heart is normally sized or enlarged is important, particularly when heart dimensions determine patient management as for example in patients with valvular heart disease.

However, the impact of overweight on heart dimensions and potential gender differences are unclear. Multiple linear regressions on the impact of height, weight, age, gender, body mass index BMI , and body surface area BSA on heart dimensions were performed.

Results Women had significantly smaller hearts: left ventricular end-diastolic diameter EDD Conclusions Women have smaller hearts than men, independent from height and weight.

Normal values and cut-offs should therefore account for gender, age, and body size. Gerecke, J. Finsterer, R. Engberding 2.

Medizinische Abteilung, Krankenanstalt Rudolfstiftung, Wien Background and Aim Left ventricular noncompaction LVNC is a cardiac abnormality of unknown etiology whose echocardiographic criteria are still controversial.

Cooperation between echocardiographic laboratories may contribute to uniformly accepted criteria. Methods and Results Echocardiograms from patients proposed for inclusion into a registry were jointly reviewed.

The observers agreed on inclusion or exclusion in all cases. Consensus was achieved that measurements of the thickness of the myocardial layers, and calculation of the non-compacted:compacted ratio is investigator-dependent, and standards for measurements were impossible to achieve.

Conclusions When diagnosing LVNC, end-systolic as well as end-diastolic images have to be considered. Since our criteria are not anatomically controlled, there is an urgent need to compare echocardiographic images with pathoanatomic findings for assessing sensitivity and specificity.

Weidenauer, H. Zach, P. Bartko, S. Graf, M. Zehetgruber, H. Domanovits, G. Ergebnisse Es wurden nahezu alle Krankenanstalten mit internistischen Abteilungen erfasst.

Weidenauer et al. Untersuchung durch. Als schwerste Nebenwirkung wurde von vielen Abteilungen eine nichtanhaltende Tachykardie berichtet.

Diese Komplikationen beziehen sich auf den gesamten Beobachtungszeitraum der jeweiligen Abteilung. Weihs, H. Schuchlenz, S. Harb, T. Schober, G.

Saurer, G. Waltl, N. Kaufmann, D. Bonaros, F. Weidinger, G. Feuchtner, F. Plank, E. Lehr, J. Bonatti, G. Friedrich, T. Weihs et al. The aim of the study was to investigate the short-term quality of robotically sutured anastomoses by means of invasive graft angiography and multi-detector CT angiography.

Methods Two hundred seventy-six patients received robotically sutured coronary anastomoses using the da Vinci telemanipulation system.

Results The median interval from surgery to coronary angiography was 3 months 0. The median interval to CT angiography was also 3 months 0.

CT angiography revealed 1 anastomotic stenosis, 2 grafts with a string phenomenon as a result of competitive flow, 3 graft occlusions and one incorrect grafting site.

CT angiography could very well detect relevant angiographic stenosis, graft occlusion and incorrect target vessel anastomosis in all cases.

Conclusion Robotically sutured anastomosis on the arrested or on the beating heart, as well as robotically-assisted composite grafting can be performed with satisfying angiographic results.

CT angiography can be used as an alternative for postoperative evaluation of relevant anastomotic dysfunction. Weidinger, M.

Michel, S. Cerny, J. Bonatti, S. Bartel, T. Perioperative results of small series of totally endscopic ASD-repair have been reported in the literature but the long-term results of the procedure are still unknown.

Pathology of interatrial communication included an atrial septal defect II in 56 patients, a patent foramen ovale in 15 patients and a sinus venosus defect in 1 patient.

Nine of the patients had a malpositioning of an atrial septal occluder which had to be surgically removed. Twenty nine patients received a patch reconstruction and 43 of the patients had a direct closure.

The major perioperative and mid-term results were evaluated by echocardiography as well as clinical follow-up.

Two patients had to be reoperated due to residual shunt detected before discharge. The mean follow-up was 29 months 0.

No stroke, or other major cardiac event was reported during follow-up. No additional residual shunt was detected after discharge.

Conclusion The midterm results of robotically assisted totally endoscopic atrial septel defect repair are very satisfactory and well comparable with conventional and mini-thoracotomy approaches.

Complex defects including removal of malpositioned occluders can be repaired using endoscopic methods. We hypothesized that a simultaneous closure of two independent vascular territories or the combination with prolonged hypotension may be associated with symptomatic spinal cord ischemia.

Methods and Results We developed a risk model including prolonged intraoperative hypotension or simultaneous closure of at least two spinal cord blood supplying territories for development of symptomatic spinal cord ischemia with a positive predictive value 0.

This risk model was applied to the European Registry on Endovascular Aortic Repair Complications EuREC registry; between and , 19 participating centers reported a total of 38 patients with symptomatic spinal cord ischemia 1.

A substantial to almost perfect correlation between the proposed risked model and the occurrence of symptomatic spinal cord ischemia could be observed Kappa 0.

Bootstrapping underlined the robustness of the proposed risk prediction model of prolonged intraoperative hypotension or simultaneous closure of at least two spinal cord blood supplying territories in the development of symptomatic spinal cord ischemia after TEVAR CI: 0.

Conclusions Extensive coverage of intercostal arteries by TEVAR alone is not associated with symptomatic spinal cord ischemia as sacrifice of one spinal cord blood supplying vascular territory is irrelevant.

Simultaneous closure of at least two supplying vascular territories is highly relevant, especially in the combination with prolonged intraoperative hypotension.

As such, these results further emphasize preservation of the left subclavian artery. Reineke, E. Roost, L. Englberger, M. Stalder, J. Schmidli, T.

Methods and Results We analyzed consecutive patients undergoing repair of acute and chronic thoracic aortic pathology between and Acute type A aortic dissection was the underlying pathology in patients Pre- and intraoperative factors were evaluated by means of stepwise logistic regression analysis to determine risk factors of mortality and neurologic injury.

In acute type A aortic dissection, overall mortality was 9. Stepwise logistic regression analysis revealed duration of surgery OR 1. Duration of surgery and duration of HCA as well as logistic EuroSCORE levels, reflecting the extent and severity of the underlying disease, are independent risk factors for adverse outcome.

As such, advanced age alone should no longer be considered as a contraindication for surgery in these patients. Czerny, G. Sodeck, M. Funovics, A. Juraszek, T.

Dziodzio, M. Grimm, M. Chronic health conditions, risk factors as well as early and long-term outcome were assessed.

Follow-up data were available in all patients. No significant gender influence was observed OR 0. Furthermore, no significant gender influence could be observed according to the individual indication atherosclerotic aneurysms OR 0.

Age OR 3. Dumfarth, H. Hangler, J. Kilo, E. Ruttmann, S. Semsroth, M. Grimm, L. Diffusion of the technique is still limited although results are now excellent in specialized centers.

Repair techniques included predominantly leaflet resection, sliding leaflet plasty, PTFE chordae insertion, papillary muscle splitting, papillary muscle transposition, chordal transfer, pericardial patch plasty, prosthetic ring annuloplasty and prosthetic valve replacement.

Conclusions Minimally invasive mitral valve surgery can be performed safely with excellent results if the classic repair techniques are employed.

The minimally invasive access is the procedure of choice in our institution for most mitral valve procedures excluding valves with severe annular calcification.

Harb, R. Hetterle, R. Wiesinger, C. Blach, A. Fasch, H. Radegund Einleitung Das postoperative Delir und die kognitiven Residuen sind fundierte und gut bekannte Komplikationen nach kardiochirurgischen Eingriffen.

Heinz, L. Bartel, S. Friedrich, O. Pachinger, M. Grimm, N. Transcatheter aortic valve replacement shows promising results. Results All 10 patients received successfully a biological aortic valve implatation.

Twelve bare metal coronary stents were implanted 2 patients received 2 stents. We observed no perioperative mortality days.

No coronary or valvular reintervention was required. Conclusion Combined treatment of concomitant CAD and AS by transcatheter procedures for high risk patients provides satisfactory peri-operative and 1-year results.

Heinz, N. Bonaros, T. Methods From February till December , 52 cases with severe aortic stenosis were included in our TAVI-program by a cardiosurgical-cardiological team.

The access-rate was transapical in 26 patients, in 18 transfemoral and in 3 transaxillary. The perioperative mortality 30 days was 5.

No patient suffered myocardial infarction, 2 had peri-operative stroke and 2 during follow up. In 9 patients peri-operative renal failure needing hemofiltrations was observed.

Conclusion Due to interdisciplinary cooperation of cardiac-surgery and cardiology our TAVI program implying transfemoral, transapical and transaxillary excess could be established with low complication- and mortality-rate.

Kilo, H. Hangler, K. Stifter, L. Mueller, M. Stifter, J. Kilo, A. Heinz, H. Hangler, M. To evaluate disease related contraindications we investigated our patients receiving minimally invasive double valve surgery with or without additional procedures.

Methods patients undergoing minimally invasive mitral valve surgery between and were analyzed. Left atrial ablation RFmaze was performed using unipolar radiofrequency.

Results After implementation of the minimally invasive valve program, TVP was added after 54 successful isolated MV-procedures.

TV surgery was always performed as ring annuloplasty. Mortality in the double valve group was 1. Neither mortality nor major complications related to the combined procedures were increased.

The extent of the defect rises from a persistent foramen ovale to the sinus venosus defect and anomalous drainage of one or more pulmonary veins PAPVC.

We reviewed our experience on the minimally invasive surgical technique. Analysis was performed concerning ASD-pathology, patient characteristics and operative variables.

The mean age was Mean aortic crossclamp time was There was no fatality and no severe perioperative complications.

One patient experienced occlusion of femoral artery late postoperatively 2. Conclusion Minimally invasive correction of defects of the intraatrial septum has successfully been introduced into clinical routine at our institution.

Operative morbidity is very low and even complex reconstructions can be performed with good results. Median sternotomy is only performed in smaller children any longer at our institution.

Stifter, A. Heinz, M. An aortic valve prosthesis AVP can severely impair visualization to the mitral valve, so that these patients are often denied surgery.

Furthermore, patients with severely calcified aorta are usually considered inoperable. Mitral valve repair without aortic crossclamping on the fibrillating heart may be an attractive surgical option for these extremely highrisk patients.

Methods We report the series of 7 patients undergoing mitral valve surgery via a right-sided minithoracotomy without aortic crossclamping on the fibrillating heart.

Reconstruction was possible in 6 patients, 1 patient, who underwent mitral valve repair plus CABG before, received mitral valve replacement.

Cannulation for cardiopulmonary bypass was performed femorally in 3 and via the axillary artery in 4 patients. Results No fatalities were observed.

One patient required rethoracotomy for bleeding. One patient suffered from ischemic embolism to the leg due to the arterial pressure line.

The postoperative course was uneventful in all other cases. No patient presented with significant residual mitral insufficiency in control echocardiography.

Conclusion Mitral valve reconstruction via a right-sided minithoracotomy is an attractive surgical option in high-risk reoperative settings.

Taheri, M. Thalmann, M. Vor allem Patienten zwischen 65 und 75 Lj. Zur Beurteilung wurden die postoperativen und Follow-up-transthorakalechokardiographischen Untersuchungen herangezogen.

Die durchschnittliche EKZ bzw. Der maximale bzw. Flussgeschwindigkeiten aus. Die durch die vereinfachte Implantation relativ kurze Aortenklemmzeit und extrakorporale Zirkulationszeit wie auch die niedrigen, postoperativen Druckgradienten stellen die Freedom-SOLO-Prothese als eine sichere und effektive Alternative zu konventionellen Bioprothesen dar.

There were no significant differences in NYHA classes between patients with or without family history in either group. Sex-stratified bivariate Cox regression analysis showed a significant association of positive family history with reduced transplant-free survival in NICM patients HR 1.

In NICM patients a positive family history was associated with worse prognosis. These results further highlight the importance of a meticulous family history in particular in NICM patients not least in view of evolving prospects in genetic testing.

Benkoe-Karner, C. Wegner, J. Finsterer, F. Medizinische Abteilung, Krankenanstalt Rudolfstiftung, Wien Background Tako-Tsubo-cardiomyopathy TTC is characterized by chest pain, dyspnoea, electrocardiographic changes resembling an acute coronary syndrome, and transient wall-motion abnormalities in the absence of coronary artery obstruction.

TTC occurs frequently after emotional or physical stress. Seizures have been reported as triggers of TTC. Methods and Results Own observations and literature search identified 36 seizure-associated TTC cases 6 male, mean-age In 20 patients neurologic, in 14 psychiatric disorders were reported.

Probably, some cases of sudden unexpected death in epilepsy are attributable to TTC. Zschocke, O. Pachinger, G.

Familial screening of patients with dilated cardiomyopathy has been shown to allow for an early diagnosis of the disease in family members and thus can improve survival in these patients.

However, it is unclear if a positive family history and hence a higher propensity for a genetic background of the disease has an influence on survival in unselected patients with cardiomyopathy CM.

Our aim was to compare the prognosis of ICM and NICM patients with positive and negative family history in order to assess the influence of family history on survival.

Methods and Results From to clinical and laboratory variables of consecutive outdoor patients with heart failure were evaluated. Follow-up mean Mussner-Seeber, A.

Lorsbach-Koehler, G. Weiss, C. Ensinger, M. Frick, G. Hence it was the aim of our single center study to investigate the response to immunosuppressive therapy in patients with virus-negative inflammatory myocarditis autoreactive virus-negative inflammatory cardiomyopathy.

Methods and Materials From to February , patients with suspected myocarditis were subjected to left ventricular endomyocardial biopsy and right cardiac catheterization.

The presence of persisting viral genome was excluded by polymerase chain reaction analysis. In addition serological antibody screening was applied for all above viruses and for antimyocardial antibodies.

Up to now clinical follow-up, control endomyocardial biopsy, and right heart catheter results after 6 month therapy are available in 31 patients.

Clinical 6-month follow-up only is available in 9 patients. Immunosuppression was well tolerated and resulted in an improvement of LV-ejection fraction Cardiac output increased from 3.

Schatzl, R. Karnik, M. Methods We evaluated our patient by lead ECG, Holter monitoring, echocardiography and coronary angiography.

A periodical follow-up has been performed. Results We present a year-old man, recently suffering from recurrent cardiogenic syncopes without any other cardiac symptoms.

During the Holter monitoring a symptomatic episode of non-sustained ventricular tachycardia was detected.

In coronary angiography vascular morphology was normal; ventriculography showed an akinesis of the basal left ventricular segments.

Wall motion abnormalities disappeared during a follow-up period of four weeks, since then syncopal events have not occurred any more.

Discussion Tako-Tsubo-Cardiomyopathy is a rather variable entity. Besides the common clinical and morphologic presentation, atypical manifestations have to be mentioned.

Life-threatening arrhythmia is a feared complication concerning all variants of TakoTsubo. Keller, G. Blazek, K. Bichler, C. All patients underwent a baseline cardiologic examination and were invited for a neurological investigation.

LVHT-patients in sinusrhythm with left-bundle-branch-block responded well to CRT whereas patients with atrial fibrillation did not. In PM-patients heart failure developed due to inadequate rate control but not induced by right apical pacing.

Weihs, P. Siostrzonek, B. Eber, W. Weihs, F. Leisch, M. Pichler, O. Gaul, H. Weber, A. Podczeck-Schweighofer, H. Nesser, K. Aim To investigate the type of TS, the causative triggers, underlying risk factors, as well as clinical complications in the short and long-term follow-up of TS patients pts , we performed a multicenter retrospective analysis.

Eleven Austrian interventional cardiology departments, which prospectively have collected data of TS pts between and agreed to participate in this registry.

Methods Type of TS, causative triggers, clinical characteristics as well as outcome of consecutive pts with proven diagnosis of TS were analyzed retrospectively.

Mean age was Control of left ventricular function was available in pts Control echocardiography showed complete recovery of WMA in 75 pts Recurrences of TS events were only seen in 4 pts.

Conclusions This study represents to date the largest series of pts suffering from TS in Austria. As confirmed by our study the prevalence of TS in women was significantly higher than in men and the apical type of TS was detected most frequently.

The clinical presentation was similar to the clinical picture of acute MI and TS could only be differentiated from acute MI by coronary angiography demonstrating no or non-significant plaque formations in epicardial coronary arteries.

Emotional and physical triggers were involved in about half the pts each. Bergler-Klein, M. Bojic, U. Vogl, W. Lamm, A.

Bojic, T. Binder, C. Zielinski, M. Targeted treatment with the tyrosine kinase inhibitor sunitinib has recently been shown to significantly improve the outcome in this disease.

However, sunitinib has been shown to induce cardiac toxicities, especially hypertension and left ventricular dysfunction may occur, as well as myocardial ischemia or arrhythmias.

Therefore, frequent assessment of cardiac function and close clinical observation has been considered essential in these patients.

However, frequent echocardiograms might not be feasible in every patient in the routine clinical practice.

Easily available biomarkers for cardiac toxicity are desirable to detect cardiac damages and support the decision of treatment continuation.

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Urol Int. In: Scand J Urol Nephrol, , Anhang III In: Br J Cancer ; Cristina M, Villanueva et al.

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In: Cancer ; In: J Urol, , Anhang XI In: J Urol. In: Urol Clin North Am, 11 4 , Guidelines on Bladder Cancer.

In: Urologe A, , 43 5 : Anhang XII In: J Urol ; In: Ann Surg Oncol. Epub Jul Int J Cancer 94 2 : Parkin DM: The global burden of urinary bladder cancer.

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Anhang XV In: Wilmanns JC [Hrsg. Schattauer Verlag, Stuttgart ; 3. Auflage S. Aspects of Clinical Progression. In: Urology, , 4 4 : Vineis P, Pirastu R: Aromatic amines and cancer.

In: Cancer Causes Control, ; 8: S. In: Int J Cancer. In: Cancer. TNM Klassifikation maligner Tumoren. Springer Medizin Verlag Heidelberg , 6.

Auflage Kontrollgruppe als Vergleich dargestellt CA Serumwerte Arteria Aa. Arteriae Abb. Und andere evtl. The aim of this prospective study was the serological and immunohistochemical evaluation of CA Patients and Methods: CA Additionally, these serum parameters were determined in 9 patients with initial metastatic TCC.

Immunohistochemical analysis on CA Results: Neither CA Significantly higher levels were also evident with increasing grade of malignancy.

Immunohistochemical staining revealed a strong correlation between CA Sie hatten immer Geduld mit mir und versorgten mich stetig mit einem wertvollen Tipp, wenn ich mal wieder nicht weiter wusste.

Auch bedanke ich mich bei meinem Freund Norbert. Du wirst eine ganz wundervolle Lehrerin werden!

Die Größten Stadien

Die Größten Stadien Video

My Lego stadium completes big transfer to Werder Bremen!!!

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