Michel Pompeu Sá

Massachusetts General Hospital

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Alexander Weymann

Medizinische Hochschule Hannover

Jef Van den Eynde

KU Leuven

Ibrahim Sultan

University of Pittsburgh

Xander Jacquemyn

KU Leuven

Arjang Ruhparwar

Medizinische Hochschule Hannover

Konstantin Zhigalov

Perm State University

Basel Ramlawi

Lankenau Institute for Medical Research

Derek Serna‐Gallegos

University of Pittsburgh

Luiz Rafael P. Cavalcanti

Universidade de Pernambuco

Serge Sicouri

Lankenau Institute for Medical Research

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Universidade de Pernambuco

109

Deutsches Herzzentrum der Charité

American Association of Neurological Surgeons

Charité - Universitätsmedizin Berlin

Berlin Heart (Germany)

Humboldt-Universität zu Berlin

Freie Universität Berlin

University of Pittsburgh Medical Center

German Centre for Cardiovascular Research

Deutsches Herzzentrum München

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JACC. Cardiovascular imaging (2023)

Michel Pompeu Sá Xander Jacquemyn Jef Van den Eynde P. Pibarot Marie‐Annick Clavel

10.1016/j.jcmg.2023.06.015

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Tricuspid valve intervention at the time of pulmonary valve replacement: A systematic review and meta-analysis

International Journal of Cardiology Congenital Heart Disease (2021)

Jef Van den Eynde Connor P. Callahan Mauro Lo Rito Nabil Hussein Horacio G. Carvajal

Pulmonary valve

10.1016/j.ijcchd.2021.100257

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Establishing a robotic coronary artery bypass surgery program: a narrative review

Journal of Visualized Surgery (2022)

Gianluca Torregrossa Aleksander Dokollari Michel Pompeu Sá Serge Sicouri Basel Ramlawi

Background and Objective: Robotic coronary artery bypass surgery is an established procedure for treatment of coronary artery disease. The goal of this manuscript is to provide an overview on how to build a successful robotic coronary artery bypass grafting (CABG) surgery program and analyze its learning curve. Methods: We performed a narrative review of the current medical literature comparing the robotic CABG survival rate. English literature published by January 30th, 2021 were searched in PubMed/MEDLINE, Embase, SciELO, LILACS, CCTR/CENTRAL and Google Scholar. Key Content and Findings: The learning curve of robotic CABG is a stepwise process ranging from proficiency in off-pump CABG to multi-vessel robotic totally endoscopic CABG. Robotic CABG creates a unique setting where all the team members (including surgeons, anesthesiologists, and nurses) face the technical and logistic challenges of a new procedure, relying on the team assistance and medical knowledge. A careful selection of the team based on their experience and keen interest in the program is highly advisable. Team synergy and attention to details are key to the program success. It is recommended that every team member had previous training in the operating room with the robotic platform either on cadavers or animals. A synergistic collaboration among surgeon, hospital administration, and chief of the department through defining reasons are keys for developing a successful robotic surgical program and setting future goals for the team and the department. In addition, the ideal pathway of a successful trainee for patient selection consists of: (I) patient with stable coronary artery disease; (II) double vessels disease with a non-anterior descending artery (LAD) target that can be treated with stent; (III) robotic CABG left internal thoracic artery (LITA) to LAD followed by stenting of the non-LAD territory with angiographic confirmation of LITA to LAD patency; (IV) adding a second internal thoracic artery (ITA) should be evaluated carefully and after performing at least 75/100 cases of single LITA to LAD. In addition, literature review found 46 studies and 9,228 patients were included. Conclusions: Robotic CABG is a constantly evolving field and new programs are constantly built. Bearing in mind the benefits of the procedure, a stepwise growing of the program is essential in becoming a leader in the field.

10.21037/jovs-22-11

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Thoracic endovascular aortic repair for hyperacute, acute, subacute and chronic type B aortic dissection: Meta-analysis of reconstructed time-to-event data

Trends in Cardiovascular Medicine (2023)

Michel Pompeu Sá Xander Jacquemyn James A. Brown Danial Ahmad Derek Serna‐Gallegos

Aortic repair

Log-rank test

10.1016/j.tcm.2023.12.005

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Citations (9)

Skeletonized versus pedicled bilateral internal mammary artery grafting: Outcomes and concerns analyzed through a meta-analytical approach

International Journal of Surgery (2014)

Michel Pompeu Sá Paulo Ernando Ferraz Cavalcanti Henrique José de Andrade Costa Santos Artur Freire Soares Rodrigo Miranda

Internal thoracic artery

10.1016/j.ijsu.2014.10.019

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Citations (36)

Alterations in Practice Because of Contrast-Associated Acute Kidney Injury Following PCI

КАРДИОЛОГИЯ УЗБЕКИСТАНА (2022)

Jef Van den Eynde Xander Jacquemyn Shelby Kutty Michel Pompeu Sá

Fractional Flow Reserve

Coronary flow reserve

10.1016/j.jcin.2022.04.002

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Citations (1)

Contributions of the heart rate turbulence method to risk stratification in patients after myocardial infarction: a review.

PubMed (2022)

Rafael Alessandro Ferreira Gomes Michel Pompeu Sá Dário Celestino Sobral Filho

Coronary artery disease remains an important cause of morbidity and mortality worldwide. The impact of ventricular arrhythmias and impaired cardiac vagal activity on coronary events is one of the most relevant prognostic factors, despite little research being conducted in clinical practice. A simple and cost-effective way to analyze cardiac autonomic regulation is through the heart rate turbulence (HRT) method. Studies have shown that altered HRT, which indicates reduction in the vagal cardiac activity, can identify patients who are at a higher risk of sudden death. Thus, aspects related to the definition, pathophysiological mechanism, conditions that alter the HRT behavior, and the main studies that analyzed the prognostic importance of HRT in patients with ischemic disease were discussed in this review. HRT analysis was proven to be a simple and cost-effective way to assess cardiac autonomic dysfunction by providing complementary information to classic parameters, such as the assessment of ventricular function.

Heart rate turbulence

Risk Stratification

Autonomic function

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Cardiac tamponade during contrast infusion through central venous catheter

European Journal of Cardio-Thoracic Surgery (2021)

Michel Pompeu Sá Luiz Rafael P. Cavalcanti Sérgio C. Rayol Roberto Gouvea Silva Diniz

Central venous catheter

10.1093/ejcts/ezab173

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Antegrade Versus Retrograde Cerebral Perfusion in Aortic Surgery: Systematic Review and Meta-Analysis of 19365 Patients

Surgical Research - Open Journal (2022)

Joseph Lamelas Ahmed Alnajar Michel Pompeu Sá Muhammad Z. Azhar Elizabeth F. Aleong

Background Since the risk of neurological injury and mortality can be mitigated with the appropriate choice of established brain protection strategies, we performed a meta-analysis of studies reporting cerebral perfusion strategy outcomes. Our focus was on surgeries that can be performed through a minimally-invasive approach, to support the decision-making process of adopting surgeons. Methods We searched the Excerpta Medica dataBASE (EMBASE), Medical literature analysis and retrieval system online (MEDLINE), and Cochrane databases, as well as ClinicalTrials.gov, Google Scholar, and the reference lists of relevant articles for studies reporting early mortality and/or stroke outcomes of both retrograde cerebral perfusion (RCP) and antegrade cerebral perfusion (ACP) strategies. The principal summary measures were odds ratio (OR) with 95% confidence interval (CI) and p values (statistically significant when <0.05). The pooled ORs were combined across studies that met the eligibility criteria. Results We identified and included seventeen eligible studies with a total of 19,365 patients undergoing ascending aorta and arch surgery from 2008-2019 by means of ACP (a total of 10,473 patients) or RCP (a total of 8,892 patients). Random effect model analyses found no increase in mortality (OR=1.03, 95%CI:0.80-1.32) or stroke (OR=1.04, 95%CI:0.81-1.32) associated RCP when compared to ACP (p>0.05). Conclusion In ascending aorta and arch surgery, requiring cerebral protection, ACP and RCP have similar rates of early mortality and stroke. While optimal application of cerebral protection strategies is both patient and surgeon specific, surgeons can comfortably adopt RCP in minimally invasive cases after accounting for factors that determine the outcomes of aortic surgery adequately.

Stroke

10.17140/sroj-7-128

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Citations (2)

Coronary Artery Bypass Graft Surgery Improves Survival Without Increasing the Risk of Stroke in Patients with Ischemic Heart Failure in Comparison to Percutaneous Coronary Intervention: A Meta- Analysis With 54,173 Patients

Brazilian Journal of Cardiovascular Surgery (2019)

Michel Pompeu Sá Álvaro M. Perazzo Felipe Augusto Santos Saragiotto Luiz Rafael P. Cavalcanti Antônio Carlos Escorel Almeida Neto

To evaluate whether there is any difference on the results of patients treated with coronary artery bypass grafting (CABG) or percutaneous coronary intervention (PCI) in the setting of ischemic heart failure (HF).

Stroke

10.21470/1678-9741-2019-0170

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Citations (10)