Publications
779 results found
Purkayastha S, Tekkis P, Athanasiou T, et al., 2005, Inguinal hernia., Clin Evid, Pages: 535-555, ISSN: 1462-3846
Weerasinghe A, Athanasiou T, Al-Ruzzeh S, et al., 2005, Functional renal outcome in on-pump and off-pump coronary revascularization: A propensity-based analysis, ANNALS OF THORACIC SURGERY, Vol: 79, Pages: 1577-1583, ISSN: 0003-4975
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- Citations: 39
Purkayastha S, Tekkis PP, Athanasiou T, et al., 2005, Magnetic Resonance Colonography – a New Imaging Modality for Diagnosing Colorectal Cancer: a Meta-analysis., Association of Surgeons of Great Britain and Ireland
Modine T, Decoene C, Al-Ruzzeh S, et al., 2005, Dobutamine improves thoracic aortic blood flow during off-pump coronary artery bypass surgery: results of a prospective randomised controlled trial, EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, Vol: 27, Pages: 289-295, ISSN: 1010-7940
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- Citations: 5
Al-Ruzzeh S, Modine T, Athanasiou T, et al., 2005, Can the use of the radial artery be expanded to all patients with different surgical grafting techniques? Early clinical and angiographic results in 600 patients, JOURNAL OF CARDIAC SURGERY, Vol: 20, Pages: 1-7, ISSN: 0886-0440
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- Citations: 13
Jones CM, Athanasiou T, 2005, Is virtual bronchoscopy an efficient diagnostic tool for the thoracic surgeon?, ANNALS OF THORACIC SURGERY, Vol: 79, Pages: 365-374, ISSN: 0003-4975
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- Citations: 23
Jones CM, Athanasiou T, 2005, Summary receiver operating characteristic curve analysis techniques in the evaluation of diagnostic tests, ANNALS OF THORACIC SURGERY, Vol: 79, Pages: 16-20, ISSN: 0003-4975
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- Citations: 376
Ali A, Kumar P, Athanasiou T, et al., 2005, Is routine use of stentless aortic prostheses justified in an elderly (aged ≥75 years) population?, JOURNAL OF HEART VALVE DISEASE, Vol: 14, Pages: 64-70, ISSN: 0966-8519
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- Citations: 2
Aziz O, Athanasiou T, Darzi A, 2005, Haemostasis using a ready-to-use collagen sponge coated with activated thrombin and fibrinogen., Surg Technol Int, Vol: 14, Pages: 35-40, ISSN: 1090-3941
Adequate haemostasis is an important part of any surgical procedure, but particularly so in the case of visceral organ surgery where apparently insignificant ooze can ultimately result in significant haemorrhage and coagulopathy. To achieve haemorrhage control, the surgeon may use conventional techniques (eg, suture ligation, diathermy, and swab compression), but failing this has the option of using physical coagulation tools (eg, the argon beam coagulator) and haemostasis adjuncts (eg, fibrin glues and collagen sheets). Advances in manufacturing have led to development of several other haemostatic products including absorbable gelatin sponges, cyanoacrylates, and polymer-based adhesives. One such product consists of a fixed, ready-to-use equine collagen sponge coated with human thrombin and fibrinogen. It may be applied directly to the bleeding surface, without the need for preparation or reconstitution. This chapter reviews the published evidence and compares its use to other classes of haemostasis adjuncts across a range of surgical specialties, namely hepatic, splenic, thoracic, vascular, and minimally invasive surgery. It also aims to highlight the apparent advantages and limitations of the fibrinogen and thrombin-coated collagen sponge compared to other commercially available haemostasis adjuncts, and identify potential applications for the product.
Mangoush O, Athanasiou T, Chester A, et al., 2004, The role of arterial grafts in coronary artery bypass grafting: an update., The heart surgery forum, Vol: 7
Based on the legacy of the success of the internal thoracic artery as a bypass conduit for myocardial revascularization, the effort to achieve total arterial revascularization continued to evolve in the last 2 decades. Arterial conduits were used as alternatives to saphenous vein for coronary artery bypass grafting. In this review we attempted to assess the success and failure of these conduits and the current trend in myocardial revascularization.
Athanasiou T, Kumar P, Ashrafian H, et al., 2004, Aortic valve replacement in a patient with Takayasu's disease without cross-clamping the calcified ascending aorta., Asian Cardiovasc Thorac Ann, Vol: 12, Pages: 376-378, ISSN: 0218-4923
The case of a 42-year-old female requiring surgical management of aortic regurgitation, secondary to Takayasu's disease, with a co-existing heavily calcified ascending aorta is described. In order to address aortic valve surgery with such calcific disease affecting the ascending aorta and peripheral vessels, we present a simple and safe technique that allows aortic valve replacement using a vascular intra-aortic occlusion catheter.
Athanasiou T, Aziz O, Al-Ruzzeh S, et al., 2004, Are wound healing disturbances and length of hospital stay reduced with minimally invasive vein harvest? - A meta-analysis, EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, Vol: 26, Pages: 1015-1026, ISSN: 1010-7940
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- Citations: 48
Kumar P, Athanasiou T, Ali A, et al., 2004, Re-do aortic valve replacement: Does a previous homograft influence operative outcome?, JOURNAL OF HEART VALVE DISEASE, Vol: 13, Pages: 904-912, ISSN: 0966-8519
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- Citations: 18
James DRC, Purkayastha S, Athanasiou T, et al., 2004, Anatomy: the future teaching of undergraduates, HOSPITAL MEDICINE, Vol: 65, Pages: 681-685, ISSN: 1462-3935
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- Citations: 7
Al-Ruzzeh S, Athanasiou T, Glenville B, et al., 2004, Full arterial revascularisation provides a better clinical outcome when combined with off-pump coronary artery bypass surgery: A propensity score analysis, 77th Scientific Meeting of the American-Heart-Association, Publisher: LIPPINCOTT WILLIAMS & WILKINS, Pages: 467-467, ISSN: 0009-7322
Al-Ruzzeh S, George S, Bustami M, et al., 2004, Clinical and angiographic outcomes of coronary artery bypass grafting with and without cardiopulmonary bypass: Harefield prospective randomized trial, 77th Scientific Meeting of the American-Heart-Association, Publisher: LIPPINCOTT WILLIAMS & WILKINS, Pages: 546-546, ISSN: 0009-7322
Athanasiou T, Cherian A, Ross D, 2004, The Ross II procedure: pulmonary autograft in the mitral position., Ann Thorac Surg, Vol: 78, Pages: 1489-1495
The surgical management of mitral valve disease in women of childbearing age, young patients, and children with congenital mitral valve defects is made difficult by the prospect of lifelong anticoagulation. We suggest the use of a pulmonary autograft in the mitral position (Ross II procedure) as an alternative surgical technique. We present a review of the literature, historical perspectives, indications, selection criteria, and surgical technique for the Ross II procedure. Our literature search identified 14 studies that reported results from the Ross II operation. Performed in 103 patients, the overall in-hospital mortality was 7 (6.7%), with a late mortality of 10 (9%). Although further research is needed, current evidence suggests the Ross II operation is a valuable alternative in low-risk young patients where valve durability and the complication rate from other procedures is unsatisfactory and anticoagulation not ideal.
Athanasiou T, Aziz O, Mangoush O, et al., 2004, Does off-pump coronary artery bypass reduce the incidence of post-operative atrial fibrillation? A question revisited, EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, Vol: 26, Pages: 701-710, ISSN: 1010-7940
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- Citations: 50
Athanasiou T, Krasopoulos G, Nambiar P, et al., 2004, Emergency thoracotomy in the pre-hospital setting: a procedure requiring clarification., Eur J Cardiothorac Surg, Vol: 26, Pages: 377-386, ISSN: 1010-7940
OBJECTIVE: The aim of this study is to investigate the influence of Emergency Thoracotomy (ET) on mortality in a group of patients suffering from severe thoracic trauma requiring Helicopter Emergency Medical Service (HEMS) transfer to hospital. This is not clearly defined especially when thoracotomy takes place in the pre-hospital setting. METHODS: A retrospective review of 670 consecutive patients with severe thoracic trauma, transferred to The Royal London Hospital by HEMS between November 1994 and December 2002. ET (on scene, in the Accident and Emergency (A&E) department or in the operating theatre) was performed in 53 patients (7.7%). Both univariate and multivariate analyses were performed to evaluate ET as an independent predictor of mortality. RESULTS: There were 510 males and 160 females with a mean Injury Severity Score (ISS) of 35.12+/-17.5. Univariate analysis identified ET to be a predictor of mortality (OR=0.15, 95% CI=0.07-0.30). However, with multivariate analysis, ET was not found to be an independent predictor of mortality (OR=1.93, 95% CI=0.61-6.1). The independent predictors of mortality identified were: age>60 years (OR 5.57, 95% CI 2.19-14.16), Glasgow Coma Score <8 at the scene (OR=7.4, 95% CI=3.15-17.46), ISS>25 (OR 5.3, 95% CI=1.64-17.11), need for intubation at the scene (OR=2.80, 95% CI=1.022-7.69), oxygen saturation in A&E (<89%) (OR=2.39, 95% CI=1.13-5.05), haemothorax (OR=3.30, 95% CI=1.53-7.13) and bilateral injury (OR=3.1, 95% CI=1.51-6.61). CONCLUSIONS: Our study has shown that when confounding variables are accounted for, ET is not a predictor of mortality following severe chest trauma. This implies that in a well-selected group of patients it may be a significant and life-saving procedure.
Casula R, Athanasiou T, Foale R, 2004, Recent advances in minimal-access cardiac surgery using robotic-enhanced surgical systems., Expert Rev Cardiovasc Ther, Vol: 2, Pages: 589-600
Recent advances in interventional cardiology and cardiac surgery have changed traditional therapeutic algorithms by altering indications, timing and patterns of referral for subsequent surgical treatment. Developments in coronary revascularization have focused on reducing both surgical invasiveness and trauma. Patients with significant comorbid pathologies, those undergoing reinterventions and especially the elderly may benefit from such hybrid procedures by avoiding cardiopulmonary bypass and a midline sternotomy. Minimally invasive techniques have revolutionized cardiothoracic surgery by increasing patient satisfaction and by reducing surgical trauma, hospital stay, and consequently overall costs. There are, however, limitations, but robot-assisted surgery endeavors to minimize these technical hindrances and thus allow better and more accurate surgical practice whilst minimizing surgical trauma.
Casula R, Athanasiou T, Darzi A, 2004, Minimal access coronary revascularisation without cardiopulmonary bypass - The impact of robotic technology in the current clinical practice, INTERNATIONAL JOURNAL OF MEDICAL ROBOTICS AND COMPUTER ASSISTED SURGERY, Vol: 1, Pages: 98-106, ISSN: 1478-5951
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- Citations: 7
Athanasiou T, Crossman NC, Asimakopoulos G, et al., 2004, Should the internal thoracic artery be skeletonized?, ANNALS OF THORACIC SURGERY, Vol: 77, Pages: 2238-2246, ISSN: 0003-4975
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- Citations: 45
Athanasiou T, Aziz O, Mangoush O, et al., 2004, Do off-pump techniques reduce the incidence of postoperative atrial fibrillation in elderly patients undergoing coronary artery bypass grafting?, ANNALS OF THORACIC SURGERY, Vol: 77, Pages: 1567-1574, ISSN: 0003-4975
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- Citations: 54
Weerasinghe A, Yusuf M, Athanasiou T, et al., 2004, Role of transvalvular gradient in outcome from valve replacement for aortic stenosis, ANNALS OF THORACIC SURGERY, Vol: 77, Pages: 1266-1271, ISSN: 0003-4975
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- Citations: 1
Purkayastha S, Athanasiou T, Casula R, et al., 2004, Robotic surgery: a review, HOSPITAL MEDICINE, Vol: 65, Pages: 153-159, ISSN: 1462-3935
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- Citations: 4
Athanasiou T, Al-Ruzzeh S, Kumar P, et al., 2004, Off-pump myocardial revascularization is associated with less incidence of stroke in elderly patients, ANNALS OF THORACIC SURGERY, Vol: 77, Pages: 745-753, ISSN: 0003-4975
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- Citations: 202
Decoene C, Modine T, Al-Ruzzeh S, et al., 2004, Analysis of thoracic aortic blood flow during off-pump coronary artery bypass surgery, EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, Vol: 25, Pages: 26-34, ISSN: 1010-7940
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- Citations: 10
Purkayastha S, Aziz O, Athanasiou T, et al., 2004, Does Laparoscopic Surgery Offer Adequate Clearance In Rectal Cancer? - A Discussion, International Journal of Surgery, Vol: 2, Pages: 103-106
Mangoush O, Athanasiou T, Chester A, et al., 2004, The role of arterial grafts in coronary artery bypass grafting: An update, HEART SURGERY FORUM, Vol: 7, Pages: E450-E453, ISSN: 1098-3511
Athanasiou T, Ashrafian H, Glenville B, et al., 2004, Coronary artery bypass with the use of a magnetic distal anastomotic device: Surgical technique and preliminary experience, HEART SURGERY FORUM, Vol: 7, Pages: E344-E347, ISSN: 1098-3511
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- Citations: 11
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