Großmann, Marius

[["dc.bibliographiccitation.firstpage","482"],["dc.bibliographiccitation.issue","4"],["dc.bibliographiccitation.journal","Interactive Cardiovascular and Thoracic Surgery"],["dc.bibliographiccitation.lastpage","488"],["dc.bibliographiccitation.volume","24"],["dc.contributor.author","Andrasi, Terezia B."],["dc.contributor.author","Kekesi, Violetta"],["dc.contributor.author","Merkely, Bela"],["dc.contributor.author","Grossmann, Marius"],["dc.contributor.author","Danner, Bernhard Christoph"],["dc.contributor.author","Schoendube, Friedrich Albert"],["dc.date.accessioned","2018-11-07T10:25:09Z"],["dc.date.available","2018-11-07T10:25:09Z"],["dc.date.issued","2017"],["dc.description.abstract","OBJECTIVES: We aimed to develop a simple, reliable, and timesaving technique for the therapy of thoracoabdominal aortic (TAA) aneurysms that are not suitable for endovascular repair. METHODS: In this pilot study, we sought to combine the advantages of classic open vascular procedure with the use of endoscopic surgical tools and small skin incisions to develop a minimally invasive approach for TAA replacement. The following procedures were used: endoscopic exposure and closure of the lower intercostal arteries; small posterolateral thoracotomy and left retroperitoneal incisions to expose the anastomotic regions of the aorta; partial anticoagulation; passive bypass and sequential aortic clamping; tunnelling of the graft through the native aortic lumen (endoaneurysmorrhaphy) and open performance of vascular anastomosis. RESULTS: Five mixed-breed dogs (25-35 kg) underwent minimally invasive TAA replacement. All animals survived the operation without blood transfusion (lowest Hb = 5.5 mg/dl). Total operation time was 364 +/- 46.3 min. Clamping times were 17.6 +/- 3.2 min for proximal anastomosis, 33.2 +/- 2.48 min for visceral patch and 11 +/- 2.3 min for distal anastomosis. The pull-through procedure of graft through the native aorta was performed during the visceral clamp time. CONCLUSIONS: Surgical replacement of the TAA through small transverse incisions of the thoracic and abdominal wall is feasible and allows open performance of all vascular anastomosis with no leakage at any anastomotic site. Further experimental studies and clinical implementation are needed to establish the safety and long-term outcome of minimally invasive TAA replacement as a possible primary therapeutic tool for complex aneurysms that are not suitable for endovascular treatment and require open surgical repair."],["dc.description.sponsorship","European Society of Vascular Surgery"],["dc.identifier.doi","10.1093/icvts/ivw379"],["dc.identifier.isi","000404043800002"],["dc.identifier.pmid","28040750"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/42797"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","PUB_WoS_Import"],["dc.publisher","Oxford Univ Press"],["dc.relation.issn","1569-9285"],["dc.relation.issn","1569-9293"],["dc.title","A minimally invasive approach for open surgical thoracoabdominal aortic replacement: experimental concept for a novel surgical procedure"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","1433"],["dc.bibliographiccitation.issue","5"],["dc.bibliographiccitation.journal","The Annals of Thoracic Surgery"],["dc.bibliographiccitation.lastpage","1439"],["dc.bibliographiccitation.volume","88"],["dc.contributor.author","Danner, Bernhard Christoph"],["dc.contributor.author","Didilis, Vassilios N."],["dc.contributor.author","Stojanovic, Tomislav"],["dc.contributor.author","Popov, Aron"],["dc.contributor.author","Grossmann, Marius"],["dc.contributor.author","Seipelt, Ralf G."],["dc.contributor.author","Schoendube, Friedrich Albert"],["dc.date.accessioned","2018-11-07T11:22:21Z"],["dc.date.available","2018-11-07T11:22:21Z"],["dc.date.issued","2009"],["dc.description.abstract","Background. Emergent coronary artery bypass graft surgery (CABG) for acute myocardial infarction is associated with an increased operative risk. For estimation of mortality risk, the European System for Cardiac Operative Risk Evaluation (EuroSCORE) is appropriate up to a medium risk score (<6 points). To predict mortality risk more accurately in cases of higher EuroSCORE, additional cardiac data can be helpful. Methods. Over a 3-year period, patient data including acute myocardial infarction and emergent CABG were retrospectively reviewed. Univariate and multivariate analysis for in-hospital mortality was performed. The EuroSCORE analysis and follow-up was investigated. Results. Overall in-hospital mortality was 18.3%. Preoperative cardiac related predictors for in-hospital mortality were cardiogenic shock (p < 0.001), very poor left ventricular function (p = 0.001), and ST-segment elevation (p = 0.012). In multivariate regression analysis, age, cardiogenic shock, and pulmonary hypertension were independent preoperative risk factors. According to the EuroSCORE, we could define three statistically different groups: intermediate-risk, high-risk, and very high risk, with an observed mortality of 3.3%, 20.0%, and 63.2%, respectively. The EuroSCORE correlates with but overestimates the mortality risk. In subgroup analysis, the creatine kinase-myocardial band/hour ratio for the intermediate-risk group and ST-segment elevation for the high-risk group were additional cardiac risk factors. Conclusions. Patients with an acute myocardial infarction and emergency aortocoronary CABG have an elevated operative risk. Logistic EuroSCORE overestimates the mortality rate. Three different risk groups can be defined, in which creatine kinase-MB/h-ratio and ST-segment elevation can more accurately predict operative risk. (Ann Thorac Surg 2009;88:1433-9) (C) 2009 by The Society of Thoracic Surgeons"],["dc.identifier.doi","10.1016/j.athoracsur.2009.06.059"],["dc.identifier.isi","000271215700007"],["dc.identifier.pmid","19853087"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/55978"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Elsevier Science Inc"],["dc.relation.issn","0003-4975"],["dc.title","A Three-Group Model to Predict Mortality in Emergent Coronary Artery Bypass Graft Surgery"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","900"],["dc.bibliographiccitation.issue","10"],["dc.bibliographiccitation.journal","Artificial Organs"],["dc.bibliographiccitation.lastpage","U132"],["dc.bibliographiccitation.volume","38"],["dc.contributor.author","Bireta, Christian"],["dc.contributor.author","Danner, Bernhard Christoph"],["dc.contributor.author","Grossmann, Marius"],["dc.contributor.author","Zenker, Dieter"],["dc.contributor.author","Seidler, Tim"],["dc.contributor.author","Unsoeld, Bernhard W."],["dc.contributor.author","Sabashnikov, Anton"],["dc.contributor.author","Muehlhaeuser, Ulrike"],["dc.contributor.author","Braeuer, Anselm"],["dc.contributor.author","Schoendube, Friedrich Albert"],["dc.contributor.author","Popov, Aron Frederik"],["dc.date.accessioned","2018-11-07T09:33:56Z"],["dc.date.available","2018-11-07T09:33:56Z"],["dc.date.issued","2014"],["dc.identifier.doi","10.1111/aor.12273"],["dc.identifier.isi","000344360700012"],["dc.identifier.pmid","25345363"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/32070"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Wiley-blackwell"],["dc.relation.issn","1525-1594"],["dc.relation.issn","0160-564X"],["dc.title","Challenging Treatment of an Infected CircuLite Synergy Micropump After Pump Thrombosis Due to Subtherapeutic Anticoagulation Therapy: Pushing the Limits?"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dc.type.subtype","letter_note"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","281"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","Journal of Vascular Surgery"],["dc.bibliographiccitation.lastpage","297.e2"],["dc.bibliographiccitation.volume","66"],["dc.contributor.author","Andrási, Terézia B."],["dc.contributor.author","Grossmann, Marius"],["dc.contributor.author","Zenker, Dieter"],["dc.contributor.author","Danner, Bernhard C."],["dc.contributor.author","Schöndube, Friedrich A."],["dc.date.accessioned","2020-12-10T15:20:10Z"],["dc.date.available","2020-12-10T15:20:10Z"],["dc.date.issued","2017"],["dc.identifier.doi","10.1016/j.jvs.2017.04.024"],["dc.identifier.issn","0741-5214"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/72576"],["dc.language.iso","en"],["dc.notes.intern","DOI Import GROB-354"],["dc.title","Supra-aortic interventions for endovascular exclusion of the entire aortic arch"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","180"],["dc.bibliographiccitation.issue","3"],["dc.bibliographiccitation.journal","The Thoracic and Cardiovascular Surgeon"],["dc.bibliographiccitation.lastpage","184"],["dc.bibliographiccitation.volume","61"],["dc.contributor.author","Doerge, Hilmar"],["dc.contributor.author","Sellin, Christian"],["dc.contributor.author","Bury, Maike-Corinna"],["dc.contributor.author","Drescher, Andreas"],["dc.contributor.author","Seipelt, Ralf G."],["dc.contributor.author","Grossmann, Marius"],["dc.contributor.author","Danner, Bernhard Christoph"],["dc.contributor.author","Schoendube, Friedrich Albert"],["dc.date.accessioned","2018-11-07T09:26:35Z"],["dc.date.available","2018-11-07T09:26:35Z"],["dc.date.issued","2013"],["dc.description.abstract","Background Deep sternal wound infections (DSWI) remain a devastating complication in cardiac surgery applying full sternotomy. As the risk profile in cardiac surgery changed toward an older and sicker population, the incidence of DSWI increases. Platelet rich plasma (PRP) holds promise in tissue regeneration with respect to bone regeneration, reduction of bleeding, and accelerated wound healing. The effect of PRP on DSWI was investigated in high-risk patients undergoing cardiac surgery with full sternotomy. Methods 196 consecutive patients at risk of DSWI were randomized to application of autologous PRP before sternal wiring (n = 97) or control (n = 99). All patients underwent cardiac surgery on cardiopulmonary bypass with cardioplegic cardiac arrest. Endpoint was occurrence of DSWI requiring revision surgery. Results Demographic, intraoperative, and perioperative variables as well as risk factors were comparable between groups. Incidence of DSWI was not different between the PRP-group and the control-group (6/97 (6.2%) vs. 3/99 (3.0%); n.s.). Conclusions Local application of autologous PRP in cardiac surgery patients with full sternotomy at high risk for sternal complications did not reduce the incidence of DSWI."],["dc.description.sponsorship","Biomet Deutschland GmbH, Berlin, Germany"],["dc.identifier.doi","10.1055/s-0032-1304537"],["dc.identifier.isi","000317175800002"],["dc.identifier.pmid","22547304"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/30332"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Georg Thieme Verlag Kg"],["dc.relation.issn","0171-6425"],["dc.title","Incidence of Deep Sternal Wound Infection Is Not Reduced with Autologous Platelet Rich Plasma in High-Risk Cardiac Surgery Patients"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.issue","3"],["dc.bibliographiccitation.journal","Journal of Cardiothoracic Surgery"],["dc.bibliographiccitation.volume","12"],["dc.contributor.author","Bougioukas, Ioannis"],["dc.contributor.author","Jebran, Ahmad Fawad"],["dc.contributor.author","Grossmann, Marius"],["dc.contributor.author","Friedrich, Martin"],["dc.contributor.author","Tirilomis, Theodor"],["dc.contributor.author","Schoendube, Friedrich A."],["dc.contributor.author","Danner, Bernhard Christoph"],["dc.date.accessioned","2018-10-10T09:54:39Z"],["dc.date.available","2018-10-10T09:54:39Z"],["dc.date.issued","2017-01-25"],["dc.description.abstract","Re-exploration for bleeding accounts for increased morbidity and mortality after major cardiac operations. The use of temporary epicardial pacemaker wires is a common procedure at many departments. The removal of these wires postoperatively can potentially lead to a serious bleeding necessitating intervention. From Jan 2011 till Dec 2015 a total of 4244 major cardiac procedures were carried out at our department. We used temporary epicardial pacemaker wires in all cases. We collected all re-explorations for bleeding and pericardial tamponade from our surgical database and then we focused on the late re-explorations, meaning on the 4th postoperative day and thereafter, trying to identify the removal of the temporary pacemakerwires as the definite cause of bleeding. Patients’ records and medication were examined. Thirty-nine late re-explorations for bleeding, consisting of repeat sternotomies, thoracotomies and subxiphoid pericardial drainages, were gathered. Eight patients had an acute bleeding incidence after removal ofthe temporary wires (0.18%). In four of these patients, a pericardial drainage was inserted, whereas the remaining patients were re-explorated through a repeat sternotomy. Two patients died of the acute pericardial tamponade,three had a blood transfusion and one had a wound infection. Seven out of eight patients were either on dualantiplatelet therapy or on combination of aspirin and vitamin K antagonist. A need for re-exploration due to removal of the temporary pacemaker wires is a very rare complication, which however increases morbidity and mortality. Adjustment of the postoperative anticoagulation therapy at the time of removal of the wires could further minimize or even prevent this serious complication."],["dc.identifier.doi","10.1186/s13019-017-0569-5"],["dc.identifier.gro","633982"],["dc.identifier.pmid","28122567"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/14188"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/15938"],["dc.language.iso","en"],["dc.notes.intern","Merged from goescholar"],["dc.notes.status","final"],["dc.relation.eissn","1749-8090"],["dc.rights","CC BY 4.0"],["dc.rights.uri","https://creativecommons.org/licenses/by/4.0"],["dc.title","Is there a correlation between late re-exploration after cardiac surgery and removal of epicardial pacemaker wires?"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","21"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","The Thoracic and Cardiovascular Surgeon"],["dc.bibliographiccitation.lastpage","24"],["dc.bibliographiccitation.volume","59"],["dc.contributor.author","Danner, Bernhard Christoph"],["dc.contributor.author","Zenker, Dieter"],["dc.contributor.author","Didilis, Vassilios N."],["dc.contributor.author","Grossmann, Marius"],["dc.contributor.author","Stojanovic, Tomislav"],["dc.contributor.author","Seipelt, Ralf G."],["dc.contributor.author","Tirilomis, Theodor"],["dc.contributor.author","Schoendube, Friedrich Albert"],["dc.date.accessioned","2018-11-07T08:59:39Z"],["dc.date.available","2018-11-07T08:59:39Z"],["dc.date.issued","2011"],["dc.description.abstract","Background: Methicillin-resistant Staphylococcus aureus (MRSA) and Staphylococcus epidermidis (MRSE) are an increasing problem in deep sternal wound infections (DSWI) after cardiac surgery. Methods: Between 2005 and 2009, recalcitrant methicillin-resistant Staphylococcus was found in 21 patients with complicated DSWI, and a transposition of the greater omentum (TGO) was finally performed. A positive microbial culture at the time of procedure was present in all patients. The hospital course was reviewed discretely for MRSA and MRSE. Results: Median patient age was 72.3 years (range 60.8-79.7); 76% of patients were male. Time from the first sternal revision until consecutive open wound therapy due to re-infection and total hospital stay was longer for MRSA compared to MRSE (38 vs. 14 days, p = 0.003, and 141 vs. 91 days, p = 0.007, respectively). The period from cardiac surgery to TGO was likewise prolonged for MRSA (78 vs. 55 days, p = 0.045), whereas in-hospital mortality and one-year mortality rate did not differ. Conclusion: TGO remains a good treatment option for DSWI type IV. Microbial findings determine the clinical course; nevertheless in-hospital mortality remains low for both MRSA and MRSE infection."],["dc.identifier.doi","10.1055/s-0030-1250373"],["dc.identifier.isi","000286310200004"],["dc.identifier.pmid","21243567"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/23955"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Georg Thieme Verlag Kg"],["dc.publisher.place","Stuttgart"],["dc.relation.conference","39th Annual Meeting of the German-Society-for-Thoracic-and-Cardiovascular-Surgery"],["dc.relation.eventlocation","Stuttgart, GERMANY"],["dc.relation.issn","0171-6425"],["dc.title","Transposition of Greater Omentum in Deep Sternal Wound Infection Caused by Methicillin-Resistant Staphylococci, with Differing Clinical Course for MRSA and MRSE"],["dc.type","conference_paper"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]