Long-term outcome after aortic root reconstruction with a bioprosthetic valved conduit: A consecutive series of 277 procedures

Background. There is very little information on long-term follow-up of social phobia.Methods. A consecutive series of 70 patients satisfying the DSM-IV criteria for social phobia was treated in an out-patient clinic with behavioural methods based on exposure homework. Forty-five patients were judged to be remitted after eight individual sessions of psychotherapy. A 2 to 12 year (median = 6 years) follow-up was performed. Survival analysis was selected to characterize the clinical course of patients. Assessments were performed before treatment, at the end of therapy, after 1 year, and subsequently on a yearly basis, and utilized selected items of Paykel's Clinical Interview for Depression.Results. Six of the 45 patients (13%) had a relapse of social phobia at some time during follow-up. The estimated cumulative percentage of patients remaining in remission was 98 after 2 years, 85 after 5 years and 85 after 10 years. Such probabilities increased in the absence of a personality disorder, of residual social phobic avoidance after exposure, and of concurrent use of benzodiazepines.Conclusions. The findings suggest that, even though one patient out of three is unable to complete treatment or does not benefit sufficiently from it, exposure treatment can provide lasting effects to the majority of patients with social phobia. Disappearance of residual, subclinical social phobic avoidance appears to be the target of treatment.

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Long-Term Outcome of Aortic Root Remodeling for Patients With and Without Acute Aortic Dissection

Circulation Journal ◽

10.1253/circj.cj-17-0182 ◽

2017 ◽

Vol 81 (12) ◽

pp. 1824-1831 ◽

Cited By ~ 5

Author(s):

Takashi Kunihara ◽

Niklas Neumann ◽

Steffen Daniel Kriechbaum ◽

Ryota Nomura ◽

Hans-Joachim Schäfers

Keyword(s):

Aortic Dissection ◽

Aortic Root ◽

Acute Aortic Dissection ◽

Term Outcome ◽

Long Term Outcome ◽

Aortic Root Remodeling

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Long-term results of the lateral resurfacing elbow arthroplasty

The Bone & Joint Journal ◽

10.1302/0301-620x.100b3.bjj-2017-0865.r1 ◽

2018 ◽

Vol 100-B (3) ◽

pp. 338-345 ◽

Cited By ~ 4

Author(s):

C. E. L. Watkins ◽

D. W. Elson ◽

J. W. K. Harrison ◽

J. Pooley

Keyword(s):

Long Term Results ◽

Time Interval ◽

Consecutive Series ◽

Range Of Movement ◽

Term Outcome ◽

Long Term Outcome ◽

Elbow Arthroplasty ◽

Kaplan Meier ◽

The Mean

Aim The aim of this study was to report the long-term outcome and implant survival of the lateral resurfacing elbow (LRE) arthroplasty in the treatment of elbow arthritis. Patients and Methods We reviewed a consecutive series of 27 patients (30 elbows) who underwent LRE arthroplasty between December 2005 and January 2008. There were 15 women and 12 men, with a mean age of 61 years (25 to 82). The diagnosis was primary hypotrophic osteoarthritis (OA) in 12 patients (14 elbows), post-traumatic osteoarthritis (PTOA) in five (five elbows) and rheumatoid arthritis (RA) in ten patients (11 elbows). The mean clinical outcome scores including the Mayo Elbow Performance Score (MEPS), the American Shoulder and Elbow Surgeons elbow score (ASES-e), the mean range of movement and the radiological outcome were recorded at three, six and 12 months and at a mean final follow-up of 8.3 years (7.3 to 9.4). A one sample t-test comparing pre and postoperative values, and survival analysis using the Kaplan–Meier method were undertaken. Results A statistically significantly increased outcome score was noted for the whole group at each time interval. This was also significantly increased at each time in each of the subgroups (OA, RA, and PTOA). Implant survivorship was 100%. Conclusion We found that the LRE arthroplasty, which was initially developed for younger patients with osteoarthritis, is an effective form of surgical treatment for a wider range of patients with more severe degenerative changes, irrespective of their cause. It is therefore a satisfactory alternative to total elbow arthroplasty (TEA) and has lower rates of complications in the subgroups of patients we have studied. It does not require activities to be restricted to the same extent as following TEA. Based on this experience, we now recommend LRE arthroplasty rather than TEA as the primary form of implant for the treatment of patients with OA of the elbow. Cite this article: Bone Joint J 2018;100-B:338–45.

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Early and long-term outcome in patients undergoing aortic root replacement with composite graft according to the Bentall's technique

European Journal of Cardio-Thoracic Surgery ◽

10.1016/s1010-7940(01)01037-5 ◽

2002 ◽

Vol 21 (1) ◽

pp. 15-21 ◽

Cited By ~ 27

Author(s):

E Prifti

Keyword(s):

Aortic Root ◽

Composite Graft ◽

Aortic Root Replacement ◽

Term Outcome ◽

Long Term Outcome

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Preoperative aortic root geometry and postoperative cusp configuration primarily determine long-term outcome after valve-preserving aortic root repair

Journal of Thoracic and Cardiovascular Surgery ◽

10.1016/j.jtcvs.2011.07.036 ◽

2012 ◽

Vol 143 (6) ◽

pp. 1389-1395.e1 ◽

Cited By ~ 97

Author(s):

Takashi Kunihara ◽

Diana Aicher ◽

Svetlana Rodionycheva ◽

Heinrich-Volker Groesdonk ◽

Frank Langer ◽

...

Keyword(s):

Aortic Root ◽

Term Outcome ◽

Long Term Outcome ◽

Root Repair ◽

Aortic Root Repair

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Survivorship and long-term outcome of a consecutive series of 200 Scandinavian Total Ankle Replacement (STAR) implants

The Bone & Joint Journal ◽

10.1302/0301-620x.101b1.bjj-2018-0801.r1 ◽

2019 ◽

Vol 101-B (1) ◽

pp. 47-54 ◽

Cited By ~ 21

Author(s):

T. Clough ◽

K. Bodo ◽

H. Majeed ◽

J. Davenport ◽

M. Karski

Keyword(s):

Surgical Techniques ◽

Total Ankle Replacement ◽

Consecutive Series ◽

Term Outcome ◽

Long Term Outcome ◽

Ankle Replacement ◽

The Mean ◽

American Orthopaedic ◽

And Function

AimsWe report the long-term clinical and radiological outcomes of a consecutive series of 200 total ankle arthroplasties (TAAs, 184 patients) at a single centre using the Scandinavian Total Ankle Replacement (STAR) implants.Patients and MethodsBetween November 1993 and February 2000, 200 consecutive STAR prostheses were implanted in 184 patients by a single surgeon. Demographic and clinical data were collected prospectively and the last available status was recorded for further survival analysis. All surviving patients underwent regular clinical and radiological review. Pain and function were assessed using the American Orthopaedic Foot and Ankle Society (AOFAS) hindfoot scoring system. The principal endpoint of the study was failure of the implant requiring revision of one or all of the components. Kaplan–Meier survival curves were generated with 95% confidence intervals and the rate of failure calculated for each year.ResultsA total of 84 patients (87 ankles) were alive by the end of this study. Of the surviving 84 patients (87 ankles; rheumatoid arthritis (RA), n = 40; OA, n = 47), 45 were women and 39 were men, with a mean age of 54 years (18 to 72 years) at the time of surgery. A total of 32 implants failed (16%), requiring revision surgery. The mean time to revision was 80 months (2 to 257). The implant survival at 15.8 years, using revision as an endpoint, was 76.16% (95% confidence interval (CI) 64.41 to 87.91). We found a steady but low decrease in survival over the study period. The mean AOFAS score improved from 28 (10 to 52) preoperatively to 61 (20 to 90) at long-term follow-up.ConclusionSTAR prostheses in the United Kingdom have now been largely superseded by newer design TAAs, potentially with improved characteristics and surgical techniques. The long-term survivorship for the STAR prosthesis can provide a benchmark for these later designs of ankle arthroplasty.

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