Research Topics
| F RubensSummaryAffiliation: University of Ottawa Heart Institute Country: Canada Publications
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Detail Information
Publications
Surgery for chronic thromboembolic pulmonary hypertension--inclusive experience from a national referral centerFraser D Rubens
Division of Cardiac Surgery, University of Ottawa, Ottawa, Ontario, Canada
Ann Thorac Surg 83:1075-81. 2007..The purpose of this report is to provide a review of the inclusive results from our moderately sized national program for all PTE, with a particular emphasize on the aspects of the learning curve in terms of patient management...
Surgical treatment of chronic thromboembolic pulmonary hypertensionF Rubens
University of Ottawa Heart Institute, Ottawa, Canada
Can Respir J 7:49-57. 2000..There are only limited treatment options for patients with chronic thromboembolic pulmonary hypertension in Canada...
Effects of methylprednisolone and a biocompatible copolymer circuit on blood activation during cardiopulmonary bypassFraser D Rubens
Division of Cardiac Surgery, University of Ottawa, Ottawa, Ontario, Canada
Ann Thorac Surg 79:655-65. 2005..This trial addresses the efficacy of a biocompatible surface alone and in combination with steroids in inhibiting these changes...
The cardiotomy trial: a randomized, double-blind study to assess the effect of processing of shed blood during cardiopulmonary bypass on transfusion and neurocognitive functionFraser D Rubens
Division of Cardiac Surgery, University of Ottawa Heart Institute, Ottawa, Ontario, Canada
Circulation 116:I89-97. 2007..We sought to evaluate the effects of cardiotomy blood processing on blood product use and neurocognitive functioning after cardiac surgery...
Lessons learned on the path to a healthier brain: dispelling the myths and challenging the hypothesesFraser D Rubens
Division of Cardiac Surgery, University of Ottawa Heart Institute, Ottawa, Canada
Perfusion 22:153-60. 2007..They have also confirmed that, when high standards in trial design are applied, the results can have universal implications in terms of our practice...
Interpreting studies of cognitive function following cardiac surgery: a guide for surgical teamsFraser D Rubens
Divisions of Cardiac Surgery, University of Ottawa Heart Institute Ottawa, Canada
Perfusion 22:185-92. 2007..It is only through the understanding of their limitations and the implications of trial design that we can translate these results to provide the best therapeutic options for our patients in unbiased manner...
Perioperative red blood cell salvageFraser D Rubens
University of Ottawa Heart Institute, Ottawa, Ontario, Canada
Can J Anaesth 50:S31-40. 2003
The inflammatory response to cardiopulmonary bypass: a therapeutic overviewF D Rubens
Division of Cardiac Surgery, University of Ottawa Heart Institute, Ottawa, Ontario, Canada
Perfusion 19:S5-12. 2004..Only if we are armed with a comprehensive knowledge of the molecular and cellular basis for these strategies will we be able to continue to evolve our treatment in parallel with our patients to achieve these goals...
Cardiopulmonary bypass technology transfer: musings of a cardiac surgeonF D Rubens
Ottawa Heart Institute, Ontario, Canada
J Biomater Sci Polym Ed 13:485-99. 2002....
A new and simplified method for coronary and graft imaging during CABGFraser D Rubens
Division of Cardiac Surgery, University of Ottawa Heart Institute, Ottawa, Ontario
Heart Surg Forum 5:141-4. 2002..This report examines the initial clinical use of fluorescent cardiac imaging, a technology that uses indocyanine green (ICG) with a portable imaging device to visualize coronary anatomy and grafts intraoperatively...
Skeletonization of the internal thoracic artery for coronary artery bypass graftingFraser D Rubens
Division of Cardiac Surgery, University of Ottawa Heart Institute, Ottawa, Ontario, Canada
Curr Opin Cardiol 24:559-66. 2009..Skeletonization is a technique of internal thoracic artery (ITA) harvest that has been proposed to reduce chest wall ischemia and thus minimize these problems...
Feasibility of blinding in a randomized controlled trial comparing preoperative autologous blood donation and acute normovolemic hemodilution in adult cardiac surgeryF D Rubens
Departments of Surgery, Anaesthesia, and Medicine, University of Ottawa, Ottawa, Ontario, Canada
Transfusion 40:1058-62. 2000..They have not, however, been compared to each other, because of perceived difficulties in blinding in such a clinical study. The feasibility of blinding was tested in a pilot trial...
Use of recombinant-hirudin in pulmonary thromboendarterectomyF D Rubens
Department of Surgery, University of Ottawa, Ontario, Canada
Ann Thorac Surg 69:1942-3. 2000..Techniques for administration as well as monitoring of this drug's effects are discussed...
Delayed thrombin generation with hirudin anticoagulation during prolonged cardiopulmonary bypassFraser D Rubens
Division of Cardiac Surgery, University of Ottawa Heart Institute, Ottawa, Ontario, Canada
Ann Thorac Surg 79:334-6. 2005..In this report we describe the efficacy of this drug in inhibiting thrombin during a case requiring prolonged cardiopulmonary bypass...
Early postoperative anticoagulation after mechanical valve replacement: a Canadian surveyAlexander Kulik
Division of Cardiac Surgery, University of Ottawa Heart Institute, Ottawa, Ontario, Canada
J Heart Valve Dis 15:581-7. 2006..The clinical impact of these findings is unknown, and can only be assessed through a prospective trial...
Predictors of early neurocognitive deficits in low-risk patients undergoing on-pump coronary artery bypass surgeryMunir Boodhwani
Divisions of Cardiac Surgery, University of Ottawa Heart Institute, Ottawa, Canada
Circulation 114:I461-6. 2006..Patients with elevated pre-operative creatinine and poor LV function carry a higher risk of POCDs and may benefit from revascularization strategies other than conventional on-pump CABG...
Mechanical versus bioprosthetic valve replacement in middle-aged patientsAlexander Kulik
Division of Cardiac Surgery, University of Ottawa Heart Institute, 40 Ruskin Street, Suite 3403, Ottawa, Ont. K1Y 4W7, Canada
Eur J Cardiothorac Surg 30:485-91. 2006..At present, these data do not support lowering the usual cutoff for implantation of a tissue valve below the age of 65...
Early postoperative anticoagulation after mechanical valve replacement: a systematic reviewAlexander Kulik
Division of Cardiac Surgery, University of Ottawa Heart Institute, Ottawa Hospital, Ottawa, Canada
Ann Thorac Surg 81:770-81. 2006....
Effects of shed mediastinal blood on cardiovascular and pulmonary function: a randomized, double-blind studyMunir Boodhwani
Divisions of Cardiac Surgery and Cardiac Anesthesia, University of Ottawa Heart Institute, Ottawa, Ontario, Canada
Ann Thorac Surg 86:1167-73. 2008..Our aim was to evaluate the effects of processing cardiotomy blood on cardiovascular and pulmonary function after cardiac surgery...
Effects of mild hypothermia and rewarming on renal function after coronary artery bypass graftingMunir Boodhwani
Division of Cardiac Surgery, University of Ottawa Heart Institute, Ottawa, Ontario, Canada
Ann Thorac Surg 87:489-95. 2009..We report data from two randomized studies evaluating mild hypothermia and rewarming on postoperative renal function in cardiac surgical patients...
Current use of prophylactic strategies for postoperative atrial fibrillation: a survey of Canadian cardiac surgeonsJoel Price
Division of Cardiac Surgery, University of Ottawa Heart Institute, Ottawa, Ontario, Canada
Ann Thorac Surg 88:106-10. 2009..This study was designed to assess the frequency with which these prophylactic strategies are currently being used and to identify concerns and barriers to more widespread application...
Enlargement of the small aortic root during aortic valve replacement: is there a benefit?Alexander Kulik
Division of Cardiac Surgery, University of Ottawa Heart Institute, Ottawa, Ontario, Canada
Ann Thorac Surg 85:94-100. 2008..To evaluate the risks and benefits of ARE, we examined the outcomes of patients with small aortic roots who underwent AVR with or without the use of ARE...
Chronic thromboembolic pulmonary arterial hypertension: correlation of postoperative results of thromboendarterectomy with preoperative helical contrast-enhanced computed tomographyAnastasia Oikonomou
Department of Radiology, The Ottawa Hospital, Ontario, Canada
J Thorac Imaging 19:67-73. 2004..The purpose of this study was to correlate preoperative findings on helical contrast-enhanced computed tomography (CT) with surgical outcome...
Very long-term survival implications of heart valve replacement with tissue versus mechanical prostheses in adults <60 years of ageMarc Ruel
Division of Cardiac Surgery, and the Department of Epidemiology, University of Ottawa, Ottawa, Ontario, Canada
Circulation 116:I294-300. 2007..We examined the survival implications of selecting a tissue versus a mechanical prosthesis at initial left-heart valve replacement in a cohort of adults <60 years of age who were followed for over 20 years...
Late incidence and determinants of reoperation in patients with prosthetic heart valvesMarc Ruel
Division of Cardiac Surgery, University of Ottawa Heart Institute, 40 Ruskin Street, Suite 3403, Ottawa, Ont, Canada K1Y 4W7
Eur J Cardiothorac Surg 25:364-70. 2004..With a focus on bioprosthetic valves, this study examines risk factors for reoperation in a large patient cohort...
Late incidence and predictors of persistent or recurrent heart failure in patients with aortic prosthetic valvesMarc Ruel
Division of Cardiac Surgery, Department of Epidemiology, University of Ottawa, Ontario, Canada
J Thorac Cardiovasc Surg 127:149-59. 2004..We examined factors associated with persistent or recurrent congestive heart failure after aortic valve replacement...
Late incidence and predictors of persistent or recurrent heart failure in patients with mitral prosthetic valvesMarc Ruel
Division of Cardiac Surgery, Department of Epidemiology, University of Ottawa Heart Institute, 40 Ruskin Street, Ottawa, Ontario, Canada K1Y 4W7
J Thorac Cardiovasc Surg 128:278-83. 2004..The study's objective was to examine factors associated with persistent or recurrent congestive heart failure after mitral valve replacement...
Clinical benefit of steroid use in patients undergoing cardiopulmonary bypass: a meta-analysis of randomized trialsRichard P Whitlock
Division of Cardiac Surgery, McMaster University, Hamilton, Ontario, Canada
Eur Heart J 29:2592-600. 2008..These data do not raise major safety concerns, however, a sufficiently powered trial is warranted to confirm or refute these findings...
Concomitant treatment with oral L-arginine improves the efficacy of surgical angiogenesis in patients with severe diffuse coronary artery disease: the Endothelial Modulation in Angiogenic Therapy randomized controlled trialMarc Ruel
Division of Cardiac Surgery, University of Ottawa, Ottawa, Ontario, Canada
J Thorac Cardiovasc Surg 135:762-70, 770.e1. 2008....
Neuroprotective effect of mild hypothermia in patients undergoing coronary artery surgery with cardiopulmonary bypass: five-year follow-up of a randomized trialHoward J Nathan
Department of Anesthesiology, University of Ottawa, Ottawa, Canada
J Thorac Cardiovasc Surg 133:1206-11. 2007..To determine whether the beneficial effect of mild hypothermia was long-lasting, we repeated the psychometric tests in 131 patients after 5 years...
Cerebral emboli detected by transcranial Doppler during cardiopulmonary bypass are not correlated with postoperative cognitive deficitsRosendo A Rodriguez
Division of Cardiac Surgery, University of Ottawa Heart Institute, Room H 5508, 40 Ruskin Street, Ottawa, Ontario K1Y 4W7, Canada
Stroke 41:2229-35. 2010..We studied the frequency of HITS associated with different surgical maneuvers during cardiopulmonary bypass for coronary artery bypass graft surgery and their association with postoperative cognitive dysfunction (POCD)...
Late incidence and determinants of stroke after aortic and mitral valve replacementMarc Ruel
Department of Epidemiology and Community Medicine, University of Ottawa, Ottawa, Ontario, Canada
Ann Thorac Surg 78:77-83; discussion 83-4. 2004..Stroke is a devastating complication in patients with prosthetic valves, but characterization of its late occurrence from a large cohort is lacking...
Long-term outcomes of valve replacement with modern prostheses in young adultsMarc Ruel
Division of Cardiac Surgery, University of Ottawa Heart Institute, 40 Ruskin Street, Suite 3403, Ottawa, Ontario, Canada K1Y 4W7
Eur J Cardiothorac Surg 27:425-33; discussion 433. 2005..To examine the multiple impacts of valve replacement on the lives of young adults...
Minimally invasive direct coronary artery bypass for the treatment of isolated disease of the left anterior descending coronary arteryMunir Boodhwani
Division of Cardiac Surgery, University of Ottawa Heart Institute, Ottawa, ON
Can J Surg 48:307-10. 2005..We reviewed our experience with the minimally invasive direct coronary artery bypass (MIDCAB) procedure...
Effects of off-pump versus on-pump coronary artery bypass grafting on function and viability of circulating endothelial progenitor cellsMarc Ruel
Division of Cardiac Surgery, University of Ottawa, Ottawa, Ontario, Canada
J Thorac Cardiovasc Surg 130:633-9. 2005..We sought to examine endothelial progenitor cell characteristics after off-pump versus on-pump coronary artery bypass grafting...
Safety of deliberate intraoperative and postoperative hypothermia for patients undergoing coronary artery surgery: a randomized trialHoward J Nathan
Division of Cardiac Anaesthesia, University of Ottawa Heart Institute, Ottawa, Ontario, Canada
J Thorac Cardiovasc Surg 127:1270-5. 2004..We present safety outcomes from a trial in which patients undergoing coronary artery surgery were randomly assigned to normothermia or hypothermia for the entire surgical procedure...
Combined atrial fibrillation ablation with mitral valve surgeryThierry G Mesana
Division of Cardiac Surgery, University of Ottawa Heart Institute, Ottawa, Ontario, Canada
J Heart Valve Dis 15:515-20. 2006..The study aim was to evaluate the efficacy and outcome of radiofrequency (RF) atrial fibrillation (AF) ablation in patients undergoing mitral valve (MV) surgery...
Ultrafiltration reduces blood transfusions following cardiac surgery: A meta-analysisMunir Boodhwani
Division of Cardiac Surgery, University of Ottawa Heart Institute, Canada
Eur J Cardiothorac Surg 30:892-7. 2006..The efficacy and cost-effectiveness of ultrafiltration as a blood conservations strategy should be evaluated in a large, randomized, double-blinded study...
A strategy of hypothermic circulatory arrest for difficult heart transplant postventricular assist deviceEric Charbonneau
Division of Cardiac Surgery, University of Ottawa Heart Institute, Ontario, Ottawa, Canada
Ann Thorac Surg 76:611-4. 2003..This approach permits controlled excision of the recipient heart and device, easy access to convert to standard ascending aorta and bicaval cannulation, and minimizes the donor graft anoxia time. Two case reports are presented...
Skeletonized internal thoracic artery harvest reduces pain and dysesthesia and improves sternal perfusion after coronary artery bypass surgery: a randomized, double-blind, within-patient comparisonMunir Boodhwani
Division of Cardiac Surgery, University of Ottawa Heart Institute, Ottawa, Ontario, Canada
Circulation 114:766-73. 2006..ITA skeletonization may be a strategy for reducing morbidity after CABG...
Variability and predictability of large-volume red blood cell transfusion in cardiac surgery: a multicenter studyKeyvan Karkouti
University Health Network, Toronto General Hospital, Department of Anesthesia, Ontario, Canada
Transfusion 47:2081-8. 2007..The objectives of this study were to measure the interinstitution variation and predictability of large-volume RBC transfusion...
A multicenter randomized controlled trial to assess the feasibility of testing modified ultrafiltration as a blood conservation technology in cardiac surgeryMunir Boodhwani
Division of Cardiac Surgery, University of Ottawa Heart Institute, Ottowa, Ontario K1Y 4W7, Canada
J Thorac Cardiovasc Surg 139:701-6. 2010..The objective of this trial was to assess the feasibility of a model testing modified ultrafiltration in which all members of the surgical team were blinded to the intervention...
Currently available biomaterials for use in cardiopulmonary bypassDean Belway
University of Ottawa Heart Institute, Department of Cardiovascular Perfusion, 40 Ruskin St, Ottawa, Ontario K1Y 4W7, Canada
Expert Rev Med Devices 3:345-55. 2006..Some discussion of the underlying mechanisms of action as presently understood is provided and the current limitations of biomaterial-dependent strategies to improve outcome following CPB are addressed...
Radial artery graft treatment with phenoxybenzamine is clinically safe and may reduce perioperative myocardial injuryAlexander Kulik
Division of Cardiac Surgery, University of Ottawa, Ottawa, Ontario, Canada
Ann Thorac Surg 83:502-9. 2007..Therefore, the purpose of this study was to evaluate the clinical safety and efficacy of RA treatment with phenoxybenzamine...
Pro: Steroids should be used for cardiopulmonary bypassRichard P Whitlock
Division of Cardiac Surgery, McMaster University, Hamilton Health Sciences Corporation, Hamilton, Ontario, Canada
J Cardiothorac Vasc Anesth 19:250-4. 2005
Prosthetic valve fungal endocarditis due to histoplasmosisP A Isotalo
Department of Pathology and Laboratory Medicine, University of Ottawa, Ottawa, Canada
Can J Cardiol 17:297-303. 2001..The patient was treated with amphotericin and has been doing well in the two years since his surgery. The diagnosis and management of fungal endocarditis are emphasized...
Malignant invasion of sternotomy incision after cardiac operationVincent Chan
Division of Cardiac Surgery, Department of Radiology, University of Ottawa, Ottawa, Ontario, Canada
Ann Thorac Surg 89:1295-6. 2010..Neoplastic involvement should, therefore, remain part of the differential diagnosis for incisional drainage or induration, especially beyond the initial postoperative period...
Cardiac tamponade caused by incarcerated small bowel in the pericardium after coronary bypass grafting using the right gastroepiploic arteryBeverley Chan
Division of General Surgery, The Ottawa Hospital, Ottawa, Ontario, Canada
Ann Thorac Surg 90:641-2. 2010..We report a patient who presented with cardiac tamponade secondary to incarceration of the small bowel in the pericardium 1 year after coronary artery bypass grafting utilizing the right gastroepiploic artery...
Mortality and myocardial infarction following surgical versus percutaneous revascularization of isolated left anterior descending artery disease: a meta-analysisMunir Boodhwani
Division of Cardiothoracic Surgery, Beth Israel Deaconess Medical Center, Harvard University, Boston, MA, USA
Eur J Cardiothorac Surg 29:65-70. 2006..Evolution of treatment strategies may explain some of the variability between studies...
Comprehensive Canadian review of the off-label use of recombinant activated factor VII in cardiac surgeryKeyvan Karkouti
University Health Network, Toronto General Hospital, Department of Anesthesia, EN 3 402, 200 Elizabeth St, Toronto, Ontario, Canada M5G 2C4
Circulation 118:331-8. 2008..This observational study sought to identify the off-label use pattern of recombinant activated factor VII (rFVIIa) in cardiac surgery and to identify predictors of its effectiveness and risk...
Intraoperative indocyanine green angiography: ready for prime time?Alexander Kulik
J Thorac Cardiovasc Surg 133:592-3. 2007
Early postoperative anticoagulation: more questions than answers?Alexander Kulik
Ann Thorac Surg 82:1573-4; author reply 1574-5. 2006
Letter by Rubens et al regarding article, "Continuous-flow cell saver reduces cognitive decline in elderly patients after coronary bypass surgery"Fraser D Rubens
Circulation 117:e348; author reply e349. 2008
Relationship between preventability of death after coronary artery bypass graft surgery and all-cause risk-adjusted mortality ratesVeena Guru
Institute for Clinical Evaluative Sciences, G 106, 2075 Bayview Ave, Toronto, Ontario M4N 3M5 Canada
Circulation 117:2969-76. 2008....
