we have consistently found an improvement in angina class and objective evidence of enhanced perfusion (see Figure below). In our preclinical studies we have worked on animal models of acute MI and heart failure secondary to MI. Other laboratories worldwide are working on the use of cell therapy to treat non-ischemic cardiomyopathy, cardiac arrhythmias and pulmonary hypertension. The economic hurdle. The development of any therapeutic intervention requires enormous financial investments and, in the case of drugs and medical devices, the industry supports the research activities, from basic studies to clinical trials. In regenerative medicine the only interest for the industry is in drug therapy and in the development of cell products for allogenic use, as it is presently being done for bone marrow-derived mesenchymal cells. Autologous cell therapy falls in a different category; the financial support comes from taxpayers money and directly from institutions which aim at developing a “service” to offer their patients, somewhat similar to bone marrow transplant. Therefore, finding the financial resources to support autologous cell therapy studies is a major obstacle that has to be overcome in order to bring cell therapy to clinical practice. Publications, Clinical Research Projects, Seminars, Conferences and Courses Conclusions. The studies performed so far have shown the great potential of cardiovascular regenerative medicine. However, many issues have still to be addressed in order to establish regenerative medicine full potential. The ongoing worldwide effort in this field may ultimately lead to cell therapy interventions which best suit each patient’s need. 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Tent-shape technique: another procedure to repair P2 of posterior leaflet of mitral valve Eur J Cardiothorac Surg 39 1064-1066 2,397 Kassem S, Othman M Annulus-edge-papillary stitch to repair P2 of the mitral valve posterior leaflet. J Thorac Cardiovasc Surg 141 e45-47 3,608 Kassem S, Othman M, Polvani G Paradoxical artificial cords: new technique to prevent systolic anterior motion post mitral valve reconstructions J Clinic Experiment Cardiol Loardi C, Alamanni F, Trezzi M, Kassem S, Cavallotti L, Tremoli E, Pacini D, Parolari A Biology of mitral valve prolapse: The harvest is big, but the workers are few. Int J Cardiol 151 129-135 3,469 Maggiolini S, Lenatti L, Malafronte C, Pompilio G, Righetti S, Achilli F. G-CSF administration in acute myocardial infarction: what is the best timing? Cardiovasc Res 91 180 6,051 Pompilio G, Filippini S, Agrifoglio M, Merati E, Lauri G, Salis S, Alamanni F, Parolari A Determinants of pericardial drainage for cardiac tamponade following cardiac surgery Eur J Cardio-Thorac Surg 39 e107-e113 2,293 Ripa A, Fusari M, Alamanni F, Biglioli P, Caraceni D, Capparuccia C, Antonicelli R Long term results of percutaneous aortic valve implant in a 90-year-old patient J Cardiovasc Surg 52 754-755 1,352 Scacciatella P, Amato G, Ebrille E, Levis M, Frisenda V, Pompilio G, Marra S Current perspectives in cell therapy in cardiology: an overview of ongoing trials G Ital Cardiol (Rome). 11 769-774 0 Wendler O, Walther T, Schroefel H, Lange R, Treede H, Fusari M, Rubino P, Thomas M The SOURCE Registry: what is the learning curve in trans-apical aortic valve implantation? Eur J Cardiothorac Surg 39 853-859 2,397 Zanobini M L'aneurisma postinfartuale del ventricolo sinistro 50 10-11 0 Zanobini M, Cavallotti L Aneurisma post-infartuale del ventricolo sinistro: l'importanza del team cardiochirurgo-elettrofisiologo HF Informer 23-25 0 Zoli S, Kassem S, Tessitore G, Annoni A, Alamanni F, Agrifoglio M. Mycotic Ascending Aortic Pseudoaneurysm following Reduction Aortoplasty J Card Surg 26 100-101 1,16 Bai R, Di Biase L, Shivkumar K, Mohanty P, Tung R, Santangeli P, Saenz LC, Vacca M, Verma A, Khaykin Y, Mohanty S, Burkhardt JD, Hongo R, Beheiry S, Dello Russo A, Casella M, Pelargonio G, Santarelli P, Sanchez J, Tondo C, Natale A. Ablation of Ventricular Arrhythmias in Arrhythmogenic Right Ventricular Dysplasia/Cardiomyopathy: ArrhythmiaFree Survival after Endo-Epicardial Substrate Based Mapping and Ablation Circ Arrhythm Electrophysiol. 4 478-485 4,78 Bartoletti S, Pelargonio G, Dello Russo A, Casella M, Tondo C. To the Editor: PACE -Pacing Clin Electrophysiol 34 1707 1,353 Bertaglia E, Berto P, Bongiorni MG, Catanzariti D, De Fabrizio G, De Ponti R, Grimaldi M, Pandozi C, Tondo C, Gulizia M. Catheter ablation of atrial fibrillation: Health Technology Assessment Report from the Italian Association of Arrhythmology and Cardiac Pacing (AIAC) G Ital Cardiol (Rome) 12 726-776 0 0,786 0 ELECTROPHYSIOLOGY CCM — Scientific Report 2011 — Ongoing research 2012 235 Botto GL, Boriani G, Favale S, Landolina M, Molon G, Tondo C, Biffi M, Grandinetti G, De Filippo P, Raciti G, Padeletti L. Treatment of atrial fibrillation with a dual defibrillator in heart failure patients (TRADE HF): protocol for a randomized clinical trial Trials 12 44 2,08 Casella M, Bartoletti S, Dello Russo A, Tondo C 9 pregnant women with drug-refractory supraventricular tachyarrhythmias. Catheter ablation during pregnancy J Cardiovasc Electrophysiol 21 E80 Casella M, Carbucicchio C, Dello Russo A, Tundo F, Bartoletti S, Monti L, Marana I, Giraldi F, Tondo C. Radiofrequency catheter ablation of life-threatening ventricular arrhythmias caused by left ventricular metastatic infiltration Circ Arrhythm Electrophysiol 4 e7-e10 Casella M, Pelargonio G, Dello Russo A, Riva S, Bartoletti S, Santangeli P, Scarà A, Sanna T, Proietti R, Di Biase L, Gallinghouse GJ, Narducci ML, Sisto L, Bellocci F, Natale A, Tondo C. Near-zero fluoroscopic exposure in supraventricular arrhythmia ablation using the EnSite NavX mapping system: personal experience and review of the literature J Interv Card Electrophysiol 31 Dello Russo A, Casella M, Carbucicchio C, Tondo C Scar mapping for risk stratification of sudden cardiac death: where are we now? Card Electrophysiol Clin 3 539-547 0 Dello Russo A, Pieroni M, Santangeli P, Bartoletti S, Casella M, Pelargonio G, Smaldone C, Bianco M, Di Biase L, Bellocci F, Zeppilli P, Fiorentini C, Natale A, Tondo C. Concealed Cardiomyopathies In Competitive Athletes With Ventricular Arrhythmias And An Apparently Normal Heart: Role Of Cardiac Electroanatomic Mapping And Biopsy. Heart Rhythm 8 1915-1922 4,246 Di Biase L, Al-Ahamad A, Santangeli P, Hsia HH, Sanchez J, Bai R, Bailey S, Horton R, Gallinghouse GJ, Burkhardt DJ, Lakkireddy D, Yang Y, Badhwar N, Scheinman M, Tung R, Dello Russo A, Pelargonio G, Casella M, Tomassoni G, Shivkumar K, Natale A. Safety and outcomes of cryoablation for ventricular tachyarrhythmias: results from a multicenter experience Heart Rhythm 8 968-974 4,246 Forleo GB, Pappalardo A, Avella A, Visigalli L, Dello Russo A, Tondo C. Real-time integration of intracardiac echocardiography and 3D electroanatomical mapping to guide catheter ablation of isthmus-dependent atrial flutter in a patient with complete situs inversus and interruption of the inferior vena cava with azygos continuation. J Interv Card Electrophysiol Long-term effectiveness of cardiac resynchronization therapy in heart failure patients with unfavorable cardiac veins anatomy comparison of surgical versus hemodynamic procedure. J Am Coll Cardiol Narducci ML, Pelargonio G, Dello Russo A, Casella M, Biasucci LM, La Torre G, Pazzano V, Santangeli P, Baldi A, Liuzzo G, Tondo C, Natale A, Crea F Role of tissue C-reactive protein in atrial cardiomyocytes of patients undergoing catheter ablation of atrial fibrillation: pathogenetic implications Europace 13 Santangeli P, Dello Russo A, Casella M, Pelargonio G, Di Biase L, Natale A Left ventricular ejection fraction for the risk stratification of sudden cardiac death: friend or foe? Intern Med J Santangeli P, Di Biase L, Pelargonio G, Dello Russo A, Casella M, Bartoletti S, Burkhardt JD, Mohanty P, Santarelli P, Natale A Cardiac resynchronization therapy in patients with mild heart failure: a systematic review and meta-analysis Santangeli P, Di Biase L, Pelargonio G, Dello Russo A, Casella M, Sanchez J, Horton R, Gallinghouse GJ, Natale A Santangeli P, Hamilton-Craig C, Dello Russo A, Pieroni M, Casella M, Pelargonio G, Biase LD, Smaldone C, Bartoletti S, Narducci ML, Tondo C, Bellocci F, Natale A Giraldi F, Cattadori G, Roberto M, Carbucicchio C, Pepi M, Ballerini G, Alamanni F, Della Bella P, Pontone G, Andreini D, Tondo C, Agostoni PG 236 Smaldone C, Pieroni M, Pelargonio G, Dello Russo A, Palmieri V, Bianco M, Gentile M, Crea F, Bellocci F, Zeppilli P Left-dominant arrhythmogenic cardiomyopathy Circ Arrhythm Electrophysiol 4 e29-32 4,78 Tung R, Nakahara S, Maccabelli G, Buch E, Wiener I, Boyle NG, Carbucicchio C, Bella PD, Shivkumar K. Ultra High-Density Multipolar Mapping With Double Ventricular Access: A Novel Technique for Ablation of Ventricular Tachycardia J Cardiovasc Electrophysiol. 22 49-56 3,703 3,288 4,78 CARDIOVASCULAR IMAGING Andreini D, Mushtaq S, Pontone G, Cortinovis S, Annoni A, Formenti A, Agostoni P, Bartorelli AL, Fiorentini C, Ballerini G, Pepi M Additional clinical role of 64-slice multidetector computed tomography in the evaluation of coronary artery variants and anomalies. Int J Cardiol 12 388-390 3,469 Andreini D, Pontone G, Bartorelli AL, Mushtaq S, Trabattoni D, Bertella E, Cortinovis S, Annoni A, Formenti A, Ballerini G, Agostoni P, Fiorentini C, Pepi M. High diagnostic accuracy of prospective ECG-gating 64-slice computed tomography coronary angiography for the detection of in-stent restenosis : In-stent restenosis assessment by lowdose MDCT. Eur Radiol 21 1430-1438 3,594 Andreini D, Pontone G, Formenti A, Agnifili M, Mushtaq S, Pepi M Complementary role of cardiac computed tomography and Dopplerechocardiography in the evaluation of an uncommon case of giant pseudoaneurysm of ascending aorta complicated by fistula to the pulmonary artery J Cardiovasc Med 12 173-175 0,712 Ben Zekry S, Saad RM, Ozkan M, Al Shahid MS, Pepi M, Muratori M, Xu J, Little SH, Zoghbi WA. Flow acceleration time and ratio of acceleration time to ejection time for prosthetic aortic valve function. JACC Cardiovasc Imaging 4 1161-1170 5,528 Caiani EG, Fusini L, Veronesi F, Tamborini G, Maffessanti F, Gripari P, Corsi C, Naliato M, Zanobini M, Alamanni F, Pepi M Quantification of mitral annulus dynamic morphology in patients with mitral valve prolapse undergoing repair and annuloplasty during a 6 month follow-up Eur J Echocardiogr 12 375-383 2,117 Ewe SH, Muratori M, Delgado V, Pepi M, Tamborini G, Fusini L, Klautz RJ, Gripari P, Bax JJ, Fusari M, Schalij MJ, Ajmone Marsan N Hemodynamic and Clinical Impact of Prosthesis-Patient Mismatch After Transcatheter Aortic Valve Implantation. J Am Coll Cardiol 58 Feasibility of Intraoperative ThreeDimensional Transesophageal Echocardiography in the Evaluation of Right Ventricular Volumes and Function in Patients Undergoing Cardiac Surgery. J Am Soc Echocardiogr 24 868-877 3,518 14,292 Fusini L, Tamborini G, Gripari P, Maffessanti F, Mazzanti V, Muratori M, Salvi L, Sisillo E, Caiani EG, Alamanni F, Fiorentini C, Pepi M 24 405-413 3,518 1,839 Quantitative Analysis of Mitral Valve Apparatus in Mitral Valve Prolapse Before and after Annuloplasty: A Three-Dimensional Intraoperative Transesophageal Study. J Am Soc Echocardiogr 1133-1140 Maffessanti F, Marsan NA, Tamborini G, Sugeng L, Caiani EG, Gripari P, Alamanni F, Jeevanandam V, Lang RM, Pepi M. 251-254 6,802 1,626 J Interv Card Electrophysiol 32 125-135 1,228 Multidetector computed tomography vs multiplane transesophageal echocardiography in detecting atrial Thrombi in patients candidate to radiofrequency ablation of atrial fibrillation 152 55-60 Maltagliati A, Pontone G, Annoni A, Formenti A, Galli CA, Tamborini G, Alimento M, Andreini D, Tondo C, Pepi M Int J Cardiol 41 161 314-321 5,052 J Interv Card Electrophysiol 31 69-80 1,228 Left atrial reverse remodeling and functional improvement after mitral valve repair in degenerative mitral regurgitation: A real-time 3-dimensional echocardiography study Am Heart J Catheter ablation of atrial fibrillation: randomized controlled trials and registries, a look back and the view forward Marsan NA, Maffessanti F, Tamborini G, Gripari P, Caiani E, Fusini L, Muratori M, Zanobini M, Alamanni F, Pepi M. Pepi M, Tamborini G, Fusini L, Maffessanti F 21 109-117 0 J Cardiovasc Electrophysiol 22 1359-1366 3,288 Three-dimensional echocardiography and mitral valve prolapse diagnosis: new insights into leaflet and cardiac chamber morphology, and annulus dynamics J Cardiovsc Echogr Imaging of Scar in Patients with Ventricular Arrhythmias of Right Ventricular Origin: Cardiac Magnetic Resonance Versus Electroanatomic Mapping CCM — Scientific Report 2011 — Ongoing research 2012 30 58 109-118 273-277 483-490 1,228 1,228 14,292 CCM — Scientific Report 2011 — Ongoing research 2012 237 Pontone G, Andreini D, Bartorelli AL, Annoni A, Mushtaq S, Bertella E, Formenti A, Cortinovis S, Alamanni F, Fusari M, Bona V, Tamborini G, Muratori M, Ballerini G, Fiorentini C, Biglioli P, Pepi M Feasibility and accuracy of a comprehensive multidetector computed tomography acquisition for patients referred for balloon-expandable transcatheter aortic valve implantation Am Heart J 161 1106-1113 5,052 Pontone G, Andreini D, Bartorelli AL, Bertella E, Mushtaq S, Cortinovis S, Chiappa L, Annoni A, Formenti A, Trabattoni D, Montorsi P, Ballerini G, Fiorentini C, Pepi M. Comparison between low-dose multidetector computed coronary angiography and myocardial perfusion imaging test in patients with intermediate pre-test likelihood of coronary artery disease Int J Cardiol 147 454-457 6,802 Pontone G, Andreini D, Bertella E, Cortinovis S, De Martini S, Pirondini M, Fabbiocchi F, Bartorelli AL, Pepi M. Detection of left main coronary artery anomalous origin with low-dose multidetector computed tomography using prospective ECG gating. J Cardiovasc Med 12 506-509 0,786 Pontone G, Andreini D, Galli S, Montorsi P, Bartorelli AL, Pepi M Detection of a large left anterior descending coronary artery aneurysm using low-dose coronary multidetector computed tomography. J Cardiovasc Med Detection of bronchocoronary collateral by low-dose multidetector computed tomography. Eur J Cardiothor Surg Pontone G, Grancini L, Andreini D, Pepi M. Clinical Research Projects in Progress during 2011 0,712 Title Principal Investigator RESEARCH LABORATORIES 40 272 2,397 Erythrocyte NO metabolic pathway in patients with microvascular angina Cavalca Effect of acute hyperglycemia on the synthesis pathway of nitrogen monoxide (NO) in erythrocytes Cavalca Effect of aspirin chronic treatment on platelet function in coronary patients with type II diabetes Cavalca In vivo evaluation of the effect of treatment with folic acid on the metabolic pathway of nitric oxide synthesis Cavalca N-acetylcysteine as a treatment in the iperomocysteinuric patient not responding to folic acid therapy Cavalca Transcriptome analysis in blood leukocytes of patients with coronary artery disease Colombo Association between the BDNF Val66Met polymorphism and coronary artery disease Colombo Circulating microRNAs in atrial fibrillation D'Alessandra Analysis of circulating microRNAs in patients with coronary artery disease D'Alessandra Indices of systemic and cellular activation, modulation of oxidative stress in aortic valve replacement Nava Prevention of atherothrombotic risk Parolari Assessment of the carotid intima-media thickness contribution to the cardiovascular risk. Comparison among different European populations at high and low risk. Tedesco Transcriptomics of antiplatelet resistance Tremoli Antiplatelet effect of aspirin at low doses every 12 hours in patients undergoing coronary artery bypass graft and / or aortic valve replacement using bioprosthesis Tremoli Impact of the measurement of carotid intima-media thickness on cardiovascular risk classification in patients in primary prevention Veglia Evaluation of the flow-mediated dilatation (FMD) of the brachial artery using the lumen area in place of the diameter Veglia Calculation of the minimum amount of measurements needed to correctly estimate the progression of subclinical atherosclerosis Veglia Nutrient-drug interaction: green tea and simvastatin Werba Oral niacin flush. Predictive value of skin tests using methylnicotinate Werba CRITICAL CARDIOLOGY 238 CCM — Scientific Report 2011 — Ongoing research 2012 Influence of ACE genotype on lung diffusion (DLCO) at rest and after intravenous water load in patients with chronic heart failure (CHF) receiving ACE inhibitors Agostoni Treatment of severe heart failure by ultrafiltration Agostoni A multicenter, randomized, double-blind, parallel group, active-controlled study to evaluate the efficacy and safety of both aliskiren monotherapy and aliskiren/enalapril combination therapy compared to enalapril monotherapy, on morbidity and mortality in patients with chronic heart failure (ALISKIREN - CSPP100F2301 - ATMOSPHERE) Agostoni Evaluation of the effects of 4 oral dosages of S 44121 vs placebo on cardiac function and NT-proBPN in patients with chronic heart failure and left ventricular dysfunction not treated with a beta-blocker (CL2 4412-003) Agostoni Evaluation of the effects of 4 oral dosages of S 44121 vs placebo on cardiac function and NT-proBPN in patients with chronic heart failure and left ventricular dysfunction not treated with a beta-blocker (CL2 4412-004) Agostoni CCM — Scientific Report 2011 — Ongoing research 2012 239 240 International registry on cardioversion of atrial fibrillation (RHYTHM-AF) Agostoni INTERVENTIONAL CARDIOLOGY "Sleep and Heart" Italian Multicenter Project (PROMISES) Agostoni Percutaneous mitral repair using Evalve MitralClip Bartorelli Effects of beta 2-receptor blocking on pulmonary function in a human model of acute fluid overload Agostoni Agostoni Clinical evaluation of a new procedure for percutaneous denervation of the renal sympathetic nervous system in patients with hypertension refractory to drug treatment Bartorelli Evaluation of the dead space in patients with chronic heart failure Evaluation of the effects of beta-blocker therapy on exercise tolerance in uncomplicated hypertension Alimento A continuation in the clinical evaluation of the BVS everolimus eluting coronary stent system in the treatment of patients with de novo native coronary artery lesions (ABSORB EXTEND) Bartorelli Reference values of cardiac output during exercise in healthy subjects. Cattadori Bartorelli Psychological assessment and dyastolic dysfunction in hypertension (Paddy study) Fiorentini A randomized comparison of the NEVOTM Sirolimus-eluting coronary stent system using a bioresorbable polymer vs the Everolimus-eluting coronary stent system (XIENCE V/ XIENCE PRIME/PROMUS) using a durable polymer in coronary artery lesions (NEVO II) Clinical and prognostic significance of vitamin D plasma levels in patients with acute coronary syndrome Marenzi Bartorelli Prognostic significance of acute renal failure in course of acute coronary syndrome Marenzi A phase IV pilot study to evaluate kidney measured by neutrophil gelatinase-associated lipocalin (NGAL) as a new bio-marker in patients with normal GFR undergoing percutaneous coronary intervention with IOPAMIDOL injection 370 or IODIXANOL 320 (IOP 116) Prevention of contrast nephropathy in patients affected by renal failure in diuretic therapy and controlled hydration (Renal Guard) Marenzi Bartorelli Impact of different therapeutic approaches in patients with cardiorenal syndrome in course of acute congestive heart failure Marenzi A multicenter, double-blind, randomized trial to determine the clinical benefit and safety of vytorin versus simvastatin monotherapy in high-risk patients with acute coronary syndrome (IMPROVE-IT) Marenzi A prospective, single blind, randomized controlled study to evaluate the safety and effectiveness of the tryton side branch stent™ used in conjunction with a drug-eluting stent compared to side branch balloon angioplasty in conjunction with a drug-eluting stent in the treatment of de novo bifurcation lesions involving the main branch and side branch within the native coronary circulation (TRYTON) Evaluating Xience V in Multi Vessel Disease (EXECUTIVE registry) Bartorelli A multicenter, randomized, double blind, placebo controlled study to evaluate the safety and efficacy of SCH530348 in addition to standard of care in subjects with a history of atherosclerosis disease: thrombin receptor antagonist in secondary prevention of atherothrombotic ischemic events (TRA2P TIMI 50) Marenzi Randomized evaluation of intracoronary nitroprusside vs adenosine after thrombus aspiration during primary PErcutaneous coronary intervention for the prevention of No reflow in Acute Myocardial Infarction (REOPEN-AMI ) Fabbiocchi Marenzi Multicenter registry of the treatment of acute myocardial infarction according to the currently available best practice (OPTIMA) Fabbiocchi Long-term follow-up of management models of antithrombotic therapies in patients with acute coronary syndrome (EPICOR) Safety and efficacy evaluation of short-term treatment with A-2002 in patients with acute coronary syndromes (VISTA 16) Marenzi PROMUSTM ElementTM Everolimus-eluting coronary stent system European post-approval surveillance study . A prospective, open-label, multicenter, observational study with all-comers enrollment (PE-PROVE) Fabbiocchi A randomized, double-blind, placebo controlled, parallel group, multinational trial, to assess the prevention of thrombotic events with ticagrelor compared to placebo on a background of acetyl salicylic acid (ASA) therapy in patients with history of myocardial infarction (PEGASUS-TIMI 54) Marenzi Cangrelor versus standard therapy to achieve optimal management of platetel inhibition (PHOENIX-TMC CAN 10-01) Galli S Marenzi AnGiox in elderly subjects with myocardial infarction (with or without ST-segment elevation) undergoing percutaneous coronary intervention (PCI) in Lombardy, Lombardy AGE-MI Registry. Coordinated by the Regional Registry Study Group LombardIMA - Hippocrates Research Galli S Randomized, double-blind, triple-dummy trial to compare the efficacy of otamixaban with Unfractionated Heparin + eptifibatide, in patients with Unstable angina/Non ST segment Elevation Myocardial infarction scheduled to undergo an early invasive strategy (SEPIA 2 -EFC6204 TAO) Marenzi Myocardial contrast-echocardiography role in the assessment of acute and chronic outcome in PCI and CTO. Comparison with MR angiography by dipyridamole stress Grancini A phase II, randomized, double-blind, parallel-arm, placebo-controlled, with variation of the dose study to evaluate the safety and efficacy of apixaban in patients with recent-onset of acute coronary syndrome (APPRAISE-APIXABAN) Short-term clinical outcome in patients with percutaneous or surgical coronary revascularization combined with valve surgery Lualdi Project to implement adherence to guidelines in the management of acute coronary syndromes during intra-and posthospitalization (BLITZ 4) Marenzi Assessment of myocardial functional recovery after percutaneous reopening of a chronic total occlusion in patients with monovascular coronary artery disease. Role of MR angiography Lualdi Evaluation of early cessation or reduction of cigarette smoking through the use of electronic cigarette used as an adjunct to standard counseling activities (SMOKING) Marenzi Tolerability and safety of the proximal cerebral protection during carotid stenting in patients with intracranial variants of the Willis circle Montorsi Identification of proteomic / proinflammatory and immune biomarkers in patients with acute coronary syndromes at high risk to develop clinical events: genomic and proteomic approaches Marenzi Evaluation of carotid stenosis by CT angiography. Comparison with intravascular carotid assessment by IVUS Montorsi Long-term follow-up of management models of antithrombotic therapies in patients with acute coronary syndrome (EPICOR) Palermo Endovascular treatment of carotid "near-occlusion" Montorsi Using the biomarker copeptin for the early exclusion of a serious condition in patients presenting with symptoms of "acute chest pain." Salvioni A phase III, double blind, randomized, placebo controlled study to evaluate the effects of R04607381 on cardiovascular risk in stable CHD patients with a documented recent acute coronary syndrome (EFFETTI RO 4607381) Salvioni A multicenter, randomized, double-blind, placebo-controlled study to evaluate the safety and efficacy of SCH 530348 in addition to standard of care in subjects with acute coronary syndrome: thrombin receptor antagonist for clinical event reduction in acute coronary syndrome (TRACER ) Salvioni Study of cardiovascular events to evaluate the potential of aleglitazar in reducing cardiovascular risk in patients with Type-2 diabetes mellitus (T2D) and recent episode of acute coronary syndrome (ALECARDIO) Salvioni Steroids In cardiac surgery (SIRS) Parolari Phase III, multicenter, randomized, double-blind, placebo-controlled trial to evaluate the effect of saxagliptin on cardiovascular death , myocardial infarction or ischemic stroke incidence in patients with type 2 diabetes (SAVOR) Salvioni Compassionate therapy with intramyocardial injection of autologous marrow cells in patients with refractory myocardial ischemia Pompilio RE-LY registry on atrial fibrillation (AF): risk factors, treatments and outcomes of patients with atrial fibrillation admitted to the emergency department in multiple regions of the world (RE-LY ) Salvioni Pompilio Randomized, placebo-controlled trial to assess cardiovascular outcomes after treatment with sitagliptin in patients with type 2 diabetes mellitus and inadequate glycemic control (TECOS) Salvioni A double-blind, randomized, placebo-controlled, parallel group study to evaluate the efficacy and safety of four 4 mg doses of XRP0038/NV1FGF at intervals of 2 weeks on the events of amputation or death from any cause in patients with critical ischemia of lower limbs and skin lesions (TAMARIS) Salvioni A prospective, randomized, multicenter, international drug vs placebo to assess the impact of clonidine and acetylsalicylic acid (ASA) in patients undergoing noncardiac surgery at risk for cardiovascular events in the perioperative (POISE 2) Salvi Randomized, placebo-controlled trial to assess cardiovascular outcomes after treatment with exenatide once weekly in patients with diabetes mellitus type 2 ( EXSCEL ) N-acetylcysteine in the prevention of contrast nephropathy in transcatheter aortic prosthesis implantation Sisillo A comparison between prasugrel and clopidogrel in acute coronary syndrome (ACS) subjects with UA/NSTEMI who are medically managed (TRILOGY ACS Study) Salvioni CCM — Scientific Report 2011 — Ongoing research 2012 Correlation among clinical, angiographic and intra-hospital outcomes in myocardial infarction with ST-segment elevation Italian AvantgarDE Dual AntiplateLet Therapy Registry (IDEAL) Ravagnani Trabattoni D CARDIOVASCULAR SURGERY SOURCE Registry: Edwards Sapien Aortic Bioprosthesis European Outcome registry Fusari SOURCE XT Registry: Edwards SAPIEN XT Aortic Bioprothesis Multi-Region Outcome Registry Fusari Omega-3 Fatty Acids for Prevention of Post-Operative Atrial Fibrillation (OPERA) Parolari TM CCM — Scientific Report 2011 — Ongoing research 2012 241 Relationship between lipoprotein profile, plasma thiol level of inflammatory markers and carotid atherosclerosis. Identification of plasma biomarkers of cardiovascular disease Spirito Expression of molecules involved in athero-thrombotic and aneurysmal process in infrarenal aortic perivascular adipose tissue Spirito Endovascular treatment of steno-occlusions in the SFA by Zilver PTX stent Trabattoni P Acute type A dissection: emergency surgical treatment combined with E-XL Aortic Stent Trabattoni P Hybrid treatment of aortic arch aneurysms Trabattoni P Modification of peri-and postoperative right ventricular function in mitral valve plastic: influence of the surgical approach and the mode of myocardial protection Zanobini Electrophysiology Coronary atherosclerosis in outlier subjects: protective and individual risk factor evaluation (GISSI Outliers CAPIRE ) Andreini Pathophysiological determinants of mitral annulus tissue Doppler systolic velocity obtained by high resolution echocardiography Barbier Accurate real-time 3D echocardiography in the localization of trans esophageal mitral valve prolapse: comparison between visual method and with dedicated software Pepi Quantitative intraoperative evaluation of mitral valve apparatus pre-and post- annuloplasty intervention Pepi New techniques of morphofunctional evaluation of the tricuspid ring and valve and right ventricle by reconstruction from MRI and 3D echocardiographic images Pepi Role of multidetector CT (MDCT) in evaluation of patients undergoing percutaneous aortic valve implantation (TAVI) Pontone Feasibility and diagnostic accuracy of ultra low dose'''' multidetector CT in the evaluation of coronary artery disease Pontone New anatomical parameters of the left atrium as predictors of atrial fibrillation Pontone Role of low-dose MDCT in the preoperative evaluation of patients with mitral valve prolapse Pontone Clinical study on the use of a electrophysiology low flow irrigation electrocatheter for the ablation of ventricular tachycardia Carbucicchio Pacemapping techniques for identification of the ablation site in patients with ventricular arrhythmias: validation and utility of a new system of mathematical analysis (PAcing SOftware). Carbucicchio Comparison between 64-slice cardiac CT and stress echo in the diagnosis of significant coronary artery disease Pontone Endomyocardial biopsy via transeptal puncture in patients undergoing atrial fibrillation ablation. Searching for new biomarkers using analysis of tissue microRNAs Casella Role of Magnetic Resonance Imaging (MRI) in assessing aortic annulus in patients undergoing percutaneous aortic valve implantation (TAVI). Pontone Mapping and ablation of ventricular extrasystoles: usefulness of the automatic algorithm "Paso" implemented in the mapping system CARTO (MAE-Paso) Casella 3D transesophageal assessment of right ventricular size and function in the operating room Tamborini Near zerO fluoroscopic exPosure during catheter ablAtion of supRavenTricular arrhYthmias (NO-PARTY) Casella 3D assessment of left atrial size and function pre-and post-plastic mitral surgery. Tamborini Percutaneous implantation of aortic valve prosthesis: 3D transesophageal echocardiography usefulness Tamborini Impact of percutaneous aortic valve replacement (TAVI) on left ventricular systolic and diastolic function : echocardiographic long-term follow-up Tamborini Morphological and electrophysiological characteristics of myocardial substrate associated with increased arrhythmic risk in patients with dilated cardiomyopathy (EMOSIDD) Dello Russo Usefulness of cardiac MRI in the identification of intraventricular desynchronization area in patients undergoing ventricular resynchronization therapy Dello Russo Substrate in Heart failure And effectiveness of Resynchronization Therapy by EnSite Array system (SHARE-M) Dello Russo Evaluation of cardiac output by cardiopulmonary exercise testing with non-invasive measurement in patients with chronic atrial fibrillation undergoing catheter ablation Fassini Monitoring after catheter ablation of atrial fibrillation by implantation of implantable recorder (loop recorder) Moltrasio Massimo Interference between the modern implantable cardiac devices and instrumentation used in the dental setting. An in vivo study Moltrasio Massimo Atrial fibrillation ablation registry Moltrasio Massimo Monitoring resynchronization in cardiac patients (MORE CARE) Moltrasio Massimo Genetic polymorphism and incidence of intra-atrial thrombosis in patients with permanent AF / chronic despite adequate oral anticoagulation Riva Assessing the usefulness of the delayed-enhancement MRI in determining the degree of atrial fibrosis and its prognostic correlation with the medium / long term efficacy of chronic AF transcatheter ablation Riva Identification of the levels of autonomy of patients undergoing implantation of mono and bicameral pacemaker Tondo Role of endomyocardial biopsy guided by electroanatomic mapping in the definition of the arrhythmic substrate in patients with ventricular arrhythmias without apparent organic heart disease or uncertain diagnostic tests Tondo Endoscopic Guided Ablation and Voyage mapping (IRIS) Tondo A prospective, randomized, milticenter, interventional study designed to evaluate the safety and efficacy of percutaneous ablation catheter TactiCath for the treatment of symptomatic paroxysmal atrial fibrillation using an irrigated catheter for radiofrequency ablation with full recognition of the contact force (ToccaStar) Tondo Clinical WoRkflow Study for the EValuation Of the Multi-ELectrode PUlmonary Vein Isolation System for the Treatment of Paroxysmal AtrIal FibrillatiON (REVOLUTION) Tondo Post-market clinical study of the CardioFocus endoscopic ablation system-adaptive contact (CF-EAS-AC) Tondo-Dello Russo CARDIOVASCULAR IMAGING 242 Additional clinical role of 64 slice cardiac MDCT in the visualization of anatomical variants and of coronary anomalies Andreini Feasibility and diagnostic accuracy of MDCT in the evaluation of coronary circulation in diabetic patients with suspected coronary artery disease Andreini Feasibility and diagnostic accuracy of multidetector low-dose CT in the evaluation of coronary stents patency Andreini Prognostic role of multidetector CT in patients undergoing coronary artery bypass graft Andreini Comparison between nuclear magnetic resonance (NMR) and two-dimensional echocardiography in the quantification of mitral regurgitation in mitral valve prolapse Andreini CCM — Scientific Report 2011 — Ongoing research 2012 CCM — Scientific Report 2011 — Ongoing research 2012 243 Ongoing Grants in 2011 Age.na.s •Training of pharmacists: estimation of cardiovascular risk and approach to critical situations European Commission •IMPROVE •Role of cyclophilin A in bone marrow vascular progenitor cell mobilization and recruitment in the angiogenic response to ischemia - CAPI •Nucleolar-dependent secretion of microRNA in a model of doxorubicin and trastuzumab cardiomyopathy - NUMIRDT Fondazione Monzino •Development of engineered cardiac valves •Laboratory of experimental surgery: cardiovascular regenerative therapy •New pathogenetic mechanisms of acute coronary syndromes •Study of the pathogenic mechanisms of heart failure during emotional stress Fondazione Veronesi •The circulating transcriptome in coronary artery disease: a next generation sequencing approach Ministero della Salute Ricerca Corrente •Absorption of the glycosaminoglycans (GAGs) into saphenous vein wall after their oral administration •Analysis of the functional role of pentraxin 3 in endothelial cells through an integrated approach of proteomics and gene silencing •Analysis of the functional role of tissue factor in cardiomyocytes through an integrated approach of proteomics and gene silencing •Analysis of transcriptional profiles associated to brain damage in spontaneously hypertensive stroke prone (SHRSP) rats •Aortic valve with minimally-invasive implantation •Assessing oxidative stress in patients with carotid stenosis underwent surgical treatment and / or carotid stenting •Assessment of the effectiveness of a medium / long term complex multistep strategy in the transcatheter ablation of chronic AF •Brachial artery diameter: a new marker of atherosclerosis? •CABG, genomics, perioperative changes in hemostasis and inflammation and clinical outcomes at follow-up. •Carotid atherosclerotic plaque: characterization by imaging, biochemical and histopathological techniques •Caveolin-rich membrane microdomains and Tissue Factor modulation by protease receptors (PARS): role of cholesterol biosynthesis inhibitors •Cell therapy of heart failure and ischemic heart injury •Characterization by MRI techniques of heart ischemia in ApoE KO mice •Characterization of cells derived from cardiac mesenchyme: epigenetic and functional studies, stem cell reprogramming •Characterization of human carotid plaques by imaging techniques and histopathology 244 CCM — Scientific Report 2011 — Ongoing research 2012 •Characterization of the epigenetic role of nitric oxide in aging and cellular senescence •Clinical evaluation of safety and efficacy of a new system of hemostasis (QuikClot® Interventional) after diagnostic percutaneous coronary or interventional procedures •Correlation between platelet and megakaryocyte trascriptome in CAD patients •Development of a procedure for “decellularisation” and cryo-preservation of human pericardial patches in order to engineer cardiovascular tissue •Development of innovative diagnostic systems for atherosclerotic disease: ANN-IDA study •Development of methods based on mass spectrometry for the absolute quantitative analysis of proteins in biological samples •Development of murine model of dilated cardiomyopathy induced by doxorubicin and trastuzumab •Echocardiographic and histological study of the influence of aging on left atrial function in mice •Effect of cigarette smoke in the modulation of endothelial dysfunction •Effect of drugs in drug-eluting stents on endothelial function and oxidative stress •Effectiveness of nitric oxide and Histone Deacetylases inhibitors in dystrophic cardiomyopathy: identification of common targets using a proteomic approach •Endothelial cell secretoma •Endovascular exclusion of aneurysms of the thoraco-abdominal aorta by fenestrated endograft: advantages of the radiology suite in elective and emergency implantation •Engineered tissues: cryopreserved valves cellularized by autologous cells of the recipient. •Epigenetic modifications and impaired endothelialization of circulating endothelial progenitor cells in normal subjects and patients at risk •Epigenetic role of chronic electrical stimulation in cardiac cells •Evaluation of the platelet activation state following stent placement in the carotid and / or iliac-femoral artery. Observational study •Evaluation of the hemostatic system in the mouse COX-2 knockout •Evaluation of the molecular mechanisms involved in the stabilization of platelet mRNA •Functional adaptation of the stem cell population of the saphenous vein (SVPs) as a factor predisposing to the development of restenosis in coronary artery bypass grafting •Genomic and proteomic expression profile of diabetic patients affected by platelet coronary syndromes •Glycosaminoglycan and proteoglycan determinations in human aortic valves in normal and pathological conditions. •GMP development of resident cardiac progenitors •GPR17 purinergic receptor expression in stem cells residing in the heart •Identification of human macrophage markers associated to the phenotype 5/1000 •Identification of the molecular targets of aspirin by a proteomic approach •Identification of the role of the new purinergic receptor GPR17 in cardiomyocytes using a proteomic approach •Impact of the BDNF Val66Met polymorphism on the hemostatic system: possible differences between the sexes •Inflammation and cerebral ischemia •Influence of dyslipidemia on left atrial size and compliance in subjects with isolated hypercholesterolemia •Interactions between stem cells and biopolymers using’’ high throughput’’ systems, towards the engineering of artificial stem cell niches for cardiovascular tissue bio-engineering •Mecki score (Metabolic, Exercise, Cardiac, Kidney Index) for the identification of cardiovascular risk in patients with heart failure •MicroRNAs and aging •Minimally invasive aortic and mitral valve surgery •Mitochondrial proteome of cardiac cells HL-1 •Mitral valve disease: genetic and phenotypic markers predictive of progression of the disease: systematic review of the literature •Modulation of endothelial prostanoids by cigarette smoke in association with IL-1 beta •New markers of vascular imaging as predictors of vascular events in a European population of patients at high risk (new projects based on the IMPROVE study) •New model of left atrial function in mice •Optimization of time / temperature in the decontamination of cardiovascular tissues with BASE.128 •Pharmacological control of cerebral ischaemia •Plasma fatty acids and nutrition in patients with overt coronary artery disease CCM — Scientific Report 2011 — Ongoing research 2012 245 •Platelet function in cardiac patients with chronic renal failure •Possible role of brain-derived neurotrophic factor (BDNF) in the thrombosis •Precursors of endothelial and smooth muscle cells in the abdominal aortic aneurysm: role of Cyclofillin A and microRNAs modulated by aging •Predictors of peri-operative renal injury after adult cardiac surgery: role of the pre-, intra-and postoperative variables and of the extracorporeal circulation management •Proteomics of atherosclerotic plaque •Proteomics of C. elegans and effects of the silencing of the gene R53.1, the human ortholog of the gene FLAD1 •Proteomics of human heart valves •Proteomics of plasma lipoproteins: identification of new associated molecules and clinical implications •Proteomics of procoagulant microparticles •Regeneration in adult zebrafish heart as a model for repair of cardiac ischemia •Registry and Biobank of aortic valve disease •Registry and Biobank of mitral valve disease •Registry and Biobank of thoracic and abdominal aortic aneurysms and acute aortic syndromes •Regulation of the alveolar capillary membrane function: is protein SP-B a useful marker? •Regulation of the biosynthesis of Dickkopf-1 (Dkk-1) by statins in human endothelial cells •Regulation of the pentraxin 3 biosynthesis by statins in human endothelial cells •Relationship between platelet reactivity index and risk of adverse cardiovascular events in patients with acute coronary syndrome treated with coronary angioplasty •Role of cyclooxygenase-2 (COX-2) metabolites in the regulation of Tissue Factor (TF) induced by cigarette smoke •Role of cyclooxygenase-2 in a mouse model of thrombosis •Role of melanocortins in the restenosis and stent thrombosis prevention •Study of the role of RAGE and HMGB1 in cardiovascular aging and development of cardiac fibrosis •Surgical techniques to support electrophysiological procedures •TF-dependent procoagulant contribution in leukocytes and platelets of patients with CAD •The sum of early family aggregation for vascular disease in different districts and for risk factors as a novel risk factor for atherosclerosis •Thrombosis of drug-eluting stent •Use of antithrombotics in atrial fibrillation (ATA - AF) Ricerca Finalizzata •Breathing disorders in heart failure: high altitude hypoxia as a model to define diagnostic tools, therapeutic strategies •Identification of proteomic/proinflammatory and immune biomarkers in patients with acute coronary syndromes at high risk to develop clinical events: genomic and proteomic approaches •Insulin resistance and coronary disease: insights into inflammation, thrombosis and metabolic syndromes •Role of longevity genes P66SH/SIR1 in insulin-resistance, diabetes and cardiovascular diseases •Implementing brain repair in stroke via the exploiment of adult neurogenesis and gliogenesis: focus on the cross-talk between microglial and endogenous precursor cells •MicroRNA bioengeneering of human cardiac mesenchymal cells and heart regeneration Progetti interni •Cardiovascular Tissue Bank in Lombardia •Clinical audit- Heart Surgery •Clinical audit-Cardiology •Patient analysis and tracking system data form Regione Lombardia •microRNA as new early markers of acute myocardial ischemia •Echocardiographic imaging of the left atrium as a marker of cardiovascular events •Setting up diagnostic and therapeutic pathways with the aid of telemedicine to identify mechanisms for the presentation and development of atrial fibrillation. A prospective randomized multicenter study (PER.DI.FIA.TO) 246 CCM — Scientific Report 2011 — Ongoing research 2012 CCM — Scientific Report 2011 — Ongoing research 2012 247 Seminars, conferences and courses 2011 Seminars April 19 - Salvatore Cuzzocrea (Messina) “Strategies to reduce I/R injury” April 29 - Germano Ferrari (Milano) “Best practices in technology transfer: from intellectual property protection to market” May 24 - Nicholas W. Shworak (Lebanon, NH, USA) “A novel anti-inflammatory pathway of the blood vessel wall” May 31 - Giuseppe Gaipa (Monza) “Single cell phosphoflow analysis in haematological malignancies: methods and applications” June 07 - Silvia Soddu (Roma) “HIPK2: dall’attivazione di p53 in risposta al danno al DNA alla citochinesi” June 14 - Marco Bianchi (Milano) “HMGB1, inflammation and tissue regeneration” June 30 - Lina Badimon (Barcellona) “Atherosclerotic plaque complications: plaque angiogenesis” July 12 - Bianca Rocca (Roma) “Variability in the responsiveness to low dose aspirin: pharmacological and disease-related mechanisms” September 20 - Massimiliano Gnecchi (Pavia) “Use of mesenchymal stem cells to repair infarcted hearts” September 27 - Andrea Urbani (Roma) “Clinical proteomics strategies and investigations: a perspective” 248 CCM — Scientific Report 2011 — Ongoing research 2012 October 11 - Elisabetta Cerbai (Firenze) “Alterazioni elettrofisiologiche cellulari nell’ipertrofia e insufficienza cardiaca umana: basi molecolari e prospettive farmacologiche” October 25 - Huei-Sheng Vincent Chen (La Jolla) “Modeling inherited cardiac diseases with patientspecific iPScells” November 22 - Angelo Scuteri (Roma) “L’ importanza del fenotipo per valorizzare i risultati della ricerca di base. Il modello della sindrome metabolica” November 30 - Mauro Giacca (Trieste) “How can we mend a broken heart” (Bee Gees, 1971): searching for genes that induce myocardial protection or repair by in vivo gene transfer using AAV vectors”” September 24 - Cesare Fiorentini, Elena Tremoli “Giornata mondiale per il cuore 2011” November 16 - Piergiuseppe Agostoni “Beta-bloccanti e scompenso:come scegliere” November 03-04 - Elena Tremoli “Aterotrombosi: dalla ricerca di base alla clinica” V Convegno monotematico della SIF November 21-22 - Claudio Tondo “Biopsia endomiocardica per elettrofisiologi” November 16 - Piero Montorsi “ 3° Audit Stenting carotideo” November 21-22 - Piero Montorsi “19° Carotiday” Corso di stenting carotideo December 14 - Rita Spirito “Il piede vascolare: percorso diagnostico-terapeutico” November 21-23 - Alessandro Lualdi “Corso teorico applicativo di Cardiologia Interventistica” Courses March 21-22- Piero Montorsi “17° Carotiday” Corso di stenting carotideo Feb-Mar-Apr-May-Jun - Marco Agrifoglio “Corso di perfezionamento in Ecocolordoppler Vascolare” Jan-Feb-Apr-Jun-Oct-Nov - Claudio Tondo “Tecnica della puntura transettale e trattamento della fibrillazione atriale mediante crioablazione” April 01 - Stefano Galli, Piero Montorsi, Paolo Ravagnani “Focus IVUS Advanced” May 9-10 - Piergiuseppe Agostoni: “Il test da sforzo cardiopolmonare (CPET): basi fisiologiche, indicazioni e interpretazione” May 27 - Stefano Galli, Piero Montorsi, Paolo Ravagnani “Focus IVUS Basic” September 13-15 - Mauro Pepi, Paolo Barbier “Corso base di ecocardiografia” Conferences March 03 - Elena Tremoli “Il cuore del Monzino per le donne” March 30 - Paolo Biglioli, Francesco Alamanni, Cesare Fiorentini “Live Cardiac Surgery. Treatment of heart failure” September 26-28 - Claudio Tondo “Corso teoricopratico sulle diverse tecniche di puntura transettale per elettrofisiologi” October 24 - Paolo Barbier “Rigurgito mitralico: dalla quantificazione ecodoppler all’analisi morfologica 3D nella routine diagnostica” May 09 - Paolo Biglioli. Cesare Fiorentini “ Audit Day 2011” October 24-25 - Corrado Carbucicchio, Claudio Tondo “Mappaggio e ablazione transcatetere di aritmie ventricolari” June 08 - Daniela Trabattoni “Forame Ovale Pervio: quando, come, perché intervenire” November 7-8 - Corrado Carbucicchio, Claudio Tondo “Puntura pericardica e mappaggio epicardico” June 10 - Paolo Ravagnani “La cardiopatia ischemica nel terzo millennio: è tempo per una riflessione” November 15-17 - Mauro Pepi, Paolo Barbier “Corso avanzato di ecocardiografia” CCM — Scientific Report 2011 — Ongoing research 2012 249