- Cardiac Valve Diseases and Treatments
- Cardiac Imaging and Diagnostics
- Coronary Interventions and Diagnostics
- Acute Myocardial Infarction Research
- Infective Endocarditis Diagnosis and Management
- Antiplatelet Therapy and Cardiovascular Diseases
- Cardiac, Anesthesia and Surgical Outcomes
- COVID-19 Clinical Research Studies
- COVID-19 and healthcare impacts
- Cardiovascular Function and Risk Factors
- Cerebrovascular and Carotid Artery Diseases
- Aortic Disease and Treatment Approaches
- Mechanical Circulatory Support Devices
- Cardiac Structural Anomalies and Repair
- Cardiovascular Disease and Adiposity
- Lipoproteins and Cardiovascular Health
- Cardiac pacing and defibrillation studies
- Vascular Procedures and Complications
- Venous Thromboembolism Diagnosis and Management
- Peripheral Artery Disease Management
- Cardiac Arrest and Resuscitation
- Atrial Fibrillation Management and Outcomes
- Cardiac Arrhythmias and Treatments
- Long-Term Effects of COVID-19
- Viral Infections and Immunology Research
MedStar Washington Hospital Center
2018-2025
MedStar Heart & Vascular Institute
2015-2024
Georgetown University
2015-2024
MedStar Georgetown University Hospital
2016-2024
Washington Hospital
2015-2024
MedStar Health
2021-2024
Center for Adoption Support and Education
2023
MedStar Union Memorial Hospital
2022
National Institutes of Health
2021
National Heart Lung and Blood Institute
2021
Background Coronary microvascular dysfunction (CMD), which mimics symptoms of obstructive coronary artery disease, has significant prognostic implications. While epicardial adipose tissue normally a protective role, increased is associated with inflammation and may contribute to CMD. However, direct correlation remains unclear. We aimed investigate this association. Methods Results The CMDR (Coronary Microvascular Disease Registry) prospective, 2‐center registry that enrolling patients...
Background: The supra-annular leaflet position and tall stent frame of the self-expanding Evolut PRO or PRO+ transcatheter heart valves (THVs) may cause coronary occlusion during aortic valve replacement (TAVR)-in-TAVR present challenges for future access. We sought to evaluate risk TAVR-in-TAVR with THVs feasibility Methods: CoreValve Prospective Registry (EPROMPT; NCT03423459) prospectively enrolled patients symptomatic severe stenosis undergo TAVR using a commercially available latest...
Abstract Objectives We compared access‐site complications with a Micropuncture 21‐gauge (G) needle to standard 18G in patients undergoing femoral‐access percutaneous coronary intervention (PCI). Background Vascular are the most common complication after cardiac catheterization. These increase patient morbidity and mortality, along healthcare costs. Methods retrospectively analyzed cohort of 17,844 consecutive PCI. access was used 2344 15,500 patients. Primary endpoints included vascular...
Given enough time, transcatheter heart valves (THVs) will degenerate and may require reintervention. Redo aortic valve implantation (TAVI) is an attractive strategy but carries a risk of coronary obstruction.We sought to predict how many TAVIs patients could undergo in their lifetime using computed tomography (CT) simulation.We analysed paired CT scans (baseline 30 days post-TAVI) from the LRT trial EPROMPT registry. We implanted virtual THVs on baseline CTs, comparing predicted...
Abstract Background Full adoption of coronary microvascular dysfunction (CMD) assessment faces challenges due to its invasive nature and concerns about prolonged procedure time increased contrast and/or radiation exposure. We compared procedural aspects CMD diagnostic left heart catheterization (DLHC) in patients with chest pain who were not found have obstructive artery disease. Methods A total 227 the Coronary Microvascular Disease Registry 1592 underwent DLHC from August 2021 November...
ABSTRACT Background Cangrelor is an intravenous P2Y12 receptor antagonist that exerts rapid and potent antiplatelet effects. It associated with a reduction in the indcidence of ischemic events patients acute coronary syndrome (ACS) undergoing percutaneous intervention (PCI). Aims The aim our study was to investigate racial disparities their impact on outcomes among ACS who were treated cangrelor during PCI. Methods We reviewed data PCI at center from 2018 2023 divided between African...
ABSTRACT Background Intravascular ultrasound (IVUS) is essential for assessing complex coronary lesions, but remains underutilized in part due to difficulties image interpretation. The AVVIGO IVUS Automated Lesion Assessment (ALA) software, which uses machine learning (ML) automatic segmentation, promises simplify lesion assessment. This study evaluated the agreement stent size selection between ALA, an independent core laboratory (CL), and expert interventional cardiologist (IC) lesions....