A5063743239- Cardiac Valve Diseases and Treatments
- Infective Endocarditis Diagnosis and Management
- Cardiac Structural Anomalies and Repair
- Cardiovascular Function and Risk Factors
- Mechanical Circulatory Support Devices
- Atrial Fibrillation Management and Outcomes
- Cardiac Imaging and Diagnostics
- Coronary Interventions and Diagnostics
- Phonocardiography and Auscultation Techniques
- Hip disorders and treatments
- Eating Disorders and Behaviors
- Cervical and Thoracic Myelopathy
- Parkinson's Disease and Spinal Disorders
- Congenital Heart Disease Studies
- Gastrointestinal Tumor Research and Treatment
- Cardiac pacing and defibrillation studies
- Central Venous Catheters and Hemodialysis
- Cerebral Venous Sinus Thrombosis
- Vascular Malformations and Hemangiomas
- Gastrointestinal disorders and treatments
- Cerebrovascular and Carotid Artery Diseases
- Cardiovascular Issues in Pregnancy
- Pulmonary Hypertension Research and Treatments
- Cardiovascular and Diving-Related Complications
- Vascular anomalies and interventions
Naval Medical Center San Diego
2014-2021
Sharp Memorial Hospital
2021
Cedars-Sinai Medical Center
2015-2018
Objectives To investigate the influence of body mass index (BMI) on short‐ and midterm outcomes following transcatheter aortic valve implantation (TAVI). Background Although obesity is a major risk factor for cardiovascular mortality, numerous studies reported beneficial effect survival in patients with disease after cardiac interventions. Moreover, all previous reports examining relation between BMI TAVI have underscored “obesity paradox” these patients. Methods During 3 year period, 805...
To (1) present a guide on how to perform optical coherence tomography (OCT) in carotid artery stenting (CAS), (2) highlight several instructive cases illustrating OCT-guidance as an interventional strategy, and (3) the largest case-series of OCT-guided CAS performed North America, demonstrating its feasibility imaging modality this setting.OCT is intravascular method that captures images with axial resolution 10 times higher than ultrasound. OCT has proven be useful coronary angiography may...
Residual gradients >20 mmHg after transcatheter valve-in-valve (ViV) implantation are associated with worse survival. This study aimed to evaluate the feasibility of high-pressure post-dilation a non-compliant balloon ViV in small surgical valves optimise haemodynamics.Thirty patients underwent internal dimension ≤19 mm. High-pressure 16-20 atmospheres was performed 12 and 18 without post-dilation. SAPIEN 3 Evolut were used 10 two patients, respectively. The mean aortic valve (AV) gradient...
Transcatheter aortic valve replacement (TAVR) is a minimally invasive cardiac surgical procedure that has revolutionized the treatment of stenosis. This most common valvular heart condition in developed countries, affecting 3.4% those ages 75 and above. Because there no medical therapy can arrest progression disease, forms cornerstone therapy.Naval Medical Center San Diego VA Healthcare System have unique collaborative TAVR program-a first Department Defense-to offer this revolutionary to...
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A 67-year-old male underwent general anesthesia for left atrial appendage occlusion. During the procedure, patient developed catecholamine refractory hypotension requiring administration of several vasopressin boluses to maintain adequate perfusion pressure. At conclusion mild venous bleeding necessitated protamine. This led a further decrease in patient's blood Tamponade and continued volume loss were quickly ruled out leading diagnosis vasoplegia syndrome (VS). The was appropriately...
An 82-year-old man with a HeartMate II left ventricular assist device presented low-flow alarms and cardiogenic shock secondary to outflow graft obstruction. Given high risk for redo sternotomy, the heart team decided on percutaneous intervention peripheral stents, procedure that is currently limited case reports. (Level of Difficulty: Advanced.)
Background: DM adversely affects morbidity and mortality for cardiovascular diseases procedures. has been independently associated with increased after surgical aortic valve replacement. There is limited data on the impact of prognosis patients severe stenosis that undergo TAVR. In a sub-study PARTNER trial, 1-year was significantly higher in without compared to diabetes, although multivariable analysis not performed. We aimed evaluate clinical characteristics early midterm outcomes TAVR...
Background: Systolic reverse pulmonary venous flow (PVF) assessed with pulsed Doppler echocardiography is a valuable marker of severe mitral regurgitation (MR). However, the relationship between PVF pattern after MR reduction by percutaneous valve repair MitraClip system and clinical outcome not well established. We hypothesized that normalized procedure was associated successful outcome. Method: 146 consecutive patients symptomatic who implanted were studied. The divided into 2 groups on...
Objectives: This pilot study seeks to evaluate the utility of an electronic stethoscope in assessing severity isolated aortic stenosis. Methods: Echocardiograms for 653 patients with stenosis were screened. 50 enrolled study. Patients excluded more than mild non-aortic valvular disease. Participants received updated echocardiogram and cardiac recordings supine position performed at four standard sites utilizing Littmann 3200 stethoscope. Recordings analyzed using Zargis Cardioscan® Software...
Atrial fibrillation is the most common significant cardiac arrhythmia and associated with a five-fold increased risk of stroke from thromboembolism. Over 94% these emboli arise left atrial appendage. Systemic embolic phenomena are rare, accounting for less than 1 out 10 all events, but have similar prevention strategy. Anticoagulation significantly reduces thus forms cornerstone therapy patients fibrillation. Left appendage occlusion Watchman device recently approved alternative in selected...