A5084045601- Cardiac Structural Anomalies and Repair
- Trauma Management and Diagnosis
- Tracheal and airway disorders
- Cardiac Valve Diseases and Treatments
- Mechanical Circulatory Support Devices
- Aortic Disease and Treatment Approaches
- Congenital Heart Disease Studies
- Infective Endocarditis Diagnosis and Management
- Vascular Anomalies and Treatments
- Central Venous Catheters and Hemodialysis
- Cardiac Imaging and Diagnostics
- Airway Management and Intubation Techniques
- Cardiac Arrest and Resuscitation
- Acute Myocardial Infarction Research
- Congenital Diaphragmatic Hernia Studies
- Abdominal Trauma and Injuries
- Pericarditis and Cardiac Tamponade
- Venous Thromboembolism Diagnosis and Management
- Cardiac and Coronary Surgery Techniques
- Vascular Procedures and Complications
- Coronary Interventions and Diagnostics
- Reconstructive Surgery and Microvascular Techniques
- Otolaryngology and Infectious Diseases
- Traumatic Brain Injury and Neurovascular Disturbances
- Electroconvulsive Therapy Studies
Island Hospital
2024
New York University
2021-2024
Winthrop University
2021-2022
Hinge Health
2020
NYU Langone Health
2020
Winthrop-University Hospital
2019
Maimonides Medical Center
2005-2017
Brookdale University Hospital and Medical Center
2013-2014
University Medical Center
2013
Abstract Purpose To determine if a cannulation method for venovenous extracorporeal membrane oxygenation (V‐V ECMO) is related to patient outcome. Methods A retrospective, multicenter study of adult patients (≥18 years old) placed on V‐V ECMO severe respiratory failure due COVID‐19 between March 1, 2020, April 30, 2021. Patients were divided into the following three groups based initial method: (1) femoral vein‐femoral vein or vein‐internal jugular (dual‐site, C‐DS), (2) single, dual‐lumen...
Percutaneous endoscopic gastrostomy (PEG) has been used for providing enteral access to patients who require long-term nutrition years. Although generally considered safe, PEG tube placement can be associated with many immediate and delayed complications. Buried bumper syndrome (BBS) is one of the uncommon late complications percutaneous placement. It occurs when internal erodes into gastric wall lodges itself between skin. This lead a variety additional such as wound infection, peritonitis,...
Abstract Background: Ascending aortic pseudoaneurysms following prior cardiac procedures are a rare entity. We reviewed our institutional experience given the isolated case reports in literature. Methods: A 10-year retrospective review identified 5 patients who underwent ascending aorta pseudoaneurysm repair. There were 3 women and 2 men with median age of 70 years (range 63 to 79 years). Median duration from initial CABG repair was months 18 The clinical presentations included dyspnoea (2...
Indications regarding surgical pulmonary embolectomy for treatment of submassive/massive acute embolism remain controversial. An institutional experience with (APE) was reviewed. A retrospective analysis all patients undergoing APE from September 2004 to January 2007 conducted. Demographic data, clinical presentation and outcomes were analyzed. Fifteen underwent surgery over a period 27 months [average age 59.6 (range 35-89) years, (seven male, eight female)]. Six (40%) admitted known nine...
Importance Cardiac tamponade requiring emergent intervention is a possible complication of coronavirus disease 2019 (COVID-19) infection. Favorable clinical outcomes are if timely management and drainage performed unless ventricular failure develops. Observation in COVID-19, based on the limited reported cases, seems to be more common among middle-aged men with observed complications black ethnic minorities. Prognosis worse amongst patients concomitant failure. Design Methods This case...
Mediastinal hematoma is a rare complication following insertion of central venous catheter with only few cases reported in the English literature. We report case 71-year-old female who was admitted for elective chemoport placement. USG guided right internal jugular access attempted using Seldinger technique. Resistance met while threading guidewire. showed chronic clot burden RIJ. A microvascular established under fluoroscopic guidance. Rest procedure completed without any further issues....
Bullet embolism is a well-known but relatively uncommon complication of gunshot injuries. Their rarity and the potential lack early symptoms lead to delays in diagnosis often inadequate management that can potentially result loss limb or life. We present an interesting case which small caliber bullet upper anterior abdomen penetrated thoracic aorta traveled right popliteal artery embolizing vessel. The exploratory laparotomy failed locate neither nor trajectory resulting sudden deterioration...
Abstract Intra-cardiac thrombosis is a potentially devastating complication of extracorporeal membrane oxygenation (ECMO) mechanical circulatory support. We present here patient who suffered complete fresh mitral prosthesis and left atrium in the setting ECMO with aortic insufficiency was treated repeat valve replacement thrombectomy. To our knowledge, she only reported literature to have survived this complication.
Left main coronary artery disease carries a poor prognosis. The etiology of isolated and significant left (ILMCA) is not well understood. Studies so far were limited by small numbers. authors identified 46 patients with ILMCA from their database over 10 years (group I) compared them 83 consecutive undergoing catheterization II). They also ostial vs distal disease. Group I represented 0.1% patients. demographic profile atherosclerotic risk factor the 2 groups as compared. This largest study...
The fracture of an inferior vena cava filter strut and its migration to the heart is a rare sequela implanted filters. Perforation through right ventricle into pericardium with resultant cardiopulmonary compromise even less frequent. We report case 53-year-old man who presented chest pain hypotension consequent cardiac tamponade. A fractured had migrated perforated his ventricle. was successfully removed by means surgery. Inferior filters should be placed when necessary minimize risk...
Acute coronary syndrome (ACS) resulting from culprit lesion in left main artery (LMCA) can cause rapid hemodynamic deterioration. It is important to identify these patients early facilitate timely revascularization. ST segment elevation aVR greater than or equal V(1) (aVR-V(1)>or= 0) has been suggested as a sensitive predictor of LMCA disease. As result balanced forces, we hypothesized that deviation V(6) (V(6)-V(1)>or= might be good determinant
Penetrating cardiac injuries are highly lethal and carry high mortality rate. Both blunt penetrating in patients who survive known to present with well-known sequelae that often appear days weeks after the initial insult. In literature there have been documented cases of injury induced myocardial infarction, ventricular aneurysms, valvular dysfunction even fistulous tracts between coronary vessels chamber. Although most commonly injured vessel is left anterior descending (LAD) artery,...
A 49-year-old African American male patient with no past medical history was admitted because of 3 months difficulty swallowing solid and liquid foods. He had constant retrosternal discomfort appeared malnourished. The chest radiograph revealed a right sided aortic arch tracheal deviation to the left. swallow study confirmed fixed esophageal narrowing at level T6. Contrast enhanced Computed Tomography (CT) angiogram neck mirror image left cardiac apex prominent ductus diverticulum (measuring...
ABSTRACT Introduction Compartment syndrome is defined as a symptom complex caused by increased pressure of tissue fluid in closed osseofascial compartment which interferes with circulation to the myoneural components compartment. Bilateral legs rare presentation requiring emergent surgical intervention. In recent case report (Khan et al 2012) there have been only eight reported cases cited bilateral syndrome. Heroin abuse known cause syndrome, traumatic and atraumatic rhabdomyolysis....
Abstract Intra-cardiac thrombosis is a potentially devastating complication of extracorporeal membrane oxygenation (ECMO) mechanical circulatory support. We present here patient who suffered complete fresh mitral prosthesis and left atrium in the setting ECMO with aortic insufficiency was treated repeat valve replacement thrombectomy. To our knowledge, she only reported to have survived this complication.