- Congenital Heart Disease Studies
- Congenital Diaphragmatic Hernia Studies
- Tracheal and airway disorders
- Cardiac Arrhythmias and Treatments
- Cardiac Valve Diseases and Treatments
- Mechanical Circulatory Support Devices
- Cardiovascular Conditions and Treatments
- Cardiac Structural Anomalies and Repair
- Cardiovascular Issues in Pregnancy
- Vascular anomalies and interventions
- Coronary Artery Anomalies
- Radiation Dose and Imaging
- Congenital heart defects research
- Aortic Disease and Treatment Approaches
- Central Venous Catheters and Hemodialysis
- Cardiovascular Effects of Exercise
- Cardiovascular and Diving-Related Complications
- Cardiomyopathy and Myosin Studies
- Cardiac, Anesthesia and Surgical Outcomes
- Healthcare Policy and Management
- Congenital Anomalies and Fetal Surgery
- Pulmonary Hypertension Research and Treatments
- Child and Adolescent Health
- Vascular Anomalies and Treatments
- Diversity and Career in Medicine
University of Cincinnati Medical Center
2018-2025
Cincinnati Children's Hospital Medical Center
2018-2025
University of Cincinnati
2020-2024
Washington University in St. Louis
2023
Children's Healthcare of Atlanta
2022
University of California, San Francisco
2022
Children's Hospital of Philadelphia
2013-2021
University of Kentucky
2021
University of Mississippi Medical Center
2013-2019
Jackson Memorial Hospital
2013-2019
BACKGROUND: Current metrics used to adjust for case mix complexity in congenital cardiac catheterization are becoming outdated due the introduction of novel procedures, innovative technologies, and expanding patient subgroups. This study aims develop a risk adjustment methodology introducing novel, clinically meaningful adverse event outcome incorporating modern understanding risk. METHODS: Data from diagnostic only interventional cases with defined types were collected patients ≤18 years...
Background Advancements in the field, including novel procedures and multiple interventions, require an updated approach to accurately assess patient risk. This study aims modernize hemodynamic procedural risk classification through creation of assessment tools be used congenital cardiac catheterization. Methods Results Data were collected for all cases performed at sites participating C3PO (Congenital Cardiac Catheterization Project on Outcomes) multicenter registry. Between January 2014...
Abstract Background: Procedure duration is an important predictor of patient outcomes in surgery. However, the relationship between procedure and adverse events congenital cardiac catheterization largely unexplored. Methods: All cases entered into Congenital Cardiac Catheterization Project on Outcomes from 2014 to 2017 were included. Cases ordered shortest longest case length, minus time spent managing events, for each type. The outcomes, Level 3bc/4/5 4/5 event rates, calculated above below...
BACKGROUND: Neonates with hypoplastic left heart syndrome variants an intact or highly restrictive atrial septum (HLH-IAS) require immediate postnatal intervention to survive. Emergent decompression (LAD) via a percutaneous hybrid approach is standard, but the comparative effectiveness and outcomes of these approaches remain underexplored. METHODS: A multicenter retrospective analysis all neonates HLH-IAS who underwent LAD in first 36 hours life from January 2009 March 2020 at 14 North...
The American Academy of Pediatrics (AAP) is committed to the development rational, equitable, and effective parental leave policies that are sensitive needs pediatric residents, families, developing infants enable parents spend adequate good-quality time with their young children. It important for each residency program have a policy written, accessible clearly delineates practices regarding leave. At minimum, residents fellows should conform legally Family Medical Leave Act as well...
Pulmonary vein stenosis (PVS) is often progressive and severe. Surgical percutaneous angioplasty are acutely successful; however, restenosis common many patients require multiple reinterventions. We perform intraoperative “hybrid” stent placement to deliver larger, stronger stents. Hybrid well described for pulmonary arterial (PAS). The PAS data demonstrate that smaller stents associated with rapid in-stent restenosis. Data from PVS in adults superior outcomes larger requires a strong...
To characterize the frequency and attributability of death among patients who died within 30 days their cardiac catheterization (30-day mortality).30-day postprocedure mortality is commonly used as a quality outcome metric in national registries. It unclear if this parameter sufficiently specific to meaningfully capture attributable with congenital heart disease (CHD).Multicenter cohort study 3 participating centers. Records were retrospectively reviewed for (06/2007-06/2012)....
Safety events and technical success (TS) have been previously reported for aortic pulmonary valvuloplasty, but a composite performance measure as novel, patient-centered strategy has neither developed nor studied. This study aims to refine procedural (PP) variable, of TS safety, isolated, standard-risk valvuloplasty.
Transcatheter patent ductus arteriosus (PDA) occlusion is a staple of pediatric catheterization laboratories. We present the phenomenon significant PDA spasm to prevent failure occlude hemodynamically duct.Transcatheter techniques have evolved, allowing safe and effective PDAs in younger smaller patients. Neonatal care evolving with increasing survival at gestational ages. Premature infants often PDAs, so proportion formerly premature children referred for transcatheter ductal will likely...