- Central Venous Catheters and Hemodialysis
- Vascular Procedures and Complications
- Venous Thromboembolism Diagnosis and Management
- Coronary Interventions and Diagnostics
- Peripheral Artery Disease Management
- Eosinophilic Disorders and Syndromes
- Atrial Fibrillation Management and Outcomes
- Cardiac Arrhythmias and Treatments
- Mast cells and histamine
- Renal function and acid-base balance
- Amoebic Infections and Treatments
- SARS-CoV-2 and COVID-19 Research
- Antiplatelet Therapy and Cardiovascular Diseases
- Infections and bacterial resistance
- Kawasaki Disease and Coronary Complications
- Coronary Artery Anomalies
- Drug-Induced Adverse Reactions
- COVID-19 Clinical Research Studies
- Renal Diseases and Glomerulopathies
- Cardiovascular Syncope and Autonomic Disorders
- Takotsubo Cardiomyopathy and Associated Phenomena
- CNS Lymphoma Diagnosis and Treatment
- Cardiomyopathy and Myosin Studies
- Diverse Scientific Research Studies
- Parvovirus B19 Infection Studies
Baylor Scott & White Health
2024
Michigan State University
2024
Henry Ford Hospital
2024
University of Cincinnati
2021-2022
University of Cincinnati Medical Center
2021
Marshall University
2017-2020
Misr University for Science and Technology
2020
An-Najah National University
2020
Allegheny Health Network
2020
Indiana University School of Medicine
2018-2019
Achromobacter xylosoxidans , subspecies denitrificans is a gram-negative rod recently implicated as an emerging cause of infection in both immunosuppressed and immunocompetent populations. Few cases are reported literature involving multiple body systems. Diagnosis depends on cultures appropriate specimens, management usually by administration antibiotics (usually agents with antipseudomonal activity). We report rare case pneumonia due to this organism, patient preexisting bronchiectasis...
The use of serum ammonia as a novel marker for sepsis compared to lactic acid levels in intensive care unit (ICU) patients.Single arm, prospective clinical trial collect arterial blood samples from patients with sepsis. Serial and were sent every six hours total three days.Compare mean terms diagnosing patient outcome, including length stay mortality. A 30 enrolled the pilot study. On admission, level was 35.7 μmol/L 3.06 mmole/L. Ammonia checked at end day 2 (ammonia 2-4) beginning 3 3-1)...
Ventricular tachycardia (VT) or ventricular fibrillation (VF) storm associated with severe acute respiratory syndrome coronavirus 2 infection is a potentially fatal complication; the correlation of these disorders, however, has not been well studied. This retrospective case series examined outcomes patients who were admitted for repeated implantable cardioverter-defibrillator shocks without syncope and observed to have VT/VF storms COVID-19. Mechanisms in COVID-19 are multifactorial...
Scleroderma associated Pulmonary-Renal Syndrome is a rare but severe complication with poor prognosis and high mortality. A index of suspicion needed for early recognition this potential in patients systemic sclerosis institution appropriate treatment. With more data showing an increased association between scleroderma malignancy, heightened vigilance should also be exercised malignancy scleroderma-like presentation. We report case rapid onset complicated by acute renal failure diffuse...
Background Multiple studies have shown that trans-radial access (TRA) for women undergoing coronary angiography/intervention (CA/I) has a lower risk of vascular site complications as compared with trans-femoral (TFA). In patients who had previously undergone artery bypass grafting (CABG), also showed no significant difference between TRA and TFA in terms contrast amount (CA), procedure time (PT), fluoroscopy (FT). However, those mainly included men. Limited information is available on the...
Late onset coronary occlusion post-transcatheter aortic valve replacement (TAVR) is a rare yet significant complication. We present an 85-year-old female with chest pain secondary to left main artery obstruction eleven months post-TAVR. Angiography revealed partial necessitating percutaneous intervention. Despite initial challenges in engagement due interaction the TAVR valve, use of dual lumen microcatheter facilitated successful stenting, resulting resolution obstruction. This case...
Loeys-Dietz syndrome is a rare autosomal dominant connective tissue disorder notable for rapidly progressive vascular aneurysmal disease and craniofacial defects. Patients are at an increased risk aneurysm rupture dissection younger ages compared to other syndromes. Early surgical intervention important prevention of ruptures and/or dissection. The coronary arterial tree mostly involved as result postoperative complications aortic root repair. This fact has been sparsely reported. We report...
Abstract: Drug reaction with eosinophilia and systemic symptoms (DRESS) is a potentially fatal severe adverse to medications. Numerous drugs have been implicated, carbamazepine allopurinol being the most common. Tenofovir-induced DRESS extremely rare. We report case of 65-year-old male patient diffuse exfoliative maculopapular rash across his entire body five weeks duration. The also had icteric sclera, abnormal liver enzymes Raynaud’s tongue, nose left fifth finger. After discontinuation...
ST segment elevation on an electrocardiogram (EKG) is alarming finding that warrants urgent coronary angiogram. Early diagnosis and intervention extremely important in the setting of Acute Coronary Syndrome (ACS) to prevent irreversible myocardium damage reduce mortality rate. However, it very know not all ST- Elevations (STE) EKG are due myocardial infraction. Etiologies can be divided into cardiac non-cardiac causes. Cardiac causes include aneurysm acute pericarditis while cholecystitis...
Background . Kissing Balloon Technique using retrograde pedal approach together with anterograde common femoral artery (CFA) could be the treatment of choice in patients diseased infrapopliteal bifurcation. We report seven cases where KBT was utilized for bifurcation access conjunction conventional access. Methods reviewed all that underwent combination and a single-center study from 2014 to 2015 utilizing Rutherford classification severity index; were deemed stage 3 (severe claudication) 6...
Coronary Artery Aneurysm (CAA) is defined as a dilation of more than 1.5 times normal in segment the coronary artery. While incidence CAA highest Right (RCA), it agreed that left main artery or three-vessel involvement extremely rare. Wide ranges factors have been implicated cause with atherosclerosis being most common at 50%. Congenital occurs 20-30% cases followed by connective tissue disease 10%. Blood stagnation and exposure underlying collagen make aneurysms prone to thrombosis,...
As in any vascular access the size of guiding catheter is an operator preference. Although multiple studies showed use 5-Fr versus 6-Fr catheters for Transradial coronary intervention (TCI) have similar safety profile and can be performed safely successfully with both them, data comparing vs TCI terms fluoroscopy time, procedure time contrast amount setting ACS limited. We conducted this study to compare settings ACS.
Prasugrel is a thienopyridine that was approved by the US Food and Drug Administration (FDA) in combination with aspirin for reduction of thrombotic events as well stent thrombosis patients ACS who undergo PCI. This retrospective study aims to assess frequency inappropriate use prasugrel emphasize still needs more attention may result significant morbidity.