A5072762039- Mechanical Circulatory Support Devices
- Cardiac Structural Anomalies and Repair
- Cardiac Valve Diseases and Treatments
- Transplantation: Methods and Outcomes
- Aortic Disease and Treatment Approaches
- Organ Transplantation Techniques and Outcomes
- Infective Endocarditis Diagnosis and Management
- Cardiac and Coronary Surgery Techniques
- Renal Transplantation Outcomes and Treatments
- Aortic aneurysm repair treatments
- Cardiac Arrest and Resuscitation
- Infectious Aortic and Vascular Conditions
- Congenital Heart Disease Studies
- Liver Disease and Transplantation
- Cardiac, Anesthesia and Surgical Outcomes
- Venous Thromboembolism Diagnosis and Management
- Vascular Procedures and Complications
- Central Venous Catheters and Hemodialysis
- Atrial Fibrillation Management and Outcomes
- Coronary Interventions and Diagnostics
- Dialysis and Renal Disease Management
- COVID-19 Clinical Research Studies
- Abdominal vascular conditions and treatments
- SARS-CoV-2 and COVID-19 Research
- Organ Donation and Transplantation
New York Medical College
2020-2025
Westchester Medical Center
2020-2025
Icahn School of Medicine at Mount Sinai
2024
Catalyst Foundation
2024
Yale New Haven Hospital
2022
Thomas Jefferson University Hospital
2022
Thomas Jefferson University
2020
Kyoto Prefectural University of Medicine
2013-2018
Impact
2016
Maizuru Municipal Hospital
2012-2014
A preservation system, the Organ Care System (OCS; TransMedics) uses normothermic pulsatile perfusion during organ transport for heart transplantation. This system has demonstrated favorable outcomes in hearts recovered from extended-criteria donors after brain death (DBD) and circulatory (DCD). The OCS Heart Perfusion Registry collects data on US transplantations using OCS, static cold storage (SCS), or thoracoabdominal regional (NRP) DBD DCD donors. We analyzed donor recipient...
Background. Scarcity of donor hearts continues to be a challenge for heart transplantation (HT). The recently Food and Drug Administration–approved Organ Care System (OCS; Heart, TransMedics) ex vivo organ perfusion enables extension situ intervals thus may expand the pool. Because postapproval real-world outcomes OCS in HT are lacking, we report our initial experience. Methods. We retrospectively reviewed consecutive patients who received at institution post–Food Administration approval...
A temporary microaxial left ventricular assist device is commonly implanted via the right axillary artery to treat decompensated heart failure or cardiogenic shock. However, limited literature describes implantation in a variant aortic arch anatomy setting. We present case of patient with an aberrant subclavian (Arteria Lusoria) as bridge transplantation.
We experienced an early biopsy-related tricuspid regurgitation post-transplant. Transthoracic and transoesophageal echocardiography showed a frail anterior leaflet with possible ruptured chorda. The valve was inspected, chorda noted in the single torn on septal leaflet. corresponding papillary muscle difficult to identify. patient underwent successful repair edge-to-edge ring annuloplasty. Compared complex procedure such as replacement of multiple artificial chordae, correct prolapse without...
Mitral regurgitation (MR) is a prevalent valvular heart disease with significant morbidity, particularly in aging populations. Management strategies for MR have evolved from traditional open-heart surgery to innovative transcatheter approaches, addressing the limitations of surgical repair high-risk patients. Transcatheter edge-to-edge repair, exemplified by devices such as MitraClip and PASCAL, has shown efficacy reducing severity, improving functional capacity, decreasing failure...
ABSTRACT Purpose There are limited data regarding outcomes of a new heart allocation policy on recovering brain‐death donors (DBD) from extended distances. Methods From May 6, 2014, to March 31, 2023, the United Network for Organ Sharing database was queried where 1885 cases (8.3%) out 22 806 isolated transplants received donor hearts distances (ED) greater than 500 miles. Patients were divided into groups based transplanted date before or after change (October 18, 2018): old ( N = 443)...
An 84-year-old woman with a history of mitral valve replacement, ascending aorta and pacemaker implantation presented malaise progressive shortness breath. Transthoracic echocardiography transesophageal revealed left ventricular ejection fraction 10% to 15% floating mass on the prosthesis. She was suspected have bioprosthetic endocarditis, despite being afebrile having negative blood cultures. Reoperative replacement considered but deemed too high risk, transseptal aspiration performed...
Reoperative durable left ventricular assist device (LVAD) insertion after coronary artery bypass grafting (CABG) is challenging due to potential injury grafts, great vessels, or the right ventricle (RV). We sought compare less invasive (LI) approach full sternotomy (FS) technique for LVAD implantation in patients with a prior history of CABG. From March 2012 April 2023, 29 CABG underwent reoperative implantation: Group FS, N = 16, and LI, 13. The LI includes an upper hemisternotomy...
A quinquagenarian underwent zone 2 arch repair for acute type dissection followed by endovascular utilizing a branch endoprosthesis and covered stents. He developed fever positive blood culture results 3 weeks after the thoracic repair. preoperative left carotid to subclavian artery bypass was performed. First stage: right axillary re-cannulated. The innominate vein divided facilitate exposure. At bladder temperature of 20℃, selective antegrade cerebral perfusion established. bifurcated...
INTRODUCTION: Rates of extracorporeal membrane oxygenation (ECMO) have increased over the years, and arteriovenous fistulas provide vascular access commonly for hemodialysis patients. Upon removal cannulas or grafts, is common practice to leave behind a graft remnant, stump, avoid damaging parent blood vessel. METHODS: We review clinical signs symptoms suggestive nerve compression following primary multidisciplinary surgical strategy treatment. Both cases provided consent publication....
The impact of the new heart allocation policy, which prioritizes acutely ill patients on temporary mechanical circulatory support and provides broader sharing donor organs, patient graft survival in combined kidney transplantation (HKT) is unknown.In United Network for Organ Sharing data, were divided groups before after policy change (OLD, January 1, 2015 to October 17, 2018, N=533; NEW, 18, 2018 December 31, 2020, N=370). Propensity score matching was performed utilizing recipient...
ObjectiveTo review the outcomes of axillary artery (AX) and femoral (FA) cannulation for veno-arterial extracorporeal membraneous oxygenation (VA-ECMO).MethodsFrom 2009 to 2019, 371 patients who were supported with VA-ECMO cardiogenic shock compared based on arterial site: AX (n = 218) versus FA 153).ResultsPatients in group older (61 years vs 58 years, P .011), had a greater prevalence peripheral vascular disease (13.8% 5.2%, .008), less likely have undergone cardiopulmonary resuscitation...
Key Points Simultaneous heart–kidney transplant is associated with high rates of kidney graft failure which are worse when compared alone. The major causes in simultaneous recipients were patient death and primary nonfunction graft. Background indications outcomes transplantation (SHKT) remain suboptimally defined. Risk factors for renal after SHKT also poorly Methods We analyzed the among using United Network Organ Sharing database from 2015 to 2020. To evaluate poor outcomes, we alone...
Abstract Raman spectroscopy, which identifies intrinsic molecular constituents, has a potential for determining myocardial viability under label-free conditions. However, its suitability evaluating ischaemia is undetermined. Focusing on cytochromes, i.e., representative molecules reflecting mitochondrial activity, we tested whether spectroscopy applicable especially during early ischaemic phase. We obtained spontaneous spectra of the subepicardial myocardium in Langendorff-perfused rat heart...