- Cardiac Valve Diseases and Treatments
- Infective Endocarditis Diagnosis and Management
- Cardiac Arrhythmias and Treatments
- Cardiac pacing and defibrillation studies
- Atrial Fibrillation Management and Outcomes
- Mechanical Circulatory Support Devices
- Cardiovascular Function and Risk Factors
- Cardiac Imaging and Diagnostics
- Cardiac Structural Anomalies and Repair
- Coronary Interventions and Diagnostics
- Aortic Disease and Treatment Approaches
- Respiratory Support and Mechanisms
- Cardiac tumors and thrombi
- Transplantation: Methods and Outcomes
- Anesthesia and Sedative Agents
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Intensive Care Unit Cognitive Disorders
- Coronary Artery Anomalies
- Myasthenia Gravis and Thymoma
- Antibiotics Pharmacokinetics and Efficacy
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Advanced MRI Techniques and Applications
- Cardiac and Coronary Surgery Techniques
- Cardiovascular Issues in Pregnancy
- Radiology practices and education
Queen Elizabeth Hospital
2022-2025
University of Toronto
2024
Hospital Authority
2024
Copenhagen University Hospital
2020-2023
Rigshospitalet
2020-2023
University of Padua
2023
Universitäts-Herzzentrum Freiburg-Bad Krozingen
2023
Cornell University
2016
NewYork–Presbyterian Brooklyn Methodist Hospital
2016
Barts Health NHS Trust
2010-2013
Significant coronary artery disease (CAD) is a frequent finding in patients with severe aortic stenosis undergoing transcatheter valve implantation (TAVI), and the management of these two conditions becomes particular importance extension procedure to younger lower-risk patients. Yet, preprocedural diagnostic evaluation indications for treatment significant CAD TAVI candidates remain matter debate. In this clinical consensus statement, group experts from European Association Percutaneous...
Although ultrasound is a core skill for many clinical specialties, UK medical schools are not currently required to teach this skill. The College of Emergency Medicine (CEM) has championed the use answer focused questions in emergency settings. We have designed and piloted an training course undergraduate students addressing one important indication: assessment abdominal aorta.Fourteen students, who had no prior experience using ultrasound, received form didactic instruction, short bedside...
Hemoglobin A(1c) (HbA(1c)) is recommended for identifying diabetes and prediabetes. Because HbA(1c) does not fluctuate with recent eating or acute illness, it can be measured in a variety of clinical settings. Although outpatient studies identified HbA(1c)-screening cutoff values prediabetes, thresholds have been determined acute-care Using follow-up fasting blood glucose (FBG) the 2-h oral tolerance test (OGTT) as criterion gold standard, we optimal cutoffs undiagnosed dysglycemia emergency...
An inferoposterior transseptal puncture (TSP) is generally recommended for percutaneous left atrial appendage (LAA) closure. However, the LAA a highly variable anatomical structure. This may have an impact on preferred TSP site.This study aimed to determine optimal site closure in different morphologies.In this prospective study, 182 patients undergoing were included. The spatial relationship of fossa ovalis and its consequence was assessed at preprocedural cardiac computed tomography...
Abstract Background Use of a right−left (R−L) cusp overlap view for transcatheter aortic valve replacement (TAVR) with self‐expanding valves has recently been proposed aiming to reduce permanent pacemaker implantation (PPMI). An objective, data‐driven explanation this observation is missing. Aims To assess the impact different techniques on risk PPMI following TAVR Portico/Navitor TM heart (THV; Abbott). Methods A TAVR‐population treated had THV implanted in right versus left anterior...
The number of multislice computed tomography (MSCT) analyses performed for planning structural heart interventions is rapidly increasing. Further automation required to save time, increase standardization, and reduce the learning curve.The purpose this study was investigate feasibility a fully automated artificial intelligence (AI)-based MSCT analysis interventions, focusing on left atrial appendage occlusion (LAAO) as selected use case.Different deep models were trained, validated, tested...
To report on the experience with a selective prophylactic permanent pacemaker (PPx-PPM) implantation strategy in patients pre-existing right bundle branch block (RBBB) undergoing transcatheter aortic valve replacement (TAVR).Pre-existing RBBB is an independent predictor for PPM after TAVR and has been linked to increased mortality.Hospital patient flow longer-term clinical endpoints were compared treated period without PPx-PPM (2013-2020).A total of 260 included: 170 early 90 late strategy....
During the last decade, transcatheter aortic valve implantation (TAVI) has evolved as a well-established therapy for aging patients suffering from symptomatic severe stenosis. This is also reflected in recently updated international guidelines on managing with valvular heart disease. A transfemoral (TF) TAVI approach proven superior to alternative access strategies. With introduction of intravascular lithotripsy (IVL), calcified iliofemoral vascular disease and borderline intraluminal...
Inferior outcomes with ACURATE neo, a self-expanding transcatheter heart valve (THV) for the treatment of severe aortic stenosis, were mainly driven by higher rates moderate/severe paravalvular leak (PVL). To overcome this limitation, next-generation neo2 features 60% larger external sealing skirt. Data on long-term performance are limited; however, clinical evidence suggests improved short-term which is comparable to contemporary THVs. This report reviews data and echocardiographic neo2. A...