A5008456168- Coronary Interventions and Diagnostics
- Cardiac Imaging and Diagnostics
- Peripheral Artery Disease Management
- Acute Myocardial Infarction Research
- Cardiac and Coronary Surgery Techniques
- Cardiac Valve Diseases and Treatments
- Cardiac, Anesthesia and Surgical Outcomes
- Cerebrovascular and Carotid Artery Diseases
- Mechanical Circulatory Support Devices
- Venous Thromboembolism Diagnosis and Management
- Aortic aneurysm repair treatments
- Antiplatelet Therapy and Cardiovascular Diseases
- Cardiac Structural Anomalies and Repair
- Cardiac Arrhythmias and Treatments
- Vascular Procedures and Complications
- Cardiac pacing and defibrillation studies
- Cardiac Arrest and Resuscitation
- Infective Endocarditis Diagnosis and Management
- Cardiovascular Function and Risk Factors
- Coronary Artery Anomalies
- Botulinum Toxin and Related Neurological Disorders
- Cardiovascular Issues in Pregnancy
- Pain Management and Treatment
- Hip and Femur Fractures
- Dermatological and Skeletal Disorders
University of Missouri
2020-2024
Saint Luke's Hospital
2018-2023
University of Washington
2023
University of Missouri Hospital
2020-2022
University of Missouri–Kansas City
2019-2022
Michigan State University
2022
Icahn School of Medicine at Mount Sinai
2022
University of Missouri Health System
2021
Saint Luke's Health System
2019-2020
San Diego Cardiac Center
2020
We sought to determine the impact of subintimal plaque modification (SPM) on early health status following unsuccessful chronic total occlusion (CTO) PCI.Intentionally dilating space during CTO PCI facilitate flow through dissection planes and improve success repeat attempts is a technique used by some hybrid operators, may restoring distal vessel despite PCI.We studied 138 patients who underwent in 12-center registry. Safety was assessed comparing in-hospital outcomes undergoing with...
Health status and quality of life improvement after chronic total occlusion (CTO) percutaneous coronary intervention (PCI) among patients with refractory angina has not been reported. We sought to determine the degree CTO PCI in angina.Among 1000 consecutive who underwent a 12-center registry, was defined as any (baseline Seattle Angina Questionnaire [SAQ] Frequency score ≤90) despite treatment ≥3 antianginal medications. at baseline 1-year follow-up quantified using SAQ. Refractory present...
Abstract Background No previous reports have examined the impact of robotic‐assisted (RA) chronic total occlusion (CTO) PCI on procedural duration or safety compared to totally manual CTO PCI. Methods Among 95 patients who underwent successful a single lesion at two centers, 49 (52%) were performed RA and 46 (48%) manually. Cockpit time was primary operator entered robotic cockpit until procedure complete. “Theoretical” in control group would after crossing Major adverse events (MAEs)...
Abstract Objectives We sought to assess in‐hospital and long‐term outcomes of retrograde compared with antegrade‐only percutaneous coronary intervention for chronic total occlusion (CTO PCI). Background Procedural clinical following CTO PCI remain unknown. Methods Using the core‐lab adjudicated OPEN‐CTO registry, we PCI. Primary endpoints included were major adverse cardiac cerebrovascular events (MACCE) (all‐cause death, stroke, myocardial infarction [MI], emergency surgery, or clinically...
Abstract Background Perforation is the most frequent complication of chronic total occlusion (CTO) percutaneous coronary intervention (PCI) and associated with adverse events including mortality. Methods Among 1,000 consecutive patients enrolled in 12 center prospective CTO PCI study (OPEN CTO), all perforations were reviewed by angiographic core‐lab. Eighty‐nine (8.9%) perforation compared to 911 without perforation. We sought describe clinical predictors during develop a risk prediction...
Ten to fifteen percent of chronic total occlusion (CTO) percutaneous coronary interventions (PCIs) are unsuccessful in contemporary practice. Subintimal tracking and re-entry (STAR) (one form "investment procedure") with staged reattempt stenting may further increase the ultimate success safety CTO as a bailout strategy. The optimal timing for after STAR is unknown.
The Occurrence of ICD Therapies After Generator Replacement Introduction At the time generator replacement, after implantation for primary prevention, many patients may no longer meet criteria. We investigated occurrence therapy replacement in initially implanted prevention. Methods Patients from 3 hospitals undergoing who were retrospectively evaluated appropriate replacement. categorized as to whether or not they had during their first battery life, and by left ventricular ejection...
Abstract Background The effect of body mass index (BMI) on the procedural outcomes and health status (HS) change after chronic total occlusion (CTO) percutaneous coronary intervention (PCI) is largely unknown. Methods Thousand consecutive patients enrolled in a 12‐center prospective CTO PCI study (Outcomes, Patient Health Status, Efficiency Chronic Total Occlusion Hybrid Procedures [OPEN‐CTO]) were categorized into three groups by baseline BMI (obese ≥30, overweight 25–30, normal 18.5–25),...
A 22-year-old man with a history of intravenous heroin misuse, presented 1 week fatigue and fever. Blood cultures were positive for methicillin-sensitive Staphylococcus aureus . Physical examination showed multiple painful 1–2 mm macular rashes on the palm soles bilaterally (figures 1 2). Splinter haemorrhages (figure 3) conjunctival petechiae (figure 4) also noted. transoesophageal echocardiogram demonstrated 16-mm vegetation mitral valve (figure 5). Vegitations >10 mm in diameter infection...
Background No previous reports have described the comprehensive care pathways involved in chronic total occlusion percutaneous coronary intervention (CTO PCI). Methods In a study of 1,000 consecutive patients undergoing CTO PCI using hybrid approach, systematic algorithm selecting strategies, procedural characteristics, complication rates, and patient reported health status outcomes through 12 months were assessed. Results Technical success index was 86%, with 89% having at least one...
Abstract Background Indications and outcomes for percutaneous ventricular assist device (pVAD) use in surgically ineligible patients undergoing coronary intervention (PCI) remain poorly characterized. Aims We sought to describe the timing of pVAD outcome patients. Methods Among 726 enrolled prospective OPTIMUM study, clinical health status were assessed who underwent pVAD‐assisted PCI those without pVAD. Results Compared with not receiving ( N = 579), treated 142) more likely had heart...
Abstract A 68‐year‐old female with a history of coronary artery disease and prior bypass surgery presented for staged percutaneous intervention (PCI) to calcified angulated ostial left circumflex (LCX) lesion after PCI the anastomosis internal mammary ‐ anterior descending artery. Orbital atherectomy LCX was performed at speed 80,000 RPM multiple passes, complicated by device microtip dislodgement entrapment within vessel. After advancing “buddy” wire beyond microtip, tapered microcatheter...