A5064585317- Cardiac Structural Anomalies and Repair
- Cardiac Valve Diseases and Treatments
- Mechanical Circulatory Support Devices
- Coronary Artery Anomalies
- Infective Endocarditis Diagnosis and Management
- Congenital Heart Disease Studies
- Venous Thromboembolism Diagnosis and Management
- Cardiac Arrest and Resuscitation
- Cardiac Imaging and Diagnostics
- Vascular anomalies and interventions
- Coronary Interventions and Diagnostics
- Cardiac Arrhythmias and Treatments
- Aortic Disease and Treatment Approaches
- Cardiovascular Effects of Exercise
- Vascular Procedures and Complications
- Acute Myocardial Infarction Research
- Central Venous Catheters and Hemodialysis
- Advanced MRI Techniques and Applications
- Cardiovascular and Diving-Related Complications
- Advanced X-ray and CT Imaging
- Renal and Vascular Pathologies
- Healthcare professionals’ stress and burnout
- Vascular Malformations Diagnosis and Treatment
- Kawasaki Disease and Coronary Complications
- Williams Syndrome Research
University of Alabama at Birmingham
2017-2022
University of Alabama at Birmingham Hospital
2021
Louisiana State University
2015
Louisiana Hematology Oncology Associates
2015
Distal transradial artery access has emerged as a promising new method of for coronary and endovascular procedures. With the increasing use distal access, operators will need to gain experience in management complications anatomical snuffbox. We review rationale behind summarize rate vascular complications, based on literature. then report case pseudoaneurysm left radial occurring 20 hours after cardiac catheterization likely precipitated by intravenous heparin dual antiplatelet therapy with...
Extracorporeal life support (ECLS) is an expanding technology for patients in cardiogenic shock. The majority of requiring ECLS can be managed with percutaneous venoarterial (VA) femoral cannulation. Despite sufficient extracorporeal circulatory support, a unclear number develop left ventricular distension which result increased wall tension and stress as well worsening pulmonary edema. Indications to vent the ventricle controversial. When venting indicated, additional procedures may...
Abstract Echocardiography has emerged as an essential tool to guide targeted, transcatheter biopsy of cardiac masses. Options for imaging include transthoracic or transesophageal echocardiography and intracardiac echocardiography, with appropriate use being dictated by specific patient characteristics institutional experience. The authors present a case three‐dimensional (3‐D) echocardiography‐guided right ventricular mass review the current these procedures.
Objective Percutaneous edge-to-edge mitral valve repair is an evolving procedure with increasing indications for use. The MitraClip™ G4 the newest device 4 options, each distinct characteristics. While NTR and XTR clips have been in use, adds 2 new wider additional features, NTW XTW. Methods We reviewed 26 cases employing MitraClip at our institution from November 2019 to March 2020. Results NTR, XTR, NTW, XTW were used 3 (11.5%), 0 (0.0%), 16 (61.5%), 11 (42.3%) cases, respectively. Median...
Percutaneous coronary intervention (PCI) is an uncommon procedure in the pediatric population, and use of intravascular ultrasound (IVUS) to guide stent optimization this setting not well described. We present a case 22-month old female who developed left main stenosis following surgical correction anomalous artery from pulmonary (ALCAPA). PCI was pursued, with IVUS, placement determined be optimal. Given limited data on IVUS for children, we discuss unique applications drug-eluting stents,...
Abstract A patient with heart failure due to dilated ischemic cardiomyopathy presented in cardiogenic shock for institution of veno‐arterial extracorporeal membrane oxygenation as a bridge cardiac transplantation. To provide adequate venous drainage and simultaneous decompression the left atrium (indirect ventricular venting), single cannula was placed across interatrial septum so that distal orifice side ports were located within proximal set positioned at cavoatrial junction....
Abstract A patient with heart failure due to nonischemic cardiomyopathy presented as a transfer our institution following peripheral (femoral) venoarterial (VA) extracorporeal membrane oxygenation (ECMO) placement. With VA ECMO cannulation, the continued have unstable ventricular tachyarrhythmias. Echocardiography demonstrated left (LV) dilation and severe mitral regurgitation (MR) clinical chest X‐ray evidence of pulmonary edema. To provide venous drainage simultaneous decompression atrium...
BACKGROUND Anomalous coronary arteries (ACAs) may present increased risk for adverse cardiac events. We sought to evaluate the accuracy of conventional angiography (CCA), as it is currently used in clinical practice, compared with expert interpretation and magnetic resonance imaging (CMR) determining site origin proximal course ACAs. METHODS Fifty consecutive patients without concomitant congenital heart disease, who were referred CMR diagnose an ACA, retrospectively evaluated. Original CCA...
Abstract The EchoNavigator (EchoNav, Philips, Netherlands) is a tool that fuses live X‐ray with three‐dimensional (3D) transesophageal echocardiogram (TEE) images allowing for enhanced precision and accuracy during interventional cardiac procedures. We present the first case of EchoNav utilization balloon mitral valvuloplasty using newest version (EchoNav 3.0.2). benefits application include improved procedural safety due to demonstration relationship between equipment neighboring structures.
An 81-year-old female with severe aortic valve stenosis underwent TAVR using the right femoral approach. Shortly after successful deployment of a 29 mm Evolut Pro (Medtronic), patient became hypotensive and ST depressions were noted on telemetry. Selective left coronary angiography revealed embolism to anterior descending/ first diagonal bifurcation. Mechanical aspiration was performed small piece debris retrieved. We believe it broken-off fragment artery that migrated tip delivery system....
Proprotein convertase subtilisin/kexin 9 (PCSK9) is an enzyme that binds and inactivates the low-density lipoprotein (LDL) receptor onhepatocytes, leading to higher levels of serum LDL cholesterol (LDL-C). Individuals with ‘loss function’ mutations in PCSK9 gene havelower LDL-C are at decreased risk coronary heart disease. In light this, inhibition activity has become a target forreducing levels, approaches including monoclonal antibodies, antisense oligonucleotides, RNA interference...