A5052626488- Mechanical Circulatory Support Devices
- Cardiac Structural Anomalies and Repair
- Cardiac Valve Diseases and Treatments
- Coronary Interventions and Diagnostics
- Congenital Heart Disease Studies
- Cardiac Arrest and Resuscitation
- Venous Thromboembolism Diagnosis and Management
- Acute Myocardial Infarction Research
- Ultrasound in Clinical Applications
- Hemodynamic Monitoring and Therapy
- Cardiovascular Issues in Pregnancy
- Cardiac, Anesthesia and Surgical Outcomes
- Cardiac Arrhythmias and Treatments
- Pulmonary Hypertension Research and Treatments
- Coronary Artery Anomalies
- Aortic aneurysm repair treatments
- Infective Endocarditis Diagnosis and Management
- Cardiovascular Effects of Exercise
- Aortic Disease and Treatment Approaches
- Acute Ischemic Stroke Management
- Cardiac Imaging and Diagnostics
- ECG Monitoring and Analysis
- Pleural and Pulmonary Diseases
- Cardiac pacing and defibrillation studies
- Trauma Management and Diagnosis
Instituto Nacional de Cardiología
2018-2024
University Medical Center Utrecht
2021-2024
Utrecht University
2024
Heidelberg University
2023
University Hospital Heidelberg
2023
Instituto Nacional de Cardiologia
2020
Coronavirus disease 2019 (COVID-19) is characterized by severe lung involvement and hemodynamic alterations. Critical care ultrasonography vital because it provides real time information for diagnosis treatment. Suggested protocols image acquisition measurements have not yet been evaluated.This cross-sectional study was conducted at two centers from 1 April 2020 to 30 May in adult patients with confirmed COVID-19 infection admitted the critical unit. Cardiac pulmonary evaluations were...
Venopulmonary ECMO (VP ECMO) is an advanced support strategy for patients with severe respiratory failure and right ventricular (RV) dysfunction, providing pulmonary protection by oxygenating blood unloading the RV. This case discusses a 57-year-old female septic cardiomyopathy, refractory cardiogenic shock, ARDS, who developed progressive deterioration despite conventional treatment. Due to patient instability, she was placed on VP (femoral venous drainage artery reinfusion), guided...
Abstract Background Haemodynamic monitoring of patients after cardiac surgery using echocardiographic evaluation fluid responsiveness is both challenging and increasingly popular. We evaluated in the first hours by determining variability velocity–time integral left ventricular outflow tract (VTI-LVOT). Methods conducted a cross-sectional study 50 consecutive adult who underwent whom it was possible to obtain VTI-LVOT measurements. then determined correlations with our pulse pressure...
Evaluation of the venous system has long been underestimated as an important component circulatory system. As systemic pressure increases, perfusion to tissues is compromised. During initial resuscitation in cardiac surgery, excessive fluid administration associated with increased morbidity and mortality.We conducted a cross-sectional study 60 consecutive adult patients who underwent surgery whom it was possible obtain excess ultrasound (VExUS) grading mean filling (Pmsf) postoperative...
Latin America has limited information about the full spectrum cardiogenic shock (CS) and its hospital outcome. This study sought to examine temporal trends, clinical features outcomes of patients with CS in a coronary care unit single Mexican institution.This was retrospective consecutive hospitalized teaching between 2006-2019. Patients were classified according presence or absence acute myocardial infarction (AMI).Of 22,747 admissions, 833 (3.7%) exhibited CS. Among AMI (n = 12,438), 5%...
Periprocedural stroke during transcatheter aortic valve replacement (TAVR) is a highly feared adverse event. The TriGUARD 3 cerebral embolic protection device (CEPD) may have the potential benefit of reduction events, but it still remains unclear whether reduces incidence periprocedural or transient ischemic attack (TIA). We aimed to investigate latest CEPD clinically overt within 72 h at discharge after TAVR.In this prospective single-center study 117 patients (mean age 80.3 years, 53.8 %...
Abstract Bleeding following a percutaneous renal biopsy is complication that can be life‐threatening. Embolization of the bleeding artery procedure limit damage; however, embolization devices costly or not immediately available. This why we present case 25‐year‐old man with history multiple thromboses who underwent due to suspected systemic lupus erythematosus. Five days after procedure, he developed hypovolemic shock. A CT scan was performed hemorrhage and showed active at site. Since were...
Ventricular septal defect (VSD) complicating acute myocardial infarction (MI) represents a life-threatening condition and has mortality of >90% if left untreated.A 53-year-old man with prior medical history diabetes hypertension presented cardiogenic shock secondary to VSD as mechanical complication non-reperfused inferior MI.The choice support can be difficult in this type patient. Given the risk an increased shunt because veno-arterial extracorporeal membrane oxygenation (VA-ECMO) increase...
We present the case of a 72-year-old woman diagnosed with rheumatic fever at age 6. In 1972, she was mitral valve insufficiency and stenosis, then in 1974, decision made to perform replacement surgery 32-mm Braunwald-Cutter ball cage prosthesis. An echocardiogram performed 2014 revealed normal biventricular systolic function, mechanical prosthesis position maximum speed 1.9 m/s, gradient 15 mmHg, mean 6 severe tricuspid insufficiency, inferior vena cava measuring mm more than 50% collapse...
Novel Teaching Points•One of the complications peripheral VA ECMO is LVD.•LVD can cause pulmonary edema, thrombosis, and refractory arrhythmias.•Drainage LV with a pigtail catheter accessed through radial artery technically feasible. •One Venoarterial extracorporeal membrane oxygenation (VA ECMO) has expanded beyond cardiogenic shock (CS). A 52-year-old patient electrical storm was assisted ECMO. He developed left ventricular distension that resolved percutaneous placement in ventricle...
In ST-elevation myocardial infarction (STEMI), inflammation is pivotal, with early senescent CD4+CD28null cells implicated in its pathogenesis. However, the functional phenotype of these within coronary circulation remains unclear.
Objective:The objectives of this study were to evaluate an automated device for ventilatory support based on AMBU manufactured in March 2020.Methods: The ESSI-1 INC was evaluated through pulmonary mechanics and physiology parameters compensatory spirometer tests (TISSOTs), artificial lung Model5600i Dual Adult PNEU VIEW SYSTEM; it also compared the anesthetic equipment (AEONMED 7500) porcine models, measuring ventilatory, hemodynamic gasometric parameters.Results: This (ESSI-1 INC)...
Mechanical circulatory and/or respiratory assistance with extracorporeal membrane oxygenation (ECMO) has become a standard of care for patients (venoarterial) (venovenous) failure refractory to therapies. Adult congenital heart disease are an increasingly recognized and growing population include various groups, such as undiagnosed cases in childhood palliated corrected cases, which require subsequent because residual lesions, cardiac arrest/insufficiency, arrhythmias, among other...
A 48-year-old woman presented to the emergency department with a one-week history of progressive dyspnea. During her hospitalization, diagnosis diffuse alveolar hemorrhage was made. She subsequently developed respiratory failure and acute right ventricular failure. Despite medical treatment, she continued experience distributive shock due generalized inflammatory response. Circulatory support ECMO needed. We opted for triple cannulation manage multiorgan as bridge recovery. describe our an...
In skeletal muscle, adenosine triphosphate stores decrease during the first 3 h of ischemia. present study, we performed a comprehensive hemodynamic evaluation postoperative period after cardiac surgery and measured muscle enzyme levels markers damage inflammation. The aim was to determine whether these values change and, if so, changes coincide with presence low flow poor perfusion. We included cohort 280 nonconsecutive adults who were monitored in following surgery. indices repeatedly 24...
Postcardiotomy cardiogenic shock is a rare complication with high mortality. When patients do not respond to the placement of an intra-aortic balloon pump or pharmacological treatment, therapy peripheral venoarterial extracorporeal membrane viable option that allows active resuscitation. The adjunct use Impella® (Abiomed, Danvers, MA, USA) unloading dysfunctional left ventricle. However, atrial oxygenation (LAVA-ECMO) appealing and effective strategy in cases aortic dissection, valve...
Abstract Intracardiac tumors, though uncommon, necessitate a swift and accurate diagnosis for personalized treatment prognosis estimation. While multi‐modality imaging often determines the etiology of these cardiac masses, histological confirmation remains essential definitive its specific treatment. Since tumors are found in high‐risk locations (ventricular free wall or atria), precision biopsy is paramount. The least invasive strategy would be to achieve this by means endomyocardial (EMB);...
Aortic coarctation represents up to 7% of congenital heart diseases and is associated with hypertension coronary artery disease, which continues be the leading cause death even after successful surgical repair. However, there limited knowledge managing both conditions, especially in setting an acute syndrome. We herein present case a 53-year-old man history who initially presented ST-elevation myocardial infarction successfully treated thrombolysis hemodynamic compromise. During angioplasty,...