A5083600213- Cardiac Valve Diseases and Treatments
- Infective Endocarditis Diagnosis and Management
- Cardiac Structural Anomalies and Repair
- Central Venous Catheters and Hemodialysis
- Vascular Procedures and Complications
- Cardiac and Coronary Surgery Techniques
- Cardiac Arrhythmias and Treatments
- Cardiac Imaging and Diagnostics
- Coronary Interventions and Diagnostics
- Mechanical Circulatory Support Devices
- Cardiac, Anesthesia and Surgical Outcomes
- Aortic Disease and Treatment Approaches
- Cerebrovascular and Carotid Artery Diseases
- Cardiac pacing and defibrillation studies
- Peripheral Artery Disease Management
- Venous Thromboembolism Diagnosis and Management
- Renal and Vascular Pathologies
- Muscle and Compartmental Disorders
- Ultrasound in Clinical Applications
- Coronary Artery Anomalies
- Congenital Heart Disease Studies
- Connective tissue disorders research
- Advanced MRI Techniques and Applications
- Kawasaki Disease and Coronary Complications
- Streptococcal Infections and Treatments
Heart Hospital Baylor Plano
2019-2024
Baylor Medical Center at Garland
2019-2023
Plano Cancer Institute
2022
Background Proximal radial artery (pRA) access for cardiac catheterization is safe but can jeopardize subsequent use of the because occlusion. Distal (dRA) in anatomical snuffbox preserves artery, safety and potential detrimental effects on hand function are unknown. Methods Results In DIPRA (Distal Versus Radial Artery Access Cardiac Catheterization Intervention) study, a single-center trial, 300 patients were randomized 1:1 to through dRA or pRA. The primary end point change from baseline...
Background Conduction abnormality requiring the implantation of a permanent pacemaker (PPM) is well-known and clinically important complication transcatheter aortic valve replacement (TAVR). However, PPM may result in lead-associated tricuspid regurgitation (TR). This study sought to determine incidence progression TR following after TAVR.
Cardiac conduction abnormalities, including left bundle branch block (LBBB), are common following transcatheter aortic valve replacement (TAVR). This study assessed the incidence and outcomes of new or widening persistent LBBB TAVR. Data regarding 550 consecutive patients undergoing TAVR between 2012 2016 at our institution were retrospectively reviewed. Both 30-day 1-year with isolated worsening Fifty-two (9.5%) developed LBBB. Six 52 (11.5%) received a permanent pacemaker (PPM) for prior...
Deep venous thrombosis (DVT) is a known surgical complication that can lead to pulmonary embolism with subsequent morbidity and mortality. The incidence of DVT following coronary artery bypass grafting unclear. Prophylaxis regimens vary some guidelines advocate against use routine chemoprophylaxis in patients at low-moderate risk for thromboembolism. We utilized postoperative lower extremity ultrasound determine the low- moderate-risk thromboembolism receiving aggressive prophylaxis.
Transcatheter aortic valve replacement (TAVR) valve-in-valve (VIV) therapy has been approved for select patients with surgically inoperable bioprosthetic valves that need replacement. Bioprosthetic fracturing (BVF) used in conjunction VIV TAVR can reduce transvalvular gradients and increase the area. Twelve who underwent BVF at a single center were retrospectively analyzed. Measurements of hemodynamics area performed baseline, after TAVR, BVF, 30-day follow-up. The mean Society Thoracic...
Lemierre's syndrome (LS) is a pharyngeal infection complicated by infectious jugular vein thrombosis and septic emboli. Most commonly caused Fusobacterium necrophorum, it may result in metastatic infection, especially when antibiotic treatment delayed. Patients with LS are often healthy adults between 16 30 years who present prolonged symptoms of pharyngitis, lateral neck pain, fever. Other include shortness breath, tachycardia, hypotension. When administered promptly, antibiotics can act as...
Background Although the incidence of mitral valve (MV) surgery after previous open-heart is increasing, there no consensus regarding optimal surgical approach. Reoperative MV most commonly performed via sternotomy (ST). We sought to determine whether minimally-invasive (MIS) reoperative safe and feasible. Methods All patients with a history ST undergoing or without concomitant tricuspid atrial fibrillation at single institution from 2007 2018 were retrospectively reviewed. MIS approaches...
Aortic aneurysms in children are rare and when present usually caused by a connective tissue disorder. In this article, we case of multiple aortic an adolescent with novel finding gene variation that is associated disease.
Among patients with proximal iliofemoral deep vein thrombosis (DVT) and an elevated Villalta score, anticoagulation therapy alone may not be a sufficient management strategy in select cases. In this article, we report case of severe bilateral DVT that resisted the standard treatment for DVT, requiring catheter-directed thrombolysis subsequent mechanical thrombectomy.
Enhanced recovery after surgery (ERAS) protocols are gaining wide acceptance. We evaluated ERAS protocol implementation in transfemoral transcatheter aortic valve replacement (TAVR) patients. The included (1) moderate sedation or general anesthesia with on-table extubation, (2) no pulmonary artery urinary catheters, (3) arterial line removal within 4 hours, (4) postoperative narcotics, (5) mobilization at hours and ambulation 8 (6) antihypertensive reinstitution without nodal blockers....
Despite the recent increase in use of minimally invasive approaches to mitral valve surgery patients with a prior sternotomy, outcomes robotic approach this patient population have not been examined.We retrospectively reviewed 342 consecutive who underwent after sternotomy between 2013 and 2020, which was used 21 (6.1%). We clinical details these patients.The median age 71 years [interquartile range 64.00, 74.00 years], mean Society Thoracic Surgeons Predicted Risk Mortality 4.2% ± 3.8%. The...
Proximal radial artery (PRA) access for cardiac catheterization is safe but can jeopardize subsequent use due to occlusion. Distal (DRA) in the anatomical snuffbox potentially preserves RA, with good short-term outcomes, yet long-term effects on hand function are unknown.We sought assess its safety at 1-year. In this single center trial, 300 patients were randomized 1:1 through DRA or PRA. The primary end point of change from baseline 1 year was a composite QuickDASH questionnaire, grip...
Objectives: Few case reports have demonstrated promising results of drug-coated balloons (DCBs) as an emerging management for carotid artery in-stent restenosis (CAISR). Herein, we report 6 cases CAISR which were treated with a DCB or without new stent deployment. Background: Carotid is high-risk condition estimated incidence rate that varies widely from 6% to 40%. Several strategies are available now the including conventional balloon angioplasty, plaque modification and placement. Methods:...
Radial artery access has been increasingly utilized for coronary procedures due to lower rates of complications, improved patient satisfaction, and shorter length hospital stay. However, limited data are available peripheral vascular intervention (PVI) with a reported percentage 2% as per most report. A retrospective review consecutive patients who underwent PVI via radial or ulnar from February 2020 September 2022 at single institution was performed. Baseline patient, procedural, follow-up...