The Experts below are selected from a list of 360 Experts worldwide ranked by ideXlab platform
Abdul Hakeem - One of the best experts on this subject based on the ideXlab platform.
-
contemporary trends predictors and outcomes of Perforation during percutaneous coronary intervention from the ncdr cath pci registry
American Journal of Cardiology, 2020Co-Authors: Ramez Nairooz, Edward Mcnulty, Amr Mohsen, Craig S Parzynski, Jeptha P Curtis, Barry F Uretsky, Abdul HakeemAbstract:Coronary Artery Perforation (CP) is a rare but potentially life-threatening complication of percutaneous coronary intervention (PCI). Given the marked increase in high-risk and complex PCIs, careful review and understanding of PCI complications may help to improve procedural and clinical outcomes. Our aim was to study the trends, predictors and outcomes of CP in the contemporary era. This cross-sectional multicenter analysis included data collected from institutions participating in the National Cardiovascular Data Registry CathPCI Registry between July 2009 and June 2015. Multivariable logistic regression models were created to identify predictors of CP and compare the in-hospital outcomes of CP and non-CP patients. Of 3,759,268 PCIs performed during the study period, there were 13,779 CP (0.37%). During the study period, the proportion of PCI that developed CP remained unchanged (0.33% to 0.4%) (p for trend 0.16). Chronic total occlusion (CTO) PCI as percentage of total PCI volume increased over the study period (3% to 4%) (p for trend
-
abstract 14588 trends predictors and outcomes of coronary Artery Perforation during percutaneous coronary intervention insights from ncdr cath pci registry
Circulation, 2016Co-Authors: Ramez Nairooz, Edward Mcnulty, Amr Mohsen, Craig S Parzynski, Jeptha P Curtis, Barry F Uretsky, Abdul HakeemAbstract:Introduction: Coronary Artery Perforation (CAP) is a rare but dreaded complication of percutaneous coronary intervention (PCI). Our aim was to study trends, predictors and outcomes of CAP in the co...
Sheji Eguchi - One of the best experts on this subject based on the ideXlab platform.
-
coronary Artery Perforation with subepicardial hematoma
Catheterization and Cardiovascular Diagnosis, 1997Co-Authors: Hiroshi Furushima, Taku Matsubara, Yusuke Tamura, Masaru Yamazoe, Taku Konno, Thoru Ida, Yoshifusa Aizawa, Hisanaga Moro, Hiroshi Watanabe, Sheji EguchiAbstract:Coronary Artery Perforation is a relatively rare complication in coronary angioplasty. We report the case of a 71-year-old male, who was salvaged by emergency surgery, for cardiogenic shock due to subepicardial hematoma associated with balloon angioplasty. Such a case has not yet previously been reported.
Ramez Nairooz - One of the best experts on this subject based on the ideXlab platform.
-
contemporary trends predictors and outcomes of Perforation during percutaneous coronary intervention from the ncdr cath pci registry
American Journal of Cardiology, 2020Co-Authors: Ramez Nairooz, Edward Mcnulty, Amr Mohsen, Craig S Parzynski, Jeptha P Curtis, Barry F Uretsky, Abdul HakeemAbstract:Coronary Artery Perforation (CP) is a rare but potentially life-threatening complication of percutaneous coronary intervention (PCI). Given the marked increase in high-risk and complex PCIs, careful review and understanding of PCI complications may help to improve procedural and clinical outcomes. Our aim was to study the trends, predictors and outcomes of CP in the contemporary era. This cross-sectional multicenter analysis included data collected from institutions participating in the National Cardiovascular Data Registry CathPCI Registry between July 2009 and June 2015. Multivariable logistic regression models were created to identify predictors of CP and compare the in-hospital outcomes of CP and non-CP patients. Of 3,759,268 PCIs performed during the study period, there were 13,779 CP (0.37%). During the study period, the proportion of PCI that developed CP remained unchanged (0.33% to 0.4%) (p for trend 0.16). Chronic total occlusion (CTO) PCI as percentage of total PCI volume increased over the study period (3% to 4%) (p for trend
-
abstract 14588 trends predictors and outcomes of coronary Artery Perforation during percutaneous coronary intervention insights from ncdr cath pci registry
Circulation, 2016Co-Authors: Ramez Nairooz, Edward Mcnulty, Amr Mohsen, Craig S Parzynski, Jeptha P Curtis, Barry F Uretsky, Abdul HakeemAbstract:Introduction: Coronary Artery Perforation (CAP) is a rare but dreaded complication of percutaneous coronary intervention (PCI). Our aim was to study trends, predictors and outcomes of CAP in the co...
Hiroshi Furushima - One of the best experts on this subject based on the ideXlab platform.
-
coronary Artery Perforation with subepicardial hematoma
Catheterization and Cardiovascular Diagnosis, 1997Co-Authors: Hiroshi Furushima, Taku Matsubara, Yusuke Tamura, Masaru Yamazoe, Taku Konno, Thoru Ida, Yoshifusa Aizawa, Hisanaga Moro, Hiroshi Watanabe, Sheji EguchiAbstract:Coronary Artery Perforation is a relatively rare complication in coronary angioplasty. We report the case of a 71-year-old male, who was salvaged by emergency surgery, for cardiogenic shock due to subepicardial hematoma associated with balloon angioplasty. Such a case has not yet previously been reported.
Avi Shimony - One of the best experts on this subject based on the ideXlab platform.
-
coronary Artery Perforation during percutaneous coronary intervention a systematic review and meta analysis
Canadian Journal of Cardiology, 2011Co-Authors: Avi Shimony, Lawrence Joseph, Salvatore Mottillo, Mark J EisenbergAbstract:Numerous studies have examined the incidence, predictors, outcomes, and management strategies of coronary Artery Perforation (CAP). Individually, these studies have been inconclusive because of their limited sample sizes and/or single-centre designs. We conducted a systematic review and meta-analysis of studies pertaining to CAP in order to estimate its incidence and outcomes and to critically review its risk factors and treatment. We systematically searched the literature to identify all registry studies investigating CAP. Data were pooled by means of the random-effects model. In 16 studies involving 197,061 percutaneous coronary interventions, the pooled incidence of CAP was 0.43% (95% confidence interval, 0.35%-0.52%). The most reproducible risk factors were treatment of complex lesions and use of atheroablative devices. A variety of major management strategies for CAP were used, in particular, observation, heparin reversal, prolonged balloon inflation, covered stent implantation, pericardiocentesis, and surgery. In a hierarchical Bayesian random-effects model, the pooled tamponade rates were 0.4% (95% credible interval [CrI], 0.0%-5.7%), 3.3% (95% CrI, 0.0%-11.4%), and 45.7% (95% CrI, 34.9%-57.5%) for patients with Ellis class I, II, and III CAP, respectively. Pooled mortality rates were 0.3% (95% CrI, 0.0%-4.4%), 0.4% (95% CrI, 0.0%-2.8%), and 21.2% (95% CrI, 12.0%-31.4%) for patients with Ellis class I, II, and III CAP respectively. CAP complicating percutaneous coronary intervention is rare, and its morbidity and mortality vary directly with Ellis classification. Management discrepancies highlight the need to establish a uniform treatment paradigm for CAP.
-
incidence risk factors management and outcomes of coronary Artery Perforation during percutaneous coronary intervention
American Journal of Cardiology, 2009Co-Authors: Avi Shimony, Doron Zahger, Michael Van Straten, Aryeh Shalev, Harel Gilutz, Reuben Ilia, Carlos CafriAbstract:Coronary Artery Perforation (CP) is a rare, sometimes lethal complication of percutaneous coronary intervention. There are limited controlled contemporary data regarding its predictors, incidence, and outcomes. The aim of this study was to define the incidence, associated factors, and outcomes of CP in the current era of coronary intervention. All patients who had CP during percutaneous coronary intervention at a large tertiary center from January 2001 to December 2008 were identified. Demographic, clinical, and procedural data and outcome variables were obtained. Patients with CP were compared with a randomly assigned control group. Fifty-seven patients with CP were identified among 9,568 interventions performed during the study period (0.59%); these patients were compared with 171 who underwent percutaneous coronary intervention without CP. Vessels were perforated by wires (52.6%), balloons (26.3%), and stents (21.1%). Perforations were classified using the Ellis classification. CP was associated with mortality and tamponade rates of 7% and 16%, respectively, but all these serious complications occurred with grade III Perforations. Most grade I and II Perforations were managed conservatively. Multivariate analysis identified the treatment of chronic total occlusion as the strongest independent predictor of CP; other independent variables included calcium in the coronary Artery that was the site of intervention and non–ST elevation myocardial infarction.
