The Experts below are selected from a list of 318 Experts worldwide ranked by ideXlab platform
Maurice Buchbinder - One of the best experts on this subject based on the ideXlab platform.
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Role of intraaortic Balloon Pump counterpulsation in high risk coronary rotational atherectomy
Journal of the American College of Cardiology, 1995Co-Authors: Brian O'murchu, Riley D. Foreman, Richard E. Shaw, David L. Brown, Kirk L. Peterson, Maurice BuchbinderAbstract:Objectives. This study sought to evaluate the role of intraaortic Balloon Pump counterpulsation in preventing hemodynamic instability and promoting a successful outcome during percutaneous transluminal coronary rotational atherectomy in high risk patients. Background. The application of rotational atherectomy has widened to include patients with complex lesions and left ventricular dysfunction. Although intraaortic Balloon Pumping has been successfully used to provide hemodynamic support during Balloon angioplasty, its role in high risk rotational atherectomy has not yet been defined. Methods. In a retrospective review of 159 consecutive high risk patients who underwent rotational atherectomy, 28 had an intraaortic Balloon Pump placed electively before the procedure (Group 1) whereas 131 did not (Group 2). Results. Group 1 was older and more likely to have multivessel disease and left ventricular dysfunction. Augmented diastolic pressure was maintained > 90 mm Hg in all Group 1 patients, and significant procedure-related hypotension was encountered in nine Group 2 patients, requiring an emergency intraaortic Balloon Pump in five. Procedural success was achieved in all 28 patients in Group 1 and in 118 in Group 2 (p = 0.07). Slow flow occurred in 18% and 17% of Group 1 and 2 patients, respectively. Among patients with slow flow, non-Q wave myocardial infarction occurred only in Group 2 (0% vs. 27%). On multivariate analysis, elective intraaortic Balloon Pump placement was the only variable to correlate with a successful procedure uncomplicated by hypotension (p Conclusions. Elective placement of an intraaortic Balloon Pump before coronary rotational atherectomy in selected high risk patients promotes both procedural hemodynamic stability and a successful outcome.
David L. Brown - One of the best experts on this subject based on the ideXlab platform.
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Role of Intraaortic Balloon Pump Counterpulsation in High Risk Coronary Rotational Atherectomy
2016Co-Authors: Richard E. Shaw, David L. BrownAbstract:Role of intraaortic Balloon Pump counterpulsation in high risk coronary rotational atherectom
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Role of intraaortic Balloon Pump counterpulsation in high risk coronary rotational atherectomy
Journal of the American College of Cardiology, 1995Co-Authors: Brian O'murchu, Riley D. Foreman, Richard E. Shaw, David L. Brown, Kirk L. Peterson, Maurice BuchbinderAbstract:Objectives. This study sought to evaluate the role of intraaortic Balloon Pump counterpulsation in preventing hemodynamic instability and promoting a successful outcome during percutaneous transluminal coronary rotational atherectomy in high risk patients. Background. The application of rotational atherectomy has widened to include patients with complex lesions and left ventricular dysfunction. Although intraaortic Balloon Pumping has been successfully used to provide hemodynamic support during Balloon angioplasty, its role in high risk rotational atherectomy has not yet been defined. Methods. In a retrospective review of 159 consecutive high risk patients who underwent rotational atherectomy, 28 had an intraaortic Balloon Pump placed electively before the procedure (Group 1) whereas 131 did not (Group 2). Results. Group 1 was older and more likely to have multivessel disease and left ventricular dysfunction. Augmented diastolic pressure was maintained > 90 mm Hg in all Group 1 patients, and significant procedure-related hypotension was encountered in nine Group 2 patients, requiring an emergency intraaortic Balloon Pump in five. Procedural success was achieved in all 28 patients in Group 1 and in 118 in Group 2 (p = 0.07). Slow flow occurred in 18% and 17% of Group 1 and 2 patients, respectively. Among patients with slow flow, non-Q wave myocardial infarction occurred only in Group 2 (0% vs. 27%). On multivariate analysis, elective intraaortic Balloon Pump placement was the only variable to correlate with a successful procedure uncomplicated by hypotension (p Conclusions. Elective placement of an intraaortic Balloon Pump before coronary rotational atherectomy in selected high risk patients promotes both procedural hemodynamic stability and a successful outcome.
Brian O'murchu - One of the best experts on this subject based on the ideXlab platform.
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Role of intraaortic Balloon Pump counterpulsation in high risk coronary rotational atherectomy
Journal of the American College of Cardiology, 1995Co-Authors: Brian O'murchu, Riley D. Foreman, Richard E. Shaw, David L. Brown, Kirk L. Peterson, Maurice BuchbinderAbstract:Objectives. This study sought to evaluate the role of intraaortic Balloon Pump counterpulsation in preventing hemodynamic instability and promoting a successful outcome during percutaneous transluminal coronary rotational atherectomy in high risk patients. Background. The application of rotational atherectomy has widened to include patients with complex lesions and left ventricular dysfunction. Although intraaortic Balloon Pumping has been successfully used to provide hemodynamic support during Balloon angioplasty, its role in high risk rotational atherectomy has not yet been defined. Methods. In a retrospective review of 159 consecutive high risk patients who underwent rotational atherectomy, 28 had an intraaortic Balloon Pump placed electively before the procedure (Group 1) whereas 131 did not (Group 2). Results. Group 1 was older and more likely to have multivessel disease and left ventricular dysfunction. Augmented diastolic pressure was maintained > 90 mm Hg in all Group 1 patients, and significant procedure-related hypotension was encountered in nine Group 2 patients, requiring an emergency intraaortic Balloon Pump in five. Procedural success was achieved in all 28 patients in Group 1 and in 118 in Group 2 (p = 0.07). Slow flow occurred in 18% and 17% of Group 1 and 2 patients, respectively. Among patients with slow flow, non-Q wave myocardial infarction occurred only in Group 2 (0% vs. 27%). On multivariate analysis, elective intraaortic Balloon Pump placement was the only variable to correlate with a successful procedure uncomplicated by hypotension (p Conclusions. Elective placement of an intraaortic Balloon Pump before coronary rotational atherectomy in selected high risk patients promotes both procedural hemodynamic stability and a successful outcome.
Richard E. Shaw - One of the best experts on this subject based on the ideXlab platform.
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Role of Intraaortic Balloon Pump Counterpulsation in High Risk Coronary Rotational Atherectomy
2016Co-Authors: Richard E. Shaw, David L. BrownAbstract:Role of intraaortic Balloon Pump counterpulsation in high risk coronary rotational atherectom
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Role of intraaortic Balloon Pump counterpulsation in high risk coronary rotational atherectomy
Journal of the American College of Cardiology, 1995Co-Authors: Brian O'murchu, Riley D. Foreman, Richard E. Shaw, David L. Brown, Kirk L. Peterson, Maurice BuchbinderAbstract:Objectives. This study sought to evaluate the role of intraaortic Balloon Pump counterpulsation in preventing hemodynamic instability and promoting a successful outcome during percutaneous transluminal coronary rotational atherectomy in high risk patients. Background. The application of rotational atherectomy has widened to include patients with complex lesions and left ventricular dysfunction. Although intraaortic Balloon Pumping has been successfully used to provide hemodynamic support during Balloon angioplasty, its role in high risk rotational atherectomy has not yet been defined. Methods. In a retrospective review of 159 consecutive high risk patients who underwent rotational atherectomy, 28 had an intraaortic Balloon Pump placed electively before the procedure (Group 1) whereas 131 did not (Group 2). Results. Group 1 was older and more likely to have multivessel disease and left ventricular dysfunction. Augmented diastolic pressure was maintained > 90 mm Hg in all Group 1 patients, and significant procedure-related hypotension was encountered in nine Group 2 patients, requiring an emergency intraaortic Balloon Pump in five. Procedural success was achieved in all 28 patients in Group 1 and in 118 in Group 2 (p = 0.07). Slow flow occurred in 18% and 17% of Group 1 and 2 patients, respectively. Among patients with slow flow, non-Q wave myocardial infarction occurred only in Group 2 (0% vs. 27%). On multivariate analysis, elective intraaortic Balloon Pump placement was the only variable to correlate with a successful procedure uncomplicated by hypotension (p Conclusions. Elective placement of an intraaortic Balloon Pump before coronary rotational atherectomy in selected high risk patients promotes both procedural hemodynamic stability and a successful outcome.
Julian Fraile - One of the best experts on this subject based on the ideXlab platform.
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Successful stent-grafting for perforation of the thoracic aorta by an intraaortic Balloon Pump.
The Annals of thoracic surgery, 2002Co-Authors: Victor Bautista-hernandez, Javier Moya, Jorge Martinell, Maria Luz Polo, Julian FraileAbstract:Vascular complications associated with intraaortic Balloon Pump placement are quite common and predominantly related to femoral or iliac damage. Iatrogenic injury of the thoracic aorta is less usual and often fatal. Surgery for the lesions of the descending thoracic aorta still has a relatively high morbidity and mortality. Endovascular covered stent-graft prostheses have become a less invasive therapeutic approach to lesions of the thoracic aorta, especially in patients with high surgical risk. We describe a case of perforation of the thoracic aorta caused by an intraaortic Balloon Pump. The injury was confirmed by aortography and successfully repaired by implantation of an endovascular stent-graft via the left common iliac artery.
