The Experts below are selected from a list of 13035 Experts worldwide ranked by ideXlab platform
Pierre Voisine - One of the best experts on this subject based on the ideXlab platform.
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delayed abrupt Tamponade by isolated left atrial compression following coronary artery perforation during coronary angioplasty
Catheterization and Cardiovascular Interventions, 2005Co-Authors: Gerald Barbeau, Mario Senechal, Pierre VoisineAbstract:Cardiac Tamponade following coronary artery perforation during percutaneous coronary intervention is a rare but potentially life-threatening complication. When associated with Ellis type III coronary perforations, Tamponade develops rapidly during the intervention. In contrast, Ellis type I and II coronary perforations, because of their contained nature, are usually managed conservatively and rarely result in Tamponade. We report two unusual cases of delayed but abrupt Tamponade caused by localized left atrial compression after contained coronary artery perforation following angioplasty. This complication is an extremely rare event. Etiology, diagnostic modalities, and management are discussed.
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delayed abrupt Tamponade by isolated left atrial compression following coronary artery perforation during coronary angioplasty
Catheterization and Cardiovascular Interventions, 2005Co-Authors: Gerald Barbeau, Mario Senechal, Pierre VoisineAbstract:Cardiac Tamponade following coronary artery perforation during percutaneous coronary intervention is a rare but potentially life-threatening complication. When associated with Ellis type III coronary perforations, Tamponade develops rapidly during the intervention. In contrast, Ellis type I and II coronary perforations, because of their contained nature, are usually managed conservatively and rarely result in Tamponade. We report two unusual cases of delayed but abrupt Tamponade caused by localized left atrial compression after contained coronary artery perforation following angioplasty. This complication is an extremely rare event. Etiology, diagnostic modalities, and management are discussed. © 2005 Wiley-Liss, Inc.
Gerald Barbeau - One of the best experts on this subject based on the ideXlab platform.
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delayed abrupt Tamponade by isolated left atrial compression following coronary artery perforation during coronary angioplasty
Catheterization and Cardiovascular Interventions, 2005Co-Authors: Gerald Barbeau, Mario Senechal, Pierre VoisineAbstract:Cardiac Tamponade following coronary artery perforation during percutaneous coronary intervention is a rare but potentially life-threatening complication. When associated with Ellis type III coronary perforations, Tamponade develops rapidly during the intervention. In contrast, Ellis type I and II coronary perforations, because of their contained nature, are usually managed conservatively and rarely result in Tamponade. We report two unusual cases of delayed but abrupt Tamponade caused by localized left atrial compression after contained coronary artery perforation following angioplasty. This complication is an extremely rare event. Etiology, diagnostic modalities, and management are discussed.
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delayed abrupt Tamponade by isolated left atrial compression following coronary artery perforation during coronary angioplasty
Catheterization and Cardiovascular Interventions, 2005Co-Authors: Gerald Barbeau, Mario Senechal, Pierre VoisineAbstract:Cardiac Tamponade following coronary artery perforation during percutaneous coronary intervention is a rare but potentially life-threatening complication. When associated with Ellis type III coronary perforations, Tamponade develops rapidly during the intervention. In contrast, Ellis type I and II coronary perforations, because of their contained nature, are usually managed conservatively and rarely result in Tamponade. We report two unusual cases of delayed but abrupt Tamponade caused by localized left atrial compression after contained coronary artery perforation following angioplasty. This complication is an extremely rare event. Etiology, diagnostic modalities, and management are discussed. © 2005 Wiley-Liss, Inc.
Mario Senechal - One of the best experts on this subject based on the ideXlab platform.
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delayed abrupt Tamponade by isolated left atrial compression following coronary artery perforation during coronary angioplasty
Catheterization and Cardiovascular Interventions, 2005Co-Authors: Gerald Barbeau, Mario Senechal, Pierre VoisineAbstract:Cardiac Tamponade following coronary artery perforation during percutaneous coronary intervention is a rare but potentially life-threatening complication. When associated with Ellis type III coronary perforations, Tamponade develops rapidly during the intervention. In contrast, Ellis type I and II coronary perforations, because of their contained nature, are usually managed conservatively and rarely result in Tamponade. We report two unusual cases of delayed but abrupt Tamponade caused by localized left atrial compression after contained coronary artery perforation following angioplasty. This complication is an extremely rare event. Etiology, diagnostic modalities, and management are discussed.
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delayed abrupt Tamponade by isolated left atrial compression following coronary artery perforation during coronary angioplasty
Catheterization and Cardiovascular Interventions, 2005Co-Authors: Gerald Barbeau, Mario Senechal, Pierre VoisineAbstract:Cardiac Tamponade following coronary artery perforation during percutaneous coronary intervention is a rare but potentially life-threatening complication. When associated with Ellis type III coronary perforations, Tamponade develops rapidly during the intervention. In contrast, Ellis type I and II coronary perforations, because of their contained nature, are usually managed conservatively and rarely result in Tamponade. We report two unusual cases of delayed but abrupt Tamponade caused by localized left atrial compression after contained coronary artery perforation following angioplasty. This complication is an extremely rare event. Etiology, diagnostic modalities, and management are discussed. © 2005 Wiley-Liss, Inc.
Elliot B Tapper - One of the best experts on this subject based on the ideXlab platform.
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hospital level balloon Tamponade use is associated with increased mortality for all patients presenting with acute variceal haemorrhage
Liver International, 2018Co-Authors: Elliot B Tapper, Ghideon Ezaz, Vilas Patwardhan, Jessica L Mellinger, Alan Bonder, Michael P Curry, Sameer D SainiAbstract:Background & Aims Balloon Tamponade (BT) can bridge patients to salvage therapy for uncontrollable acute variceal haemorrhage (AVH). However, data are limited regarding the reasons for, rate of and outcomes associated with Balloon Tamponade use. Methods First, we performed an single-centre cohort study of all patients (N = 139) with oesophageal acute variceal haemorrhage from 01/2009 to 10/2015. Associations between Balloon Tamponade use and adherence to four quality metrics (endoscopy within 12 hours, band-ligation, pre-endoscopy antibiotics and octreotide) were evaluated. Second, we analysed the National Inpatient Sample (2005-2011) to determine the association between in-hospital mortality for patients and their hospital's Balloon Tamponade—utilization to acute variceal haemorrhage volume ratio. Results In the national cohort, 5.5% of 140 521 acute variceal haemorrhage admissions required Balloon Tamponade utilization. Adjusting for patient- and hospital-level confounders, the rate of Balloon Tamponade use per acute variceal haemorrhage managed at any given hospital was associated with increased mortality for all-comers with acute variceal haemorrhage. Compared to the lowest tertile, acute variceal haemorrhage admissions in the highest Balloon Tamponade utilizers were associated with increased mortality of (OR1.17 95%CI (1.01-1.37). In the single-centre cohort, 14 (10.1%) patients required Balloon Tamponade. Balloon Tamponade utilization was significantly associated with alcohol abuse (50.4% vs 21.4%, P = .04), hepatocellular carcinoma (35.7% vs 8.8%, P = .01), higher median model for end-stage liver disease (MELD) score (26.3vs15.5, P = .002) and active bleeding during endoscopy (64.3% vs 27.5%, P = .01). Failure to provide all quality metrics was associated with a higher model for end-stage liver disease-adjusted risk of Balloon Tamponade use: OR 16.7 95% CI(4.17-100.0, P < .0001). Conclusion Balloon Tamponade use is associated with severity of bleeding but may also implicate deficits in processes of care. Even for patients who did not need Balloon Tamponade, presentation to hospitals with high Balloon Tamponade utilization increases their odds of dying from acute variceal haemorrhage.
Evgeny N Mikhaylov - One of the best experts on this subject based on the ideXlab platform.
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effects of sex on the incidence of cardiac Tamponade after catheter ablation of atrial fibrillation results from a worldwide survey in 34 943 atrial fibrillation ablation procedures
Circulation-arrhythmia and Electrophysiology, 2014Co-Authors: Yoav Michowitz, Erica S Zado, Michael Rahkovich, Hakan Oral, Roland Richard Tilz, Silke John, Arnaud Denis, Luigi Di Biase, Roger A Winkle, Evgeny N MikhaylovAbstract:Background— Cardiac Tamponade is the most dramatic complication observed during atrial fibrillation (AF) ablation and the leading cause of procedure-related mortality. Female sex is a known risk factor for complications during AF ablation; however, it is unknown whether women have a higher risk of Tamponade. Methods and Results— A systematic Medline search was used to locate academic electrophysiological centers that reported cases of Tamponade occurring during AF ablation. Centers were asked to provide information on cases of acute Tamponade according to sex and their mode of management including any case of related mortality. Nineteen electrophysiological centers provided information on 34 943 ablation procedures involving 25 261 (72%) men. Overall, 289 (0.9%) cases of Tamponade were reported: 120 (1.24%) in women and 169 (0.67%) in men (odds ratio, 1.83; P <0.001). There was a reciprocal association between center volume and the occurrence of Tamponade with substantially lower risk in high-volume centers. Most cases of Tamponade occurred during catheter manipulation or ablation; women tended to develop more Tamponades during transseptal catheterization. No sex difference in the mode of management was observed. However, 16% cases of Tamponade required surgery with lower rates in high-volume centers. Three cases of Tamponade (1%) culminated in death. Conclusions— Tamponade during AF ablation procedures is relatively rare. Women have an ≈2-fold higher risk for developing this complication. The risk of Tamponade among women decreases substantially in high-volume centers. Surgical backup and acute management skills for treating Tamponade are important in centers performing AF ablation.
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effects of gender on the incidence of cardiac Tamponade following catheter ablation of atrial fibrillation results from a worldwide survey in 34 943 af ablation procedures
Circulation-arrhythmia and Electrophysiology, 2014Co-Authors: Yoav Michowitz, Erica S Zado, Michael Rahkovich, Hakan Oral, Roland Richard Tilz, Silke John, Arnaud Denis, Luigi Di Biase, Roger A Winkle, Evgeny N MikhaylovAbstract:BACKGROUND -Cardiac Tamponade is the most dramatic complication observed during atrial fibrillation (AF) ablation and the leading cause of procedure-related mortality. Female gender is a known risk factor for complications during AF ablation; however, it is unknown whether women have a higher risk of Tamponade. METHODS AND RESULTS -A systematic Medline search was used to locate academic electrophysiologic (EP) centers that reported cases of Tamponade occurring during AF ablation. Centers were asked to provide information on cases of acute Tamponade according to gender and their mode of management including any case of related mortality. Nineteen EP centers provided information on 34,943 ablation procedures involving 25,261 (72%) males. Overall 289 (0.9%) cases of Tamponade were reported: 120 (1.24%) in females and 169 (0.67%) in males (odds ratio 1.83, P<0.001). There was a reciprocal association between center volume and the occurrence of Tamponade with substantial lower risk in high volume centers. Most cases of Tamponade occurred during catheter manipulation or ablation; females tended to develop more Tamponades during transseptal catheterization. No gender difference in the mode of management was observed. However, 16% cases of Tamponade required surgery with lower rates in high volume centers. Three cases of Tamponade (1%) culminated in death. CONCLUSIONS -Tamponade during AF ablation procedures is relatively rare. Women have an almost twofold higher risk for developing this complication. The risk of Tamponade among women decreases substantially in high volume centers. Surgical back-up and acute management skills for treating Tamponade are important in centers performing AF ablation.