2025
The Impact of Aortic Arch Morphology on Periprocedural Stroke in Transcatheter Aortic Valve Replacement
Voss S, Rusa K, Campanella C, Georgescu T, Vitanova K, Ruge H, Amabile A, Sideris K, Krane M, Burri M. The Impact of Aortic Arch Morphology on Periprocedural Stroke in Transcatheter Aortic Valve Replacement. Journal Of Clinical Medicine 2025, 14: 1045. PMID: 40004577, PMCID: PMC11856225, DOI: 10.3390/jcm14041045.Peer-Reviewed Original ResearchTranscatheter aortic valve replacementMulti-Slice Computed TomographyAortic valve replacementAortic arch morphologyArch anatomyValve replacementPeriprocedural strokeLeft common carotid arteryTransfemoral transcatheter aortic valve replacementEpi-aortic vesselsIschemic strokeArch morphologyPeriprocedural ischemic strokePropensity-matched case-control studyScore-matched studyCase-control studyCommon carotid arteryOccurrence of ischemic strokeAortic arch geometryEuroSCORE IIPropensity score matchingAortic archComparing PatientsCatheter manipulationCarotid artery
2024
Cerebral embolic protection device utilization and outcomes in transcatheter aortic valve replacement: A nationally representative propensity matched analysis
Altibi A, Alhuneafat L, Jabri A, Al-Abdouh A, Ghanem F. Cerebral embolic protection device utilization and outcomes in transcatheter aortic valve replacement: A nationally representative propensity matched analysis. Cardiovascular Revascularization Medicine 2024, 67: 112-114. PMID: 38653674, DOI: 10.1016/j.carrev.2024.04.003.Peer-Reviewed Original ResearchTranscatheter aortic valve replacementCerebral embolic protection devicesAortic valve replacementPropensity score matchingNational Readmission DatabaseIn-Hospital StrokeValve replacementIn-HospitalPeriprocedural strokeOdds ratioTranscatheter aortic valve replacement patientsTransfemoral transcatheter aortic valve replacementPropensity score matched cohortAssociated with decreased riskScore matchingPropensity matched analysisRisk of periprocedural strokeRisk of in-hospital strokeAcute kidney injuryTAVR admissionsIn-Hospital MortalityConfidence intervalsOutcomes post-TAVRAssociated with reduced oddsEmbolic protection devices
2023
Cerebral embolic protection during transcatheter heart interventions.
Jimenez Diaz V, Kapadia S, Linke A, Mylotte D, Lansky A, Grube E, Settergren M, Puri R. Cerebral embolic protection during transcatheter heart interventions. EuroIntervention 2023, 19: 549-570. PMID: 37720969, PMCID: PMC10495748, DOI: 10.4244/eij-d-23-00166.Peer-Reviewed Original ResearchConceptsCerebral embolic protection devicesTranscatheter aortic valve replacementNew cerebral lesionsMajority of patientsCerebral lesionsTransfemoral transcatheter aortic valve replacementHeart interventionsCerebral embolic protectionAortic valve replacementEmbolic protection devicesBrain imaging studiesPrimary endpointDevastating complicationPeriprocedural strokeValve replacementEmbolic protectionEmbolic showerApparent strokeCerebral embolisationTranscatheter proceduresSpecific trialsImaging studiesStrokePatientsLesions
2021
Conformal Left Atrial Appendage Seal Device for Left Atrial Appendage Closure First Clinical Use
Sommer R, Kim J, Szerlip M, Chandhok S, Sugeng L, Cain C, Kaplan A, Gray W. Conformal Left Atrial Appendage Seal Device for Left Atrial Appendage Closure First Clinical Use. JACC Cardiovascular Interventions 2021, 14: 2368-2374. PMID: 34736735, DOI: 10.1016/j.jcin.2021.08.060.Peer-Reviewed Original ResearchConceptsOral anticoagulantsTransesophageal echocardiographyFirst-in-human studyEchocardiographic follow-upLeft Atrial Appendage SealAtrial appendage closureDevice-related thrombusDual antiplatelet therapyTime of implantationPericardial effusionProcedural complicationsDevice embolizationAppendage closureAtrial fibrillationFollow-upPeriprocedural strokeGeneral anesthesiaClinical useClinical feasibilityTransesophagealPatientsStandard delivery systemClinical experienceStroke riskPosterior lobe
2020
Hemodynamic events during carotid stenting are associated with significant periprocedural stroke and adverse events
Arhuidese I, Ottinger M, Shukla A, Moudgil N, Armstrong P, Illig K, Johnson B, Shames M. Hemodynamic events during carotid stenting are associated with significant periprocedural stroke and adverse events. Journal Of Vascular Surgery 2020, 71: 1941-1953.e1. PMID: 32085961, DOI: 10.1016/j.jvs.2019.05.056.Peer-Reviewed Original ResearchConceptsPeriprocedural strokePeriprocedural hypertensionHemodynamic eventsLength of stayCarotid symptomsPreprocedure medicationsMyocardial infarctionAngiotensin-converting enzyme inhibitorsCox regression analysisSymptomatic carotid diseaseVascular Quality InitiativePopulation-based cohortAssociated with significant increasesSusceptible patientsPeriprocedural outcomesBeta-blockersAdverse eventsKaplan-MeierComparing PatientsCAS proceduresPeriprocedural hypotensionCardiac diseaseCarotid angioplastyCarotid stentingCarotid disease
2018
Stroke After Percutaneous Coronary Intervention in the Era of Transradial Intervention
Shoji S, Kohsaka S, Kumamaru H, Sawano M, Shiraishi Y, Ueda I, Noma S, Suzuki M, Numasawa Y, Hayashida K, Yuasa S, Miyata H, Fukuda K. Stroke After Percutaneous Coronary Intervention in the Era of Transradial Intervention. Circulation Cardiovascular Interventions 2018, 11: e006761. PMID: 30545258, DOI: 10.1161/circinterventions.118.006761.Peer-Reviewed Original ResearchConceptsPercutaneous coronary interventionPeriprocedural strokeTransradial interventionTransfemoral interventionCoronary interventionAccess siteElective percutaneous coronary interventionPropensity score-matched analysisMultivariable logistic regression analysisOptimal access siteProspective multicenter databaseAcute kidney injuryAcute coronary syndromeChronic kidney diseaseLife-threatening complicationsPeripheral artery diseaseLogistic regression analysisCoronary syndromeHemorrhagic eventsKidney injuryPCI complicationsArtery diseaseMulticenter databaseStroke patientsKidney disease
2016
Carotid stenting versus endarterectomy for the treatment of carotid artery stenosis: Contemporary results from a large single center study
Meller SM, Al‐Damluji M, Gutierrez A, Stilp E, Mena‐Hurtado C. Carotid stenting versus endarterectomy for the treatment of carotid artery stenosis: Contemporary results from a large single center study. Catheterization And Cardiovascular Interventions 2016, 88: 822-830. PMID: 27219323, DOI: 10.1002/ccd.26593.Peer-Reviewed Original ResearchConceptsBaseline medical comorbiditiesMedical comorbiditiesComposite endpointMyocardial infarctionSymptom statusCarotid revascularizationCarotid endarterectomy (CEA) versus carotid arteryPrimary end pointCause of strokeOccurrence of strokeEmbolic protection devicesCarotid artery stenosisMultivariate regression analysisHigh ratePeriprocedural deathPeriprocedural strokeComplication rateArtery stenosisCarotid stenosisPatient populationCarotid arteryComorbiditiesEnd pointStrokePatients
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