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  1. Article ; Online: Forearm pain after coronary angiography via the distal radial artery.

    Chiam, Paul T L / Chua, Nicholas Hai Liang / Tan, Huay Cheem

    AsiaIntervention

    2023  Volume 9, Issue 1, Page(s) 58–59

    Language English
    Publishing date 2023-03-15
    Publishing country France
    Document type Case Reports
    ISSN 2491-0929
    ISSN (online) 2491-0929
    DOI 10.4244/AIJ-D-22-00026
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Endovascular recanalisation of chronic aortoiliac occlusions - will this become the initial treatment of choice?

    Chiam, Paul T L

    AsiaIntervention

    2019  Volume 5, Issue 2, Page(s) 107–109

    Language English
    Publishing date 2019-07-20
    Publishing country France
    Document type Editorial
    ISSN 2491-0929
    ISSN (online) 2491-0929
    DOI 10.4244/AIJV5I2A17
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Transcatheter aortic valve implantation in Asia: the first decade.

    Chiam, Paul T L

    EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology

    2018  Volume 14, Issue 1, Page(s) 35–37

    MeSH term(s) Aortic Valve/surgery ; Aortic Valve Stenosis/surgery ; Asia ; Heart Valve Prosthesis/trends ; Heart Valve Prosthesis Implantation/methods ; Humans ; Transcatheter Aortic Valve Replacement/trends ; Treatment Outcome
    Language English
    Publishing date 2018-05-21
    Publishing country France
    Document type Journal Article ; Review
    ZDB-ID 2457174-X
    ISSN 1969-6213 ; 1774-024X
    ISSN (online) 1969-6213
    ISSN 1774-024X
    DOI 10.4244/EIJV14I1A6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 6680: Show issues Location:
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    Zs.MO 571: Show issues

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  4. Article ; Online: Transfemoral transcatheter aortic valve implantation facilitated by intravascular ultrasound-guided shockwave lithotripsy: TAVI facilitated by IVUS guided lithotripsy.

    Chiam, Paul T L / Lim, Yean Teng / Sivathasan, Cumuraswamy

    AsiaIntervention

    2021  Volume 7, Issue 2, Page(s) 116–117

    Language English
    Publishing date 2021-12-15
    Publishing country France
    Document type Case Reports
    ISSN 2491-0929
    ISSN (online) 2491-0929
    DOI 10.4244/AIJ-D-21-00026
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Iatrogenic atrial septal defect after catheter ablation-to close or not to close?

    Chiam, Paul T L / Lim, Choon Pin / Hsu, Li Fern / Liew, Reginald

    Annals of the Academy of Medicine, Singapore

    2022  Volume 51, Issue 7, Page(s) 441–443

    MeSH term(s) Atrial Fibrillation/surgery ; Catheter Ablation/adverse effects ; Heart Septal Defects, Atrial/diagnostic imaging ; Heart Septal Defects, Atrial/surgery ; Humans ; Iatrogenic Disease ; Treatment Outcome
    Language English
    Publishing date 2022-07-30
    Publishing country Singapore
    Document type Letter
    ZDB-ID 604527-3
    ISSN 0304-4602
    ISSN 0304-4602
    DOI 10.47102/annals-acadmedsg.202249
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Percutaneous aortic and mitral valve repair - from bench testing to simulators and clinical data: Percutaneous aortic and mitral valve repair.

    Chiam, Paul T L / Tan, Huay Cheem

    AsiaIntervention

    2020  Volume 6, Issue 2, Page(s) 60–63

    Language English
    Publishing date 2020-12-02
    Publishing country France
    Document type Editorial
    ISSN 2491-0929
    ISSN (online) 2491-0929
    DOI 10.4244/AIJV6I2A11
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: The expanding indications of transcatheter aortic valve implantation.

    Chiam, Paul T L / Ewe, See Hooi

    Future cardiology

    2016  Volume 12, Issue 2, Page(s) 209–219

    Abstract: Transcatheter aortic valve implantation (TAVI), also known as transcatheter aortic valve replacement, is increasingly performed worldwide and is a technology that is here to stay. It has become the treatment of choice for inoperable patients and an ... ...

    Abstract Transcatheter aortic valve implantation (TAVI), also known as transcatheter aortic valve replacement, is increasingly performed worldwide and is a technology that is here to stay. It has become the treatment of choice for inoperable patients and an alternative option for patients at high surgical risk with severe aortic stenosis. Early results of TAVI in intermediate-risk patients appear promising although larger randomized trial results are awaited before the widespread adoption of this technology in this big pool of patients. In patients with bicuspid aortic stenosis and degenerated surgical bioprostheses, TAVI has been shown to be feasible and relatively safe, though certain important considerations remain. Indications for TAVI are likely to grow as newer generation and improved devices and delivery systems become available.
    MeSH term(s) Aortic Valve Stenosis/surgery ; Bioprosthesis ; Heart Valve Prosthesis ; Humans ; Patient Selection ; Transcatheter Aortic Valve Replacement
    Language English
    Publishing date 2016-03
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2274267-0
    ISSN 1744-8298 ; 1479-6678
    ISSN (online) 1744-8298
    ISSN 1479-6678
    DOI 10.2217/fca.15.86
    Database MEDical Literature Analysis and Retrieval System OnLINE

    Full text online

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 6836: Show issues Location:
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  8. Article: Risk stratification for sudden cardiac death after acute myocardial infarction.

    Liew, Reginald / Chiam, Paul T L

    Annals of the Academy of Medicine, Singapore

    2010  Volume 39, Issue 3, Page(s) 237–246

    Abstract: ... signal averaged ECG and T-wave alternans), Holter-based recordings (heart rate variability and heart rate ...

    Abstract Many patients who survive an acute myocardial infarction (AMI) remain at risk of recurrent cardiac events and sudden cardiac death after discharge, despite optimal medical treatment. Assessment of the degree of left ventricular dysfunction and residual myocardial ischaemia is useful to identify the patients at greatest risk. In addition, there is increasing evidence that a number of other cardiovascular tests can be used to detect autonomic dysfunction and myocardial substrate abnormalities postAMI that increase the risk of life-threatening ventricular arrhythmias. These investigations include ECG-based tests (signal averaged ECG and T-wave alternans), Holter-based recordings (heart rate variability and heart rate turbulence) and imaging techniques (echocardiography and cardiac magnetic resonance), as well as invasive electrophysiological testing. This article reviews the current evidence for the use of these additional cardiac investigations among survivors of AMI to aid in their risk stratification for malignant ventricular arrhythmias and sudden cardiac death.
    MeSH term(s) Age Factors ; Death, Sudden, Cardiac/etiology ; Echocardiography ; Electrocardiography ; Electrocardiography, Ambulatory ; Electrophysiologic Techniques, Cardiac ; Female ; Humans ; Magnetic Resonance Imaging ; Male ; Myocardial Infarction/complications ; Risk Assessment ; Sex Factors ; Tachycardia, Ventricular/complications ; Tachycardia, Ventricular/diagnosis ; Ventricular Dysfunction, Left/complications ; Ventricular Dysfunction, Left/diagnosis
    Language English
    Publishing date 2010-03-31
    Publishing country Singapore
    Document type Journal Article ; Review
    ZDB-ID 604527-3
    ISSN 0304-4602
    ISSN 0304-4602
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.B 2420: Show issues Location:
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  9. Article: Adjunctive pharmacologic agents and mechanical devices in primary percutaneous coronary intervention.

    Chiam, Paul T L / Liew, Reginald

    Annals of the Academy of Medicine, Singapore

    2010  Volume 39, Issue 3, Page(s) 230–236

    Abstract: Primary percutaneous coronary intervention (PPCI) has been shown to be superior to thrombolysis in patients presenting with ST-segment elevation acute myocardial infarction (STEMI) in reducing death, stroke and re-infarction. However, bleeding and ... ...

    Abstract Primary percutaneous coronary intervention (PPCI) has been shown to be superior to thrombolysis in patients presenting with ST-segment elevation acute myocardial infarction (STEMI) in reducing death, stroke and re-infarction. However, bleeding and thrombotic complications can occur despite successful PPCI and slow fl ow/no-reflow or poor microvascular reperfusion can occur in a significant minority despite a technically successful procedure. Bleeding or need for peri-procedural transfusion has been shown to increase short- and long-term mortality. Newer anticoagulants appear to reduce the bleeding risk and improve overall clinical outcomes. A novel combination of antiplatelet agents also appears to further improve the outcomes after PPCI. Although PPCI can achieve high rates of epicardial artery patency, some patients experience suboptimal microvascular perfusion, which affects long-term prognosis. Several pharmacologic agents have been shown to improve microvascular perfusion and left ventricular function, although none impacts on clinical outcomes. Of the mechanical devices available to reduce distal embolisation, the simple aspiration catheter holds the most promise in reducing clinical adverse events. Additional research and well designed studies are needed to further enhance the outcomes after PPCI.
    MeSH term(s) Angioplasty, Balloon, Coronary/adverse effects ; Angioplasty, Balloon, Coronary/instrumentation ; Anticoagulants/therapeutic use ; Cardiac Catheterization/instrumentation ; Electrocardiography ; Embolism/prevention & control ; Humans ; Myocardial Infarction/drug therapy ; Myocardial Infarction/surgery ; Platelet Aggregation Inhibitors/therapeutic use
    Chemical Substances Anticoagulants ; Platelet Aggregation Inhibitors
    Language English
    Publishing date 2010-03-31
    Publishing country Singapore
    Document type Journal Article ; Review
    ZDB-ID 604527-3
    ISSN 0304-4602
    ISSN 0304-4602
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.B 2420: Show issues Location:
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  10. Article ; Online: An update on complications associated with transcatheter aortic valve implantation: stroke, paravalvular leak, atrioventricular block and perforation.

    Chiam, Paul T L / Ewe, See Hooi

    Future cardiology

    2013  Volume 9, Issue 5, Page(s) 733–747

    Abstract: Transcatheter aortic valve implantation (TAVI) has become an alternative therapeutic option for patients with symptomatic severe aortic stenosis at high surgical risk and the standard of care in patients who are inoperable for open aortic valve ... ...

    Abstract Transcatheter aortic valve implantation (TAVI) has become an alternative therapeutic option for patients with symptomatic severe aortic stenosis at high surgical risk and the standard of care in patients who are inoperable for open aortic valve replacement. With technological evolution and increasing experience, the procedure has become more predictable. Complications of TAVI, however, are not infrequent, and can range from minor to life-threatening events. Stroke, paravalvular leak, various forms of atrioventricular block, including the need for permanent pacemakers and aortic annular and ventricular perforation will be the focus of the present review. Other complications associated with TAVI (such as vascular injury, acute kidney injury, coronary obstruction, valve malpositioning or migration) are clinically important, but are beyond the scope of this article. Understanding the occurrence and pathophysiology of these complications may provide insights into the improvement of the transcatheter devices and techniques, and aid in extending the application of TAVI to a broader population.
    MeSH term(s) Aortic Valve Stenosis/surgery ; Atrioventricular Block/etiology ; Cardiac Catheterization/adverse effects ; Heart Injuries/etiology ; Heart Valve Prosthesis Implantation/adverse effects ; Heart Ventricles/injuries ; Humans ; Rupture ; Stroke/etiology ; Treatment Failure
    Language English
    Publishing date 2013-09
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2274267-0
    ISSN 1744-8298 ; 1479-6678
    ISSN (online) 1744-8298
    ISSN 1479-6678
    DOI 10.2217/fca.13.43
    Database MEDical Literature Analysis and Retrieval System OnLINE

    Full text online

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 6836: Show issues Location:
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