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Article ; Online: Reply.

Das Gupta, Jaideep / Malas, Mahmoud B

2021 Volume 73, Issue 3, Page(s) 1116

Language	English
Publishing date	2021-02-26
Publishing country	United States
Document type	Letter ; Comment
ZDB-ID	605700-7
ISSN	1097-6809 ; 0741-5214
ISSN (online)	1097-6809
ISSN	0741-5214
DOI	10.1016/j.jvs.2020.10.064
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Article: Social adjustment of deficient children; a few psychological consequences of the failure.

DAS GUPTA, J

Indian journal of pediatrics

2010 Volume 12, Page(s) 23–28

MeSH term(s)	Child ; Humans ; Intellectual Disability ; Mental Disorders ; Social Adjustment
Language	English
Publishing date	2010-10-27
Publishing country	India
Document type	Journal Article
ZDB-ID	218231-2
ISSN	0973-7693 ; 0019-5456
ISSN (online)	0973-7693
ISSN	0019-5456
DOI	10.1007/bf02749176
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Zs.A 826: Show issues

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Article ; Online: Endotension: What do we know and not know about this enigmatic complication of endovascular aneurysm repair.

Parsa, Pouria / Das Gupta, Jaideep / McNally, Michael / Chandra, Venita

Journal of vascular surgery

2021 Volume 74, Issue 2, Page(s) 639–645

Abstract: As the use of endovascular approaches to treat aneurysm repair continues to increase, more and more patients have been identified with endoleaks. Five types of endoleaks have been defined. Endotension, or type V endoleak, remains controversial owing to ... ...

Abstract	As the use of endovascular approaches to treat aneurysm repair continues to increase, more and more patients have been identified with endoleaks. Five types of endoleaks have been defined. Endotension, or type V endoleak, remains controversial owing to its variable definition across studies and the range of proposed treatments. Thus, we performed a review of the reported studies to summarize the diagnosis and treatment of this rare complication after endovascular aneurysm repair to determine what we do and do not know about this rare form of endoleak. The presence of an endoleak places patients at an increased risk of aneurysm sac enlargement and potential rupture. Although additional research is essential and yet difficult to perform, we sought to provide a guide for the management of this perplexing endoleak known as endotension.
MeSH term(s)	Aortic Aneurysm, Abdominal/diagnostic imaging ; Aortic Aneurysm, Abdominal/physiopathology ; Aortic Aneurysm, Abdominal/surgery ; Blood Vessel Prosthesis Implantation/adverse effects ; Endoleak/diagnostic imaging ; Endoleak/etiology ; Endoleak/physiopathology ; Endoleak/therapy ; Endovascular Procedures/adverse effects ; Humans ; Risk Assessment ; Risk Factors ; Treatment Outcome
Language	English
Publishing date	2021-04-01
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	605700-7
ISSN	1097-6809 ; 0741-5214
ISSN (online)	1097-6809
ISSN	0741-5214
DOI	10.1016/j.jvs.2021.03.018
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Article ; Online: Hybrid Approach of Endoscopic and Fluoroscopy-Guided EndoVive® Gastrojejunostomy Tube Placement for Patients with Esophageal Perforations.

Das Gupta, Jaideep / Prakash, Neelakantan / Bham, Nida / Schwartz, Jess

The American surgeon

2020 Volume 86, Issue 1, Page(s) e28–e30

MeSH term(s)	Adult ; Aged ; Aged, 80 and over ; Cohort Studies ; Emergency Treatment ; Endoscopy/methods ; Enteral Nutrition/methods ; Esophageal Perforation/diagnostic imaging ; Esophageal Perforation/surgery ; Fluoroscopy/methods ; Follow-Up Studies ; Gastric Bypass/methods ; Humans ; Intubation, Gastrointestinal/methods ; Length of Stay ; Male ; Patient Safety ; Prospective Studies ; Risk Assessment ; Surgery, Computer-Assisted/methods ; Treatment Outcome
Language	English
Publishing date	2020-02-20
Publishing country	United States
Document type	Journal Article
ZDB-ID	202465-2
ISSN	1555-9823 ; 0003-1348
ISSN (online)	1555-9823
ISSN	0003-1348
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Article ; Online: Protocolized Whole-Body Computed Tomography Imaging After Extracorporeal Membrane Oxygenation (ECMO) Cannulation for Cardiac Arrest.

Osofsky, Robin / Owen, Bryce / Elks, Whitney / Das Gupta, Jaideep / Clark, Ross / Kraai, Erik / Rana, MUhammAd Ali / Marinaro, Jonathan / Guliani, Sundeep

ASAIO journal (American Society for Artificial Internal Organs : 1992)

2022 Volume 67, Issue 11, Page(s) 1196–1203

Abstract: Evaluate the utility of whole-body computed tomography (WBCT) imaging in detecting clinically significant findings in patients who have undergone extracorporeal membrane oxygenation (ECMO) cannulation for cardiac arrest (extracorporeal cardiopulmonary ... ...

Abstract	Evaluate the utility of whole-body computed tomography (WBCT) imaging in detecting clinically significant findings in patients who have undergone extracorporeal membrane oxygenation (ECMO) cannulation for cardiac arrest (extracorporeal cardiopulmonary resuscitation or "eCPR"). Single-center retrospective review of 52 consecutive patients from 2017 to 2019 who underwent eCPR and received concomitant WBCT imaging. WBCT images were reviewed for clinically significant findings (compression-related injuries, cannulation-related complications, etiology of cardiac arrest, incidental findings, and evidence of hypoxic brain injury) as well as the frequency of interventions performed as a direct result of such findings. Thirty-eight patients met inclusion criteria for analysis. Clinically significant WBCT findings were present in 37/38 (97%) of patients with 3.3 ± 1.7 findings per patient. An intervention as a direct result of WBCT findings was performed in 54% (20/37) of patients with such findings. Evidence of hypoxic brain injury on WBCT was associated with clinical brain death as compared with those without such findings (10/15 [67%] vs 1/22 [4%], P < 0.001), respectively. WBCT scan after eCPR frequently detects clinically significant findings which commonly prompt an intervention directly affecting the patient's clinical course. We advocate for protocolized use of WBCT imaging in all eCPR patients.
MeSH term(s)	Cardiopulmonary Resuscitation/adverse effects ; Catheterization ; Extracorporeal Membrane Oxygenation/adverse effects ; Heart Arrest/etiology ; Heart Arrest/therapy ; Humans ; Retrospective Studies ; Tomography, X-Ray Computed
Language	English
Publishing date	2022-07-15
Publishing country	United States
Document type	Journal Article
ZDB-ID	759982-1
ISSN	1538-943X ; 0162-1432 ; 1058-2916
ISSN (online)	1538-943X
ISSN	0162-1432 ; 1058-2916
DOI	10.1097/MAT.0000000000001516
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Uk I Zs.199: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular ab Jg. 2022: Lesesaal (EG)
Zs.B 2435: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular ab Jg. 2022: Lesesaal (EG)

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Article ; Online: Same-Day ICU Discharge in Selected Patients With Severe Submassive Pulmonary Embolism Treated With Catheter-Directed Thrombolysis.

Das Gupta, Jaideep / Marek, John / Rana, Muhammad Ali / Guliani, Sundeep

Vascular and endovascular surgery

2019 Volume 54, Issue 1, Page(s) 58–64

Abstract: A retrospective review from July 2016 to April 2018 was performed of 23 patients with submassive pulmonary embolism (PE) who received catheter-directed thrombolysis (CDT). Five (22%) of the 23 patients were discharged the same day from the intensive care ...

Abstract	A retrospective review from July 2016 to April 2018 was performed of 23 patients with submassive pulmonary embolism (PE) who received catheter-directed thrombolysis (CDT). Five (22%) of the 23 patients were discharged the same day from the intensive care unit (ICU) following thrombolysis completion. Their presentation, hospital courses, complications, and follow-up are reviewed. All 5 patients were diagnosed using chest computed tomography (CT) demonstrating a clot in the pulmonary vasculature and right ventricle dysfunction based on abnormal right ventricle to left ventricle (RV/LV) ratio. Patients with severe right heart dysfunction (RV/LV ratio ≥1.4) were protocolized to receive CDT via EkoSonic catheters (EKOS Corporation). Postoperatively, patients were admitted to the ICU with continuous alteplase at 1 mg/h. Echocardiography was then performed after 24 hours of therapy to assess right ventricle function and removal of EkoSonic catheters. Patients with reversal of right heart dysfunction and symptomatic improvement received bedside removal of catheters. The mean patient age was 50.6 years and body mass index was 33.6. Mean RV/LV ratio on admission via CT imaging was 1.56, with a mean troponin of 0.44. Interval mean RV/LV ratio on echocardiography after thrombolysis therapy was 0.91. There was a 0% incidence of periprocedural complications. One (20%) patient out of 5 had an emergency department visit 10 days postdischarge for acute shortness of breath, with workup revealing no evidence of recurrent PE. No patient required hospital readmission within 30 days. At the 6-week follow-up, all patients had continued normal right ventricular function noted on echocardiography. This case series demonstrates that for a select population of patients with severe submassive PE, the use of CDT and echocardiography monitoring can facilitate same-day discharge from the ICU.
MeSH term(s)	Adult ; Echocardiography ; Female ; Fibrinolytic Agents/administration & dosage ; Fibrinolytic Agents/adverse effects ; Humans ; Intensive Care Units ; Length of Stay ; Male ; Middle Aged ; Patient Discharge ; Pulmonary Embolism/diagnostic imaging ; Pulmonary Embolism/drug therapy ; Registries ; Retrospective Studies ; Severity of Illness Index ; Thrombolytic Therapy/adverse effects ; Thrombolytic Therapy/instrumentation ; Thrombolytic Therapy/methods ; Time Factors ; Treatment Outcome ; Vascular Access Devices
Chemical Substances	Fibrinolytic Agents
Language	English
Publishing date	2019-09-09
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	2076272-0
ISSN	1938-9116 ; 1538-5744
ISSN (online)	1938-9116
ISSN	1538-5744
DOI	10.1177/1538574419872047
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Zs.A 622: Show issues

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Article ; Online: Protocolized use of catheter-directed thrombolysis and echocardiography is highly effective in reversing acute right heart dysfunction in severe submassive pulmonary embolism patients.

Guliani, Sundeep / Das Gupta, Jaideep / Osofsky, Robin / Marek, John / Rana, Muhammad Ali / Marinaro, Jon

Perfusion

2020 Volume 35, Issue 7, Page(s) 641–648

Abstract: Objective: The objective of this study was to evaluate the efficacy of protocolized use of catheter-directed thrombolysis and echocardiography in submassive pulmonary embolism patients.: Methods: A retrospective study at a single institution of 28 ... ...

Abstract	Objective: The objective of this study was to evaluate the efficacy of protocolized use of catheter-directed thrombolysis and echocardiography in submassive pulmonary embolism patients. Methods: A retrospective study at a single institution of 28 patients that presented with submassive pulmonary embolism from July 2016 to September 2019 was performed. All patients were diagnosed using chest computed tomography demonstrating a pulmonary embolism and abnormal right ventricular to left ventricular ratio. Patients with severe right heart dysfunction (right ventricular to left ventricular ratio ⩾1.4) were protocolized to receive catheter-directed thrombolysis via EkoSonic catheters (EKOS Corporation, Bothell, WA, United States). Transthoracic echocardiogram was performed after 24 hours to assess right ventricular function and determine the need to continue thrombolysis. Patients after discharge then received follow-up echocardiograms at 6 weeks to determine new post-treatment baseline. Results: The mean patient age was 54.6 years, mean body mass index was 35.0, and mean right ventricular to left ventricular ratio on admission computed tomography imaging was 1.70. Interval mean right ventricular to left ventricular ratio on echocardiography during thrombolysis therapy was 1.01 (p < 0.00001). Patients were tachycardic on admission (mean heart rate 102.2 beats per minute) with improvement by completion of thrombolysis (mean heart rate 72.9 beats per minute) (p < 0.00001). There was a 0% incidence of periprocedural complications. Overall 30-day complication rate was 7.1% (n = 1 arrhythmia, n = 1 delayed intracranial hemorrhage). At 6-week follow-up, 91% of the patients who received echocardiography had normal right ventricular function. Conclusion: This retrospective study demonstrates the effectiveness of protocolized use of catheter-directed thrombolysis and echocardiography in reversing severe right heart dysfunction in submassive pulmonary embolism patients.
MeSH term(s)	Acute Disease ; Catheterization/methods ; Echocardiography/methods ; Female ; Humans ; Male ; Middle Aged ; Pulmonary Embolism/complications ; Pulmonary Embolism/pathology ; Pulmonary Embolism/therapy ; Thrombolytic Therapy/methods ; Treatment Outcome ; Ventricular Function, Right/physiology
Language	English
Publishing date	2020-01-17
Publishing country	England
Document type	Journal Article
ZDB-ID	645038-6
ISSN	1477-111X ; 0267-6591
ISSN (online)	1477-111X
ISSN	0267-6591
DOI	10.1177/0267659119896891
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Article: Spontaneous inferior mesenteric arteriovenous fistula as a cause of severe portal hypertension and cardiomyopathy.

Das Gupta, Jaideep / Rana, Muhammad A / Delu, Adam / Guliani, Sundeep / Langsfeld, Mark / Marek, John

Journal of vascular surgery cases and innovative techniques

2019 Volume 5, Issue 2, Page(s) 113–116

Abstract: Inferior mesenteric artery (IMA) and inferior mesenteric vein (IMV) fistulas or malformations are extremely rare, with only 36 cases reported. Low incidence and nonspecific clinical signs and symptoms make mesenteric arteriovenous fistulas difficult to ... ...

Abstract	Inferior mesenteric artery (IMA) and inferior mesenteric vein (IMV) fistulas or malformations are extremely rare, with only 36 cases reported. Low incidence and nonspecific clinical signs and symptoms make mesenteric arteriovenous fistulas difficult to diagnose. We describe a case of a primary IMA-IMV fistula. Our patient presented with severe portal hypertension and cardiomyopathy along with robust arteriovenous connections between the IMA and IMV. Arterial embolization in this patient had to be followed by venous embolization for successful resolution of portal hypertension and cardiomyopathy. This case also highlights that close outpatient monitoring for treatment failure and recurrence is necessary for this disease process.
Language	English
Publishing date	2019-04-28
Publishing country	United States
Document type	Case Reports
ISSN	2468-4287
ISSN	2468-4287
DOI	10.1016/j.jvscit.2018.11.007
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Article: Decompressive laparotomy for a patient on VA-ECMO for massive pulmonary embolism that suffered traumatic liver laceration after mechanical CPR.

Das Gupta, Jaideep / Saavedra, Ramses / Guliani, Sundeep / Marinaro, John / Rana, Muhammad Ali

Journal of surgical case reports

2018 Volume 2018, Issue 10, Page(s) rjy292

Abstract: Massive pulmonary embolism (PE) is an embolus sufficiently obstructing pulmonary blood flow to cause right ventricular (RV) failure and hemodynamic instability. We have utilized veno-arterial extracorporeal membrane oxygenation (VA-ECMO) for early and ... ...

Abstract	Massive pulmonary embolism (PE) is an embolus sufficiently obstructing pulmonary blood flow to cause right ventricular (RV) failure and hemodynamic instability. We have utilized veno-arterial extracorporeal membrane oxygenation (VA-ECMO) for early and aggressive intervention for massive PE patients. We present a case of a 61-year-old female placed on VA-ECMO for a massive PE while presenting in cardiac arrest and receiving mechanical cardiopulmonary resuscitation (CPR) via the LUCAS 2.0 device (Physio-Control Inc., Lund, Sweden). The patient suffered a severe liver laceration secondary to mechanical CPR and required a decompressive laparotomy. This case highlights that mechanical CPR during other interventions can lead to malposition of the device and could result in solid organ injury.
Language	English
Publishing date	2018-10-31
Publishing country	England
Document type	Case Reports
ISSN	2042-8812
ISSN	2042-8812
DOI	10.1093/jscr/rjy292
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Article ; Online: Initial Outcomes Following Introduction of Percutaneous Arteriovenous Fistula Program with Comparison to Historical Surgically Created Fistulas.

Osofsky, Robin / Byrd, Dominick / Reagor, Jason / Das Gupta, Jaideep / Clark, Ross / Argyropoulos, Christos / Fabre, Anna / Owen, Jonathan / Marek, John / Rana, Muhammad Ali / Langsfeld, Mark / Chavez, LeAnn

Annals of vascular surgery

2021 Volume 74, Page(s) 271–280

Abstract: Background: Recently, there has been an abundance of encouraging data regarding the creation of percutaneous arteriovenous fistulas. Despite promising data regarding their clinical maturation, a paucity of data exists which provides direct comparison ... ...

Abstract	Background: Recently, there has been an abundance of encouraging data regarding the creation of percutaneous arteriovenous fistulas. Despite promising data regarding their clinical maturation, a paucity of data exists which provides direct comparison between percutaneously created AVFs (pAVF) and open surgically created AVFs (sAVF). This study has 2 primary objectives: First, to compare clinical outcomes of pAVFs to sAVFs, with emphasis on clinical maturation and frequency of postoperative interventions to facilitate maturation. Second, to contribute toward the evidence-based incorporation of the pAVF procedure into the hemodialysis access algorithm. Methods: A single-center retrospective review was performed on all consecutive patients undergoing surgically created brachiocephalic arteriovenous fistula (BC-AVF, sAVF group) from January 1, 2018 to December 31, 2018 and Ellipsys-created percutaneous arteriovenous fistula (pAVF group) from January 1, 2019 to December 31, 2019. Comparative analysis between groups was performed. Results: A total of 24 patients underwent Ellipsys-created pAVF with mean age of 56.7 ± 22.6 years (12 males [50%], 12 females [50%]) and 62 patients underwent surgically created BC-AVF with mean age of 62.5 ± 13.2 years (32 males [52%], 30 females [48%]). Both the pAVF and sAVF groups had comparable mean operating times (60 ± 40 vs. 56 ± 25 min, P = 0.67) and frequency of procedural technical success (23 [96%] vs. 62 [100%], P = 0.28), respectively. The pAVF group had a lower clinical maturation rate (12 [52%] vs. 54 [87%], P = 0.003) and a higher primary failure rate (9 [39%] vs. 6 [10%], P = 0.003) when compared to the sAVF group. The pAVF group had an increased overall rate of undergoing a postoperative intervention (18 [78%] vs. 13 [21%], P< 0.001), as well as an increased number of total postoperative interventions (1.1 ± 0.9 vs. 0.3 ± 0.6 interventions, P< 0.001) compared to the sAVF group. Percutaneous transluminal angioplasty of the juxta anastomotic segment was the most prevalent postoperative intervention performed in the pAVF group and occurred at a significantly increased frequency when compared to the sAVF group rate (13 [57%] vs. 5 [8%], P< 0.001). Conclusions: In our single-center retrospective review, patients undergoing Ellipsys-created pAVF in the first year following introduction of percutaneous endovascular had inferior rates of clinical maturation and underwent more postoperative interventions when compared to historical patients undergoing surgically created BC-AVF. Outcome discrepancies compared to previously reported Ellipsys data demonstrate a need for further studies examining the practical translatability of the pAVF.
MeSH term(s)	Adult ; Aged ; Arteriovenous Shunt, Surgical/adverse effects ; Arteriovenous Shunt, Surgical/instrumentation ; Brachial Artery/surgery ; Endovascular Procedures/adverse effects ; Endovascular Procedures/instrumentation ; Female ; Humans ; Male ; Middle Aged ; New Mexico ; Operative Time ; Postoperative Complications/etiology ; Program Evaluation ; Renal Dialysis ; Retrospective Studies ; Time Factors ; Treatment Outcome ; Upper Extremity/blood supply ; Vascular Patency
Language	English
Publishing date	2021-02-04
Publishing country	Netherlands
Document type	Comparative Study ; Journal Article
ZDB-ID	1027366-9
ISSN	1615-5947 ; 0890-5096
ISSN (online)	1615-5947
ISSN	0890-5096
DOI	10.1016/j.avsg.2020.12.041
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