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  1. Article: Endovascular Interventions to Superficial Femoral Artery Occlusion: Different Approaches, Technique, and Follow-up.

    Krishnappa, Santhosh / Rachaiah, Jayasheelan Mambally / Mariappa, Harsha Mullusoge / Doddamadaiah, Chaitra / Nanjappa, Manjunath Cholenahally

    Heart views : the official journal of the Gulf Heart Association

    2020  Volume 21, Issue 2, Page(s) 65–74

    Abstract: Background: Superficial femoral artery lesion is one of the main causes for intermittent claudication or critical limb ischemia. Percutaneous transluminal angioplasty is one of the approved therapies for this medical entity. Anatomical factors should be ...

    Abstract Background: Superficial femoral artery lesion is one of the main causes for intermittent claudication or critical limb ischemia. Percutaneous transluminal angioplasty is one of the approved therapies for this medical entity. Anatomical factors should be considered in choosing the right approach and puncture.The purpose of this study is to discuss the anatomical, radiological, and technical factors which determine the preference of various approaches and to determine its safety, efficacy, and mid-term clinical and radiological outcome.
    Methods: Retrospectively, data were collected from patients who underwent angioplasty to superficial femoral arteries for total occlusion from January 2015 and June 2018 in our center, we performed angioplasty to 59 occluded superficial femoral artery patients at our center. The ipsilateral femoral artery, ipsilateral popliteal artery, contralateral femoral artery, or upper limb approaches were used depending on the various anatomical factors determined by radiological imaging before the procedure.
    Results: Acute success rate was 91.52%. There were no significant periprocedural complications. At the latest clinical follow-up of mean 25.8 months (10-51), a restenosis rate of 16.67% in infrainguinal arteries and 5.88% in suprainguinal arteries were noted.
    Conclusions: Percutaneous transluminal angioplasty of superficial femoral artery is a proven, viable, safer, and effective option, with good mid-term clinical results and patency rates. Different approaches to be chosen depends on the anatomical and technical factors to get the best possible outcome.
    Language English
    Publishing date 2020-06-29
    Publishing country India
    Document type Journal Article
    ZDB-ID 2575257-1
    ISSN 0976-5123 ; 1995-705X
    ISSN (online) 0976-5123
    ISSN 1995-705X
    DOI 10.4103/HEARTVIEWS.HEARTVIEWS_34_19
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Effect of Papaverine on Left Internal Mammary Artery Flow: Topical Spraying versus Perivascular Injection Method.

    Gowda, Girish / Kumar, Jayanth / G S, Veeresh / Mathew, Anand Kuriyan / Nanjappa, Manjunath Cholenahally

    Brazilian journal of cardiovascular surgery

    2020  Volume 35, Issue 2, Page(s) 181–184

    Abstract: Objective: To analyze two techniques of papaverine application, topical spray on the harvested left internal mammary artery (LIMA) and perivascular injection, to find out their ability to improve LIMA flow.: Methods: Forty patients were randomized ... ...

    Abstract Objective: To analyze two techniques of papaverine application, topical spray on the harvested left internal mammary artery (LIMA) and perivascular injection, to find out their ability to improve LIMA flow.
    Methods: Forty patients were randomized into two groups. In Group 1, papaverine was sprayed on the harvested pedunculated LIMA. In Group 2, papaverine was delivered into the perivascular plane. Drug dosage was the same for both groups. LIMA flow was measured 20 minutes after applying papaverine. Blood flow was recorded for 20 seconds and flow per minute was calculated. The systemic mean pressures were maintained at 70 mmHg during blood collection. The data collected was statistically evaluated and interpreted.
    Results: The LIMA blood flow before papaverine application in the Group 1 was 51.9±13.40 ml/min and in Group 2 it was 55.1±15.70 ml/min. Statistically, LIMA flows were identical in both groups before papaverine application. The LIMA blood flow, post papaverine application, in Group 1 was 87.20±13.46 ml/min and in Group 2 it was 104.7±20.19 ml/min. The Group 2 flows were statistically higher than Group 1 flows.
    Conclusion: Papaverine delivery to LIMA by the perivascular injection method provided statistically significant higher flows when compared to the topical spray method. Hence, the perivascular delivery of papaverine is more efficient than the spray method in improving LIMA blood flow.
    MeSH term(s) Humans ; Injections ; Mammary Arteries ; Papaverine ; Vasodilator Agents
    Chemical Substances Vasodilator Agents ; Papaverine (DAA13NKG2Q)
    Language English
    Publishing date 2020-04-01
    Publishing country Brazil
    Document type Journal Article ; Randomized Controlled Trial
    ZDB-ID 2183753-3
    ISSN 1678-9741 ; 0102-7638
    ISSN (online) 1678-9741
    ISSN 0102-7638
    DOI 10.21470/1678-9741-2019-0126
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Percutaneous Antegrade and Retrograde Endovascular approach to Symptomatic High-Grade Subclavian Artery Stenosis: Technique and Follow-Up.

    Krishnappa, Santhosh / Rachaiah, Jayasheelan Mambally / Hegde, Srinidhi S / Sadananda, Kanchanahalli Siddegowda / Nanjappa, Manjunath Cholenahally / Ramasanjeevaiah, Govardhan

    Heart views : the official journal of the Gulf Heart Association

    2019  Volume 20, Issue 3, Page(s) 87–92

    Abstract: Background and purpose: Angioplasty and stenting of the subclavian artery have been reported with high technical and clinical success rates, low complication rates, and good midterm patency rates. Different antegrade or retrograde endovascular catheter- ... ...

    Abstract Background and purpose: Angioplasty and stenting of the subclavian artery have been reported with high technical and clinical success rates, low complication rates, and good midterm patency rates. Different antegrade or retrograde endovascular catheter-based approaches are used. Nowadays, endovascular therapy has taken over open surgical techniques in subclavian artery disease. The purpose of this study was to determine safety, efficacy, and midterm clinical and radiological outcome of the endovascular treatment with special focus on the different technical approaches in subclavian artery disease.
    Materials and methods: Between 2014 and 2017, 11 patients (10 men, 1 woman) with symptomatic high-grade stenosis (90%-100%) of the subclavian artery were treated with endovascular treatment. Their mean age was 51.3 years (range, 32-61 years). Mean angiographic and clinical follow-up was 22.5 months (range, 5-44 months). Clinical follow-up was performed at hospital discharge and routine follow-up was performed at 1, 3, 12 months, and 6 monthly thereafter. In all 11 patients, a percutaneous approach was used successfully. In eight patients, the lesions were accessed retrogradely through a brachial artery puncture.
    Results: Acute success rate was 100%. There were no significant peri-procedure complications. At the latest clinical follow-up (mean of 22.5 months), all patients showed a good outcome with a restenosis rate of 18.2% including a patient with Takayasu arteritis.
    Conclusion: Percutaneous antegrade and retrograde stenting of high-grade subclavian artery stenosis is a viable less invasive alternative to open bypass surgery with good midterm clinical results and patency rates.
    Language English
    Publishing date 2019-10-03
    Publishing country India
    Document type Journal Article
    ZDB-ID 2575257-1
    ISSN 0976-5123 ; 1995-705X
    ISSN (online) 0976-5123
    ISSN 1995-705X
    DOI 10.4103/HEARTVIEWS.HEARTVIEWS_31_18
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: National Heart Failure Registry, India: Design and methods.

    Harikrishnan, Sivadasanpillai / Bahl, Ajay / Roy, Ambuj / Mishra, Animesh / Prajapati, Jayesh / Nanjappa, Manjunath Cholenahally / Sethi, Rishi / Guha, Santanu / Satheesh, Santhosh / Chacko, Manas / Ganapathi, Sanjay / Jeemon, Panniyamakal

    Indian heart journal

    2020  Volume 71, Issue 6, Page(s) 488–491

    Abstract: Objective: Heart failure (HF) has emerged as a global public health problem that affects both low and high-income countries. The high HF burden and the need for resource-intensive treatments often lead to health system crisis in resource-poor settings. ... ...

    Abstract Objective: Heart failure (HF) has emerged as a global public health problem that affects both low and high-income countries. The high HF burden and the need for resource-intensive treatments often lead to health system crisis in resource-poor settings. Data on prevailing practice patterns and long-term clinical outcomes of HF are scarce from the low and middle-income countries. Nationally representative HF data from India are not available.
    Methods: The National Heart Failure Registry (NHFR) is a multicentric, hospital-based registry of HF patients from 53 centers across India. Consecutive patients admitted with the diagnosis of acute decompensated HF satisfying the European Society of Cardiology (ESC) 2016 criteria will be enrolled into the registry from January 2019 to December 2019. Each participating center is expected to contribute 200 patients into the registry (i.e., more than 10,000 HF patients from India). We are collecting demographics, clinical, laboratory, imaging, and other diagnostic data at baseline from all registered patients in the registry by using a structured document. Additionally, we are collecting the details of treatment practices and the usage of guideline-directed therapy from all participants. We intend to obtain the in-hospital, 3-months, 6-months and one-year outcome data on mortality, cause of death, and repeated hospitalization events.
    Conclusions: In summary, NFHR will be the first nationally representative HF registry aimed at providing crucial information on prevailing etiology, distribution and current practices in the management of HF.
    MeSH term(s) Data Analysis ; Data Management ; Heart Failure/epidemiology ; Humans ; India/epidemiology ; Quality Control ; Registries
    Language English
    Publishing date 2020-01-03
    Publishing country India
    Document type Journal Article
    ZDB-ID 604366-5
    ISSN 2213-3763 ; 0019-4832
    ISSN (online) 2213-3763
    ISSN 0019-4832
    DOI 10.1016/j.ihj.2019.12.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Systemic venous collateral channel causing desaturation after bidirectional cavopulmonary anastomosis: percutaneous closure.

    Karur, Satish / Mahima, Jayaranganath / Nanjappa, Manjunath Cholenahally

    Cardiology in the young

    2011  Volume 21, Issue 1, Page(s) 107–109

    Abstract: An infant with cyanotic cardiac disease that was palliated with a bidirectional cavopulmonary shunt developed progressive and worsening cyanosis 5 years after the surgical procedure. A large venous collateral was found to be decompressing the ... ...

    Abstract An infant with cyanotic cardiac disease that was palliated with a bidirectional cavopulmonary shunt developed progressive and worsening cyanosis 5 years after the surgical procedure. A large venous collateral was found to be decompressing the bidirectional Glenn shunt from the superior caval vein to the inferior caval vein and was percutaneously closed with a vascular plug. The unusually large venous collateral, and the excellent outcome associated with percutaneous procedure are discussed.
    MeSH term(s) Child ; Collateral Circulation ; Cyanosis/diagnostic imaging ; Cyanosis/etiology ; Cyanosis/surgery ; Equipment Design ; Follow-Up Studies ; Fontan Procedure/adverse effects ; Heart Defects, Congenital/surgery ; Humans ; Male ; Phlebography ; Vascular Surgical Procedures/instrumentation ; Vena Cava, Inferior/surgery ; Vena Cava, Superior/surgery
    Language English
    Publishing date 2011-02
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 1078466-4
    ISSN 1467-1107 ; 1047-9511
    ISSN (online) 1467-1107
    ISSN 1047-9511
    DOI 10.1017/S104795111000140X
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Observational study of left ventricular global longitudinal strain in ST-segment elevation myocardial infarction patients with extended pharmaco-invasive strategy: A six months follow-up study.

    Manjunath, Satvic C / Doddaiah, Balaraju / Ananthakrishna, Rajiv / Sastry, Sridhar Lakshmana / Patil, Vikram S / Devegowda, Lachikrathman / Veervhadraiah, Sumangala B / Bhat, Prabhavathi / Nanjappa Manjunath, Cholenahally

    Echocardiography (Mount Kisco, N.Y.)

    2020  Volume 37, Issue 2, Page(s) 283–292

    Abstract: Aims and objectives: To evaluate left ventricular (LV) function by assessment of LV global longitudinal strain (GLS) in ST-segment elevation myocardial infarction (STEMI) patients who underwent delayed fibrinolysis and coronary intervention (extended ... ...

    Abstract Aims and objectives: To evaluate left ventricular (LV) function by assessment of LV global longitudinal strain (GLS) in ST-segment elevation myocardial infarction (STEMI) patients who underwent delayed fibrinolysis and coronary intervention (extended pharmaco-invasive strategy), since LV function is one of the determinants of both immediate and long-term outcomes.
    Methods: Prospective study of consecutive STEMI patients who underwent extended pharmaco-invasive strategy. The LV function was estimated using LV GLS at baseline and at 6 months.
    Results: The study included eighty-seven STEMI patients who received delayed pharmaco-invasive therapy and coronary intervention. The primary aim of the study was to evaluate a change in LV function by assessment of GLS at 6 months as compared to baseline. Prior to PCI, LV ejection fraction was 48.08 ± 6.23% and GLS was -11.11 ± 2.99%. Procedural success was achieved in all patients. LV ejection fraction after 6 months of follow-up increased to 53.12 ± 5.61% and the GLS improved to -13.03 ± 3.06% In comparison to baseline, there was a significant improvement in both LV ejection fraction and GLS at 6 months of follow-up (P < .001).The cardiac mortality was 1.1% at 6 months.
    Conclusion: There is a significant improvement of LV function as assessed by GLS and ejection fraction at short-term follow-up. In a stable cohort of STEMI patients, extended pharmaco-invasive strategy is also a reasonable option if PCI cannot be performed within the first 24 hours, due to logistic and infrastructural constraints.
    MeSH term(s) Follow-Up Studies ; Humans ; Percutaneous Coronary Intervention ; Prospective Studies ; ST Elevation Myocardial Infarction/diagnostic imaging ; Ventricular Function, Left
    Language English
    Publishing date 2020-01-19
    Publishing country United States
    Document type Journal Article ; Observational Study
    ZDB-ID 843645-9
    ISSN 1540-8175 ; 0742-2822
    ISSN (online) 1540-8175
    ISSN 0742-2822
    DOI 10.1111/echo.14588
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Large atrial thrombus at unusual site: masquerading atrial myxoma.

    Singh, Yadvinder / Kharge, Jayashree / Ramegowda, Raghu Thagachagere / Nanjappa, Manjunath Cholenahally

    Journal of thrombosis and thrombolysis

    2013  Volume 36, Issue 1, Page(s) 74–76

    MeSH term(s) Adult ; Diagnosis, Differential ; Echocardiography, Transesophageal ; Female ; Heart Atria/diagnostic imaging ; Heart Neoplasms/diagnostic imaging ; Humans ; Myxoma/diagnostic imaging ; Thrombosis/diagnostic imaging
    Language English
    Publishing date 2013-01-25
    Publishing country Netherlands
    Document type Case Reports ; Letter
    ZDB-ID 1230645-9
    ISSN 1573-742X ; 0929-5305
    ISSN (online) 1573-742X
    ISSN 0929-5305
    DOI 10.1007/s11239-013-0866-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Left circumflex coronary arteriovenous fistula presenting as acute coronary syndrome.

    Shankarappa, Ravindranath Khandenahally / Panneerselvam, Arunkumar / Nanjappa, Manjunath Cholenahally

    Journal of cardiology cases

    2010  Volume 2, Issue 2, Page(s) e92–e95

    Abstract: Coronary arteriovenous fistula (CAVF) is a rare congenital anomaly that is seen in 0.1-0.2% of coronary angiograms. A 79-year-old man with no risk factors for coronary artery disease, presented with unstable angina and normal clinical examination. ... ...

    Abstract Coronary arteriovenous fistula (CAVF) is a rare congenital anomaly that is seen in 0.1-0.2% of coronary angiograms. A 79-year-old man with no risk factors for coronary artery disease, presented with unstable angina and normal clinical examination. Coronary angiogram revealed a large left circumflex coronary artery with multiple aneurysms exiting into right atrium. Although coil embolization was feasible, he was managed conservatively as he responded to medications. This case shows that large CAVF can be asymptomatic up to the 7th decade of life, manifest as acute coronary syndrome, can present without any murmur on auscultation, and medical management can be effective.
    Language English
    Publishing date 2010-05-06
    Publishing country Japan
    Document type Case Reports
    ISSN 1878-5409
    ISSN (online) 1878-5409
    DOI 10.1016/j.jccase.2010.03.008
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Periprocedural left main coronary artery dissection - successful conservative management.

    Shankarappa, Ravindranath Khandenahally / Panneerselvam, Arunkumar / Nanjappa, Manjunath Cholenahally

    The Journal of invasive cardiology

    2009  Volume 21, Issue 4, Page(s) E63–4

    MeSH term(s) Acute Disease ; Aged ; Angioplasty, Balloon, Coronary/adverse effects ; Coronary Artery Disease/diagnosis ; Coronary Artery Disease/etiology ; Coronary Artery Disease/pathology ; Coronary Artery Disease/therapy ; Coronary Vessels/injuries ; Coronary Vessels/pathology ; Humans ; Male
    Language English
    Publishing date 2009-04
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 1154372-3
    ISSN 1557-2501 ; 1042-3931
    ISSN (online) 1557-2501
    ISSN 1042-3931
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Type-B interruption of the aortic arch with a giant aortic arch aneurysm in an adult.

    Gowda S L, Girish / P S Bhat, Seetharama / Shivanna, Devananda Nijagal / Nanjappa, Manjunath Cholenahally

    European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery

    2014  Volume 45, Issue 4, Page(s) e125

    MeSH term(s) Adult ; Aorta, Thoracic/diagnostic imaging ; Aorta, Thoracic/pathology ; Aorta, Thoracic/surgery ; Aortic Aneurysm/pathology ; Humans ; Male ; Tomography, X-Ray Computed ; Young Adult
    Language English
    Publishing date 2014-04
    Publishing country Germany
    Document type Case Reports ; Journal Article
    ZDB-ID 639293-3
    ISSN 1873-734X ; 1010-7940 ; 1567-4258
    ISSN (online) 1873-734X
    ISSN 1010-7940 ; 1567-4258
    DOI 10.1093/ejcts/ezt642
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