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  1. AU="Taghavi, Fouad J"
  2. AU="Xiao, Jun-Hua"
  3. AU="Vee Sin Lee, Peter"
  4. AU="Zhu, Yali"
  5. AU="Jiang-Qi Liu"
  6. AU="Moores, Roxanna"

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  1. Article: Balloon pulmonary angioplasty outcomes in patients previously treated by pulmonary endarterectomy surgery are inferior to those of inoperable patients.

    Kirkby, Louise C / Rodgers, Matthew S / Amaral-Almeida, Liliana / Sheares, Karen / Toshner, Mark / Bunclark, Katherine / Bartnik, Aleksandra / Taboada, Dolores / Ng, Choo / Taghavi, Fouad J / Tsui, Steven / Cannon, John E / Weir-McCall, Jonathan R / Coghlan, John G / Jenkins, David P / Pepke-Zaba, Joanna / Hoole, Stephen P

    Pulmonary circulation

    2023  Volume 13, Issue 3, Page(s) e12265

    Abstract: Pulmonary endarterectomy (PEA) may not achieve full clearance of vascular obstructions in patients with more distal chronic thromboembolic pulmonary hypertension (CTEPH). Balloon pulmonary angioplasty (BPA) may be indicated to treat these residual ... ...

    Abstract Pulmonary endarterectomy (PEA) may not achieve full clearance of vascular obstructions in patients with more distal chronic thromboembolic pulmonary hypertension (CTEPH). Balloon pulmonary angioplasty (BPA) may be indicated to treat these residual vascular lesions. We compared whether patients post-PEA (PP) treated by BPA derived similar benefit to those who had inoperable CTEPH (IC), and assessed predictors of BPA response after surgery. We treated 109 patients with BPA-89 with IC and 20 PP. Serial right heart catheterization performed at baseline (immediately before BPA) and 3 months after completing BPA, compared pulmonary vascular resistance (PVR), mean pulmonary artery pressure (mPAP) as well as change in WHO functional class and 6-minute walk distance. We also assessed the impact of total thrombus tail length (TTTL) from photographed PEA surgical specimens and PP computed tomography pulmonary angiography (CTPA)-quantified residual disease burden on BPA response. PP and IC groups did not differ significantly in terms of demographics, baseline hemodynamics or procedural characteristics. However, IC derived greater hemodynamic benefit from BPA: ΔPVR (-27.9 ± 20.2% vs. -13.9 ± 23.9%,
    Language English
    Publishing date 2023-07-04
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2638089-4
    ISSN 2045-8940 ; 2045-8932
    ISSN (online) 2045-8940
    ISSN 2045-8932
    DOI 10.1002/pul2.12265
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Regional extracorporeal membrane oxygenation retrieval service during the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic: an interdisciplinary team approach to maintain service provision despite increased demand.

    Rafiq, Muhammad U / Valchanov, Kamen / Vuylsteke, Alain / Taghavi, Fouad J / Iyer, Swetha B / Sudarshan, Catherine D / Fowles, Jo-Anne / Anderson, Simon / Govender, Pooveshni / Holmes, Miranda / White, Alexander / Mishra, Abhi / Mwaura, Lucy / Jenkins, David P

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

    2020  Volume 58, Issue 5, Page(s) 875–880

    Abstract: Objectives: Coronavirus disease 2019 is a new contagious disease that has spread rapidly across the world. It is associated with high mortality in those who develop respiratory complications and require admission to intensive care. Extracorporeal ... ...

    Abstract Objectives: Coronavirus disease 2019 is a new contagious disease that has spread rapidly across the world. It is associated with high mortality in those who develop respiratory complications and require admission to intensive care. Extracorporeal membrane oxygenation (ECMO) is a supportive therapy option for selected severely ill patients who deteriorate despite the best supportive care. During the coronavirus disease 2019 pandemic, extra demand led to staff reorganization; hence, cardiac surgery consultants joined the ECMO retrieval team. This article describes how we increased service provisions to adapt to the changes in activity and staffing.
    Methods: The data were collected from 16 March 2020 to 8 May 2020. The patients were referred through a dedicated Web-based referral portal to cope with increasing demand. The retrieval team attended the referring hospital, reviewed the patients and made the final decision to proceed with ECMO.
    Results: We reported 41 ECMO retrieval runs during this study period. Apart from staffing changes, other retrieval protocols were maintained. The preferred cannulation method for veno-venous ECMO was drainage via the femoral vein and return to the right internal jugular vein. There were no complications reported during cannulation or transport.
    Conclusions: Staff reorganization in a crisis is of paramount importance. For those with precise transferrable skills, experience can be gained quickly with appropriate supervision. Therefore, the team members were selected based on skill mix rather than on roles that are more traditional. We have demonstrated that an ECMO retrieval service can be reorganized swiftly and successfully to cope with the sudden increase in demand by spending cardiac surgeons services to supplement the anaesthetic-intensivist roles.
    MeSH term(s) Adult ; Aged ; Betacoronavirus ; COVID-19 ; Cardiology/organization & administration ; Coronavirus Infections/therapy ; Critical Care/methods ; Critical Care/organization & administration ; Critical Illness ; Extracorporeal Membrane Oxygenation/methods ; Female ; Health Services Accessibility/organization & administration ; Health Services Needs and Demand ; Humans ; Male ; Middle Aged ; Pandemics ; Patient Care Team/organization & administration ; Personnel Staffing and Scheduling/organization & administration ; Pneumonia, Viral/therapy ; SARS-CoV-2 ; Surgeons/organization & administration ; United Kingdom
    Keywords covid19
    Language English
    Publishing date 2020-09-23
    Publishing country Germany
    Document type 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/ezaa327
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

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  3. Article: Radiological presentation of a giant bulla as a tension pneumothorax.

    Findlay, John M / Keogh, Michael J / Taghavi, Fouad J / Sayeed, Rana A

    The Journal of emergency medicine

    2012  Volume 43, Issue 3, Page(s) e211–3

    MeSH term(s) Aged, 80 and over ; Blister/diagnostic imaging ; Diagnosis, Differential ; Humans ; Lung Diseases/diagnostic imaging ; Male ; Pneumothorax/diagnosis ; Tomography, X-Ray Computed
    Language English
    Publishing date 2012-09
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 605559-x
    ISSN 0736-4679
    ISSN 0736-4679
    DOI 10.1016/j.jemermed.2011.06.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1895: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

    Order via subito

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  4. Article: Regional extracorporeal membrane oxygenation retrieval service during the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic: an interdisciplinary team approach to maintain service provision despite increased demand

    Rafiq, Muhammad U / Valchanov, Kamen / Vuylsteke, Alain / Taghavi, Fouad J / Iyer, Swetha B / Sudarshan, Catherine D / Fowles, Jo-Anne / Anderson, Simon / Govender, Pooveshni / Holmes, Miranda / White, Alexander / Mishra, Abhi / Mwaura, Lucy / Jenkins, David P

    Eur J Cardiothorac Surg

    Abstract: OBJECTIVES: Coronavirus disease 2019 is a new contagious disease that has spread rapidly across the world. It is associated with high mortality in those who develop respiratory complications and require admission to intensive care. Extracorporeal ... ...

    Abstract OBJECTIVES: Coronavirus disease 2019 is a new contagious disease that has spread rapidly across the world. It is associated with high mortality in those who develop respiratory complications and require admission to intensive care. Extracorporeal membrane oxygenation (ECMO) is a supportive therapy option for selected severely ill patients who deteriorate despite the best supportive care. During the coronavirus disease 2019 pandemic, extra demand led to staff reorganization; hence, cardiac surgery consultants joined the ECMO retrieval team. This article describes how we increased service provisions to adapt to the changes in activity and staffing. METHODS: The data were collected from 16 March 2020 to 8 May 2020. The patients were referred through a dedicated Web-based referral portal to cope with increasing demand. The retrieval team attended the referring hospital, reviewed the patients and made the final decision to proceed with ECMO. RESULTS: We reported 41 ECMO retrieval runs during this study period. Apart from staffing changes, other retrieval protocols were maintained. The preferred cannulation method for veno-venous ECMO was drainage via the femoral vein and return to the right internal jugular vein. There were no complications reported during cannulation or transport. CONCLUSIONS: Staff reorganization in a crisis is of paramount importance. For those with precise transferrable skills, experience can be gained quickly with appropriate supervision. Therefore, the team members were selected based on skill mix rather than on roles that are more traditional. We have demonstrated that an ECMO retrieval service can be reorganized swiftly and successfully to cope with the sudden increase in demand by spending cardiac surgeons services to supplement the anaesthetic-intensivist roles.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #787162
    Database COVID19

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  5. Article ; Online: Regional extracorporeal membrane oxygenation retrieval service during the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic

    Rafiq, Muhammad U / Valchanov, Kamen / Vuylsteke, Alain / Taghavi, Fouad J / Iyer, Swetha B / Sudarshan, Catherine D / Fowles, Jo-Anne / Anderson, Simon / Govender, Pooveshni / Holmes, Miranda / White, Alexander / Mishra, Abhi / Mwaura, Lucy / Jenkins, David P

    European Journal of Cardio-Thoracic Surgery

    an interdisciplinary team approach to maintain service provision despite increased demand

    2020  Volume 58, Issue 5, Page(s) 875–880

    Abstract: Abstract OBJECTIVES Coronavirus disease 2019 is a new contagious disease that has spread rapidly across the world. It is associated with high mortality in those who develop respiratory complications and require admission to intensive care. Extracorporeal ...

    Abstract Abstract OBJECTIVES Coronavirus disease 2019 is a new contagious disease that has spread rapidly across the world. It is associated with high mortality in those who develop respiratory complications and require admission to intensive care. Extracorporeal membrane oxygenation (ECMO) is a supportive therapy option for selected severely ill patients who deteriorate despite the best supportive care. During the coronavirus disease 2019 pandemic, extra demand led to staff reorganization; hence, cardiac surgery consultants joined the ECMO retrieval team. This article describes how we increased service provisions to adapt to the changes in activity and staffing. METHODS The data were collected from 16 March 2020 to 8 May 2020. The patients were referred through a dedicated Web-based referral portal to cope with increasing demand. The retrieval team attended the referring hospital, reviewed the patients and made the final decision to proceed with ECMO. RESULTS We reported 41 ECMO retrieval runs during this study period. Apart from staffing changes, other retrieval protocols were maintained. The preferred cannulation method for veno-venous ECMO was drainage via the femoral vein and return to the right internal jugular vein. There were no complications reported during cannulation or transport. CONCLUSIONS Staff reorganization in a crisis is of paramount importance. For those with precise transferrable skills, experience can be gained quickly with appropriate supervision. Therefore, the team members were selected based on skill mix rather than on roles that are more traditional. We have demonstrated that an ECMO retrieval service can be reorganized swiftly and successfully to cope with the sudden increase in demand by spending cardiac surgeons services to supplement the anaesthetic-intensivist roles.
    Keywords Surgery ; Pulmonary and Respiratory Medicine ; Cardiology and Cardiovascular Medicine ; General Medicine ; covid19
    Language English
    Publisher Oxford University Press (OUP)
    Publishing country uk
    Document type Article ; Online
    ZDB-ID 639293-3
    ISSN 1873-734X ; 1010-7940 ; 1567-4258
    ISSN (online) 1873-734X
    ISSN 1010-7940 ; 1567-4258
    DOI 10.1093/ejcts/ezaa327
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

    Full text online

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2303: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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