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  1. Article ; Online: Bridging the Gap: An Unusual Cause of Acute Coronary Syndrome.

    Vishnevsky, Alec / Fischman, David L

    JACC. Cardiovascular interventions

    2024  Volume 17, Issue 6, Page(s) 818–819

    MeSH term(s) Humans ; Acute Coronary Syndrome/diagnostic imaging ; Acute Coronary Syndrome/etiology ; Acute Coronary Syndrome/therapy ; Treatment Outcome ; Myocardial Infarction/etiology ; Coronary Vessel Anomalies/complications ; Coronary Angiography/adverse effects ; Myocardial Bridging
    Language English
    Publishing date 2024-02-21
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2452157-7
    ISSN 1876-7605 ; 1936-8798
    ISSN (online) 1876-7605
    ISSN 1936-8798
    DOI 10.1016/j.jcin.2024.01.004
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    Zs.A 6669: Show issues Location:
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  2. Article ; Online: Management of Iatrogenic Coronary Artery Dissections: Failing to Prepare Is Preparing to Fail.

    Fischman, David L / Vishnevsky, Alec

    JACC. Case reports

    2021  Volume 3, Issue 3, Page(s) 385–387

    Language English
    Publishing date 2021-03-17
    Publishing country Netherlands
    Document type Editorial
    ISSN 2666-0849
    ISSN (online) 2666-0849
    DOI 10.1016/j.jaccas.2021.01.023
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  3. Article ; Online: Severe late cardiovascular sequelae of Kawasaki disease in a young adult.

    Marek-Iannucci, Stefanie / Junarta, Joey / Vishnevsky, Alec / Rajapreyar, Indranee N / Fradin, James Jeffrey / Arditi, Moshe / Peters, Andrew / Lev, Yair / Brailovsky, Yevgeniy

    Journal of paediatrics and child health

    2024  

    Language English
    Publishing date 2024-03-29
    Publishing country Australia
    Document type Case Reports
    ZDB-ID 1024476-1
    ISSN 1440-1754 ; 1034-4810
    ISSN (online) 1440-1754
    ISSN 1034-4810
    DOI 10.1111/jpc.16533
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    Zs.A 227: Show issues Location:
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  4. Article ; Online: Atrial fibrillation or unstable angina? Utilization of a mobile electrocardiographic device to diagnose acute coronary syndrome.

    Nair, Abhinav / Vishnevsky, Alec / Frisch, Daniel R

    Cardiovascular digital health journal

    2020  Volume 1, Issue 1, Page(s) 52–54

    Language English
    Publishing date 2020-08-26
    Publishing country United States
    Document type Case Reports
    ISSN 2666-6936
    ISSN (online) 2666-6936
    DOI 10.1016/j.cvdhj.2020.06.001
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  5. Article ; Online: Three-dimensional Transesophageal Echocardiography for Transcatheter Patent Foramen Ovale Closure: Standardizing Anatomic Nomenclature and Novel Sizing Concepts.

    Datta, Tanuka / Ruggiero, Nicholas / Peters, Andrew / Pender, Ashley / Vishnevsky, Alec / Mehrotra, Praveen

    CASE (Philadelphia, Pa.)

    2022  Volume 7, Issue 1, Page(s) 14–20

    Language English
    Publishing date 2022-11-30
    Publishing country United States
    Document type Case Reports
    ISSN 2468-6441
    ISSN (online) 2468-6441
    DOI 10.1016/j.case.2022.10.007
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  6. Article ; Online: Trends and Outcomes of Transcatheter Aortic Valve Implantation in Hypertrophic Cardiomyopathy.

    DiMeglio, Matthew / Ullah, Waqas / Brailovsky, Yevgeniy / Rajapreyar, Indranee N / Vishnevsky, Alec

    The American journal of cardiology

    2022  Volume 179, Page(s) 117–118

    MeSH term(s) Aortic Valve ; Aortic Valve Stenosis ; Cardiomyopathy, Hypertrophic ; Heart Valve Prosthesis ; Humans ; Risk Factors ; Transcatheter Aortic Valve Replacement ; Treatment Outcome
    Language English
    Publishing date 2022-07-16
    Publishing country United States
    Document type Letter
    ZDB-ID 80014-4
    ISSN 1879-1913 ; 0002-9149
    ISSN (online) 1879-1913
    ISSN 0002-9149
    DOI 10.1016/j.amjcard.2022.06.024
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    Ui IV Zs.73: Show issues Location:
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  7. Article ; Online: Trends and Outcomes of Transcatheter Aortic Valve Implantation in Patients With Peripheral Arterial Disease: Insights From the National Readmissions Database.

    Ullah, Waqas / Satti, Danish Iltaf / Sana, Muhammad Khawar / Osler, Brian / Khattak, Furqan / Ahmed, Mushtaque / Vishnevsky, Alec

    Current problems in cardiology

    2023  Volume 48, Issue 5, Page(s) 101605

    Abstract: Due to shared risk factors, many patients with severe aortic stenosis (AS) also have concomitant peripheral arterial disease (PAD). The readmission rates and long term clinical outcomes of these patients following transcatheter aortic valve implantation ( ...

    Abstract Due to shared risk factors, many patients with severe aortic stenosis (AS) also have concomitant peripheral arterial disease (PAD). The readmission rates and long term clinical outcomes of these patients following transcatheter aortic valve implantation (TAVI) in a large sample has not been well defined. The National Readmissions Database (NRD) (2015-2019) was used to identify patients undergoing TAVI. TAVI in patients with PAD was compared with those without PAD using a propensity score matched (PSM) analysis to obtain adjusted odds ratios (aOR) with 95% confidence intervals (CI) of net adverse clinical events (NACE), and its components. A total of 189,216 patients were identified, of which 14,925 patients (7386 with PAD, 7539 without PAD) were selected for adjusted analysis. Using PSM, patients with PAD undergoing TAVI had significantly higher in-hospital adjusted odds of NACE (aOR 1.60, 95% CI 1.36-1.88), and mortality (aOR 4.10, 95% CI 2.88-5.83). However, rates of other in-hospital peri procedural complications (stroke, major bleeding, paravalvular leak, cardiogenic shock) were not significantly different. There was no significant difference in the incidence of NACE, mortality, or other complications between the 2 groups at 30- and 180 days follow-up. Patients with PAD undergoing TAVI have an increased risk of mortality and NACE during the periprocedural period. However, following discharge, there was no statistically significant difference in 30 days and 6 month outcomes of TAVI in this population compared to those without significant PAD.
    MeSH term(s) Humans ; Transcatheter Aortic Valve Replacement/adverse effects ; Patient Readmission ; Aortic Valve Stenosis/surgery ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Peripheral Arterial Disease/complications ; Peripheral Arterial Disease/epidemiology ; Peripheral Arterial Disease/surgery ; Risk Factors ; Aortic Valve/surgery ; Treatment Outcome ; Heart Valve Prosthesis Implantation/adverse effects
    Language English
    Publishing date 2023-01-21
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 441230-8
    ISSN 1535-6280 ; 0146-2806
    ISSN (online) 1535-6280
    ISSN 0146-2806
    DOI 10.1016/j.cpcardiol.2023.101605
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    Se 505: Show issues Location:
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  8. Article ; Online: Evaluation of Intracardiac Pressures Using Subharmonic-aided Pressure Estimation with Sonazoid Microbubbles.

    Esposito, Cara / Machado, Priscilla / McDonald, Maureen E / Savage, Michael P / Fischman, David / Mehrotra, Praveen / Cohen, Ira S / Ruggiero, Nicholas / Walinsky, Paul / Vishnevsky, Alec / Dickie, Kristopher / Davis, Marguerite / Forsberg, Flemming / Dave, Jaydev K

    Radiology. Cardiothoracic imaging

    2024  Volume 6, Issue 1, Page(s) e230153

    Abstract: Purpose To investigate if the right ventricular (RV) systolic and left ventricular (LV) diastolic pressures can be obtained noninvasively using the subharmonic-aided pressure estimation (SHAPE) technique with Sonazoid microbubbles. Materials and Methods ... ...

    Abstract Purpose To investigate if the right ventricular (RV) systolic and left ventricular (LV) diastolic pressures can be obtained noninvasively using the subharmonic-aided pressure estimation (SHAPE) technique with Sonazoid microbubbles. Materials and Methods Individuals scheduled for a left and/or right heart catheterization were prospectively enrolled in this institutional review board-approved clinical trial from 2017 to 2020. A standard-of-care catheterization procedure was performed by advancing fluid-filled pressure catheters into the LV and aorta (
    MeSH term(s) Humans ; Ferric Compounds ; Heart ; Heart Ventricles ; Iron ; Microbubbles ; Oxides
    Chemical Substances Ferric Compounds ; Iron (E1UOL152H7) ; Oxides ; Sonazoid
    Language English
    Publishing date 2024-02-15
    Publishing country United States
    Document type Clinical Trial ; Journal Article
    ISSN 2638-6135
    ISSN (online) 2638-6135
    DOI 10.1148/ryct.230153
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  9. Article ; Online: Outcomes of outflow graft stenting in HeartMate 3 left ventricular assist devices: A systematic review and individual patient data meta-analysis.

    Patil, Sanath / Ahmad, Danial / Shah, Kishori / Vishnevsky, Alec / Ruggiero, Nicholas J / Rajapreyar, Indranee N / Rame, J Eduardo / Alvarez, Rene J / Rajagopal, Keshava / Entwistle, John W / Massey, Howard T / Tchantchaleishvili, Vakhtang

    Artificial organs

    2024  

    Abstract: Purpose: LVAD outflow graft stenosis continues to remain prevalent with a high complication rate. We sought to pool the existing evidence on indications, utilization patterns, and outcomes of transcatheter interventions for outflow graft stenosis in the ...

    Abstract Purpose: LVAD outflow graft stenosis continues to remain prevalent with a high complication rate. We sought to pool the existing evidence on indications, utilization patterns, and outcomes of transcatheter interventions for outflow graft stenosis in the HeartMate 3 LVAD.
    Methods: An electronic search was performed to identify all studies in the English literature reporting on HeartMate 3 LVAD outflow graft stenting. Patient-level data were extracted for analysis.
    Results: Thirteen published reports and one unpublished case comprising a total of 28 patients were included. Median patient age was 68.5 years [Interquartile range: 58, 71] and 25.9% (7/27) were female. Dyspnea [60.7% (17/28)] was the most common presenting symptom. Low flow alarms were present in 60% (15/25) of patients. Findings included external compression [35.7% (10/28)], graft twist [21.4% (6/28)], graft twist and external compression [14.3% (4.28)], intraluminal thrombus [10.7% (3/28)], graft twist and intraluminal thrombus [3.6% (1/28)], and pseudoaneurysm of outflow graft [3.6% (1/28)]. Median time from LVAD implantation to stenting was 2.1 years [1.4, 3]. Immediate flow normalization after stenting was observed in 85.7% (24/28). The 30-day mortality was 12% (3/25). Overall mortality was 12% (3/25) at a median follow-up of 3.9 months [1, 17].
    Conclusion: Outflow graft stenting in the HeartMate 3 LVAD appears to be a reasonable treatment option for outflow graft stenosis, with low overall rates of complications and mortality. Further refinement of indications and approaches may improve outcomes.
    Language English
    Publishing date 2024-04-05
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 441812-8
    ISSN 1525-1594 ; 0160-564X
    ISSN (online) 1525-1594
    ISSN 0160-564X
    DOI 10.1111/aor.14736
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    Zs.A 1463: Show issues Location:
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  10. Article ; Online: Treatment of Clopidogrel Hypersensitivity: The Jefferson Approach.

    Vishnevsky, Alec / Savage, Michael P / Fischman, David L

    Current vascular pharmacology

    2018  Volume 17, Issue 2, Page(s) 123–126

    Abstract: Despite the advent of newer antiplatelet therapies, clopidogrel remains the mainstay of treatment for patients with cardiovascular disease, especially those who undergo coronary stent implantation. Hypersensitivity reactions to clopidogrel that develop ... ...

    Abstract Despite the advent of newer antiplatelet therapies, clopidogrel remains the mainstay of treatment for patients with cardiovascular disease, especially those who undergo coronary stent implantation. Hypersensitivity reactions to clopidogrel that develop soon after stenting present a significant clinical challenge. The widespread use of clopidogrel in the management of patients with coronary artery disease necessitates awareness of treatment options in the setting of an allergic reaction. It has been demonstrated that clopidogrel hypersensitivity can be successfully managed without interrupting clopidogrel therapy. We review available treatment options and highlight the treating-through approach developed at our institution.
    MeSH term(s) Cardiovascular Diseases/blood ; Cardiovascular Diseases/diagnosis ; Cardiovascular Diseases/drug therapy ; Clinical Protocols ; Clopidogrel/administration & dosage ; Clopidogrel/adverse effects ; Desensitization, Immunologic ; Drug Administration Schedule ; Drug Hypersensitivity/diagnosis ; Drug Hypersensitivity/immunology ; Drug Hypersensitivity/therapy ; Drug Substitution ; Glucocorticoids/therapeutic use ; Histamine Antagonists/therapeutic use ; Humans ; Platelet Aggregation/drug effects ; Platelet Aggregation Inhibitors/administration & dosage ; Platelet Aggregation Inhibitors/adverse effects ; Purinergic P2Y Receptor Antagonists/administration & dosage ; Purinergic P2Y Receptor Antagonists/adverse effects ; Risk Factors ; Time Factors ; Treatment Outcome
    Chemical Substances Glucocorticoids ; Histamine Antagonists ; Platelet Aggregation Inhibitors ; Purinergic P2Y Receptor Antagonists ; Clopidogrel (A74586SNO7)
    Language English
    Publishing date 2018-07-25
    Publishing country United Arab Emirates
    Document type Journal Article ; Review
    ZDB-ID 2192362-0
    ISSN 1875-6212 ; 1570-1611
    ISSN (online) 1875-6212
    ISSN 1570-1611
    DOI 10.2174/1570161116666180730100346
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    Zs.A 6282: Show issues Location:
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