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Emmanouil Brilakis

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https://www.readbyqxmd.com/read/29923459/adjunctive-stent-use-during-endovascular-intervention-to-the-femoropopliteal-artery-with-drug-coated-balloons-insights-from-the-xlpad-registry
#1
Damianos G Kokkinidis, Haekyung Jeon-Slaughter, Houman Khalili, Emmanouil S Brilakis, Nicolas W Shammas, Subhash Banerjee, Ehrin J Armstrong
With growing use of drug-coated balloons (DCB) for femoropopliteal (FP) artery interventions, there is limited information on rates of real-world adjunctive stent use and its association with short and long-term outcomes. We report on 225 DCB treated FP lesions in 224 patients from the Excellence in Peripheral Artery Disease (XLPAD) registry (NCT01904851) between 2014 and 2016. Cochran-Mantel-Haenszel and Wilcoxon rank sum statistics were used to compare stented (planned or 'bail-out') versus non-stented DCB treated lesions...
June 1, 2018: Vascular Medicine
https://www.readbyqxmd.com/read/29906266/radiation-safety-in-the-catheterization-laboratory-current-perspectives-and-practices
#2
Rohan Menon, Aris Karatasakis, Siddharth Patel, Barbara A Danek, Judit Karacsonyi, Bavana V Rangan, Tayo Addo, Dharam Kumbhani, Samir Kapadia, Michael Luna, Ehtisham Mahmud, Charles Chambers, Subhash Banerjee, Emmanouil S Brilakis
BACKGROUND: There is great variability in radiation safety practices in cardiac catheterization laboratories around the world. METHODS: We performed an international online survey on radiation safety including interventional cardiologists, electrophysiologists, interventional radiologists, and vascular surgeons. RESULTS: A total of 570 responses were received from various geographic locations, including the United States (77.9%), Asia (7.9%), Europe (6...
June 15, 2018: Journal of Invasive Cardiology
https://www.readbyqxmd.com/read/29807196/percutaneous-treatment-of-coronary-perforation-in-acutely-occluded-right-coronary-artery-after-reimplantation-in-the-aortic-root
#3
EDITORIAL
Peter Tajti, Emmanouil S Brilakis
No abstract text is available yet for this article.
May 25, 2018: Hellenic Journal of Cardiology: HJC, Hellēnikē Kardiologikē Epitheōrēsē
https://www.readbyqxmd.com/read/29759512/drug-eluting-stents-versus-bare-metal-stents-in-saphenous-vein-grafts-a-double-blind-randomised-trial
#4
Emmanouil S Brilakis, Robert Edson, Deepak L Bhatt, Steven Goldman, David R Holmes, Sunil V Rao, Kendrick Shunk, Bavana V Rangan, Kreton Mavromatis, Kodangudi Ramanathan, Anthony A Bavry, Santiago Garcia, Faisal Latif, Ehrin Armstrong, Hani Jneid, Todd A Conner, Todd Wagner, Judit Karacsonyi, Lauren Uyeda, Beverly Ventura, Aaron Alsleben, Ying Lu, Mei-Chiung Shih, Subhash Banerjee
BACKGROUND: Few studies have examined the efficacy of drug-eluting stents (DES) for reducing aortocoronary saphenous vein bypass graft (SVG) failure compared with bare-metal stents (BMS) in patients undergoing stenting of de-novo SVG lesions. We assessed the risks and benefits of the use of DES versus BMS in de-novo SVG lesions. METHODS: Patients were recruited to our double-blind, randomised controlled trial from 25 US Department of Veterans Affairs centres. Eligible participants were aged at least 18 years and had at least one significant de-novo SVG lesion (50-99% stenosis of a 2·25-4·5 mm diameter SVG) requiring percutaneous coronary intervention with intent to use embolic protection devices...
May 19, 2018: Lancet
https://www.readbyqxmd.com/read/29737505/drug-eluting-stents-for-treatment-of-peripheral-artery-disease
#5
REVIEW
Kazeen Abdullah, Bassel Bou Dargham, Micah Steinbrecher, Bo Sun, Zhao Huiqiang, Houman Khalili, Emmanouil S Brilakis, Subhash Banerjee
Endovascular intervention is a mainstay treatment of peripheral artery disease (PAD) in addition to aggressive risk factor modification and exercise programs in patients with favorable anatomy or in those who are considered too high risk for surgical intervention. Treatment with percutaneous transluminal angioplasty (PTA) and bare metal stents (BMS) has been limited by high rates of in-stent restenosis (ISR) requiring repeat revascularization. Drug-eluting stents (DES), developed and designed to reduce ISR, offer a promising solution to the current challenges in endovascular management of PAD...
May 8, 2018: American Journal of Cardiovascular Drugs: Drugs, Devices, and Other Interventions
https://www.readbyqxmd.com/read/29737026/medical-simulation-in-interventional-cardiology-more-research-is-needed
#6
EDITORIAL
Peter Tajti, Emmanouil S Brilakis
Medical simulation is being used for training fellows to perform coronary angiography. Medical simulation training was associated with 2 min less fluoroscopy time per case after adjustment. Whether medical simulation really works needs to be evaluated in additional, well-designed and executed clinical studies.
May 1, 2018: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/29733911/diabetic-patients-also-deserve-tavr
#7
EDITORIAL
Jayant Bagai, Emmanouil S Brilakis
No abstract text is available yet for this article.
May 4, 2018: Hellenic Journal of Cardiology: HJC, Hellēnikē Kardiologikē Epitheōrēsē
https://www.readbyqxmd.com/read/29724351/a-new-treatment-strategy-for-saphenous-vein-graft-lesions-letting-it-go
#8
EDITORIAL
Emmanouil S Brilakis, Subhash Banerjee, M Nicholas Burke
No abstract text is available yet for this article.
May 8, 2018: Journal of the American College of Cardiology
https://www.readbyqxmd.com/read/29707284/does-the-hybrid-algorithm-has-real-impact-on-long-term-outcomes-or-should-only-be-used-as-a-valuable-approach-for-cto-crossing
#9
EDITORIAL
Peter Tajti, Emmanouil S Brilakis
No abstract text is available yet for this article.
March 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29706508/the-hybrid-approach-to-chronic-total-occlusion-percutaneous-coronary-intervention-update-from-the-progress-cto-registry
#10
Peter Tajti, Dimitri Karmpaliotis, Khaldoon Alaswad, Farouc A Jaffer, Robert W Yeh, Mitul Patel, Ehtisham Mahmud, James W Choi, M Nicholas Burke, Anthony H Doing, Phil Dattilo, Catalin Toma, A J Conrad Smith, Barry Uretsky, Elizabeth Holper, R Michael Wyman, David E Kandzari, Santiago Garcia, Oleg Krestyaninov, Dmitrii Khelimskii, Michalis Koutouzis, Ioannis Tsiafoutis, Jeffrey W Moses, Nicholas J Lembo, Manish Parikh, Ajay J Kirtane, Ziad A Ali, Darshan Doshi, Bavana V Rangan, Imre Ungi, Subhash Banerjee, Emmanouil S Brilakis
OBJECTIVES: The aim of this study was to determine the techniques and outcomes of hybrid chronic total occlusion (CTO) percutaneous coronary intervention (PCI) in a diverse group of patients and operators on 2 continents. BACKGROUND: CTO PCI has been evolving with constant improvement of equipment and techniques. METHODS: Contemporary outcomes of CTO PCI were examined by analyzing the clinical, angiographic, and procedural characteristics of 3,122 CTO interventions performed in 3,055 patients at 20 centers in the United States, Europe, and Russia...
April 26, 2018: JACC. Cardiovascular Interventions
https://www.readbyqxmd.com/read/29629960/complete-revascularization-for-everyone-anatomic-functional-or-neither-it-depends
#11
Emmanouil S Brilakis
No abstract text is available yet for this article.
May 2018: Coronary Artery Disease
https://www.readbyqxmd.com/read/29581362/innovations-in-radiation-safety-during-cardiovascular-catheterization
#12
Emmanouil S Brilakis
No abstract text is available yet for this article.
March 27, 2018: Circulation
https://www.readbyqxmd.com/read/29551454/diverse-perspectives-and-training-paths-in-cardiology-an-analysis-of-authorship-in-the-journal-of-the-american-college-of-cardiology
#13
Barbara A Danek, Aris Karatasakis, Judit Karacsonyi, Bavana V Rangan, Shuaib Abdullah, Paul Sorajja, Subhash Banerjee, Emmanouil S Brilakis
BACKGROUND: The role of women and foreign medical graduates (FMGs) in cardiology research published in the United States has received limited study. METHODS: We examined the characteristics of the first and last authors of all original contributions and review articles published in the Journal of the American College of Cardiology from October 1, 2015, to October 1, 2016. RESULTS: A total of 345 articles were identified, with 687 first and last authors originating from ≥50 different countries...
March 15, 2018: Hellenic Journal of Cardiology: HJC, Hellēnikē Kardiologikē Epitheōrēsē
https://www.readbyqxmd.com/read/29550088/update-in-the-percutaneous-management-of-coronary-chronic-total-occlusions
#14
REVIEW
Peter Tajti, M Nicholas Burke, Dimitri Karmpaliotis, Khaldoon Alaswad, Gerald S Werner, Lorenzo Azzalini, Mauro Carlino, Mitul Patel, Kambis Mashayekhi, Mohaned Egred, Oleg Krestyaninov, Dmitrii Khelimskii, William J Nicholson, Imre Ungi, Alfredo R Galassi, Subhash Banerjee, Emmanouil S Brilakis
Percutaneous coronary intervention (PCI) for chronic total occlusions (CTOs) has been rapidly evolving during recent years. With improvement in equipment and techniques, high success rates can be achieved at experienced centers, although overall success rates remain low. Prospective, randomized-controlled data regarding optimal use and indications for CTO PCI remain limited. CTO PCI should be performed when the anticipated benefit exceeds the potential risk. New high-quality studies of the clinical outcomes and techniques of CTO PCI are needed, as is the expansion of expert centers and operators that can achieve excellent clinical outcomes in this challenging patient and lesion subgroup...
April 9, 2018: JACC. Cardiovascular Interventions
https://www.readbyqxmd.com/read/29543185/contemporary-use-of-laser-during-percutaneous-coronary-interventions-insights-from-the-laser-veterans-affairs-lava-multicenter-registry
#15
Judit Karacsonyi, Ehrin J Armstrong, Huu Tam D Truong, Ryan Tsuda, Damianos G Kokkinidis, Jose Roberto Martinez-Parachini, Aya J Alame, Barbara A Danek, Aris Karatasakis, Michele Roesle, Houman Khalili, Imre Ungi, Subhash Banerjee, Emmanouil S Brilakis, Bavana V Rangan
BACKGROUND: The contemporary use and outcomes of excimer laser coronary atherectomy (ELCA) in percutaneous coronary intervention (PCI) are not well described. METHODS: We examined the baseline clinical and angiographic characteristics and procedural outcomes of 130 target lesions in 121 consecutive PCIs (n = 116 patients) in which ELCA was performed at three United States Department of Veterans Affairs (VA) medical centers between 2008 and 2016. RESULTS: Mean age was 68...
March 15, 2018: Journal of Invasive Cardiology
https://www.readbyqxmd.com/read/29493509/mechanical-circulatory-support-in-chronic-total-occlusion-percutaneous-coronary-intervention-insights-from-a-multicenter-u-s-registry
#16
Barbara A Danek, Mir B Basir, William W O'Neill, Mohammad Alqarqaz, Aris Karatasakis, Dimitri Karmpaliotis, Farouc A Jaffer, Robert W Yeh, Michael Wyman, William L Lombardi, David Kandzari, Nicholas Lembo, Anthony Doing, Mitul Patel, Ehtisham Mahmud, James W Choi, Catalin Toma, Jeffrey W Moses, Ajay Kirtane, Manish Parikh, Ziad A Ali, Santiago Garcia, Judit Karacsonyi, Bavana V Rangan, Craig A Thompson, Subhash Banerjee, Emmanouil S Brilakis, Khaldoon Alaswad
OBJECTIVE: To study outcomes with use of percutaneous mechanical circulatory support (MCS) devices in chronic total occlusion (CTO) percutaneous coronary intervention (PCI). METHODS: We examined characteristics and outcomes of 1598 CTO-PCIs performed from 2012-2017 at 12 high-volume centers. RESULTS: Patient age was 66 ± 10 years; 86% were men. An MCS device was used electively in 69 procedures (4%) and urgently in 22 procedures (1%). The most commonly used elective MCS device was Impella 2...
March 2018: Journal of Invasive Cardiology
https://www.readbyqxmd.com/read/29477790/bivalirudin-versus-unfractionated-heparin-in-peripheral-vascular-interventions
#17
Jad Omran, Tariq Enezate, Obai Abdullah, Ashraf S Al-Dadah, Herbert D Aronow, Jihad Mustapha, Fadi Saab, Emmanouil S Brilakis, Ryan R Reeves, Deepak L Bhatt, Ehtisham Mahmud
BACKGROUND: A number of studies suggest that bivalirudin (BIV) is associated with similar efficacy but reduced bleeding when compared with unfractionated heparin (UFH) in patients undergoing peripheral vascular interventions (PVI). METHODS: A comprehensive literature search was conducted with the electronic databases MEDLINE, EMBASE and CENTRAL. These were queried to identify studies comparing BIV with UFH in PVI. Study endpoints included total bleeding events, major and minor bleeding events and procedural success...
January 31, 2018: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://www.readbyqxmd.com/read/29460404/the-five-key-ingredients-for-improving-outcomes-in-cardiogenic-shock-complicating-acute-myocardial-infarction
#18
EDITORIAL
Emmanouil S Brilakis, Peter Eckman
Cardiogenic shock in the setting of acute myocardial infarction (AMICS) carries high mortality. A systematic, protocol-driven, approach to AMICS may improve outcomes. The 5 key "ingredients" for the managements of AMICS are: (a) early diagnosis; (b) hemodynamic assessment; (c) culprit-only coronary revascularization; (d) judicious use of mechanic circulatory support; (e) expert in-hospital treatment.
February 15, 2018: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/29440624/aminophylline-for-preventing-bradyarrhythmias-during-orbital-or-rotational-atherectomy-of-the-right-coronary-artery
#19
Michael Megaly, Yader Sandoval, Matthew P Lillyblad, Emmanouil S Brilakis
BACKGROUND: Coronary atherectomy, orbital or rotational, is frequently used for plaque modification in patients with heavily calcified lesions. Atherectomy can be associated with clinically significant bradyarrhythmias or transient atrioventricular block requiring temporary pacemaker insertion, mainly in lesions involving the right coronary artery or a dominant left circumflex artery. Bradyarrhythmias may be mediated by endogenous release of adenosine from red blood cell breakdown. Aminophylline, an adenosine antagonist, can prevent adenosine-mediated bradyarrhythmias...
May 2018: Journal of Invasive Cardiology
https://www.readbyqxmd.com/read/29430781/editorial-retrograde-via-epicardial-collaterals-with-power-comes-responsibility
#20
EDITORIAL
Peter Tajti, Emmanouil S Brilakis
No abstract text is available yet for this article.
February 2018: Journal of Interventional Cardiology
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