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Emmanouil Brilakis

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https://www.readbyqxmd.com/read/29629960/complete-revascularization-for-everyone-anatomic-functional-or-neither-it-depends
#1
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
#2
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
#3
Barbara A Danek, Aris Karatasakis, Judit Karacsonyi, Bavana V Rangan, Shuaib Abdullah, Paul Sorajja, Subhash Banerjee, Emmanouil S Brilakis
The role of women and foreign medical graduates in cardiology research published in the United States has received limited study. 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. A total of 345 articles were identified, with 687 first and last authors originating from ≥50 different countries. Overall 17% of authors were women (20% of first and 14% of last authors)...
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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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...
February 15, 2018: Journal of Invasive Cardiology
https://www.readbyqxmd.com/read/29430781/editorial-retrograde-via-epicardial-collaterals-with-power-comes-responsibility
#10
EDITORIAL
Peter Tajti, Emmanouil S Brilakis
No abstract text is available yet for this article.
February 2018: Journal of Interventional Cardiology
https://www.readbyqxmd.com/read/29413236/randomized-comparison-of-a-crossboss-first-versus-standard-wire-escalation-strategy-for-crossing-coronary-chronic-total-occlusions-the-crossboss-first-trial
#11
Judit Karacsonyi, Peter Tajti, Bavana V Rangan, Sean C Halligan, Raymond H Allen, William J Nicholson, James E Harvey, Anthony J Spaedy, Farouc A Jaffer, J Aaron Grantham, Adam Salisbury, Anthony J Hart, David M Safley, William L Lombardi, Ravi Hira, Creighton Don, James M McCabe, M Nicholas Burke, Khaldoon Alaswad, Gerald C Koenig, Kintur A Sanghvi, Daniel Ice, Richard C Kovach, Vincent Varghese, Bilal Murad, Kenneth W Baran, Erica Resendes, Jose R Martinez-Parachini, Aris Karatasakis, Barbara A Danek, Rahel Iwnetu, Michele Roesle, Houman Khalili, Subhash Banerjee, Emmanouil S Brilakis
OBJECTIVES: The authors performed a multicenter, randomized-controlled, clinical trial comparing upfront use of the CrossBoss catheter versus antegrade wire escalation for antegrade crossing of coronary chronic total occlusions. BACKGROUND: There is equipoise about the optimal initial strategy for crossing coronary chronic total occlusions. METHODS: The primary endpoints were the time required to cross the chronic total occlusion or abort the procedure and the frequency of procedural major adverse cardiovascular events...
February 12, 2018: JACC. Cardiovascular Interventions
https://www.readbyqxmd.com/read/29405599/wanted-expert-operators-for-coronary-chronic-total-occlusion-interventions
#12
EDITORIAL
Emmanouil S Brilakis, Oleg Krestyaninov
Coronary chronic total occlusions can be recanalized by expert operators with high success and acceptable complication rates. Developing a procedural plan (using the hybrid or another algorithm) is critical for success. Live case demonstrations appear safe and can be of high educational value. The key factor for achieving good outcomes in chronic total occlusion interventions remains operator expertise. Development of more expert operators will improve the treatment options for this challenging group of lesions and patients...
February 1, 2018: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/29395703/long-term-outcomes-of-percutaneous-coronary-intervention-for-chronic-total-occlusion-in-patients-who-have-undergone-coronary-artery-bypass-grafting-vs-those-who-have-not
#13
Lorenzo Azzalini, Soledad Ojeda, Aris Karatasakis, Joren Maeremans, Masaki Tanabe, Alessio La Manna, Rustem Dautov, Luiz F Ybarra, Susanna Benincasa, Barbara Bellini, Luciano Candilio, Ozan M Demir, Francisco Hidalgo, Judit Karacsonyi, Giacomo Gravina, Eligio Miccichè, Guido D'Agosta, Giuseppe Venuti, Corrado Tamburino, Manuel Pan, Mauro Carlino, Joseph Dens, Emmanouil S Brilakis, Antonio Colombo, Stéphane Rinfret
BACKGROUND: We aimed to investigate the procedural and long-term outcomes of percutaneous coronary intervention (PCI) for chronic total occlusion (CTO) in patients who had undergone previous coronary artery bypass grafting (CABG) vs those who had not, and to evaluate the role of the Registry of CrossBoss and Hybrid procedures in France, the Netherlands, Belgium, and United Kingdom (RECHARGE) score in predicting acute and long-term outcomes. METHODS: We compiled a multicentre registry of consecutive patients undergoing CTO PCI at 7 centres between January 2009 and April 2017...
December 26, 2017: Canadian Journal of Cardiology
https://www.readbyqxmd.com/read/29365623/the-correlation-of-near-infrared-spectroscopy-lipid-pools-with-computationally-measured-accumulation-of-low-density-lipoprotein-in-coronary-arteries
#14
Theodora Bampali, Lampros Lakkas, Antonis Sakellarios, Panagiotis Siogkas, John Andrikos, Anna Kotsia, Michail Papafaklis, Christos Katsouras, Dimitrios I Fotiadis, Dimitrios Karmpaliotis, Emmanouil Brilakis, Lampros Michalis
No abstract text is available yet for this article.
August 2017: Atherosclerosis
https://www.readbyqxmd.com/read/29360064/overview-and-proposed-terminology-for-the-reverse-controlled-antegrade-and-retrograde-tracking-reverse-cart-techniques
#15
Shunsuke Matsuno, Etsuo Tsuchikane, Scott A Harding, Eugene B Wu, Hsien-Li Kao, Emmanouil S Brilakis, Kambis Mashayekhi, Gerald S Werner
During recent years, equipment and techniques for percutaneous coronary intervention (PCI) of chronic total occlusions (CTO) have significantly improved. The retrograde approach remains critical to the improved success of CTO PCI. Currently, the reverse controlled antegrade and retrograde tracking (CART) technique has become the dominant retrograde wire crossing technique. In this article, we propose a standardized terminology and classification of this technique into 3 subtypes: a) conventional reverse CART, that usually involves use of large balloons on the antegrade wire to achieve reentry within the CTO segment; b) "directed" reverse CART which is characterized by small antegrade balloon size and more active, intentional vessel tracking and penetration with a controllable retrograde wire, still within the CTO segment; and c) "extended" reverse CART in which the intimal/ subintimal dissection is extended proximal or distal to the CTO segment, achieving reentry outside the CTO segment...
January 23, 2018: EuroIntervention
https://www.readbyqxmd.com/read/29359452/prevalence-presentation-and-treatment-of-balloon-undilatable-chronic-total-occlusions-insights-from-a-multicenter-us-registry
#16
EDITORIAL
Peter Tajti, Dimitri Karmpaliotis, Khaldoon Alaswad, Catalin Toma, James W Choi, Farouc A Jaffer, Anthony H Doing, Mitul Patel, Ehtisham Mahmud, Barry Uretsky, Aris Karatasakis, Judit Karacsonyi, Barbara A Danek, Bavana V Rangan, Subhash Banerjee, Imre Ungi, Emmanouil S Brilakis
BACKGROUND: The prevalence, treatment and outcomes of balloon undilatable chronic total occlusions (CTOs) have received limited study. METHODS: We examined the prevalence, clinical and angiographic characteristics, and procedural outcomes of percutaneous coronary interventions (PCIs) for balloon undilatable CTOs in a contemporary multicenter US registry. RESULTS: Between 2012 and 2017 data on balloon undilatable lesions were available for 425 consecutive CTO PCIs in 415 patients in whom guidewire crossing was successful: 52 of 425 CTOs were balloon undilatable (12%)...
March 1, 2018: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/29359408/the-double-stingray-technique-for-recanalizing-chronic-total-occlusions-with-bifurcation-at-the-distal-cap
#17
Peter Tajti, Darshan Doshi, Dimitri Karmpaliotis, Emmanouil S Brilakis
Antegrade dissection re-entry is often discouraged for chronic total occlusions (CTOs) with a bifurcation at the distal cap due to risk of side branch occlusion that can lead to periprocedural myocardial infarction and incomplete revascularization. Antegrade dissection re-entry, however, is often needed, especially in complex cases. We present the novel "double Stingray technique" for CTOs involving bifurcations, in which the Stingray system is used twice for re-entry into both vessel branches, followed by two-stent bifurcation stenting to maintain the patency of both branches...
January 23, 2018: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/29331437/influence-of-operator-experience-and-pci-volume-on-transfemoral-access-techniques-a-collaboration-of-international-cardiovascular-societies
#18
Daniel W Nelson, Abdulla A Damluji, Nish Patel, Marco Valgimigli, Stephan Windecker, Robert Byrne, James Nolan, Tejas Patel, Emmanouil Brilakis, Subhash Banerjee, Jorge Mayol, Warren J Cantor, Carlos E Alfonso, Sunil V Rao, Mauro Moscucci, Mauricio G Cohen
INTRODUCTION: Transfemoral access (TFA) is widely used for coronary angiography and percutaneous coronary intervention (PCI). The influence of operator age, gender, experience, and procedural volume on performance of femoral arterial access has not been studied. METHODS: A survey instrument was developed and distributed via e-mail from professional societies to interventional cardiologists worldwide from March to December 2016. RESULTS: A total of 988 physicians from 88 countries responded to the survey...
December 27, 2017: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://www.readbyqxmd.com/read/29330258/chronic-total-occlusion-percutaneous-coronary-intervention-evidence-and-controversies
#19
REVIEW
Peter Tajti, Emmanouil S Brilakis
No abstract text is available yet for this article.
January 12, 2018: Journal of the American Heart Association
https://www.readbyqxmd.com/read/29314592/impact-of-sleep-deprivation-on-the-outcomes-of-percutaneous-coronary-intervention
#20
Ann Iverson, Larissa Stanberry, Ross Garberich, Amber Antos, Yader Sandoval, M Nicholas Burke, Ivan Chavez, Mario Gössl, Timothy D Henry, Daniel Lips, Michael Mooney, Anil Poulose, Paul Sorajja, Jay Traverse, Yale Wang, Steven Bradley, Emmanouil S Brilakis
OBJECTIVES: This study sought to compare the clinical outcomes of percutaneous coronary interventions (PCIs) performed by sleep deprived and non-sleep deprived operators. BACKGROUND: Interventional cardiologists are at risk for sleep deprivation as they often have to perform emergent procedures at night, but the effects of sleep deprivation on clinical outcomes have received limited study. METHODS: We examined the frequency, clinical characteristics, and outcomes of daytime PCIs performed by sleep deprived and non-sleep deprived operators at a tertiary medical center...
January 3, 2018: Catheterization and Cardiovascular Interventions
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