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Sarin Emory

Jose F Condado, Hanna A Jensen, Aneel Maini, Yi-An Ko, Mohammad H Rajaei, Lillian L Tsai, Chandan Devireddy, Bradley Leshnower, Kreton Mavromatis, Eric L Sarin, James Stewart, Robert A Guyton, Vasilis Babaliaros, Edward P Chen, Michael Halkos, Amy Simone, Patricia Keegan, Peter C Block, Vinod H Thourani
BACKGROUND: Screening for internal carotid artery stenosis (ICAS) with Doppler ultrasound is commonly used before cardiovascular surgery. Nevertheless, the relationship between ICAS and procedure-related stroke in isolated aortic valve replacement is unclear. METHODS: We retrospectively reviewed patients with artery stenosis who underwent ICAS screening before surgical (SAVR) or transcatheter aortic valve replacement (TAVR) between January 2007 and August 2014. Logistic regression models were used to determine the relation between post-procedure stroke and total (sum of left and right ICAS) and maximal unilateral ICAS...
October 4, 2016: Annals of Thoracic Surgery
Hanna A Jensen, Vinod H Thourani, Jessica Forcillo, Jose F Condado, Jose N Binongo, Vasilis Babaliaros, Yi Lasanajak, Bradley Leshnower, Chandan Devireddy, Robert Guyton, Kreton Mavromatis, Peter Block, Amy Simone, Patricia Keegan, James Stewart, Lillian L Tsai, Mohammad H Rajaei, Stamatios Lerakis, Eric L Sarin
BACKGROUND: Nontransfemoral (non-TF) transcatheter aortic valve replacement (TAVR) is often associated with worse outcomes than TF TAVR. We investigated the relationship between increasing Society of Thoracic Surgeons (STS) predicted risk of mortality (PROM) score and observed mortality and morbidity in TF and non-TF TAVR groups. METHODS: We reviewed 595 patients undergoing TAVR at Emory Healthcare between 2007 and 2014. Clinical outcomes were reported for 337 TF patients (57%) and 258 non-TF patients (43%)...
August 2016: Annals of Thoracic Surgery
Hanna A Jensen, Jose F Condado, Chandan Devireddy, Jose Binongo, Bradley G Leshnower, Vasilis Babaliaros, Eric L Sarin, Stamatios Lerakis, Robert A Guyton, James P Stewart, Amjadullah Q Syed, Kreton Mavromatis, Brian Kaebnick, Mohammad Hossein Rajaei, Lillian L Tsai, Ayaz Rahman, Amy Simone, Patricia Keegan, Peter C Block, Vinod H Thourani
BACKGROUND: A minimalist approach for transcatheter aortic valve replacement (MA-TAVR) utilizing transfemoral access under conscious sedation and transthoracic echocardiography is increasing in popularity. This relatively novel technique may necessitate a learning period to achieve proficiency in performing a successful and safe procedure. This report evaluates our MA-TAVR cohort with specific characterization between our early, midterm, and recent experience. METHODS: We retrospectively reviewed 151 consecutive patients who underwent MA-TAVR with surgeons and interventionists equally as primary operator at Emory University between May 2012 and July 2014...
October 2015: Journal of Thoracic and Cardiovascular Surgery
Bradley G Leshnower, Vinod H Thourani, Michael E Halkos, Eric L Sarin, William B Keeling, Mark J Lamias, Robert A Guyton, Edward P Chen
BACKGROUND: Despite improved results with surgical therapy for acute type A aortic dissection (ATAAD), there remains a lack of consensus regarding the optimal method of cerebral protection and circulation management during ATAAD. The purpose of this study is to determine whether in the setting of antegrade cerebral perfusion, moderate hypothermic circulatory arrest (MHCA) provides equivalent cerebral and visceral protection as deep hypothermic circulatory arrest (DHCA) for patients undergoing emergent ATAAD repair...
November 2015: Annals of Thoracic Surgery
Michael O Kayatta, Vinod H Thourani, Hanna A Jensen, Jose C Condado, Eric L Sarin, Patrick D Kilgo, Chandan M Devireddy, Bradley G Leshnower, Kreton Mavromatis, Chun Li, Robert A Guyton, James P Stewart, Amy Simone, Patricia Keegan, Peter Block, Stamatios Lerakis, Vasilis C Babaliaros
BACKGROUND: Transcatheter aortic valve replacement (TAVR) may offer extreme-aged patients a treatment alternative to surgical aortic valve replacement (SAVR). The objective of this study was to describe outcomes of TAVR in nonagenarians using transfemoral and alternative access techniques. METHODS: In a retrospective review, we found 95 nonagenarians who underwent TAVR from September 2007 through February 2014 at Emory University using a balloon expandable valve: transfemoral (n = 66), transapical (n = 14), transaortic (n = 14), and transcarotid (n = 1)...
October 2015: Annals of Thoracic Surgery
Vinod H Thourani, Chun Li, Chandan Devireddy, Hanna A Jensen, Patrick Kilgo, Bradley G Leshnower, Kreton Mavromatis, Eric L Sarin, Tom C Nguyen, Mihir Kanitkar, Robert A Guyton, Peter C Block, Amanda L Maas, Amy Simone, Patricia Keegan, John Merlino, James P Stewart, Stamatios Lerakis, Vasilis Babaliaros
BACKGROUND: Patient characteristics and procedural outcomes from nontransfemoral (non-TF) transcatheter aortic valve replacement (TAVR) in high-risk or inoperable patients with aortic stenosis have been incompletely reported. The purpose of this study was to compare outcomes with non-TF TAVR access techniques including transapical (TA), transaortic (TAo), and transcarotid (TC) TAVR with a balloon-expandable valve. METHODS: A retrospective review was performed of all patients undergoing TA, TAo, and TC TAVR from 2007 to 2013 at Emory University...
March 2015: Annals of Thoracic Surgery
Vinod H Thourani, Seyed Amirhossein Razavi, Tom C Nguyen, Patrick D Kilgo, John D Puskas, Robert A Guyton, Omar M Lattouf, Bradley G Leshnower, Edward P Chen, Eric L Sarin, Michael E Halkos
BACKGROUND: Atherosclerotic disease of the ascending aorta during coronary artery bypass graft surgery (CABG) increases the risk for postoperative stroke. The objective of this study was to examine the incidence of postoperative stroke in CABG utilizing the Heartstring (Maquet Cardiovascular, San Jose, CA) proximal anastomotic device. METHODS: Intraoperative epiaortic ultrasonography was used to grade atherosclerosis in CABG patients at Emory University from April 2003 to December 2012...
June 2014: Annals of Thoracic Surgery
Vinod H Thourani, Eric L Sarin, W Brent Keeling, Patrick D Kilgo, Robert A Guyton, Ameesh B Dara, John D Puskas, Edward P Chen, William A Cooper, J David Vega, Cullen D Morris, Omar M Lattouf
BACKGROUND: The objective of this study was to assess short-term and long-term outcomes after valve replacement with biologic or mechanical prostheses in patients with preoperative end-stage renal disease on chronic dialysis. METHODS: A retrospective review of patients with end-stage renal disease undergoing valve replacement from January 1996 through March 2008 at Emory Healthcare Hospitals was performed. Outcomes were compared using χ(2) tests and 2-sample t tests...
April 2011: Annals of Thoracic Surgery
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