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Jonathan M Tobis, Andrew Charles, Stephen D Silberstein, Sherman Sorensen, Brijeshwar Maini, Phillip A Horwitz, John C Gurley
BACKGROUND: Migraine is a prevalent and disabling disorder. Patent foramen ovale (PFO) has been associated with migraine, but its role in the disorder remains poorly understood. OBJECTIVES: This study examined the efficacy of percutaneous PFO closure as a therapy for migraine with or without aura. METHODS: The PREMIUM (Prospective, Randomized Investigation to Evaluate Incidence of Headache Reduction in Subjects With Migraine and PFO Using the AMPLATZER PFO Occluder to Medical Management) was a double-blind study investigating migraine characteristics over 1 year in subjects randomized to medical therapy with a sham procedure (right heart catheterization) versus medical therapy and PFO closure with the Amplatzer PFO Occluder device (St...
December 5, 2017: Journal of the American College of Cardiology
Lisa Bergersen, Kimberlee Gauvreau, Henri Justino, Alan Nugent, Jonathon Rome, Jacqueline Kreutzer, John Rhodes, David Nykanen, Evan Zahn, Larry Latson, Phillip Moore, James Lock, Kathy Jenkins
BACKGROUND: We sought to determine the safety and efficacy of Cutting Balloon therapy (CB) compared with conventional high-pressure balloon therapy (HPB) for the treatment of pulmonary artery stenosis. METHODS AND RESULTS: This prospective, randomized, multicenter, investigational device exemption trial compared CB with HPB. Patient eligibility was determined at the precatheterization assessment; vessel eligibility was determined at catheterization. In all vessels, low-pressure balloon dilation to 8 atm was performed, and if it was not successful, the vessel was randomized to CB or HPB...
November 29, 2011: Circulation
Ariel Roguin, Jacob Goldstein, Olivier Bar, James A Goldstein
Physicians performing interventional procedures are chronically exposed to ionizing radiation, which is known to pose increased cancer risks. We recently reported 9 cases of brain cancer in interventional cardiologists. Subsequently, we received 22 additional cases from around the world, comprising an expanded 31 case cohort. Data were transmitted to us during the past few months. For all cases, where possible, we endeavored to obtain the baseline data, including age, gender, tumor type, and side involved, specialty (cardiologist vs radiologist), and number of years in practice...
May 1, 2013: American Journal of Cardiology
Catherine M Otto, Dharam J Kumbhani, Karen P Alexander, John H Calhoon, Milind Y Desai, Sanjay Kaul, James C Lee, Carlos E Ruiz, Christina M Vassileva
No abstract text is available yet for this article.
March 14, 2017: Journal of the American College of Cardiology
Mario J Garcia
About one-half of the patients with congestive heart failure have preserved left ventricular ejection fraction (HFpEF). Although the etiology of HFpEF is most commonly related to long-standing hypertension and atherosclerosis, a significant number of suspected HFpEF patients have a restrictive cardiomyopathy or chronic pericardial disease. Recognizing these syndromes is important because early diagnosis may lead to instituting specific therapy that may prolong survival, improve quality of life, and/or recognize and treat an underlying systemic disorder...
May 3, 2016: Journal of the American College of Cardiology
Doff B McElhinney, Michael D Quartermain, Damien Kenny, Ernerio Alboliras, Zahid Amin
BACKGROUND: Transcatheter closure of secundum atrial septal defects (ASD) using the Amplatzer septal occluder is generally safe and effective, but erosion into the pericardial space or aorta has been described. Although the absolute risk of this complication is low, there has been no assessment of relative risk factors. METHODS AND RESULTS: All erosions reported to St. Jude Medical after ASD closure with an Amplatzer septal occluder (cases) were compared with controls (matched 2:1) who underwent ASD closure but did not develop an erosion...
May 3, 2016: Circulation
Doff B McElhinney, Allison K Cabalka, Jamil A Aboulhosn, Andreas Eicken, Younes Boudjemline, Stephan Schubert, Dominique Himbert, Jeremy D Asnes, Stefano Salizzoni, Martin L Bocks, John P Cheatham, Tarek S Momenah, Dennis W Kim, Dietmar Schranz, Jeffery Meadows, John D R Thomson, Bryan H Goldstein, Ivory Crittendon, Thomas E Fagan, John G Webb, Eric Horlick, Jeffrey W Delaney, Thomas K Jones, Shabana Shahanavaz, Carolina Moretti, Michael R Hainstock, Damien P Kenny, Felix Berger, Charanjit S Rihal, Danny Dvir
BACKGROUND: Off-label use of transcatheter aortic and pulmonary valve prostheses for tricuspid valve-in-valve implantation (TVIV) within dysfunctional surgical tricuspid valve (TV) bioprostheses has been described in small reports. METHODS AND RESULTS: An international, multicenter registry was developed to collect data on TVIV cases. Patient-related factors, procedural details and outcomes, and follow-up data were analyzed. Valve-in-ring or heterotopic TV implantation procedures were not included...
April 19, 2016: Circulation
Tariq Abu-Tair, Christiane M Wiethoff, Jascha Kehr, Wlodzimierz Kuroczynski, Christoph Kampmann
The GORE(®) Septal Occluder (GSO) is a well-evaluated device for interventional ASD closure with closure rates comparable to the Amplatzer(®) Septal Occluder (ASO), but there are no published reports of its use in small children weighing less than 10 kg. This may be due to the necessity of a large-sized introducing sheath of at least 10 Fr and therefore the assumed risk of complications in vascular access. The GSO is an alternative option for interventional ASD closure in children weighing less than 10 kg...
April 2016: Pediatric Cardiology
Pradeepkumar Charlagorla, David Becerra, Parth M Patel, Mark Hoyer, Robert K Darragh
Congenital pulmonary vein stenosis (PVS) is a rare entity with limited outcome literature. Multiple interventional approaches have evolved including surgical and catheterization techniques. Our objective is to report our center experience and to compare short-term and mid-term outcomes among these therapeutic modalities. Retrospective study on 23 patients (n = 23) with PVS that required intervention over the last 13 years (2000-2013). Patients were divided into three groups based on type of initial intervention...
January 2016: Pediatric Cardiology
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