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111 results on '"Abo-Salem, Elsayed"'

21. Percutaneous closure of right coronary to superior vena cava fistula.

Author

Abo-salem, Elsayed, Decanio, Raymond, Leesar, Massoud, Abruzzo, Todd, Vu, Doan, Alkhawam, Hassan, and Ristagno, Ross

Abstract

Coronary artery to superior vena cava (SVC) fistula is a very rare congenital anomaly of the heart. It typically follows the course of sinoatrial-nodal branch. It can originate from the right coronary or circumflex artery. In the majority of cases, it terminates in the SVC close to the right atrium junction. Only five cases were treated in literature successfully through a transcatheter approach. We present a case with a symptomatic right coronary artery to SVC fistula treated with a unique percutaneous embolization using a guidewire loop/balloon occlusion technique. Controlled access and embolization of the fistula was achieved by through-and-through guidewire access across the coronary fistula from the arterial groin access to the venous groin access with balloon occlusion of the coronary artery fistula while detachable coils were positioned. [ABSTRACT FROM AUTHOR]

Published
2019
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22. Distal radial artery access among cases with radial artery occlusion for primary percutaneous intervention.

Author

Alkhawam, Hassan, Windish, Stephanie, and Abo-Salem, Elsayed

Abstract

Radial artery access is associated with lower bleeding risks and higher patient satisfactions compared with femoral access. It is currently the preferred access for coronary catheterization and interventions, and increasingly used for peripheral and cranial vascular interventions. Herein, we present a patient who had a recent procedures included right transradial right vertebral artery and peripheral vascular interventions. She was admitted for abdominal aortic bifemoral artery bypass, and was complicated with ST elevation myocardial infarction that required immediate cardiac catheterization. Patient did not have palpable radial access and ultrasonography confirmed a total occlusion of right radial artery with thrombus. Although distal right radial artery - at the anatomical snuff box - was not palpable, artery was patent and could be accessed successfully with ultrasonography guidance. [ABSTRACT FROM AUTHOR]

Published
2019
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47. Coronary Orbital Atherectomy Through Newly Deployed Left Main Coronary Stent.

Author

Lobo TN, Ajluni S, Mogalapalli A, Kumar S, Hammad T, and Abo-Salem E

Abstract

Percutaneous coronary intervention (PCI) in complex, calcified coronary lesions can be assisted with orbital atherectomy (OA). OA is generally avoided when there are lesions amendable to OA distal to a newly deployed stent due to the risk of device-stent interaction, burr entrapment, and stent avulsion. We present a case documenting the successful passage of an OA system through a recently deployed left main stent to prepare a chronically occluded left anterior descending for PCI., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2023, Lobo et al.)

Published
2023
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48. Recurrent Stress-Induced Cardiomyopathy With Cardiogenic Shock Requiring Impella Left Ventricular Assist Device.

Author

Feghaly J, Oman Z, Das D, and Abo-Salem E

Abstract

Stress-induced cardiomyopathy (SIC) is associated with varying etiologies. We present a case of a 65-year-old female with recurrent SIC secondary to seizures who presented in cardiogenic shock requiring mechanical circulatory support using an Impella CP via the right axillary approach., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2021, Feghaly et al.)

Published
2021
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49. Wrapped Left Anterior Descending Artery Presenting As Inferior Myocardial Infarction: Case Report and Review of the Literature.

Author

Ghani AR, Mughal MS, Kumar S, Muskula P, and Abo-Salem E

Abstract

Acute occlusion of the left anterior descending (LAD) coronary artery generally results in ST-segment elevation in the anterior leads of the electrocardiogram and reciprocal ST-segment depression in the inferior leads. We present a case of LAD occlusion presenting as inferior wall ST-segment elevation myocardial infarction., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2021, Ghani et al.)

Published
2021
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50. Complex single ostium coronary artery from the right coronary sinus with unique course of anomalous left circumflex coronary artery.

Author

Shizukuda Y, Abo-Salem E, and Helmy T

Abstract

Single ostium coronary artery is a rare coronary artery anomaly. It is reported to occur in only 0.0448% of cases who underwent invasive coronary angiography. It can be associated with angina, arrhythmias, and possibly sudden death and is a clinically important entity to rule out in patients presenting with chest pain. We report the case of a 68-year old man who presented with worsening resting chest pain and underwent invasive coronary angiography and a single ostium coronary artery was identified. Subsequent coronary computed tomography (CT) angiography revealed it to be a unique variation of class R-III of Lipton classification of single ostium coronary artery. Lipton R-III single ostium coronary artery is rare and its incidence is reported to be 0.004% in patients who had invasive coronary angiography. In our case, anomalous left coronary circumflex artery was retroaortic course combined with intramyocardial course. It also divided into multiple obtuse marginal branches in the myocardium and never coursed along the anterior and lateral aspects of the arterioventricular groove. This variation has not been reported in the literature. Coronary CT angiography played an essential role to delineate this complex coronary anomaly. < Learning objective: Single ostium coronary artery is a rare coronary artery anomaly. However, it is a clinically important entity to rule out in the evaluation of patients with chest pain. Invasive coronary angiography can identify this anomaly; however, coronary computed tomography angiography is recommended to fully characterize this condition as demonstrated in our case. Depending on the detailed anatomical information of the anomaly, the clinical management needs to be tailored for these cases.>.

Published
2015
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