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Your search keyword '"Engele, Leo J."' showing total 3 results
Start Over Author "Engele, Leo J." Publisher elsevier
3 results on '"Engele, Leo J."'

1. Clinical Course of TGA After Arterial Switch Operation in the Current Era

Author

Cardiologie onderzoek 1, Cardiologie, Team Medisch, Circulatory Health, Cardiopulmonale Chirurgie pat. zorg, Child Health, Regenerative Medicine and Stem Cells, Engele, Leo J., van der Palen, Roel L.F., Joosen, Renée S., Sieswerda, Gertjan T., Schoof, Paul H., van Melle, Joost P., Berger, Rolf M.F., Accord, Ryan E., Rammeloo, Lukas A.J., Konings, Thelma C., Helbing, Wim A., Roos-Hesselink, Jolien W., van de Woestijne, Pieter C., Frerich, Stefan, van Dijk, Arie P.J., Kuipers, Irene M., Hazekamp, Mark G.H., Mulder, Barbara J.M., Breur, Johannes M.P.J., Blom, Nico, Jongbloed, Monique R.M., Bouma, Berto J., Cardiologie onderzoek 1, Cardiologie, Team Medisch, Circulatory Health, Cardiopulmonale Chirurgie pat. zorg, Child Health, Regenerative Medicine and Stem Cells, Engele, Leo J., van der Palen, Roel L.F., Joosen, Renée S., Sieswerda, Gertjan T., Schoof, Paul H., van Melle, Joost P., Berger, Rolf M.F., Accord, Ryan E., Rammeloo, Lukas A.J., Konings, Thelma C., Helbing, Wim A., Roos-Hesselink, Jolien W., van de Woestijne, Pieter C., Frerich, Stefan, van Dijk, Arie P.J., Kuipers, Irene M., Hazekamp, Mark G.H., Mulder, Barbara J.M., Breur, Johannes M.P.J., Blom, Nico, Jongbloed, Monique R.M., and Bouma, Berto J.

Published
2024

2. Decreased clinical performance in TGA-ASO patients after RVOT interventions; a multicenter European collaboration.

Author

Engele LJ, González-Fernández V, Mulder BJM, Ruperti-Repilado FJ, Abia RL, van der Vlist K, Buendía F, Rueda J, Gabriel H, Schrutka L, Bouchardy J, Schwerzmann M, Possner M, Greutmann M, Gallego P, Ladouceur M, Jongbloed MRM, Tobler D, Dos L, and Bouma BJ

Subjects
Humans, Male, Female, Adult, Young Adult, Europe epidemiology, Ventricular Outflow Obstruction surgery, Ventricular Outflow Obstruction physiopathology, Ventricular Outflow Obstruction diagnostic imaging, Arterial Switch Operation methods, Arterial Switch Operation adverse effects, Exercise Tolerance physiology, Exercise Test methods, Treatment Outcome, Ventricular Function, Right physiology, Follow-Up Studies, Transposition of Great Vessels surgery, Transposition of Great Vessels physiopathology
Abstract

Background: In patients with transposition of the great arteries and an arterial switch operation (TGA-ASO) right ventricular outflow tract (RVOT) obstruction is a common complication requiring one or more RVOT interventions., Objectives: We aimed to assess cardiopulmonary exercise capacity and right ventricular function in patients stratified for type of RVOT intervention., Methods: TGA-ASO patients (≥16 years) were stratified by type of RVOT intervention. The following outcome parameters were included: predicted (%) peak oxygen uptake (peak VO2), tricuspid annular plane systolic excursion (TAPSE), tricuspid Lateral Annular Systolic Velocity (TV S'), right ventricle (RV)-arterial coupling (defined as TAPSE/RV systolic pressure ratio), and N-terminal proBNP (NT-proBNP)., Results: 447 TGA patients with a mean age of 25.0 (interquartile range (IQR) 21-29) years were included. Patients without previous RVOT intervention (n = 338, 76%) had a significantly higher predicted peak VO2 (78.0 ± 17.4%) compared to patients with single approach catheter-based RVOT intervention (73.7 ± 12.7%), single approach surgical RVOT intervention (73.8 ± 28.1%), and patients with multiple approach RVOT intervention (66.2 ± 14.0%, p = 0.021). RV-arterial coupling was found to be significantly lower in patients with prior catheter-based and/or surgical RVOT intervention compared to patients without any RVOT intervention (p = 0.029)., Conclusions: TGA patients after a successful arterial switch repair have a decreased exercise capacity. A considerable amount of TGA patients with either catheter or surgical RVOT intervention perform significantly worse compared to patients without RVOT interventions., (Copyright © 2024 The Authors. Published by Elsevier B.V. All rights reserved.)

Published
2024
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3. Coagulation and Anticoagulation in Fontan Patients.

Author

Heidendael JF, Engele LJ, Bouma BJ, Dipchand AI, Thorne SA, McCrindle BW, and Mulder BJM

Subjects
Adult, Anticoagulants therapeutic use, Child, Humans, Warfarin therapeutic use, Fontan Procedure adverse effects, Fontan Procedure methods, Heart Defects, Congenital epidemiology, Heart Defects, Congenital surgery, Stroke etiology, Venous Thromboembolism drug therapy
Abstract

Patients with a Fontan circulation for single-ventricle physiology are at increased risk of developing thromboembolic events. Thromboembolic events can lead to failure of the Fontan circulation, chronic sequelae in case of stroke, and early mortality. Controversies exist regarding the substrates, risk factors, and optimal detection methods for thromboembolic events. Despite the major clinical implications, there is currently no consensus regarding the optimal antithrombotic therapy to prevent or treat thromboembolic events after the Fontan procedure. In this review we aimed to untangle the available literature regarding antithrombotic prophylaxis and treatment for pediatric and adult Fontan patients. A decision-tree algorithm for thromboprophylaxis in Fontan patients is proposed. Additionally, the current state of knowledge is reviewed with respect to the epidemiology, pathophysiology, and detection of thromboembolic events in Fontan patients, and important evidence gaps are highlighted., (Copyright © 2022 The Authors. Published by Elsevier Inc. All rights reserved.)

Published
2022
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