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Your search keyword '"Basir, Mir Babar"' showing total 22 results
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22 results on '"Basir, Mir Babar"'

1. Impact of calcium on the procedural techniques and outcomes of chronic total occlusion percutaneous coronary intervention

Author

Kostantinis, Spyridon, Rempakos, Athanasios, Simsek, Bahadir, Karacsonyi, Judit, Allana, Salman S., Alexandrou, Michaella, Gorgulu, Sevket, Alaswad, Khaldoon, Basir, Mir Babar, Davies, Rhian E., Benton, Stewart M., Jr, Krestyaninov, Oleg, Khelimskii, Dmitrii, Frizzell, Jarrod, Ybarra, Luiz F., Bagur, Rodrigo, Reddy, Niranjan, Kerrigan, Jimmy L., Haddad, Elias V., Love, Michael, Elbarouni, Basem, Soylu, Korhan, Yildirim, Ufuk, Dattilo, Philip, Azzalini, Lorenzo, Kearney, Kathleen, Sadek, Yasser, ElGuindy, Ahmed M., Abi Rafeh, Nidal, Goktekin, Omer, Mastrodemos, Olga C., Rangan, Bavana V., Sandoval, Yader, Burke, M. Nicholas, and Brilakis, Emmanouil S.

Published
2023
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10. Escalating Temporary Mechanical Circulatory Support In Worsening Cardiogenic Shock: Feasibility In Advanced Heart Failure Therapy Candidates.

Author

Isseh, Iyad N., Gorgis, Sarah, Dagher, Carina, Sharma, Shivani, Basir, Mir Babar, and Parikh, Sachin

Abstract

Temporary mechanical circulatory support (tMCS) can be used in cardiogenic shock (CS) as a bridge to advanced heart failure therapies (AHFT) (durable LVAD, cardiac transplantation). tMCS escalation in worsening CS has never been studied and prognostication in this cohort is needed, particularly in candidates for AHFT. We evaluated potential predictors of survival and outcomes of those that received AHFT. From 07/2016-07/2018 we identified patients with worsening CS shock requiring tMCS escalation. Worsening CS was defined as persistent hypotension; increasing doses of vasopressors/inotropes; worsening end-organ perfusion parameters; and/or worsening invasive hemodynamics. tMCS escalation was defined as adding/exchanging tMCS device to existing tMCS. Potential prognostic variables were evaluated in ROC curves. All statistical tests were performed with a two-sided p value=05. 81 consecutive patients (61±14y, 73%m) had worsening CS shock requiring tMCS escalation. Devices used were IABP, Impella (2 5, CP, 5 0), ECMO and Tandem (TandemHeart, TandemLife, ProtekDuo). Survival to discharge was 32%. Etiology of shock was heterogeneous (33% AMI; 62% decompensated heart failure). 62% were transfers from outside hospitals. Utilization of a PA catheter pre-escalation was associated with improved survival compared to absence of a PA catheter (40% vs 18%, p =0.05). ROC curves demonstrated prognostic thresholds associated with survival: age <53y (80% specificity) and pre-escalation cardiac power output (CPO) >0.92 Watts (87% specificity). While prognostic thresholds associated with mortality were: age >69 y (81% specificity), BMI >35 kg/m2 (81% specificity), pre-escalation cardiac power output (CPO) <0.53 Watts (82% specificity), pre-escalation lactate >3 mmol/L (81% specificity). AUC was greatest in post-escalation blood pressure indicating persistence of hypotension post-escalation (SBP <85 mmHg; MAP <67 mmHg) was associated with a dismal prognosis (specificity 92% for both for predicting mortality).7 patients went on to receive AHFT (49±13.4y, 57%m) with a mean BMI 32±11.4 kg/m2. 6 received durable LVAD during index hospitalization, 4 of which survived. 4 underwent transplant in subsequent hospitalizations, all of which survived. Majority had decompensated heart failure as etiology of shock (NICM=5, ICM=1, AMI=1) and received tMCS escalation within 1 day (n=6). All patients were classified as Stage D SCAI CS at the time of escalation and 5 received vasopressors/inotropes. Majority of patients had a PA catheter at time of escalation (n=6). Overall survival was higher in the AHFT compared to those that did not receive AHFT (n=5, 71% vs n=21, 28.4%, p =0.03). tMCS escalation in worsening CS incurs poor survival overall (32%). tMCS escalation is feasible in stabilizing patients with worsening CS that are candidates for AHFT. [ABSTRACT FROM AUTHOR]

Published
2020
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13. THE INCIDENCE OF UNSTABLE ANGINA IN PATIENTS WITH LOW HIGH-SENSITIVITY TROPONIN I VALUES: A SUBGROUP ANALYSIS OF THE RACE-IT TRIAL.

Author

Fadel, Raef, Miller, Joseph, Cook, Bernard, Nguyen, Felix, Alqarqaz, Mohammad, Fuller, Brittany, Basir, Mir Babar, Frisoli, Tiberio M., Villablanca, Pedro Arturo, Jabri, Ahmad, Alaswad, Khaldoon, Khandelwal, Akshay K., Lingam, Natesh, O'Neill, Brian Patrick, Kim, Henry E., Pielsticker, Elizabeth Jane, Koenig, Gerald C., Mills, Nicholas L., and Mahler, Simon A.

Subjects
*TROPONIN I, *ANGINA pectoris, *SUBGROUP analysis (Experimental design)
Published
2024
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14. IMPACT OF SHEATH SIZE ON THE OUTCOMES OF CHRONIC TOTAL OCCLUSION PERCUTANEOUS CORONARY INTERVENTION.

Author

Rempakos, Athanasios, Alexandrou, Michaella, Mutlu, Deniz, Choi, James W., Poommipanit, Paul, Khatri, Jaikirshan J., Davies, Rhian E., Gorgulu, Sevket, Jaffer, Farouc A., Chandwaney, Raj H., Azzalini, Lorenzo, Kearney, Kathleen E., Alaswad, Khaldoon, Basir, Mir Babar, Krestianinov, Oleg, Khelimskii, Dmitrii, Rafeh, Nidal Abi, ElGuindy, Ahmed Mohamed, Goktekin, Omer, and Rangan, Bavana V.

Subjects
*CHRONIC total occlusion, *PERCUTANEOUS coronary intervention
Published
2024
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15. PREDICTORS OF SUCCESSFUL PRIMARY ANTEGRADE WIRING IN CHRONIC TOTAL OCCLUSION PERCUTANEOUS CORONARY INTERVENTION.

Author

Rempakos, Athanasios, Alexandrou, Michaella, Mutlu, Deniz, Choi, James W., Poommipanit, Paul, Khatri, Jaikirshan J., Davies, Rhian E., Gorgulu, Sevket, Jaffer, Farouc A., Chandwaney, Raj H., Azzalini, Lorenzo, Alaswad, Khaldoon, Basir, Mir Babar, Krestianinov, Oleg, Khelimskii, Dmitrii, Rafeh, Nidal Abi, ElGuindy, Ahmed Mohamed, Goktekin, Omer, Rangan, Bavana V., and Mastrodemos, Olga

Subjects
*CHRONIC total occlusion, *PERCUTANEOUS coronary intervention
Published
2024
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16. COMPARATIVE ANALYSIS OF POLYMER VS NON-POLYMER JACKETED WIRES IN CHRONIC TOTAL OCCLUSION PERCUTANEOUS CORONARY INTERVENTION.

Author

Alexandrou, Michaella, Rempakos, Athanasios, Mutlu, Deniz, Al-Ogaili, Ahmed, Choi, James W., Poommipanit, Paul, Alaswad, Khaldoon, Basir, Mir Babar, Davies, Rhian E., Benton, Stewart M., Jaffer, Farouc A., Chandwaney, Raj H., Kearney, Kathleen E., ElGuindy, Ahmed Mohamed, Rafeh, Nidal Abi, Gorgulu, Sevket, Khatri, Jaikirshan J., Rangan, Bavana V., Sandoval, Yader, and Lombardi, William L.

Subjects
*CHRONIC total occlusion, *PERCUTANEOUS coronary intervention, *COMPARATIVE studies, *POLYMERS
Published
2024
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17. EQUIPMENT ENTRAPMENT/LOSS IN CHRONIC TOTAL OCCLUSION PERCUTANEOUS CORONARY INTERVENTION.

Author

Alexandrou, Michaella, Rempakos, Athanasios, Mutlu, Deniz, Al-Ogaili, Ahmed, Choi, James W., Poommipanit, Paul, Alaswad, Khaldoon, Basir, Mir Babar, Davies, Rhian E., Jaffer, Farouc A., Chandwaney, Raj H., Azzalini, Lorenzo, Aygul, Nazif, Dattilo, Philip B., Jefferson, Brian K., Gorgulu, Sevket, Khatri, Jaikirshan J., Krestianinov, Oleg, Frizzell, Jarrod David, and Elbarouni, Basem

Subjects
*CHRONIC total occlusion, *PERCUTANEOUS coronary intervention
Published
2024
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18. RETROGRADE CHRONIC TOTAL OCCLUSION INTERVENTIONS VIA IPSILATERAL COLLATERALS.

Author

Al-Ogaili, Ahmed, Alexandrou, Michaella, Rempakos, Athanasios, Mutlu, Deniz, Choi, James W., Poommipanit, Paul, Khatri, Jaikirshan J., Alaswad, Khaldoon, Basir, Mir Babar, Chandwaney, Raj H., Gorgulu, Sevket, ElGuindy, Ahmed Mohamed, Elbarouni, Basem, Jaber, Wissam A., Rinfret, Stéphane, Nicholson, William J., Jaffer, Farouc A., Aygul, Nazif, Azzalini, Lorenzo, and Rangan, Bavana V.

Subjects
*CHRONIC total occlusion
Published
2024
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20. Cardiac Shock Care Centers: JACC Review Topic of the Week.

Author

Rab, Tanveer, Ratanapo, Supawat, Kern, Karl B., Basir, Mir Babar, McDaniel, Michael, Meraj, Perwaiz, King III, Spencer B., O'Neill, William, and King, Spencer B 3rd

Subjects
*CARDIOGENIC shock, *MYOCARDIAL infarction, *MYOCARDIAL infarction treatment, *SHOCK (Pathology), *PERCUTANEOUS coronary intervention, *REPERFUSION injury, *MYOCARDIAL infarction complications, *MEDICAL protocols, *SPECIALTY hospitals
Abstract

Despite advances over the past decade, the incidence of cardiogenic shock secondary to acute myocardial infarction has increased, with an unchanged mortality near 50%. Recent trials have not clarified the best strategies in treatment. While dedicated cardiac shock centers are being established, there are no standardized agreements on the utilization of mechanical circulatory support and the timeliness of percutaneous coronary intervention strategies. In some centers and prospective registries, outcomes after placement of advanced mechanical circulatory support prior to reperfusion therapy with percutaneous coronary intervention have been encouraging with improved survival. Here, we suggest systems of care with a treatment pathway for patients with acute myocardial infarction complicated by cardiogenic shock. [ABSTRACT FROM AUTHOR]

Published
2018
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