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29 results on '"Morcos, Ramez"'

5. Role of oesophageal cooling in the prevention of oesophageal injury in atrial fibrillation catheter ablation: a systematic review and meta-analysis of randomized controlled trials

Author

Hamed, Mohamed, primary, Elseidy, Sheref A, additional, Abdelazeem, Mohamed, additional, Morcos, Ramez, additional, Abdallah, Ahmed, additional, Sammour, Yasser, additional, Barakat, Amr F, additional, Khalife, Wissam, additional, Ramu, Vijay, additional, Mamas, Mamas A, additional, and Elbadawi, Ayman, additional

Published
2023
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6. HYBRID CARDIAC ABLATION AND LEFT ATRIAL APPENDAGE CLOSURE: INSIGHT FROM NATIONAL DATABASE

Author

Hamed, Mohamed, primary, Morcos, Ramez, additional, Rubens, Muni, additional, Saxena, Anshul, additional, Samaan, Emad, additional, Hegazy, Omar, additional, Abdelazeem, Mohamed, additional, Elkatcha, Beshoy, additional, Blair, Brian, additional, Jacobs, Daniel, additional, Maini, Brijeshwar Singh, additional, Veledar, Emir, additional, and Khalili, Houman, additional

Published
2022
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7. UTILIZATION AND IN-HOSPITAL OUTCOMES OF TRANSESOPHAGEAL ECHOCARDIOGRAPHY VERSUS INTRACARDIAC ECHOCARDIOGRAPHY FOR LEFT ATRIAL APPENDAGE CLOSURE: INSIGHT FROM NATIONWIDE DATABASE

Author

Hamed, Mohamed, primary, Morcos, Ramez, additional, Rubens, Muni, additional, Saxena, Anshul, additional, Samaan, Emad, additional, Abdelazeem, Mohamed, additional, Hegazy, Omar, additional, Elkatcha, Beshoy, additional, Jacobs, Daniel, additional, Blair, Brian, additional, Veledar, Emir, additional, Maini, Brijeshwar Singh, additional, and Khalili, Houman, additional

Published
2022
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12. A Rare Iatrogenic Trio

Author

Satyavolu, Bharadwaj, primary, Lodhi, Hamza A., additional, Mathews, Adithya, additional, Bansal, Priya, additional, Altaii, Haider, additional, Morcos, Ramez, additional, Desai, Anand, additional, Maini, Brijeshwar, additional, and Khalili, Houman, additional

Published
2021
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16. Decline in the Volume of Structural Heart Procedures in the United States Due to the COVID-19 Pandemic

Author

Khalili, Houman, primary, Lodhi, Hamza A., additional, Luna, Michael, additional, Hasan, Rani K., additional, Banerjee, Subhash, additional, Harvey, James E., additional, Byrne, Timothy, additional, Hanzel, George S., additional, Abbas, Amr E., additional, Bhatia, Nirmanmoh, additional, Shreenivas, Satya S., additional, Mathews, Adithya, additional, Bansal, Priya, additional, Morcos, Ramez, additional, and Maini, Brijeshwar, additional

Published
2021
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24. Incidence of Early Atrial Fibrillation After Transcatheter versus Surgical Aortic Valve Replacement: A Meta-Analysis of Randomized Controlled Trials.

Author

Altaii, Haider, Morcos, Ramez, Riad, Fady S., Abdulameer, Halah, Khalili, Houman, Maini, Brijeshwar, Lieberman, Eric, Vivas, Yoel, Wiegn, Phi, Joglar, Jose A., Mackall, Judith, Al-Kindi, Sadeer G., and Thal, Sergio

Subjects
*ATRIAL fibrillation, *AORTIC valve transplantation, *RANDOMIZED controlled trials, *RANDOM effects model, *HEART valve prosthesis implantation
Abstract

Background: Post-operative atrial fibrillation (POAF) is common after aortic valve replacement (AVR) and is associated with worse outcomes. We performed a meta-analysis of randomized controlled trials comparing Surgical Aortic Valve Replacement (SAVR) and Transcatheter Aortic Valve Replacement (TAVR) for incidence of POAF at 30 days. Methods: We searched databases from 1/1/1990 to 1/1/2020 for randomized studies comparing TAVR and SAVR. POAF was defined as either worsening or new-onset atrial fibrillation. Random effects model was used to estimate the risk of POAF with TAVR vs SAVR in all trials, and in subgroups (low, intermediate, high risk, and in self-expandable vs balloon expandable valves). Sensitivity analysis was performed including only studies reporting new-onset atrial fibrillation Results: Seven RCTs were identified that enrolled 7,934 patients (3,999 to TAVR and 3,935 to SAVR). The overall incidence of POAF was 9.7% after TAVR and 33.3% after SAVR. TAVR was associated with a lower risk of POAF compared with SAVR (OR 0.21 [0.18-0.24]; P < 0.0001). Compared with SAVR, TAVR was associated with a significantly lower risk of POAF in the high-risk cohort (OR 0.37 [0.27-0.49]; P < 0.0001), in the intermediate-risk cohort (OR 0.23 [0.19-0.28]; P < 0.0001), low-risk cohort (OR 0.13 [0.10-0.16]; P < 0.0001). Sensitivity analysis of 4 trials including only new-onset POAF showed similar summary estimates (OR 0.21, 95% CI [0.18-0.25]; P< 0.0001). Conclusions: TAVR is associated with a significantly lower risk of post-operative atrial fibrillation compared with SAVR in all strata. Further studies are needed to identify the contribution of post-operative atrial fibrillation to the differences in clinical outcomes after TAVR and SAVR. [ABSTRACT FROM AUTHOR]

Published
2020

28. Role of oesophageal cooling in the prevention of oesophageal injury in atrial fibrillation catheter ablation: a systematic review and meta-analysis of randomized controlled trials.

Author

Hamed M, Elseidy SA, Abdelazeem M, Morcos R, Abdallah A, Sammour Y, Barakat AF, Khalife W, Ramu V, Mamas MA, and Elbadawi A

Subjects
Humans, Randomized Controlled Trials as Topic, Treatment Outcome, Atrial Fibrillation diagnosis, Atrial Fibrillation surgery, Esophageal Diseases, Catheter Ablation adverse effects, Catheter Ablation methods
Abstract

Aims: To evaluate the efficacy of oesophageal cooling in the prevention of oesophageal injury in patients undergoing atrial fibrillation (AF) catheter ablation., Methods and Results: Comprehensive search of MEDLINE, EMBASE, and Cochrane databases through April 2022 for randomized controlled trials (RCTs) evaluating the role of oesophageal cooling compared with control in the prevention of oesophageal injury during AF catheter ablation. The study primary outcome was the incidence of any oesophageal injury. The meta-analysis included 4 RCTs with a total of 294 patients. There was no difference in the incidence of any oesophageal injury between oesophageal cooling and control [15% vs. 19%; relative risk (RR) 0.86; 95% confidence interval (CI) 0.31-2.41]. Compared with control, oesophageal cooling showed lower risk of severe oesophageal injury (1.5% vs. 9%; RR 0.21; 95% CI 0.05-0.80). There were no significant differences among the two groups in mild to moderate oesophageal injury (13.6% vs. 12.1%; RR 1.09; 95% CI 0.28-4.23), procedure duration [standardized mean difference (SMD) -0.03; 95% CI -0.36-0.30], posterior wall radiofrequency (RF) time (SMD 0.27; 95% CI -0.04-0.58), total RF time (SMD -0.50; 95% CI -1.15-0.16), acute reconnection incidence (RR 0.93; 95% CI 0.02-36.34), and ablation index (SMD 0.16; 95% CI -0.33-0.66)., Conclusion: Among patients undergoing AF catheter ablation, oesophageal cooling did not reduce the overall risk of any oesophageal injury compared with control. Oesophageal cooling might shift the severity of oesophageal injuries to less severe injuries. Further studies should evaluate the long-term effects after oesophageal cooling during AF catheter ablation., Competing Interests: Conflict of interest: None declared, (© The Author(s) 2023. Published by Oxford University Press on behalf of the European Society of Cardiology.)

Published
2023
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29. Quality of Life Outcomes After Transcatheter Aortic Valve Replacement in Nonagenarians.

Author

Khalili H, Bansal P, Al Taii H, Morcos R, Kucharik M, Mathews A, Lodhi H, Chandrasekhar S, Fahmy A, Doddapaneni D, and Maini B

Subjects
Activities of Daily Living, Age Factors, Aged, 80 and over, Aortic Valve diagnostic imaging, Aortic Valve surgery, Female, Health Status, Humans, Male, Quality of Life, Risk Factors, Treatment Outcome, Aortic Valve Stenosis diagnosis, Aortic Valve Stenosis surgery, Transcatheter Aortic Valve Replacement adverse effects
Abstract

Background: Transcatheter aortic valve replacement (TAVR) for severe aortic stenosis (AS) is an increasingly prevalent treatment in patients who are intermediate or high risk for surgical intervention. In nonagenarian patients undergoing TAVR, symptomatic relief and quality of life (QoL) outcomes have not been well established. This study explores these outcomes in this patient population that has been underrepresented in landmark clinical trials., Methods: All patients who underwent TAVR between January 1, 2015 and December 31, 2018 at Delray Medical Center were included. The 12-item Kansas City Cardiomyopathy Questionnaire Overall Summary (KCCQ-OS) score was used to assess QoL prior to and 30 days following TAVR in two patient groups: the nonagenarian group (patients ≥90 years old) and the younger group (patients <90 years old). KCCQ-OS scores were compared between these two groups. Frailty assessment included grip strength, gait speed, and activities of daily living. Unadjusted and adjusted analyses (baseline KCCQ-OS score, frailty, and Society of Thoracic Surgery perioperative risk of mortality [STS-PROM] score) were performed to assess the impact of age on QoL outcomes in both groups., Results: Of the total 223 patients included in this study, a total of 46 (20.6%) were nonagenarians and 118 (52.7%) were men. KCCQ-OS scores were lower at baseline and 30-day follow-up in nonagenarians compared with the younger group (P=.70). Age was a significant predictor of 30- day KCCQ-OS in unadjusted and adjusted analyses (adjusted for baseline KCCQ-OS, frailty, and STS-PROM score). Nonagenarians had an average 6.45 points lower 30-day KCCQ-OS scores than the younger patients in adjusted analysis. However, there was a significant clinical improvement in the 30-day KCCQ-OS score in both groups (P<.001)., Conclusions: Our data suggest that with appropriate patient selection, a significant clinical improvement may be expected with TAVR in nonagenarians.

Published
2020

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