Search

Your search keyword '"Cees-Joost Botman"' showing total 3 results
Start Over Author "Cees-Joost Botman"
3 results on '"Cees-Joost Botman"'

1. Conservative versus Invasive Strategy in Elderly Patients with Non-ST-Elevation Myocardial Infarction: Insights from the International POPular Age Registry

Author

Wout W. A. van den Broek, Marieke E. Gimbel, Dean R. P. P. Chan Pin Yin, Jaouad Azzahhafi, Renicus S. Hermanides, Craig Runnett, Robert F. Storey, David Austin, Rohit Oemrawsingh, Justin Cooke, Gavin Galasko, Ronald J. Walhout, Dirk A. A. M. Schellings, Stijn L. Brinckman, Hong Kie The, Martin G. Stoel, Antonius A. C. M. Heestermans, Debby Nicastia, Mireille E. Emans, Arnoud W. J. van ’t Hof, Hannes Alber, Robert Gerber, Paul F. M. M. van Bergen, Ismail Aksoy, Abdul Nasser, Paul Knaapen, Cees-Joost Botman, Anho Liem, Johannes C. Kelder, and Jurriën M. ten Berg

Subjects
coronary artery disease, non-ST-elevation myocardial infarction, elderly, conservative strategy, invasive strategy, Medicine
Abstract

This registry assessed the impact of conservative and invasive strategies on major adverse clinical events (MACE) in elderly patients with non-ST-elevation myocardial infarction (NSTEMI). Patients aged ≥75 years with NSTEMI were prospectively registered from European centers and followed up for one year. Outcomes were compared between conservative and invasive groups in the overall population and a propensity score-matched (PSM) cohort. MACE included cardiovascular death, acute coronary syndrome, and stroke. The study included 1190 patients (median age 80 years, 43% female). CAG was performed in 67% (N = 798), with two-thirds undergoing revascularization. Conservatively treated patients had higher baseline risk. After propensity score matching, 319 patient pairs were successfully matched. MACE occurred more frequently in the conservative group (total population 20% vs. 12%, adjHR 0.53, 95% CI 0.37–0.77, p = 0.001), remaining significant in the PSM cohort (18% vs. 12%, adjHR 0.50, 95% CI 0.31–0.81, p = 0.004). In conclusion, an early invasive strategy was associated with benefits over conservative management in elderly patients with NSTEMI. Risk factors associated with ischemia and bleeding should guide strategy selection rather than solely relying on age.

Published
2023
Full Text
View/download PDF

2. Percutaneous coronary intervention of an iatrogenic occlusion of the circumflex coronary artery after mitral valve replacement

Author

Luuk C. Otterspoor, Stefan Jl Leus, M Erwin Sh Tan, Cees-Joost Botman, and Simon Awg Dello

Subjects
Male, medicine.medical_specialty, medicine.medical_treatment, Iatrogenic Disease, 030204 cardiovascular system & hematology, Critical Care and Intensive Care Medicine, Coronary Angiography, 03 medical and health sciences, 0302 clinical medicine, Percutaneous Coronary Intervention, Postoperative Complications, Occlusion, medicine, Humans, In patient, cardiovascular diseases, 030212 general & internal medicine, Heart Valve Prosthesis Implantation, business.industry, Mitral valve replacement, Percutaneous coronary intervention, Mitral Valve Insufficiency, General Medicine, Middle Aged, Coronary Vessels, Surgery, Bypass surgery, Coronary Occlusion, cardiovascular system, Mitral valve replacement surgery, Circumflex coronary artery, Cardiology and Cardiovascular Medicine, business, Complication
Abstract

Occlusion of the circumflex coronary artery by compromising sutures is a serious complication in patients undergoing mitral valve replacement. The majority of such patients have to undergo bypass surgery or redo mitral valve replacement. We report a case of an iatrogenic occlusion of the circumflex coronary artery after mitral valve replacement that was treated by percutaneous coronary intervention.

Published
2015

3. Transesophageal Echocardiographic Evaluation of Tricuspid Valve Regurgitation During Pacemaker and Implantable Cardioverter Defibrillator Lead Extraction

Author

Berry M. van Gelder, Cees Joost Botman, Frank A. Bracke, Jan melle van Dantzig, Albert Meijer, Kathinka H. Peels, and Simone Roeffel

Subjects
Male, Pacemaker, Artificial, medicine.medical_specialty, medicine.medical_treatment, Group ii, Implantable defibrillator, Internal medicine, Humans, Medicine, Tricuspid valve, business.industry, General Medicine, Middle Aged, Ventricular pacing, Implantable cardioverter-defibrillator, Tricuspid Valve Insufficiency, Defibrillators, Implantable, Surgery, medicine.anatomical_structure, Cardiology, Female, Implant, Tricuspid Valve Regurgitation, Cardiology and Cardiovascular Medicine, business, Echocardiography, Transesophageal, Lead extraction
Abstract

Chronically implanted ventricular pacing and defibrillator (ICD) leads can adhere to the tricuspid valve. This study examined the effect of lead extraction, and laser sheath extraction in particular, on tricuspid valve regurgitation. Lead extraction was first tried with traction using limited force followed by a laser sheath if not successful. Tricuspid valve regurgitation before and after extraction was evaluated with transesophageal echocardiography and graded from 0 (none) to 4 (severe). A change in regurgitation was considered clinically relevant if it increased with two grades or more and resulted in at least grade 3 regurgitation. Fifty ventricular leads were extracted in 43 consecutive patients, including 14 ICD leads. In 20 patients (group I) leads were removed without a (laser) sheath crossing the tricuspid valve, in 23 patients (group II) leads were extracted with lasing across the valve. The mean time from implant was 43 +/- 43 months and 99 +/- 78 months, respectively, (P = 0.007). Tricuspid regurgitation increased in five (12%) patients. In group I only in one patient the laser failed proximal of the valve and forceful traction was subsequently used, and in group II this occurred in four (17%) patients. This difference did not reach statistical significance even excluding the patient from group I (P = 0.111). The increase of tricuspid regurgitation cautions against indiscriminate extraction of superfluous leads. There is a trend that when tools like a laser sheath are necessary the chance of tricuspid valve damage increases.

Published
2002

Catalog

Books, media, physical & digital resources
See catalog results