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45 results on '"Jurado-Roman, Alfonso"'

2. Combined Use of MITRACLIP and Ventricular ASSIST Devices in Cardiogenic Shock: MITRA-ASSIST Registry.

Author

Rivero-Santana, Borja, Jurado-Roman, Alfonso, Pascual, Isaac, Li, Chi Hion, Jimenez, Pilar, Estevez-Loureiro, Rodrigo, Cepas-Guillén, Pedro, Benito-González, Tomás, Serrador, Ana, De La Torre-Hernandez, Jose Maria, Avanzas, Pablo, Fernandez-Peregrina, Estefania, Nombela, Luis, Caneiro-Queija, Berenice, Freixas, Xavier, Fernandez-Vazquez, Felipe, Amat-Santos, Ignacio, Lee, Dae-Hyun, Leon, Victor, and Arzamendi, Dabit

Subjects
*HEART assist devices, *MECHANICAL hearts, *ST elevation myocardial infarction, *ARTIFICIAL blood circulation, *MYOCARDIAL infarction, *INTRA-aortic balloon counterpulsation
Abstract

Background: Patients with cardiogenic shock (CS) and mitral regurgitation (MI) have a prohibitive risk that contraindicates surgical treatment. Although the feasibility of transcatheter edge-to-edge therapy (TEER) has been demonstrated in this setting, the benefit of the combined use of TEER with mechanical circulatory support devices (MCS) has not been studied. The aim of this study was to evaluate the clinical outcomes of TEER in patients with MCS. Methods: The MITRA-ASSIST study is a retrospective multicentre Spanish registry that included patients with MR and CS who underwent TEER in combination with MCS. The primary endpoint was death from any cause at 12 months. The secondary endpoint was a composite of death from any cause or hospitalisation for heart failure at 12 months. Results: A total of twenty-four patients in nine high-volume Spanish centres (66.2 (51–82) years, 70.8% female, EuroSCORE II 20.4 ± 17.8) were included. Acute ST-elevation myocardial infarction was the main CS aetiology (56%), and the most implanted MCS was the intra-aortic balloon pump (82.6%), followed by ECMO (8.7%), IMPELLACP® (4.3%), or a combination of both (4.3%). Procedural success was 95.8%, with 87.5% in-hospital survival. At 12-month follow-up, 25.0% of patients died, and 33.3% had a composite event of death from any cause or hospitalisation for heart failure. Conclusions: TEER in patients with concomitant CS and MR who require MCS appears to be a promising therapeutic alternative with a high device procedural success rate and acceptable mortality and heart failure readmission rates at follow-up. [ABSTRACT FROM AUTHOR]

Published
2024
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3. Drug-Eluting Balloons in Calcified Coronary Lesions: A Meta-Analysis of Clinical and Angiographic Outcomes.

Author

Rivero-Santana, Borja, Jurado-Roman, Alfonso, Galeote, Guillermo, Jimenez-Valero, Santiago, Gonzalvez, Ariana, Tebar, Daniel, and Moreno, Raul

Subjects
*MAJOR adverse cardiovascular events, *MYOCARDIAL infarction, *TREATMENT effectiveness, *ANGIOGRAPHY
Abstract

Background: The usefulness of drug-eluting balloons (DEBs) has not been fully elucidated in calcified coronary lesions (CCLs). This meta-analysis aimed to evaluate the efficacy of DEBs compared to a drug-eluting stent (DES) in this setting. Methods: PubMed, EMBASE and Cochrane were searched through December 2023. The primary endpoint was 12 months major adverse cardiac events (MACE). Secondary endpoints included clinical outcomes and angiographic results after PCI and at a 12-month follow-up. Results: Five studies and a total of 1141 patients with 1176 coronary lesions were included. Overall, the DEB was comparable to DES in MACE (RR = 0.86, 95% CI: 0.62–1.19, p = 0.36), cardiac death (RR = 0.59, 95% CI: 0.23–1.53, p = 0.28), myocardial infarction (RR = 0.89, 95% CI: 0.25–3.24, p = 0.87) and target lesion revascularization (RR = 1.1, 95% CI: 0.68–1.77, p = 0.70). Although the DEB was associated with worse acute angiographic outcomes (acute gain; MD = −0.65, 95% CI: −0.73, −0.56 and minimal lumen diameter; MD = −0.75, 95% CI: −0.89, −0.61), it showed better results at 12 months follow-up (late lumen loss; MD = −0.34, 95% CI: −0.62, −0.07). Conclusions: This meta-analysis showed that the DEB strategy is comparable to DES in the treatment of CCLs in terms of clinical outcomes. Although the DEB strategy had inferior acute angiographic results, it may offer better angiographic results at follow-up. [ABSTRACT FROM AUTHOR]

Published
2024
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8. Transcatheter mitral valve repair in nonagenarians.

Author

Luis Cepas-Guillén, Pedro, Pascual, Isaac, Garcia, Eulogio, Jimenez-Quevedo, Pilar, Jurado-Roman, Alfonso, Benito-González, Tomás, Estevez-Loureiro, Rodrigo, Li, Pedro, Arzamendi, Dabit, Melica, Bruno, Infante de Oliveira, Eduardo, Martín Lorenzo, Pedro, Fernández-Vázquez, Felipe, Galeote, Guillermo, Nombela-Franco, Luis, Unzue, Leire, Avanzas, Pablo, Sabate, Manel, and Freixa, Xavier

Subjects
MITRAL valve surgery, MITRAL valve insufficiency, CARDIAC catheterization, HEART valve diseases, ECHOCARDIOGRAPHY, PROSTHETIC heart valves, COMPUTED tomography
Published
2022
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36. TCT-838 Radial access in the very elderly

Author

Julio García-Tejada, M. Teresa Velazquez, Juan Tascón, Carolina Granda, Agustín Albarrán, Felipe Hernández, Lola Villagraz, Jurado-Roman Alfonso, Sandra Mayordomo, and Leticia Blazquez

Subjects
medicine.medical_specialty, business.industry, Physical therapy, medicine, business, Cardiology and Cardiovascular Medicine
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37. TCT-473 Efficacy and safety of abciximab administration in contemporary primary percutaneous coronary intervention

Author

Roberto Martín-Asenjo, Belen Rubio, Jurado-Roman Alfonso, Sandra Mayordomo, Carolina Granda, Felipe Henandez, Agustín Albarrán, Juan Tascón, M. Teresa Velazquez, and Julio García-Tejada

Subjects
medicine.medical_specialty, business.industry, medicine.medical_treatment, Percutaneous coronary intervention, Internal medicine, Emergency medicine, medicine, Abciximab, Cardiology, cardiovascular diseases, business, Cardiology and Cardiovascular Medicine, Administration (government), medicine.drug
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38. TCT-411 Results Of Percutaneous Coronary Intervention With Sequent Please® Paclitaxel Eluting Balloon Catheter In Diabetic Patients At A Very Long-Term Follow-Up.

Author

Sanchez-Perez, Ignacio, Jurado-Roman, Alfonso, Lozano, Fernando, Lopez-Lluva, Maria T., Moreno-Arciniegas, Andrea, Marina-Breysse, Manuel, and Pinilla-Echeverri, Natalia

Subjects
*PERCUTANEOUS coronary intervention, *PACLITAXEL, *DRUG-eluting stents, *MEDICAL balloons, *PEOPLE with diabetes, *FOLLOW-up studies (Medicine)
Published
2015
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39. TCT-410 Results Of Percutaneous Coronary Intervention Of “De Novo” Lesions With Sequent Please® Paclitaxel Eluting Balloon Catheter At A Very Long-Term Follow-Up.

Author

Sanchez-Perez, Ignacio, Jurado-Roman, Alfonso, Lozano, Fernando, Pinilla-Echeverri, Natalia, Lopez-Lluva, Maria T., Marina-Breysse, Manuel, and Moreno-Arciniegas, Andrea

Subjects
*PERCUTANEOUS coronary intervention, *PACLITAXEL, *CARDIAC catheterization, *DRUG-eluting stents, *MEDICAL balloons, *FOLLOW-up studies (Medicine)
Published
2015
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40. TCT-185 Effect of IVL in Varying Calcium Morphologies: A Prospective Study With Optical Coherence Tomography Analysis.

Author

McInerney, Angela, Alfonso, Fernando, Travieso, Alejandro, Val, David del, Cerrato, Enrico, Brugaletta, Salvatore, Sabate, Manel, Garcia de Lara, Juan, Kockar, Marcelo Jiménez, Nieto, Alejandro Diego, Jurado-Roman, Alfonso, Cepas-Guillen, Pedro L., Hernandez, Jose de la Torre, Bermudez, Eduardo Pinar, Cubero-Gallego, Hector, Vaquerizo, Beatriz, Perez de Prado, Armando, Jimenez Diaz, Victor Alfonso, Amat-Santos, Ignacio, and Varbella, Ferdinando

Subjects
*OPTICAL coherence tomography, *LONGITUDINAL method, *CALCIUM, *MORPHOLOGY
Published
2022
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41. Successful valve-in-valve replacement using intravascular lithotripsy for femoral access in an elderly patient with critical aortic stenosis and extensive vascular calcification.

Author

Rivero-Santana B, Galeote G, Jurado-Roman A, Jiménez-Valero S, Gonzálvez-García A, and Moreno R

Abstract

An 87-year-old man with a history of heart failure and a modified bio-Bentall Mitroflow 23-mm bioprosthesis (Sorin) was referred to our institution for critical aortic stenosis, which was confirmed by transesophageal echocardiography. Pre-procedural computed tomography revealed slightly calcified bioprosthesis leaflets, adequate coronary ostia height, and a slightly angled Bentall tube graft measuring 29 mm in diameter at the aortic anastomosis .

Published
2024
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42. Chronic Total Occlusion Techniques to Recanalize an Occluded Pulmonary Vein After Atrial Fibrillation Ablation.

Author

Rivero-Santana B, Jurado-Roman A, Jimenez-Valero S, Galeote G, Moreno R, and Merino JL

Subjects
Male, Humans, Aged, Angioplasty adverse effects, Constriction, Pathologic diagnosis, Constriction, Pathologic etiology, Constriction, Pathologic surgery, Pulmonary Veins diagnostic imaging, Pulmonary Veins surgery, Atrial Fibrillation diagnosis, Atrial Fibrillation surgery, Atrial Fibrillation complications, Vascular Diseases surgery, Catheter Ablation adverse effects
Abstract

Cardiac computed tomography (CT) scan was performed in a 69-year-old male with atrial fibrillation radiofrequency ablation who was admitted for transcatheter angioplasty of left inferior pulmonary vein (LIPV) stenosis due to recurrent hemoptysis. CT showed complete ostial occlusion in the area of the LIPV. Occlusion of the pulmonary vein ostium is a rare complication. We describe the successful use of chronic occlusion techniques in the treatment of this patient.

Published
2023
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43. "Water Gun:" A New Morphology of Left Atrial Appendage.

Author

Rivero-Santana B, Galeote G, Valbuena S, Jimenez-Valero S, Moreno R, and Jurado-Roman A

Subjects
Humans, Aged, 80 and over, Echocardiography, Transesophageal, Treatment Outcome, Atrial Appendage diagnostic imaging, Atrial Appendage surgery, Atrial Fibrillation complications, Atrial Fibrillation diagnosis, Atrial Fibrillation surgery, Thrombosis, Cardiac Surgical Procedures
Abstract

An 86-year-old patient with non-valvular atrial fibrillation was referred to our institution to undergo a left atrial appendage (LAA) closure for recurrent gastrointestinal bleeding on direct oral anticoagulants. The transesophageal echocardiogram (TEE) performed the previous day evaluated the morphology and dimensions of the LAA and ruled out any thrombus. During the procedure, a pigtail catheter was inserted into the LAA, observing an unusual image we describe as a culde- sac, without an anomalous connection with any drainage in other vessel or cavity. After additional imaging studies, we concluded that it was morphology related to LAA, which we have termed the "water-gun" morphology. Four morphologies have been described based on the shape of the central and secondary lobes. To the best of our knowledge, this is the first description of a fifth type, which was shown to be effectively closed with current closure devices.

Published
2023
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45. Transcatheter mitral valve repair in nonagenarians.

Author

Cepas-Guillén PL, Pascual I, Garcia E, Jimenez-Quevedo P, Jurado-Roman A, Benito-González T, Estevez-Loureiro R, Li P, Arzamendi D, Melica B, de Oliveira EI, Lorenzo PM, Fernández-Vázquez F, Galeote G, Nombela-Franco L, Unzue L, Avanzas P, Sabate M, and Freixa X

Abstract

Competing Interests: Dr. Nombela-Franco has served as a proctor for Abbott; and has received speaker fee from Edwards Lifesciences Inc and Boston Scientific. Dr. Freixa has served as a proctor for Abbott. Dr. Estevez-Loureiro speaker fees from Abbott, Boston Edwards Lifesciences and P&F. Dr. Melica has served as a proctor for Abbott.

Published
2022
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