Search

Your search keyword '"Divya Ratan Verma"' showing total 6 results
Start Over Author "Divya Ratan Verma" Language english
6 results on '"Divya Ratan Verma"'

1. Volume-outcome relationships for transcatheter aortic valve replacement-risk-adjusted and volume stratified analysis of TAVR outcomes

Author

Divya Ratan Verma, Yash Pershad, Mohamad Lazkani, Kenith Fang, Michael Morris, and Ashish Pershad

Subjects
Health-care outcomes, Transcatheter-valve-interventions, Institutional-volume, Surgery, RD1-811, Diseases of the circulatory (Cardiovascular) system, RC666-701
Abstract

Objectives: This purpose of the study was to evaluate TAVR outcomes at low, intermediate and high volume institutions. Background: For the care of complex patients, volume-outcome effect is well described. The initial US TAVR experience was limited to a few centers of excellence. The impact of institutional volume on outcomes after TAVR has not been systematically studied. Methods: Within the Banner Health system, TAVR is performed at 3 institutions-a low volume, an intermediate volume and a high volume institution. 181 consecutive patients undergoing TAVR within these 3 institutions were the study cohort. To adjust for bias and confounders between the 3 groups, risk-adjusted multivariate logistic regression and propensity score analysis was performed. The primary endpoint was a composite of mortality, dialysis-dependent renal failure, cerebrovascular accident, need for new permanent pacemaker and readmission within 30 days. Results: The primary endpoint was reached in 38.8% of patients at the high volume institution and 76.2% of patients at the low volume institution (p 30, diabetes, hypertension, prior CAD, CKD and NYHA class III/IV heart failure. Conclusions: High-risk patients undergoing TAVR at a large volume institution have better 30-day outcomes compared to outcomes at intermediate and low volume centers.

Published
2017
Full Text
View/download PDF

2. 'Putting it all together': Highlighting the global approach to chronic total occlusion revascularization

Author

Mohamad Lazkani, Divya Ratan Verma, Michael Morris, and Ashish Pershad

Subjects
Percutaneous coronary intervention, CTO, Coronary artery disease, Coronary bypass grafts, CORG, Surgery, RD1-811, Diseases of the circulatory (Cardiovascular) system, RC666-701
Abstract

Preprocedural planning and advanced imaging is vital to achieve a consistent and high level of success for complex coronary chronic total occlusion (CTO) revascularization. Various practice patterns exist around the world when performing coronary artery CTO revascularization. This case report highlights a fusion of global practices in CTO intervention and integration of advanced imaging to achieve successful revascularization.

Published
2016
Full Text
View/download PDF

3. Volume-outcome relationships for transcatheter aortic valve replacement-risk-adjusted and volume stratified analysis of TAVR outcomes

Author

Ashish Pershad, Yash Pershad, Michael F. Morris, Divya Ratan Verma, Kenith Fang, and Mohamad Lazkani

Subjects
Male, medicine.medical_specialty, Hospitals, Low-Volume, Time Factors, RD1-811, medicine.medical_treatment, 030204 cardiovascular system & hematology, Logistic regression, Transcatheter Aortic Valve Replacement, 03 medical and health sciences, 0302 clinical medicine, Postoperative Complications, Valve replacement, Risk Factors, Internal medicine, Clinical endpoint, Diseases of the circulatory (Cardiovascular) system, Medicine, Health-care outcomes, Humans, 030212 general & internal medicine, Aged, Retrospective Studies, Aged, 80 and over, Transcatheter-valve-interventions, business.industry, Incidence, Confounding, Aortic Valve Stenosis, medicine.disease, United States, Survival Rate, Treatment Outcome, RC666-701, Heart failure, Propensity score matching, Cohort, Cardiology, Institutional-volume, Surgery, Original Article, Female, Cardiology and Cardiovascular Medicine, business, Hospitals, High-Volume, Volume (compression), Follow-Up Studies
Abstract

Objectives: This purpose of the study was to evaluate TAVR outcomes at low, intermediate and high volume institutions. Background: For the care of complex patients, volume-outcome effect is well described. The initial US TAVR experience was limited to a few centers of excellence. The impact of institutional volume on outcomes after TAVR has not been systematically studied. Methods: Within the Banner Health system, TAVR is performed at 3 institutions-a low volume, an intermediate volume and a high volume institution. 181 consecutive patients undergoing TAVR within these 3 institutions were the study cohort. To adjust for bias and confounders between the 3 groups, risk-adjusted multivariate logistic regression and propensity score analysis was performed. The primary endpoint was a composite of mortality, dialysis-dependent renal failure, cerebrovascular accident, need for new permanent pacemaker and readmission within 30 days. Results: The primary endpoint was reached in 38.8% of patients at the high volume institution and 76.2% of patients at the low volume institution (p 30, diabetes, hypertension, prior CAD, CKD and NYHA class III/IV heart failure. Conclusions: High-risk patients undergoing TAVR at a large volume institution have better 30-day outcomes compared to outcomes at intermediate and low volume centers.

Published
2017

4. 'Putting it all together': Highlighting the global approach to chronic total occlusion revascularization

Author

Ashish Pershad, Divya Ratan Verma, Mohamad Lazkani, and Michael F. Morris

Subjects
Coronary angiography, Male, medicine.medical_specialty, Time Factors, RD1-811, medicine.medical_treatment, Case Report, 030204 cardiovascular system & hematology, Revascularization, Coronary Angiography, Total occlusion, Coronary artery disease, Percutaneous coronary intervention, 03 medical and health sciences, 0302 clinical medicine, Imaging, Three-Dimensional, Internal medicine, medicine, Diseases of the circulatory (Cardiovascular) system, Humans, 030212 general & internal medicine, CORG, Coronary bypass grafts, Ultrasonography, Interventional, Aged, Practice patterns, business.industry, Follow up studies, medicine.disease, Coronary Vessels, CTO, Coronary Occlusion, Coronary occlusion, RC666-701, Chronic Disease, Cardiology, Surgery, business, Cardiology and Cardiovascular Medicine, Tomography, X-Ray Computed, Follow-Up Studies
Abstract

Preprocedural planning and advanced imaging is vital to achieve a consistent and high level of success for complex coronary chronic total occlusion (CTO) revascularization. Various practice patterns exist around the world when performing coronary artery CTO revascularization. This case report highlights a fusion of global practices in CTO intervention and integration of advanced imaging to achieve successful revascularization.

Full Text
View/download PDF

5. DOES OBESITY AFFECT RESPONSE TO TREATMENT IN ACUTE DECOMPENSATED HEART FAILURE? A DIURETIC OPTIMIZATION STRATEGIES EVALUATION (DOSE) TRIAL SUBSTUDY

Author

Josef Stehlik, Edward M. Gilbert, Stavros G. Drakos, Steven McNulty, G. Michael Felker, Achal Gupta, Deborah Budge, Divya Ratan Verma, Sheldon E. Litwin, Kevin J. Anstrom, David A. Bull, Theophilus Owan, Kerry L. Lee, and Christopher M. O'Connor

Subjects
medicine.medical_specialty, Acute decompensated heart failure, business.industry, medicine.medical_treatment, medicine, Diuretic, Affect (psychology), Intensive care medicine, business, medicine.disease, Cardiology and Cardiovascular Medicine, Obesity, Response to treatment
Full Text
View/download PDF

6. TCT-193 Emergent versus Elective Impella Placement and Impact on In-hospital Outcomes-A Single Center Registry

Author

Ashish Pershad, Tae Yang, Divya Ratan Verma, Hoang Nguyen, Mohamad Lazkani, and Shishir Murarka

Subjects
medicine.medical_specialty, Percutaneous, business.industry, medicine.medical_treatment, Cardiogenic shock, Ablation, Single Center, medicine.disease, Hospital outcomes, Ventricular assist device, Internal medicine, Conventional PCI, medicine, Cardiology, Cardiology and Cardiovascular Medicine, business, Impella
Abstract

Impella (Abiomed Inc, Danvers, Mass) is a percutaneous left ventricular assist device used in the setting of high-risk coronary intervention, cardiogenic shock and ablation procedures. This is a single center study evaluating the use of Impella in high-risk patients undergoing PCI. Impella use was

Full Text
View/download PDF

Catalog

Books, media, physical & digital resources
See catalog results