Search

Your search keyword '"Jason R. Wollmuth"' showing total 7 results
Start Over Author "Jason R. Wollmuth" Language english
7 results on '"Jason R. Wollmuth"'

1. The Role of Hemodynamic Support in High-risk Percutaneous Coronary Intervention

Author

Charles Simonton, Craig Thompson, Jason R Wollmuth, D Lynn Morris, and Thom G Dahle

Subjects
Diseases of the circulatory (Cardiovascular) system, RC666-701
Abstract

Patients with advanced age, complex coronary anatomy, and multiple comorbidities are often unsuitable for surgical revascularization. In this setting, hemodynamic support devices are used as an adjunct to percutaneous coronary intervention to maintain hemodynamic stability and enable optimal revascularization. This article provides an overview of percutaneous hemodynamic support devices currently used in clinical practice for high-risk percutaneous coronary intervention. These include the intra-aortic balloon pump, centrifugal pumps (TandemHeart, venous arterial extracorporeal membrane oxygenation), and micro-axial Impella pump. The hemodynamic effects, clinical evidence supporting improved outcomes and recovery of heart function, and associated complications with these devices are highlighted, with a special focus on Impella pumps.

Published
2020
Full Text
View/download PDF

2. Angiographic Features and Clinical Outcomes of Balloon Uncrossable Lesions during Chronic Total Occlusion Percutaneous Coronary Intervention

Author

Judit Karacsonyi, Spyridon Kostantinis, Bahadir Simsek, Athanasios Rempakos, Salman S. Allana, Khaldoon Alaswad, Oleg Krestyaninov, Jaikirshan Khatri, Paul Poommipanit, Farouc A. Jaffer, James Choi, Mitul Patel, Sevket Gorgulu, Michalis Koutouzis, Ioannis Tsiafoutis, Abdul M. Sheikh, Ahmed ElGuindy, Basem Elbarouni, Taral Patel, Brian Jefferson, Jason R. Wollmuth, Robert Yeh, Dimitrios Karmpaliotis, Ajay J. Kirtane, Margaret B. McEntegart, Amirali Masoumi, Rhian Davies, Bavana V. Rangan, Olga C. Mastrodemos, Darshan Doshi, Yader Sandoval, Mir B. Basir, Michael S. Megaly, Imre Ungi, Nidal Abi Rafeh, Omer Goktekin, Emmanouil S. Brilakis, and Mühendislik ve Doğa Bilimleri Fakültesi

Subjects
balloon uncrossable, Heart Disease, Percutaneous Coronary Intervention, Balloon Uncrossable, percutaneous coronary intervention, Medicine (miscellaneous), chronic total occlusion, 03.02. Klinikai orvostan, Chronic Total Occlusion, Atherosclerosis, Cardiovascular, Heart Disease - Coronary Heart Disease
Abstract

Background: Balloon uncrossable lesions are defined as lesions that cannot be crossed with a balloon after successful guidewire crossing. Methods: We analyzed the association between balloon uncrossable lesions and procedural outcomes of 8671 chronic total occlusions (CTOs) percutaneous coronary interventions (PCIs) performed between 2012 and 2022 at 41 centers. Results: The prevalence of balloon uncrossable lesions was 9.2%. The mean patient age was 64.2 ± 10 years and 80% were men. Patients with balloon uncrossable lesions were older (67.3 ± 9 vs. 63.9 ± 10, p < 0.001) and more likely to have prior coronary artery bypass graft surgery (40% vs. 25%, p < 0.001) and diabetes mellitus (50% vs. 42%, p < 0.001) compared with patients who had balloon crossable lesions. In-stent restenosis (23% vs. 16%. p < 0.001), moderate/severe calcification (68% vs. 40%, p < 0.001), and moderate/severe proximal vessel tortuosity (36% vs. 25%, p < 0.001) were more common in balloon uncrossable lesions. Procedure time (132 (90, 197) vs. 109 (71, 160) min, p < 0.001) was longer and the air kerma radiation dose (2.55 (1.41, 4.23) vs. 1.97 (1.10, 3.40) min, p < 0.001) was higher in balloon uncrossable lesions, while these lesions displayed lower technical (91% vs. 99%, p < 0.001) and procedural (88% vs. 96%, p < 0.001) success rates and higher major adverse cardiac event (MACE) rates (3.14% vs. 1.49%, p < 0.001). Several techniques were required for balloon uncrossable lesions. Conclusion: In a contemporary, multicenter registry, 9.2% of the successfully crossed CTOs were initially balloon uncrossable. Balloon uncrossable lesions exhibited lower technical and procedural success rates and a higher risk of complications compared with balloon crossable lesions.

Published
2023
Full Text
View/download PDF

3. Global Chronic Total Occlusion Crossing Algorithm

Author

Kambis Mashayekhi, Ashish Pershad, Alexandre Avran, Nidal Abi Rafeh, Jaikirshan Khatri, R. Leung, Lei Ge, Michael Behnes, Wissam Jaber, William Lombardi, Alexandre Schaan de Quadros, Hung M. Ngo, Göran K. Olivecrona, William J. Nicholson, Colm G. Hanratty, Kevin Croce, José P.S. Henriques, Roberto Garbo, Franklin Hanna Quesada, Anthony Spaedy, Nenad Z. Bozinovic, Gregg W. Stone, Gerald S. Werner, James C. Spratt, Ravinay Bhindi, Angela Hoye, Minh Vo, Tony De Martini, Javier Escaned, Jennifer A. Tremmel, Arun Kalyanasundaram, Khaldoon Alaswad, Jason R Wollmuth, Christopher E. Buller, Anbukarasi Maran, Ji Yan Chen, Avtandil M. Babunashvili, Qi Zhang, Vu Hoang Vu, Raja Hatem, Emmanouil S. Brilakis, Baktash Bayani, Vithala Surya Prakasa Rao, Farouc A. Jaffer, Andrea Gagnor, Achim Buttner, Yu Li, Khalid Tammam, Félix Damas de los Santos, Basem Elbarouni, Aurel Toma, Jie Qian, David Hildick-Smith, Paul Knaapen, Sergey Furkalo, Nicolaus Reifart, Marouane Boukhris, Omer Goktekin, Alexander Bufe, Joseph Dens, Eugene B. Wu, Artis Kalnins, Mohaned Egred, Carlo Di Mario, Margaret McEntegart, Seung-Whan Lee, Risto Jussila, Oleg Krestyaninov, Scott A. Harding, Mauro Carlino, Dimitri Karmpaliotis, Muhammad Munawar, Bo Xu, Alfredo R. Galassi, David E. Kandzari, Jarosław Wójcik, Yue Li, Imre Ungi, M. Nicholas Burke, Yangsoo Jang, Thierry Lefèvre, Luiz F. Ybarra, Robert F. Riley, Julian Strange, Mario Araya, Lucio Padilla, Hsien-Li Kao, Stéphane Rinfret, Craig Thompson, Simon J Walsh, Pravin K. Goel, Sidney Lo, Allison B. Hall, Robert W. Yeh, Andres Navarro, Marin Postu, Gabriele Gasparini, Ran Kornowski, Masahisa Yamane, A. V.Ganesh Kumar, Anja Øksnes, Hussien Heshmat Kassem, Stefan Harb, Soo Teik Lim, Kefei Dou, Nieves Gonzalo, George Sianos, Truls Råmunddal, Lorenzo Azzalini, Pablo Lamelas, Mitul Patel, Nicolas Boudou, Antonio Colombo, Evald Hoej Christiansen, Jeffrey W. Moses, Luca Grancini, Jonathan Hill, Ahmed ElGuindy, Etsuo Tsuchikane, Elliot J. Smith, Ricardo Santiago Trinidad, Leszek Bryniarski, Pedro Cardoso, Meruzhan Saghatelyan, Junbo Ge, and Repositório da Universidade de Lisboa

Subjects
medicine.diagnostic_test, Algoritmos, business.industry, medicine.medical_treatment, Percutaneous coronary intervention, Global, State of the art review, Collateral circulation, Total occlusion, Catheter, Chronic total occlusion, Coronary Occlusion, Intravascular ultrasound, Occlusion, Angiography, Treatment algorithm, Medicine, Oclusão Coronária, Cardiology and Cardiovascular Medicine, business, Algorithm, Algorithms
Abstract

© 2021 The Authors. Published by Elsevier on behalf of the American College of Cardiology Foundation. This is an open access article under the CC By-NC-ND License (http://creativecommons.org/licenses/by-nc-nd/4), The authors developed a global chronic total occlusion crossing algorithm following 10 steps: 1) dual angiography; 2) careful angiographic review focusing on proximal cap morphology, occlusion segment, distal vessel quality, and collateral circulation; 3) approaching proximal cap ambiguity using intravascular ultrasound, retrograde, and move-the-cap techniques; 4) approaching poor distal vessel quality using the retrograde approach and bifurcation at the distal cap by use of a dual-lumen catheter and intravascular ultrasound; 5) feasibility of retrograde crossing through grafts and septal and epicardial collateral vessels; 6) antegrade wiring strategies; 7) retrograde approach; 8) changing strategy when failing to achieve progress; 9) considering performing an investment procedure if crossing attempts fail; and 10) stopping when reaching high radiation or contrast dose or in case of long procedural time, occurrence of a serious complication, operator and patient fatigue, or lack of expertise or equipment. This algorithm can improve outcomes and expand discussion, research, and collaboration.

Published
2021

4. The Single‐access for Hi‐risk PCI (SHiP) technique

Author

Ethan C Korngold, Jason R Wollmuth, Duane S. Pinto, and Kevin Croce

Subjects
Male, medicine.medical_specialty, Cardiac Catheterization, Percutaneous, Heart Diseases, Coronary Artery Disease, Case Reports, Punctures, 030204 cardiovascular system & hematology, Cardiac Catheters, 03 medical and health sciences, 0302 clinical medicine, Percutaneous Coronary Intervention, Hemostasis valve, Catheterization, Peripheral, medicine, Humans, Radiology, Nuclear Medicine and imaging, 030212 general & internal medicine, Impella, Aged, Aged, 80 and over, business.industry, General Medicine, Middle Aged, Surgery, Catheter, Increased risk, Treatment Outcome, Conventional PCI, Access site, Female, Heart-Assist Devices, Cardiology and Cardiovascular Medicine, business
Abstract

Currently, the Impella CP (Abiomed, Danvers, Massachusetts) percutaneous ventricular assist catheter requires implantation through a 14 French sheath. Additional arterial access is commonly obtained to perform therapeutic or diagnostic procedures. Multiple arterial access requires time and results in increased risk for vascular complications. Some patients may have limited arterial access. We describe the Single‐access for Hi‐risk PCI (SHiP) technique to allow for rapid and safer single access utilizing only the Impella access site. After the Impella catheter is placed in the standard fashion, a micropuncture needle is used to pierce the hemostasis valve of the Impella insertion sheath. After dilating the hemostasis valve and exchanging for a 0.035″ wire, up to a 7 French sheath can be inserted for PCI within the 14 French access sheath and alongside the 9 French portion of the Impella catheter. After PCI, the sheath is removed. We report on a case series of 17 patients using this technique. There were no instances of bleeding during the procedure or after removal of the PCI sheath, and no evidence of disruption of the Impella sheath.

Published
2019

5. Guiding Principles for Chronic Total Occlusion Percutaneous Coronary Intervention. A Global Expert Consensus Document

Author

Etsuo Tsuchikane, Christopher E. Buller, Pravin K. Goel, A. V.Ganesh Kumar, Elliot J. Smith, Ricardo Santiago, William Lombardi, Risto Jussila, Leszek Bryniarski, Mauro Carlino, Muhammad Munawar, Thierry Lefèvre, Jonathan Hill, David E. Kandzari, Gregg W. Stone, Dimitri Karmpaliotis, Arun Kalyanasundaram, Ran Kornowski, Yangsoo Jang, Nicolas Boudou, Yue Li, Khaldoon Alaswad, Masahisa Yamane, Mohaned Egred, William J. Nicholson, Jason R Wollmuth, Colm G. Hanratty, Margaret McEntegart, Khalid Tammam, Scott A. Harding, James C. Spratt, Qi Zhang, Peep Laanmets, Hsien Li Kao, Tony De Martini, Julian Strange, Evald Høj Christiansen, Heinz Joachim Büttner, Simon J Walsh, Lorenzo Azzalini, Sidney Lo, Robert W. Yeh, Javier Escaned, Hussien Heshmat Kassem, Stefan Harb, Marouane Boukhris, José A. Navarro Lecaro, Alexandre Avran, Pablo Lamelas, Hung M. Ngo, Ahmed ElGuindy, Baktash Bayani, Antonio Colombo, Omer Goktekin, Gerald S. Werner, Nidal Abi Rafeh, José P.S. Henriques, Joseph Dens, Alexandre Schaan de Quadros, Soo Teik Lim, Carlo Di Mario, Franklin Hanna Quesada, Roberto Garbo, Minh Vo, Bo Xu, Mario Araya, Kefei Dou, George Sianos, Ravinay Bhindi, Emmanouil S. Brilakis, J. Aaron Grantham, Göran K. Olivecrona, Pedro Cardoso, Marin Postu, Oleg Krestyaninov, Avtandil M. Babunashvili, Meruzhan Saghatelyan, Vu Hoang Vu, Nicolaus Reifart, Imre Ungi, R. Michael Wyman, M. Nicholas Burke, Luiz F. Ybarra, Vithala Surya Prakasa Rao, Farouc A. Jaffer, Alexander Bufe, Junbo Ge, Kambis Mashayekhi, Artis Kalnins, Andrea Gagnor, Alfredo R. Galassi, Nenad Božinović, Félix Damas de los Santos, Seung-Whan Lee, Lucio Padilla, Stéphane Rinfret, Paul Knaapen, Kevin Croce, Sergey Furkalo, Eugene B. Wu, Luca Grancini, Brilakis E.S., Mashayekhi K., Tsuchikane E., Abi Rafeh N., Alaswad K., Araya M., Avran A., Azzalini L., Babunashvili A.M., Bayani B., Bhindi R., Boudou N., Boukhris M., Bozinovic N.Z., Bryniarski L., Bufe A., Buller C.E., Burke M.N., Buttner H.J., Cardoso P., Carlino M., Christiansen E.H., Colombo A., Croce K., Damas De Los Santos F., De Martini T., Dens J., DI Mario C., Dou K., Egred M., Elguindy A.M., Escaned J., Furkalo S., Gagnor A., Galassi A.R., Garbo R., Ge J., Goel P.K., Goktekin O., Grancini L., Grantham J.A., Hanratty C., Harb S., Harding S.A., Henriques J.P.S., Hill J.M., Jaffer F.A., Jang Y., Jussila R., Kalnins A., Kalyanasundaram A., Kandzari D.E., Kao H.-L., Karmpaliotis D., Kassem H.H., Knaapen P., Kornowski R., Krestyaninov O., Kumar A.V.G., Laanmets P., Lamelas P., Lee S.-W., Lefevre T., Li Y., Lim S.-T., Lo S., Lombardi W., McEntegart M., Munawar M., Navarro Lecaro J.A., Ngo H.M., Nicholson W., Olivecrona G.K., Padilla L., Postu M., Quadros A., Quesada F.H., Prakasa Rao V.S., Reifart N., Saghatelyan M., Santiago R., Sianos G., Smith E., Spratt J.C., Stone G.W., Strange J.W., Tammam K., Ungi I., Vo M., Vu V.H., Walsh S., Werner G.S., Wollmuth J.R., Wu E.B., Wyman R.M., Xu B., Yamane M., Ybarra L.F., Yeh R.W., Zhang Q., Rinfret S., and Repositório da Universidade de Lisboa

Subjects
medicine.medical_specialty, Guiding Principles, SCORING SYSTEM, medicine.medical_treatment, Perforation (oil well), percutaneous coronary, Revascularization, MULTICENTER CTO REGISTRY, CARDIOVERTER-DEFIBRILLATOR RECIPIENTS, methods, LONG-TERM OUTCOMES, PROCEDURAL OUTCOMES, Physiology (medical), treatment outcome, INTRAVASCULAR ULTRASOUND, medicine, COMPUTED-TOMOGRAPHY, Intensive care medicine, intervention, HEALTH-STATUS, treatment, VENTRICULAR-ARRHYTHMIAS, business.industry, percutaneous coronary intervention, Stent, Percutaneous coronary intervention, Reentry, RETROGRADE APPROACH, coronary occlusion, Coronary occlusion, Conventional PCI, outcome, Cardiology and Cardiovascular Medicine, business
Abstract

© American Heart Association, Inc., Outcomes of chronic total occlusion (CTO) percutaneous coronary intervention (PCI) have improved because of advancements in equipment and techniques. With global collaboration and knowledge sharing, we have identified 7 common principles that are widely accepted as best practices for CTO-PCI. 1. Ischemic symptom improvement is the primary indication for CTO-PCI. 2. Dual coronary angiography and in-depth and structured review of the angiogram (and, if available, coronary computed tomography angiography) are key for planning and safely performing CTO-PCI. 3. Use of a microcatheter is essential for optimal guidewire manipulation and exchanges. 4. Antegrade wiring, antegrade dissection and reentry, and the retrograde approach are all complementary and necessary crossing strategies. Antegrade wiring is the most common initial technique, whereas retrograde and antegrade dissection and reentry are often required for more complex CTOs. 5. If the initially selected crossing strategy fails, efficient change to an alternative crossing technique increases the likelihood of eventual PCI success, shortens procedure time, and lowers radiation and contrast use. 6. Specific CTO-PCI expertise and volume and the availability of specialized equipment will increase the likelihood of crossing success and facilitate prevention and management of complications, such as perforation. 7. Meticulous attention to lesion preparation and stenting technique, often requiring intracoronary imaging, is required to ensure optimum stent expansion and minimize the risk of short- and long-term adverse events. These principles have been widely adopted by experienced CTO-PCI operators and centers currently achieving high success and acceptable complication rates. Outcomes are less optimal at less experienced centers, highlighting the need for broader adoption of the aforementioned 7 guiding principles along with the development of additional simple and safe CTO crossing and revascularization strategies through ongoing research, education, and training.

Published
2019

6. CHRONIC TOTAL OCCLUSION PERCUTANEOUS CORONARY INTERVENTION DURING COVID-19 PANDEMIC, INSIGHTS FROM THE PROGRESS-CTO REGISTRY

Author

Santiago Garcia, Keith H. Benzuly, James D. Flaherty, James W. Choi, Nidal Abi Rafeh, Jaikirshan Khatri, Ilias Nikolakopoulos, Evangelia Vemmou, Raj H. Chandwaney, Farouc A. Jaffer, Dmitrii Khelimskii, Niranjan Reddy, M. Nicholas Burke, Bavana V. Rangan, Khaldoon Alaswad, Jason R Wollmuth, Ioannis Tsiafoutis, Emmanouil S. Brilakis, Omer Goktekin, Judit Karacsonyi, Ahmed ElGuindy, Michael Koutouzis, Robert Riley, Oleg Krestianinov, and Daniel Schimmel

Subjects
medicine.medical_specialty, Coronavirus disease 2019 (COVID-19), business.industry, medicine.medical_treatment, Emergency medicine, Pandemic, medicine, Percutaneous coronary intervention, Cardiology and Cardiovascular Medicine, business, Interventional and Structural, Total occlusion
Published
2021

7. Aldosterone antagonism improves endothelial dependent vasorelaxation in heart failure via a nitric oxide mediated mechanism

Author

Jason R Wollmuth, Mohamed A. Gaballa, Hoang Thai, Trunk Tran, Steven A. Goldman, and Kent G. Meredith

Subjects
Aldosterone, Mechanism (biology), business.industry, Pharmacology, medicine.disease, Nitric oxide, chemistry.chemical_compound, chemistry, Heart failure, hemic and lymphatic diseases, medicine, Antagonism, business, Cardiology and Cardiovascular Medicine
Full Text
View/download PDF

Catalog

Books, media, physical & digital resources
See catalog results