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13 results on '"Mathiassen, Ole N."'

2. Influence of intensive lipid‐lowering on CT derived fractional flow reserve in patients with stable chest pain: Rationale and design of the FLOWPROMOTE study

Author

Mortensen, Martin B., primary, Sand, Niels‐Peter, additional, Busk, Martin, additional, Jensen, Jesper M., additional, Grove, Erik L., additional, Dey, Damini, additional, Iraqi, Nadia, additional, Updegrove, Adam, additional, Fonte, Tim, additional, Mathiassen, Ole N., additional, Hosbond, Susanne, additional, Bøtker, Hans E., additional, Leipsic, Jonathon, additional, Narula, Jagat, additional, and Nørgaard, Bjarne L., additional

Published
2022
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3. Reduced leaflet motion after transcatheter aortic-valve replacement

Author

de Backer, Ole, Dangas, George D., Jilaihawi, Hasan, Leipsic, Jonathon A., Terkelsen, Christian J., Makkar, Raj, Kini, Annapoorna S., Veien, Karsten T., Abdel-Wahab, Mohamed, Kim, Won Keun, Balan, Prakash, van Mieghem, Nicolas, Mathiassen, Ole N., Jeger, Raban V., Arnold, Martin, Mehran, Roxana, Guimarães, Ana H.C., Nørgaard, Bjarne L., Kofoed, Klaus F., Blanke, Philipp, Windecker, Stephan, Søndergaard, Lars, de Backer, Ole, Dangas, George D., Jilaihawi, Hasan, Leipsic, Jonathon A., Terkelsen, Christian J., Makkar, Raj, Kini, Annapoorna S., Veien, Karsten T., Abdel-Wahab, Mohamed, Kim, Won Keun, Balan, Prakash, van Mieghem, Nicolas, Mathiassen, Ole N., Jeger, Raban V., Arnold, Martin, Mehran, Roxana, Guimarães, Ana H.C., Nørgaard, Bjarne L., Kofoed, Klaus F., Blanke, Philipp, Windecker, Stephan, and Søndergaard, Lars

Abstract

BACKGROUND Subclinical leaflet thickening and reduced leaflet motion of bioprosthetic aortic valves have been documented by four-dimensional computed tomography (CT). Whether anticoagulation can reduce these phenomena after transcatheter aortic-valve replacement (TAVR) is not known. METHODS In a substudy of a large randomized trial, we randomly assigned patients who had undergone successful TAVR and who did not have an indication for long-term anticoagulation to a rivaroxaban-based antithrombotic strategy (rivaroxaban [10 mg] plus aspirin [75 to 100 mg] once daily) or an antiplatelet-based strategy (clopidogrel [75 mg] plus aspirin [75 to 100 mg] once daily). Patients underwent evaluation by four-dimensional CT at a mean (±SD) of 90±15 days after randomization. The primary end point was the percentage of patients with at least one prosthetic valve leaflet with grade 3 or higher motion reduction (i.e., involving >50% of the leaflet). Leaflet thickening was also assessed. RESULTS A total of 231 patients were enrolled. At least one prosthetic valve leaflet with grade 3 or higher motion reduction was found in 2 of 97 patients (2.1%) who had scans that could be evaluated in the rivaroxaban group, as compared with 11 of 101 (10.9%) in the antiplatelet group (difference, -8.8 percentage points; 95% confidence interval [CI], -16.5 to -1.9; P=0.01). Thickening of at least one leaflet was observed in 12 of 97 patients (12.4%) in the rivaroxaban group and in 33 of 102 (32.4%) in the antiplatelet group (difference, -20.0 percentage points; 95% CI, -30.9 to -8.5). In the main trial, the risk of death or thromboembolic events and the risk of life-threatening, disabling, or major bleeding were higher with rivaroxaban (hazard ratios of 1.35 and 1.50, respectively). CONCLUSIONS In a substudy of a trial involving patients without an indication for long-term anticoagulation who had undergone successful TAVR, a rivaroxaban-based antithrombotic strategy was more effective than an

Published
2020

4. Clinical outcomes following real-world computed tomography angiography-derived fractional flow reserve testing in chronic coronary syndrome patients with calcification

Author

Nørgaard, Bjarne L, primary, Mortensen, Martin B, additional, Parner, Erik, additional, Leipsic, Jonathon, additional, Steffensen, Flemming H, additional, Grove, Erik Lerkevang, additional, Mathiassen, Ole N, additional, Sand, Niels Peter, additional, Pedersen, Kamilla, additional, Riedl, Katharina A, additional, Engholm, Morten, additional, Bøtker, Hans Erik, additional, and Jensen, Jesper M, additional

Published
2020
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5. Clinical outcomes following real-world computed tomography angiography-derived fractional flow reserve testing in chronic coronary syndrome patients with calcification.

Author

Nørgaard, Bjarne L, Mortensen, Martin B, Parner, Erik, Leipsic, Jonathon, Steffensen, Flemming H, Grove, Erik Lerkevang, Mathiassen, Ole N, Sand, Niels Peter, Pedersen, Kamilla, Riedl, Katharina A, Engholm, Morten, Bøtker, Hans Erik, and Jensen, Jesper M

Subjects
CORONARY arterial radiography, CALCIUM metabolism, BLOOD vessels, SCIENTIFIC observation, CORONARY artery stenosis, ANGINA pectoris, MYOCARDIAL infarction, CORONARY circulation, TREATMENT effectiveness, CORONARY artery disease, HEART function tests, CALCINOSIS, HOSPITAL care, MYOCARDIAL revascularization, DESCRIPTIVE statistics, COMPUTED tomography, CORONARY arteries, PATIENT safety, DISEASE risk factors
Abstract

Aims  This study sought to investigate outcomes following a normal CT-derived fractional flow reserve (FFRCT) result in patients with moderate stenosis and coronary artery calcification, and to describe the relationship between the extent of calcification, stenosis, and FFRCT. Methods and results Data from 975 consecutive patients suspected of chronic coronary syndrome with stenosis (30–70%) determined by computed CT angiography and FFRCT to guide downstream management decisions were reviewed. Median (range) follow-up time was 2.2 (0.5–4.2) years. Coronary artery calcium (CAC) scores were ≥400 in 25%, stenosis ≥50% in 83%, and FFRCT >0.80 in 51% of the patients. There was a lower incidence of the composite endpoint (death, myocardial infarction, hospitalization for unstable angina, and unplanned coronary revascularization) at 4.2 years in patients with any CAC and FFRCT > 0.80 vs. FFRCT ≤ 0.80 (3.9% and 8.7%, P  = 0.04), however, in patients with CAC scores ≥400 the risk difference between groups did not reach statistical significance, 4.2% vs. 9.7% (P  = 0.24). A negative relationship between CAC scores and FFRCT irrespective of stenosis severity was demonstrated. Conclusion FFRCT shows promise in identifying patients with stenosis and calcification who can be managed without further downstream testing. Moreover, an inverse relationship between CAC levels and FFRCT was demonstrated. Studies are needed to further assess the clinical utility of FFRCT in patients with extensive coronary calcification. [ABSTRACT FROM AUTHOR]

Published
2021
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6. Myocardial Perfusion Imaging Versus Computed Tomography Angiography–Derived Fractional Flow Reserve Testing in Stable Patients With Intermediate‐Range Coronary Lesions: Influence on Downstream Diagnostic Workflows and Invasive Angiography Findings

Author

Nørgaard, Bjarne L., primary, Gormsen, Lars C., additional, Bøtker, Hans Erik, additional, Parner, Erik, additional, Nielsen, Lene H., additional, Mathiassen, Ole N., additional, Grove, Erik L., additional, Øvrehus, Kristian A., additional, Gaur, Sara, additional, Leipsic, Jonathon, additional, Pedersen, Kamilla, additional, Terkelsen, Christian J., additional, Christiansen, Evald H., additional, Kaltoft, Anne, additional, Mæng, Michael, additional, Kristensen, Steen D., additional, Krusell, Lars R., additional, Lassen, Jens F., additional, and Jensen, Jesper M., additional

Published
2017
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7. Clinical Use of Coronary CTA–Derived FFR for Decision-Making in Stable CAD

Author

Nørgaard, Bjarne L., primary, Hjort, Jakob, additional, Gaur, Sara, additional, Hansson, Nicolaj, additional, Bøtker, Hans Erik, additional, Leipsic, Jonathon, additional, Mathiassen, Ole N., additional, Grove, Erik L., additional, Pedersen, Kamilla, additional, Christiansen, Evald H., additional, Kaltoft, Anne, additional, Gormsen, Lars C., additional, Mæng, Michael, additional, Terkelsen, Christian J., additional, Kristensen, Steen D., additional, Krusell, Lars R., additional, and Jensen, Jesper M., additional

Published
2017
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9. Transcatheter Aortic Valve Thrombosis

Author

Hansson, Nicolaj C., primary, Grove, Erik L., additional, Andersen, Henning R., additional, Leipsic, Jonathon, additional, Mathiassen, Ole N., additional, Jensen, Jesper M., additional, Jensen, Kaare T., additional, Blanke, Philipp, additional, Leetmaa, Tina, additional, Tang, Mariann, additional, Krusell, Lars R., additional, Klaaborg, Kaj E., additional, Christiansen, Evald H., additional, Terp, Kim, additional, Terkelsen, Christian J., additional, Poulsen, Steen H., additional, Webb, John, additional, Bøtker, Hans Erik, additional, and Nørgaard, Bjarne L., additional

Published
2016
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10. 13.7 RENAL DENERVATION IN TREATMENT RESISTANT HYPERTENSION: EFFECTS ON CORONARY FLOW RESERVE AND FOREARM DILATION CAPACITY. A RANDOMIZED, DOUBLE-BLINDED, SHAM-CONTROLLED CLINICAL TRIAL

Author

Engholm, Morten, primary, Bertelsen, Jannik B., primary, Mathiassen, Ole N., primary, Vase, Henrik, primary, Bech, Jesper N., primary, Schroeder, Anne P., primary, Lederballe, Ole, primary, Rickers, Hans, primary, Peters, Christian D., primary, Kampmannf, Ulla, primary, Poulsen, Per L., primary, Langfeldt, Sten, primary, Andersen, Gratien, primary, Hansen, Klavs W., primary, Pedersen, Erling B., primary, Lassen, Jens F., primary, Boetker, Hans E., primary, Buus, Niels H., primary, Kaltoft, Anne, primary, and Christensen, Kent L., primary

Published
2016
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11. TCT-89 Renal Sympathetic Denervation in Treatment Resistant Essential Hypertension. A Sham-Controlled, Double-blinded Randomized Trial (ReSET trial)

Author

Mathiassen, Ole N., primary, Bech, Jesper N., additional, Buus, Niels Henrik, additional, Christensen, Kent L., additional, Vase, Henrik, additional, Bertelsen, Jannik B., additional, Hans, Rickers, additional, Kampmann, Ulla, additional, Pedersen, Morten E., additional, Pedersen, Ole L., additional, Peters, Christian D., additional, Poulsen, Per L., additional, Lassen, Jens F., additional, Würgler, Klavs, additional, Boetker, Hans Erik, additional, Schroeder, Pauline, additional, Pedersen, Erling B., additional, and Kaltoft, Anne, additional

Published
2015
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12. Renal denervation in treatment resistant hypertension: effects on coronary flow reserve and forearm dilation capacity. A randomized, double-blinded, SHAM-controlled clinical trial

Author

Engholm, Morten, Bertelsen, Jannik B., Mathiassen, Ole N., Vase, Henrik, Bech, Jesper N., Schroeder, Anne P., Lederballe, Ole, Rickers, Hans, Peters, Christian D., Kampmannf, Ulla, Poulsen, Per L., Langfeldt, Sten, Andersen, Gratien, Hansen, Klavs W., Pedersen, Erling B., Lassen, Jens F., Boetker, Hans E., Buus, Niels H., Kaltoft, Anne, and Christensen, Kent L.

Published
2016
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13. Clinical outcomes following real-world computed tomography angiography-derived fractional flow reserve testing in chronic coronary syndrome patients with calcification.

Author

Nørgaard BL, Mortensen MB, Parner E, Leipsic J, Steffensen FH, Grove EL, Mathiassen ON, Sand NP, Pedersen K, Riedl KA, Engholm M, Bøtker HE, and Jensen JM

Subjects
Computed Tomography Angiography, Coronary Angiography, Coronary Vessels, Humans, Predictive Value of Tests, Severity of Illness Index, Tomography, X-Ray Computed, Coronary Artery Disease diagnostic imaging, Coronary Stenosis diagnostic imaging, Fractional Flow Reserve, Myocardial
Abstract

Aims: This study sought to investigate outcomes following a normal CT-derived fractional flow reserve (FFRCT) result in patients with moderate stenosis and coronary artery calcification, and to describe the relationship between the extent of calcification, stenosis, and FFRCT., Methods and Results: Data from 975 consecutive patients suspected of chronic coronary syndrome with stenosis (30-70%) determined by computed CT angiography and FFRCT to guide downstream management decisions were reviewed. Median (range) follow-up time was 2.2 (0.5-4.2) years. Coronary artery calcium (CAC) scores were ≥400 in 25%, stenosis ≥50% in 83%, and FFRCT >0.80 in 51% of the patients. There was a lower incidence of the composite endpoint (death, myocardial infarction, hospitalization for unstable angina, and unplanned coronary revascularization) at 4.2 years in patients with any CAC and FFRCT > 0.80 vs. FFRCT ≤ 0.80 (3.9% and 8.7%, P = 0.04), however, in patients with CAC scores ≥400 the risk difference between groups did not reach statistical significance, 4.2% vs. 9.7% (P = 0.24). A negative relationship between CAC scores and FFRCT irrespective of stenosis severity was demonstrated., Conclusion: FFRCT shows promise in identifying patients with stenosis and calcification who can be managed without further downstream testing. Moreover, an inverse relationship between CAC levels and FFRCT was demonstrated. Studies are needed to further assess the clinical utility of FFRCT in patients with extensive coronary calcification., (Published on behalf of the European Society of Cardiology. All rights reserved. © The Author(s) 2020. For permissions, please email: journals.permissions@oup.com.)

Published
2021
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