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45 results on '"Elmouchi, Darryl"'

2. A COST COMPARISON OF ATRIAL FIBRILLATION MONITORING AFTER ISCHEMIC STROKE USING AN INSERTABLE CARDIAC MONITOR VERSUS WEARABLE MONITOR

Author

Banno, Joseph, primary, Rosemas, Sarah, additional, Albano, Alfred, additional, Brunner, Michael P., additional, Dahu, Musa, additional, Dandamudi, Sanjay, additional, Elmouchi, Darryl, additional, Khan, Muhib, additional, Jawad, Wassim, additional, Min, Jiangyong, additional, Gauri, Andre J., additional, and Chalfoun, Nagib T., additional

Published
2022
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13. Safety of anticoagulation with uninterrupted warfarin vs. interrupted dabigatran in patients requiring an implantable cardiac device

Author

Madan, Shivanshu, Muthusamy, Purushothaman, Mowers, Katie L., Elmouchi, Darryl A., Finta, Bohuslav, Gauri, Andre J., Woelfel, Alan K., Fritz, Timothy D., Davis, Alan T., and Chalfoun, Nagib T.

Subjects
Original Article
Abstract

The optimal strategy of peri-procedural anticoagulation in patients undergoing permanent cardiac device implantation is controversial. Our objective was to compare the major bleeding and thromboembolic complications in patients managed with uninterrupted warfarin (UW) vs. interrupted dabigatran (ID) during permanent pacemaker (PPM) or implantable cardioverter defibrillators (ICD) implantation.A retrospective cohort study of all eligible patients from July 2011 through January 2012 was performed. UW was defined as patients who had maintained a therapeutic international normalized ratio (INR) on the day of the procedure. ID was defined as stopping dabigatran ≥12 hours prior to the procedure and then resuming after implantation. Major bleeding events included hemothorax, hemopericardium, intracranial hemorrhage, gastrointestinal bleed, epistaxis, or pocket hematoma requiring surgical intervention. Thromboembolic complications included stroke, transient ischemic attack, deep venous thrombosis, pulmonary embolism, or arterial embolism.Of the 133 patients (73.4±11.0 years; 91 males) in the study, 86 received UW and 47 received ID. One (1.2%) patient in the UW group sustained hemopericardium perioperatively and died. In comparison, the ID patients had no complications. As compared to the ID group, the UW group had a higher median CHADS2 score (2 vs. 3, P=0.04) and incidence of Grade 1 pocket hematoma (0% vs. 7%, P=0.09). Neither group developed any thromboembolic complications.Major bleeding rates were similar among UW and ID groups. Perioperative ID appears to be a safe anticoagulation strategy for patients undergoing PPM or ICD implantation.

Published
2016

16. Radiofrequency Ablation of a Left Atrial Appendage Tachycardia on ECMO Support

Author

Khan, Mohsin, Gauri, Andre, Grifka, Ronald, and Elmouchi, Darryl

Subjects
surgical procedures, operative, Article Subject, cardiovascular system, cardiovascular diseases
Abstract

Extracorporeal membrane oxygenation (ECMO) has been utilized in the pediatric population for cardiogenic shock secondary to medically intractable arrhythmias. There is limited experience with cardiac radiofrequency ablation (RFA) on these patients while on ECMO. A 7-year-old girl presented with a tachycardia-mediated cardiomyopathy secondary to a left atrial appendage tachycardia. She suffered a cardiac arrest due to pulseless electrical activity and was placed on ECMO. Due to elevated left atrial pressures and the refractoriness of her arrhythmia to cardioversion and antiarrhythmic therapy, while on ECMO, blade atrial septostomy and radiofrequency ablation were performed. The patient tolerated the procedure well and was successfully decannulated. Her cardiac function normalized within four weeks of the ablation procedure. Twelve months after the procedure, she remains completely well, with no symptoms or tachycardia.

Published
2013
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26. Role of Purkinje Fibers in Post-Infarction Ventricular Tachycardia

Author

Bogun, Frank, primary, Good, Eric, additional, Reich, Stephen, additional, Elmouchi, Darryl, additional, Igic, Petar, additional, Tschopp, David, additional, Dey, Sujoya, additional, Wimmer, Alan, additional, Jongnarangsin, Krit, additional, Oral, Hakan, additional, Chugh, Aman, additional, Pelosi, Frank, additional, and Morady, Fred, additional

Published
2006
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27. Risk of Thromboembolic Events After Percutaneous Left Atrial Radiofrequency Ablation of Atrial Fibrillation

Author

Oral, Hakan, primary, Chugh, Aman, additional, Özaydın, Mehmet, additional, Good, Eric, additional, Fortino, Jackie, additional, Sankaran, Sundar, additional, Reich, Scott, additional, Igic, Petar, additional, Elmouchi, Darryl, additional, Tschopp, David, additional, Wimmer, Alan, additional, Dey, Sujoya, additional, Crawford, Thomas, additional, Pelosi, Frank, additional, Jongnarangsin, Krit, additional, Bogun, Frank, additional, and Morady, Fred, additional

Published
2006
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28. Effects of Two Different Catheter Ablation Techniques on Spectral Characteristics of Atrial Fibrillation

Author

Lemola, Kristina, primary, Ting, Michael, additional, Gupta, Priya, additional, Anker, Jeffrey N., additional, Chugh, Aman, additional, Good, Eric, additional, Reich, Scott, additional, Tschopp, David, additional, Igic, Petar, additional, Elmouchi, Darryl, additional, Jongnarangsin, Krit, additional, Bogun, Frank, additional, Pelosi, Frank, additional, Morady, Fred, additional, and Oral, Hakan, additional

Published
2006
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29. Isolated Potentials During Sinus Rhythm and Pace-Mapping Within Scars as Guides for Ablation of Post-Infarction Ventricular Tachycardia

Author

Bogun, Frank, primary, Good, Eric, additional, Reich, Stephen, additional, Elmouchi, Darryl, additional, Igic, Petar, additional, Lemola, Kristina, additional, Tschopp, David, additional, Jongnarangsin, Krit, additional, Oral, Hakan, additional, Chugh, Aman, additional, Pelosi, Frank, additional, and Morady, Fred, additional

Published
2006
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30. A Tailored Approach to Catheter Ablation of Paroxysmal Atrial Fibrillation

Author

Oral, Hakan, primary, Chugh, Aman, additional, Good, Eric, additional, Sankaran, Sundar, additional, Reich, Stephen S., additional, Igic, Petar, additional, Elmouchi, Darryl, additional, Tschopp, David, additional, Crawford, Thomas, additional, Dey, Sujoya, additional, Wimmer, Alan, additional, Lemola, Kristina, additional, Jongnarangsin, Krit, additional, Bogun, Frank, additional, Pelosi, Frank, additional, and Morady, Fred, additional

Published
2006
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33. Catheter Ablation of Atypical Atrial Flutter and Atrial Tachycardia Within the Coronary Sinus After Left Atrial Ablation for Atrial Fibrillation

Author

Chugh, Aman, primary, Oral, Hakan, additional, Good, Eric, additional, Han, Jihn, additional, Tamirisa, Kamala, additional, Lemola, Kristina, additional, Elmouchi, Darryl, additional, Tschopp, David, additional, Reich, Scott, additional, Igic, Petar, additional, Bogun, Frank, additional, Pelosi, Frank, additional, and Morady, Fred, additional

Published
2005
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34. Effect of left atrial catheter ablation on left atrial transport function in patients with atrial fibrillation

Author

Lemola, Kristina, primary, Tsemo, Ariane, additional, Desjardins, Benoit, additional, Sneider, Michael, additional, Case, Ian, additional, Chugh, Aman, additional, Good, Eric, additional, Han, Jihn, additional, Tamirisa, Kamala, additional, Reich, Scott, additional, Tschopp, David, additional, Igic, Petar, additional, Elmouchi, Darryl, additional, Bogun, Frank, additional, Pelosi, Frank, additional, Kazerooni, Ella, additional, Morady, Fred, additional, and Oral, Hakan, additional

Published
2005
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35. Effects of eliminating complex electrograms by radiofrequency catheter ablation on spectral characteristics of atrial fibrillation

Author

Lemola, Kristina, primary, Ting, Michael, additional, Gupta, Priya, additional, Anker, Jeffrey N., additional, Munhoz, Claudio, additional, Patangay, Abhilash, additional, Tamirisa, Kamala, additional, Good, Eric, additional, Han, Jihn, additional, Reich, Scott, additional, Tschopp, David, additional, Igic, Petar, additional, Elmouchi, Darryl, additional, Chugh, Aman, additional, Pelosi, Frank, additional, Morady, Fred, additional, and Oral, Hakan, additional

Published
2005
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37. Topographic anatomy of the coronary sinus in vivo: Implications for radiofrequency catheter ablation

Author

Lemola, Kristina, primary, Mueller, Gisela, additional, Sneider, Michael, additional, Desjardins, Benoit, additional, Case, Ian, additional, Good, Eric, additional, Han, Jihn, additional, Tamirisa, Kamala, additional, Tschopp, David, additional, Reich, Scott, additional, Igic, Petar, additional, Elmouchi, Darryl, additional, Chugh, Aman, additional, Bogun, Frank, additional, Pelosi, Frank, additional, Kazerooni, Ella A., additional, Morady, Fred, additional, and Oral, Hakan, additional

Published
2005
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38. Complex electrical activity within the coronary sinus and freedom from recurrent atrial fibrillation after left atrial circumferential ablation

Author

Tavares, Claudio M., primary, Lemola, Kristina, additional, Chugh, Aman, additional, Han, Jihn, additional, Tamirisa, Kamala, additional, Dey, Suijoia, additional, Isic, Petar, additional, Elmouchi, Darryl, additional, Tschopp, David, additional, Reich, Scott, additional, Good, Eric, additional, Bogun, Frank, additional, Pelosi, Frank, additional, Morady, Fred, additional, and Oral, Hakan, additional

Published
2005
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39. Putting the Patient First: Creating Care Deliver Models for the Future.

Author

Brown, Denise, Hundorfean, Cynthia, Elmouchi, Darryl, Janney, Michelle, Fleming, Kevin, and Cheney, Chris

Abstract

The article presents the roundtable discussion between Denise Brown, Vituity, Darryl Elmouchi, Spectrum Health, Kevin Fleming, Providence, Cynthia Hundorfean, Allegheny Health Network, and Michelle Janney, Indiana University Health on patient-centric care.

Published
2021

42. Left Atrial Volume Index Predicts Arrhythmia-Free Survival in Patients with Persistent Atrial Fibrillation Undergoing Cryoballoon Ablation.

Author

Albano, Alfred J., Bush, Jared, Parker, Jessica L., Corner, Kristin, Hae W Lim, Brunner, Michael P., Dahu, Musa I., Dandamudi, Sanjay, Elmouchi, Darryl, Gauri, Andre, Woelfel, Alan, and Chalfoun, Nagib T.

Subjects
*CRYOSURGERY, *ATRIAL fibrillation, *PROPORTIONAL hazards models, *PULMONARY veins
Abstract

Background: Pulmonary vein isolation (PVI) using cryoballoon ablation (PVI-C) is increasingly performed as a first-line strategy for the treatment of patients with persistent atrial fibrillation (PersAF); however, follow-up data and predictors of procedural success are lacking. Objective: To study the efficacy of PVI-C in patients with PersAF, focusing on predictors of procedural success. Methods: By retrospective review, 148 consecutive patients with PersAF who underwent PVI-C were analyzed. The impact of several variables on outcome was evaluated in univariate and multivariate analyses and Cox proportional hazards regression models. Results: After a mean follow-up of 19.2±10.9 months, 75 (50.7%) patients remained arrhythmia-free without the need for antiarrhythmic drug therapy. Patients with a normal left atrial volume index (LAVI) achieved a 71.0% arrhythmia-free survival. LAVI was the most powerful predictor of procedural success. Conclusions: Arrhythmia-free survival after PVI-C in select patients with PersAF are promising. Moreover, LAVI is a valuable measurement to help guide ablation strategy and predict outcome when using cryoballoon ablation. [ABSTRACT FROM AUTHOR]

Published
2019
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43. 846-3 Potential impact of MADIT II and the centers for medicaid services criteria on care of patients diagnosed with myocardial infarction.

Author

Otten, Richard F, Kline-Rogers, Eva M, Fang, Jianming, Elmouchi, Darryl A, Chugh, Aman, Al-Marayati, Firas, Pelosi, Frank, and Eagle, Kim A

Subjects
*MEDICARE reimbursement, *MYOCARDIAL infarction, *ECHOCARDIOGRAPHY, *HOSPITAL admission & discharge, *MEDICAL quality control, *PATIENTS, MYOCARDIAL infarction diagnosis
Published
2004
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44. Left Atrial Volume Index Predicts Arrhythmia-Free Survival in Patients with Persistent Atrial Fibrillation Undergoing Cryoballoon Ablation.

Author

J Albano A, Bush J, L Parker J, Corner K, W Lim H, P Brunner M, I Dahu M, Dandamudi S, Elmouchi D, Gauri A, Woelfel A, and Chalfoun NT

Abstract

Background: Pulmonary vein isolation (PVI) using cryoballoon ablation (PVI-C) is increasingly performed as a first-line strategy for the treatment of patients with persistent atrial fibrillation (PersAF); however, follow-up data and predictors of procedural success are lacking., Objective: To study the efficacy of PVI-C in patients with PersAF, focusing on predictors of procedural success., Methods: By retrospective review, 148 consecutive patients with PersAF who underwent PVI-C were analyzed. The impact of several variables on outcome was evaluated in univariate and multivariate analyses and Cox proportional hazards regression models., Results: After a mean follow-up of 19.2±10.9 months, 75 (50.7%) patients remained arrhythmia-free without the need for antiarrhythmic drug therapy. Patients with a normal left atrial volume index (LAVI) achieved a 71.0% arrhythmia-free survival. LAVI was the most powerful predictor of procedural success., Conclusions: Arrhythmia-free survival after PVI-C in select patients with PersAF are promising. Moreover, LAVI is a valuable measurement to help guide ablation strategy and predict outcome when using cryoballoon ablation.

Published
2019
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45. Safety of anticoagulation with uninterrupted warfarin vs. interrupted dabigatran in patients requiring an implantable cardiac device.

Author

Madan S, Muthusamy P, Mowers KL, Elmouchi DA, Finta B, Gauri AJ, Woelfel AK, Fritz TD, Davis AT, and Chalfoun NT

Abstract

Background: The optimal strategy of peri-procedural anticoagulation in patients undergoing permanent cardiac device implantation is controversial. Our objective was to compare the major bleeding and thromboembolic complications in patients managed with uninterrupted warfarin (UW) vs. interrupted dabigatran (ID) during permanent pacemaker (PPM) or implantable cardioverter defibrillators (ICD) implantation., Methods: A retrospective cohort study of all eligible patients from July 2011 through January 2012 was performed. UW was defined as patients who had maintained a therapeutic international normalized ratio (INR) on the day of the procedure. ID was defined as stopping dabigatran ≥12 hours prior to the procedure and then resuming after implantation. Major bleeding events included hemothorax, hemopericardium, intracranial hemorrhage, gastrointestinal bleed, epistaxis, or pocket hematoma requiring surgical intervention. Thromboembolic complications included stroke, transient ischemic attack, deep venous thrombosis, pulmonary embolism, or arterial embolism., Results: Of the 133 patients (73.4±11.0 years; 91 males) in the study, 86 received UW and 47 received ID. One (1.2%) patient in the UW group sustained hemopericardium perioperatively and died. In comparison, the ID patients had no complications. As compared to the ID group, the UW group had a higher median CHADS2 score (2 vs. 3, P=0.04) and incidence of Grade 1 pocket hematoma (0% vs. 7%, P=0.09). Neither group developed any thromboembolic complications., Conclusions: Major bleeding rates were similar among UW and ID groups. Perioperative ID appears to be a safe anticoagulation strategy for patients undergoing PPM or ICD implantation.

Published
2016
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