15 results on '"Mohamed Aymen Ben Abdessalem"'
Search Results
2. Outcomes and prognostic factors of patients treated for in-stent restenosis: a retrospective single-center experience
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Anis Ghariani, Mohamed Aymen Ben Abdessalem, Khalil Cheikh Sideya, Ahmed Fekih Romdhane, Zied Ben Ameur, Hamza Mosrati, Hatem Bouraoui, Abdallah Mahdhaoui, and Gouider Jeridi
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Coronary restenosis ,Prognosis ,Percutaneous coronary intervention ,Stents ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
Abstract Background The incidence of in-stent restenosis (ISR) remains relatively common despite the use of drug-eluting stents. Outcomes and prognostic factors following ISR revascularization are still being investigated. We aimed to describe the outcomes following different ISR treatment strategies in order to identify prognostic factors associated with worse outcomes. Results In a retrospective cohort study, we included patients who were admitted to our department and treated for ISR, from January 2017 to December 2018. All patients were followed up for a median period of 24 months. Major cardiac adverse event (MACE) was a composite outcome of the following events: myocardial infarction, target vessel revascularization, target lesion revascularization or cardiovascular death. MACEs were collected during follow-up. Our population consisted of 116 patients. Mean age was 60 years old with a sex ratio of 2.8. During follow-up, 44 patients (37.9%) had at least one MACE. Independent factors identified by multivariate logistic regression were ISR of the proximal left anterior descending artery [Odds ratio (OR) = 1.29; 95% confidence interval (95% CI) 1.16–1.81; p = 0.05], diffuse ISR [OR = 2.16; 95% CI 1.1–3.47; p = 0.022], double or triple vessel disease [OR = 2.97; 95% CI 1.2–6.8; p = 0.008], two or more stents per lesion [OR = 1.82; 95% CI 1.14–2.21, p = 0.031] and absence of post-dilatation in the initial angioplasty [OR = 1.32; 95% CI 1–1.35; p = 0.04]. Conclusions Our study suggested that ISR is related to poor outcomes. Identifying prognostic factors would play a key role in the refinement of interventional techniques.
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- 2022
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3. Design and Rationale of the National Tunisian Registry of Percutaneous Coronary Intervention: Protocol for a Prospective Multicenter Observational Study
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Rania Hammami, Selim Boudiche, Tlili Rami, Nejeh Ben Halima, Ahmed Jamel, Bassem Rekik, Rym Gribaa, Ben Mrad Imtinene, Salma Charfeddine, Tarek Ellouze, Amine Bahloul, Ben Slima Hédi, Jamel Langar, Habib Ben Ahmed, Zied Ibn Elhadj, Mohamed Hmam, Mohamed Aymen Ben Abdessalem, Sabri Maaoui, Sana Fennira, Laroussi Lobna, Majed Hassine, Sami Ouanes, Drissi Mohamed Faouzi, Souad Mallek, Abdallah Mahdhaoui, Dghim Meriem, Walid Jomaa, Sofien Zayed, Tawfik Kateb, Nidhal Bouchahda, Fares Azaiez, Helmi Ben Salem, Morched Marouen, Aymen Noamen, Salem Abdesselem, Denguir Hichem, Hassen Ibn Hadj Amor, Farhati Abdeljelil, Amine Amara, Karim Bejar, Ben Hamda Khaldoun, Chiheb Hamza, Mohsen Ben Jamaa, Sami Fourati, Faycal Elleuch, Zeineb Grati, Slim Chtourou, Sami Marouene, Mohamed Sahnoun, Morched Hadrich, Maalej Mohamed Abdelkader, Hatem Bouraoui, Kamel Kamoun, Moufid Hadrich, Tarek Ben Chedli, Mohamed Akrem Drissa, Hanene Charfeddine, Nizar Saadaoui, Gargouri Achraf, Siala Ahmed, Mokdad Ayari, Marsit Nabil, Sabeur Mnif, Maher Sahnoun, Helmi Kammoun, Khaled Ben Jemaa, Gharbi Mostari, Nebil Hamrouni, Maazoun Yamen, Yassine Ellouz, Zahreddine Smiri, Amine Hdiji, Jerbi Bassem, Wacef Ayadi, Amir Zouari, Chedly Abbassi, Boujelben Masmoudi Fatma, Kais Battikh, Elyes Kharrat, Imen Gtif, Milouchi Sami, Leila Bezdah, Salem Kachboura, Mohamed Faouzi Maatouk, Sondes Kraiem, Gouider Jeridi, Elyes Neffati, Samir Kammoun, Youssef Ben Ameur, Wafa Fehri, Habib Gamra, Lilia Zakhama, Faouzi Addad, Mourali Mohamed Sami, and Leila Abid
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Medicine ,Computer applications to medicine. Medical informatics ,R858-859.7 - Abstract
BackgroundCoronary artery diseases remain the leading cause of death in the world. The management of this condition has improved remarkably in the recent years owing to the development of new technical tools and multicentric registries. ObjectiveThe aim of this study is to investigate the in-hospital and 1-year clinical outcomes of patients treated with percutaneous coronary intervention (PCI) in Tunisia. MethodsWe will conduct a prospective multicentric observational study with patients older than 18 years who underwent PCI between January 31, 2020 and June 30, 2020. The primary end point is the occurrence of a major adverse cardiovascular event, defined as cardiovascular death, myocardial infarction, cerebrovascular accident, or target vessel revascularization with either repeat PCI or coronary artery bypass grafting (CABG). The secondary end points are procedural success rate, stent thrombosis, and the rate of redo PCI/CABG for in-stent restenosis. ResultsIn this study, the demographic profile and the general risk profile of Tunisian patients who underwent PCI and their end points will be analyzed. The complexity level of the procedures and the left main occlusion, bifurcation occlusion, and chronic total occlusion PCI will be analyzed, and immediate as well as long-term results will be determined. The National Tunisian Registry of PCI (NATURE-PCI) will be the first national multicentric registry of angioplasty in Africa. For this study, the institutional ethical committee approval was obtained (0223/2020). This trial consists of 97 cardiologists and 2498 patients who have undergone PCI with a 1-year follow-up period. Twenty-eight catheterization laboratories from both public (15 laboratories) and private (13 laboratories) sectors will enroll patients after receiving informed consent. Of the 2498 patients, 1897 (75.9%) are managed in the public sector and 601 (24.1%) are managed in the private sector. The COVID-19 pandemic started in Tunisia in March 2020; 719 patients (31.9%) were included before the COVID-19 pandemic and 1779 (60.1%) during the pandemic. The inclusion of patients has been finished, and we expect to publish the results by the end of 2022. ConclusionsThis study would add data and provide a valuable opportunity for real-world clinical epidemiology and practice in the field of interventional cardiology in Tunisia with insights into the uptake of PCI in this limited-income region. Trial RegistrationClinicaltrials.gov NCT04219761; https://clinicaltrials.gov/ct2/show/NCT04219761 International Registered Report Identifier (IRRID)RR1-10.2196/24595
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- 2022
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4. Distal radial approach versus conventional radial approach: a comparative study of feasibility and safety
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Rania Hammami, Fatma Zouari, Mohamed Aymen Ben Abdessalem, Awatef Sassi, Tarek Ellouze, Amine Bahloul, Souad Mallek, Faten Triki, Abdallah Mahdhaoui, Gouider Jeridi, Leila Abid, Selma Charfeddine, Samir Kammoun, and Jihen Jdidi
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distal radial artery ,cannulation failure ,local complications ,ultrasound doppler ,Medicine - Abstract
The distal radial approach (DRA) is suggested to have benefits over the conventional radial approach (CRA) in terms of local complications and comfort of both patient and operator. Therefore, we aimed to compare the feasibility and safety of DRA and CRA in a real life population. We conducted a prospective, observational multicentric trial, including all patients undergoing coronary procedures in September 2019. Patients with impalpable proximal or distal radial pulse were excluded. Thus, the choice of the approach is left to the operator discretion. The primary endpoints were cannulation failure and procedure failure. The secondary endpoints were time of puncture, local complications and radial occlusion assessed by Doppler performed one day after the procedure. We enrolled 177 patients divided into two groups: CRA (n = 95) and DRA (n = 82). Percutaneous intervention was achieved in 37% in CRA group and 34% in DRA group (p = 0.7). Cannulation time was not significantly different between the two sets (p = 0.16). Cannulation failure was significantly higher in DRA group (4.8% vs 2%, p
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- 2021
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5. Impact clinique de l'infection par le SARS-CoV2 chez les footballeurs professionnels de la première ligue Tunisienne
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Abdallah Mahdhaoui, Saida Ayachi, Mohamed Aymen Ben Abdessalem, Anis Ghariani, Aouina Mohamed, Souheil Chemli, and Wadii AlJarii
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Cardiology and Cardiovascular Medicine - Published
- 2022
6. Combination Therapy With Nicardipine and Isosorbide Dinitrate to Prevent Spasm in Transradial Percutaneous Coronary Intervention (from the NISTRA Multicenter Double-Blind Randomized Controlled Trial)
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Nidhal Bouchahda, Mohamed Aymen Ben Abdessalem, Najeh Ben Hlima, Mejdi Ben Messaoud, Hichem Denguir, Mohamed Mehdi Boussaada, Wassim Saoudi, Ahmed Jamel, Majed Hassine, Hatem Bouraoui, Marwen Mahjoub, Abdallah Mahdhaoui, Gouider Jeridi, Fethi Betbout, and Habib Gamra
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Cardiology and Cardiovascular Medicine - Abstract
Verapamil and nitroglycerin are widely used to prevent radial artery spasm (RAS) during percutaneous cardiovascular procedures. However, these agents are not typically available in most African countries and consequently, isosorbide dinitrate is often the only spasmolytic treatment. Our aim was to compare the efficacy of isosorbide dinitrate alone versus isosorbide dinitrate used together with nicardipine to prevent RAS during transradial coronary procedures. This was a randomized controlled double-blind multicenter trial. Patients (n = 1,523) were randomized to receive either a sole therapy of isosorbide dinitrate (n = 760) or the combination of isosorbide dinitrate and nicardipine (n = 763). Our primary end point was the occurrence of RAS; defined as considerable perceived hindrance of catheter advancement. Our secondary end points were severe RAS; defined as (1) severe arm pain, (2) the need for either morphine or midazolam treatment, and (3) necessity for crossover to the contralateral radial or femoral artery. RAS incidence was reduced with the combination therapy versus isosorbide dinitrate alone (15% vs 25%, p0.001), with a number needed to treat of 10 patients. There was also a significant reduction in the incidence of the secondary end points with combination therapy (3.6% vs 8.2%, p0.001), with a number needed to treat of 22 patients. This result was driven by reductions in both femoral crossover (0.5% vs 2.4%, p = 0.003) and the use of morphine or midazolam injections (1.6% vs 3.5%, p = 0.02) with combination therapy. In conclusion, we demonstrated the superiority of the combination therapy of isosorbide dinitrate and nicardipine over isosorbide dinitrate alone in reducing the incidence of RAS.
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- 2022
7. Prognostic impact of diabetes mellitus on patients managed by urgent percutaneous coronary intervention
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Anis, Ghariani, Hamza, Mosrati, Mohamed Aymen, Ben Abdessalem, Hatem, Bouraoui, Ahmed, Fekih Romdhane, Fares, Ammar, Abdallah, Mahdhaoui, and Gouider, Jeridi
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Percutaneous Coronary Intervention ,Treatment Outcome ,Risk Factors ,Diabetes Mellitus ,Myocardial Infarction ,Humans ,ST Elevation Myocardial Infarction ,Prognosis ,Aged ,Retrospective Studies - Abstract
Diabetes Mellitus (DM) is known to be associated with worse outcomes following percutaneous coronary intervention (PCI).To assess prognostic impact of DM on patients managed by urgent PCI following ST-segment elevation myocardial infarction (STEMI).In a retrospective study, STEMI patients admitted to our department from January 2016 to December 2019 and treated with urgent PCI (primary or rescue PCI) were included. They were divided in two groups: Diabetic and non-diabetic patients. They were followed-up for a period of 12 months. Major cardiac adverse event (MACE) was a composite outcome of the following events: myocardial infarction, target vessel revascularization, target lesion revascularization or cardiovascular death. MACEs were collected during follow-up.Our population consisted of 225 patients. DM was observed in 104 STEMI patients (46.2%). Diabetic patients had higher frequency of hypertension (p 1.4mmol/l (p 75 years, hyperglycemia at admission (10mmol/l), extensive anterior infarction and procedure failure were associated with in-hospital mortality in the non-diabetic group. Factors associated with 12-months mortality and MACEs among diabetic patients were age75 years, anemia, CKD and left ventricular systolic dysfunction.Despite modern era of STEMI treatment, diabetic patients still have a poor prognosis. These results highlight the need for coronary risk factors treatment among these patients.
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- 2022
8. Abstracts of the Tunisian Society of Cardiology and Cardiovascular Surgery congress, STCCCV 2021
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Afef, Ben Halima, Hichem, Aouina, Agnès, Hamzaoui, Leila, Gharbi, Nawel, Chaouech, Besma, Dhahri, Hédia, Ghrairi, Sarah, Maazaoui, Imen, Sahnoun, Amani, Ben Mansour, Sabrine, Louhichi, Jihen, Ben Amar, Redha, Lakehal, Emna, Allouche, Habib, Ben Ahmed, Mohamed Selmen, Aissa, Marwa, Fathi, Feten, Boudiche, Hakim, Ben Jemaa, Mohamed, Béji, Wejdène, Ouechtati, Leila, Bezdah, Mohamed Aymen, Ben Abdessalem, Khalil, Cheikh Sidiya, Ahmed Fekih, Romdhane, Zied, Ben Ameur, Hamza, Mosrati, Fares, Ammar, Hatem, Bouraoui, Samia, Hajri, Abdallah, Mahdhaoui, Gouider, Jeridi, Khaoula, Nasser, Aymen, Elhraiech, Marouen, Kacem, Mohamed Ali, Tekaya, Ayoub, Meddeb, Khaldoun, Ben Hamda, Faouzi, Maatouk, Oussema, Wachem, Saoussen, Antit, Ridha, Fekih, Cyrine, Antit, Elhem, Boussabah, Moez, Thameur, Lilia, Zakhama, Soraya, Ben Youssef, Marwa, Ben Doudou, Sofien, Kamoun, Imtinene, Ben Mrad, Fathia, Ben Moussa, Sana, Fennira, Khedija, Mzoughi, Ihsen, Zairi, Sondes, Kraiem, Yosra, Messaoudi, Marwa, Ben Abdallah, Oumaima, Ghabi, Nejeh, Ben Halima, Sobhi, Mleyhi, Tarek, Sandi, Rim, Miri, Tesnim, Besbes, Faker, Ghédira, Skander, Ben Omrane, Raouf, Denguir, Mariem, Drissa, Asma, Brahim, Essia, Mousli, Cyrine, Ousji, Hassen, Abou Nada, Asma, Bouslimi, Amani, Merdassi, Oumaima, Taher, Habiba, Drissa, Wael, Yaakoubi, Manel, Ben Hlima, Bassem, Rekik, Med Amine, Soula, Fourat, Zouari, Slim, Boudiche, Fathia, Mghaieth, Sana, Ouali, Mohamed Sami, Mourali, Karima, Taamallah, Mariem, Abid, Nadhem, Hajlaoui, Aabdedeyem, Haggui, Wafa, Fehri, Moslem, Ben Abdallah, Fares, Azaiez, Nour, Cherif, Fakher, Jaoued, Rami, Tlili, Youssef, Ben Ameur, Ali, Khorchani, Zineelabidne, Ben Ali, Ala Eddine, Dali, Sami, Milouchi, Amine, Boufares, Iheb, Ben Krayen, Hichem, Mtimet, Mohamed Ghassen, Ben Haj Mbarek, Oussama, Bouhamed, Safa, Dardouri, Rym, Gribaa, Imen, Ben Ali, Mehdi, Slim, Elyess, Neffati, Emna, Damak, Chaker, Jaber, Taieb, Cherif, Mouna, Bousnina, Amine, Jemel, Sofiane, Jerbi, Yassine, Marzouki, Syrine, Neji, Mohamed, Beji, Imene, Chaabene, Soumeya, Tahri, Malek, Kechida, Syrine, Daada, Sonia, Hammami, Wajih, Ben Abdallah, Rim, Klii, Ines, Khochtali, Emna, Rekik, Marwa, Abdelhedi, Neji, Lahbib, Dorra, Aouadi, Souha, Abid, Boutheina, Besbes, Zeineb, Oumaya, Noufeil, BelKahla, Ibrahim, Arbaoui, Fatma, Daoued, Hela, Jebali, Ella, Lahmaier, Emna, Chaabouni, Mariem, Hajji, Mohamed Karim, Zouaghi, Maroua, Abdallah, Souheil, Mlayah, Yassine, Selmi, Hibar, Idriss, Jamel, Ahmed, Oumeima, Brahim, Elyes, Turki, Raja, Ghzel, Khalil, Ouaghlani, Kaouthar, Hakim, Amine, Boussema, Houda, Ben Arbia, Sana, Said, Hela, Msaad, Fatma, Ouarda, Roueida, Khalifa, Ghada, Hamila, Syrine, Triki, Sawsen, Ataoui, Asmaou, Keita, Rihab, Ben Othman, Houda, Ghardallou, Rahma, Karmous, Mouad, El Bardi, Chiraz, Lassoued, Lilia, Laadhar, Yassine, Khadhar, Fatma, Aouini, Melek, Ben Mrad, Nabil, Ben Romdhane, Sana, Hamdi, Sarra, Chenik, Yassine, Jabloun, Amira, Talhaoui, Houaida, Mahfoudhi, Mariem, Ghardallou, Aymen, Noamen, Haythem, Raddaoui, Chedia, Chourabi, Amani, Amorri, Houssem, Boukhili, Ahlem, Khannouch, Molka, Louati, Hassan, Alzain, Achref, Hamdani, Sabrine, Bousnina, Zeineb, Ajra, Refaat, Gheni, Riadh, Ben Hmida, Taha, Ounissi, Zied, Ibn Elhadj, Wafa, Fekih, Maha, Ben Yedder, Wafa, Medi, Jamel, Elghoul, Afef, Ben Dayekh, Bechir, Ben Radhia, Khawla, Nasser, Haifa, Mtir, Chokri, Kortas, Imene, Mgarrech, Marah, Jamli, Hela, Kaddour, Nouha, Mekki, Imene, Amamou, Assil, Achour, Sami, Ouannes, Sameh, Ben Farhat, Abdelaziz, Jaouadi, Saeb, Ben Saad, and Rim, Letaief
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Cardiovascular Diseases ,Cardiology ,Humans - Published
- 2022
9. [Clinical impact of SARS-CoV2 infection in professional footballers of the Tunisian Premier League]
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Abdallah, Mahdhaoui, Saida, Ayachi, Mohamed Aymen, Ben Abdessalem, Anis, Ghariani, Aouina, Mohamed, Souheil, Chemli, and Wadii, AlJarii
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Adult ,Young Adult ,Athletes ,SARS-CoV-2 ,Soccer ,COVID-19 ,Humans ,RNA, Viral ,Retrospective Studies - Abstract
The aim of our work, developed within the Tunisian Football Federation (TFF), was to study the clinical manifestations and the possible cardiac complications in professional footballers of the first league having contracted an infection by SARS-CoV2.This is a retrospective, descriptive, and analytical study. Professional Premier League football players who contracted COVID-19 from the onset of the pandemic through June 2021 were included.Among the 1388 players of the Tunisian first professional league, 102 players (7.35%) had COVID-19. Three were excluded for lack of clinical data. The average age of the subjects included was 26 ± 4 years with extremes ranging from 19 to 37 years. The most frequent clinical manifestations were anosmia, agueusia and muscle fatigue. The clinical examination was normal in all the subjects included except for the presence of fever among 37 (37.9%) subjects. All subjects' electrocardiogram did not show any unusual abnormality. As for the imaging data, two players presented a pericardial effusion without signs of severity. In the other players, echocardiography was normal. Cardiac magnetic resonance imaging did not reveal any abnormality.The results of our study showed that there was no severe form of COVID-19 among professional soccer players. Larger scale studies integrating other leagues and different sport categories may provide more information on the clinical impact of this disease in high level athletes.
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- 2022
10. Étude rétrospective monocentrique sur la prévalence et la signification du bloc de branche droit incomplet chez les jeunes sportifs de compétition en Tunisie
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Mohamed Aymen Ben Abdessalem, Anis Ghariani, Ahmed Fekih Romdhane, Zied Ben Ameur, Hatem Bouraoui, Mahdhaoui Abdelah, and Samia Ernez-Hajri
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Cardiology and Cardiovascular Medicine - Published
- 2023
11. Design and Rationale of the National Tunisian Registry of Percutaneous Coronary Intervention: Protocol for a Prospective Multicenter Observational Study
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Hanene Charfeddine, Khaled Ben Jemaa, Fares Azaiez, Achraf Gargouri, Selma Charfeddine, Sabeur Mnif, Tawfik Kateb, Karim Bejjar, Leila Bezdah, Mohsen Ben Jemaa, Sana Fennira, Chiheb Hamza, Abdelkader Maalej, Moufid Hadrich, Bassem Rekik, Sami Marouene, Amin Bahloul, Souad Mallek, Yassine Ellouz, Rania Hammami, Walid Jomaa, Mohamed Aymen Ben Abdessalem, Bassem Jerbi, Nizar Saadaoui, Faycal Elleuch, Slim Boudiche, Jamel Langar, Leila Abid, Zahreddine Smiri, Samir Kammoun, Amine Amara, Faouzi Maatoug, Sami Ouannes, Habib Ben Ahmed, Wafa Fehri Siala, Tarek Ellouz, Maher Sahnoun, Faouzi Drissi, Abdeljelil Farhati, Sondes Kraiem, Chedly Abbassi, Ahmed Siala, Nejeh Ben Hlima, Sami Fourati, Zied Ibn Bel Hadj, Amir Zouari, Mohamed Akrem Drissa, Tarek Ben Chedli, Amin Hadiji, Mariem Dghim, Elyes Kharrat, Rami Tlili, Majed Hassine, Nidhal Bouchahda, Kais Battikh, Elyes Nafati, Mokdad Ayari, Morched Hadrich, Rym Gribaa, Nebil Hamrouni, Yamen Maazoun, Hichem Denguir Denguir, Nabil Marsit, Salem Kachboura, Hassen Hadj Amor, Salem Abdesselem, Hatem Bouraoui, Sofiene Zayed, Hedi Ben Slima, Mohamed Hmem, Kamel Kamoun, Gouider Jeridi, Zeineb Grati, Khaldoun Ben Hamda, Helmi Ben Salem, Wacef Ayadi, Mostari Gharbi, Fatma Boujelben Masmoudi, Slim Chtourou, Youssef Ben Ameur, Mohamed Sahnoun, Habib Gamra, Imtinen Ben Mrad, Ahmed Jamel, Imen Gtif, Helmi Kamoun, Mohamed Sami Mourali, S. Milouchi, Abdallah Mahdhaoui, L. Zakhama, Lobna Laroussi, Sabri Maaoui, Morched Marouene, F. Addad, and Aymen Noamen
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Protocol (science) ,medicine.medical_specialty ,business.industry ,medicine.medical_treatment ,Emergency medicine ,Medicine ,Percutaneous coronary intervention ,Observational study ,General Medicine ,business - Abstract
Background Coronary artery diseases remain the leading cause of death in the world. The management of this condition has improved remarkably in the recent years owing to the development of new technical tools and multicentric registries. Objective The aim of this study is to investigate the in-hospital and 1-year clinical outcomes of patients treated with percutaneous coronary intervention (PCI) in Tunisia. Methods We will conduct a prospective multicentric observational study with patients older than 18 years who underwent PCI between January 31, 2020 and June 30, 2020. The primary end point is the occurrence of a major adverse cardiovascular event, defined as cardiovascular death, myocardial infarction, cerebrovascular accident, or target vessel revascularization with either repeat PCI or coronary artery bypass grafting (CABG). The secondary end points are procedural success rate, stent thrombosis, and the rate of redo PCI/CABG for in-stent restenosis. Results In this study, the demographic profile and the general risk profile of Tunisian patients who underwent PCI and their end points will be analyzed. The complexity level of the procedures and the left main occlusion, bifurcation occlusion, and chronic total occlusion PCI will be analyzed, and immediate as well as long-term results will be determined. The National Tunisian Registry of PCI (NATURE-PCI) will be the first national multicentric registry of angioplasty in Africa. For this study, the institutional ethical committee approval was obtained (0223/2020). This trial consists of 97 cardiologists and 2498 patients who have undergone PCI with a 1-year follow-up period. Twenty-eight catheterization laboratories from both public (15 laboratories) and private (13 laboratories) sectors will enroll patients after receiving informed consent. Of the 2498 patients, 1897 (75.9%) are managed in the public sector and 601 (24.1%) are managed in the private sector. The COVID-19 pandemic started in Tunisia in March 2020; 719 patients (31.9%) were included before the COVID-19 pandemic and 1779 (60.1%) during the pandemic. The inclusion of patients has been finished, and we expect to publish the results by the end of 2022. Conclusions This study would add data and provide a valuable opportunity for real-world clinical epidemiology and practice in the field of interventional cardiology in Tunisia with insights into the uptake of PCI in this limited-income region. Trial Registration Clinicaltrials.gov NCT04219761; https://clinicaltrials.gov/ct2/show/NCT04219761 International Registered Report Identifier (IRRID) RR1-10.2196/24595
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- 2022
12. Sinus bradycardia: an unusual manifestation of mild to moderate COVID-19 pneumonia
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Maha, Abid, Mohamed Aymen, Ben Abdessalem, Khadija, Elmenif, Romdhane Ahmed, Fekih, Nadia, Ben Lasfar, Imen, Bouhlel, Foued, Bellazreg, Wissem, Hachfi, Gouider, Jeridi, Abdallah, Mahdhaoui, and Amel, Letaief
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Adult ,Male ,Tunisia ,SARS-CoV-2 ,Pneumonia, Viral ,COVID-19 ,Middle Aged ,Severity of Illness Index ,Cohort Studies ,Electrocardiography ,Heart Rate ,Bradycardia ,Humans ,Arrhythmia, Sinus ,Female ,Aged - Published
- 2021
13. Distal radial approach versus conventional radial approach: a comparative study of feasibility and safety
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Gouider Jeridi, Selma Charfeddine, Fatma Zouari, Amine Bahloul, Abdallah Mahdhaoui, Leila Abid, Awatef Sassi, Souad Mallek, Faten Triki, Mohamed Aymen Ben Abdessalem, Jihen Jdidi, Tarek Ellouze, Rania Hammami, and Samir Kammoun
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Male ,cannulation failure ,genetic structures ,Distal radial artery ,local complications ,Coronary Artery Disease ,Coronary Angiography ,ultrasound doppler ,Catheterization ,03 medical and health sciences ,0302 clinical medicine ,Medicine ,Humans ,030212 general & internal medicine ,Longitudinal Studies ,Prospective Studies ,Aged ,business.industry ,General Medicine ,Middle Aged ,Treatment Outcome ,Radial Artery ,Feasibility Studies ,Female ,Original Article ,Doppler ultrasound ,business ,030217 neurology & neurosurgery ,Biomedical engineering ,Research Article - Abstract
The distal radial approach (DRA) is suggested to have benefits over the conventional radial approach (CRA) in terms of local complications and comfort of both patient and operator. Therefore, we aimed to compare the feasibility and safety of DRA and CRA in a real life population. We conducted a prospective, observational multicentric trial, including all patients undergoing coronary procedures in September 2019. Patients with impalpable proximal or distal radial pulse were excluded. Thus, the choice of the approach is left to the operator discretion. The primary endpoints were cannulation failure and procedure failure. The secondary endpoints were time of puncture, local complications and radial occlusion assessed by Doppler performed one day after the procedure. We enrolled 177 patients divided into two groups: CRA (n = 95) and DRA (n = 82). Percutaneous intervention was achieved in 37% in CRA group and 34% in DRA group (p = 0.7). Cannulation time was not significantly different between the two sets (p = 0.16). Cannulation failure was significantly higher in DRA group (4.8% vs 2%, p
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- 2020
14. Design and Rationale of the National Tunisian Registry of Percutaneous coronary Intervention: Protocol for a Prospective, Multicenter Trial (Preprint)
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Rania Hammami, Slim Boudiche, Rami Tlili, Nejeh Ben Hlima, Ahmed Jamel, Bassem Rekik, Rym Gribaa, Imtinen Ben Mrad, Selma Charfeddine, Tarek Ellouz, Amin Bahloul, Hedi Ben Slima, Jamel Langar, Habib Ben Ahmed, Zied Ibn Bel Hadj, Mohamed Hmem, Mohamed Aymen Ben Abdessalem, Sabri Maaoui, Sana Fennira, Lobna Laroussi, Majed Hassine, Sami Ouannes, Faouzi Drissi, Souad Mallek, Abdallah Mahdhaoui, Mariem Dghim, Walid Jomaa, Sofiene Zayed, Tawfik Kateb, Nidhal Bouchahda, Fares Azaiez, Helmi Ben Salem, Morched Marouene, Aymen Noamen, Salem Abdesselem, Hichem Denguir Denguir, Hassen Hadj Amor, Abdeljelil Farhati, Amine Amara, Karim Bejjar, Khaldoun Ben Hamda, Chiheb Hamza, Mohsen Ben Jemaa, Sami Fourati, Faycal Elleuch, Zeineb Grati, Slim Chtourou, Sami Marouene, Mohamed Sahnoun, Morched Hadrich, Abdelkader Maalej, Hatem Bouraoui, Kamel Kamoun, Moufid Hadrich, Tarek Ben Chedli, Mohamed Akrem Drissa, Hanene Charfeddine, Nizar Saadaoui, Achraf Gargouri, Ahmed Siala, Mokdad Ayari, Nabil Marsit, Sabeur Mnif, Maher Sahnoun, Helmi Kamoun, Khaled Ben Jemaa, Mostari Gharbi, Nebil Hamrouni, Yamen Maazoun, Yassine Ellouz, Zahreddine Smiri, Amin Hadiji, Bassem Jerbi, Wacef Ayadi, Amir Zouari, Chedly Abbassi, Fatma Boujelben Masmoudi, Kais Battikh, Elyes Kharrat, Imen Gtif, Sami Milouchi, Leila Bezdah, Salem Kachboura, Faouzi Maatoug, Sondes Kraiem, Gouider Jeridi, Elyes Nafati, Samir Kammoun, Youssef Ben Ameur, Wafa Fehri Siala, Habib Gamra, Lilia Zakhama, Faouzi Addad, Mohamed Sami Mourali, and Leila Abid
- Subjects
cardiovascular diseases - Abstract
BACKGROUND Coronary diseases remain the first cause of death in the world; the management of this condition has improved, thanks to new technical tools and multicentric registries. Recently in Tunisia, the number of intervention procedures has markedly increased, giving the explosion of cardiovascular risk factors among Tunisian people. OBJECTIVE The aim of the study was to investigate the in-hospital and one-year clinical outcome of patients treated with percutaneous coronary intervention (PCI) in Tunisia. METHODS We will conduct a prospective, multicentric, observational study including patients > 18 year-old who underwent a PCI between 31January and 30 June 2020. The primary end point are the occurrence of a major adverse cardiovascular event , defined as cardiovascular death, myocardial infarction, cerebrovascular accident, and target vessel revascularization with either repeat PCI or coronary artery bypass surgery (CABG). Secondary end-points consist in procedural success rate, stent thrombosis, and the rate of redo-PCI/CABG for in-stent restenosis. RESULTS Results will be available at the end of the study as well as the demographic profile and general risk profile of Tunisian patients undergoing PCI. The complexity level of procedures, as left main, bifurcation, chronic occlusion PCI will be analyzed and immediate as well as long term results will be determined. NATURE-PCI will be the first national multicentric registry of angioplasty in Africa. CONCLUSIONS This study would add data and provide a valuable opportunity for real-world clinical epidemiology and practice in the field of interventional cardiology in Tunisia with insights into the uptake of contemporary coronary artery disease in this developing region. CLINICALTRIAL clinicaltrials.gov
- Published
- 2020
15. 2 cases of non-surgical treatment of stent loss during percutaneous coronary intervention
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sousse Tunisia, Abdallah Mahdhaoui, Oussama Ben Rejeb, Mohamed Aymen Ben Abdessalem, Imen Bouhlel, and Samia Ernez
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medicine.medical_specialty ,business.industry ,medicine.medical_treatment ,Percutaneous coronary intervention ,Stent ,equipment and supplies ,medicine.disease ,Surgery ,Coronary artery disease ,Stenosis ,surgical procedures, operative ,Drug-eluting stent ,Angioplasty ,medicine ,cardiovascular diseases ,Myocardial infarction ,Cardiology and Cardiovascular Medicine ,business ,TIMI - Abstract
Background: Percutaneous coronary intervention with stents is widely used for coronary artery disease. Stent loss is a rare complication. Incidence is estimated at 1.3%. Although Stent has been retrieved in most cases; urgent coronary artery bypass graft, myocardial infarction and death are poor outcomes associated with this complication. Cases report: First case is about a 55 years old male, heavy smoker, admitted to the cathlab for a non ST elevation myocardial infarction (NSTEMI). Ejection fraction (EF) was 55% with inferior wall hypokinesis. Coronary angiogram showed a long stenosis in a tortuous mid-right coronary artery (RCA) with a TIMI 2 flow. Ad-hoc angioplasty was attempted. Direct stenting was attempted but stent couldn't be delivered to the target lesion and attempts resulted in stent retention. Stent couldn't be retrieved and finally was successfully crushed with a drug eluting stent with good final result. Patient had uneventful recovery. Second case is about a 59 years old Male type 2 diabetes mellitus and former smoker. He was hospitalized for a NSTEMI. EF was 50% with anterior hypokinesis. Angiogram showed a long stenosis in the mid left anterior descending artery with a TIMI 2 flow. Ad-hoc angioplasty was attempted with a long drug eluting stent (DES) but wasn't successful. The stent was partially detached and deformed. It was successfully retrieved using the stent's balloon. Patient was successfully treated with a second successful procedure with a DES. Conclusion: No algorithm or stepwise approach exists to treat stent loss. Tortuous lesions and failure to cross the stenosis are common angiographic finding associated with this complication. Stent retrieval, deployment or crushing is the frequently used techniques to deal with this issue.
- Published
- 2018
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