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6 results on '"Nashawati E"'

5. Aortic Arch Pseudoaneurysm, a Complication of a Tracheal Expandable Stent (Wallstent).

Author

Rezai Gharai L, Nashawati E, and Poulton TB

Subjects
Aneurysm, False diagnostic imaging, Aneurysm, False pathology, Bronchoscopy methods, Computed Tomography Angiography methods, Fatal Outcome, Female, Hemoptysis complications, Humans, Middle Aged, Respiratory Distress Syndrome therapy, Shock etiology, Stents standards, Aneurysm, False complications, Aorta, Thoracic pathology, Respiratory Distress Syndrome diagnostic imaging, Stents adverse effects
Published
2017
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6. Safety and efficacy of pulmonary vein antral isolation in patients with obstructive sleep apnea: the impact of continuous positive airway pressure.

Author

Patel D, Mohanty P, Di Biase L, Shaheen M, Lewis WR, Quan K, Cummings JE, Wang P, Al-Ahmad A, Venkatraman P, Nashawati E, Lakkireddy D, Schweikert R, Horton R, Sanchez J, Gallinghouse J, Hao S, Beheiry S, Cardinal DS, Zagrodzky J, Canby R, Bailey S, Burkhardt JD, and Natale A

Subjects
Atrial Fibrillation complications, Atrial Fibrillation physiopathology, Female, Follow-Up Studies, Heart Conduction System physiopathology, Heart Rate physiology, Humans, Male, Middle Aged, Retrospective Studies, Sleep Apnea, Obstructive complications, Sleep Apnea, Obstructive physiopathology, Time Factors, Treatment Outcome, Atrial Fibrillation surgery, Catheter Ablation methods, Continuous Positive Airway Pressure methods, Heart Conduction System surgery, Pulmonary Veins surgery, Sleep Apnea, Obstructive therapy
Abstract

Background: Obstructive sleep apnea (OSA) may be associated with pulmonary vein antrum isolation (PVAI) failure. The aim of the present study was to investigate if treatment with continuous positive airway pressure (CPAP) improved PVAI success rates., Methods and Results: From January 2004 to December 2007, 3000 consecutive patients underwent PVAI. Patients were screened for OSA and CPAP use. Six hundred forty (21.3%) patients had OSA. Patients with OSA had more procedural failures (P=0.024) and hematomas (P<0.001). Eight percent of the non-OSA paroxysmal atrial fibrillation patients had nonpulmonary vein antrum triggers (non-PV triggers) and posterior wall firing versus 20% of the OSA group (P<0.001). Nineteen percent of the non-OSA nonparoxysmal atrial fibrillation population had non-PV triggers versus 31% in the OSA group (P=0.001). At the end of the follow-up period (32±14 months), 79% of the non-CPAP and 68% of the CPAP group were free of atrial fibrillation (P=0.003). Not using CPAP in addition to having non-PV triggers strongly predicted procedural failure (hazard ratio, 8.81; P<0.001)., Conclusions: OSA was an independent predictor for PVAI failure. Treatment with CPAP improved PVAI success rates. Patients not treated with CPAP in addition to having higher prevalence of non-PV triggers were 8 times more likely to fail the procedure.

Published
2010
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