Search results for: Igor Gosev

Items from 1 to 20 out of 26 results

article

Racial differences in clinical characteristics and readmission burden among patients with a left ventricular‐assist device

Saadia Sherazi, Jeffrey D. Alexis, Scott McNitt, Bronislava Polonsky, more

Artificial Organs > 47 > 8 > 1242 - 1249

Background There are limited data regarding racial disparities in outcomes after left ventricular assist device (LVAD) implantation. The purpose of this study was to compare clinical characteristics and the burden of readmissions by race among patients with LVAD. Methods The study population included 461 patients implanted with LVADs at the University of Rochester Medical Center, NY from May 2008...

article

Design and characteristics of the prophylactic intra‐operative ventricular arrhythmia ablation in high‐risk LVAD candidates (PIVATAL) trial

David T. Huang, Igor Gosev, Katherine L. Wood, Hima Vidula, more

Annals of Noninvasive Electrocardiology > 28 > 5 > n/a - n/a

Background The use of a Left Ventricular Assist Device (LVAD) in patients with advanced heart failure refractory to optimal medical management has progressed steadily over the past two decades. Data have demonstrated reduced LVAD efficacy, worse clinical outcome, and higher mortality for patients who experience significant ventricular tachyarrhythmia (VTA). We hypothesize that a novel prophylactic...

article

Left atrial appendage exclusion with less invasive left ventricular assist device implantation

Milica Bjelic, Katherine L. Wood, Bartholomew V. Simon, Himabindu Vidula, more

Journal of Cardiac Surgery > 37 > 12 > 4967 - 4974

Objectives The objective of this single‐center, pilot, prospective, and historical control study is to evaluate safety and feasibility outcomes associated with left atrial appendage exclusion (LAAE) concomitant with left ventricular assist device (LVAD) implantation via less invasive surgery (LIS) as a stroke prevention strategy. Methods A predefined number of 30 eligible subjects scheduled for...

article

Impact of surgical approach for left ventricular assist device implantation on postoperative invasive hemodynamics and right ventricular failure

Milica Bjelic, Himabindu Vidula, Isaac Y. Wu, Scott McNitt, more

Journal of Cardiac Surgery > 37 > 10 > 3072 - 3081

Background Right ventricular failure (RVF) remains one of the major causes of morbidity and mortality after left ventricular assist device (LVAD) implantation. We sought to compare immediate postoperative invasive hemodynamics and the risk of RVF following two different surgical approaches: less invasive surgery (LIS) versus full sternotomy (FS). Methods The study population comprised all 231 patients...

article

Using machine learning to improve survival prediction after heart transplantation

Brian Ayers, Tuomas Sandholm, Igor Gosev, Sunil Prasad, more

Journal of Cardiac Surgery > 36 > 11 > 4113 - 4120

Background This study investigates the use of modern machine learning (ML) techniques to improve prediction of survival after orthotopic heart transplantation (OHT). Methods Retrospective study of adult patients undergoing primary, isolated OHT between 2000 and 2019 as identified in the United Network for Organ Sharing (UNOS) registry. The primary outcome was 1‐year post‐transplant survival. Patients...

article

Long‐term renal function after venoarterial extracorporeal membrane oxygenation

Brian Ayers, Milica Bjelic, Neil Kumar, Katherine Wood, more

Journal of Cardiac Surgery > 36 > 3 > 815 - 820

Background The utilization of venoarterial extracorporeal membrane oxygenation (VA‐ECMO) as a life‐supporting therapy has increased exponentially over the last decade. As more patients receive and survive ECMO, there are a number of unanswered clinical questions about their long‐term prognosis and organ function including the need for long‐term dialysis. Methods We aimed to utilize over 208 patient‐years...

article

Transcatheter aortic valve replacement in left ventricular assist device patient‐overcoming the complications with transapical approach and circulatory arrest

Milica Bjelic, Brian Ayers, Frederick S. Ling, Sunil M. Prasad, more

Journal of Cardiac Surgery > 36 > 1 > 403 - 405

We present the patient with severe aortic insufficiency (AI) 5 years post left ventricular assist device (LVAD) implantation. His management was complicated with unsuccessful percutaneous aortic valve closure attempt, transcatheter aortic valve replacement (TAVR) implantation with a severe paravalvular leak, eventual valve dislodgment into the left ventricle (LV), and LVAD inflow cannula occlusion...

article

MELD‐XI is predictive of mortality in venoarterial extracorporeal membrane oxygenation

Brian Ayers, Katherine Wood, Amber Melvin, Sunil Prasad, more

Journal of Cardiac Surgery > 35 > 6 > 1275 - 1282

Background Venoarterial extracorporeal membrane oxygenation (VA‐ECMO) is a life‐saving method of supporting critically ill patients. However, it is expensive and associated with high morbidity and mortality, making early predictive outcome modeling extremely valuable. The model for end‐stage liver disease‐excluding international normalized ratio (MELD‐XI) scoring system has been shown to have prognostic...

article

HeartMate 3 pump exchange via sternal‐sparing bilateral minithoracotomies

Clauden Louis, Brian Ayers, Bryan Barrus, Sunil Prasad, more

Journal of Cardiac Surgery > 35 > 4 > 901 - 903

As median survival for left ventricular assist device (LVAD) patients increases, the incidence of adverse events requiring device exchange is likely to increase as well. Less invasive surgical approaches for device exchange of older generation pumps have demonstrated multiple potential benefits compared with median sternotomy. However, there remains a paucity of data in regard to less invasive surgical...

article

The impact of a pulmonary embolism response team on the efficiency of patient care in the emergency department

Colin Wright, Ayman Elbadawi, Yu Lin Chen, Dhwani Patel, more

Journal of Thrombosis and Thrombolysis > 2019 > 48 > 2 > 331-335

The concept of a pulmonary embolism response team (PERT) is multidisciplinary, with the hope that it may positively impact patient care, hospital efficiency, and outcomes in the treatment of patients with intermediate and high risk pulmonary embolism (PE). Clinical characteristics of a baseline population of patients presenting with submassive and massive PE to URMC between 2014 and 2016 were examined...

article

Regional nerve block decreases opioid use after complete sternal‐sparing left ventricular assist device implantation

Brian Ayers, Rachel Stahl, Katherine Wood, Wendy Bernstein, more

Journal of Cardiac Surgery > 34 > 5 > 250 - 255

Background Less‐invasive techniques for left ventricular assist device (LVAD) implantation have shown promising outcomes but are associated with significant postoperative pain. We aim to investigate the use of ultrasound‐guided regional nerve blocks to improve pain management during these procedures. Methods We retrospectively reviewed patients implanted with a HeartMate 3 LVAD via complete sternal‐sparing...

article

Epigenome alterations in aortic valve stenosis and its related left ventricular hypertrophy

Igor Gošev, Martina Zeljko, Željko Đurić, Ivana Nikolić, more

Clinical Epigenetics > 2017 > 9 > 1 > 1-28

Aortic valve stenosis is the most common cardiac valve disease, and with current trends in the population demographics, its prevalence is likely to rise, thus posing a major health and economic burden facing the worldwide societies. Over the past decade, it has become more than clear that our traditional genetic views do not sufficiently explain the well-known link between AS, proatherogenic risk...

article

The incidence, risk factors, and outcomes associated with late right-sided heart failure in patients supported with an axial-flow left ventricular assist device

Jonathan D. Rich, Igor Gosev, Chetan B. Patel, Susan Joseph, more

The Journal of Heart and Lung Transplantation > 2017 > 36 > 1 > 50-58

Early right-sided heart failure (RHF) after left ventricular assist device (LVAD) implantation is associated with increased mortality, but little is known about patients who develop late RHF (LRHF). We evaluated the incidence, risk factors, and clinical impact of LRHF in patients supported by axial-flow LVADs.Data were analyzed from 537 patients enrolled in the HeartMate II (HM II; Thoratec/St. Jude)...

article

Should Moderate-to-Severe Tricuspid Regurgitation be Repaired During Reoperative Left-Sided Valve Procedures?

Igor Gosev, Maroun Yammine, Siobhan McGurk, Julius I. Ejiofor, more

Seminars in Thoracic and Cardiovascular Surgery > 2016 > 28 > 1 > 38-45

The risks vs benefits of tricuspid valve (TV) surgery in reoperative patients requiring left-sided valve surgery and moderate-to-severe tricuspid regurgitation is unclear. We compared patients with and without concomitant TV surgery. A total of 200 patients with moderate-to-severe TV regurgitation had reoperative left-sided valve procedures from January 2002 to April 2014; 75 with TV intervention...

article

Left ventricular dimension decrement index early after axial flow assist device implantation: A novel risk marker for late pump thrombosis

Emer Joyce, Garrick C. Stewart, Maryclare Hickey, Lara Coakley, more

Journal of Heart and Lung Transplantation > 2015 > 34 > 12 > 1561-1569

It is increasingly recognized that pump thrombosis most likely represents the end stage of a complex interaction between the patient-pump interface. We hypothesized that early patient/pump mismatch, as manifested by suboptimal left ventricular (LV) unloading early after left ventricular assist device (LVAD) implantation, may be a harbinger of increased risk for later LVAD thrombosis.In 64 patients...

article

Surgical Embolectomy for Acute Massive and Submassive Pulmonary Embolism in a Series of 115 Patients

Robert C. Neely, John G. Byrne, Igor Gosev, Lawrence H. Cohn, more

The Annals of Thoracic Surgery > 2015 > 100 > 4 > 1245-1252

Pulmonary embolectomy is often indicated for central pulmonary embolism (PE) with hemodynamic instability, but remains controversial for hemodynamically stable patients with signs of right ventricular dysfunction. Because thrombolytic therapy is often contraindicated postoperatively, we reviewed risk factors and outcomes of pulmonary embolectomy for stable and unstable central PE, particularly in...

article

Resuscitation in cardiac surgery patients

Igor Gosev, Ivana Nikolic, Sary F. Aranki

The Journal of Thoracic and Cardiovascular Surgery > 2015 > 150 > 1 > 266

article

Aneurysm of a Saphenous Vein Aortocoronary Graft

Marko T. Boskovski, Igor Gosev, Raphael Bueno, Michael L. Steigner, more

Journal of Cardiac Surgery > 30 > 3 > 270 - 271

article

Late outcomes comparison of nonelderly patients with stented bioprosthetic and mechanical valves in the aortic position: A propensity-matched analysis

R. Scott McClure, Siobhan McGurk, Marisa Cevasco, Ann Maloney, more

The Journal of Thoracic and Cardiovascular Surgery > 2014 > 148 > 5 > 1931-1939

Our study compares late mortality and valve-related morbidities between nonelderly patients (aged <65 years) undergoing stented bioprosthetic or mechanical valve replacement in the aortic position.We identified 1701 consecutive patients aged <65 years who underwent aortic valve replacement between 1992 and 2011. A stented bioprosthetic valve was used in 769 patients (45%) and a mechanical valve...

article

Resuscitation practices in cardiac surgery

Igor Gosev, Ivana Nikolic, Sari Aranki

The Journal of Thoracic and Cardiovascular Surgery > 2014 > 148 > 4 > 1152-1156

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Keywords

LVAD (4)
LEFT VENTRICULAR ASSIST DEVICE (3)
HEART FAILURE (2)
LIS (2)
MINIMAL INVASIVE (2)
ABLATION (1)
ADULT (1)
AORTIC INSUFFICIENCY (1)
AORTIC STENOSIS (1)
AORTIC VALVE SURGERY (1)
ATRIAL APPENDAGE (1)
CARDIAC (1)
CARDIAC MYXOMA (1)
CARDIOGENIC SHOCK (1)
CARDIOVASCULAR RESEARCH (1)
CHROMATIN REMODELING (1)
CIRCULATORY ARREST (1)
CNC (1)
COMPLICATIONS (1)
CRITICAL CARE (1)
CYTOGENETIC PROFILE (1)
DEATH (1)
DIALYSIS (1)
DNA METHYLATION (1)
ECHOCARDIOGRAPHY (1)
ECMO (1)
EPIGENETIC (1)
EPIGENETICS (1)
EPIGENOME (1)
EXCHANGE (1)
EXTRACORPOREAL MEMBRANE OXYGENATION (1)
HEARTMATE II (1)
HEMODYNAMICS (1)
HISTOGENESIS (1)
HISTONE MODIFICATION (1)
KIDNEY FUNCTION (1)
LAAO (1)
LATE RIGHT-SIDED HEART FAILURE (1)
LEFT VENTRICULAR ASSIST DEVICE (LVAD) (1)
LEFT VENTRICULAR DIMENSION (1)
LESS INVASIVE (1)
LNCRNA (1)
LONG‐TERM OUTCOMES (1)
LVAD AI (1)
MECHANICAL CIRCULATORY SUPPORT (1)
MIRNA (1)
MITRAL VALVE SURGERY (1)
MODEL FOR END‐STAGE LIVER DISEASE‐EXCLUDING INR (MELD‐XI) (1)
MOLECULAR PATHOLOGY (1)
MORTALITY/SURVIVAL (1)
NERVE BLOCK (1)
OUTCOMES (1)
PAIN MANAGEMENT (1)
PERIOPERATIVE (1)
PREDICTORS (1)
PULMONARY EMBOLISM (PE) (1)
PULMONARY EMBOLISM RESPONSE TEAM (PERT) (1)
PUMP THROMBOSIS (1)
RACE (1)
READMISSIONS (1)
REOPERATIVE CARDIAC SURGERY (1)
RIGHT VENTRICULAR FAILURE (1)
RISK STRATIFICATION (1)
RVF (1)
STROKE (1)
TAVR (1)
TA‐TAVR (1)
THORACOTOMY (1)
TRANSPLANTATION (1)
TRICUSPID REGURGITATION (1)
TRICUSPID VALVE (1)
VA‐ECMO (1)
VENOUS THROMBOEMBOLISM (VTE) (1)
VENTRICULAR ASSIST DEVICE (1)
VENTRICULAR TACHYCARDIA (1)
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Elsevier (13)
Wiley (11)
Springer (2)

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Search results for: Igor Gosev

Racial differences in clinical characteristics and readmission burden among patients with a left ventricular‐assist device

Design and characteristics of the prophylactic intra‐operative ventricular arrhythmia ablation in high‐risk LVAD candidates (PIVATAL) trial

Left atrial appendage exclusion with less invasive left ventricular assist device implantation

Impact of surgical approach for left ventricular assist device implantation on postoperative invasive hemodynamics and right ventricular failure

Using machine learning to improve survival prediction after heart transplantation

Long‐term renal function after venoarterial extracorporeal membrane oxygenation

Transcatheter aortic valve replacement in left ventricular assist device patient‐overcoming the complications with transapical approach and circulatory arrest

MELD‐XI is predictive of mortality in venoarterial extracorporeal membrane oxygenation

HeartMate 3 pump exchange via sternal‐sparing bilateral minithoracotomies

The impact of a pulmonary embolism response team on the efficiency of patient care in the emergency department

Regional nerve block decreases opioid use after complete sternal‐sparing left ventricular assist device implantation

Epigenome alterations in aortic valve stenosis and its related left ventricular hypertrophy

The incidence, risk factors, and outcomes associated with late right-sided heart failure in patients supported with an axial-flow left ventricular assist device

Should Moderate-to-Severe Tricuspid Regurgitation be Repaired During Reoperative Left-Sided Valve Procedures?

Left ventricular dimension decrement index early after axial flow assist device implantation: A novel risk marker for late pump thrombosis

Surgical Embolectomy for Acute Massive and Submassive Pulmonary Embolism in a Series of 115 Patients

Resuscitation in cardiac surgery patients

Aneurysm of a Saphenous Vein Aortocoronary Graft

Late outcomes comparison of nonelderly patients with stented bioprosthetic and mechanical valves in the aortic position: A propensity-matched analysis

Resuscitation practices in cardiac surgery

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