Publications by authors named "A R Udyavar"

Article Synopsis
  • Tricuspid valve pathology is common and presents challenges for mechanical tricuspid valve replacement, particularly when implanting a permanent pacemaker due to risks like valve damage and lead fractures.
  • Epicardial leads, while an option, are not ideal for patients with past thoracotomies due to surgical requirements.
  • This case report showcases successful left ventricular (LV) pacing through the coronary sinus in a 30-year-old woman, proving it to be a safe and effective alternative method for pacemaker implantation without additional invasive procedures.
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Transfer of autologous tumor infiltrating lymphocytes (TIL) to patients with refractory melanoma has shown clinical efficacy in a number of trials. However, extending the clinical benefit to patients with other cancers poses a challenge. Inefficient costimulation in the tumor microenvironment can lead to T cell anergy and exhaustion resulting in poor anti-tumor activity.

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T cells play a critical role in the control of cancer. The development of immune checkpoint blockers (ICB) aimed at enhancing antitumor T-cell responses has revolutionized cancer treatment. However, durable clinical benefit is observed in only a subset of patients, prompting research efforts to focus on strategies that target multiple inhibitory signals within the tumor microenvironment (TME) to limit tumor evasion and improve patient outcomes.

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Background: Colorectal cancer (CRC) is a leading cause of cancer-related deaths, with a 5% 5-year survival rate for metastatic disease, yet with limited therapeutic advancements due to insufficient understanding of and inability to accurately capture high-risk CRC patients who are most likely to recur. We aimed to improve high-risk classification by identifying biological pathways associated with outcome in adjuvant stage II/III CRC.

Methods And Findings: We included 1062 patients with stage III or high-risk stage II colon carcinoma from the prospective three-arm randomized phase 3 AVANT trial, and performed expression profiling to identify a prognostic signature.

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