Publications by authors named "Alexander Mikhail"
Article Synopsis
- * Methods: Researchers conducted a 10-year retrospective review of patients who underwent FVT, analyzing complications and various patency rates after the procedure.
- * Results: Among 126 analyzed patients, FVT showed varying patency rates over time, with primary patency dropping from 66% at 6 months to 14% at 48 months, while secondary patency remained relatively high at 82% after 48 months; complications included 16% experiencing steal syndrome and 5% with infection
This clinical case describes a subacute presentation of decompensated heart failure secondary to an iatrogenic left ventricle-to-coronary sinus fistula after sequential mitral valve surgical procedures. Computed tomography was used to select an unconventional hybrid transapical access approach and facilitate successful closure using a vascular plug.
View Article and Find Full Text PDFObjectives: To examine the severity of coronary artery disease (CAD) in people from rural or remote Western Australia referred for invasive coronary angiography (ICA) in Perth and their subsequent management; to estimate the cost savings were computed tomography coronary angiography (CTCA) offered in rural centres as a first line investigation for people with suspected CAD.
Design: Retrospective cohort study.
Setting, Participants: Adults with stable symptoms in rural and remote WA referred to Perth public tertiary hospitals for ICA evaluation during the 2019 calendar year.
Article Synopsis
- - This study evaluates the outcomes of total parathyroidectomy (TPX) without autotransplantation in patients with end-stage renal disease (ESRD) who underwent surgery for secondary hyperparathyroidism.
- - Among the 34 patients analyzed, the rates of recurrent hyperparathyroidism were low at 5.9%, with persistent cases at 11.8%; no patients experienced severe complications like hypocalcemia or bone fractures.
- - The findings suggest that TPX is effective for treating hyperparathyroidism, particularly highlighting that operating on four glands may reduce the likelihood of recurrence.
Renal artery to inferior vena cava fistula is a rare event postnephrectomy. We report a case of an adult male in whom a renal artery to inferior vena cava fistula was detected on non-invasive studies following nephrectomy for penetrating trauma. A fistula between the right renal artery and inferior vena cava was confirmed with diagnostic angiography.
View Article and Find Full Text PDFBackground: Pre-hospital identification of ST-segment elevation myocardial infarction (STEMI) by paramedical staff reduces reperfusion time. However, the impact of this approach on the rate of unnecessary activation of coronary catheterisation lab (CCL) remains unclear.
Methods: The study reviewed consecutive STEMI patients over 3 years (July 2015 to June 2018) from all primary percutaneous coronary intervention (PPCI) centres and inter-hospital transfers (IHT) from non-PPCI capable centres in Western Australia.