Publications by authors named "Dany Janah"
Cardiogenic shock (CS) is a leading cause of mortality worldwide. CS presentation and management in the current era have been widely depicted in epidemiological studies. Its treatment is codified and relies on medical care and extracorporeal life support (ECLS) in the bridge to recovery, chronic mechanical device therapy, or transplantation.
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- A study examined the impact of the COVID-19 pandemic on hospital admissions for myocardial infarction (MI) in two French provinces, revealing a significant decline in MI cases during the lockdown period.
- In "Hauts-de-France," there was a 23% decrease in MI incidences, while "Pays-de-la-Loire" saw a 19% decline, both correlating to the number of COVID-19-related deaths in each region.
- The findings indicate that the pandemic's response may have negatively affected cardiovascular health, emphasizing the need for careful communication strategies in crisis situations.
Background: Balloon aortic valvuloplasty (BAV) has been proposed as a therapeutic option in patients suffering from severe aortic stenosis (SAS) who need urgent non-cardiac surgery (NCS). Whether this strategy is better than medical therapy in this very specific population is unknown.
Aims: We aimed to evaluate the clinical benefit of an invasive strategy (IS) with preoperative BAV in patients with SAS requiring urgent NCS.
Background: Transfemoral percutaneous transcatheter aortic valve implantation (TF-TAVI) is a safe, reproducible and established procedure, mainly performed under local anaesthesia, which is mostly administered and monitored by a dedicated anaesthesia team (regular approach). Our centre has developed a standardized pathway of care, and eligible patients are selected for a minimalist TF-TAVI, entirely managed by operators without the presence of the anaesthesia team in the operating room, like most interventional coronary procedures ("percutaneous coronary intervention-like" approach [PCI approach]).
Aim: To compare the safety and efficacy of TF-TAVI performed with the PCI approach versus the regular approach.