Publications by authors named "J S am Esch"

Objective: To describe clinical characteristics and outcomes, including transfusion requirements, in pediatric patients with congenital heart disease undergoing aspiration thrombectomy.

Design: Retrospective chart review.

Setting: Quaternary academic children's hospital.

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We report the largest pediatric multicenter experience with Impella pump use and peripheral veno-arterial extracorporeal membrane oxygenation (VA-ECMO) support. Utilizing the Advanced Cardiac Therapies Improving Outcomes Network (ACTION) collaborative database, we conducted a retrospective, multicenter study of all patients with cardiogenic shock requiring VA-ECMO support with subsequent Impella implant between October 2014 and December 2021. The primary outcome was defined as death while on Impella support.

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Background: FAV is offered to fetuses with severe aortic valve stenosis and evolving hypoplastic left heart syndrome. An inferential analysis of TS and SAE in a large series has not been reported.

Objectives: The purpose of this study was to determine factors associated with fetal aortic valvuloplasty (FAV) technical success (TS) and serious adverse events (SAEs).

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Article Synopsis
  • Disordered lymphatic drainage is common in congenital heart diseases, and this study focuses on the drainage patterns of the thoracic duct (TD) in patients with heterotaxy, a condition involving abnormal arrangement of internal organs.
  • Researchers analyzed 115 patients with heterotaxy who had cardiovascular imaging, noting that the TD was visualized in nearly half, with varying sidedness: left (25), right (29), and bilateral (2).
  • The study found that while various anatomical factors were associated with TD sidedness, only the sidedness of the superior vena cava and aortic arch were significant predictors, highlighting the complexity of lymphatic anatomy in heterotaxy for future medical interventions.
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