Publications by authors named "Michael Macciocca"
Constrictive Pericarditis from an Atraumatic Hemopericardium After Systemic Thrombolysis for a Massive Pulmonary Embolism.
J Community Hosp Intern Med Perspect
March 2023
Constrictive pericarditis most commonly results from fibrosis and adhesions of the parietal and visceral pericardium due to long-standing inflammation. Common etiologies include idiopathic, post-surgical, radiation injury and infectious etiologies including tuberculosis. Traumatic hemopericardium is a rare cause of constrictive pericarditis but atraumatic hemopericardium causing constrictive pericarditis has not been reported in the literature to date.
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- Percutaneous left atrial appendage occlusion (LAAO) is a non-drug option to reduce stroke risk in non-valvular atrial fibrillation patients who can't take blood thinners.
- In a study of over 29,000 LAAO patients, the 30-day readmission rate was 9.2%, with gastrointestinal bleeding being the most common cause.
- Predictors of readmission include female gender, heart failure, anemia, chronic lung disease, end-stage renal disease, acute kidney injury, and bleeding/transfusion issues, highlighting the need for improved post-op care.
Objectives: The aim of this study was to investigate the associations of chronic kidney disease (CKD) and end-stage renal disease (ESRD) with in-hospital and short-term outcomes using a large national database representative of contemporary clinical practice.
Background: CKD and ESRD are associated with increased risk for stroke and bleeding in patients with atrial fibrillation on oral anticoagulation. Left atrial appendage closure (LAAC) may provide a reasonable alternative for these patients; however, the impact of CKD and ESRD on in-hospital and short-term outcomes following LAAC remain largely unknown.