Publications by authors named "Mikhail Alexander"
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.
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- The study evaluates the severity and management of coronary artery disease (CAD) among rural and remote Western Australians who were referred for invasive coronary angiography (ICA) in Perth during 2019.
- It finds that nearly 61% of patients were medically managed post-ICA, while 39% received revascularization; significant opportunities for cost savings and reduced hospital admissions were identified if CT coronary angiography (CTCA) were used locally as a first-line investigation.
- The findings suggest implementing CTCA could prevent many unnecessary referrals and substantially cut healthcare costs and resource use in metropolitan hospitals.
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.