Publications by authors named "S J Scheinerman"
Ten-year outcomes of hybrid coronary revascularization at a single center.
Ann Cardiothorac Surg
September 2024
Background: Hybrid coronary revascularization (HCR) is a well-established technique for treating multi-vessel coronary disease. There remains a paucity of discussion assessing the efficacy of HCR with respect to the timing of the surgical component relative to that of the percutaneous coronary intervention (PCI).
Methods: A retrospective review was undertaken of our prospectively collected database from January 2009 to December 2019.
Background: Hemostasis for transfemoral transcatheter aortic valve replacement (TAVR) is typically achieved using a suture-mediated vascular closure device (VCD) prior to large-bore sheath insertion (preclosure technique). Recently, the addition of a hybrid closure technique using a preclose technique with the addition of a collagen-plug VCD after sheath removal in cases of failed hemostasis has been utilized.
Methods: Data were collected from the Northwell TAVR registry, including 3 high-volume TAVR centers.
Article Synopsis
- Patients with ostial coronary stents that protrude into the aorta risk potential stent injury during transcatheter aortic valve replacement (TAVR) procedures using balloon-expandable heart valves.
- An 82-year-old male patient with a history of aortic stenosis and coronary artery interventions was evaluated, showing his RCA stent was close to the aorta, raising concerns about injury from balloon inflation during TAVR.
- Successful TAVR was achieved without stent fracture, highlighting the importance of measuring the distance from the stent to the aortic wall and using techniques like kissing-balloon inflation to avoid injury.
Background: Aortobronchial fistula after TEVAR remains a vexing clinical problem associated with high mortality. Although a combination of endovascular and open surgical strategies have been reported in managing this pathology, there is as yet no definitive treatment algorithm that can be used for all patients. We discuss our approach to an aortobronchial fistula associated with an overtly infected aortic endograft.
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