Browsing by Author "Kumar, A"
Now showing 1 - 2 of 2
Results Per Page
Sort Options
- Global Chronic Total Occlusion Crossing AlgorithmPublication . Wu, EB; Brilakis, ES; Mashayekhi, K; Tsuchikane, E; Alaswad, K; Araya, M; Avran, A; Azzalini, L; Babunashvili, AM; Bayani, B; Behnes, M; Bhindi, R; Boudou, N; Boukhris, M; Bozinovic, NZ; Bryniarski, L; Bufe, A; Buller, CE; Burke, MN; Buttner, A; Cardoso, P; Carlino, M; Chen, JY; Christiansen, EH; Colombo, A; Croce, K; de los Santos, FD; de Martini, T; Dens, J; di Mario, C; Dou, K; Egred, M; Elbarouni, B; ElGuindy, A; Escaned, J; Furkalo, S; Gagnor, A; Galassi, AR; Garbo, R; Gasparini, G; Ge, J; Ge, L; Goel, P; Goktekin, O; Gonzalo, N; Grancini, L; Hall, A; Hanna Quesada, F; Hanratty, C; Harb, S; Harding, S.; Hatem, R; Henriques, J; Hildick-Smith, D; Hill, J; Hoye, A; Jaber, W; Jaffer, F; Jang, Y; Jussila, R; Kalnins, A; Kalyanasundaram, A; Kandzari, D; Kao, HL; Karmpaliotis, D; Kassem, HH; Khatri, J; Knaapen, P; Kornowski, R; Krestyaninov, O; Kumar, A; Lamelas, P; Lee, SW; Lefevre, T; Leung, R; Li, Y; Li, Y; Lim, ST; Lo, S; Lombardi, W; Maran, A; McEntegart, M; Moses, J; Munawar, M; Navarro, A; Ngo, H; Nicholson, W; Oksnes, A; Olivecrona, G; Padilla, L; Patel, M; Pershad, A; Postu, M; Qian, J; Quadros, A; Rafeh, NA; Råmunddal, T; Prakasa Rao, VS; Reifart, N; Riley, RF; Rinfret, S; Saghatelyan, M; Sianos, G; Smith, E; Spaedy, A; Spratt, J; Stone, G; Strange, JW; Tammam, KO; Thompson, CA; Toma, A; Tremmel, JA; Trinidad, RS; Ungi, I; Vo, M; Vu, VH; Walsh, S; Werner, G; Wojcik, J; Wollmuth, J; Xu, B; Yamane, M; Ybarra, LF; Yeh, RW; Zhang, QThe authors developed a global chronic total occlusion crossing algorithm following 10 steps: 1) dual angiography; 2) careful angiographic review focusing on proximal cap morphology, occlusion segment, distal vessel quality, and collateral circulation; 3) approaching proximal cap ambiguity using intravascular ultrasound, retrograde, and move-the-cap techniques; 4) approaching poor distal vessel quality using the retrograde approach and bifurcation at the distal cap by use of a dual-lumen catheter and intravascular ultrasound; 5) feasibility of retrograde crossing through grafts and septal and epicardial collateral vessels; 6) antegrade wiring strategies; 7) retrograde approach; 8) changing strategy when failing to achieve progress; 9) considering performing an investment procedure if crossing attempts fail; and 10) stopping when reaching high radiation or contrast dose or in case of long procedural time, occurrence of a serious complication, operator and patient fatigue, or lack of expertise or equipment. This algorithm can improve outcomes and expand discussion, research, and collaboration.
- Lung and Intercostal Upper Abdomen Ultrasonography for Staging Patients with Ovarian Cancer: A Method Description and Feasibility StudyPublication . Stukan, M; Bugalho, A; Kumar, A; Kowalewska, J; Świetlik, D; Buda, N; Pietrzak-Stukan, M; Dudziak, MA detailed transabdominal and transvaginal ultrasound examination, performed by an expert examiner, could render a similar diagnostic performance to computed tomography for assessing pelvic/abdominal tumor spread disease in women with epithelial ovarian cancer (EOC). This study aimed to describe and assess the feasibility of lung and intercostal upper abdomen ultrasonography as pretreatment imaging of EOC metastases of supradiaphragmatic and subdiaphragmatic areas. A preoperative ultrasound examination of consecutive patients suspected of having EOC was prospectively performed using transvaginal, transabdominal, and intercostal lung and upper abdomen ultrasonography. A surgical-pathological examination was the reference standard to ultrasonography. Among 77 patients with histologically proven EOC, supradiaphragmatic disease was detected in 13 cases: pleural effusions on the right (n = 12) and left (n = 8) sides, nodular lesions on diaphragmatic pleura (n = 9), focal lesion in lung parenchyma (n = 1), and enlarged cardiophrenic lymph nodes (n = 1). Performance (described with area under the curve) of combined transabdominal and intercostal upper abdomen ultrasonography for subdiaphragmatic areas (n = 77) included the right and left diaphragm peritoneum (0.754 and 0.575 respectively), spleen hilum (0.924), hepatic hilum (0.701), and liver and spleen parenchyma (0.993 and 1.0 respectively). It was not possible to evaluate the performance of lung ultrasonography for supradiaphragmatic disease because only some patients had this region surgically explored. Preoperative lung and intercostal upper abdomen ultrasonography performed in patients with EOC can add valuable information for supradiaphragmatic and subdiaphragmatic regions. A reliable reference standard to test method performance is an area of future research. A multidisciplinary approach to ovarian cancer utilizing lung ultrasonography may assist in clinical decision-making.