Article
Cardiac & Cardiovascular Systems
Chaodi Cheng, Yang Zhou, Yanjiang Wang, Liang Shi, Ying Tian, Xingpeng Liu
Summary: This report discusses a rare case of extensive submucosal esophageal hematoma that developed after a TEE-guided LAAO procedure, exploring the cause, management, and prevention of this complication.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2022)
Article
Cardiac & Cardiovascular Systems
Roberto Galea, Lorenz Raeber, Monika Fuerholz, Jonas D. Haener, George C. M. Siontis, Nicolas Brugger, Aris Moschovitis, Dik Heg, Urs Fischer, Bernhard Meier, Stephan Windecker, Marco Valgimigli
Summary: This study found that the addition of intraprocedural echocardiography to guide LAAC procedures can reduce the risk of procedural complications and improve technical success rates in the mid-term.
JACC-CARDIOVASCULAR INTERVENTIONS
(2021)
Article
Cardiac & Cardiovascular Systems
Xining Shang, Mingyu Sun, Zulu Wang, Zhiqing Jin, Ming Liang
Summary: This study aimed to assess the efficacy and safety of one-stop procedures that combined radiofrequency catheter ablation and left atrial appendage closure (LAAC) with the Watchman device under the guidance of intracardiac echocardiography (ICE) vs. transesophageal echocardiography (TEE) in patients with atrial fibrillation.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2023)
Article
Medicine, General & Internal
Marco Frazzetto, Claudio Sanfilippo, Giuliano Costa, Salvatore Scandura, Giuseppe Castania, Jessica De Santis, Maria Sanfilippo, Maria Elena Di Salvo, Salvatore Uccello, Gerardo Rugiano, Sofia Rizzo, Chiara Barbera, Corrado Tamburino, Marco Barbanti, Carmelo Grasso
Summary: In patients eligible for both M-TEER and LAAC treatment, a combined approach showed similar outcomes in terms of major events but lower risk of minor bleeding at 1 year.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Cardiac & Cardiovascular Systems
Ramez Morcos, Michael Megaly, Marwan Saad, Amr F. Barakat, Muni Rubens, Anshul Saxena, Ayman Elbadawi, Michael Kucharik, Michael Luna, Santiago Garcia, Emir Veledar, Brijeshwar Maini, Houman Khalili
Summary: This study analyzed the temporal trends and patient characteristics of TEE versus ICE use in LAAC, as well as hospital outcomes. The results showed that TEE-guided LAAC increased over time, while ICE-guided LAAC decreased. Compared to ICE, TEE-guided LAAC had lower incidence of major adverse events, pericardial effusion, shorter length of stay, and lower hospitalization cost.
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS
(2022)
Article
Cardiac & Cardiovascular Systems
Muhammad R. Afzal, James K. Gabriels, Gregory G. Jackson, Lu Chen, Benjamin Buck, Sandra Campbell, Dawn F. Sabin, Bruce Goldner, Haisam Ismail, Christopher F. Liu, Apoor Patel, Stuart Beldner, Emile G. Daoud, John D. Hummel, Christopher R. Ellis
Summary: New peridevice leak (PDL) detected by transesophageal echocardiography at 45 to 90 days occurred in a significant percentage of patients and was associated with worse clinical outcomes. PDL < 3 mm tended to regress over time, while PDL > 3 mm was associated with higher rates of adverse clinical outcomes.
JACC-CLINICAL ELECTROPHYSIOLOGY
(2022)
Article
Cardiac & Cardiovascular Systems
Guijun He, Hanxion Liu, Xiaoyu Huang, Xiaoqi Deng, Guosu Yang, Duan Luo, Lin Cai
Summary: The study compared ICE and TEE for detecting LAA thrombosis, finding similar diagnostic efficacy but higher sensitivity with ICE. Thus, ICE may have more advantages and prospects for clinical application compared to TEE.
CLINICAL CARDIOLOGY
(2021)
Article
Cardiac & Cardiovascular Systems
Xiang-Nan Li, Jing-Xi Wang, Qing Wei, Xian-Bo Yu, Yu-Tao Zhou, Xiao-Yan Ma, Na Zhao, Bin Lu
Summary: Delayed enhancement cardiac CT scanning is reliable for the diagnosis of left atrial appendage thrombus but limited by scanning heterogeneity. In this study, we found that early contrast-enhanced CT scanning with 1 and 3-min delay phase significantly improved diagnostic efficiency and direct 3-min delayed scanning is suitable for high-risk patients.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2022)
Article
Cardiac & Cardiovascular Systems
Pedro Morais, Yiting Fan, Sandro Queiros, Jan D'hooge, Alex Pui-Wai Lee, Joao L. Vilaca
Summary: This study evaluated the feasibility and accuracy of a novel software tool for automated 3D analysis of the left atrial appendage (LAA) using 3D transesophageal echocardiographic data. The results showed that the automated software accurately determined the LAA size and had higher reproducibility and faster analysis compared to traditional 2D echocardiography.
JOURNAL OF THE AMERICAN SOCIETY OF ECHOCARDIOGRAPHY
(2022)
Article
Medicine, General & Internal
Luigi Emilio Pastormerlo, Claudio Tondo, Gaetano Fassini, Antonino Nicosia, Federico Ronco, Marco Contarini, Giuseppe Giacchi, Carmelo Grasso, Gavino Casu, Maria Rita Romeo, Patrizio Mazzone, Luca Limite, Giuseppe Caramanno, Salvatore Geraci, Paolo Pagnotta, Mauro Chiarito, Corrado Tamburino, Sergio Berti
Summary: This study compared the peri-procedural success and complication rate of left atrial appendage occlusion (LAAO) procedures guided by intra-cardiac echocardiography (ICE) and transesophageal echocardiography (TEE) using Watchmann FLX device. The results showed high technical and procedural success rates in both groups, and no significant difference in stroke and major bleeding rates at one year. ICE guidance slightly increased procedural time but shortened hospital stay.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Cardiac & Cardiovascular Systems
Sapan Bhuta, Adnan Shaaban, Nkongho C. Binda, James Antaki, Ralph S. Augostini, Steven J. Kalbfleisch, Salvatore J. Savona, Toshimasa Okabe, Mahmoud Houmsse, Muhammad R. Afzal, Emile G. Daoud, John D. Hummel
Summary: This study evaluated the use of LAA imaging and OAC in patients with non-valvular AF and LAAC undergoing DCCV. The results showed that LAA imaging before DCCV appears prudent to assess device position and complications.
JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY
(2023)
Article
Clinical Neurology
Yuji Ueno, Nobukazu Miyamoto, Kenichiro Hira, Ryosuke Doijiri, Hidekazu Yamazaki, Kazutaka Sonoda, Junpei Koge, Tomonori Iwata, Kenichi Todo, Hiroshi Yamagami, Naoto Kimura, Masafumi Morimoto, Daisuke Kondo, Shuhei Okazaki, Masatoshi Koga, Eiichiro Nagata, Nobutaka Hattori
Summary: This study demonstrated that the evaluation of left atrial appendage flow velocity (LAA-FV) by transesophageal echocardiography can predict potential embolic sources and can be used for long-term monitoring of atrial fibrillation (AF) detected by the insertable cardiac monitor (ICM).
JOURNAL OF NEUROLOGY
(2023)
Review
Medicine, General & Internal
Giulia Laterra, Giuseppe Dattilo, Michele Correale, Natale Daniele Brunetti, Claudia Artale, Giorgio Sacchetta, Lorenzo Pistelli, Marco Borgi, Francesca Campanella, Federica Cocuzza, Maria Claudia Lo Nigro, Marco Contarini
Summary: Atrial fibrillation (AF) is the most common cardiac arrhythmia in adults, and the left atrial appendage (LAA) is the most likely source of thrombus formation in patients with non-valvular AF. Left atrial appendage closure (LAAC) is an effective alternative to NOAC in patients with non-valvular AF. Intraprocedural imaging using transesophageal echocardiography (TEE) or intracardiac echocardiography (ICE) is recommended to guide LAAC, but ICE imaging techniques are not yet simplified and standardized. The use of ICE via the esophageal route (ICE-TEE) may be a good alternative imaging technique for LAAC procedure without general anesthesia.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Medicine, General & Internal
Sabina Istratoaie, Stefan C. Vesa, Gabriel Cismaru, Dana Pop, Radu Rosu, Mihai Puiu, Diana Pepine, Cristina Ciobanu, Ioan A. Minciuna, Gelu Simu, Dumitru Zdrenghea, Anca D. Buzoianu
Summary: Assessing left atrial appendage function through TEE to predict AF recurrence after RFCA, with low LAAeV being the significant independent predictor of recurrence within 1 year.
Article
Cardiac & Cardiovascular Systems
Dae-Young Kim, Min Ji Kim, Jiwon Seo, Iksung Cho, Chi Young Shim, Geu-Ru Hong, Jung-Sun Kim, Jong-Won Ha
Summary: Left atrial appendage occlusion (LAAO) plays an important role in preventing stroke in patients with atrial fibrillation. The development of heart failure (HF) after successful LAAO is associated with a previous history of HF, left ventricular mass index, E/e', and abnormal LA strain.
CIRCULATION JOURNAL
(2022)
Editorial Material
Cardiac & Cardiovascular Systems
Ivan Azevedo, Paula Ugalde Figueroa
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2020)
Article
Cardiac & Cardiovascular Systems
Arthur Vieira, Etienne Bourdages-Pageau, Kevin Kennedy, Paula A. Ugalde
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2020)
Editorial Material
Oncology
Clarissa Mathias, Gustavo Faibischew Prado, Eldsamira Mascarenhas, Paula Antonia Ugalde, Ana Carolina Zimmer Gelatti, Elizangela Santos Carvalho, Lilian Dantonino Faroni, Ricardo Oliveira, Vladmir Claudio Cordeiro de Lima, Gilberto de Castro
JOURNAL OF THORACIC ONCOLOGY
(2020)
Editorial Material
Cardiac & Cardiovascular Systems
Ivan Azevedo, Paula Ugalde Figueroa
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2020)
Article
Respiratory System
Julien Guinde, Etienne Bourdages-Pageau, Paula Antonia Ugalde, Marc Fortin
JOURNAL OF THORACIC DISEASE
(2020)
Article
Anesthesiology
Olivier Moreault, Etienne J. Couture, Steeve Provencher, Jacques Somma, Jens Lohser, Paula A. Ugalde, Jerome Lemieux, Francois Lellouche, Jean S. Bussieres
Summary: The study compared the ambient air absorption and intra-bronchial pressure in the non-ventilated lung during OLV using DL-ETT and BB. Results showed that keeping the lumen of the lung isolation device open leads to entrainment of ambient air into the non-ventilated lung, while occluding the lumen results in progressive negative pressure build-up in the non-ventilated lung.
CANADIAN JOURNAL OF ANESTHESIA-JOURNAL CANADIEN D ANESTHESIE
(2021)
Article
Anesthesiology
Jacques Somma, Etienne J. Couture, Sabrina Pelletier, Steeve Provencher, Olivier Moreault, Jens Lohser, Paula A. Ugalde, Louise Vigneault, Jerome Lemieux, Antoine Somma, Sarah-Elizabeth Guay, Jean S. Bussieres
Summary: The study demonstrates that occluding the non-ventilated lumen of the DL-ETT can accelerate lung deflation during one-lung ventilation, improving the efficiency of VATS surgery.
CANADIAN JOURNAL OF ANESTHESIA-JOURNAL CANADIEN D ANESTHESIE
(2021)
Article
Radiology, Nuclear Medicine & Medical Imaging
Simon Lemieux, Taehoo Kim, Olivier Pothier-Piccinin, Louis-Charles Racine, Faraz Firoozi, Maxime Drolet, Sergio Pasian, Kevin F. Kennedy, Steeve Provencher, Paula Ugalde
Summary: This study found that factors such as pleural contact length, lesion size, and core needle diameter are associated with the sensitivity and complication rates of ultrasound-guided transthoracic needle biopsy (US-TTNB).
EUROPEAN RADIOLOGY
(2021)
Article
Critical Care Medicine
Julien Guinde, Etienne Bourdages-Pageau, Marie-May Collin-Castonguay, Laurie Laflamme, Alexandra Levesque-Laplante, Sabrina Marcoux, Pascalin Roy, Paula Antonia Ugalde, Yves Lacasse, Marc Fortin
Summary: The study developed a prediction model to identify the probability of occult mediastinal disease (OMD) in patients with a radiologically normal mediastinum. The model included variables such as largest mediastinal lymph node size, tumor centrality, presence of cN1 disease, and lesion standardized uptake value. This model outperformed current guideline-recommended criteria in identifying patients with OMD.
Editorial Material
Cardiac & Cardiovascular Systems
Arthur Vieira, Paula Ugalde Figueroa
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2022)
Editorial Material
Cardiac & Cardiovascular Systems
Cecilia Pompili, Paula Ugalde Figueroa, Daniela Molena, Toni Lerut
INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY
(2022)
Review
Respiratory System
Maria Teresa R. Tsukazan, Paula A. Ugalde
Summary: The field of thoracic surgery is predominantly male-dominated worldwide, including South America. Becoming a thoracic surgeon requires a long training period and a maximum commitment, posing a challenge for female surgeons to balance personal life and work. Despite the scarcity of female role models in the field, the number of women participating in thoracic surgery residency programs in South America is on the rise.
JOURNAL OF THORACIC DISEASE
(2021)
Editorial Material
Cardiac & Cardiovascular Systems
David R. Jones, Jessica S. Donington, Scott Swanson, Walter Weder, Paul A. Ugalde, Laureano Molins, Gail E. Darling
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2020)
Letter
Respiratory System
Julien Guinde, Etienne Bourdages-Pageau, Marie-May Collin-Castonguay, Laurie Laflamme, Sabrina Marcoux, Alexandra Levesque-Laplante, Pascalin Roy, Francis Laberge, Noel Lampron, Simon Martel, Mathieu Simon, Paula Antonia Ugalde, Marc Fortin
ANNALS OF THE AMERICAN THORACIC SOCIETY
(2020)