Michael Megaly
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View article: Characteristics and outcomes of myocardial infarction among burn patients: A nationwide analysis
Characteristics and outcomes of myocardial infarction among burn patients: A nationwide analysis Open
Of 200,130 hospitalizations with burns, 1997 (1 %) developed acute MI. Burn patients with MI were older, more likely to be men, and had a higher prevalence of cardiovascular risk factors. Only burns affecting the trunk and respiratory trac…
View article: Outcomes of percutaneous coronary intervention in patients with chronic total occlusion (CTO): a single-center study evaluating a new dedicated CTO program in Egypt
Outcomes of percutaneous coronary intervention in patients with chronic total occlusion (CTO): a single-center study evaluating a new dedicated CTO program in Egypt Open
Purpose The conundrum of limited resources in developing countries leads to the abonnement and underutilization of percutaneous coronary intervention for chronic total occlusion, in addition to lack of expertise, limited supplies, and succ…
View article: Impact of transcatheter edge to edge repair in functional mitral regurgitation and cardiac resynchronization‐therapy nonresponders
Impact of transcatheter edge to edge repair in functional mitral regurgitation and cardiac resynchronization‐therapy nonresponders Open
Background Despite optimal medical therapy and cardiac resynchronization therapy (CRT), significant functional mitral regurgitation (MR) persisted in 30% of the patients and labeled as CRT nonresponders. Aims We sought to study the impact …
View article: Early vs. delayed mechanical circulatory support in patients with acute myocardial infarction and cardiogenic shock
Early vs. delayed mechanical circulatory support in patients with acute myocardial infarction and cardiogenic shock Open
Aims Despite increased temporary mechanical circulatory support (tMCS) utilization for acute myocardial infarction complicated by cardiogenic shock (AMI-CS), data regarding efficacy and optimal timing for tMCS support are limited. This stu…
View article: Impact of Moderate to Severe Mitral and Tricuspid Valves Regurgitation after Transcatheter Aortic Valve Implantation: A Multicenter Retrospective Study
Impact of Moderate to Severe Mitral and Tricuspid Valves Regurgitation after Transcatheter Aortic Valve Implantation: A Multicenter Retrospective Study Open
Tricuspid regurgitation (TR) and mitral regurgitation (MR) are common valvular conditions encountered in patients undergoing transcatheter aortic valve implantation (TAVI). This retrospective study investigates the impact of moderate or se…
View article: A non-interventional cardiologist’s guide to coronary chronic total occlusions
A non-interventional cardiologist’s guide to coronary chronic total occlusions Open
Coronary chronic total occlusions (CTO) are present in up to one-third of patients with coronary artery disease (CAD). It is thus essential for all clinical cardiologists to possess a basic awareness and understanding of CTOs, including op…
View article: Rotational atherectomy of the left anterior descending artery via a left internal mammary artery bypass
Rotational atherectomy of the left anterior descending artery via a left internal mammary artery bypass Open
Rotational atherectomy (RA) is a necessary procedure for severely calcified lesions. We describe for the first time a case of RA through the left upper limb into LIMA to LAD in a last remaining vessel.
View article: E-44 | Radiation Exposure During Distal and Traditional Radial Approach: A Meta-Analysis of Randomized Controlled Trials
E-44 | Radiation Exposure During Distal and Traditional Radial Approach: A Meta-Analysis of Randomized Controlled Trials Open
Distal transradial approach (dTRA) is safe and effective for coronary angiography and PCI. However, its impact on radiation exposure in the catheterization laboratory has not been characterized. We performed a systematic review and meta-an…
View article: Mechanical Circulatory Support for Complex High-risk Percutaneous Coronary Intervention
Mechanical Circulatory Support for Complex High-risk Percutaneous Coronary Intervention Open
Technological and procedural innovations presently permit the safe and effective performance of increasingly complex percutaneous coronary interventions, while new mechanical circulatory support devices offer circulatory and ventricular su…
View article: Angiographic Features and Clinical Outcomes of Balloon Uncrossable Lesions during Chronic Total Occlusion Percutaneous Coronary Intervention
Angiographic Features and Clinical Outcomes of Balloon Uncrossable Lesions during Chronic Total Occlusion Percutaneous Coronary Intervention Open
Background: Balloon uncrossable lesions are defined as lesions that cannot be crossed with a balloon after successful guidewire crossing. Methods: We analyzed the association between balloon uncrossable lesions and procedural outcomes of 8…
View article: Outcomes with plug‐based versus suture‐based vascular closure device after transfemoral transcatheter aortic valve replacement: A systematic review and meta‐analysis
Outcomes with plug‐based versus suture‐based vascular closure device after transfemoral transcatheter aortic valve replacement: A systematic review and meta‐analysis Open
Background Studies comparing plug‐based (i.e., MANTA) with suture‐based (i.e., ProStar XL and ProGlide) vascular closure devices (VCDs) for large‐bore access closure after transcatheter aortic valve replacement (TAVR) have yielded mixed re…
View article: Outcomes with catheter-directed thrombolysis vs. catheter-directed embolectomy among patients with high-risk pulmonary embolism: a nationwide analysis
Outcomes with catheter-directed thrombolysis vs. catheter-directed embolectomy among patients with high-risk pulmonary embolism: a nationwide analysis Open
Aims To examine the shot-term outcomes with catheter-directed thrombolysis (CDT) vs. catheter-directed embolectomy (CDE) for high-risk pulmonary embolism (PE). Methods and results The Nationwide Readmissions Database was utilized to identi…
View article: Hospital procedural volume and outcomes with catheter-directed intervention for pulmonary embolism: a nationwide analysis
Hospital procedural volume and outcomes with catheter-directed intervention for pulmonary embolism: a nationwide analysis Open
Aims There is limited data on the association between hospital catheter-directed intervention (CDI) volume and outcomes among patients with acute pulmonary embolism (PE). Methods and results The Nationwide Readmissions Database years 2016–…
View article: E-17 | Contemporary In-Hospital Outcomes of Chronic Total Occlusion Interventions: Update from the PROGRESS-CTO (PROspective Global REgiStry for the Study of Chronic Total Occlusion Intervention) International Registry
E-17 | Contemporary In-Hospital Outcomes of Chronic Total Occlusion Interventions: Update from the PROGRESS-CTO (PROspective Global REgiStry for the Study of Chronic Total Occlusion Intervention) International Registry Open
BackgroundChronic total occlusion (CTO) percutaneous coronary intervention (PCI) has been rapidly evolving.MethodsWe examined the clinical and angiographic characteristics and procedural outcomes of 10,249 CTO PCIs performed in 10,019 pati…
View article: E-26 | Temporal Trends in Retrograde Crossing of Epicardial Collaterals in Chronic Total Occlusion Percutaneous Coronary Intervention
E-26 | Temporal Trends in Retrograde Crossing of Epicardial Collaterals in Chronic Total Occlusion Percutaneous Coronary Intervention Open
BackgroundRetrograde crossing of the epicardial collaterals in chronic total occlusion percutaneous coronary intervention (CTO PCI) can be challenging and carry increased risk of complications.MethodsWe examined temporal trends in the succ…
View article: E-31 | Meta-analysis of Chronic Total Occlusion Percutaneous Coronary Intervention vs. Medical Management Only in Observational Studies and Randomized Controlled Trials
E-31 | Meta-analysis of Chronic Total Occlusion Percutaneous Coronary Intervention vs. Medical Management Only in Observational Studies and Randomized Controlled Trials Open
BackgroundChronic total occlusion (CTO) percutaneous coronary intervention (PCI) can improve patient symptoms. However, it remains controversial whether CTO PCI improves clinical events.MethodsWe performed a systematic review and a meta-an…
View article: E-12 | Intravascular Imaging Use in Percutaneous Coronary Interventions Chronic Total Occlusions
E-12 | Intravascular Imaging Use in Percutaneous Coronary Interventions Chronic Total Occlusions Open
BackgroundIntravascular ultrasound (IVUS) can assist percutaneous coronary intervention (PCI) of chronic total occlusions (CTOs).MethodsWe analyzed the association between IVUS utilization and procedural outcomes of 8,983 CTO PCIs performe…