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Autor Diaz, Juan Carlos
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Documentos disponibles escritos por este autor (3)
Clasificado(s) por (Año de edición descendente) Refinar búsquedaImpact of intracardiac echocardiography versus transesophageal echocardiography guidance on left atrial appendage occlusion procedures: A meta-analysis / Diaz, Juan Carlos
Título : Impact of intracardiac echocardiography versus transesophageal echocardiography guidance on left atrial appendage occlusion procedures: A meta-analysis Tipo de documento : documento electrónico Autores : Diaz, Juan Carlos, Autor ; Oriana Cristina Bastidas Ayala, Autor ; Mauricio Duque, Autor ; Marín, Jorge E, Autor ; Aristizábal, Julian, Autor ; César Daniel Niño Pulido, Autor ; Hoyos, Carolina, Autor ; Matos, Carlos D, Autor ; Gabr, Mohamed, Autor ; Steiger, Nathaniel A, Autor ; Kapur, Sunil, Autor ; Sahuer, William H, Autor ; Romero, Jorge E, Autor Fecha de publicación : 2024 ISBN/ISSN/DL : 98700011902 Idioma : Inglés (eng) Palabras clave : Intracardiac echocardiography; left atrial appendage occlusion; meta-analysis; transesophageal echocardiography. Clasificación: AC-2024-007 Resumen : Background: Intracardiac echocardiography (ICE) is increasingly used during left atrial appendage occlusion (LAAO) as an alternative to transesophageal echocardiography (TEE). The objective of this study is to evaluate the impact of ICE versus TEE guidance during LAAO on procedural characteristics and acute outcomes, as well the presence of peri-device leaks and residual septal defects during follow-up. Methods: All studies comparing ICE-guided versus TEE-guided LAAO were identified. The primary outcomes were procedural efficacy and occurrence of procedure-related complications. Secondary outcomes included lab efficiency (defined as a reduction in in-room time), procedural time, fluoroscopy time, and presence of peri-device leaks and residual interatrial septal defects (IASD) during follow-up. Results: Twelve studies (n = 5637) were included. There were no differences in procedural success (98.3% vs. 97.8%; OR 0.73, 95% CI 0.42-1.27, p = .27; I2 = 0%) or adverse events (4.5% vs. 4.4%; OR 0.81 95% CI 0.56-1.16, p = .25; I2 = 0%) between the ICE-guided and TEE-guided groups. ICE guidance reduced in in-room time (mean-weighted 28.6-min reduction in in-room time) without differences in procedural time or fluoroscopy time. There were no differences in peri-device leak (OR 0.93, 95% CI 0.68-1.27, p = 0.64); however, an increased prevalence of residual IASD was observed with ICE-guided versus TEE-guided LAAO (46.3% vs. 34.2%; OR 2.23, 95% CI 1.05-4.75, p = 0.04). Conclusion: ICE guidance is associated with similar procedural efficacy and safety, but could result in improved lab efficiency (as established by a significant reduction in in-room time). No differences in the rate of periprocedural leaks were found. A higher prevalence of residual interatrial septal defects was observed with ICE guidance. DOI (Digital Object Identifier) : 10.1111/jce.16118 Derechos de uso : Permiso de republicación otorgado al HPTU En línea : https://pubmed.ncbi.nlm.nih.gov/37927196/ Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_dis [Publicación periódica] Impact of intracardiac echocardiography versus transesophageal echocardiography guidance on left atrial appendage occlusion procedures: A meta-analysis [documento electrónico] / Diaz, Juan Carlos, Autor ; Oriana Cristina Bastidas Ayala, Autor ; Mauricio Duque, Autor ; Marín, Jorge E, Autor ; Aristizábal, Julian, Autor ; César Daniel Niño Pulido, Autor ; Hoyos, Carolina, Autor ; Matos, Carlos D, Autor ; Gabr, Mohamed, Autor ; Steiger, Nathaniel A, Autor ; Kapur, Sunil, Autor ; Sahuer, William H, Autor ; Romero, Jorge E, Autor . - 2024.
ISSN : 98700011902
Idioma : Inglés (eng)
Palabras clave : Intracardiac echocardiography; left atrial appendage occlusion; meta-analysis; transesophageal echocardiography. Clasificación: AC-2024-007 Resumen : Background: Intracardiac echocardiography (ICE) is increasingly used during left atrial appendage occlusion (LAAO) as an alternative to transesophageal echocardiography (TEE). The objective of this study is to evaluate the impact of ICE versus TEE guidance during LAAO on procedural characteristics and acute outcomes, as well the presence of peri-device leaks and residual septal defects during follow-up. Methods: All studies comparing ICE-guided versus TEE-guided LAAO were identified. The primary outcomes were procedural efficacy and occurrence of procedure-related complications. Secondary outcomes included lab efficiency (defined as a reduction in in-room time), procedural time, fluoroscopy time, and presence of peri-device leaks and residual interatrial septal defects (IASD) during follow-up. Results: Twelve studies (n = 5637) were included. There were no differences in procedural success (98.3% vs. 97.8%; OR 0.73, 95% CI 0.42-1.27, p = .27; I2 = 0%) or adverse events (4.5% vs. 4.4%; OR 0.81 95% CI 0.56-1.16, p = .25; I2 = 0%) between the ICE-guided and TEE-guided groups. ICE guidance reduced in in-room time (mean-weighted 28.6-min reduction in in-room time) without differences in procedural time or fluoroscopy time. There were no differences in peri-device leak (OR 0.93, 95% CI 0.68-1.27, p = 0.64); however, an increased prevalence of residual IASD was observed with ICE-guided versus TEE-guided LAAO (46.3% vs. 34.2%; OR 2.23, 95% CI 1.05-4.75, p = 0.04). Conclusion: ICE guidance is associated with similar procedural efficacy and safety, but could result in improved lab efficiency (as established by a significant reduction in in-room time). No differences in the rate of periprocedural leaks were found. A higher prevalence of residual interatrial septal defects was observed with ICE guidance. DOI (Digital Object Identifier) : 10.1111/jce.16118 Derechos de uso : Permiso de republicación otorgado al HPTU En línea : https://pubmed.ncbi.nlm.nih.gov/37927196/ Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_dis Improved all-cause mortality with left bundle branch area pacing compared to biventricular pacing in cardiac resynchronization therapy: a meta-analysis / Oriana Cristina Bastidas Ayala ; Diaz, Juan Carlos ; Gabr, Mohamed ; Tedrow, Usha B. ; Mauricio Duque ; Aristizábal, Julian ; Marín, Jorge ; Niño, Cesar ; Koplan, Bruce A. ; Hoyos, Carolina ; Matos, Carlos D ; Hincapié, Daniela ; Steiger, Nathaniel A ; Kapur, Sunil ; Sauer, William H. ; Romero, Jorge E
Título : Improved all-cause mortality with left bundle branch area pacing compared to biventricular pacing in cardiac resynchronization therapy: a meta-analysis Tipo de documento : documento electrónico Autores : Oriana Cristina Bastidas Ayala, Autor ; Diaz, Juan Carlos, Autor ; Gabr, Mohamed, Autor ; Tedrow, Usha B., Autor ; Mauricio Duque, Autor ; Aristizábal, Julian, Autor ; Marín, Jorge, Autor ; Niño, Cesar, Autor ; Koplan, Bruce A., Autor ; Hoyos, Carolina, Autor ; Matos, Carlos D, Autor ; Hincapié, Daniela, Autor ; Steiger, Nathaniel A, Autor ; Kapur, Sunil, Autor ; Sauer, William H., Autor ; Romero, Jorge E, Autor Fecha de publicación : 2024 Títulos uniformes : Journal of Interventional Cardiac Electrophysiology Idioma : Inglés (eng) Palabras clave : Biventricular pacing; Cardiac resynchronization therapy; Heart failure; Left bundle branch area pacing. Resumen : Background: Left bundle branch area pacing (LBBAP) has emerged as a physiological alternative pacing strategy to biventricular pacing (BIVP) in cardiac resynchronization therapy (CRT). We aimed to assess the impact of LBBAP vs. BIVP on all-cause mortality and heart failure (HF)-related hospitalization in patients undergoing CRT.Methods: Studies comparing LBBAP and BIVP for CRT in patients with HF with reduced left ventricular ejection fraction (LVEF) were included. The coprimary outcomes were all-cause mortality and HF-related hospitalization. Secondary outcomes included procedural and fluoroscopy time, change in QRS duration, and change in LVEF. Results: Thirteen studies (12 observational and 1 RCT, n = 3239; LBBAP = 1338 and BIVP = 1901) with a mean follow-up duration of 25.8 months were included. Compared to BIVP, LBBAP was associated with a significant absolute risk reduction of 3.2% in all-cause mortality (9.3% vs 12.5%, RR 0.7, 95% CI 0.57-0.86, p Mención de responsabilidad : Juan Carlos Diaz, Mohamed Gabr, Usha B. Tedrow, Mauricio Duque, Julian Aristizabal, Jorge Marin, Cesar Niño, Oriana Bastidas, Bruce A. Koplan, Carolina Hoyos, Carlos D. Matos, Daniela Hincapie, Kevin Pacheco-Barrios, Isabella Alviz, Nathaniel A. Steiger, Sunil Kapur, Thomas M. Tadros, Paul C. Zei, William H. Sauer & Jorge E. Romero Referencia : J Interv Card Electrophysiol . 2024 Sep;67(6):1463-1476 DOI (Digital Object Identifier) : 10.1007/s10840-024-01785-z. PMID : 38668934 Derechos de uso : CC BY-NC-ND En línea : https://pubmed.ncbi.nlm.nih.gov/38668934/ Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_dis Improved all-cause mortality with left bundle branch area pacing compared to biventricular pacing in cardiac resynchronization therapy: a meta-analysis [documento electrónico] / Oriana Cristina Bastidas Ayala, Autor ; Diaz, Juan Carlos, Autor ; Gabr, Mohamed, Autor ; Tedrow, Usha B., Autor ; Mauricio Duque, Autor ; Aristizábal, Julian, Autor ; Marín, Jorge, Autor ; Niño, Cesar, Autor ; Koplan, Bruce A., Autor ; Hoyos, Carolina, Autor ; Matos, Carlos D, Autor ; Hincapié, Daniela, Autor ; Steiger, Nathaniel A, Autor ; Kapur, Sunil, Autor ; Sauer, William H., Autor ; Romero, Jorge E, Autor . - 2024.
Obra : Journal of Interventional Cardiac Electrophysiology
Idioma : Inglés (eng)
Palabras clave : Biventricular pacing; Cardiac resynchronization therapy; Heart failure; Left bundle branch area pacing. Resumen : Background: Left bundle branch area pacing (LBBAP) has emerged as a physiological alternative pacing strategy to biventricular pacing (BIVP) in cardiac resynchronization therapy (CRT). We aimed to assess the impact of LBBAP vs. BIVP on all-cause mortality and heart failure (HF)-related hospitalization in patients undergoing CRT.Methods: Studies comparing LBBAP and BIVP for CRT in patients with HF with reduced left ventricular ejection fraction (LVEF) were included. The coprimary outcomes were all-cause mortality and HF-related hospitalization. Secondary outcomes included procedural and fluoroscopy time, change in QRS duration, and change in LVEF. Results: Thirteen studies (12 observational and 1 RCT, n = 3239; LBBAP = 1338 and BIVP = 1901) with a mean follow-up duration of 25.8 months were included. Compared to BIVP, LBBAP was associated with a significant absolute risk reduction of 3.2% in all-cause mortality (9.3% vs 12.5%, RR 0.7, 95% CI 0.57-0.86, p Mención de responsabilidad : Juan Carlos Diaz, Mohamed Gabr, Usha B. Tedrow, Mauricio Duque, Julian Aristizabal, Jorge Marin, Cesar Niño, Oriana Bastidas, Bruce A. Koplan, Carolina Hoyos, Carlos D. Matos, Daniela Hincapie, Kevin Pacheco-Barrios, Isabella Alviz, Nathaniel A. Steiger, Sunil Kapur, Thomas M. Tadros, Paul C. Zei, William H. Sauer & Jorge E. Romero Referencia : J Interv Card Electrophysiol . 2024 Sep;67(6):1463-1476 DOI (Digital Object Identifier) : 10.1007/s10840-024-01785-z. PMID : 38668934 Derechos de uso : CC BY-NC-ND En línea : https://pubmed.ncbi.nlm.nih.gov/38668934/ Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_dis Reserva
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Título : Left Bundle Branch Pacing vs Left Ventricular Septal Pacing vs Biventricular Pacing for Cardiac Resynchronization Therapy Tipo de documento : documento electrónico Autores : Oriana Cristina Bastidas Ayala, Autor ; Diaz, Juan Carlos, Autor ; Tedrow, Usha B., Autor ; Mauricio Duque, Autor ; Aristizábal, Julian, Autor ; Braunstein, Eric D., Autor ; Marín, Jorge, Autor ; Niño, Cesar, Autor ; López Cabanillas, Nestor, Autor ; Koplan, Bruce A., Autor ; Hoyos, Carolina, Autor ; Matos, Carlos D, Autor ; Hincapié, Daniela, Autor ; Velasco, Alejandro, Autor ; Steiger, Nathaniel A, Autor ; Kapur, Sunil, Autor ; Sauer, William H., Autor ; Romero, Jorge E, Autor Fecha de publicación : 2024 Títulos uniformes : JACC: Clinical Electrophysiology Idioma : Inglés (eng) Palabras clave : cardiac resynchronization therapyconduction system pacingleft bundle branch area pacingheart failure Resumen : Background Left bundle branch pacing (LBBP) and left ventricular septal pacing (LVSP) are considered to be acceptable as LBBAP strategies. Differences in clinical outcomes between LBBP and LVSP are yet to be determined. Objectives The purpose of this study was to compare the outcomes of LBBP vs LVSP vs BIVP for CRT. Methods In this prospective multicenter observational study, LBBP was compared with LVSP and BIVP in patients undergoing CRT. The primary composite outcome was freedom from heart failure (HF)–related hospitalization and all-cause mortality. Secondary outcomes included individual components of the primary outcome, postprocedural NYHA functional class, and electrocardiographic and echocardiographic parameters. Results A total of 415 patients were included (LBBP: n = 141; LVSP: n = 31; BIVP: n = 243), with a median follow-up of 399 days (Q1-Q3: 249.5-554.8 days). Freedom from the primary composite outcomes was 76.6% in the LBBP group and 48.4% in the LVSP group (HR: 1.37; 95% CI: 1.143-1.649; P = 0.001), driven by a 31.4% absolute increase in freedom from HF-related hospitalizations (83% vs 51.6%; HR: 3.55; 95% CI: 1.856-6.791; P Mención de responsabilidad : Juan C. Diaz, Usha B. Tedrow, Mauricio Duque, Julian Aristizabal, Eric D. Braunstein, Jorge Marin, Cesar Niño, Oriana Bastidas, Nestor Lopez Cabanillas, Bruce A. Koplan, Carolina Hoyos, Carlos D. Matos, Daniela Hincapie, Alejandro Velasco, Nathaniel A. Steiger, Sunil Kapur, Thomas M. Tadros, Paul C. Zei, William H. Sauer, and Jorge E. Romero Referencia : JACC: Clinical EP › Archives › Vol. 10 No. 2 DOI (Digital Object Identifier) : 10.1016/j.jacep.2023.10.016 Derechos de uso : CC BY-NC-ND En línea : https://www.jacc.org/doi/abs/10.1016/j.jacep.2023.10.016 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_dis Left Bundle Branch Pacing vs Left Ventricular Septal Pacing vs Biventricular Pacing for Cardiac Resynchronization Therapy [documento electrónico] / Oriana Cristina Bastidas Ayala, Autor ; Diaz, Juan Carlos, Autor ; Tedrow, Usha B., Autor ; Mauricio Duque, Autor ; Aristizábal, Julian, Autor ; Braunstein, Eric D., Autor ; Marín, Jorge, Autor ; Niño, Cesar, Autor ; López Cabanillas, Nestor, Autor ; Koplan, Bruce A., Autor ; Hoyos, Carolina, Autor ; Matos, Carlos D, Autor ; Hincapié, Daniela, Autor ; Velasco, Alejandro, Autor ; Steiger, Nathaniel A, Autor ; Kapur, Sunil, Autor ; Sauer, William H., Autor ; Romero, Jorge E, Autor . - 2024.
Obra : JACC: Clinical Electrophysiology
Idioma : Inglés (eng)
Palabras clave : cardiac resynchronization therapyconduction system pacingleft bundle branch area pacingheart failure Resumen : Background Left bundle branch pacing (LBBP) and left ventricular septal pacing (LVSP) are considered to be acceptable as LBBAP strategies. Differences in clinical outcomes between LBBP and LVSP are yet to be determined. Objectives The purpose of this study was to compare the outcomes of LBBP vs LVSP vs BIVP for CRT. Methods In this prospective multicenter observational study, LBBP was compared with LVSP and BIVP in patients undergoing CRT. The primary composite outcome was freedom from heart failure (HF)–related hospitalization and all-cause mortality. Secondary outcomes included individual components of the primary outcome, postprocedural NYHA functional class, and electrocardiographic and echocardiographic parameters. Results A total of 415 patients were included (LBBP: n = 141; LVSP: n = 31; BIVP: n = 243), with a median follow-up of 399 days (Q1-Q3: 249.5-554.8 days). Freedom from the primary composite outcomes was 76.6% in the LBBP group and 48.4% in the LVSP group (HR: 1.37; 95% CI: 1.143-1.649; P = 0.001), driven by a 31.4% absolute increase in freedom from HF-related hospitalizations (83% vs 51.6%; HR: 3.55; 95% CI: 1.856-6.791; P Mención de responsabilidad : Juan C. Diaz, Usha B. Tedrow, Mauricio Duque, Julian Aristizabal, Eric D. Braunstein, Jorge Marin, Cesar Niño, Oriana Bastidas, Nestor Lopez Cabanillas, Bruce A. Koplan, Carolina Hoyos, Carlos D. Matos, Daniela Hincapie, Alejandro Velasco, Nathaniel A. Steiger, Sunil Kapur, Thomas M. Tadros, Paul C. Zei, William H. Sauer, and Jorge E. Romero Referencia : JACC: Clinical EP › Archives › Vol. 10 No. 2 DOI (Digital Object Identifier) : 10.1016/j.jacep.2023.10.016 Derechos de uso : CC BY-NC-ND En línea : https://www.jacc.org/doi/abs/10.1016/j.jacep.2023.10.016 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_dis Reserva
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