Research Topics
| R WaksmanSummaryCountry: USA Publications
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Publications
PhotoPoint photodynamic therapy promotes stabilization of atherosclerotic plaques and inhibits plaque progressionRon Waksman
Cardiovascular Research Institute, Washington Hospital Center, Washington, DC 20010, USA
J Am Coll Cardiol 52:1024-32. 2008..The purpose of this study was to determine how photodynamic therapy (PDT) promotes stabilization and reduction of regional atherosclerosis...
Bivalirudin versus unfractionated heparin in patients undergoing percutaneous coronary intervention after acute myocardial infarctionWilliam W Chu
Division of Cardiology, Washington Hospital Center, Washington, DC, USA
Cardiovasc Revasc Med 7:132-5. 2006..41). CONCLUSION: The use of bivalirudin in patients undergoing PCI after AMI is safe and feasible. Bivalirudin should be considered as an alternative anticoagulant agent during PCI to treat patients presenting with AMI...
FIRST: Fractional Flow Reserve and Intravascular Ultrasound Relationship StudyRon Waksman
Medstar Washington Hospital Center, Washington, DC 20010, USA
J Am Coll Cardiol 61:917-23. 2013....
Evolution of percutaneous balloon aortic valvuloplasty in the treatment of patients with aortic stenosisL K Pendyala
Interventional Cardiology, Medstar Washington Hospital Center, Washington, DC, USA
Minerva Med 103:415-29. 2012..BAV can be used as a selection tool to determine if the patient will benefit from valve replacement if they have other comorbidities, such as severe pulmonary hypertension, severe lung disease, very poor ejection fraction, or frailty...
Percutaneous coronary intervention with second-generation paclitaxel-eluting stents versus everolimus-eluting stents in United States contemporary practice (REWARDS TLX Trial)Ron Waksman
MedStar Washington Hospital Center MedStar Health Research Institute, Washington, DC, USA
Am J Cardiol 110:1119-24. 2012..However, for composite efficacy and safety end points, EESs outperformed second-generation PESs...
In vivo comparison of a polymer-free Biolimus A9-eluting stent with a biodegradable polymer-based Biolimus A9 eluting stent and a bare metal stent in balloon denuded and radiated hypercholesterolemic rabbit iliac arteriesRon Waksman
Cardiovascular Research Institute, Washington Hospital Center, Washington, DC 20010, USA
Catheter Cardiovasc Interv 80:429-36. 2012....
Safety and efficacy of the XIENCE V everolimus-eluting stent compared to first-generation drug-eluting stents in contemporary clinical practiceRon Waksman
Interventional Cardiology, Washington Hospital Center, DC, USA
Am J Cardiol 109:1288-94. 2012..The XIENCE V failed to demonstrate superiority for overall major adverse cardiovascular events, Q-wave myocardial infarction, and revascularization rates...
Coating bioabsorption and chronic bare metal scaffolding versus fully bioabsorbable stentRon Waksman
Department of Internal Medicine, Division of Cardiology, Washington Hospital Center, 10 Irving Street NW, Washington, DC 20010, USA
EuroIntervention 5:F36-42. 2009..This manuscript will discuss the wide variety of new stent technologies and compare and contrast durable metallic and polymeric stents to current biodegradable stent technology...
Glycoprotein IIb/IIIa inhibitors and bivalirudin in patients undergoing percutaneous coronary interventionM Mahmoudi
Department of Internal Medicine, Washington Hospital Center, Washington, DC, USA
Minerva Cardioangiol 60:95-100. 2012....
Development of a blood-based gene expression algorithm for assessment of obstructive coronary artery disease in non-diabetic patientsMichael R Elashoff
CardioDx, Inc, 2500 Faber Place, Palo Alto, CA 94602, USA
BMC Med Genomics 4:26. 2011..A non-invasive blood test that could reliably assess obstructive CAD likelihood would have diagnostic utility...
Optimal dosing and duration of oral everolimus to inhibit in-stent neointimal growth in rabbit iliac arteriesRon Waksman
Cardiovascular Research Institute, Washington Hospital Center, Washington, DC 20010, USA
Cardiovasc Revasc Med 7:179-84. 2006..Everolimus is an orally active derivative of sirolimus. Oral administration of rapamycin is efficacious in the reduction of neointima formation and clinical restenosis; however, its optimal dose and duration have not been determined...
Safety and efficacy of bioabsorbable magnesium alloy stents in porcine coronary arteriesRon Waksman
Cardiovascular Research Institute, Washington Hospital Center, Washington, DC 20010, USA
Catheter Cardiovasc Interv 68:607-17; discussion 618-9. 2006....
Intracoronary photodynamic therapy reduces neointimal growth without suppressing re-endothelialisation in a porcine modelR Waksman
Division of Cardiology, Washington Hospital Center, Washington, DC, USA
Heart 92:1138-44. 2006..To examine the effects of intracoronary PhotoPoint photodynamic therapy (PDT) with a new photosensitiser, MV0611, in the overstretch balloon and stent porcine models of restenosis...
Twelve versus six months of clopidogrel to reduce major cardiac events in patients undergoing gamma-radiation therapy for in-stent restenosis: Washington Radiation for In-Stent restenosis Trial (WRIST) 12 versus WRIST PLUSRon Waksman
Division of Cardiology, Washington Hospital Center, Washington, DC 20010, USA
Circulation 106:776-8. 2002..Late thrombosis was attenuated with 6 months of aspirin and clopidogrel. We aimed to find out whether 12 months of aspirin plus clopidogrel is superior to a strategy of 6 months after radiation therapy for patients with ISR...
Update on bioabsorbable stents: from bench to clinicalRon Waksman
Division of Cardiology, Washington Hospital Center, Washington, DC 20010, USA
J Interv Cardiol 19:414-21. 2006..Bioabsorbable stents are considered the next frontier of stenting and we will discuss their potential to fulfill this promise in interventional cardiology...
ACUITY-PCI: one drug does not fit allRon Waksman
Washington Hospital Center, Washington, DC 20010, USA
Lancet 369:881-2. 2007
Long-term clinical outcomes and thrombosis rates of sirolimus-eluting versus paclitaxel-eluting stents in an unselected population with coronary artery disease (REWARDS registry)Ron Waksman
Division of Cardiology, Washington Hospital Center, Washington, DC, USA
Am J Cardiol 100:45-51. 2007..In conclusion, use of SESs and PESs in unrestricted, contemporary practice had comparable outcomes in terms of low rates of revascularization and clinical events. Stent thrombosis continues to be a major concern for SESs and PESs...
Efficacy and safety of absorbable metallic stents with adjunct intracoronary beta radiation in porcine coronary arteriesRon Waksman
Cardiovascular Research Institute, Washington Hospital Center, Washington, DC 20010, USA
J Interv Cardiol 20:367-72. 2007..These stents, however, are associated with a modest degree of late recoil and intimal hyperplasia. The aim of the study was to test whether adjunct vascular brachytherapy (VBT) compared to AMS alone can overcome these limitations...
Use of localised intracoronary beta radiation in treatment of in-stent restenosis: the INHIBIT randomised controlled trialRon Waksman
Cardiovascular Brachytherapy Institute, Washington Hospital Center, Washington DC 20010, USA
Lancet 359:551-7. 2002..We aimed to compare the effects of intracoronary beta radiation treatment with those of placebo for clinical and angiographic outcomes of patients with diffuse in-stent restenosis...
Efficacy and safety of pimecrolimus-eluting stents in porcine coronary arteriesRon Waksman
Cardiovascular Research Institute, Washington Hospital Center, Washington, DC 20010, USA
Cardiovasc Revasc Med 8:259-74. 2007..We aimed to evaluate an effective dosage and safety profile of pimecrolimus as an anti-inflammatory drug for drug-eluting stents...
Balloon-based radiation therapy for treatment of in-stent restenosis in human coronary arteries: results from the BRITE I studyRon Waksman
Cardiovascular Brachytherapy Institute, Washington Hospital Center, Washington, DC 20010, USA
Catheter Cardiovasc Interv 57:286-94. 2002..5%. Beta-radiation delivered with a balloon P-32 source design for patients with in-stent restenosis results in lower than expected rate of angiographic and clinical restenosis and the absence of late complications...
Drug-eluting stents versus repeat vascular brachytherapy for patients with recurrent in-stent restenosis after failed intracoronary radiationWilliam W Chu
Washington Hospital Center, Division of Cardiology, 110 Irving Street, N W, Suite 4B 1, Washington, D C, 20010, USA
J Invasive Cardiol 17:659-62. 2005..Therefore, repeat IRT should be considered as an option for this difficult patient subset...
Oral rapamycin inhibits growth of atherosclerotic plaque in apoE knock-out miceRon Waksman
Cardiovascular Research Institute, Washington Hospital Center, 110 Irving Street, NW, Suite 4B 1, Washington, DC 20010, USA
Cardiovasc Radiat Med 4:34-8. 2003..This study is designed to test the potential of oral rapamycin to inhibit atherosclerotic plaque development...
Coronary brachytherapy in the drug-eluting stent era: don't bury it aliveRon Waksman
Division of Cardiology, Washington Hospital Center, 100 Irving St, NW, Suite 4B-1, Washington, DC 20010, USA
Circulation 108:386-8. 2003
Repeat intracoronary radiation for recurrent in-stent restenosis in patients who failed intracoronary radiationRon Waksman
Washington Hospital Center, 110 Irving St, NW, Suite 4B 1, Washington, DC 20010, USA
Circulation 108:654-6. 2003..It is, however, associated with a significant failure rate. The present study evaluated the outcomes of patients who underwent repeat intracoronary radiation for recurrent ISR...
Drug-eluting stents: from bench to bedRon Waksman
Division of Cardiology, Washington Hospital Center, 110 Irving Street, NW, Suite 4B 1, Washington, DC 20010, USA
Cardiovasc Radiat Med 3:226-41. 2002....
Beta emitter systems and results from clinical trials. state of the artRon Waksman
Washington Hospital Center, 110 Irving Street, NW, Suite 4B 1, Washington, DC 20010, USA
Cardiovasc Radiat Med 4:54-63. 2003..This review is intended to summarize the clinical trials utilizing beta emitter systems for the treatment of ISR and de novo lesions and their subsequent results...
Five-year follow-up after intracoronary gamma radiation therapy for in-stent restenosisRon Waksman
Washington Hospital Center, 110 Irving St NW, Suite 4B 1, Washington, DC 20010, USA
Circulation 109:340-4. 2004..The Washington Radiation for In-Stent Restenosis Trial is a double-blinded randomized study evaluating the effects of intracoronary radiation therapy (IRT) in patients with in-stent restenosis (ISR)...
Review of intracoronary radiation for in-stent restenosisRobert Lew
Cardiovascular Research Institute, Cardiology Division, Washington Hospital Center, 110 Irving Street, N.W, Suite 4B-1, Washington, D.C, 20010, USA
J Invasive Cardiol 15:2A-8A. 2003
Bone marrow and bone marrow derived mononuclear stem cells therapy for the chronically ischemic myocardiumRon Waksman
Division of Cardiology, Cardiovascular Research Institute, Washington Hospital Center, 100 Irving Street, Northwest, Suite 4B 1, Washington, DC 20010, USA
Cardiovasc Radiat Med 4:164-8. 2003..Randomized, double blind and placebo-controlled clinical trials need to be completed to determine the effectiveness of stem cell...
Intracoronary radiation therapy improves the clinical and angiographic outcomes of diffuse in-stent restenotic lesions: results of the Washington Radiation for In-Stent Restenosis Trial for Long Lesions (Long WRIST) StudiesRon Waksman
Washington Hospital Center, 110 Irving St, NW, Suite 4B 1, Washington, DC 20010, USA
Circulation 107:1744-9. 2003..The Washington Radiation for In-Stent Restenosis Trial for long lesions (Long WRIST) was designed to determine the safety and efficacy of vascular brachytherapy for the treatment of diffuse in-stent restenosis...
Use of IIb/IIIa inhibitors in patients with in-stent restenosis treated with intracoronary gamma-radiation. Integrilin WRISTRon Waksman
Cardiology Research Institute, Division of Cardiology, Washington Hospital Center, Washington, DC 20010, USA
Catheter Cardiovasc Interv 62:162-6. 2004..Major bleeding was similar in patients treated with and without eptifibatide. Overall, the use of eptifibatide as adjunct therapy for patients with ISR that are treated with IRT did not impact the clinical outcome at 30 days...
Transepicardial autologous bone marrow-derived mononuclear cell therapy in a porcine model of chronically infarcted myocardiumRon Waksman
Washington Hospital Center, Suite 4B 1, 110 Irving Street, NW, Washington, DC 20010, USA
Cardiovasc Radiat Med 5:125-31. 2004..We evaluated the effect of bone marrow-derived mononuclear cell (BMMNC) transplantation on collateral vessel development and myocardial function in a porcine model of chronically infarcted heart...
Short-term effects of biocorrodible iron stents in porcine coronary arteriesRon Waksman
Cardiovascular Research Institute, Washington Hospital Center, Washington, DC 20010, USA
J Interv Cardiol 21:15-20. 2008..This study aimed to test the safety and efficacy of biocorrodible iron stents in porcine coronary arteries...
Effect of clopidogrel on neointimal formation and inflammation in balloon-denuded and radiated hypercholesterolemic rabbit iliac arteriesRon Waksman
Cardiovascular Research Institute, Washington Hospital Center, Washington, DC 20010, USA
J Interv Cardiol 21:122-8. 2008..The aim of this study is to find out by modulating inflammation if clopidogrel can affect neointima formation in balloon-denuded iliac arteries of hypercholesterolemic rabbits...
Drug-eluting stents: is new necessarily better?Ron Waksman
Cardiology, Washington Hospital Center, Washington, DC 20010, USA
Lancet 372:1126-8. 2008
Intravascular gamma radiation for in-stent restenosis in saphenous-vein bypass graftsRon Waksman
Division of Cardiology, Washington Hospital Center and the Washington Cancer Institute, Washington, DC 20010, USA
N Engl J Med 346:1194-9. 2002..We examined the effects of intravascular gamma radiation in patients with in-stent restenosis of saphenous-vein bypass grafts...
Drug-eluting stent thrombosis vs bare metal stent restenosis: finding the lesser of two evilsDaniel H Steinberg
Division of Cardiology, Washington Hospital Center, Washington, DC 20010, USA
Am Heart Hosp J 5:151-4. 2007
Biodegradable and bioabsorbable stentsRon Waksman
Washington Hospital Center 110 Irving Street, NW, Suite 4B 1 Washington, DC 20010, USA
Curr Pharm Des 16:4041-51. 2010....
Current state of the absorbable metallic (magnesium) stentRon Waksman
Department of Internal Medicine, Division of Cardiology, Washington Hospital Center, 110 Irving Street NW, Washington, DC 20010, USA
EuroIntervention 5:F94-7. 2009..The preclinical results of the drug-eluting AMS-3 are encouraging and the clinical investigational program will resume in 2010...
A first-in-man, randomized, placebo-controlled study to evaluate the safety and feasibility of autologous delipidated high-density lipoprotein plasma infusions in patients with acute coronary syndromeRon Waksman
Department of Internal Medicine, Division of Cardiology, Washington Hospital Center, Washington, DC 20010, USA
J Am Coll Cardiol 55:2727-35. 2010..This study aimed to determine whether serial autologous infusions of selective high-density lipoprotein (HDL) delipidated plasma are feasible and well tolerated in patients with acute coronary syndrome (ACS)...
Promise and challenges of bioabsorbable stentsRon Waksman
Division of Cardiology, Washington Hospital Center, Washington, DC 20010, USA
Catheter Cardiovasc Interv 70:407-14. 2007..Thus, the concept of bioabsorbable stents has emerged as an alternative to permanent metal stents. This review will outline concepts, material designs, preclinical, and initial clinical experimental studies with bioabsorbable stents...
An innovative noninvasive respiratory stress test indicates significant coronary artery diseaseRon Waksman
Division of Cardiology, Washington Hospital Center, Washington, DC, USA
Cardiovasc Revasc Med 11:20-8. 2010..It is based on spectral analysis of finger pulse wave oscillations measured by photoplethysmography during deep, paced breathing at a rate of six breaths per minute (0.1 Hz) over 70 s...
Effects of exogenous peripheral-blood-derived endothelial progenitor cells or unfractionated bone-marrow-derived cells on neointimal formation and inflammation in cholesterol-fed, balloon-denuded, and radiated iliac arteries of inbred rabbitsRon Waksman
Cardiovascular Research Institute, Washington Hospital Center, Washington, DC, USA
Cardiovasc Revasc Med 10:110-6. 2009....
Definition, incidence, correlates, and clinical impact of "nuisance" bleeding in patients undergoing drug-eluting stent implantationRon Waksman
Division of Cardiology, Washington Hospital Center, 110 Irving Street NW, Washington, DC 20010, USA
Am J Cardiol 104:30C-3C. 2009..This article discusses the various definitions, incidence, correlates, and clinical impact of this phenomenon...
Early- and long-term intravascular ultrasound and angiographic findings after bioabsorbable magnesium stent implantation in human coronary arteriesRon Waksman
Division of Cardiology, Washington Hospital Center, Washington, DC 20010, USA
JACC Cardiovasc Interv 2:312-20. 2009..This study aimed to evaluate the degradation rate and long-term vascular responses to the absorbable metal stent (AMS)...
Acute renal failure requiring dialysis after percutaneous coronary interventionsL Gruberg
Division of Cardiology, Washington Hospital Center, Washington, D C 20010, USA
Catheter Cardiovasc Interv 52:409-16. 2001..Thus, acute renal failure that requires dialysis after percutaneous coronary interventions is associated with very high in-hospital and 1-year mortality rates and a dramatic increase in hospital resource utilization...
Serial intravascular ultrasound assessment of the efficacy of intracoronary gamma-radiation therapy for preventing recurrence in very long, diffuse, in-stent restenosis lesionsJ M Ahmed
Intravascular Ultrasound Imaging and Cardiac Catheterization Laboratories, Cardiovascular Research Institute, Washington Hospital Center, Washington, DC 20010, USA
Circulation 104:856-9. 2001..005 for all comparisons). CONCLUSIONS:- Serial IVUS analysis shows that gamma-irradiation reduces recurrent in-stent neointimal hyperplasia in long, diffuse ISR lesions; however, it is even more effective when given at a higher dose...
Intracoronary radiation for patients with refractory in-stent restenosis: an analysis from the WRIST-Crossover Trial. Washington Radiation for In-stent Restenosis TrialR Waksman
Cardiovascular Research Institute, Washington Hospital Center, 20010 DC, USA
Cardiovasc Radiat Med 1:317-22. 1999..In-stent restenosis (ISR) is a limitation of intracoronary stent implantation. In animal models and clinical trials, ionizing radiation has been shown to decrease in-stent neointimal formation...
Late total occlusion after intracoronary brachytherapy for patients with in-stent restenosisR Waksman
Cardiac Catheterization Laboratories, Washington Hospital Center, DC, USA
J Am Coll Cardiol 36:65-8. 2000..The study sought to determine the incidence and predictors of late total occlusion (LTO, >30 days) in-patients with in-stent restenosis who were treated with intracoronary radiation...
Intracoronary beta-radiation therapy inhibits recurrence of in-stent restenosisR Waksman
Vascular Brachytherapy Institute, Washington Hospital Center, Washington, DC 20010, USA
Circulation 101:1895-8. 2000..This study, BETA WRIST (Washington Radiation for In-Stent restenosis Trial) was designed to examine the efficacy and safety of the beta-emitter 90-yttrium for the prevention of recurrent ISR...
Incidence, predictors, and outcome of new, subsequent lesions treated with percutaneous coronary intervention in patients presenting with myocardial infarctionGilles Lemesle
Department of Internal Medicine, Division of Cardiology, Washington Hospital Center, Washington, DC, USA
Am J Cardiol 103:1189-95. 2009..Aggressive preventive and medical management should be applied to this population for prevention of these subsequent events...
Intracoronary radiation with gamma wire inhibits recurrent in-stent restenosisR Waksman
Washington Hospital Center, 110 Irving Street North West, Suite 4B 1, Washington, DC 20010, USA
Cardiovasc Radiat Med 2:63-8. 2001..41.8 mm(2); P=.32). Eight patients had a reduction of neointimal intimal tissue at follow-up. These results indicate that intracoronary gamma radiation with the Angiorad source wire is safe and effective in preventing in-stent restenosis...
Serial intravascular ultrasound analysis of edge recurrence after intracoronary gamma radiation treatment of native artery in-stent restenosis lesionsJ M Ahmed
Intravascular Ultrasound Imaging and Cardiac Catheterization Laboratories Washington Hospital Center, Washington, DC, USA
Am J Cardiol 87:1145-9. 2001..Thus, edge recurrence after (192)Ir treatment of in-stent restenosis is the result of neointimal hyperplasia (part of generalized treatment failure) and the absence of radiation-induced positive remodeling...
A novel 32P deployable balloon system inhibits formation of neointima in porcine coronary arteries after balloon-overstretching injuryH S Kim
Cardiovascular Research Institute, Washington Hospital Center, DC 20010, USA
Coron Artery Dis 12:317-22. 2001..01). CONCLUSIONS: Intracoronary radiation therapy using a new 32P deployable-balloon system is feasible and safe. A radiation dose of 15 Gy was sufficient to inhibit neointimal response in the porcine coronary-balloon-injury model...
Edge stenosis and geographical miss following intracoronary gamma radiation therapy for in-stent restenosisH S Kim
Cardiovascular Research Institute, Washington Hospital Center, DC, USA
J Am Coll Cardiol 37:1026-30. 2001..016). CONCLUSIONS: Edge restenosis following gamma irradiation treatment of ISR is related to GM: a mismatch between the segment of artery injured during the primary catheter-based intervention and the length of the radiation source...
Prolonged antiplatelet therapy to prevent late thrombosis after intracoronary gamma-radiation in patients with in-stent restenosis: Washington Radiation for In-Stent Restenosis Trial plus 6 months of clopidogrel (WRIST PLUS)R Waksman
Washington Hospital Center, Washington, DC, USA
Circulation 103:2332-5. 2001..Methods and..
Delayed re-endothelialization and T-cell infiltration following intracoronary radiation therapy in the porcine modelM Kollum
Cardiovascular Research Institute, Washington, DC, USA
Int J Radiat Oncol Biol Phys 50:495-501. 2001..The elevated apoptosis of these infiltrating T cells may indicate a mechanism for the resolution of inflammation...
Prognostic value of cardiac troponin I re-elevation following percutaneous coronary intervention in high-risk patients with acute coronary syndromesS Fuchs
Cardiovascular Research Institute, Washington Hospital Center, Washington, DC 20010, USA
Am J Cardiol 88:129-33. 2001..We conclude that troponin I re-elevation after percutaneous coronary intervention in high-risk patients with ACS is associated with a substantial increase in mortality and reduced event-free survival at 6-month follow-up...
Treatment of in-stent restenosisG S Mintz
Intravascular Ultrasound Imaging Laboratory, Washington Hospital Center, Washington, DC, USA
Semin Interv Cardiol 3:117-21. 1998..Vascular brachytherapy has emerged as the most promising way to treat high-risk lesion subsets...
Usefulness of gamma intracoronary radiation for totally occluded in-stent restenotic coronary narrowingArvind K Sharma
Division of Cardiology, Washington Hospital Center, Washington, DC 20010, USA
Am J Cardiol 91:595-7. 2003
Creatine kinase-MB fraction elevation after percutaneous coronary intervention in patients with chronic renal failureL Gruberg
Cardiac Catheterization Laboratory, Washington Hospital Center, Washington, DC 20010, USA
Am J Cardiol 87:1356-60. 2001....
Comparative efficacy of gamma-irradiation for treatment of in-stent restenosis in saphenous vein graft versus native coronary artery in-stent restenosis: An intravascular ultrasound studyM T Castagna
Intravascular Ultrasound Imaging and Cardiac Catheterization Laboratories, Cardiovascular Research Institute, Washington Hospital Center, Washington, DC, USA
Circulation 104:3020-2. 2001..1+/-2.1 mm(2) versus 5.6+/-2.2 mm(2), P=0.0067). CONCLUSION: gamma-Irradiation with (192)Ir brachytherapy appears to be as effective in SVGs as it is in native artery ISR lesions...
Excimer laser coronary angioplasty and intracoronary radiation for in-stent restenosis: six-month angiographic and clinical outcomesA E Ajani
Catheterization Laboratories, Washington Hospital Center, Suite 4B-1, 110 Irving Street Northwest, Washington, DC 20010, USA
Cardiovasc Radiat Med 2:191-6. 2001..54%, P=.014). CONCLUSION: Radiation therapy with ELCA significantly reduces angiographic binary restenosis at 6 months in patients with diffuse ISR, driven predominantly by reduced percutaneous TVR...
Effect of direct stenting on clinical outcome in patients treated with percutaneous coronary intervention on saphenous vein graftLaurent Leborgne
Cardiovascular Research Institute, Division of Cardiology, Washington Hospital Center, Washington, DC 20100, USA
Am Heart J 146:501-6. 2003..021). Multivariate analysis showed that DS (OR = 0.47, P =.007) was associated with reduction of the target lesion revascularization-MACE. CONCLUSIONS: When feasible, DS may be the best approach for treating SVG stenosis...
An intravascular ultrasound classification of angiographic coronary artery aneurysmsA Maehara
Intravascular Ultrasound Imaging and Cardiac Catheterization Laboratories, Cardiovascular Research Institute, Washington Hospital Center, Washington, DC, USA
Am J Cardiol 88:365-70. 2001..Instead, most angiographically diagnosed aneurysms had the morphology of complex plaques or normal segments with adjacent stenoses...
Three-year follow-up after intracoronary gamma radiation therapy for in-stent restenosis. Original WRIST. Washington Radiation for In-Stent Restenosis TrialA E Ajani
Washington Hospital Center and Washington Cancer Institute at the Washington Hospital Center, Washington, DC 20010, USA
Cardiovasc Radiat Med 2:200-4. 2001..65%, P=.003). CONCLUSIONS: In WRIST, patients with ISR treated with IRT using 192Ir had a marked reduction in the need for repeat target lesion and vessel revascularization at 6 months, with the clinical benefit maintained at 3 years...
Intravascular ultrasound assessment of the stenoses location and morphology in the left main coronary artery in relation to anatomic left main lengthA Maehara
Intravascular Ultrasound Imaging and Cardiac Catheterization Laboratories, Cardiovascular Research Institute, Washington Hospital Center, Washington, DC 20010, USA
Am J Cardiol 88:1-4. 2001..Most ostial left main stenoses were categorized as eccentric (97% vs 76%, p = 0.01). Short and long left main arteries develop stenoses at different locations. Stenosis morphology was significantly different in these 2 locations...
Decreased adventitial neovascularization after intracoronary irradiation in swine: a time course studyM Kollum
Cardiovascular Research Institute, Washington Hospital Center, Washington, DC, USA
Int J Radiat Oncol Biol Phys 50:1033-9. 2001..Intimal area and adventitial vessel count were correlated positively. Neointima reduction after intracoronary radiation may depend not only on an antiproliferative effect but also on an anti-angiogenic effect...
Frequency and severity of plaque prolapse within Cypher and Taxus stents as determined by sequential intravascular ultrasound analysisSang-Wook Kim
Cardiovascular Research Institute/Medstar Research Institute, Washington Hospital Center, Washington, DC, USA
Am J Cardiol 98:1206-11. 2006..However, sequential intravascular ultrasound imaging showed that the frequency and amount of plaque prolapse were neither increased nor decreased by additional higher pressure inflations...
Differential remodeling after balloon overstretch injury and either beta- or gamma-intracoronary radiation of porcine coronary arteriesY Cottin
Cardiovascular Research Institute, Washington Hospital Center, 110 Irving Street, NW Suite 4B-1, Washington, DC 20010, USA
Cardiovasc Radiat Med 2:75-82. 2001..These changes in adventitia and neointima appear to contribute to differential vascular remodeling caused by IR in injured vessels...
Yttrium-90 delivered via a centering catheter and afterloader, given both before and after stent implantation, inhibits neointima formation in porcine coronary arteriesR Waksman
Cardiovascular Research Institute, Washington Hospital Center, Suite 4B1, 110 Irving Street, NW, Washington, DC 20010, USA
Cardiovasc Radiat Med 2:11-7. 2000....
The effect of intracoronary radiation for the treatment of recurrent in-stent restenosis in patients with chronic renal failureL Gruberg
Washington Hospital Center, Washington, DC 20010, USA
J Am Coll Cardiol 38:1049-53. 2001..Despite this benefit, patients with renal dysfunction continued to have significantly higher in-hospital and six-month adverse outcomes...
Intracoronary radiation therapy using a novel beta emitter for in-stent restenosis Tungsten WRISTChristian Dilcher
Division of Cardiology, Washington Hospital Center, Washington, DC, USA
Cardiovasc Revasc Med 6:52-7. 2005..CONCLUSIONS: Vascular brachytherapy with tungsten (188W) is feasible and safe. The 6-month clinical outcomes are similar to the original WRIST radiation group...
Intravascular ultrasound analysis of the impact of gamma radiation therapy on the treatment of saphenous vein graft in-stent restenosisMarco T Castagna
Cardiovascular Research Institute, Washington Hospital Center, Washington, DC 20010, USA
Am J Cardiol 90:1378-81. 2002
Serial intravascular ultrasound analysis of the impact of lesion length on the efficacy of intracoronary gamma-irradiation for preventing recurrent in-stent restenosisJ M Ahmed
Cardiovascular Research Institute, Washington Hospital Center, Washington, DC, USA
Circulation 103:188-91. 2001..378, P:<0.0001). CONCLUSIONS: Brachytherapy may be less effective in longer ISR lesions because of the greater variability and longer source-to-target distances in diffuse ISR...
Management of severely calcified right coronary arteryR Lew
Washington Hospital Center, Washington, DC, USA
Cardiovasc Radiat Med 4:116-7. 2003
Efficacy of sirolimus-eluting stents as compared to paclitaxel-eluting stents for saphenous vein graft interventionWilliam W Chu
Division of Cardiology, Washington Hospital Center, Washington, DC 20010, USA
J Interv Cardiol 19:121-5. 2006..75). CONCLUSIONS: The use of DES in patients undergoing SVG intervention with a DPD is clinically safe and feasible. As compared to SES, PES have the same efficacy and clinical outcomes in SVG interventions up to 6 months...
Bivalirudin compared with IIb/IIIa inhibitors in patients with in-stent restenosis undergoing intracoronary brachytherapyPramod Kuchulakanti
Department of Internal Medicine, Division of Cardiology, Washington Hospital Center, Washington DC 20010, USA
Cardiovasc Revasc Med 6:154-9. 2005....
Prognostic value of cardiac troponin I elevation after percutaneous coronary intervention in patients with chronic renal insufficiency: a 12-month outcome analysisLuis Gruberg
Cardiac Catheterization Laboratory, Cardiovascular Research Institute, Washington Hospital Center, Washington, D C, USA
Catheter Cardiovasc Interv 55:174-9. 2002..Thus, in patients with CRI, elevated cTnI levels after successful PCI is an important predictor of poor long-term outcome. Our data suggest that patients with cTnI elevation > 3 times above normal values are particularly at higher risk...
Real-world clinical practice of intracoronary radiation therapy as compared to investigational trialsSeung-Woon Rha
Department of Internal Medicine, Washington Hospital Center, Washington, DC 20010, USA
Catheter Cardiovasc Interv 64:61-6. 2005....
The WRIST series--what have we learnt?Andrew E Ajani
Vascular Brachytherapy Institute, Cardiology Research Institute, Washington Cardiology Center, Washington, DC, USA
Herz 27:23-9. 2002..AIM: This review is intended to give an overview of the individual trials, summarize pertinent lessons that have been learned and give insight into future of intracoronary radiation...
The impact of lesion length and reference vessel diameter on angiographic restenosis and target vessel revascularization in treating in-stent restenosis with radiationAndrew E Ajani
Cardiovascular Research Institute, Washington Hospital Center, Washington, D.C, USA
J Am Coll Cardiol 39:1290-6. 2002....
Impact of intravascular ultrasound-guided direct stenting on clinical outcome of patients treated for native coronary diseaseEdouard Cheneau
Washington Hospital Center, 110 Irving Street, NW, Suite 4B-1, Washington, DC, 20010, USA
Cardiovasc Radiat Med 5:15-9. 2004..25-.85, P = .013) was independently correlated to lower risk for revascularization in multivariate analysis. CONCLUSION: When DS is implemented by IVUS assessment, it is associated with low in-hospital and long-term events...
Correlates of clinical restenosis following intracoronary implantation of drug-eluting stentsProbal Roy
Division of Cardiology, Washington Hospital Center, Washington, DC, USA
Am J Cardiol 100:965-9. 2007..In conclusion, correlates of DES ISR included both clinical and procedural factors. Limiting the number of stents and stented length, in addition to intravascular ultrasound guidance, may minimize DES ISR...
Comparison between sirolimus- and paclitaxel-eluting stents in complex patient and lesions subsetsProbal Roy
Division of Cardiology, Washington Hospital Center, Washington DC 20010, USA
Catheter Cardiovasc Interv 70:167-72. 2007..The data for more complex subsets of patients and lesions remains conflicting. This study aimed to compare SES with PES in a selected population with a broad range of complex features...
Optimizing dosimetry with high-dose intracoronary gamma radiation (21 Gy) for patients with diffuse in-stent restenosisPramod Kuchulakanti
Division of Cardiology, Department of Medicine, Washington, DC 20010, USA
Cardiovasc Revasc Med 6:108-12. 2005....
The proximal location of stenosis in the left anterior descending coronary artery is not a predictive factor of worse outcome in the era of the stentLaurent Leborgne
Division of Cardiology, Cardiovascular Research Institute, Washington Hospital Center, Suite 4B-1, 110 Irving Street, NW, Washington, DC 20100, USA
Cardiovasc Radiat Med 3:127-32. 2002..Therefore, when stenting is feasible, the location of the lesion in the LAD is not predictive of worse outcome and, consequently, should not be taken into account in the choice of the revascularization strategy...
Clinical presentation and outcome of patients hospitalized for symptomatic in-stent restenosis treated by percutaneous coronary intervention: comparison between drug-eluting stents and bare-metal stentsAxel de Labriolle
Department of Internal Medicine, Division of Cardiology, Washington Hospital Center, 110, Irving Street, NW, Suite 4B 1, Washington DC 20010, USA
Arch Cardiovasc Dis 102:209-17. 2009..Drug-eluting stents (DES) decrease in-stent restenosis, which is thought to have minimal clinical consequences, but may increase the risk of stent thrombosis and its attendant high mortality rate...
Impact of sirolimus-eluting stents on outcomes of patients treated for acute myocardial infarction by primary angioplastyEdouard Cheneau
Division of Cardiology, Washington Hospital Center, Washington, DC 20010, USA
Catheter Cardiovasc Interv 65:469-72. 2005..14). SESs are safe and effective for the treatment of AMI by primary angioplasty. As compared to BMSs, SESs improve long-term outcome after AMI, mainly by reducing the need for repeat revascularization...
Bivalirudin-associated intracoronary thrombosis during gamma-brachytherapy and its experimental validation in acute swine modelPramod K Kuchulakanti
Division of Cardiology, Washington Hospital Center, Washington, DC 20010, USA
Catheter Cardiovasc Interv 62:209-13. 2004..Cases of intracoronary thrombosis have been reported with beta-radiation when bivalirudin is used as an anticoagulant. We report two cases of intracoronary thrombosis with gamma-radiation when bivalirudin is used...
Serial volumetric intravascular ultrasound assessment of native coronary artery versus saphenous vein grafts in-stent restenosis lesions after conventional catheter-based treatmentJaved M Ahmed
Cardiovascular Research Institute, Washington Hospital Center, Washington, DC 20010, USA
Am J Cardiol 91:739-41. 2003
Usefulness of preprocedural coronary lesion morphology as assessed by intravascular ultrasound in predicting Thrombolysis In Myocardial Infarction frame count after percutaneous coronary intervention in patients with Q-wave acute myocardial infarctionJun-ichi Kotani
Cardiovascular Research Institute, Washington Hospital Center, Washington, DC 20010, USA
Am J Cardiol 91:870-2. 2003
Asymptomatic late stent thrombosis after sirolimus stent implantationEdouard Cheneau
Washington Hospital Center, Washington, DC 20010, USA
Cardiovasc Radiat Med 5:57-8. 2004
Switching from Enoxaparin to Bivalirudin in Patients with Acute Coronary Syndromes without ST-segment Elevation who Undergo Percutaneous Coronary Intervention. Results from SWITCH--a multicenter clinical trialRon Waksman
Division of Cardiology, Washington Hospital Center, Washington, DC, USA
J Invasive Cardiol 18:370-5. 2006....
Selective versus exclusive use of sirolimus-eluting stent implantation in multivessel coronary artery diseaseWilliam W Chu
Division of Cardiology, Washington Hospital Center, Washington, DC 20010, USA
Catheter Cardiovasc Interv 65:473-7. 2005....
Combined mechanical and pharmacological approach to a thrombus-containing lesionItsik Ben-Dor
Division of Cardiology, Washington Hospital Center, Washington, D C 20010, USA
Catheter Cardiovasc Interv 75:972-6. 2010..A review of the current literature regarding the drugs and devices available for the prevention and treatment of large thrombus burden has also been performed...
Treatment of drug-eluting stent restenosis with the same versus different drug-eluting stentShaila Garg
Department of Cardiology, Washington Hospital Center, Washington, District of Columbia 20010, USA
Catheter Cardiovasc Interv 70:9-14. 2007..The authors aimed to compare the clinical outcomes with repeat drug-eluting stent (DES) implantation utilizing the same type versus an alternate DES type for in-stent restenosis (ISR) of DES...
Comparison of ruptured plaques in native coronary arteries and in saphenous vein grafts: an intravascular ultrasound studyJerzy Pregowski
Cardiovascular Research Institute/Medstar Research Institute, Washington Hospital Center, Washington, DC
Am J Cardiol 97:593-7. 2006..In conclusion, although patients with SVG plaque ruptures are older and have more co-morbidities, the clinical presentation and angiographic and IVUS features are remarkably similar to those of native artery plaque ruptures...
Intravascular brachytherapy versus drug-eluting stents for the treatment of patients with drug-eluting stent restenosisRebecca Torguson
Division of Cardiology, Washington Hospital Center, Washington, DC, USA
Am J Cardiol 98:1340-4. 2006..In conclusion, intravascular radiation therapy as adjunct therapy to PCI for patients presenting with ISR of a DES is safe and should be considered an alternative therapeutic option for this difficult subset of patients...
Intravascular ultrasound parameters associated with stent thrombosis after drug-eluting stent deploymentTeruo Okabe
Cardiovascular Research Institute, Washington Hospital Center, Washington, DC, USA
Am J Cardiol 100:615-20. 2007....
