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Lilly SM, Rome J, Anwaruddin S, Shreenivas S, Desai N, Silvestry FE, Herrmann HC, Fassa A, Himbert D, Brochet E, Labbé JP, Depoix JP, Hvass U, Vahanian A, Holoshitz N, Kenny D, Hijazi ZM. How should I treat prosthetic tricuspid stenosis in an extreme surgical risk patient? EUROINTERVENTION 2013; 9:407-9. [DOI: 10.4244/eijv9i3a64] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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177
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Potdar N, Gelbaya TA, Nardo LG, Bos-Mikich A, Aquino D, Danielli L, Rigon PSL, Lothhammer N, Frantz N, Desai N, Austin C, Goldberg J, Falcone T, Trapphoff T, Staubach N, Seidel T, Heiligentag M, Eichenlaub-Ritter U, Vom E, Roy TK, Brandi S, Tappe NM, Peura TT, McArthur SJ, Stojanov T. Session 70: Challenges in cryopreservation. Hum Reprod 2013. [DOI: 10.1093/humrep/det204] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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178
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Desai N, Shihory N, Kotadiya G. Synthesis of Some Novel 4-(Arylideneamino)-N'-((2-chloro-8-methylquinolin- 3-yl)methylene)-3-phenyl-2-thioxo-2,3-dihydrothiazole-5-carbohydrazides as Potential Antimicrobial Agents. LETT DRUG DES DISCOV 2013. [DOI: 10.2174/1570180811310070011] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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179
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Soto E, Flyckt R, Holoch K, Goldberg J, Desai N. Long-term Reproductive Outcomes after Single-step Versus Sequential Blastocyst Culture. Fertil Steril 2013. [DOI: 10.1016/j.fertnstert.2013.01.030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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180
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Bedient C, Goldberg J, Trinh T, Desai N. Do Embryo Density or Protein Supplementation Have an Effect on Embryonic Development, Blastocyst Formation, or Blastocyst Quality? Fertil Steril 2013. [DOI: 10.1016/j.fertnstert.2013.01.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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181
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Desai N, Cimbaluk D, Lewis EJ, Whittier WL. Proteinuria in membranous lupus nephritis: the pathology is in the podocyte. Lupus 2013; 22:461-8. [PMID: 23428848 DOI: 10.1177/0961203313477225] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND Patients with membranous lupus glomerulonephritis (MLN) can present with a broad range of urine protein excretion. The glomerular lesion underlying this functional abnormality has been presumed to be immune complexes which aggregate in the subepithelial area. However, the amount of proteinuria often fails to correlate with the quantity of immune deposits demonstrable on fluorescent and electron microscopy. The purpose of this study is to determine the correlation of alterations of the morphologic components of the glomerular capillary wall with the amount of proteinuria in MLN. DESIGN We conducted a retrospective clinicopathologic study of patients with lupus nephritis (n=236). In those with pure MLN and proteinuria (n=20), the degree of immune aggregates in the capillary walls and mesangium was detailed using fluorescent and electron microscopy. The degree of foot process effacement (FPE) was detailed using electron microscopy. RESULT Eleven patients had nephrotic range proteinuria (≥ 3 g proteinuria/g creatinine (g/g)) and nine demonstrated subnephrotic range proteinuria (<3 g/g) (nephrotic, 8.3 ± 5.1 g/g vs. subnephrotic, 1.63 ± 0.83 g/g, p=0.001). All patients demonstrated peripheral capillary wall granular deposits by immunofluorescence microscopy, and the degree of moderate (2+) to severe (3+) deposition was not different (nephrotic, 8/11, 73% vs. subnephrotic, 5/9, 55%, p=0.64). By electron microscopy, FPE (88.6 ± 11% vs. 48.3 ± 36.1%, p=0.002) and foot process width (1798 ± 736 nm vs. 1000 ± 333 nm, p=0.008) was greater in the nephrotic group compared with subnephrotic. There were no other histopathologic differences between the groups. CONCLUSIONS In patients with MLN, a distinguishing morphologic feature of those with nephrotic range proteinuria is diffuse visceral epithelial cell FPE. We conclude that nephrotic range proteinuria in patients with MLN may be a manifestation of concomitant glomerular visceral epithelial cell dysfunction.
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Walsh EK, Komlo C, Fox Z, DiBiase L, Callahan R, Carlin A, Desai N, Szeto W, Herrmann HC, Bavaria JE. CRT-110 The Execution and Management of a Complex Clinical Trial. JACC Cardiovasc Interv 2013. [DOI: 10.1016/j.jcin.2013.01.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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183
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Bortnick AE, Gordon E, Gutsche J, Anwaruddin S, Szeto WY, Desai N, Vallabhajosyula P, Bavaria JE, Herrmann HC. Percutaneous Closure of a Left Ventricular Pseudoaneurysm After Sapien XT Transapical Transcatheter Aortic Valve Replacement. JACC Cardiovasc Interv 2012; 5:e37-8. [DOI: 10.1016/j.jcin.2012.08.014] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/17/2012] [Accepted: 08/02/2012] [Indexed: 10/27/2022]
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184
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Neofytos D, Kobayashi K, Alonso CD, Cady-Reh J, Lepley D, Harris M, Desai N, Kraus E, Subramanian A, Treadway S, Ostrander D, Thompson C, Marr K. Epidemiology, risk factors, and outcomes of Clostridium difficile infection in kidney transplant recipients. Transpl Infect Dis 2012; 15:134-41. [PMID: 23173772 DOI: 10.1111/tid.12030] [Citation(s) in RCA: 37] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2011] [Revised: 07/13/2012] [Accepted: 07/24/2012] [Indexed: 12/18/2022]
Abstract
BACKGROUND We sought to describe the epidemiology and risk factors for Clostridium difficile infection (CDI) among kidney transplant recipients (KTR) between 1 January 2008 and 31 December 2010. METHODS A single-institution retrospective study was conducted among all adult KTR with CDI, defined as a positive test for C. difficile by a cell cytotoxic assay for C. difficile toxin A or B or polymerase chain reaction test for toxigenic C. difficile. RESULTS Among 603 kidney transplants performed between 1 January 2008 and 31 December 2010, 37 (6.1%) patients developed CDI: 12 (of 128; 9.4%) high-risk (blood group incompatible and/or anti-human leukocyte antigen donor-specific antibodies) vs. 25 (of 475; 5.3%, P = 0.08) standard-risk patients. The overall rate of CDI increased from 3.7% in 2008 to 9.4% in 2010 (P = 0.05). The median time to CDI diagnosis was 9 days, with 27 (73.0%) patients developing CDI within the first 30 days after their transplant, and 14 (51.8%) developing CDI within 7 days. A case-control analysis of 37 CDI cases and 74 matched controls demonstrated the following predictors for CDI among KTR: vancomycin-resistant Enterococcus colonization before transplant (odds ratio [OR]: 3.6, P = 0.03), receipt of an organ from Centers for Disease Control high-risk donor (OR: 5.9, P = 0.006), and administration of high-risk antibiotics within 30 days post transplant (OR: 6.6, P = 0.001). CONCLUSIONS CDI remains a common early complication in KTR, with rates steadily increasing during the study period. Host and transplant-related factors and exposure to antibiotics appeared to significantly impact the risk for CDI among KTR.
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185
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Atashroo D, Castellanos M, Desai N, Hibner M. Selective Pelvic Vein Ligation for Pelvic Congestion Syndrome. J Minim Invasive Gynecol 2012. [DOI: 10.1016/j.jmig.2012.08.643] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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186
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Castellanos M, Yi J, Atashroo D, Desai N, Hibner M. Pudendal Neuralgia after Posterior Vaginal Wall Repair with Mesh Kits: An Anatomical Study and Case Series. J Minim Invasive Gynecol 2012. [DOI: 10.1016/j.jmig.2012.08.578] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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187
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Sharif A, Lonze B, Hillier J, Zachary A, Leffell M, Alachkar N, Kraus E, Dagher N, Desai N, Segev D, Montgomery R. Outcomes from Combining Kidney Paired Donation and Desensitization: An Approach to Kidney Transplantation for the Most Highly Sensitized Patients. Transplantation 2012. [DOI: 10.1097/00007890-201211271-00151] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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188
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Sodhi N, Bavaria J, Desai N. Neurologic Catastrophe in the Setting of Acute Ascending Aortic Syndromes: A Case for Delayed Surgical Intervention. Chest 2012. [DOI: 10.1378/chest.1388396] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
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189
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Desai N, Anpat S. M461 A SAFER & SIMPLER TECHNIQUE OF LAPAROSCOPIC HYSTERECTOMY. Int J Gynaecol Obstet 2012. [DOI: 10.1016/s0020-7292(12)61258-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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190
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Desai N, Goldberg J, Austin C. The new rapid i closed vitrification system is technically easy to use and gives excellent outcomes with both blastocyst and cleavage stage embryos. Fertil Steril 2012. [DOI: 10.1016/j.fertnstert.2012.07.477] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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191
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Desai N, Suryanarayana A, Calabro A. Novel biomaterial for three dimensional culture of mouse pre-antral follicles. Fertil Steril 2012. [DOI: 10.1016/j.fertnstert.2012.07.582] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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192
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Dalal JJ, Kasliwal RR, Dutta AL, Sawhney JPS, Iyengar SS, Dani S, Desai N, Sathyamurthy I, Rao D, Menon A, Dasbiswas A, Wander GS, Chadha M, Hiremath MS, Roy DG, Gupta V, Shivakadaksham N. Role of omega-3 ethyl ester concentrate in reducing sudden cardiac death following myocardial infarction and in management of hypertriglyceridemia: an Indian consensus statement. Indian Heart J 2012; 64:503-7. [PMID: 23102390 PMCID: PMC3861206 DOI: 10.1016/j.ihj.2012.08.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2012] [Accepted: 08/21/2012] [Indexed: 11/23/2022] Open
Abstract
INTRODUCTION Sudden cardiac death (SCD) is the most lethal manifestation of heart disease. In an Indian study the SCDs contribute about 10% of the total mortality and SCD post ST elevation myocardial infarction (MI) constitutes for about half of total deaths. OBJECTIVE Given the limitations of existing therapy there is a need for an effective, easy to use, broadly applicable and affordable intervention to prevent SCD post MI. Leading cardiologists from all over India came together to discuss the potential role of n-3 acid ethyl esters (90%) of eicosapentaenoic acid (EPA) 460 mg & docosahexaenoic acid (DHA) 380 mg in the management of post MI patients and those with hypertriglyceridemia. RECOMMENDATIONS Highly purified & concentrated omega-3 ethyl esters (90%) of EPA (460 mg) & DHA (380 mg) has clinically proven benefits in improving post MI outcomes (significant 15% risk reduction for all-cause mortality, 20% risk reduction for CVD and 45% risk reduction in SCD in GISSI-Prevenzione trial) and in reducing hypertriglyceridemia, and hence, represent an interesting option adding to the treatment armamentarium in the secondary prevention after MI based on its anti-arrhythmogenic effects and also in reducing hypertriglyceridemia.
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Giri J, Bortnick AE, Wallen T, Walsh E, Bannan A, Desai N, Szeto WY, Bavaria J, Herrmann HC. Procedural and clinical outcomes of the valve-in-valve technique for severe aortic insufficiency after balloon-expandable transcatheter aortic valve replacement. Catheter Cardiovasc Interv 2012; 80:139-47. [DOI: 10.1002/ccd.23451] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/29/2011] [Revised: 10/10/2011] [Accepted: 10/25/2011] [Indexed: 11/10/2022]
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194
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Shah S, Vasantharaju S, Arumugam K, Muddukrishna B, Desai N. Development of a Sensitive Bioanalytical Method for the Quantification of Lacosamide in Rat Plasma. Application to Preclinical Pharmacokinetics Studies in Rats. ACTA ACUST UNITED AC 2012; 62:243-6. [DOI: 10.1055/s-0032-1301911] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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195
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Ullery BW, McGarvey ML, Cheung AT, Fairman RM, Jackson BM, Woo EY, Desai N, Wang GJ. Anatomic Distribution of Stroke and Its Relationship to Perioperative Mortality and Neurologic Outcome Following TEVAR. J Vasc Surg 2012. [DOI: 10.1016/j.jvs.2011.11.081] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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196
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Panagiotidis Y, Kasapi E, Goudakou M, Papatheodorou A, Pasadaki T, Petousis S, Nikolettos N, Maroulis G, Vanderzwalmen P, Prapas Y, Desai N, Goldberg J, Austin C, Falcone T, Nakagawa K, Ojiro Y, Takahashi C, Sugiyama R, Juen H, Nishi Y, Yoneda Y, Shirai A, Sugiyama R, Force A, Schubert B, Chomier M, Sergeant P, Lescaille M, Rochigneux S, Chassagnard F, Rollet J, Robert F, Baucher S, Sergeant MV, Ginon J, Rodrigue M, Nicollet B, Barblett H, Mehmet D, Rebollar-Lazaro I, Turner S. SESSION 43: EMBRYOLOGY - EMBRYO CRYOPRESERVATION. Hum Reprod 2012. [DOI: 10.1093/humrep/27.s2.42] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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197
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Dierberg KL, Marr KA, Subramanian A, Nace H, Desai N, Locke JE, Zhang S, Diaz J, Chamberlain C, Neofytos D. Donor-derived organ transplant transmission of coccidioidomycosis. Transpl Infect Dis 2011; 14:300-4. [PMID: 22176496 DOI: 10.1111/j.1399-3062.2011.00696.x] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2011] [Revised: 08/31/2011] [Accepted: 09/07/2011] [Indexed: 11/27/2022]
Abstract
Coccidioidomycosis in solid organ transplant recipients most often occurs as a result of primary infection or reactivation of latent infection. Herein, we report a series of cases of transplant-related transmission of coccidioidomycosis from a single donor from a non-endemic region whose organs were transplanted to 5 different recipients. In all, 3 of the 5 recipients developed evidence of Coccidioides infection, 2 of whom had disseminated disease. The degree of T-cell immunosuppression and timing of antifungal therapy initiation likely contributed to development of disease and disease severity in these recipients. This case series highlights the importance of having a high index of suspicion for Coccidioides infection in solid organ transplant recipients, even if the donor does not have known exposure, given the difficulties of obtaining a detailed and accurate travel history from next-of-kin.
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198
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Hibner M, Castellanos M, Desai N, Cookingham L, Balducci J. Pelvic Vein Ligation for the Treatment of Pelvic Congestion Syndrome in Women Who Desire Preservation of Fertility. J Minim Invasive Gynecol 2011. [DOI: 10.1016/j.jmig.2011.08.039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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199
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Nathan DP, Boonn W, Lai E, Wang GJ, Desai N, Woo EY, Fairman RM, Jackson BM. Presentation, complications, and natural history of penetrating atherosclerotic ulcer disease. J Vasc Surg 2011. [PMID: 22047830 DOI: 10.1016/j.jvs.2011.08.005.epub] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
OBJECTIVES Increased utilization of computed tomography angiography (CTA) has increased the radiologic diagnosis of penetrating atherosclerotic ulcers (PAUs), which are defined as the ulceration of atherosclerotic plaque through the internal elastic lamina into the aortic media. However, the presentation, treatment indications, and natural history of this disease process remain unclear. METHODS The radiology database at a single university hospital was searched retrospectively for the CTA diagnosis of PAU from January 2003 to June 2009. All scans were interpreted by a cardiovascular radiologist. Information on PAU characteristics and need for surgical repair due to PAU disease was collected. PAU stability or progression was assessed by follow-up CTA, if available. Only PAUs in the aortic arch, descending thoracic aorta, and abdominal aorta were included. RESULTS Three hundred eighty-eight PAUs were diagnosed by CTA interpretation. PAU location was in the aortic arch in 27 (6.8%) cases, the descending thoracic aorta in 243 (61.2%) cases, and the abdominal aorta in 118 (29.7%) cases. Two hundred twenty-four (57.7%) PAUs were isolated (without saccular aneurysm or intramural hematoma); 108 (27.8%) PAUs had associated saccular aneurysms; and 56 (14.4%) PAUs had associated intramural hematoma. Rupture was present in 16 (4.1%) cases. Fifty (12.9%) PAUs underwent repair with thoracic endovascular aortic repair (TEVAR) (n = 30), endovascular aneurysm repair (EVAR) (n = 10), or open surgery (n = 10); primary indications for repair were saccular aneurysm (n = 26), rupture (n = 16), and persistent or recurrent symptoms (n = 8). Even if initially treated conservatively with resolution of pain, symptomatic PAU disease was more likely to require repair than asymptomatic PAU disease (36.2% vs 7.8%, P < .001). Follow-up CTA was available for 87 PAUs, 20 (23.0%) of which demonstrated radiographic disease progression at a mean follow-up of 8.4 ± 10.3 months. Symptomatic PAU disease was more likely to progress than asymptomatic disease (42.9% vs 16.7%, P = .029). CONCLUSIONS For PAUs diagnosed on CTA at a single institution, 4.1% were ruptured and 12.9% underwent repair. Close follow-up imaging appears to be indicated for PAUs, particularly in the case of symptomatic disease, which is more likely to require repair and to undergo radiographic progression.
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Gutierrez M, Castellanos M, Desai N, Hibner M. Duration of Time of Transurethral Catheterization Following Incidental Cystotomy Repair. J Minim Invasive Gynecol 2011. [DOI: 10.1016/j.jmig.2011.08.540] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/16/2022]
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