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Edwards J, Mejia E, Boyle C, Ha L, O'Connor M, Joshi P, White R, Rossano J, Berger J, Wittlieb-Weber C, Lin K, Maeda K, Edelson J. Donor Derived Cell Free DNA is Correlated with DSA and Rejection in Pediatric Heart Transplant Recipients. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.1339] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/05/2023] Open
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Lynch A, Ahuja S, Miron A, Nakano S, Howard T, Villa C, Armstrong K, Kaufman B, Gardin L, Whitehill R, Parent J, Godown J, Henderson H, Aziz P, Colan S, Seshadri B, Kantor P, Russell M, Lal A, Butts R, Richmond M, Conway J, Weintraub R, Rossano J, Mital S. Sudden Cardiac Death and ICD Use in Rasopathy-Associated Hypertrophic Cardiomyopathy. J Heart Lung Transplant 2021. [DOI: 10.1016/j.healun.2021.01.1821] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Edwards J, Edelson J, Katcoff H, Mondal A, Reza N, Griffis H, Ravishankar C, Rossano J, Lin K, Birati E. Age-Dependent Emergency Department Resource Utilization in Patients with a Ventricular Assist Device. J Heart Lung Transplant 2020. [DOI: 10.1016/j.healun.2020.01.318] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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Robinson M, Rossano J, Cherikh W, Kucheryavaya A, Oliveira G, Stehlik J. Outcomes in Heart Transplantation for Adults with Congenital Heart Disease- Contemporary Analysis and Development of a Risk Model - ReDoT Score. J Heart Lung Transplant 2018. [DOI: 10.1016/j.healun.2018.01.218] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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Rossano J, Kantor P, Shaddy R, Shi L, Wilkinson J, Jefferies J, Depre C, Wirtz H, Lipshultz S. 965Increased heart rate is independently associated with worse survival in pediatric patients with dilated cardiomyopathy: a multicenter study from the pediatric cardiomyopathy registry. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx502.965] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- J. Rossano
- University of Pennsylvania, Philadelphia, United States of America
| | - P. Kantor
- Stollery Children's Hospital Foundation, Edmonton, Canada
| | - R. Shaddy
- University of Pennsylvania, Philadelphia, United States of America
| | - L. Shi
- New England Research Institute, Watertown, United States of America
| | - J. Wilkinson
- Wayne State University, Detroit, United States of America
| | - J. Jefferies
- Cincinnati Children's Hospital Medical Center, Cincinnati, United States of America
| | - C. Depre
- Amgen, Inc., Thousand Oaks, United States of America
| | - H. Wirtz
- Amgen, Inc., Thousand Oaks, United States of America
| | - S. Lipshultz
- Wayne State University, Detroit, United States of America
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Butto A, Rossano J, Nandi D, Ravishankar C, Lin K, O'Connor M, Shaddy R, Shamszad P. Peak Troponin I Is Associated with Death and Extracorporeal Membrane Oxygenation in Pediatric Myocarditis. J Heart Lung Transplant 2017. [DOI: 10.1016/j.healun.2017.01.704] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Kleinmahon J, Patel S, Auerbach S, Stehlik J, Rossano J, Everitt M. Hearts Transplanted After Circulatory Death in Children: Analysis of the International Society for Heart and Lung Transplantation Registry. J Heart Lung Transplant 2017. [DOI: 10.1016/j.healun.2017.01.191] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Mathew J, Villa CR, Morales D, Chin C, Zafar F, Rossano J, Lake M, Lorts A. Favorable Waitlist and Posttransplant Outcomes in Children and Adolescent Patients Supported With Durable Continuous-Flow Ventricular Assist Devices. Am J Transplant 2016; 16:2352-9. [PMID: 26841727 DOI: 10.1111/ajt.13745] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2015] [Accepted: 01/20/2016] [Indexed: 01/25/2023]
Abstract
Pediatric centers are implanting durable adult continuous-flow ventricular assist devices (CFVADs) in children who are smaller than the industry-recommended size. Waitlist and posttransplant outcomes data in pediatric patients supported with CFVADs as a bridge to transplant are limited. We analyzed the United Network of Organ Sharing and Organ Procurement and Transplantation Network registry to identify patients aged ≤18 years with a CFVAD at the time of listing or transplantation. Patients were stratified by body surface area (BSA; >1.5 vs. ≤1.5 m(2) ) at time of listing. We identified 138 patients with a durable CFVAD during the listing period (100 with BSA >1.5 m(2) , 38 with BSA ≤1.5 m(2) ). Patients with BSA ≤1.5 m(2) were more likely to have a noncardiomyopathy diagnosis (18% vs. 4%, p = 0.007) and to be implanted with a centrifugal-flow rather than an axial-flow device (74% vs. 30%, p = 0.001). There was no difference in failure-free waitlist survival between BSA groups (p = 0.99) among patients with a CFVAD at listing. Posttransplantation survival was 100% and 88% at 1 and 5 years, respectively, for the entire cohort and did not differ by BSA group (p = 0.99). Consequently, waitlist and posttransplant outcomes are favorable for pediatric CFVAD recipients. Small patients (≤1.5 m(2) ) had pre- and posttransplant outcomes similar to those of larger patients that met the industry-recommended size for implantation.
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Affiliation(s)
- J Mathew
- The Heart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH
| | - C R Villa
- The Heart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH
| | - D Morales
- The Heart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH
| | - C Chin
- The Heart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH
| | - F Zafar
- The Heart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH
| | - J Rossano
- The Cardiac Center, Children's Hospital of Philadelphia, Philadelphia, PA
| | - M Lake
- Integrated Solid Organ Transplantation, Cincinnati Children's Hospital Medical Center, Cincinnati, OH
| | - A Lorts
- The Heart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH
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O’Connor M, Wang N, Long J, Huang Y, Lin K, Singh T, Jefferies J, Shaddy R, Rossano J. Variability in Cardiomyopathy Admissions and Transplant Volume at US Children’s Hospitals. J Heart Lung Transplant 2015. [DOI: 10.1016/j.healun.2015.01.940] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Lin K, Lynch D, O’Connor M, Rossano J. Risk of Heart Failure and Death Among Patients With Friedreich Ataxia Admitted for Non-Cardiac Etiologies. J Heart Lung Transplant 2015. [DOI: 10.1016/j.healun.2015.01.508] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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McDonnell A, Downing T, Zhu X, Ryan R, Rossano J, Glatz A. Cumulative Exposure to Medical Sources of Ionizing Radiation in the First Year After Pediatric Heart Transplantation. J Heart Lung Transplant 2014. [DOI: 10.1016/j.healun.2014.01.585] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Gaballah M, Rhee E, Hurst R, Pukenas B, Ichord R, Rossano J, Fuller S, Lin K, Krishnamurthy G, Cahill A. Mechanical embolectomy using the Solitaire FR revascularization device for acute arterial ischemic stroke in a pediatric ventricular assist device patient: a case report. J Vasc Interv Radiol 2014. [DOI: 10.1016/j.jvir.2013.12.549] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Abstract
The aspect of the rectal mucosa after administration of hypertonic enemas is occasionally confused with the macroscopic appearance of quiescent ulcerative colitis. Criteria for a diagnosis of enema reaction were derived from a retrospective series and tested prospectively on 11 healthy volunteers. Photographs and biopsies were obtained before and after administration of a sodium phosphate hypertonic enema. Three observers evaluated blindly the "before" and "after" macroscopic and microscopic pictures, graded the features, and made an overall diagnosis. In random studies, two observers mistakenly classified a macroscopic picture, but all correct histologic diagnoses of "before" and "after" biopsies. In decreasing order of discriminating power, the following features of an enema reaction were found to be useful: separation and mucous depletion of the glands (no observer variation), increase in mucosal fragility in 91 per cent of cases (82--100 per cent), edema of the lamina propria in 88 per cent (73--100 per cent), straightening of the basal membrane in 82 per cent (73--91 per cent) and an increase in extruded mucus in 70 per cent (18--100 per cent). In 39 per cent of cases (36--45 per cent), erythrocytes appeared focally in the lamina propria. The effects of hypertonic enemas can be recognized on biopsy.
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