Sandeep K. Goyal's research while affiliated with Texas Heart Institute and other places
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Publications (11)
Introduction
Percutaneous left atrial appendage occlusion (LAAO) is traditionally performed under general anesthesia with trans‐esophageal echocardiography guidance. Intracardiac echo (ICE)‐guided LAAO closure is increasing in clinical use. The ICE catheter is crossed into LA via interatrial septum (IAS) after the septum is dilated with LAAO delive...
Background: Percutaneous left atrial appendage occlusion (LAAO) is traditionally performed under general anesthesia with trans-esophageal echocardiography guidance. Intracardiac echo (ICE) guided LAAO closure is increasing in clinical use. The ICE catheter is crossed into LA via interatrial septum (IAS) after the septum is dilated with LAAO deliver...
Atrial fibrillation (AF) and heart failure are common overlapping cardiovascular disorders. Despite important therapeutic advances over the past several decades, controversy persists about whether a rate control or rhythm control approach constitutes the best option in this population. There is also considerable debate about whether antiarrhythmic...
Background: Percutaneous left atrial appendage (LAA) closure is contraindicated in patients with LAA thrombus. It can be challenging to distinguish slow flow (sludge) from organized thrombus on echocardiography. Recent case reports have shown that isoproterenol infusion can distinguish LAA sludge from thrombus, however, no mid/long-term outcome dat...
Percutaneous left atrial appendage occlusion (LAAO) is contraindicated in presence of left atrial appendage (LAA) thrombus. It is often difficult to separate LAA sludge from an organized thrombus on transesophageal echocardiography. The inability to differentiate sludge from thrombus leads to patients not receiving LAAO despite contraindication to...
Eleven patients scheduled for ablation for paroxysmal AF were recruited and imaged on a 1.5 T Avanto scanner. DE-MRI was acquired 10 minutes after contrast injection using a 3D inversion-recovery-prepared, respiration-navigated, ECG gated, fast spoiled gradient recalled sequence with fat saturation. Typical acquisition parameters included: TR 500-7...
Citations
... Such patients exhibit a reduced response to β-adrenergic receptor agonists and may require even higher concentrations of ISP or other agents with stronger chronotropic effects than ISP to decrease SEC. 8,9,25 However, further investigations are required to confirm these hypotheses. ...
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