Thomas E. Fagan
Boston Children's Hospital
Internal medicineRadiologySurgeryPulmonary wedge pressureTomographyCardiologyPediatricsPsychological interventionGreat arteriesDouble outlet right ventricleCardiac imagingCatheter ablationPulmonary edemaFluoroscopyArteryCardiac catheterizationAsymptomaticAtrial flutterCardiac surgeryPulmonary valveTricuspid valveAortaHeart diseaseAngioplastyAngiographyPercutaneousPersistent truncus arteriosusPulmonary hypertensionPulmonary arteryInterventional cardiologyKawasaki diseaseCardiovascular angiographyCatheterization procedureNuclear medicineCentral venous pressureRotational angiographyVascular resistanceReceiver operating characteristicMedicineCirculatory system
Publications 29
#1Srihari S. Naidu (NYMC: New York Medical College)H-Index: 13
#1Srihari S Naidu (NYMC: New York Medical College)H-Index: 1
Last. David M. Williams (W. L. Gore and Associates)H-Index: 1
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The society for cardiovascular angiography and interventions (SCAI) think tank is a collaborative venture that brings together interventional cardiologists, administrative partners, and select members of the cardiovascular industry community for high-level field-wide discussions. The 2020 think tank was organized into four parallel sessions reflective of the field of interventional cardiology: (a) coronary intervention, (b) endovascular medicine, (c) structural heart disease, and (d) congenital ...
2 CitationsSource
#1Sebastian Góreczny (Memorial Hospital of South Bend)H-Index: 10
#2Gregor KringsH-Index: 1
Last. Gareth J. Morgan (Boston Children's Hospital)H-Index: 119
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: Step changes in angiographic imaging are not commonplace. Since the move from analogue to digital and flat detector plates, two-dimensional imaging technology has certainly evolved but not jumped forward. Of all the routine imaging techniques used in cardiology, angiography has been the last modality to embrace the third dimension. Although the development of rotational angiography was initially for the benefit of neuroimaging and fusion of cross sectional datasets was aimed at the treatment o...
1 CitationsSource
#1Pei-Ni Jone (University of Colorado Denver)H-Index: 14
#2Michael W. Ross (University of Colorado Denver)H-Index: 90
Last. Thomas E. Fagan (University of Colorado Denver)H-Index: 13
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Background Fused real-time three-dimensional transesophageal echocardiography and fluoroscopy has been used in adult patients during percutaneous mitral valve and aortic valve procedures. The use of fused echocardiographic/x-ray fluoroscopic imaging (FEX) in pediatric patients undergoing congenital heart disease catheterization has not been evaluated for feasibility and safety. The aims of this study were to assess the feasibility and safety of FEX for interventional guidance and to perform a co...
35 CitationsSource
#1Doff B. McElhinney (Stanford University)H-Index: 24
#2Allison K. Cabalka (Mayo Clinic)H-Index: 30
Last. Danny Dvir (UBC: University of British Columbia)H-Index: 62
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Off-label use of transcatheter aortic and pulmonary valve prostheses for tricuspid valve-in-valve implantation (TVIV) within dysfunctional surgical tricuspid valve (TV) bioprostheses has been described in small reports.An international, multicenter registry was developed to collect data on TVIV cases. Patient-related factors, procedural details and outcomes, and follow-up data were analyzed. Valve-in-ring or heterotopic TV implantation procedures were not included. Data were collected on 156 pat...
103 CitationsSource
#1Ryan T. Borne (University of Colorado Denver)H-Index: 10
#2Joseph Kay (University of Colorado Denver)H-Index: 21
Last. Duy T. Nguyen (University of Colorado Denver)H-Index: 18
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Catheter ablation for patients with transposition of the great arteries (d-TGA) requires multiple considerations and careful preprocedural planning. Knowledge of the patient's anatomy and surgical correction, in addition to electroanatomic mapping and entrainment maneuvers, are important to identify and successfully treat arrhythmias. This case was unique in that the lack of femoral venous access required transhepatic venous access and bidirectional block was attained with ablation lesions along...
#1Anas Abu Hazeem (JUST: Jordan University of Science and Technology)H-Index: 1
#2Osamah Aldoss (University of Colorado Denver)H-Index: 1
Last. Thomas E. Fagan (University of Colorado Denver)H-Index: 13
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Introduction A 24-year-old female presented for percutaneous pulmonary valve placement. She was born with tetralogy of Fallot and had initial palliation with a Blalock–Taussig shunt followed by complete repair at age of 4 years including placement of a homograft conduit in the right ventricle to pulmonary artery position. She had developed severe obstruction in the conduit. Procedure Angiography showed a heavily calcified conduit with moderate insufficiency. During pre-dilation, a total of six b...
2 CitationsSource
#1David G. Nykanen (UCF: University of Central Florida)H-Index: 32
#2Thomas J. Forbes (Boston Children's Hospital)H-Index: 19
Last. David H. Wax (Children's Memorial Hospital)H-Index: 1
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Objectives We sought to develop a scoring system that predicts the risk of serious adverse events (SAE's) for individual pediatric patients undergoing cardiac catheterization procedures. Background Systematic assessment of risk of SAE in pediatric catheterization can be challenging in view of a wide variation in procedure and patient complexity as well as rapidly evolving technology. Methods A 10 component scoring system was originally developed based on expert consensus and review of the existi...
36 CitationsSource
#1Robert H. Friesen (University of Colorado Denver)H-Index: 23
#2Mark D. Twite (University of Colorado Denver)H-Index: 13
Last. D. Dunbar Ivy (University of Colorado Denver)H-Index: 71
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Summary Background The safety of ketamine in children with pulmonary hypertension has been debated because of conflicting results of prior studies in which changes in mean pulmonary artery pressure (mPAP) and pulmonary vascular resistance (PVR) have been widely variable. The goal of this prospective study was to quantitate the effects of ketamine on pulmonary hemodynamics in a cohort of children with pulmonary hypertension under conditions in which variables such as airway/ventilatory management...
12 CitationsSource
#1Uyen Truong (Boston Children's Hospital)H-Index: 18
#2Thomas E. Fagan (Boston Children's Hospital)H-Index: 13
Last. Brian Fonseca (Boston Children's Hospital)H-Index: 11
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Objectives We are the first to describe the use of three-dimensional rotational angiography (3DRA) in creating multiplanar reconstruction (MPR) and volume rendering, in the catheterization suite, of airways at risk for compression by adjacent cardiac structures. Background 3DRA has emerged as a promising tool for improved visualization of cardiac and vascular structures in congenital heart disease. Methods This is a retrospective review of all available cases at our institution in which MPR from...
17 CitationsSource