LUIS AUGUSTO PALMA DALLAN
Projetos de Pesquisa
Unidades Organizacionais
Instituto do Coração, Hospital das Clínicas, Faculdade de Medicina - Médico
LIM/11 - Laboratório de Cirurgia Cardiovascular e Fisiopatologia da Circulação, Hospital das Clínicas, Faculdade de Medicina
LIM/11 - Laboratório de Cirurgia Cardiovascular e Fisiopatologia da Circulação, Hospital das Clínicas, Faculdade de Medicina
10 resultados
Resultados de Busca
Agora exibindo 1 - 10 de 10
bookPart Pericardiocentese na emergência(2015) DALLAN, Luís Roberto Palma; DALLAN, Luís Augusto Palma; DALLAN, Luís Alberto Oliveira- Multivessel Woven Coronary Artery Disease(2021) DALLAN, Luis Roberto Palma; DALLAN, Luis Alberto Oliveira; MORETTI, Miguel; MORAGAS, Ana Beatriz Camerlengo; DALLAN, Luis Augusto Palma; JATENE, Fabio B.Woven coronary disease is a rare pathology with unknown etiology. Although initially considered benign, recent publications report myocardial ischemia caused by the affected vessel. Since most patients are asymptomatic, long-term follow-up to understand its behavior is mandatory. We report a multivessel woven disease case with documented ischemia that was submitted to coronary artery bypass grafting and remained asymptomatic for two years of follow-up.
bookPart Pericardiocentese na emergência(2018) DALLAN, Luís Roberto Palma; DALLAN, Luís Augusto Palma; DALLAN, Luís Alberto OliveirabookPart Pericardiocentese na emergência(2015) DALLAN, Luís Roberto Palma; DALLAN, Luís Augusto Palma; DALLAN, Luís Alberto Oliveira- Endovascular therapeutic hypothermia adjunctive to percutaneous coronary intervention in acute myocardial infarction: realistic simulation as a game changer(2022) DALLAN, Luis Augusto Palma; DAE, Michael; GIANNETTI, Natali Schiavo; POLASTRI, Tathiane Facholi; LIMA, Marian Keiko Frossard; ROCHITTE, Carlos Eduardo; HAJJAR, Ludhmila Abrahao; MARTIN, Claudia Yanet Bernoche San; LIMA, Felipe Gallego; NICOLAU, Jose Carlos; JR, Mucio Tavares de Oliveira; DALLAN, Luis Alberto Oliveira; SILVA, Expedito Eustaquio Ribeiro da; FILHO, Roberto Kalil; ABIZAID, Alexandre; LEMOS NETO, Pedro Alves; TIMERMAN, SergioBackground: Endovascular therapeutic hypothermia (ETH) reduces the damage by ischemia/reperfusion cell syndrome in cardiac arrest and has been studied as an adjuvant therapy to percutaneous coronary intervention (PCI) in ST-elevation myocardial infarction (STEMI). New available advanced technology allows cooling much faster, but there is paucity of resources for training to avoid delays in door-to-balloon time (DTB) due to ETU and subsequently coronary reperfusion, which would derail the procedure. The aim of the study was to describe the process for the development of a simulation, training & educational protocol for the multidisciplinary team to perform optimized ETH as an adjunctive therapy for STEMI. Methods and results: We developed an optimized simulation protocol using modern mannequins in different realistic scenarios for the treatment of patients undergoing ETH adjunctive to PCI for STEN s starting from the emergency room, through the CathLab, and to the intensive care unit (ICU) using the Proteus (R) Endovascular System (loll Circulation Inc (TM), San Jose, CA, USA). The primary endpoint was door-to-balloon (DTB) time. We successfully trained 361 multidisciplinary professionals in realistic simulation using modern mannequins and sham situations in divisions of the hospital where real patients would be treated. The focus of simulation and training was logistical optimization and educational debriefing with strategies to reduce waste of time in patient's transportation from different departments, and avoiding excessive rewanning during transfer. Afterwards, the EHT protocol was successfully validated in a trial randomizing 50 patients for 18 minutes cooling before coronary recanalization at the target temperature of 32 +/- 1.0 degrees C or PCI-only. A total of 35 patients underwent FM (85.7% [30/35] in 90 +/- 15 minutes), without delays in the mean door-to-balloon time for primary PCI when compared to 15 control group patients (92.1 minutes versus 87 minutes, respectively; p = 0.509). Conclusions: Realistic simulation, intensive training and educational debriefing for the multidisciplinary team propitiated feasible endovascular therapeutic hypothermia as an adjuvant therapy to primary PCI in STEM.
bookPart Educação em cardiologia(2016) DALLAN, Luís Augusto Palma; TIMERMAN, Sergio; DALLAN, Luís Alberto Oliveira; JATENE, Fabio Biscegli; KALIL FILHO, Roberto- Pericardial-Peritoneal Window as an Alternative Treatment for Large and Recurrent Pericardial Effusion Post-Pericardiotomy(2021) DALLAN, Luis Roberto Palma; DALLAN, Luis Alberto Oliveira; MEJIA, Omar Vilca; DALLAN, Luis Augusto Palma; LISBOA, Luiz Augusto Ferreira; JATENE, Fabio B.Introduction: The presence of mild to moderate pericardial effusion after cardiac surgery is common and oral medical therapy is usually able to treat it. Larger effusions are less frequent and surgical intervention is usually necessary. However, there are some rare cases of large effusions that are recurrent even after intervention and become challenging to treat. Methods: We describe the case of a patient submitted to coronary artery bypass grafting (CABG) without any intraoperative complications, who was regularly discharged from the hospital. She was referred to our emergency department twice after surgery with large pericardial effusion that was drained. Even after those two interventions and with adequate oral medication, the large effusion recurred. Results: During follow-up, the patient had her symptoms resolved, with no need for further hospital admission. Her echocardiograms after the last intervention showed no pericardial effusion. The present surgical technique demonstrated to be easy to perform, thus it should be considered as a treatment option for these rare cases of large and repetitive effusions, which do not respond to the traditional methods. Conclusions: In challenging cases of recurrent and large pericardial effusions, the pericardial-peritoneal window is an alternative surgical technique that brings clinical improvement and diminishes the risk of cardiac tamponade.
- Brazilian Society of Cardiology Guidelines on Unstable Angina and Acute Myocardial Infarction without ST-Segment Elevation-2021(2021) NICOLAU, Jose Carlos; FEITOSA FILHO, Gilson Soares; PETRIZ, Joao Luiz; FURTADO, Remo Holanda de Mendonca; PRECOMA, Dalton Bertolim; LEMKE, Walmor; LOPES, Renato Delascio; TIMERMAN, Ari; MARIN-NETO, Jose A.; NETO, Luiz Bezerra; GOMES, Bruno Ferraz de Oliveira; SANTOS, Eduardo Cavalcanti Lapa; PIEGAS, Leopoldo Soares; SOEIRO, Alexandre de Matos; NEGRI, Alexandre Jorge de Andrade; FRANCI, Andre; MARKMAN FILHO, Brivaldo; BACCARO, Bruno Mendonca; MONTENEGRO, Carlos Eduardo Lucena; ROCHITTE, Carlos Eduardo; BARBOSA, Carlos Jose Dornas Goncalves; VIRGENS, Claudio Marcelo Bittencourt das; STEFANINI, Edson; MANENTI, Euler Roberto Fernandes; LIMA, Felipe Gallego; MONTEIRO JUNIOR, Francisco das Chagas; CORREA FILHO, Harry; PENA, Henrique Patrus Mundim; PINTO, Ibraim Masciarelli Francisco; FALCAO, Joao Luiz de Alencar Araripe; SENA, Joberto Pinheiro; PEIXOTO, Jose Maria; SOUZA, Juliana Ascencao de; SILVA, Leonardo Sara da; MAIA, Lilia Nigro; OHE, Louis Nakayama; BARACIOLI, Luciano Moreira; DALLAN, Luis Alberto de Oliveira; DALLAN, Luis Augusto Palma; MATTOS, Luiz Alberto Piva e; BODANESE, Luiz Carlos; RITT, Luiz Eduardo Fonteles; CANESIN, Manoel Fernandes; RIVAS, Marcelo Bueno da Silva; FRANKEN, Marcelo; MAGALHAES, Marcos Jose Gomes; OLIVEIRA JUNIOR, Mucio Tavares de; FILGUEIRAS FILHO, Nivaldo Menezes; DUTRA, Oscar Pereira; COELHO, Otavio Rizzi; LEAES, Paulo Ernesto; ROSSI, Paulo Roberto Ferreira; SOARES, Paulo Rogerio; LEMOS NETO, Pedro Alves; FARSKY, Pedro Silvio; CAVALCANTI, Rafael Rebelo C.; ALVES, Renato Jorge; KALIL, Renato Abdala Karam; ESPORCATTE, Roberto; MARINO, Roberto Luiz; GIRALDEZ, Roberto Rocha Correa Veiga; MENEGHELO, Romeu Sergio; LIMA, Ronaldo de Souza Leao; RAMOS, Rui Fernando; FALCAO, Sandra Nivea dos Reis Saraiva; DALCOQUIO, Talia Falcao; LEMKE, Viviana de Mello Guzzo; CHALELA, William Azem; MATHIAS JUNIOR, Wilson
bookPart Pericardiocentese na emergência(2018) DALLAN, Luis Roberto Palma; DALLAN, Luís Augusto Palma; DALLAN, Luis Alberto OliveirabookPart Cirurgia de revascularização miocárdica(2016) DALLAN, Luís Alberto Oliveira; DALLAN, Luís Augusto Palma; DALLAN, Luís Roberto Palma; JATENE, Fabio Biscegli