Publications by authors named "Toon A Winkelman"

Background: Precapillary pulmonary hypertension (precPH) patients have altered right atrial (RA) function and right ventricular (RV) diastolic stiffness.

Objectives: This study aimed to investigate RA function using pressure-volume (PV) loops, isolated cardiomyocyte, and histological analyses.

Methods: RA PV loops were constructed in control subjects (n = 9) and precPH patients (n = 27) using magnetic resonance and catheterization data.

View Article and Find Full Text PDF

Background And Objectives: Transfusion-associated circulatory overload (TACO) is a major cause of severe transfusion-related morbidity. Transfusion of red blood cells (RBCs) has been shown to induce hydrostatic pressure overload. It is unclear which product-specific factors contribute.

View Article and Find Full Text PDF

Objectives: To analyze the effect of percutaneous coronary intervention (PCI) before transcatheter aortic valve replacement (TAVR) on all-cause and cardiovascular mortality after TAVR, differentiating between significant proximal lesions and the non-proximal (residual) lesions.

Methods: An institutional TAVR database was complemented with data on the extent of coronary artery disease (CAD), lesion location, lesion severity, and the location of PCI. Survival analysis was performed to investigate the impact on 6-month and 3-year mortality after TAVR in all patients and in subgroups of patients with significant proximal lesions (>70% diameter stenosis [DS], >50% DS in left main), the non-proximal residual lesions, and in a propensity score matched cohort.

View Article and Find Full Text PDF

Introduction: The role of salvage surgery for patients with locoregional (LR) recurrence or persistent SCLC after radical chemoradiotherapy (CRT) for limited-stage disease is not well established. We evaluated our experience.

Methods: We conducted a retrospective study of consecutive patients who underwent salvage pulmonary resection for LR-recurrent or persistent SCLC between 2008 and 2020 at the Amsterdam University Medical Center.

View Article and Find Full Text PDF
Article Synopsis
  • - The study investigates the effectiveness of esophageal ultrasound (EUS) for detecting mediastinal invasion (T4) in lung cancer patients, as traditional CT scans are often inaccurate in these cases.
  • - Researchers examined data from 426 patients who had undergone EUS, finding that 19 (26%) were diagnosed with T4 lung tumors based on invasions, with EUS showing 42% sensitivity and 95% specificity.
  • - The combination of EUS and chest CT scans significantly improved assessment accuracy for T4 status, indicating that EUS provides valuable information that complements traditional imaging methods.
View Article and Find Full Text PDF