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Dive into the research topics where R. Levine is active.

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Featured researches published by R. Levine.


Interactive Cardiovascular and Thoracic Surgery | 2018

Use of durable mechanical circulatory support on outcomes of heart–kidney transplantation†

Joshua L. Chan; Deven C Patel; Dominick Megna; S. Dimbil; R. Levine; Jaime Moriguchi; L. Czer; J. Kobashigawa; F. Arabia; F. Esmailian

OBJECTIVES Previous studies have demonstrated that preheart transplant mechanical circulatory support (MCS) can lead to a small but significant increase in mortality. However, data on outcomes of patients with MCS who require simultaneous heart-kidney transplant are limited. METHODS A retrospective review of simultaneous heart-kidney transplantations (HKTxs) performed at a single institution over a 5-year period was performed. Patients were divided based on the preoperative use of durable MCS. Renal graft-related end points were evaluated, including glomerular filtration rate following transplantation, prevalence of delayed renal graft function and freedom from antibody and cellular-mediated graft rejection. Patient-specific outcomes, including survival and frequency of non-fatal major adverse cardiac events at 1 year, were additionally assessed. RESULTS During the study period, 50 HKTxs were performed, 14 of which had preoperative MCS. HKTx patients with and without MCS implantations had a similar prevalence of delayed graft function (57.1% vs 50.0%; P = 0.757). A numerical trend was observed towards a reduced glomerular filtration rate 1-month post-transplant in patients without an MCS device (81.2 ± 32.8 vs 64.4 ± 27.5; P = 0.072), but no significant difference was observed at 6 and 12 months. No significant difference was observed on the need for post-transplant renal replacement therapy, non-fatal major adverse cardiac events, freedom from graft rejection and overall survival at 1 year. CONCLUSIONS The use of preoperative MCS in patients undergoing combined HKTx was not found to affect renal graft function post-transplantation and does not seem to be associated with increase in morbidity or mortality.


Journal of the American College of Cardiology | 2018

COMBINED HEART AND KIDNEY TRANSPLANTATION: IS THERE A PROTECTIVE EFFECT AGAINST CARDIAC ALLOGRAFT VASCULOPATHY USING INTRAVASCULAR ULTRASOUND?

Takuma Sato; Richard Cheng; Babak Azarbal; S. Dimbil; R. Levine; F. Esmailian; L. Czer; J. Kobashigawa


Journal of the American College of Cardiology | 2018

THE CLINICAL IMPACT OF EARLY VERSUS LATE HLA DONOR-SPECIFIC ANTIBODY DEVELOPMENT AFTER HEART TRANSPLANTATION

Jonathan D. Davis; S. Dimbil; R. Levine; Jignesh Patel; F. Esmailian; L. Czer; J. Kobashigawa


Journal of the American College of Cardiology | 2018

DOES EX VIVO PERFUSION LEAD TO MORE OR LESS INTIMAL THICKENING IN THE FIRST-YEAR POST-HEART TRANSPLANTATION?

Takuma Sato; Richard Cheng; Babak Azarbal; R. Levine; S. Dimbil; Maria Thottam; F. Esmailian; L. Czer; J. Kobashigawa


Journal of the American College of Cardiology | 2018

THE USE OF CARDIAC MRI TO DETECT MYOCARDIAL FIBROSIS AND DEVELOPMENT OF RESTRICTIVE CARDIAC PHYSIOLOGY AFTER HTX

Derek Leong; J. Patel; Daniel S. Berman; S. Dimbil; R. Levine; Louise Thomson; Balaji Tamarappoo; M. Kittleson; F. Esmailian; L. Czer; J. Kobashigawa


Journal of Heart and Lung Transplantation | 2018

Epstein-Barr Virus Mismatch (Donor+/Recipient-): Is Cancer the Only Risk?

J. Patel; M. Kittleson; L. Czer; D.H. Chang; S. Dimbil; R. Levine; A. Velleca; E. Kransdorf; Michele A. Hamilton; Alfredo Trento; J. Kobashigawa


Journal of Heart and Lung Transplantation | 2018

Is the Luminex 1:8 Dilution Truly the Poor Man’s C1q for Patients Awaiting Heart Transplantation?

M. Kittleson; J. Patel; L. Czer; D.H. Chang; S. Dimbil; R. Levine; R. Bleiker; E. Kransdorf; F. Esmailian; Xiaohai Zhang; J. Kobashigawa


Journal of Heart and Lung Transplantation | 2018

Does a Redo Heart Transplant Decrease the Chance for Primary Graft Dysfunction

R. Levine; J. Patel; M. Kittleson; L. Czer; D.H. Chang; E. Kransdorf; S. Dimbil; B. Kearney; D. Ramzy; F. Esmailian; J. Kobashigawa


Journal of Heart and Lung Transplantation | 2018

Older Kidney Donors in Dual Heart-kidney Transplantation: How Do They Stack Up?

S. Dimbil; J. Patel; M. Kittleson; L. Czer; D.H. Chang; E. Kransdorf; R. Levine; J. Baker; R. Bleiker; F. Esmailian; J. Kobashigawa


Journal of Heart and Lung Transplantation | 2018

Does Occupation Affect Outcome Following Heart Transplantation

T. Kao; A. Velleca; J. Patel; M. Kittleson; L. Czer; S. Dimbil; R. Levine; A. Sanford; B. Kearney; E. Kransdorf; D.H. Chang; J. Kobashigawa

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J. Kobashigawa

Cedars-Sinai Medical Center

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L. Czer

Cedars-Sinai Medical Center

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J. Patel

Cedars-Sinai Medical Center

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M. Kittleson

Cedars-Sinai Medical Center

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S. Dimbil

Cedars-Sinai Medical Center

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D.H. Chang

Cedars-Sinai Medical Center

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E. Kransdorf

Cedars-Sinai Medical Center

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F. Esmailian

Cedars-Sinai Medical Center

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D. Geft

Cedars-Sinai Medical Center

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A. Hage

Cedars-Sinai Medical Center

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