Dr. Esch completed graduate studies in mathematics at the University of Toronto before entering medical school at the University of Alberta (Edmonton, Canada). He completed his pediatrics residency at Stollery Children’s Hospital, where he also served as chief resident. He came to Boston Children’s Hospital (and the US) as a pediatric cardiology fellow and stayed for a senior fellowship in pediatric interventional cardiology. As staff in the interventional cardiology division, his clinical interests include invasive assessment and management of congenital heart disease and pulmonary hypertension. Dr. Esch also has interests in general outpatient cardiology (with an emphasis on immigrant and marginalized populations), and runs a weekly pediatric cardiology clinic at Boston Medical Center. His research interests include the development of new percutaneous strategies for the management of severe pulmonary hypertension, invasive assessment of right heart hemodynamics, and adverse events in pediatric congenital catheterization.
Approach to Care
It is a tremendous privilege to care for children with heart disease. I continually strive to be worthy of the trust parents place in me, whether the setting is the clinic, the intensive care unit, or the catheterization laboratory. I strongly believe that parents must be included as key partners in the care of their children, and that the best results are obtained when all members of the family feel informed and respected.
Publications
Anesthetic Management for Aspiration Thrombectomy Using the Penumbra Indigo System in Pediatric Patients with Congenital Heart Disease. View Abstract
Thoracic duct drainage patterns in heterotaxy. View Abstract
Shining a Light: Ocular Coherence Tomography and the Pathology of Late Convalescent Kawasaki Disease. View Abstract
Transcatheter Axial Pump Use in Pediatric Patients on Veno-Arterial Extracorporeal Membrane Oxygenation: An ACTION Collaborative Experience. View Abstract
Technical Success and Serious Adverse Events for Fetal Aortic Valvuloplasty in a Large 20-Year Cohort. View Abstract
Magnetic resonance three-dimensional steady-state free precession imaging of the thoracic duct in patients with Fontan circulation and its relationship to outcomes. View Abstract
Pre-Glenn aorto-pulmonary collaterals in single-ventricle patients. View Abstract
Real-world use of apixaban for the treatment and prevention of thrombosis in children with cardiac disease. View Abstract
Predictors of Serious Adverse Events and High-Level Cardiorespiratory Support in Patients Undergoing Transcatheter Pulmonary Vein Interventions. View Abstract
Factors associated with morbidity, mortality, and hemodynamic failure after biventricular conversion in borderline hypoplastic left hearts. View Abstract
Modified AngioVac System use With Extracorporeal Membrane Oxygenation in a Child With Fontan Thrombosis. View Abstract
Safety and feasibility of the paediatric post-cardiac catheterisation Wrap: a pilot study. View Abstract
Apixaban for treatment of intracardiac thrombosis in children with congenital heart disease. View Abstract
A geometrically adaptable heart valve replacement. View Abstract
Value of Troponin Testing for Detection of Heart Disease in Previously Healthy Children. View Abstract
A Novel Biological Strategy for Myocardial Protection by Intracoronary Delivery of Mitochondria: Safety and Efficacy. View Abstract
Systemic Sirolimus to Prevent In-Stent Stenosis in Pediatric Pulmonary Vein Stenosis. View Abstract
Pulmonary atresia with ventricular septal defect and major aortopulmonary collaterals: collateral vessel disease burden and unifocalisation strategies. View Abstract
Hemodynamic parameters predict adverse outcomes following biventricular conversion with single-ventricle palliation takedown. View Abstract
Mechanism of valve failure and efficacy of reintervention through catheterization in patients with bioprosthetic valves in the pulmonary position. View Abstract
Noninvasive Cardiac Output Estimation by Inert Gas Rebreathing in Mechanically Ventilated Pediatric Patients. View Abstract
Systemic rapamycin to prevent in-stent stenosis in peripheral pulmonary arterial disease: early clinical experience. View Abstract
Acute kidney injury after Fontan completion: Risk factors and outcomes. View Abstract
Systemic Embolic Complications of Pulmonary Vein Angioplasty in Children. View Abstract
Transcatheter brachial fistula creation for treatment of pulmonary arteriovenous malformations. View Abstract
Acute outcomes after introduction of a standardized clinical assessment and management plan (SCAMP) for balloon aortic valvuloplasty in congenital aortic stenosis. View Abstract
Bloodstream infections occurring in patients with percutaneously implanted bioprosthetic pulmonary valve: a single-center experience. View Abstract
Transcatheter Potts shunt creation in patients with severe pulmonary arterial hypertension: initial clinical experience. View Abstract
Radiofrequency-assisted transseptal perforation for electrophysiology procedures in children and adults with repaired congenital heart disease. View Abstract
Wire-related pulmonary artery injury during pediatric and adult congenital interventional cardiac catheterization. View Abstract
Differential hemodynamic effects of levosimendan in a porcine model of neonatal hypoxia-reoxygenation. View Abstract
Torsades de Pointes ventricular tachycardia in a pediatric patient treated with fluconazole. View Abstract