Cardiology
Staff
| Franklin | Orla | Dr | Fetal and Paediatric Cardiologist |
| Walsh | Kevin | Dr | Paediatric Cardiologist |
Publications and Further Research Outputs
Peer-Reviewed Publications
Breatnach CR, McGuinness J, Ng LY, Franklin O, Redmond M, Nölke L, McMahon C, Oslizlok P, Walsh K, Kenny D, Procedural technique for hybrid pulmonary valve replacement in infants and small children., European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery, 2021
Smith A, Franklin O, McCallion N, Breatnach F, El-Khuffash A, Effect of Gestational Diabetes Mellitus on Neonatal Myocardial Function., Neonatology, 2021
Bussmann N, Smith A, Breatnach CR, McCallion N, Cleary B, Franklin O, McNamara PJ, El-Khuffash A, Patent ductus arteriosus shunt elimination results in a reduction in adverse outcomes: a post hoc analysis of the PDA RCT cohort., Journal of perinatology : official journal of the California Perinatal Association, 2021
Smith A, Bussmann N, Levy P, Franklin O, McCallion N, El-Khuffash A, Comparison of left ventricular rotational mechanics between term and extremely premature infants over the first week of age., Open heart, 2021
Smith A, Molloy E, Miletin J, Curley A, Balfe J, Orla F, EL-Khuffash A, 'Longitudinal assessment of cardiac function in infants with Down's syndrome using novel echocardiography techniques-project protocol. ', HRB Open Res 2020, 3:77, 2020, -
Dean Huggard, Lynne Kelly, Emer Ryan, Fiona McGrane, Niamh Lagan, Edna Roche, Joanne Balfe, T. Ronan Leahy, Orla Franklin, Derek G. Doherty, Eleanor J. Molloy, Increased systemic inflammation in children with Down syndrome, Cytokine, 127, 2020, p154938
Niamh Lagan, Dean Huggard, Fiona Mc Grane, Timothy Ronan Leahy, Orla Franklin, Edna Roche, David Webb, Aengus O'Maricaigh, Des Cox, Afif Elkuffash, Peter Greally, Joanne Balfe, Eleanor J Molloy, Multiorgan involvement and management in children with Down Syndrome, Acta Paediatrica, (1), 2020
McHugh A, Breatnach C, Bussmann N, Franklin O, El-Khuffash A, Breathnach FM, Prenatal prediction of neonatal haemodynamic adaptation after maternal hyperoxygenation., BMC pregnancy and childbirth, 2020
McHugh A, Franklin O, El-Khuffash A, Breathnach F. , 'Can sonographic assessment of pulmonary vascular reactivity following maternal hyperoxygenation predict neonatal pulmonary hypertension? (HOTPOT study protocol). ', Contemp Clin Trials Commun. 2020;19:100610., 2020, -
McHugh A, El-Khuffash A, Franklin O, Breathnach FM, Calling into question the future of hyperoxygenation in pregnancy., European journal of obstetrics, gynecology, and reproductive biology, 2020
Bussmann N, Franklin O, McCallion N, McNamara PJ, El-Khuffash A, The impact preload on left ventricular three-plane deformation measurements in extremely premature infants., Early human development, 2020
El-Khuffash A, Bussmann N, Breatnach CR, Smith A, Tully E, Griffin J, McCallion N, Corcoran JD, Fernandez E, Looi C, Cleary B, Franklin O, McNamara PJ, A Pilot Randomized Controlled Trial of Early Targeted Patent Ductus Arteriosus Treatment Using a Risk Based Severity Score (The PDA RCT)., The Journal of pediatrics, 2020
El-Khuffash A, Bussmann N, Breatnach CR, Smith A, Tully E, Griffin J, McCallion N, Corcoran JD, Fernandez E, Looi C, Cleary B, Franklin O, McNamara PJ, 'Early targeted patent ductus arteriosus treatment in premature neonates using a risk based severity score: study protocol for a randomised controlled trial (PDA RCT). ', HRB Open Res 2020, HRB Open Res 2020, 2020, -
O'Leary D, O'Connor C, Nertney L, MacDermott EJ, Mullane D, Franklin O, Killeen OG, Juvenile systemic lupus erythematosus presenting as pancarditis., Pediatric rheumatology online journal, 2019
Breatnach CR, Aggarwal V, Al-Alawi K, McMahon CJ, Franklin O, Prendiville T, Oslizlok P, Walsh K, Qureshi AM, Kenny D, Percutaneous axillary artery approach for ductal stenting in critical right ventricular outflow tract lesions in the neonatal period., Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions, 2019
Breatnach CR, Bussmann N, Levy PT, Vincent DF, Malone FD, McCallion N, Franklin O, El-Khuffash A, Postnatal Myocardial Function in Monochorionic Diamniotic Twins with Twin-to-Twin Transfusion Syndrome following Selective Laser Photocoagulation of the Communicating Placental Vessels., Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography, 2019
Cappelleri A, Bussmann N, Harvey S, Levy PT, Franklin O, El-Khuffash A, Myocardial function in late preterm infants during the transitional period: comprehensive appraisal with deformation mechanics and non-invasive cardiac output monitoring., Cardiology in the young, 2019
McHugh A, El-Khuffash A, Bussmann N, Doherty A, Franklin O, Breathnach F, Hyperoxygenation in pregnancy exerts a more profound effect on cardiovascular hemodynamics than is observed in the nonpregnant state., American journal of obstetrics and gynecology, 2019
Vigano G, McMahon CJ, Walsh K, Oslizlok P, Franklin O, Nolke L, Redmond JM, Byrne J, McGuinness JG, High-risk Fontan completion patients achieve low perioperative risk and benefit from cavopulmonary connection 7 years out"., European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery, 2019
Daly A, Franklin O, Nölke L, Congenital Atrial Haemangioma, Irish medical journal, 2019
Bussmann N, Smith A, Cappelleri A, McCallion N, Franklin O, EL-Khuffash A , The Relationship Between Left Ventricular Systolic Longitudinal Deformation Measurements and Preload in Premature Infants, 3rd Congress of joint European Neonatal Societies (jENS),, , Maastricht, The Netherlands, 2019
Bussmann N, Smith A, Cappelleri A, Levy PT, McCallion N, Franklin O, El-Khuffash A, Circumferential and radial deformation assessment in premature infants: Ready for primetime?, Echocardiography (Mount Kisco, N.Y.), 2019
Lynch Á, Ng L, Lawlor P, Lavelle M, Gardner F, Breatnach C, McMahon CJ, Franklin O, Cyanotic Congenital Heart Disease Modes of Presentation and Prenatal Detection, Irish medical journal, 2019
Bussmann N, Smith A, Cappelleri A, Levy P, McCallion N, Franklin O, EL-Khuffash A , Circumferential and Radial Deformation Assessment in Premature Infants: Ready for Primetime?. , 3rd Congress of joint European Neonatal Societies (jENS),, , Maastricht, The Netherlands, 2019, 2019
Bussmann N, Smith A, Cappelleri A, Levy P, McCallion N, Franklin O, EL-Khuffash A , Circumferential and Radial Deformation Assessment in Premature Infants: Ready for Primetime?. , 3rd Congress of joint European Neonatal Societies (jENS),, , Maastricht, The Netherlands, 2019
Bussman N, El-Khuffash A, Breathnach C, McCallion N, Franklin O, Singh GK, Levy PT. , Right Ventricular and Pulmonary Vascular Coupling is influenced by Left Ventricular Diastolic Function in Premature Infants. , 3rd Congress of joint European Neonatal Societies (jENS),, , Maastricht, The Netherlands, 2019
Ventricular Septal Defect in, editor(s)Professor A John Camm Professor Thomas F Luscher Professor Patrick Serruys Professor Gerald Maurer , European Society of Cardiology Textbook of Cardiovascular Medicine- 3rd Edition, Oxford , Oxford University Press, 2019, ppChapter 17.20 , [Orla Franklin]
Patel MD, Breatnach CR, James AT, Choudhry S, McNamara PJ, Jain A, Franklin O, Hamvas A, Mertens L, Singh GK, El-Khuffash A, Levy PT, Echocardiographic Assessment of Right Ventricular Afterload in Preterm Infants: Maturational Patterns of Pulmonary Artery Acceleration Time Over the First Year of Age and Implications for Pulmonary Hypertension., Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography, 2019
Breatnach CR, Bussmann N, Smith A, Levy P, McCallion N, Franklin O, El-Khuffash A, Cardiac mechanics in infants with Down syndrome in the early neonatal period., Journal of perinatology : official journal of the California Perinatal Association, 2019
Tulloh RMR, Mayon-White R, Harnden A, Ramanan AV, Tizard EJ, Shingadia D, Michie CA, Lynn RM, Levin M, Franklin OD, Craggs P, Davidson S, Brogan PA, Kawasaki disease: a prospective population survey in the UK and Ireland from 2013 to 2015., Archives of disease in childhood, 2018
Walsh N, Breathnach C, El-Khuffash A, Franklin O, Corcoran JD, The utility of routine echocardiography in newborn infants with a persistent oxygen requirement, Irish medical journal, 2018
McHugh A, Dwyer L, Breathnach C, Franklin O El-Khuffash A, Breathnach F. , Changes in maternal haemodynamics in response to hyperoxygenation in the third trimester. , British Maternal Fetal Medicine Society Brighton 2018 , Brighton 2018 , 2018
McHugh A, Breathnach C, Dwyer L, Tully E, Franklin O, Breathnach F. , Hyperoxygenation Therapy in the Third Trimester leads to haemodynamic changes in the maternal circulation. , Society of Maternal and Fetal Medicine, Dallas 2018, 2018
McHugh A, Breathnach C, Dwyer L, Tylly E, Franklin O, El Khuffash A, Breathnach F. , The effect of maternal hyperoxygenation on fetal pulmonary vasoreactivity and on blood flow patterns in the umbilical artery and middle cerebral artery in pregnancy. , Society of Maternal and Fetal Medicine, Dallas 2018, 2018
Deliu AG, Sanneerappa PBJ, Franklin O, Letshwiti J, Sodium nitroprusside, a lifesaving treatment for neonatal hypertension: an Irish experience., BMJ case reports, 2018
Bussmann N, Breatnach C, Levy PT, McCallion N, Franklin O, El-Khuffash A, Early diastolic dysfunction and respiratory morbidity in premature infants: an observational study., Journal of perinatology : official journal of the California Perinatal Association, 2018
Bussmann N, El-Khuffash A, Breatnach CR, McCallion N, Franklin O, Singh GK, Levy PT, Left ventricular diastolic function influences right ventricular - Pulmonary vascular coupling in premature infants., Early human development, 2018
EL-Khuffash A, McNamara PJ, Breatnach CR, Bussmann N, Smith A, Feeney O, Tully E, Griffin J, de Boode W, Creary B, Franklin O, Dempsey E. , 'The use of milrinone in neonates with persistent pulmonary hypertension of the newborn - a randomised controlled trial pilot study (MINT 1): study protocol and review of literature. ', Matern Health Neonatol Perinatol. 2018 Dec 3;4:24. , 2018, -
Bussmann N, Smith A, Cappelleri A, Levy P, McCallion N, Franklin O, EL-Khuffash A , Early Diastolic Dysfunction and respiratory Morbidity in Premature Infants: an Observational Study. , PAN America Haemodynamic Conference, , Toronto Canada, 2018
Levy PT, El-Khuffash A, Patel MD, Breatnach CR, James AT, Sanchez AA, Abuchabe C, Rogal SR, Holland MR, McNamara PJ, Jain A, Franklin O, Mertens L, Singh GK, Maturational Patterns of Systolic Ventricular Deformation Mechanics by Two-Dimensional Speckle-Tracking Echocardiography in Preterm Infants over the First Year of Age., Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography, 2017
C.R. Breatnach, A.T. James, F. Malone, N. McCallion, O. Franklin, A. EL-Khuffash, Speckle Tracking Echocardiography to assess Myocardial Performance in Monochorionic Diamniotic Twins with and without Twin to Twin Transfusion Syndrome. , Congress of joint European Neonatal Society, Venice, Italy, 2017
CR Breatnach, C Monteith, L McSweeney, EC Tully, FD Malone, E Kent, A Doherty, O Franklin, A EL-Khuffash , The Impact of Maternal Gestation Hypertension and Antihypertensive Use on Neonatal Myocardial Performance. , British Congenital Cardiac Association London 2017, London 2017, 2017
CR. Breatnach, AT. James, FD. Malone, N. McCallion, O. Franklin, A. El-Khuffash. , The Use of Speckle Tracking Echocardiography to Assess Myocardial Performance in Monochorionic Diamniotic Twins with and without Twin to Twin Transfusion Syndrome, Paediatric Academic Societies meeting, ., San Francisco , 2017
P Levy, C Brennan, M Patel, S Choudhry, AA Sanchez, A EL-Khuffash, C Breatnach, O Franklin, A Hamvas, G Singh. , Emerging quantitative echocardiographic markers of pulmonary vasculae disease and right ventricular dysfunction in extreme preterm infants with late pulmonary hypertension. , Congress of Joint European Neonatal Societies, , Venice, Italy. October 31st - November 4th, 2017, 2017
Breatnach CR, Franklin O, James AT, McCallion N, El-Khuffash A, The impact of a hyperdynamic left ventricle on right ventricular function measurements in preterm infants with a patent ductus arteriosus., Archives of disease in childhood. Fetal and neonatal edition, 2017
CR. Breatnach, A. EL-Khuffash, AT. James, N. McCallion, O. Franklin. , Serial Measures of Cardiac Performance Using Tissue Doppler Imaging Velocity in Preterm Infants Less Than 29 Weeks Gestations. , Paediatric Academic Societies meeting, ., San Francisco 2017, 2017
CR. Breatnach, C. Monteith, L. McSweeney, EC. Tully, FD. Malone, E. Kent, A. Doherty, O. Franklin, A. EL-Khuffash, The Impact of Maternal Gestational Hypertension on Left and Right Myocardial Performance in the Neonatal Population, Paediatric Academic Societies meeting, San Francisco , 2017
Smith A, Breatnach CR, James AT, Franklin O, El-Khuffash A, Incidental Findings on Routine Targeted Neonatal Echocardiography Performed in Preterm Neonates Younger Than 29 Weeks' Gestation., Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine, 2017
Breatnach CR, Levy PT, Franklin O, El-Khuffash A, Strain Rate and Its Positive Force-Frequency Relationship: Further Evidence from a Premature Infant Cohort., Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography, 2017
E. Fitzgerald , G. McGauran , J. Walsh , C. Breatnach , A. EL-Khuffash , O. Franklin , F. Breathnach , Perinatal management of prenatally-identified ductal dependent congenital heart disease. , EAPS, Geneva, Switzerland , Geneva, Switzerland , 2017
T Martin, A Smith, C Breatnach, E Kent, M Boyle, O Franklin, A EL-Khuffash. , Experience of infants born with a diagnosis of down syndrome in a tertiary neonatal centre: burden of disease and length of hospital stay. Congress of Joint European Neonatal Societies, Congress of Joint European Neonatal Societies, Venice, Italy, 2017
Lynch A, Ng L, Lawlor T, Lavelle M, Franklin O. , Neonatal Congenital Heart Disease:Modes of Presentation and Prenatal Detection over a 5 Year Period in Ireland, Irish American Paediatric Meeting, Washington US September 2017., Washington US , 2017
CR. Breatnach, N Bussman, A. Smith, PT. Levy, N. McCallion, O. Franklin, A. EL-Khuffash , Myocardial Deformation and Rotational Mechanics in Infants with Down Syndrome in the Early Neonatal Period. , Congress of Joint European Neonatal Societies, Venice 2017, 2017
Semberova J, Sirc J, Miletin J, Kucera J, Berka I, Sebkova S, O'Sullivan S, Franklin O, Stranak Z, Spontaneous Closure of Patent Ductus Arteriosus in Infants "1500 g., Pediatrics, 2017
Martin T, Smith A, Breatnach CR, Kent E, Shanahan I, Boyle M, Levy PT, Franklin O, El-Khuffash A, Infants Born with Down Syndrome: Burden of Disease in the Early Neonatal Period., The Journal of pediatrics, 2017
C.R. Breatnach, A.T. James, F. Malone, N. McCallion, O. Franklin, A. EL-Khuffash ., The use of Speckle Tracking Echocardiography to assess Myocardial Performance in Monochorionic Diamniotic Twins with and without Twin to Twin Transfusion Syndrome. , 1. Congress of joint European Neonatal Society, Venice, Italy 2017 , Venice, Itally, 2017
Breatnach CR, Monteith C, McSweeney L, Tully EC, Malone FD, Kent E, Doherty A, Franklin O, El-Khuffash A, The Impact of Maternal Gestational Hypertension and the Use of Anti-Hypertensives on Neonatal Myocardial Performance., Neonatology, 2017
CR Breatnach, C Monteith, L McSweeney, EC Tully, FD Malone, E Kent, A Doherty, O Franklin, A EL-Khuffash , The Impact of Maternal Gestation Hypertension and Antihypertensive Use on Neonatal Myocardial Performance. , Paediatric Academic Societies meeting, ., San Francisco , 2017
A. Smith, C.R. Breatnach, A.T. James, O. Franklin, A. El-Khuffash, Incidental Findings on Routine Targeted Neonatal Echocardiography performed in Preterm Infants less than 29 weeks gestation. , Congress of joint European Neonatal Society, Venice, Italy 2017 , Venice, Italy , 2017
CR. Breatnach, N Bussman, A. Smith, PT. Levy, N. McCallion, O. Franklin, A. EL-Khuffash , Myocardial Deformation and Rotational Mechanics in Infants with Down Syndrome in the Early Neonatal Period, British Congenital Cardiac Association London 2017, London , 2017
Breatnach CR, El-Khuffash A, James A, McCallion N, Franklin O, Serial measures of cardiac performance using tissue Doppler imaging velocity in preterm infants <29weeks gestations., Early human development, 2017
Letshwiti JB, Semberova J, Pichova K, Dempsey EM, Franklin OM, Miletin J, A conservative treatment of patent ductus arteriosus in very low birth weight infants., Early human development, 2016
CR. Breatnach; E. Forman; A. Foran; C. Monteith; L. McSweeney; FD. Malone; N. McCallion; O. Franklin; A. EL-Khuffash, Left Ventricular Rotational Mechanics in Infants with Hypoxic Ischaemic Encephalopathy and Preterm Infants at 36 Weeks Post Menstrual Age: a Comparison with Healthy Term Controls, European Academy of Paediatric Societies, Geneva, Switerland, Geneva, Switerland, 2016
N. Walsh , CR. Breatnach , A. EL-Khuffash, O. Franklin , D. Corcoran, Is routine echo warranted in infants admitted with transient tachypnoea of the new born and a prolonged hospital stay, EAPS, Geneva, Switzerland, EAPS, Geneva, Switzerland, 2016
Breatnach CR, Forman E, Foran A, Monteith C, McSweeney L, Malone F, McCallion N, Franklin O, El-Khuffash A, Left ventricular rotational mechanics in infants with hypoxic ischemic encephalopathy and preterm infants at 36 weeks postmenstrual age: A comparison with healthy term controls., Echocardiography (Mount Kisco, N.Y.), 2016
CR. Breatnach, O. Franklin, N. McCallion, A. EL-Khuffash, The Effect of a Significant Patent Ductus Arteriosus on Doppler Flow Patterns of Pre-ductal Vessels: An assessment of the Brachiocephalic Artery, European Academy of Paediatric Societies, Geneva, Switerland, Geneva, Switerland, 2016
O'Riordan AM, McGrath N, Sharif F, Murphy NP, Franklin O, Lynch SA, O'Grady MJ, Expanding the clinical spectrum of chromosome 15q26 terminal deletions associated with IGF-1 resistance., European journal of pediatrics, 2016
Breatnach CR, Levy PT, James AT, Franklin O, El-Khuffash A, Novel Echocardiography Methods in the Functional Assessment of the Newborn Heart., Neonatology, 2016
CR. Breatnach, O. Franklin, AT. James, N. McCallion, A. EL Khuffash, The Impact of a Hyperdynamic Left Ventricle on Right Ventricular Function Measurements in Preterm Infants with a Patent Ductus Arteriosus, European Academy of Paediatric Societies, Geneva, Switerland, Geneva, Switerland, 2016
Corcoran S, Briggs K, O' Connor H, Mullers S, Monteith C, Donnelly J, Dicker P, Franklin O, Malone FD, Breathnach FM, Prenatal detection of major congenital heart disease - optimising resources to improve outcomes., European journal of obstetrics, gynecology, and reproductive biology, 2016
Breatnach CR, Franklin O, McCallion N, El-Khuffash A, The Effect of a Significant Patent Ductus Arteriosus on Doppler Flow Patterns of Preductal Vessels: An Assessment of the Brachiocephalic Artery., The Journal of pediatrics, 2016
C. Breatnach , E. Forman , A. Foran , C. Monteith , L. Mc Sweeney , F. Malone , N. McCallion , O. Franklin, A. EL-Khuffash, Left ventricular rotational mechanics in infants with HIE and preterm infants at 36 weeks post menstrual age: a comparison with healthy term controls. , EAPS, Geneva, Switzerland , Geneva, Switzerland , 2016
James AT, Corcoran JD, Hayes B, Franklin O, El-Khuffash A, The effect of antenatal magnesium sulfate on left ventricular afterload and myocardial function measured using deformation and rotational mechanics imaging., Journal of perinatology : official journal of the California Perinatal Association, 2015
James AT, Corcoran JD, Franklin O, Mertens L, EL-Khuffash A, Longitudinal Assessment of Myocardial strain and strain rate and the effect of chronic lung disease in Preterm infants less than 29 weeks gestation, European Society of Paediatrics Research, Budapest, Hungary, Budapest, Hungary, 2015
Breatnach CR, Flanagan F, James A, Corcoran JD, Franklin O, El-Khuffash A, The Use of Inhaled Nitric Oxide in a Tertiary Neonatal Intensive Care Unit., Irish medical journal, 2015
A. Khuffash; MD. Patel; AT. James; CR. Breatnach; A. Sanchez; PJ. McNamara; A. Jain; O. Franklin; A. Hamvas; GK. Singh; L. Mertens; PT. Levy, Maturational Patterns of Ventricular Deformation by Speckle Tracking Echocardiography in Preterm Infants over the First Week of Age, European Academy of Paediatric Societies, Geneva, Switerland, , Geneva, Switerland, , 2015
EL-Khuffash A, James AT, Cleary A, Semberova J, Franklin O, Miletin J, Late medical therapy of patent ductus arteriosus using intravenous paracetamol., Archives of disease in childhood. Fetal and neonatal edition, 2015
20. Adam T. James, John D. Corcoran, Patrick McNamara, Orla Franklin, Afif El-Khuffash, The Effect of Milrinone on Right and Left Ventricular Function When Used As a Rescue Therapy for Term Infants With Pulmonary Hypertension, Paediatric Academic Society Meeting. San Diego California, , San Diego California, , 2015
James A, Corcoran JD, Mertens L, Franklin O, El-Khuffash A, Left Ventricular Rotational Mechanics in Preterm Infants Less Than 29 Weeks' Gestation over the First Week after Birth., Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography, 2015
El-Khuffash A, James AT, Corcoran JD, Dicker P, Franklin O, Elsayed YN, Ting JY, Sehgal A, Malikiwi A, Harabor A, Soraisham AS, McNamara PJ, A Patent Ductus Arteriosus Severity Score Predicts Chronic Lung Disease or Death before Discharge., The Journal of pediatrics, 2015
James AT, Corcoran JD, Breatnach CR, Franklin O, Mertens L, El-Khuffash A, Longitudinal Assessment of Left and Right Myocardial Function in Preterm Infants Using Strain and Strain Rate Imaging., Neonatology, 2015
James AT, Corcoran JD, McNamara PJ, Franklin O, El-Khuffash AF, The effect of milrinone on right and left ventricular function when used as a rescue therapy for term infants with pulmonary hypertension., Cardiology in the young, 2015
A EL-Khuffash, M.D. Patel , AT James, PJ McNamara, A Jain, O Franklin, A Mathur, C Lee, A Hamvas, GK Singh, L Mertens, PT Levy, Assessment of pulmonary hemodynamic function in preterm infants: Maturational patterns of pulmonary artery acceleration time, European Society of Paediatrics Research, Budapest, Hungary, Budapest, Hungary, 2015
James AT, Corcoran JD, Franklin O, EL-Khuffash A , Global Right Ventricular Fractional Area Change is a Surrogate Marker for Systemic Blood Flow in Preterm Infants, European Society of Paediatrics Research, Budapest, Hungary, Budapest, Hungary, 2015
James A,T, Cleary A, Semberova J, Franklin O, Militen J, El-Khuffash A, Late Medical Therapy of Patent Ductus Arteriorsus using Intravenous Paracetamol, Paediatric Academic Society Meeting , San Diego , USA, 2015
James AT, Corcoran D, Jain A, McNamara PJ, Mertens L, Franklin O, EL-Khuffash A, Longitudinal Assessment of Left and Right Myocardial Function in Preterm Infants Using Strain and Strain-rate Imaging , 1st Congress of Joint European Neonatal Society, Budapest, Hungary, 2015
James AT, Corcoran JD, Franklin O, El-Khuffash AF, Clinical utility of right ventricular fractional area change in preterm infants., Early human development, 2015
EL-Khuffash A, James AT , Corcoran JD , Dicker P, Franklin O, Elsayed YN, Ting J, Sehgal A, Malikawi A , Harabor A , Soraisham AS , McNamara PJ, A Patent Ductus Arteriosus Severity Score Incorporating Markers of Haemodynamic Significance and Left Ventricle Diastolic Function Predicts Chronic Lung Disease, European Society of Paediatrics Research, Budapest, Hungary, Budapest, Hungary, 2015
James AT, Corcoran JD, Hayes B, Franklin O, El-Khuffash A, The Effect of Antenatal Magnesium Sulphate on Left Ventricular Afterload and Myocardial Function Measured using Deformation and Rotational Mechanics Imaging, 1st Congress of Joint European Neonatal Society, Budapest, Hungary, Budapest, Hungary, 2015
James AT, Corcoran JD, Franklin O, Mertens L, El-Khuffash A., , Assessment of Longitudinal Changes in Torsion in Preterm Infants Less than 29 Weeks Gestation, American Society of Echocardiography, Portland, OR, 2014
Walsh CA, MacTiernan A, Farrell S, Mulcahy C, McMahon CJ, Franklin O, Coleman D, Mahony R, Higgins S, Carroll S, McParland P, McAuliffe FM, Mode of delivery in pregnancies complicated by major fetal congenital heart disease: a retrospective cohort study., Journal of perinatology : official journal of the California Perinatal Association, 2014
Simmonds J, Murchan H, James A, Crispino G, O'Brien J, Crumlish K, Franklin O, Fenton M, Burch M, McMahon CJ, Outcome of shared care for pediatric cardiac transplantation between two nations with different health care systems., The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation, 2014
James AT, Corcoran JD, Franklin O, Mertens L, El-Khuffash A, Assessment of Longitudinal Changes in Torsion in Preterm Infants Less than 29 Weeks Gestation, American Society of Echocardiography. Portland, OR, Portland, Oregon, 2014
James AT, Corcoran JD, Franklin O, El-Khuffash AF, Clinical Utility of Right Ventricular Fractional Area Change in Preterm Infants, 1st Congress of Joint European Neonatal Society, Budapest, Hungary, Budapest, Hungary, 2014
Adam James, David Corcoran, Amish Jain, Luc Mertens, Patrick McNamara, Orla Franklin and Afif El-Khuffash, Assessment of Myocardial performance using novel Echocardiography markers in infants less than 28 weeks gestation and the impact of the transitional circulation, Paediatric Academic Societies meeting, ., Vancouver BC, 2014
Saleemi MS, El-Khuffash A, Franklin O, Corcoran JD, Serial changes in myocardial function in preterm infants over a four week period: the effect of gestational age at birth., Early human development, 2014
Adam James, David Corcoran, Amish Jain, Luc Mertens, Patrick McNamara, Orla Franklin and Afif El-Khuffash, Reliability of myocardial performance assessment in preterm infants using Strain and Strain rate: A comparison between left ventricular, septal and right ventricular walls. , Paediatric Academic Societies meeting, ., Vancouver BC, 2014
James AT, Bee C, Corcoran JD, McNamara PJ, Franklin O, El-Khuffash AF, Treatment of premature infants with pulmonary hypertension and right ventricular dysfunction with milrinone: a case series., Journal of perinatology : official journal of the California Perinatal Association, 2014
Armstrong K, Franklin O, Molloy EJ, Sweetman D, Cardiovascular dysfunction in infants with neonatal encephalopathy., 2012
Eleanor Molloy, Congenital Diaphragmatic Hernia - Prenatal to Childhood Management and Outcomes, 2012
MS Saleemi, JD Corcoran, O Franklin, Myocardial contractility by Tissue Doppler Imaging (TDI) in healthy term versus sick term neonates, ESPR-52nd Annual meeting of the European Society for Paediatric Research-New Castle, UK, New Castle, UK, 2011
MS Saleemi, O Franklin, Normative values for Tissue Doppler Imaging (TDI) velocities in preterm infants, ESPR-52nd annual meeting of the European Society for Paediatric Research-New Castle, UK, New Castle, UK, 2011
MS. Saleemi, O Franklin, JD Corcoran, The biochemical and echocardiographic effects of anaemia of prematurity and transfusion on cardiac functions in the VLBW infant, The 3rd Congress of the European Academy of Paediatric Societies (EAPS) , Copenhagen, Denmark , 2010
Smith S, Ng, L, Lavelle M, Molloy E, Franklin O, Neonatal Cardiac infants: Clinical status from birth to arrival at the national paediatric centre, European Academy Paediatric Societies , European Academy Paediatric Societies , 2010
Khambadkone S. Boujemline E, Derrick G, Franklin O, Cullen S, Deanfield J, Bonhoeffer P, Percutaneous pulmonary valve implantation:Early and Medium term results, American Heart Association, Florida USA, 2003
Khambadkone S. Boujemline E, Derrick G, Franklin O, Cullen S, Deanfield J, Bonhoeffer P, Percutaneous pulmonary valve implantation in humans- Initial Experience, Association European Paediatric Cardiology, Amsterdam, Netherlands, 2003
Khambadkone S. Boujemline E, Derrick G, Franklin O, Cullen S, Deanfield J, Bonhoeffer P, Percutaneous pulmonary valve implantation:Early and Medium term results, American Heart Association, Florida USA, 2003
Inwald DP, Franklin O, Peters MJ, Goldman AJ, Burch M, Enterovirus myocarditis as a cause of neonatal collapse, Royal College of Paediatric Spring Meeting , UK, 2003
O Franklin, M Burch, N Manning, K Sleeman, S Gould, N Archer, Prenatal Diagnosis of Coarctation of the Aorta Improves Survival and Reduces Morbidity, Heart 87 (1), 67-69, Heart 87 (1), 67-69, 2002, p67 - 69
Non-Peer-Reviewed Publications
Orla Franklin, Interventions for the Borderline Ventricles Echo Assessment, PICS- AICS 2020, Istanbul, January 2oth, 2020, Paediatric Interventional Cardiology Society
Orla Franklin, Challanging outflow tract imaging in fetuses with Congenital Heart Disease, British \medical Ultrasound Annual Summer School, UCD, Dublin, 2017
Orla Franklin, Challanging outflow tract imaging in fetuses with Congenital Heart Disease, British \medical Ultrasound Annual Summer School, UCD, Dublin, 2017
Orla Franklin, Dieticians Contribution in the management of Children with Congenital Heart Disease, CHI@Crumlin, Dublin Ireland, 2016, Irish Dieticians Network
Orla Franklin, Imaging Challenges in Complex Left Heart Obstruction, Inaugural All Ireland CHD Network Meeting , Ballymacscallion, 2016
Orla Franklin, Challenges and Innovations in Prenatal Cardiac Imaging, Irish Perinatal Society Annual Meeting, Royal College of Physicians, 2016
Orla Franklin, Prenatal Therapies for Congenital Heart Disease, Institute of Obstetrics and Gynaecology Annual Meeting October 2015, Royal College of Physicians, 2015
Orla Franklin, Diagnosis and Management of Infants with Congenital Heart Disease, Inherited Birth Defects - National Genetic Meetng, Mater Education Centre, 2014
Orla Franklin, Diagnosis and Management : Presentation of Children with Congenital Heart Disease, Paediatric Intensive Care Society - World Congress Meeting, Dublin - National Conference Centre, November, 2014
Orla Franklin, Congenital Heart Disease and Extracardiac Life Support, National ECLS Meeting, Mater Education Centre, 2013
Orla Franklin, Down Syndrome - Prenatal diagnosis of associated Congenital Heart Disease, Fetoscopy, Dublin Ireland, September 2011, 2011, Fetsocopy Group
O Franklin, M Burch, N Manning, K Sleeman, S Gould, N Archer, Prenatal Diagnosis of Coarctation of the Aorta Improves Survival and Reduces Morbidity, Heart 87 (1), 67-69, Heart 87 (1), 67-69, 2002, p67 - 69
Research Expertise
Projects
- Title
- A Randomised Controlled Trial of Early Targeted Patent Ductus Arteriosus Treatment Using a Risk Based Severity Score
- Summary
- Patent arterial duct is associated with an increased risk of extra-cardiac morbidity such as IVH, NEC, CLD and poor neurodevelopmental outcome. This study applies a comprehensive risk core to quantify PDA significance and where the score value indicated increased risk of developing CLD/ death the patient is randomized to either treatment with ibuprofen or placebo. Presence of a ductus and detailed functional assessment of its impact on myocardial performance is undertaken. The primary outcome of the study is CLD diagnosed at 36 weeks or death before discharge.
- Funding Agency
- National Children's Research Centre
- Date From
- July 2017
- Date To
- July 2020
- Title
- Assessment of Cardiac Function in Preterm and Term Infants with Twin to Twin Transfusion Syndrome Using Novel Echocardiography Techniques
- Summary
- Characterisation of myocardial performance in infants with disease states such as twin-to-twin transfusion syndrome, intra-uterine growth retardation and congenital diaphragmatic hernia usng novel functional assessment of myocardial performance in preterm and early term infants. Cardiac function was assessed with new techniques such as tissue dopper imaging, myocardial strain performance throughout the cardiac cycle.
- Funding Agency
- National Children's Research Centre
- Date From
- July2017
- Date To
- December 2019
- Title
- Longitudinal Assessment of Cardiac Function in Infants with Downs Syndrome Using Novel Echocardiography Techniques
- Summary
- Thisapplies echocardiographic functional assessment tools for both right and left ventricular myocardial performance to babies with Down Syndrome tracking changes in measured parameters over the first days and months of life.
- Funding Agency
- National Children's Research Centre
- Date From
- October 2017
- Date To
- Ongoing
- Title
- Post-Operative Myocardial Performance and Pulmonary Hypertension in Infants with Down Syndrome: The Role of Inflammation.
- Summary
- This is a study of indices of right and left ventricular function in babies with Down Syndrome who are admitted for surgical repair of congenital heart disease associated with a systemic to pulmonary shunt. Measurements of pro-BNP, troponin levels, pro-inflammatory cytokines and chemokines measurements will further inform us as to the inflammatory response to and functional myocardial impact of cardiothoracic surgery.
- Funding Agency
- National Children's Research Centre
- Date From
- July 2018
- Date To
- July 2020
- Title
- A Randomised Controlled Trial of Early Targeted Patent Ductus Arteriosus Treatment Using a Risk Based Severity Score
- Summary
- Patent arterial duct is associated with an increased risk of extra-cardiac morbidity such as IVH, NEC, CLD and poor neurodevelopmental outcome. This study applies a comprehensive risk core to quantify PDA significance and where the score value indicated increased risk of developing CLD/ death the patient is randomized to either treatment with ibuprofen or placebo. Presence of a ductus and detailed functional assessment of its impact on myocardial performance is undertaken. The primary outcome of the study is CLD diagnosed at 36 weeks or death before discharge.
- Funding Agency
- Temple Street Children's Hospital Foundation
- Date From
- September 2016
- Date To
- July 2020
- Title
- Can sonographic assessment of pulmonary vascular reactivity following maternal hyperoxygenation therapy predict neonatal outcome in fetuses at risk of pulmonary hypoplasia?
- Summary
- This study seeks to establish if sonographic assessment of pulmonary vascular reactivity following maternal hyperoxygenation therapy predict neonatal outcome in fetuses at risk of pulmonary hypertension (PHN)? This occurs when there is a failure of the normal circulatory transition in the early newborn period. This study seeks to establish if changes in the fetal pulmonary circulation in response to prenatal maternal oxygen administration can predict postnatal respiratory morbidity in infants with conditions such as IUGR and premature rupture of membranes as well as congenital cardiac lesions with a systemic to pulmonary shunt who are at risk of postnatal PHN
- Funding Agency
- The Rotunda Hospital Foundation
- Date From
- October 2016
- Date To
- June 2020
- Title
- Newborn Heart Study - Novel Echocardiographic and Biomarker Measurements in Health and Disease
- Summary
- This study investigated neonatal myocardial dysfunction and its potential for negatively impacting on survival outcomes in preterm and term infants. This study investigated how serial ECHO assessment of myocardial functional parameters such as Tissue Doppler imaging and speckle tracking of the neonatal myocardium in the NICU would improve outcomes in preterm infants by allowing early therapeutic intervention.
- Funding Agency
- National Children's Research Centre
- Date From
- July 2012
- Date To
- July 2014
- Title
- Longitudinal Assessment of Cardiac Function in Infants with Downs Syndrome Using Novel Echocardiography Techniques
- Summary
- This study will apply echocardiographic functional assessment tools for both right and left ventricular myocardial performance to babies with Down Syndrome tracking changes in measured parameters over the first days and months of life.
- Funding Agency
- Health Research Board / National Children's Hospital Foundation
- Date From
- June 2017
- Date To
- Ongoing
Recognition
Representations
Irish Representative on the National Fetal Cardiology Group UK & Ireland
Irish Representative on the British Paediatric Surveillance (BPSU) Kawasaki Group. This resulted in a comprehensive assessment of the clinical course, treatment and long-term outcomes of Kawasaki Disease in children in the UK and Ireland. The results were published in Archives of Disease in Childhood in 2019 under the title 'Kawasaki disease: a prospective population survey in the UK and Ireland from 2013 to 2015. Tulloh et al 2019 Jul;104(7):640-646
External Professional Advisor for the Parlimentary and Health Service Ombudman of the United Kingdom
External Professional Advisor for the Parlimentary and Health Service Ombudman of the United Kingdom
Neonatal and Paediatric Specialist Retrieval Expert Group - This group agreed the workforce model for transport and retrieval of neonates and children, created the Job Descriptions for the National Leads in Neonatal and Paediatric retrieval and defined the training requirements and competencies for all staff involved in neontatal and paediatric retrieval.
Vice-president of the Irish Hospital Consultants Association 2017- 2019
Board Member of the Irish Hospital Consultants Associaition 2016-2019
I was the medical lead/senior author of the nationally protocol detailing the dosage and IV smart pump administration of Prostin to neonates with cyanotic congenital heart disease. The Prostin administration document is now used nationally in all paediatric centres and for all retrivals of infants with congenital heart disease. This policy has been co-opted by the Irish Paediatric Critical Care Network
I am the medical lead on the Standard Operating Procedure for the use of portable T60 pumps in Our Lady's Children's Hospital Crumlin, these pumps allow children who are chronically dependent of the administration of IV infusions to maintain cardiovascular health while awaiting heart transplant to spend some time outside and offsite. The use of these pumps is a novel development in the management of such children in the British Isles . This national policy was established in 2018
I was the medical lead on the Standard Operating Procedure for the Prescribing and Administration of Amiodarone by IV infusion outside of the PICU in Our Lady's Children's Hospital Crumlin 2011
I was the medical lead and senior author of the Standard Operating Procedure for the IV administration of Heparin outside of the PICU in Children's Health Ireland@ Crumlin in 2014
Awards and Honours
Irish Paediatrcian of the Year. Proposed and Supported by Parents of Patients Maternity and Infant Awards 2012
Undergraduate Scholarship UCC , Academic Achievement
Undergraduate Scholarship UCC , Academic Achievement
Awards - Service Development - Finalist Irish Healthcare Centre Awards Specialist Care Centre of the Year - Children's Heart Centre
Finalist Irish Healthcare Centre Awards Building Project of the Year RKD Architects - Children's Heart Centre
Tissue velocity imaging quantifies early changes in pre-term myocardium. Irish Paediatric Association 2020 - 1st Prize Oral Presentation
Ireland- Imaging Modalities Employed in Delineation of Sinus Venous Defects and Outcome Over Last Decade, Best poster award - All Ireland Children Cardiac Network conference
A Patent Ductus Arteriosus Severity Score Incorporating Markers of Haemodynamic Significant and Left Ventricular Diastolic Function Predicts Chronic Lung Disease. Irish Neonatal Research Symposium First Prize: Dublin.
A Patent Ductus Arteriosus Severity Score Incorporating Markers of Haemodynamic Significant and Left Ventricular Diastolic Function Predicts Chronic Lung Disease. Irish Paediatric Association Best Researcher Award .
Left Ventricular Rotational Mechanics in Infants with Hypoxic Ischaemic Encephalopathy and Preterm Infants at 36 Weeks Post Menstrual Age: a Comparison with Healthy Term Controls. Best Presentation Award, Irish Neonatal Research Symposium 2016.
The Use of Speckle Tracking Echocardiography to Assess Myocardial Performance in Monochorionic Diamniotic Twins with and without Twin to Twin Transfusion Syndrome. Paediatric Academic Societies Travel Awards Program for Young Investigator's. $500
Maturational Patterns of Ventricular Deformation by Speckle Tracking Echocardiography in Preterm Infants over the First Week of Age. Rotunda Hospital Research Day, Award 300
The Impact of a Hyperdynamic Left Ventricle on Right Ventricular Function Measurements in Preterm Infants with a Patent Ductus Arteriosus, Best Researcher Award, Joint Irish Paediatric Association(IPA)/Irish & American Paediatric Society Meeting-Award 1000 euro.
The Effect of a Significant Patent Ductus Arteriosus on Doppler Flow Patterns of Pre-ductal Vessels: An assessment of the Brachiocephalic Artery, Runner up in Presidential poster walk, Joint Irish Paediatric Association(IPA)/Irish & American Paediatric Society Meeting
Neonatal Congenital Heart Disease: Modes of Presentation and Prenatal Detection over a 5 year Period in Ireland. Irish American Paediatric Society Seattle - Oral Presentation- Travel grant Awarded.
Incidental findings on routine targeted neonatal echocardiography performed in preterm infants less than 29 weeks gestation. 8th Irish Neonatal research symposium 1st prize presentation
Can Sonographic Assessment of Pulmonary Vascular reactivity following Maternal hyperoxygenation therapy predict neonatal outcome in fetuses at risk of pulmonary hypertension-Irish Perinatal Society Kilkenny - Best Oral Presentation
The Use of Speckle Tracking Echocardiography to Assess Myocardial Performance in Monochorionic Diamniotic Twins with and without Twin to Twin Transfusion Syndrome -BCCA London November 2017 Runner up Prize Oral Presentation session
The Impact of Maternal Gestation Hypertension and Antihypertensive Use on Neonatal Myocardial Performance. BCCA meeting London -1st place poster award
Prenatal Detection and Modes of Presentation of Neonatal Congential Heart Disease: a 5 year progress review. 8th OLCHC Research and Audit Day - Poster Award
The Impact of Blood Transfusion on the Haemodynamics of Preterm Infants with and Without a Patent Ductus Arteriosus. European Society for Paediatric Research (ESPR) Young Investigator START-UP Award. Grant value 7,000
Special Merit Award Oral Presentation, The 10th Irish Neonatal Research Symposium: Comparison of Left Ventricular Rotational Mechanics Between Term and Extremely Premature Infants Over the First Week of Age
Best Oral Presentation (Neonatology Session), Irish Paediatric Association (IPA) Annual Meeting: Comparison of Left Ventricular Rotational Mechanics Between Term and Extremely Premature Infants Over the First Week of Age
Health Research board (HRB) Ones to Watch prize Winner
Memberships
Fellowship of the Royal College of Paediatricians and Child Health. I was a founding member of the College in 1996
Fellowship of the Royal College of Paediatricans of Ireland- I became a member of the Royal College of Physicians in 1995 and a fellow of the College in May 2020
British Congenital Cardiac Association
Association of European Paediatric and Congenital Cardiology
Irish Representative on the National Fetal Cardiology Group UK and Ireland
Neonatal ECHO functional Assessment Imaging Group Founder member in collaboration with Prof Afif ElKhuffash Rotunda One MD and two PhD student to the successful completion of their theses. A further student has submitted an MD theses currently undergoing revisions and an additional PhD student is writing up their thesis. This groups currently has a output of peer reviewed publications
DISCO - Down Syndrome -Down Syndrome Inflammation and Clinical Uutcomes Research Group Affiliated to Trinity Research in Childhood