Article
Medicine, General & Internal
Julian Mueller, Karin Nentwich, Artur Berkovitz, Kai Sonne, Olena Kozlova, Sebastian Barth, Alexandru Deacanu, Christian Waechter, Philipp Halbfass, Heiko Lehrmann, Thomas Deneke
Summary: This study investigated the characteristics of patients undergoing redo AF ablation and the impact of different ablation strategies. The results showed that pulmonary vein reconnection was common among all techniques of AF ablation, and different ablation strategies did not improve long-term success.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Anesthesiology
Ricardo Munoz-Acuna, Tim M. Tartler, Basit A. Azizi, Aiman Suleiman, Elena Ahrens, Luca J. Wachtendorf, Felix C. Linhardt, Guanqing Chen, Patricia Tung, Jonathan W. Waks, Maximilian S. Schaefer, Sankalp Sehgal
Summary: This study compared the effects of high-frequency jet ventilation (HFJV) with conventional ventilation in catheter ablation procedures for atrial fibrillation. The results showed that patients receiving HFJV had a longer length of stay in the post-anesthesia care unit (PACU) and an increased risk of intra-procedural hypocarbia and hypotension.
JOURNAL OF CLINICAL ANESTHESIA
(2024)
Article
Cardiac & Cardiovascular Systems
Chi Cai, Jing Wang, Hong-Xia Niu, Jian-Min Chu, Wei Hua, Shu Zhang, Yan Yao
Summary: This study investigates the association between lesion size index (LSI) and acute conduction gap formation during high-power (HP) ablation for pulmonary vein isolation (PVI) in atrial fibrillation (AF) patients. Using LSI-guided HP ablation, a LSI value above 4.35 for all PV segments showed the best predictive value in avoiding gap formation for effective first-pass PVI. The optimal LSI cutoff values for predicting gap formation were 4.55 for the anterior wall and 3.95 for the posterior wall.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2022)
Article
Medicine, General & Internal
Yun Young Choi, Jaemin Shim, Yun Gi Kim, Kyongjin Min, Seung-Young Roh, Jin Seok Kim, Jong-Il Choi, Young-Hoon Kim
Summary: Adenosine-induced atrial fibrillation (AIAF) does not affect the long-term recurrence rate after pulmonary vein isolation (PVI). Additional ablation for the trigger site of AIAF does not improve clinical outcomes.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Cardiac & Cardiovascular Systems
Samuel K. Sorensen, Arne Johannessen, Rene Worck, Morten L. Hansen, Jim Hansen
Summary: Radiofrequency and cryoballoon catheter ablation demonstrate similar moderate to high durability in pulmonary vein isolation. However, about 5% of patients experienced recurrence of atrial fibrillation despite complete and durable PVI. The reduction in AF burden is associated with the number of durably isolated pulmonary veins.
CIRCULATION-ARRHYTHMIA AND ELECTROPHYSIOLOGY
(2021)
Article
Health Care Sciences & Services
Cecile Maeyens, Pierre Nokerman, Ruben Casado-Arroyo, Juan-Pablo Abugattas De Torres, Brenton Alexander, Edgard Engelman, Denis Schmartz, Turgay Tuna
Summary: This study measured the displacement of cardiac structures in 21 patients undergoing atrial fibrillation ablation during high-frequency jet ventilation (HFJV) and normal mechanical ventilation. The results showed that the displacement of cardiac structures was significantly smaller during HFJV compared to normal mechanical ventilation.
JOURNAL OF PERSONALIZED MEDICINE
(2023)
Article
Cardiac & Cardiovascular Systems
Hubert Cochet, Yosuke Nakatani, Soumaya Sridi-Cheniti, Ghassen Cheniti, F. Daniel Ramirez, Takashi Nakashima, Charles Eggert, Christopher Schneider, Raju Viswanathan, Nicolas Derval, Josselin Duchateau, Thomas Pambrun, Remi Chauvel, Vivek Y. Reddy, Michel Montaudon, Francois Laurent, Frederic Sacher, Meleze Hocini, Michel Haissaguerre, Pierre Jais
Summary: In this study, extra-atrial injuries after pulmonary vein isolation (PVI) using pulsed field ablation (PFA) and thermal ablation methods were compared in 41 patients with paroxysmal atrial fibrillation (AF). It was found that PFA did not induce any signs of esophageal injury on cardiac magnetic resonance (CMR) imaging after PVI, indicating a potential improvement in safety for catheter ablation of AF.
Article
Cardiac & Cardiovascular Systems
Daehoon Kim, Taehyun Hwang, Min Kim, Hee Tae Yu, Tae-Hoon Kim, Jae-Sun Uhm, Boyoung Joung, Moon-Hyoung Lee, Hui-Nam Pak
Summary: Extra-pulmonary vein triggers are commonly found in atrial fibrillation patients and associated with poorer rhythm outcomes after both de novo and repeat catheter ablation procedures.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2021)
Article
Cardiac & Cardiovascular Systems
Xin Xie, Gang Yang, Xiaorong Li, Jinbo Yu, Fengxiang Zhang, Weizhu Ju, Hongwu Chen, Mingfang Li, Kai Gu, Dian Cheng, Xuecheng Wang, Yizhang Wu, Jian Zhou, Xiaoqian Zhou, Baowei Zhang, Pipin Kojodjojo, Kejiang Cao, Bing Yang, Minglong Chen
Summary: A retrospective study revealed that additional ablations were common in PAF patients, with lower LVEF and AF episodes before, during, and induced after PVI serving as independent predictors of additional ablation. Patients with PAF who underwent index procedures showed a single-procedure free rate from atrial arrhythmias at 70.48% after 58.36 +/- 7.12 months.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2021)
Article
Medicine, General & Internal
Sebastian Weyand, Viola Adam, Matthias Beuter, Simon Hanger, David Heinzmann, Willibald Schrezenmeier, Peter Seizer
Summary: For patients undergoing radiofrequency pulmonary vein isolation, the necessity of pulmonary vein angiography was investigated after the use of high-resolution mapping catheters and high-power, short-duration ablation technique. The study found that omitting pulmonary vein angiography had no significant impact on the efficacy, efficiency, and complications of the ablation procedure. Therefore, avoiding pulmonary vein angiography may be useful, especially for young patients and those with chronic renal disease, when using this protocol.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Cardiac & Cardiovascular Systems
Nandor Szegedi, Judit Simon, Balint Szilveszter, Zoltan Sallo, Szilvia Herczeg, Lili Szaraz, Marton Kolossvary, Gabor Orban, Gabor Szeplaki, Klaudia Vivien Nagy, Mohammed El Mahdiui, Jeff M. Smit, Victoria Delgado, Jeroen J. Bax, Pal Maurovich-Horvat, Bela Merkely, Laszlo Geller
Summary: This study evaluated the impact of the spatial relationship between LSPV and LAA on recurrence after catheter ablation for paroxysmal AF. The study found that an abutting LAA-LSPV was associated with a higher chance of AF recurrence.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2022)
Article
Medicine, General & Internal
Philippe Taghji, Jean-Claude Deharo, Sana Amraoui, Sok-Sithikun Bun
Summary: This study evaluated the efficacy of CLOSE-guided pulmonary vein isolation (PVI) in the treatment of persistent atrial fibrillation (AF). The results showed that CLOSE-guided PVI achieved a high single-procedure arrhythmia-free survival rate of 80% at 1 year under intensive cardiac rhythm monitoring. However, larger-scale studies are still needed to further confirm these findings.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Cardiac & Cardiovascular Systems
Jonathan M. Kalman, Ahmed M. Al-Kaisey, Ramanathan Parameswaran, Joshua Hawson, Robert D. Anderson, Michael Lim, David Chieng, Stephen A. Joseph, Alex McLellan, Joseph B. Morton, Paul B. Sparks, Geoffrey Lee, Prashanthan Sanders, Peter M. Kistler
Summary: This study aimed to determine if the timing of catheter ablation for atrial fibrillation (AF) affects arrhythmia outcomes. The results showed that there was no significant difference in the atrial arrhythmia free survival at 12 months post-ablation between patients who underwent early ablation and those who underwent delayed ablation. Other secondary outcomes also showed no significant difference. Therefore, delaying AF ablation by 12 months for antiarrhythmic drug management does not reduce the efficacy of ablation.
EUROPEAN HEART JOURNAL
(2023)
Article
Cardiac & Cardiovascular Systems
Karim Benali, Valentin Barre, Alexis Hermida, Vincent Galand, Antoine Milhem, Severine Philibert, Serge Boveda, Clement Bars, Frederic Anselme, Baptiste Maille, Clementine Andre, Albin Behaghel, Ghassan Moubarak, Nicolas Clementy, Antoine Da Costa, Marine Arnaud, Sandrine Venier, Frederic Sebag, Laurence Jesel-Morel, Audrey Sagnard, Laure Champ-Rigot, Duc Dang, Benoit Guy-Moyat, Selim Abbey, Rodrigue Garcia, Olivier Cesari, Nicolas Badenco, Antoine Lepillier, Sandro Ninni, Stephane Boule, Philippe Maury, Vincent Algalarrondo, Babe Bakouboula, Jacques Mansourati, Francois Lesaffre, Philippe Lagrange, Abdeslam Bouzeman, Lucian Muresan, Raoul Bacquelin, Agustin Bortone, Sok-Sithikun Bun, Dominique Pavin, Laurent Macle, Raphael P. Martins
Summary: This study analyzed the impact of different ablation strategies on patients with recurrent atrial fibrillation (AF) despite durable pulmonary vein isolation (PVI). The results showed that no ablation strategy, whether used alone or in combination, appeared to be superior in improving arrhythmia-free survival. Left atrial dilatation was found to be a significant predictor of ablation outcome in this population.
CIRCULATION-ARRHYTHMIA AND ELECTROPHYSIOLOGY
(2023)
Article
Biology
Francesco Sabatino, Domenico Oriente, Fabrizio Fortunato, Antonio Cascino, Giuliano Ferrara, Giuseppe Sgarito, Sergio Conti
Summary: The study evaluated the efficacy of posterior wall isolation (PWI) guided by Ablation Index (AI) in addition to pulmonary vein isolation (PVI) for patients with persistent atrial fibrillation (Pe-AF). The results showed that AI-guided PWI on top of PVI reduced arrhythmia recurrence effectively.
Article
Audiology & Speech-Language Pathology
Neel K. Bhatt, William Z. Gao, Lauren Timmons Sund, M. Eugenia Castro, Karla O'Dell, Michael M. Johns III
Summary: This study aimed to review the technical aspects of injecting platelet-rich plasma (PRP) into the vocal fold. A patient with vocal fold scar underwent PRP injection and experienced subjective improvement in voice. Perceptual analysis also showed improvement. Further research is needed to validate the safety and efficacy of PRP injections.
Article
Otorhinolaryngology
Priyanka Tripuraneni, Eric L. Wu, William Z. Gao, Bruce J. Davidson, Jonathan P. Giurintano
Summary: This article reports a case of successful removal of a wire bristle embedded within the tongue musculature via a transcervical approach and provides a comprehensive approach for managing ingested wire bristles.
ENT-EAR NOSE & THROAT JOURNAL
(2023)
Article
Audiology & Speech-Language Pathology
Roger W. Boles, William Z. Gao, Michael M. Johns, James J. Daniero, Nazaneen N. Grant, Adam D. Rubin, Neel K. Bhatt, Edie R. Hapner, Karla O'Dell
Summary: This study aimed to compare the image quality and diagnostic ability of flexible distal-chip laryngoscopy (FDL) and rigid telescopic laryngoscopy (RTL). The results showed significant superiority of RTL in terms of image quality and visualization of abnormalities. These findings suggest that RTL has better image quality compared to FDL, but further research is needed to determine if this difference is clinically significant.
Editorial Material
Cardiac & Cardiovascular Systems
Cory M. Tschabrunn, David S. Frankel
JOURNAL OF INTERVENTIONAL CARDIAC ELECTROPHYSIOLOGY
(2023)
Article
Cardiac & Cardiovascular Systems
Lingyu Xu, Sohail Zahid, Mirmilad Khoshknab, Juwann Moss, Ronald D. Berger, Jonathan Chrispin, David Callans, Francis E. Marchlinski, Stefan L. Zimmerman, Yuchi Han, Benoit Desjardins, Natalia Trayanova, Saman Nazarian
Summary: Post-infarct myocardium contains viable corridors traversing scar or lipomatous metaplasia (LM). Ventricular tachycardia (VT) circuitry has been separately reported to associate with corridors that traverse LM and with repolarization heterogeneity. Lipomatous metaplasia is closely associated with prolonged local action potential duration of corridors and ARI dispersion, which may facilitate the propensity of VT circuit re-entry.
News Item
Cardiac & Cardiovascular Systems
Erica S. Zado
Article
Cardiac & Cardiovascular Systems
Atul E. Verma, David V. Haines, Lucas Boersma, Nitesh Sood, Andrea E. Natale, Francis Marchlinski, Hugh Calkins, Prashanthan L. Sanders, Douglas Packer, Karl-Heinz Kuck, Gerhard Hindricks, Birce Onal, Jeffrey Cerkvenik, Hiroshi B. Tada, David DeLurgio, PULSED AF Investigators
Summary: Pulsed field ablation is an effective and safe method for treating patients with atrial fibrillation. It has comparable effectiveness to traditional catheter ablation but with a lower rate of complications.
News Item
Cardiac & Cardiovascular Systems
Erica S. Zado
News Item
Cardiac & Cardiovascular Systems
Erica S. Zado
News Item
Cardiac & Cardiovascular Systems
Erica S. Zado
Letter
Cardiac & Cardiovascular Systems
Timothy M. M. Markman, Francis E. E. Marchlinski, Andrew E. E. Epstein, Saman Nazarian
CIRCULATION-ARRHYTHMIA AND ELECTROPHYSIOLOGY
(2023)
Article
Cardiac & Cardiovascular Systems
Alan Sugrue, Rand Ibrahim, Marvin Lu, Neal K. Bhatia, Laith Alkukhun, Joseph Adewumi, Robert D. Schaller, Francis E. Marchlinski, Benjamin D'Souza, Babak Nazer, Wendy Tzou, Faisal M. Merchant, David S. Frankel
Summary: A retrospective study on S-ICD patients undergoing sternotomy found that sternotomy did not increase the risks of damage to the S-ICD lead, inappropriate shocks from electrical noise due to interaction with sternal wires, and failure to terminate ventricular arrhythmias.
CIRCULATION-ARRHYTHMIA AND ELECTROPHYSIOLOGY
(2023)
News Item
Cardiac & Cardiovascular Systems
Erica S. Zado
Article
Medicine, Research & Experimental
William Z. Gao, Marcus F. Paoletti, Yael Bensoussan, Neel K. Bhatt, Elizabeth A. Shuman, Nazaneen Grant, Karla O'Dell, Michael M. Johns
Summary: This study reported the outcomes of vocal fold injection medialization (VFIM) using a silk protein microparticle-hyaluronic acid-based material (silk-HA) for the treatment of unilateral vocal fold paralysis (UVFP). Among the 17 UVFP patients who underwent VFIM with silk-HA, 7 patients demonstrated durable treatment benefit =12 months after injection. Two patients exhibited a small glottal gap at 12 months. Further exploration is needed to determine the clinical factors predictive of sustained treatment response.
Correction
Cardiac & Cardiovascular Systems
C. M. Tschabrunn, Naga Venkata K. Pothineni, William H. Sauer, Daniel Doynow, Jonathan Salas, Ting-Wei Liao, Pasquale Santangeli, Jeffrey Arkles, Matthew C. Hyman, David S. Frankel, Gregory E. Supple, Fermin C. Garcia, Saman Nazarian, Sanjay Dixit, Andrew E. Epstein, Robert D. Schaller, David J. Callans, Francis E. Marchlinski
JACC-CLINICAL ELECTROPHYSIOLOGY
(2022)