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Article
Arrhythmia Recurrence After Atrial Fibrillation Ablation: Impact of Warfarin vs. Non-Vitamin K Antagonist Oral Anticoagulants
Both warfarin and non-vitamin K antagonist oral anticoagulants (NOACs) have pleiotropic effects including anti-inflammatory and anti-fibrotic properties. This study aims to explore whether arrhythmia recurrenc...
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Chapter
1990s: EP and Pacing
In the last decade of the twentieth century, HRS experienced many technical advances that simplified the diagnostics of the specialty, including computerized electrogram waveform acquisition, retrieval, and ar...
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Chapter
2010s: EP and Pacing
In this last decade, with further maturity of catheter ablation for AF, the multicenter CABANA trial demonstrated AF ablation to be safe, more effective compared to drugs, and likely having an early role in th...
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Chapter
2000s: EP and Pacing
As the new millennium opened, multimodality imaging techniques were united with the electrophysiological catheter techniques developed a generation before. These included traditional fluoroscopy, intracardiac ...
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Article
Open AccessBiological Cardiac Tissue Effects of High-Energy Heavy Ions – Investigation for Myocardial Ablation
Noninvasive X-ray stereotactic treatment is considered a promising alternative to catheter ablation in patients affected by severe heart arrhythmia. High-energy heavy ions can deliver high radiation doses in s...
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Article
Feasibility and safety of percutaneous epicardial access for map** and ablation for ventricular arrhythmias in patients on oral anticoagulants
This study aimed to assess the risk of procedure-related complications of percutaneous epicardial access (EpiAcc) for radiofrequency catheter ablation (RFA) of ventricular arrhythmias (VAs) in patients chronic...
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Article
Identification of valve-related artifact during cardiac map**
During cardiac map**, it is critical to discriminate signals related to cardiac conduction versus those due to mechanical interaction with other cardiac structures such as valves. We sought to define charact...
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Article
Significance and clinical characteristics of atrial fibrillation post epicardial access
Epicardial access (EpiAcc) has become an important adjunct for ventricular tachycardia (VT) or premature ventricular complex (PVC) ablation. We hypothesized that post-procedural pericarditis may lead to an inc...
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Article
Open AccessFeasibility Study on Cardiac Arrhythmia Ablation Using High-Energy Heavy Ion Beams
High-energy ion beams are successfully used in cancer therapy and precisely deliver high doses of ionizing radiation to small deep-seated target volumes. A similar noninvasive treatment modality for cardiac ar...
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Article
Trends in percutaneous pericardial access during catheter ablation of ventricular arrhythmias: a single-center experience
Percutaneous pericardial access (EpiAcc) assists ventricular tachycardia/premature ventricular complex (VT/PVC) ablation by permitting epicardial map** and ablation outside the vicinity of the coronary venou...
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Article
Cardiac implantable electronic device lead-based masses and atrial fibrillation ablation: a case-based illustration of periprocedural anticoagulation management strategies
Cardiac implantable electronic device (CIED) leads frequently develop echogenic masses. However, the nature of these masses is not well understood. In patients in whom atrial fibrillation (AF) catheter ablatio...
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Article
Mobile thrombus on cardiac implantable electronic device leads of patients undergoing cardiac ablation: incidence, management, and outcomes
The rates of cardiovascular implantable electronic device (CIED) implantations and cardiac ablation procedures are increasing worldwide. To date, the management of CIED lead thrombi in the peri-ablation period...
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Article
Pacemaker implantation after catheter ablation for atrial fibrillation
Sinus node dysfunction requiring pacemaker implantation is commonly associated with atrial fibrillation (AF), but may not be clinically apparent until restoration of sinus rhythm with ablation or cardioversion...
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Article
Increase in pulmonary arterial pressure after atrial fibrillation ablation: incidence and associated findings
The stiff left atrial (LA) syndrome is defined as pulmonary hypertension (PH) secondary to reduced LA compliance and has recently been shown to be one cause of PH after atrial fibrillation (AF) ablation. We ai...
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Article
2012 HRS/EHRA/ECAS expert consensus statement on catheter and surgical ablation of atrial fibrillation: recommendations for patient selection, procedural techniques, patient management and follow-up, definitions, endpoints, and research trial design
This is a report of the Heart Rhythm Society (HRS) Task Force on Catheter and Surgical Ablation of Atrial Fibrillation, developed in partnership with the European Heart Rhythm Association (EHRA), a registered ...
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Article
Migraine headaches following catheter ablation for atrial fibrillation
Atrial septal defects (ASD), including patent foramen ovale, have been linked to an increased prevalence of migraine headaches in the general population. A similar association with migraine is speculated for i...
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Article
Anatomical correlates relevant to ablation above the semilunar valves for the cardiac electrophysiologist: a study of 603 hearts
Certain outflow tract tachyarrhythmias require ablation above the semilunar valves. Understanding of the regional anatomy of these arrhythmogenic sites is required to avoid complications.
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Article
ECG-gated dual-source CT for detection of left atrial appendage thrombus in patients undergoing catheter ablation for atrial fibrillation
Left atrial ablation is increasingly used to treat patients with symptomatic atrial fibrillation (AF). Prior to ablation, exclusion of left atrial appendage (LAA) thrombus is important. Whether ECG-gated dual-...
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Article
Early heparinization decreases the incidence of left atrial thrombi detected by intracardiac echocardiography during radiofrequency ablation for atrial fibrillation
We reviewed our experience in managing intracardiac ultrasound-detected left atrial thrombus and analyzed the impact of the timing of heparin therapy on thrombus incidence.
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Article
Successful use of “cryo-map**” to avoid phrenic nerve damage during ostial superior vena caval ablation despite nerve proximity
The SVC may require ablation to treat atrial fibrillation. Phrenic nerve proximity identified with pacing maneuvers may preclude ablation.