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Author(s): Matthew Wright Added: 3 years ago
Since the initial description that in the majority of patients paroxysmal atrial fibrillation (AF) is triggered by pulmonary vein (PV) ectopy,1 catheter ablation of AF has gone from a niche procedure to a common one, with approximately 20,000 ablations performed per year in the US alone. However, AF ablation remains a technically difficult procedure, requires long training to become proficient,2… View more

Imaging & Diagnostics

Electrophysiology & Arrhythmia
Author(s): Maarten P van Wiechen , Jurgen M Ligthart , Nicolas M Van Mieghem Added: 3 years ago
Minimally invasive procedures such as endovascular aneurysm repair (EVAR), transcatheter aortic valve implantation (TAVI) and implantation of mechanical circulatory support (MCS) are gaining ground on traditional surgery.1–3 These procedures require large-bore access, which is inherently associated with vascular complications and bleeding. Despite the reduction in size of these devices (Table 1),… View more

Vascular Disease and Surgery

Intervention
Author(s): Saagar Mahida , Benjamin Berte , Seigo Yamashita , et al Added: 3 years ago
Since the first catheter ablation for cardiac arrhythmia more than three decades ago, ablation technology has continually evolved at a rapid pace. Much of the early progress in the field was made in ablation of supraventricular tachycardias. Following a seminal study from Haïssaguerre et al.1 in 1998, which demonstrated that pulmonary vein triggers are important sources of atrial fibrillation (AF… View more

Electrophysiology & Arrhythmia
Author(s): Usha Krishnan Added: 3 years ago
Pediatric interventional cardiology was born 40 years ago in 1966, when William Rashkind developed balloon septostomy in neonates with transposition of the great arteries.1 Almost a decade later, Andreas Gruentzig developed coronary angioplasty (between 1972 and 1976), which heralded an explosive era of interventional therapy for adults with heart disease, overshadowing the advances in… View more

Intervention

Heterogeneous Populations
Challenging Transseptal Catheterisations
Author(s): Maiwand Mirwais , Pasquale Santangeli Added: 8 months ago

Electrophysiology & Arrhythmia
Author(s): Vijay S Ramanath , Craig Thompson Added: 3 years ago
Coronary chronic total occlusions (CTOs) remain one of the most challenging percutaneous challenges in interventional cardiology, with technical success rates of only ~50–70 %.1,2 This lesion subset often poses the greatest risk and often requires techniques and equipment not typically utilised for more acute coronary lesions. However, successful percutaneous CTO revascularisation is associated… View more

MI/ACS

Intervention
Author(s): Jorge E Romero , Ricardo Avendano , Michael Grushko , et al Added: 3 years ago
Oesophageal injury prevention has become a major concern in the field of electrophysiology since the first case of atrio–oesophageal fistula was reported as a complication of endocardial surgical radiofrequency ablation (RFA),1 with Scanavacca et al. and Pappone et al. subsequently reporting this complication in patients who underwent percutaneous pulmonary vein isolation (PVI) for AF.2,3 It is… View more

Electrophysiology & Arrhythmia
Author(s): William E Lewandowski Added: 3 years ago
“The said doctor can easily practice upon a page and, if he does well, he can use his remedies on my son.” Attributed to Catherine De’ Medici (1519–1589).1 Simulation—An Accepted Tool for Improving Clinical Performance The concept of a physician ‘practicing’ his or her craft is an ancient one—perhaps even pre-dating the time of Hippocrates. Over the millennium, much has changed in the practice… View more

Imaging & Diagnostics

Digital Health
Author(s): Emmanuel Koutalas , Borislav Dinov , Sergio Richter , et al Added: 3 years ago
Since the introduction of electroanatomical mapping (EAM) into clinical practice in 1997, remarkable progress has been made in catheter infrastructure, signal recording and processing, catheter guidance and visualisation and simultaneous real-time depiction and processing of different types of critical information during an ablation procedure.1 The latter, along with the comprehension of the… View more

Imaging & Diagnostics

Electrophysiology & Arrhythmia