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251.
252.
Falletto E. Martellucci J. Rossitti P. Bondurri A. Zaffaroni G. Ascanelli S. Chimisso L. Lauretta A. Mirafiori M. Clementi I. Ripetti V. Lufarelli P. Cestaro G. Bottini C. Bellini M. Lambiase C. Di Candido F. Zattoni D. Cornaglia S. Tonello P. Zucchi E. 《Techniques in coloproctology》2023,27(6):481-490
Techniques in Coloproctology - To evaluate the potential benefits associated with the short-term (6 months) treatment with transanal irrigation (TAI) in patients suffering from functional... 相似文献
253.
Shohreh Honarbakhsh MRCP PhD BSc Claire A. Martin MRCP PhD Gurpreet Dhillon MRCP Mark Gallagher FRCP MD BSc Manav Sohal MRCP Anthony Chow FRCP MD Syed Ahsan MD Hakam Abbass MSc BSN Sarah Whittaker-Axon MSc Pier D. Lambiase FHRS PhD Mark J. Davies MRCP PhD Matthew Ginks FRCP MD BSc Ross J. Hunter FESC FEHRA PhD 《Journal of cardiovascular electrophysiology》2023,34(5):1141-1151
254.
Johanna B. Tonko MD Pier D. Lambiase PhD FRCP FHRS 《Journal of cardiovascular electrophysiology》2023,34(11):2330-2341
Accessing the pericardial space safely and efficiently is an important skill for interventional cardiac electrophysiologist. With the increased recognition of the complexity of the 3-dimensional arrhythmogenic substrate due to advances in imaging and mapping technologies there has been an expansion of epicardial procedures in recent years. Equally, minimally invasive implantation of epicardial pacing, cardiac resynchronization, or defibrillation leads is expanding in specific patients where transvenous systems are contraindicated or their long term sequelae should be ideally avoided. Selective delivery of intrapericardial pharmacological antiarrhythmic therapy is yet another potential indication, albeit still investigational. The expanding indications for percutaneous epicardial procedures is contrasted by the still substantial risk and challenges associated with accessing the pericardial space. Myocardial perforation, coronary artery laceration, and damage to the surrounding organs are all recognized and feared complications. A number of innovative epicardial access techniques have been proposed to overcome the difficulties and risks of traditional dry subxiphoid punctures and may allow for more widespread use of epicardial access in the future. We review 10 different established and novel subxiphoidal epicardial access techniques describing procedural success rates, safety profile and overall experience. The technical aspects as well as access times and costs for extra equipment will be reviewed. Finally, an outlook of reported preclinical techniques awaiting in-human feasibility studies is provided. 相似文献