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Radiofrequency Ablation of Concealed Left Free-Wall Accessory Pathways Without Coronary Sinus Catheterization: 总被引:1,自引:0,他引:1
JOSEP BRUGADA M.D. IGNACIO GARCIA-BOLAO M.D. MARCIO FIGUEIREDO M.D. MARTÍ PUIGFEL M.D. MARIONA MATAS R.N. FRANCISCO NAVARRO-LÓPEZ M.D. 《Journal of cardiovascular electrophysiology》1997,8(3):249-253
Ablation of Concealed Accessory Pathways. Introduction: Feasibility of radiofrequency (RF) ablation using a two-catheter technique without coronary sinus catheterization was studied in 100 consecutive patients with a single concealed left free-wall accessory path-way.
Methods and Results: Tachycardia was induced by electrical stimulation in the right atrium/right ventricle, and the presence of a concealed left free-wall accessory pathway was suggested electrocardiographically (negative P wave in leads I and/or a VL during orthodromic tachycardia) or by earlier atrial activation in the pulmonary artery compared to the high right atrium. Mapping of the mitral annulus was performed during right ventricular pacing or orthodromic tachycardia, and RF energy was applied at the site with the earliest retrograde atrial activation. Ablation was considered effective if tachycardia could not be induced, and if VA dissociation or exclusive retrograde nodal conduction was observed. Ablation was initially successful in 98 of 100 patients. Mean number of radiofrequency pulses were 3.2 ± 2. Mean fluoroscopy time and total procedure time was 14 ± 9 and 107 ± 32 minutes, respectively. There were no complications related to the procedure. At a mean follow-up of 22 ± 13 months, two patients experienced tachycardia recurrence and required a second procedure, which was successful.
Conclusions: Our results suggest that RF catheter ablation of concealed left free-wall accessory pathways can be safely, effectively, and rapidly performed using a simplified two-catheter technique with no need for coronary sinus catheterization. 相似文献
Methods and Results: Tachycardia was induced by electrical stimulation in the right atrium/right ventricle, and the presence of a concealed left free-wall accessory pathway was suggested electrocardiographically (negative P wave in leads I and/or a VL during orthodromic tachycardia) or by earlier atrial activation in the pulmonary artery compared to the high right atrium. Mapping of the mitral annulus was performed during right ventricular pacing or orthodromic tachycardia, and RF energy was applied at the site with the earliest retrograde atrial activation. Ablation was considered effective if tachycardia could not be induced, and if VA dissociation or exclusive retrograde nodal conduction was observed. Ablation was initially successful in 98 of 100 patients. Mean number of radiofrequency pulses were 3.2 ± 2. Mean fluoroscopy time and total procedure time was 14 ± 9 and 107 ± 32 minutes, respectively. There were no complications related to the procedure. At a mean follow-up of 22 ± 13 months, two patients experienced tachycardia recurrence and required a second procedure, which was successful.
Conclusions: Our results suggest that RF catheter ablation of concealed left free-wall accessory pathways can be safely, effectively, and rapidly performed using a simplified two-catheter technique with no need for coronary sinus catheterization. 相似文献
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Shock Reduction With Multiple Bursts of Antitachycardia Pacing Therapies to Treat Fast Ventricular Tachyarrhythmias in Patients With Implantable Cardioverter Defibrillators: A Multicenter Study 下载免费PDF全文
IGNASI ANGUERA M.D. PAOLO DALLAGLIO M.D. JOSE MARTÍNEZ‐FERRER M.D. ANÍBAL RODRÍGUEZ M.D. JAVIER ALZUETA M.D. JULIÁN PÉREZ‐VILLACASTÍN M.D. JOSÉ MANUEL PORRES M.D. XAVIER VIÑOLAS M.D. ADOLFO FONTENLA M.D. IGNACIO FERNÁNDEZ‐LOZANO M.D. ARCADIO GARCÍA‐ALBEROLA M.D. XAVIER SABATÉ M.D. 《Journal of cardiovascular electrophysiology》2015,26(7):774-782
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FERNANDO CABRERA BUENO M.D. Ph.D. JAVIER ALZUETA RODRÍGUEZ M.D. Ph.D. JOSÉ OLAGÜE DE ROS M.D. IGNACIO FERNÁNDEZ‐LOZANO M.D. Ph.D. JUAN JOSÉ GARCÍA GUERRERO M.D. JOAQUÍN FERNÁNDEZ DE LA CONCHA M.D. ANTONIO HERNÁNDEZ MADRID Ph.D. JOSE MARÍA TOLOSANA VIU M.D. JOAQUÍN OSCA ASENSI M.D. ALBERTO BARRERA CORDERO M.D. Ph.D. ELENA LLORENTE HERNANGÓMEZ 《Pacing and clinical electrophysiology : PACE》2013,36(8):963-969
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JOSE ANGEL GONZALO IGNACIO M. DE ALBORAN G. KROEMER 《Scandinavian journal of immunology》1993,37(1):1-6
Self-superantigens have been described as products of endogenous retroviruses of the mouse ('minor lymphocyte stimulating loci') that are capable of interacting without prior processing with conserved domains of TCR Vβ chains, causing the activation and deletion of most T cells expressing products of determined Vβ gene families [1–4], The fact that superanti-gens activate a far higher percentage of T cells (1–20%) than conventional, peptidic antigens (< 0.1 %) provides the methodological advantage that the degree of clonal deletion may be measured by the analysis of the TCR repertoire using appropriate anti-Vβ antibodies. Although much information on the spatio-temporal organization of repertoire-purging has been gathered by virtue of self-superantigens, serious doubts exist as to the possibility that such structures serve as pathogenetically relevant autoantigens. Thus, certain inbred mice spontaneously develop autoimmune diseases, although they bear T-cell repertoires that appear to be purged from self-superantigen-reactive Vβ products. In addition, therapeutic interventions targeted to Vβ gene products that are not specific for self-superantigens are successful in preventing disease development. The lack of correlation between superantigen-related Vβ deletions and autoimmune disease development is substantiated in further models of murine autoimmunity. Based on these observations, we formulate the hypothesis that self-superantigen-reactive T cells are not involved in the development of autoimmune diseases. 相似文献
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Incidence and Predictors of Pacemaker Implantation in Patients Undergoing Transcatheter Aortic Valve Replacement 下载免费PDF全文
ABHISHEK MAAN M.D. MARWAN M. REFAAT M.D. EDWIN KEVIN HEIST M.D. Ph.D. JONATHAN PASSERI M.D. IGNACIO INGLESSIS M.D. LEON PTASZEK M.D. Ph.D. GUS VLAHAKES M.D. JEREMY N. RUSKIN M.D. IGOR PALACIOS M.D. THORALF SUNDT M.D. MOUSSA MANSOUR M.D. 《Pacing and clinical electrophysiology : PACE》2015,38(7):878-886
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IGNACIO GARCÍA-BOLAO RAFAEL TEIJEIRA INÉS DÍAZ-DORRONSORO 《Pacing and clinical electrophysiology : PACE》2001,24(6):1036-1037
Perforation of the right ventricle during placement of pacing electrodes is a well-documented complication. Most of these perforations occur intraoperatively and rarely cause symptoms. This case report describes a fatal cardiac perforation that occurred 10 days after implantation of a permanent cardiac pacemaker. This complication should be considered as one of the potential mechanisms responsible for the high rate of sudden death observed in paced patients during the first year after pacemaker implantation. 相似文献
7.
MARCELO SANMARTÍN FERNÁNDEZ LUIS ALONSO PULPÓN JUAN FRANCISCO OTEO CARMEN EXPÓSITO PINEDA ELENA ESPAÑA BARRIO IGNACIO FERNANDEZ LOZANO LORENZO SILVA MELCHOR SANTIAGO SERRANO FIZ MANUEL de ARTAZA ANDRADE 《Pacing and clinical electrophysiology : PACE》1996,19(10):1522-1523
Permanent pacemaker implantation is required in a large number of transplantation patients principally because of sinus node dysfunction of the donor atrium. The most suitable mode of pacing in these cases is still subject to controversy. We describe one case of a single lead system of VDD stimulation and sensing of the recipient atrial signal in a 32-year-old patient with posttransplant symptomatic sinus node dysfunction. Physiological adaptation of rate was achieved with recovery of normal receptor sinus node function. (PACE 1996; 19:1522–1523). 相似文献
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SANDRA IVETH MENDOZA-IBARRA GUILLERMO IGNACIO PEREZ-PEREZ FRANCISCO JAVIER BOSQUES-PADILLA MARTHA URQUIDI-RIVERA ZULMA RODRÍGUEZ-ESQUIVEL ELVIRA GARZA-GONZÁLEZ 《Pediatrics international》2007,49(6):869-874
BACKGROUND: The presence of Helicobacter pylori in pediatric population has been associated with recurrent abdominal pain (RAP), although this association is unclear. One of the major problems in studying the role of H. pylori in RAP is that methods used to detect the bacteria in children have poor sensitivity and specificity. The aims of the present study were to determine the prevalence of H. pylori in pediatric patients with RAP in northeastern Mexico and to assess the diagnostic utility of invasive tests and serology in this population. METHODS: A total of 40 patients (mean age, 7.9 years; range 2-16 years; F: M, 0.81), who underwent an endoscopy procedure for RAP, were studied. The presence of H. pylori was assessed using invasive diagnostic tests (culture, rapid urease test, polymerase chain reaction and histology) and one non-invasive test: determination of IgG antibodies. The prevalence of H. pylori in the present group and the diagnostic utility for each test were evaluated. RESULTS: The prevalence of H. pylori in the present pediatric group with RAP was 12.5-42.5% depending on the criteria of positivity used. The non-invasive methods (serology) had acceptable values in sensitivity and specificity in comparison with invasive tests. CONCLUSIONS: This is the first report on prevalence of H. pylori in pediatric patients with RAP from the northeastern region of Mexico. The prevalence of H. pylori was low compared with the adult population in the same geographic region. Serology had the best diagnostic utility. 相似文献
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