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View article: Ventricular tachycardia ablation under general anesthesia is strongly associated with severe systemic hypotension events: role of non-invasive continue hemodynamic monitoring
Ventricular tachycardia ablation under general anesthesia is strongly associated with severe systemic hypotension events: role of non-invasive continue hemodynamic monitoring Open
Background Periprocedural hypotension is associated with poor outcomes during non-cardiac general anesthesia (GA)-surgery. Ventricular tachycardia (VT) endo-epi ablation is a long duration electrophysiological procedure usually performed i…
View article: The Diagnostic Yield of Implantable Loop Recorders Stratified by Indication: A “Real-World” Single-Center Experience
The Diagnostic Yield of Implantable Loop Recorders Stratified by Indication: A “Real-World” Single-Center Experience Open
Background/Objectives: Implantable loop recorders (ILRs) are widely used for the diagnosis of unexplained syncope, palpitations, and cryptogenic stroke. While ILRs demonstrate clinical utility, data on their diagnostic yield and value in r…
View article: Ranolazine Unveiled: Rediscovering an Old Solution in a New Light
Ranolazine Unveiled: Rediscovering an Old Solution in a New Light Open
Ranolazine is an anti-anginal medication that has demonstrated antiarrhythmic properties by inhibiting both late sodium and potassium currents. Studies have shown promising results for ranolazine in treating both atrial fibrillation and ve…
View article: A Long Atrial Electromechanical Interval is Associated with Arrhythmic Recurrence after Catheter Ablation: How to Find What Has Been Lost
A Long Atrial Electromechanical Interval is Associated with Arrhythmic Recurrence after Catheter Ablation: How to Find What Has Been Lost Open
Background: Atrial fibrillation (AF) results in electrical and structural remodeling of the atria, which extent is known to be associated with a higher AF recurrence rate after catheter ablation (CA). Recently, a novel echocardiographic pa…
View article: Atrial fibrillation ablation performed under general anesthesia is associated with significantly low arterial blood pressure and higher incidence of hypotensive events
Atrial fibrillation ablation performed under general anesthesia is associated with significantly low arterial blood pressure and higher incidence of hypotensive events Open
Introduction Catheter ablation is a pivotal treatment for atrial fibrillation (AF). When performed under general anesthesia (GA), it may be associated to hypotensive events, with unclear prevalence and prognostic impact. Continuous non-inv…
View article: Predictive machine learning model for mechanical dilatation in transvenous lead extraction procedures
Predictive machine learning model for mechanical dilatation in transvenous lead extraction procedures Open
Background Transvenous lead extraction (TLE) remains a procedure that requires a high level of expertise, with a doubled risk of death and clinical failure when performed in low-volume centers compared to high-volume ones (1). Purpose The …
View article: Clinical validation of a novel digital twin framework for ventricular functional substrate simulation in post-infarction patients
Clinical validation of a novel digital twin framework for ventricular functional substrate simulation in post-infarction patients Open
Background Catheter ablation is a cornerstone treatment for scar related post-infarction ventricular arrhythmias. Functional substrate driven ablation strategies guided by local activation time (LAT) mapping have been proven as efficient a…
View article: Lock Protocol : a new robust workflow for a very high first pass pulmonary vein isolation during atrial fibrillation ablation
Lock Protocol : a new robust workflow for a very high first pass pulmonary vein isolation during atrial fibrillation ablation Open
Introduction Pulmonary vein isolation (PVI) is the gold standard for atrial fibrillation (AF) ablation. First pass PVI is often demanding when a raw geometry reconstruction is used in combination with an inaccurate automarks annotation, ac…
View article: TIMES, ARE THEY A–CHANGING? IMPLANTATION AND FOLLOW–UP EXPERIENCE WITH LEADLESS PACEMAKERS (MICRA) AT PISA UNIVERSITY HOSPITAL
TIMES, ARE THEY A–CHANGING? IMPLANTATION AND FOLLOW–UP EXPERIENCE WITH LEADLESS PACEMAKERS (MICRA) AT PISA UNIVERSITY HOSPITAL Open
Background Leadless pacing represents a pivotal advancement in cardiac stimulation. Eliminating traditional pacing leads, leadless devices offer reduced complications, a bailout strategy for many previously challenging cases and streamline…
View article: PREDICTIVE MACHINE LEARNING MODEL FOR MECHANICAL DILATATION IN TRANSVENOUS LEAD EXTRACTION PROCEDURES
PREDICTIVE MACHINE LEARNING MODEL FOR MECHANICAL DILATATION IN TRANSVENOUS LEAD EXTRACTION PROCEDURES Open
Background Transvenous lead extraction (TLE) remains a procedure that requires a high level of expertise, with a doubled risk of death and clinical failure when performed in low–volume centers compared to high–volume ones. PURPOSE The aim …
View article: Lipomatous metaplasia is the best CT predictor for conducting channel localization in scar-related ventricular tachycardia ablation
Lipomatous metaplasia is the best CT predictor for conducting channel localization in scar-related ventricular tachycardia ablation Open
Introduction Recent evidence has shown that intramyocardial lipomatous metaplasia (LM) can be directly identified with cardiac computer tomography (CT) and plays a significant role in ventricular arrhythmogenesis and facilitation in struct…
View article: Short and Long-Term Outcomes of Lesion Index-Guided High-Power Short-Duration Approach for Atrial Fibrillation Ablation
Short and Long-Term Outcomes of Lesion Index-Guided High-Power Short-Duration Approach for Atrial Fibrillation Ablation Open
High-power short-duration (HPSD) ablation is an increasingly used ablation strategy for pulmonary vein isolation (PVI) procedures, but Lesion Index (LSI)-guided HPSD radiofrequency (RF) applications have not been described in this clinical…
View article: The role of atrial electro-mechanical coupling as predictor of catheter ablation efficiency: EPs and clinicians working together
The role of atrial electro-mechanical coupling as predictor of catheter ablation efficiency: EPs and clinicians working together Open
Funding Acknowledgements Type of funding sources: None. Background Atrial fibrillation (AF) results in electrical and structural remodeling of the atria, and the extent of remodeling has already been found to be associated with higher AF r…
View article: Ventricular tachycardia site of origin prediction by a QRS axis-based algorithm confirmed by heterogenous tissue channel localization obtained from artificial-intelligence-powered CMR analysis
Ventricular tachycardia site of origin prediction by a QRS axis-based algorithm confirmed by heterogenous tissue channel localization obtained from artificial-intelligence-powered CMR analysis Open
Funding Acknowledgements Type of funding sources: None. Introduction A previously validated algorithm allows to accurately identify ventricular tachycardia (VT) exit site in a 17-segments American Heart Association left ventricle model in …
View article: Noninvasive continuous arterial pressure monitoring shortens atrial fibrillation ablation procedural duration
Noninvasive continuous arterial pressure monitoring shortens atrial fibrillation ablation procedural duration Open
Funding Acknowledgements Type of funding sources: None. Introduction Transcatheter atrial fibrillation (AF) ablation is in most centres commonly carried out with continuous invasive radial arterial blood pressure (BP) monitoring. Novel dev…
View article: Atrial fibrillation detection using the ECG signal in the left in ear region: validation study on patients electively admitted for DC cardioversion
Atrial fibrillation detection using the ECG signal in the left in ear region: validation study on patients electively admitted for DC cardioversion Open
Funding Acknowledgements Type of funding sources: None. Early detection of atrial fibrillation is a major opportunity for mobile health, as portable devices nowadays available can detect multiple-lead electrocardiogram (ECG). The study aim…
View article: Incremental value of continuous non-invasive blood pressure control to assess hypotension during atrial fibrillation ablation
Incremental value of continuous non-invasive blood pressure control to assess hypotension during atrial fibrillation ablation Open
Funding Acknowledgements Type of funding sources: None. Introduction Atrial Fibrillation (AF) ablation is associated with continuous blood pressure (BP) variations related to anesthesiological regimen and energy delivery. Conventional BP m…
View article: Feasibility and outcomes of Micra implant after cardiac implantable electronic device extraction
Feasibility and outcomes of Micra implant after cardiac implantable electronic device extraction Open
Funding Acknowledgements Type of funding sources: None. Background The specific and well-known design features of leadless pacing system (Micra Transcatheter Pacing System, M-TPS) have suggested his use in patients that previously underwen…
View article: Leadless pacing in the elderly: exit strategy or valid alternative?
Leadless pacing in the elderly: exit strategy or valid alternative? Open
Funding Acknowledgements Type of funding sources: None. Background The need for cardiac pacing progressively increases with age and the elderly constitute a special subset of patients, being often very fragile and at a greater risk for pro…
View article: Transcatheter pacing system implant: is it a matter of gender?
Transcatheter pacing system implant: is it a matter of gender? Open
Funding Acknowledgements Type of funding sources: None. Background the leadless pacing system, like Micra Transcatheter Pacing System (M-TPS) is precisely designed to reduce peri- and post-procedural complications, like pneumothorax, lead …
View article: P447 TRANSCATHETER PACING SYSTEM IMPLANT: IS IT A MATTER OF GENDER?
P447 TRANSCATHETER PACING SYSTEM IMPLANT: IS IT A MATTER OF GENDER? Open
Background The use of a leadless pacing system, like Micra Transcatheter Pacing System (M–TPS), is nowadays a convincing alternative to transvenous pacemaker. PURPOSE: The study aimed to investigate feasibility and long–term electrical out…
View article: P255 A GOOD PERSPECTIVE NEEDS TWO POINT OF VIEW: TRANSVENOUS CRT–D LEAD EXTRACTION COMPLICATED BY INTRAOSSEUS COURSE OF THE CORONARY SINUS LEAD
P255 A GOOD PERSPECTIVE NEEDS TWO POINT OF VIEW: TRANSVENOUS CRT–D LEAD EXTRACTION COMPLICATED BY INTRAOSSEUS COURSE OF THE CORONARY SINUS LEAD Open
A 66 year old woman with dilated cardiomyopathy, carrier of CRT–D device in secondary prevention since 2013 and a mitralic mechanical prosthesis, suffered of CIED infection, confirmed by PET imaging exam. She was scheduled in our Hospital …
View article: Feasibility and Accuracy of Noninvasive Continuous Arterial Pressure Monitoring during Transcatheter Atrial Fibrillation Ablation
Feasibility and Accuracy of Noninvasive Continuous Arterial Pressure Monitoring during Transcatheter Atrial Fibrillation Ablation Open
Introduction: Transcatheter atrial fibrillation (AF) ablation is still carried out with continuous invasive radial arterial blood pressure (IBP) monitoring in many centers. Continuous noninvasive blood pressure (CNBP) measurement using the…
View article: Never too old for something new: feasibility and long-term outcomes of leadless pacemaker implant in the elderly
Never too old for something new: feasibility and long-term outcomes of leadless pacemaker implant in the elderly Open
Funding Acknowledgements Type of funding sources: None. Elderly patients may be at great risk of complications and present a higher incidence of comorbidities which make challenging PM implant procedure. The use of leadless pacing systems …
View article: ELECTRa Registry Outcome Score (EROS): validation in a single center population
ELECTRa Registry Outcome Score (EROS): validation in a single center population Open
Funding Acknowledgements Type of funding sources: None. Introduction The ELECTRa Registry Outcome Score (EROS) was developed to identify patients at increased transvenous lead extraction (TLE) risk Purpose Aim of the study is to explore th…
View article: The in-ear region as a novel anatomical site for ecg signal detection: validation study on patients affected by atrial tachyarrhythmias
The in-ear region as a novel anatomical site for ecg signal detection: validation study on patients affected by atrial tachyarrhythmias Open
Funding Acknowledgements Type of funding sources: None. Purpose Early detection of cardiac arrhythmias is a major opportunity for mobile health, as portable devices nowadays available can detect multiple-lead electrocardiogram (ECG). The s…