James McCready
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View article: Clinical findings from a large endo-epicardial atrial arrhythmia ablation registry
Clinical findings from a large endo-epicardial atrial arrhythmia ablation registry Open
Background Despite advances, catheter ablation success rates for persistent AF remain at 50-60%. The approach for recurrent persistent AF, beyond pulmonary vein isolation, remains contentious. Surgical maze procedures have demonstrated sup…
View article: A cost comparison of cryoballoon ablation and pulsed field ablation with a pentaspline catheter: 1 year cost outcomes from the English NHS perspective
A cost comparison of cryoballoon ablation and pulsed field ablation with a pentaspline catheter: 1 year cost outcomes from the English NHS perspective Open
Background Technological advances in atrial fibrillation (AF) ablation have improved procedural safety and patient outcomes over the past two decades. Whist novel technologies may offer the promise of improved outcomes with reduced complic…
View article: Long-term clinical outcomes and cost-effectiveness of catheter vs thoracoscopic surgical ablation in long-standing persistent atrial fibrillation using continuous cardiac monitoring: CASA-AF randomized controlled trial
Long-term clinical outcomes and cost-effectiveness of catheter vs thoracoscopic surgical ablation in long-standing persistent atrial fibrillation using continuous cardiac monitoring: CASA-AF randomized controlled trial Open
In symptomatic LSPAF, CA and SA were equally effective at achieving arrhythmia outcomes (freedom from AF/AT ≥30 seconds and ≥75% burden reduction) after a single procedure without antiarrhythmic drugs. However, SA is significantly more cos…
View article: An Economic Evaluation of a Streamlined Day-Case Atrial Fibrillation Ablation Protocol and Conventional Cryoballoon Ablation versus Antiarrhythmic Drugs in a UK Paroxysmal Atrial Fibrillation Population
An Economic Evaluation of a Streamlined Day-Case Atrial Fibrillation Ablation Protocol and Conventional Cryoballoon Ablation versus Antiarrhythmic Drugs in a UK Paroxysmal Atrial Fibrillation Population Open
The AVATAR streamlined protocol is likely to be a cost-effective option versus both conventional ablation and optimised AAD therapy in the UK NHS healthcare setting.
View article: Automating FDLP eXchange Withdrawal Lists
Automating FDLP eXchange Withdrawal Lists Open
The Penn State University Libraries (University Libraries) is a large academic research library comprising twenty-four locations and thirty campus libraries across the Commonwealth of Pennsylvania. The University Park campus is the main ca…
View article: Recanalization of a Chronic Total Pulmonary Vein Occlusion Occurring after Transcatheter Atrial Fibrillation Ablation
Recanalization of a Chronic Total Pulmonary Vein Occlusion Occurring after Transcatheter Atrial Fibrillation Ablation Open
Pulmonary vein occlusion (PVO) is a known complication of radiofrequency ablation for atrial fibrillation. We present a case with delayed presentation leading to chronic total PVO. Computed Tomography (CT) imaging did not predict the prese…
View article: Ablation versus anti-arrhythmic therapy for reducing all hospital episodes from recurrent atrial fibrillation: a prospective, randomized, multi-centre, open label trial
Ablation versus anti-arrhythmic therapy for reducing all hospital episodes from recurrent atrial fibrillation: a prospective, randomized, multi-centre, open label trial Open
Aims There is rising healthcare utilization related to the increasing incidence and prevalence of atrial fibrillation (AF) worldwide. Simplifying therapy and reducing hospital episodes would be a valuable development. The efficacy of a str…
View article: Thoracoscopic surgical ablation versus catheter ablation as first-line treatment for long-standing persistent atrial fibrillation: the CASA-AF RCT
Thoracoscopic surgical ablation versus catheter ablation as first-line treatment for long-standing persistent atrial fibrillation: the CASA-AF RCT Open
Background Standalone thoracoscopic surgical ablation may be more effective than catheter ablation in patients with long-standing persistent atrial fibrillation. Objectives To determine whether or not surgical ablation is clinically superi…
View article: Comparison of geographic workflow preferences with real-time dynamic regional mapping data during catheter ablation
Comparison of geographic workflow preferences with real-time dynamic regional mapping data during catheter ablation Open
Funding Acknowledgements Type of funding sources: None. Introduction The clinical benefit of multielectrode high-density (HD) mapping during catheter ablation has been an area of active research. One advantage of HD mapping is improved sen…
View article: Workflows and clinical utilization of dynamic mapping data in radiofrequency catheter ablation of cardiac arrhythmias
Workflows and clinical utilization of dynamic mapping data in radiofrequency catheter ablation of cardiac arrhythmias Open
Funding Acknowledgements Type of funding sources: None. Introduction Previous publications suggest that the use of high-density (HD) mapping leads to better substrate visualization and may lead to improved procedural outcomes. A novel dyna…
View article: Epicardial fat pad within the transverse sinus mimicking a left atrial appendage thrombus
Epicardial fat pad within the transverse sinus mimicking a left atrial appendage thrombus Open
The presence of left atrial thrombus is a contraindication to cardioversion or catheter ablation in patients with atrial fibrillation, due to the increased risk of systemic thromboembolism. Management of this situation includes changes in …
View article: Catheter ablation vs. thoracoscopic surgical ablation in long-standing persistent atrial fibrillation: CASA-AF randomized controlled trial
Catheter ablation vs. thoracoscopic surgical ablation in long-standing persistent atrial fibrillation: CASA-AF randomized controlled trial Open
Aims Long-standing persistent atrial fibrillation (LSPAF) is challenging to treat with suboptimal catheter ablation (CA) outcomes. Thoracoscopic surgical ablation (SA) has shown promising efficacy in atrial fibrillation (AF). This multicen…
View article: 216-34: Cryoablation without pulmonary vein mapping in paroxysmal atrial fibrillation: a comparison with a standard approach
216-34: Cryoablation without pulmonary vein mapping in paroxysmal atrial fibrillation: a comparison with a standard approach Open
Purpose: Cryoablation is an effective technique for pulmonary vein isolation (PVI) in treatment for paroxysmal AF (PAF). The Artic Front Advance is the second generation device with high rates of acute and chronic success. Rates of acute P…