Hyperstable Synthetic Mini-Proteins as Effective Ligand Scaffolds.

Small, single-domain protein scaffolds are compelling sources of molecular binding ligands with the potential for efficient physiological transport, modularity, and manufacturing. Yet, mini-proteins require a balance between biophysical robustness and diversity to enable new functions. We tested the developability and evolvability of millions of variants of 43 designed libraries of synthetic 40-amino acid βαββ proteins with diversified sheet, loop, or helix paratopes.

Ventricular tachycardia in nonpostoperative pediatric patients: role of radiofrequency catheter ablation.

Experience concerning radiofrequency catheter ablation (RFCA) of ventricular tachycardia (VT) in pediatric patients is limited. In adults, success rates vary widely based on the etiology of the VT. Highest success rates have been achieved in patients without structural heart disease.

Catheter tip cooling during radiofrequency ablation of intra-atrial reentry: effects on power, temperature, and impedance.

Introduction: Cooling the catheter tip either passively with increased tip size or actively during radiofrequency catheter ablation (RFCA) has been shown in canine thigh preparations to create larger lesions than standard catheter tips, yielding a theoretical advantage for improving the outcome of RFCA for intra-atrial reentrant tachycardia (IART).

Methods And Results: The pediatric RFCA database at the Medical University of South Carolina was reviewed for RFCA of IART in patients with structural heart disease. From a total of 31 patients who underwent procedures during the study period, 8 patients in whom ablation with conventional ablation techniques failed and who went on to passive cooling with an 8-mm tip catheter or active cooling with an internally cooled-tip catheter were studied.