Publications by authors named "D Packer"
Background: Power-controlled radiofrequency ablation with irrigated-tip catheters has been the norm for ventricular ablation for almost 2 decades. New catheter technology has recently integrated more accurate tissue temperature sensing enabling temperature-controlled irrigated ablation. We aimed to investigate the in vivo ablation parameters and lesion formation characteristics in ventricular myocardium using a novel temperature-controlled radiofrequency catheter.
View Article and Find Full Text PDFPeople generate evaluations of different attitude objects based on their goals and aspects of the social context. Prior research suggests that people can shift between at least three types of evaluations to judge whether something is good or bad: (how costly or beneficial it is), (whether it is aligned with moral norms), and (whether it feels good; Van Bavel et al., 2012).
View Article and Find Full Text PDFExpert opinion on design and endpoints for studies on catheter ablation of atrial fibrillation.
J Cardiovasc Electrophysiol
November 2024
Article Synopsis
- Catheter ablation for atrial fibrillation (AF) is widely researched, and this expert opinion aims to enhance future studies by applying lessons from past research and promoting consistency in methodologies.
- The effectiveness of these studies can improve with clearly defined endpoints and a thorough understanding of emerging technologies, as well as a need to revisit some current research methods.
- A panel of clinical experts has produced recommendations highlighting essential elements such as documenting clinical details, managing medications during trials, and assessing outcomes to aid in the standardization and quality of AF catheter ablation studies.
Article Synopsis
- 3D intracardiac echocardiography (ICE) is becoming a valuable alternative to transesophageal echocardiography for guiding heart procedures, particularly in structural heart interventions.
- The expert position statement outlines standardized practices for using 3D-ICE, detailing necessary imaging fundamentals, views, and workflows for various procedures like transeptal puncture and device closures.
- Additionally, the paper addresses current challenges, potential future developments, and training needs to ensure that operators are proficient with 3D-ICE, aiming to enhance its safety and effectiveness in clinical settings.
Background: Early recurrence of atrial tachyarrhythmias (ERAT) within 3 months of thermal ablation for atrial fibrillation (AF) is common and often considered transient. Pulsed field ablation (PFA) is a nonthermal energy source in which ERAT is not well described.
Objective: The purpose of this study was to analyze ERAT in patients with AF undergoing PFA in the Pulsed Field Ablation to Irreversibly Electroporate Tissue and Treat AF (PULSED AF) trial.