Publications by authors named "Jan-Hendrik Schipper"

Aims: Subcutaneous implantable cardioverter-defibrillators (S-ICDs) have become established in preventing sudden cardiac death, with some advantages over transvenous defibrillator systems, including a lower incidence of lead failures. Despite technological advancements, S-ICD carriers may suffer from significant complications, such as premature battery depletion (PBD), that led to an advisory for nearly 40 000 patients. This multicentre study evaluated the incidence of PBD in a large set of S-ICD patients.

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Aims: Subcutaneous implantable cardioverter-defibrillators (S-ICDs) offer potentially distinct advantages over transvenous defibrillator systems. Recent randomized trials showed significantly lower lead failure rates than transvenous ICD. Still, S-ICDs remain associated with the risk of inappropriate shocks (IAS).

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Background: The cryoballoon (CB) has become a standard tool for pulmonary vein isolation (PVI), but the technology is limited in certain ways. A novel RF-balloon (Heliostar™, Biosense Webster, CA, USA) promises the advantages of a balloon technology in combination with 3D mapping.

Methods: To assess procedural data and outcome, all patients undergoing RF-balloon PVI were included and compared with data from consecutive patients undergoing CB PVI for paroxysmal AF.

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Aims: The optimal ablation strategy for recurrent persistent atrial fibrillation (persAF) after initially successful catheter ablation (CA) remains debatable. Dipole density (DD) guided CA using the AcQMap system has been proven to be feasible and effective in patients with persAF. So far, long-term outcome data for DD-guided CA in patients with recurrence of persAF are sparse.

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Background: The newly introduced nonthermal pulsed field ablation (PFA) is a promising technology to achieve fast pulmonary vein isolation (PVI) with high acute success rates and good safety features. However, previous studies have shown that very high power short duration ablation (VHPSD) is also highly effective and fast to achieve PVI with potentially less arrhythmia recurrence compared to conventional radiofrequency ablation. Data comparing PFA to VHPSD-PVI is lacking.

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Article Synopsis
  • A new standard operating procedure (SOP) was developed to identify patients who could skip preprocedural transoesophageal echocardiography (TEE) screening for left atrial thrombi before atrial fibrillation (AF) ablation, aiming to reduce patient risks and discomfort.
  • A study analyzed data from 1,874 patients treated between 2018 and 2022, comparing a group following the new SOP against a matched group that underwent TEE before every procedure.
  • The implementation of the new SOP resulted in a 67% reduction in the number of TEEs performed, with no significant increase in risks of cerebrovascular events, indicating the approach is safe and effective.
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Introduction: Pulmonary vein isolation (PVI) remains the cornerstone in the treatment of atrial fibrillation (AF). PVI using cryoballoon (CB) technology has emerged as a standard procedure in many centers. Recently, pulsed field ablation (PFA) has been introduced and used to achieve PVI.

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Article Synopsis
  • * A total of 188 patients from two German centers were followed between 2016 and 2019, with regular checks on the TPS system for performance and issues during a follow-up period averaging around 2 years.
  • * Results showed stable performance of the pacing system with no infections or device failures reported, and while the demand for right ventricular pacing increased over time, the battery life remained consistent with expectations.
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Background: Omnipolar mapping (OT) is a novel tool to acquire omnipolar signals for electro-anatomical mapping, displaying true voltage and real-time wavefront direction and speed independent of catheter orientation. The aim was to analyze previously performed left atrial (LA) and left ventricular (LV) maps for differences using automated OT vs. standard bipolar settings (SD) and HD wave (HDW) algorithm.

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Article Synopsis
  • - The study aimed to compare the effectiveness and procedural differences between high RF-power short-duration (HPSD) ablation and cryoballoon (CB) ablation for pulmonary vein isolation (PVI) in patients with paroxysmal atrial fibrillation (PAF) and persistent atrial fibrillation (persAF).
  • - A total of 721 patients were analyzed, showing that both HPSD and CB successfully achieved PVI, but HPSD procedures took significantly longer than CB procedures without major complications noted in either group.
  • - Follow-up results indicated that HPSD provided a similar rate of arrhythmia-free survival compared to CB, and while CB procedures were quicker, both methods showed low complication rates, warranting
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Objective: Periinterventional stroke is one of the most feared potential complication, among patients treated with transcatheter aortic valve implantation (TAVI). The purpose of this review was to investigate the incidence of cerebrovascular events and the influence of postinterventional neurologic check-up in patients undergoing TAVI.

Methods: A systematic review and meta-analysis were conducted according to the PRISMA guideline.

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Aims: This study sought to investigate current anticoagulatory treatment patterns and clinical outcome in patients undergoing transcatheter mitral valve repair (MitraClip).

Methods And Results: In a retrospective study of a German claims database (InGef research database), anticoagulatory treatment regimens were assessed using any drug prescription post discharge within the first 90 days after MitraClip procedure. Clinical events between 30 days and 6 months were examined by treatment regime.

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