Publications by authors named "M Hocini"

Background: Cardioneuroablation (CNA) targets ganglionated plexus (GP) to treat neurally-mediated syncope, yet a standardized GP identification method is lacking. Post-processing of cardiac computed tomography (CT) identifies epicardial fat thus allowing for fat pad identification. While CT-guided CNA's feasibility is documented, data about GP anatomy and comprehensive evaluations of GP targeting methods remain scarce.

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In the last three decades, ablation of atrial fibrillation (AF) has become an evidence-based safe and efficacious treatment for managing the most common cardiac arrhythmia. In 2007, the first joint expert consensus document was issued, guiding healthcare professionals involved in catheter or surgical AF ablation. Mounting research evidence and technological advances have resulted in a rapidly changing landscape in the field of catheter and surgical AF ablation, thus stressing the need for regularly updated versions of this partnership which were issued in 2012 and 2017.

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Article Synopsis
  • The exact causes of common atrial flutter are not fully understood, particularly regarding arrhythmia triggers and the impact of slow-conducting heart tissue.
  • A detailed electrophysiological study was conducted on a patient to investigate how this arrhythmia starts and is maintained, utilizing techniques like electro-anatomical mapping.
  • The study found that common atrial flutter begins with a unidirectional conduction block at the septal cavo-tricuspid isthmus, resulting in a counter-clockwise activation pattern and stabilization near specific heart regions, without any slowing of conduction.
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Article Synopsis
  • Left ventricular assist devices (LVADs) are commonly used to treat advanced heart failure, improving survival but leading to high rates of arrhythmias (20-50%) within a year after implantation.
  • Arrhythmias in these patients increase the risk of complications, such as additional shocks from implantable defibrillators and potential worsening of right ventricular failure, highlighting the need for tailored management strategies.
  • Effective treatment for these arrhythmias may involve specialized approaches like catheter ablation, though unique challenges exist in accessing arrhythmogenic areas after LVAD surgery, making pre-implantation procedures potentially beneficial.
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