Complete Obstruction of Superior Mustard Baffle: Electrosurgical Transcatheter Recanalization-First-in-Human Case Report.

Systemic venous baffle obstruction is a long-term complication that can arise from the Mustard operation. We outline a novel percutaneous approach to a long segment, complete occlusion of a Mustard baffle using electrosurgical recanalization and stenting.

Haemodynamic-guided management of heart failure (GUIDE-HF): a randomised controlled trial.

Background: Previous studies have suggested that haemodynamic-guided management using an implantable pulmonary artery pressure monitor reduces heart failure hospitalisations in patients with moderately symptomatic (New York Heart Association [NYHA] functional class III) chronic heart failure and a hospitalisation in the past year, irrespective of ejection fraction. It is unclear if these benefits extend to patients with mild (NYHA functional class II) or severe (NYHA functional class IV) symptoms of heart failure or to patients with elevated natriuretic peptides without a recent heart failure hospitalisation. This trial was designed to evaluate whether haemodynamic-guided management using remote pulmonary artery pressure monitoring could reduce heart failure events and mortality in patients with heart failure across the spectrum of symptom severity (NYHA funational class II-IV), including those with elevated natriuretic peptides but without a recent heart failure hospitalisation.