Publications by authors named "Xie Hai-Yang"

Article Synopsis
  • Background
  • : Para-Hisian accessory pathways are tricky to ablate due to their close location to the heart's electrical conduction system.
  • Methods and Results
  • : In a study with 30 patients, most procedures used a superior approach from the superior vena cava, successfully eliminating the pathways in 93.3% of cases, while others required an additional approach.
  • Conclusion
  • : Using a direct approach from the superior vena cava for catheter ablation is safe, effective, and particularly beneficial for patients who didn't have success with the inferior vena cava method.
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Background: Pulmonary vein isolation (PVI) alone for persistent atrial fibrillation (PersAF) remains controversial. The characteristics of cryoballoon ablation (CBA) to treat PersAF and the blanking period recurrence are underreported.

Methods: This study retrospectively analyzed patients with PersAF undergoing second-generation CBA for de novo PVI.

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Atrial appendage tachycardia (AAT) originating from the atrial appendage (AA) is extremely difficult to eliminate using radiofrequency catheter ablation (RFCA). The optimal management strategy for AAT refractory to RFCA remains unclear. This study aims to investigate the long-term result of ablative therapy and the optimal alternative management for AAT refractory to RFCA.

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Background: Remote ischemic perconditioning (RIPerC) has been demonstrated to protect grafts from hepatic ischemia-reperfusion injury (IRI). This study investigated the role of exosomes in RIPerC of liver grafts in rats.

Methods: Twenty-five rats (including 10 donors) were randomly divided into five groups (n = 5 each group): five rats were used as sham-operated controls (Sham), ten rats were for orthotopic liver transplantation (OLT, 5 donors and 5 recipients) and ten rats were for OLT + RIPerC (5 donors and 5 recipients).

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Background: This study describes the electrophysiologic characteristics of the para-hisian accessory pathway (AP), the outcome of different ablation approaches, and ablation safety at different sites.

Method: A total of 120 patients diagnosed as para-hisian AP were included in this study. The electrophysiologic characteristics and outcomes at different ablation sites were analyzed.

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To compare the procedural outcomes of cryoballoon ablation (CBA) and radiofrequency ablation (RFA) in atrial fibrillation (AF) patients with the common ostium of inferior pulmonary veins (COIPV) and to explore the effect of COIPV on CBA performance through the assessment of anatomical factors. A total of 18 AF patients with COIPV were included. Pulmonary vein isolation (PVI) was performed with second-generation CBA or RFA.

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The predictability and long-term outcome of the discrete pre-potential (DPP) of idiopathic ventricular arrhythmias (VAs) arising from the aortic sinuses of Valsalva (ASV) have not been fully identified. Of 687 consecutive patients undergoing ablation of outflow tract VAs, there were 105 (15.3%) patients with VAs originating from the ASV region who were included.

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The aim was to describe the incidence of atrial fibrillation (AF) after cavotricuspid isthmus (CTI) ablation in patients with typical atrial flutter (AFL) without history of AF and to identify risk factors for new-onset AF after the procedure. A total of 191 patients with typical AFL undergoing successful CTI ablation were enrolled. Patients who had history of AF, structural heart disease, cardiac surgery, or ablation or who received antiarrhythmic drug after procedure were excluded.

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Common ostium of inferior pulmonary veins (COIPV) is a kind of pulmonary vein variation. The safety and efficacy of COIPV isolation using the second-generation cryoballoon (CB) ablation remain unknown. A total of 10 patients with COIPV from a consecutive series of 1,751 patients with atrial fibrillation (AF) were included.

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Article Synopsis
  • Researchers studied ways to find a special area called the conduction gap (CG) in a part of the heart called the left superior pulmonary vein during a procedure to treat a heart problem known as atrial fibrillation.
  • They discovered that a specific time difference between two electrical signals in the heart, called far-field atrial potential (FFP) and pulmonary vein potential (PVP), could help locate the CG.
  • The results showed that if this time difference is less than 5 milliseconds, it strongly predicts where the CG is, making it a reliable tool for doctors during treatment.
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Background: Nonalcoholic fatty liver disease and its advanced stage, nonalcoholic steatohepatitis (NASH), are the major cause of hepatocellular carcinoma (HCC) and other end-stage liver disease. However, the potential mechanism and therapeutic strategies have not been clarified. This study aimed to identify potential roles of miRNA/mRNA axis in the pathogenesis and drug combinations in the treatment of NASH.

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Background: Cancer-testis genes can serve as prognostic biomarkers and valuable targets for immunotherapy in multiple tumors because of their restricted expression in testis and cancer. However, their expression pattern in hepatocellular carcinoma is still not well understood. The purpose is to comprehensively characterize the cancer-testis gene expression in hepatocellular carcinoma as well as identify prognostic markers and potential targets for immunotherapy.

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Article Synopsis
  • Scientists are trying to find better treatments for a liver cancer called hepatocellular carcinoma (HCC) because existing medicine, sorafenib, isn't working well for everyone.
  • A new drug called delanzomib showed promising results in killing HCC cells, even those that are resistant to sorafenib, by stopping them from growing and causing them to die.
  • In tests with mice, delanzomib shrank tumors significantly without causing much harm to the mice, suggesting it could be a strong candidate for treating advanced liver cancer in people.
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Background: The downstaging of hepatocellular carcinoma (HCC) has been confirmed to benefit liver transplantation (LT) patients whose tumors are beyond the transplantation criteria. Milan criteria (MC), a tumor size and number-based assessment, is currently used as the endpoint in these patients. However, many studies believe that tumor biological behavior should be added to the evaluation criteria for downstaging efficacy.

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Background: The safety and efficacy of superior vena cava (SVC) isolation using second-generation cryoballoon (CB) ablation remain unknown.

Methods: A total of 26 (3.2%) patients with SVC-related paroxysmal atrial fibrillation (AF) from a consecutive series of 806 patients who underwent second-generation CB were included.

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Article Synopsis
  • * HUVEC-CM significantly enhances the invasion and migration of liver cancer cells (Bel-7402 and MHCC-LM3) through the activation of the integrins/FAK signaling pathway and up-regulation of MMP-3, though traditional epithelial-mesenchymal transition (EMT) is not involved.
  • * While HUVEC-CM promotes apoptosis in certain liver cancer cell lines and modifies cell cycle phases, it does
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Background: Liver cirrhosis results from many forms of chronic damage, characterized by accumulation of extracellular matrix. The present study aimed to explore a potential non-invasive biomarker and its mechanism in the progression of liver cirrhosis.

Methods: Gene Expression Omnibus (GEO) dataset (GSE15654, n = 216) was analyzed to screen genes associated with progression of liver cirrhosis.

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Article Synopsis
  • - The study investigates how MRC-5 cancer-associated fibroblasts influence cancer stem cell (CSC) markers and inflammation-related molecules in liver cancer cell lines, with some cells showing increased CSC characteristics when exposed to MRC-5 conditioned medium (CM).
  • - Flow cytometry results indicated varying levels of CSC marker CD90 and inflammation markers like Toll-like receptors (TLR1 and TLR4) among different liver cancer cell lines when cultured in MRC-5 CM compared to normal medium.
  • - Western blot analysis showed mixed regulation of key stem cell-related proteins (like Nanog and POU5F1) across different cell lines, indicating potential complexities in how these fibroblasts affect cancer biology and inflammation. *
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Background: The safety and efficacy of superior vena cava (SVC) isolation (SVCI) using second-generation cryoballoon (CB) ablation remains unknown.

Methods: Electrical isolation of SVC was attempted using the second-generation CB ablation catheter in 14 canines. Ablation duration was randomized to either 90 s (7 canines) or 120 s (7 canines).

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Background: Retinoblastoma binding protein 4 (RBBP4) plays an essential role in the development of multiple cancers. However, its relationship with prognosis in colon cancer and colon cancer hepatic metastasis has not been elucidated. The aim of this study was to explore the relationship between RBBP4 expression and prognosis of colon cancer patients and to evaluate RBBP4 as a new prognostic marker in these patients.

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