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Stereotactic Cardiac Radiotherapy for Refractory Ventricular Tachycardia in Structural Heart Disease Patients: A Systematic Review.
Europace
December 2024
Department of Cardiovascular Medicine, The University of Kansas Medical Center, Kansas City, Kansas.
Background: Among patients with structural heart disease with ventricular tachycardia (VT) refractory to medical therapy and catheter ablation, cardiac stereotactic body radiotherapy (SBRT) is a paradigm-changing treatment option.
Aims: To assess the efficacy of cardiac SBRT in refractory VT by comparing the rates of VT episodes, anti-tachycardia pacing (ATP) therapies, and implantable cardioverter-defibrillator (ICD) shocks post-SBRT with pre-SBRT.
Methods: We performed a comprehensive literature search and included all clinical studies reporting outcomes on cardiac SBRT for VT.
Contemporary use of fibrinolytics in the management of pediatric empyema.
Pediatr Surg Int
November 2024
Department of Surgery, Children's Mercy Hospital, 2401, Gillham Road, Kansas City, MO, 64108, USA.
Background: This study seeks to investigate the contemporary use and effectiveness of fibrinolysis as a first-line option in pediatric empyema.
Methods: The Pediatric Health Information System (PHIS) was queried to identify patients with empyema without fistula (2018-2023). First-line treatments were chest drainage (CD), chest drainage with fibrinolysis (CDF), and video-assisted thoracoscopic surgery/open decortication (VATS/OD).
Anastomotic Leak and its Implications: A Multicenter Analysis of "Type C" Esophageal Atresia / Tracheo-esophageal fistula (EA/TEF).
J Pediatr Surg
October 2024
Department of Surgery, Nemours Children's Hospital-DE, Wilmington, DE, USA.
Article Synopsis
- The study investigates the risk factors for esophageal anastomotic leak and its effect on hospital length of stay (LOS) in infants who underwent repair of type C esophageal atresia with tracheo-esophageal fistula (EA/TEF) using data from the Children's Hospitals Neonatal Database (CHND) from 2021 to 2023.
- In a sample of 365 infants from 36 centers, 15.1% experienced an anastomotic leak, with factors like thoracoscopic approach, low birth weight, and male sex being significantly associated with this outcome.
- The presence of a leak was linked to a longer hospital stay, emphasizing the need to identify best
Pulmonary Artery Injury Following Endocardial Left Atrial Appendage Occlusion: The Known and Unknown.
JACC Clin Electrophysiol
December 2024
Kansas City Heart Rhythm Institute, Overland Park, Kansas, USA. Electronic address:
Article Synopsis
- Left atrial appendage closure (LAAC) is used as an alternative stroke prevention method for patients who cannot take blood thinners, but pulmonary artery injury (PAI) is a rare and serious complication associated with it.
- A review of previous PAI cases and data from the FDA's MAUDE database identified 36 cases, predominantly involving older patients, and highlighted that PAI often presents soon after the procedure, with a significant percentage requiring surgery.
- The study emphasizes the need for heightened awareness of PAI symptoms post-LAAC, especially concerning rapid fluid accumulation around the heart, even without clear predictive signs from imaging or clinical details.
Surveillance of esophageal injury after atrial fibrillation catheter ablation.
J Interv Card Electrophysiol
October 2024
University of São Paulo Medical School, Dr. Enéas de Carvalho Aguiar, 44, São Paulo, Brazil.
Aims: Atrial-esophageal fistula following ablation procedures for atrial fibrillation (AF) remains a major concern. There is no standardized approach to minimize the risk and morbidity of this serious complication. The objective of this study was to present the 7-year experience of systematic endoscopic surveillance of esophageal injury after AF catheter ablation.
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