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Retrospective review of the development and implementation of a bedside tunneled dialysis catheter program.
J Vasc Access
December 2024
St. Joseph's Regional Medical Center, Paterson, NJ, USA.
Background: The decision to place a subcutaneously tunneled catheter is an infection prevention strategy for long term venous access allowing the proceduralist to access a vein and relocate the catheter exit site to a region on the body where care and maintenance can be safely performed. Subcutaneously tunneled centrally inserted dialysis catheter (ST-CIDC) placement is commonly performed in patients with renal disease and is traditionally performed with fluoroscopy in the interventional radiology suite or the operating theater. However, today's interventional radiologists and surgeons perform advanced invasive procedures that can be time-consuming resulting in delays in the scheduling of elective tunneled catheter placements.
View Article and Find Full Text PDFVentricular premature beats in a pregnant woman originating from trabeculae carneae in the right ventricle treated with radiofrequency ablation without X-ray guidance: a case report.
J Med Case Rep
November 2024
Department of Cardiology, General Hospital of Ningxia Medical University, Yinchuan, 750004, China.
Article Synopsis
- Premature ventricular beats during pregnancy can lead to serious complications like palpitations, reduced placental blood flow, and risks for the fetus, including miscarriage.
- A case study highlights the successful use of radiofrequency catheter ablation on a pregnant woman with a rare focus of these beats, demonstrating both the challenges and positive outcomes of the procedure.
- The use of fluoroscopy-less ablation is beneficial as it minimizes radiation exposure while ensuring a high success rate and safety for pregnant patients.
Left bundle branch area pacing versus endocardial resynchronization in patients with heart failure.
J Cardiovasc Electrophysiol
January 2025
Universidad CES School of Medicine, Medellin, Colombia.
Background: Left bundle branch area pacing (LBBAP) and endocardial resynchronization (Endo-CRT) are alternatives to biventricular pacing for cardiac resynchronization therapy (CRT).
Objective: To compare the outcomes of LBBAP versus Endo-CRT using conventional pacing leads.
Methods: Patients with heart failure (HF) undergoing CRT with LBBAP or Endo-CRT were included.
Cardiac troponin I release after transcatheter closure of atrial septal defects is associated with supraventricular arrhythmias on early follow-up.
Postepy Kardiol Interwencyjnej
September 2024
Department of Cardiac and Vascular Diseases, John Paul II Hospital, Institute of Cardiology, Krakow, Poland.
Introduction: Atrial septal defects (ASD) are prevalent congenital heart anomalies found in the adult population. Percutaneous ASD closure has become a routine clinical practice. Elevation of postprocedural transient cardiac biomarkers and exacerbation of supraventricular arrhythmias have been reported in the subject literature.
View Article and Find Full Text PDFFeasibility, safety, and short-term follow-up of defibrillator lead at left bundle branch area pacing location: A pilot study.
Heart Rhythm
October 2024
Geisinger Heart Institute, Geisinger Commonwealth School of Medicine, Wilkes Barre, Pennsylvania.
Article Synopsis
- Left bundle branch area pacing (LBBAP) shows promise as a safe and effective alternative for cardiac resynchronization therapy (CRT) in patients with implantable cardioverter-defibrillators (ICD).
- A study assessed the feasibility and safety of a traditional defibrillator lead in the LBBAP location, finding a 62.5% acute procedural success rate with some patients needing lead repositioning.
- Follow-up results for an average of 3.8 months indicated stable pacing parameters with no inappropriate arrhythmia detection or therapy issues, supporting LBBAP as a viable option.*
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