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Article Synopsis
  • The study examines the effectiveness of different energy sources used in the Cox-maze IV surgical procedure for treating atrial fibrillation (AF), specifically comparing bipolar radio-frequency (BRF), cryoenergy (Cryo), and a combination of both.
  • Results indicate that patients who underwent cryoablation had significantly lower rates of AF recurrence after both 6 months (6.73% for Cryo) and 4 years (6.14% for Cryo) compared to those treated with BRF and the combined method.
  • The findings suggest that cryoablation may lead to better long-term sinus rhythm restoration in patients undergoing AF ablation compared to bipolar radiofrequency ablation alone.
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Background: Management of hypertrophic obstructive cardiomyopathy (HOCM) is often challenging, depending on clinical manifestation. This case report illustrates the complex treatment of HOCM with associated recurrent ventricular arrhythmias.

Case Summary: A 54-year-old female with HOCM diagnosed in 2012 underwent a failed attempt for alcohol septal ablation, implantation of an implantable cardioverter-defibrillator, and repeated radiofrequency ablations (including ablation of the septal bulge to reduce LV obstruction).

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Aims: Oesophageal fistula represents a rare but dreadful complication of atrial fibrillation catheter ablation. Data on its incidence, management, and outcome are sparse.

Methods And Results: This international multicentre registry investigates the characteristics of oesophageal fistulae after treatment of atrial fibrillation by catheter ablation.

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Article Synopsis
  • Cryoballoon ablation (CBA) is a minimally invasive procedure for treating left atrial fibrillation, but it faces challenges like treatment reoccurrences and thermal complications due to uneven thermal distribution.
  • A new computational framework has been developed to simulate CBA effects in patient-specific left atrial geometries, using finite element methods to model blood flow, temperature distribution, and lesion formation.
  • The model successfully predicts factors affecting lesion formation during CBA, showing that cryoballoon temperature and contact area are critical, while variations in blood velocity and mitral regurgitation have minimal impact.
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