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Catheter replacement combined with antiplatelet therapy in hemodialysis catheter-related right atrial thrombus: a potential treatment approach.
BMC Cardiovasc Disord
January 2025
General Practice Ward/International Medical Center Ward, General Practice Medical Center, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, 610041, China.
Background: Catheter-related right atrial thrombus (CRAT) is a severe complication in hemodialysis patients that can lead to catheter dysfunction and pulmonary embolism (PE). However, no standardized treatment strategy currently exists for hemodialysis-related CRAT. This study aims to investigate the efficacy of catheter replacement and antiplatelet therapy in managing hemodialysis CRAT.
View Article and Find Full Text PDFDelayed Diagnosis of Disseminated Invasive Aspergillosis with Purulent Myocarditis in an Immunocompromised Host.
Infect Dis Rep
November 2024
Department of Internal Medicine and Infectious Diseases, University Medical Center Groningen, University of Groningen, 9713 GZ Groningen, The Netherlands.
Invasive aspergillosis (IA) is an opportunistic fungal infection that typically occurs in the immunocompromised host and is associated with severe morbidity and mortality. Myocardial abscess formation is seldomly described. We present a case of IA with purulent myocarditis.
View Article and Find Full Text PDFA new stepwise approach to minimize phrenic nerve injury during cryoballoon pulmonary vein isolation.
J Interv Card Electrophysiol
December 2024
Clinic for Electrophysiology, Herz- und Diabeteszentrum NRW, Ruhr-Universität Bochum, Bad Oeynhausen, Germany.
Background: A phrenic nerve injury (PNI) during cryoballoon (CB) pulmonary vein isolation (PVI) continues to represent a limitation of this technique. The objective of this study was to develop a novel technique with the aim of reducing the incidence of PNI.
Methods: We performed a retrospective analysis of data from two hospitals in patients with symptomatic, drug-resistant atrial fibrillation (AF) over 7 years to evaluate the incidence and clinical characteristics of PNI during cryoballoon PVI.
Transcatheter Aortic Valve Replacement in Patients With Geographic and Socioeconomic Vulnerabilities.
Am Surg
November 2024
School of Medicine and Health Sciences, University of North Dakota, Fargo and Grand Forks, ND, USA.
Background: Transcatheter aortic valve replacement (TAVR) is an established treatment for patients with severe aortic stenosis (AS). It remains unclear whether disparities exist in rural or socially vulnerable populations undergoing TAVR. This study assessed whether outcomes differ based on geographic location or vulnerability of patients undergoing TAVR.
View Article and Find Full Text PDFAnterior Mitral Line Ablation-Induced Complete Heart Block: A Cautionary Case Study.
Am J Case Rep
November 2024
Department of Cardiac Electrophysiology, Georgia Heart Institute, Northeast Georgia Medical Center, Gainesville, GA, USA.
Article Synopsis
- Atrial flutter is a heart condition that can lead to serious health issues, typically treated with medications, while more persistent cases may require ablation, a procedure that can have risks including complete heart block.* -
- A case involving a 73-year-old woman highlighted complications during ablation for atrial flutter when a heart block occurred due to catheter positioning too close to the His bundle—a critical area for heart electrical signals.* -
- The patient recovered quickly after the block but later needed a pacemaker due to severe bradycardia, emphasizing the need for careful catheter placement during ablation to avoid such complications.*
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