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Article Title Abstract (Partial) Journal Year PMID SOM Author
The Naissance of Atrial Fibrillation In this paper, we learn about AF in terms of burden, AF progression over time, symptoms during AF, heart rate during AF, and risk factors for AF development. J Am Coll Cardiol 2019 31779792 Glotzer, Taya V.
Inadvertent atrial dissociation following catheter ablation: A demonstration of cardiac anisotropy and functional block. NA HeartRhythm case reports 2019 30997334 Shukla, Gunjan
A match not made in heaven-TAVR prosthesis-patient mismatch with contemporary valves. Prosthesis-patient mismatch (PPM) in TAVR is relatively common Valve oversizing can potentially prevent both paravalvular leak and PPM PPM may be avoidable if the expected Effective Orifice Area/Body Surface Area ratio is considered in decision making pre-TAVR. Catheterization and cardiovascular interventions 2019 30953410

Safi, Lucy M.;

Turi, Zoltan G.

Procedural Volume and Outcomes for Transcatheter Aortic-Valve Replacement. BACKGROUND: During the introduction of transcatheter aortic-valve replacement (TAVR) in the United States, requirements regarding procedural volume were mandated by the Centers for Medicare and Medicaid Services as a condition of reimbursement. A better understanding of the relationship between hospital volume of TAVR procedures and patient outcomes could inform policy decisions. METHODS: We analyzed data from the Transcatheter Valve Therapy Registry regarding procedural volumes and outcomes from 2015 through 2017. The primary analyses examined the association between hospital procedural volume as a continuous variable and risk-adjusted mortality at 30 days after transfemoral TAVR. The New England journal of medicine 2019 30946551 Ruiz, Carlos E.
Role of Atrioventricular Junctional Ablation and Cardiac Resynchronization Therapy in Patients with Chronic Atrial Fibrillation There remains a great deal of uncertainty whether general application of cardiac resynchronization therapy (CRT) to patients with atrial fibrillation (AF) provides any benefit assuming all other eligibility criteria are met. Preliminary observations suggest that performing atrioventricular junction ablation can improve the results of CRT in patients with AF by rendering the patient pacemaker dependent. Ongoing randomized clinical trials may provide more definitive answers in the future. Cardiac Electrophysiology Clinics 2019 30717847 Steinberg, Jonathan S.
The Cacophony of Silent Atrial Fibrillation NA Journal of the American College of Cardiology 2018 29880120 Glotzer, Taya V.
Are We Ready for Transcatheter Pulmonary Valve Replacement in Native Right Ventricular Outflow Tract? NA JACC. Cardiovascular interventions 2018 30077681 Ruiz, Carlos E.
Cannulation of the Femoral Arterial Bypass Cannula Allows Completion of TAVR in Unstable Patients When hemodynamic instability occurs during transcatheter aortic valve replacement peripheral cardiopulmonary bypass is required. The pigtail catheter, initially placed through the femoral artery to direct placement of the valve, is exchanged over a wire for an arterial bypass cannula. Other than time consuming arterial cut-down procedures in hypotensive patients, there are few techniques described to allow the operator to continue bypass and complete TAVR. We describe a method to re-introduce the pigtail catheter via puncturing the arterial bypass cannula. This allows us to support the patient, continue bypass, and successfully place the valve without aborting the procedure. The Annals of Thoracic Surgery 2018 30447190

Sealove, Brett;

Apolito, Renato;

Carson, Michael P.(Internal Medicine)

Long-term clinical outcomes of magnetically navigated rotor ablation as an adjunct to conventional pulmonary vein isolation Aims: The objective of this study is to evaluate the outcomes of magnetically guided ablation of atrial fibrillation (AF) rotors in conjunction with magnetically guided pulmonary vein isolation (PVI) in a large consecutive series of patients. Methods and results: A total of 110 consecutive patients with drug-refractory AF underwent rotor ablation followed by conventional PVI and ablation of other spontaneous arrhythmias, all of which were performed with remote magnetic navigation (RMN). The patients were followed to assess the recurrence of atrial arrhythmia. Patients had a mean age of 62.5 ± 9.9 years, 64.5% had persistent AF, and 36.4% had a prior failed PVI. All patients had mapped rotors (3.9 ± 1.5 per patient), with right atrial (RA) r Europace 2018 29722856

Shukla, Gunjan;

Zimmerman, John

Moving beyond Seldinger, a vascular access and closure smorgasbord, "safe zone" or not This paper describes a quality improvement initiative featuring the adoption of multiple access and closure techniques to assess "real world" outcomes. Although the study does not provide a scientific evidence base, it does highlight the changing platforms being adopted. Radial, micropuncture, and image guided access will hopefully become near universal in the coming decade. Catheterization and Cardiovascular Interventions 2018 29314636 Turi, Zoltan G.
Clip versus suture toe to toe: Perspectives on and beyond the evidence base The evidence that StarClose is associated with a higher complication rate than Perclose is reasonable if less than robust. Closure results are affected by access technique. The rationale for using closure devices in small hole puncture is questionable both from a clinical as well as financial standpoint. Catheterization and Cardiovascular Interventions 2018 29460407 Turi, Zoltan G.
The under-appreciated and still under-investigated consequences of "supersized" access and closure Large bore access and closure of the femoral artery has the potential to cause or accelerate local vascular disease The implications of accelerated disease could be substantial Further investigation is needed to assess the true short- and long-term effects. Catheterization and Cardiovascular Interventions 2018 29634855 Turi, Zoltan G.
The "Very" Long and Short of It: Follow-Up of Balloon Mitral Valvuloplasty in a Select Population NA JACC. Cardiovascular interventions 2018 30077686 Turi, Zoltan G.
Revisiting Femoral vs. Radial access-do vascular closure devices level the playing field? Previous large randomized multicenter trials have shown superiority of radial to femoral access in reducing major bleeding, vascular complications, and in some cohorts, mortality Vascular closure devices improve time to hemostasis and ambulation, as well as patient comfort, but have not been shown to reduce major complications or mortality consistently in the high level evidence base. The combination of optimal femoral access and closure with a vascular closure device has the potential to narrow the gap between the radial and femoral approaches in high risk patients, but unfortunately this study was too limited to confirm either non-inferiority or equivalence. Catheterization and Cardiovascular Interventions 2017 28488412 Turi, Zoltan G.
Ending "poke until you get a gusher": Part II-the evidence based approach to vascular access revisited Puncture above the common femoral bifurcation and below the inguinal ligament is optimal A vast majority of femoral bifurcations occur below the middle third of the femoral head while the inferior epigastric artery rarely descends below the middle third Fluoroscopy or if possible, ultrasound, should be used for femoral access to optimize safe puncture. Catheterization and Cardiovascular Interventions 2017 28612412 Turi, Zoltan G.
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