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  1. Article: Clostridium perfringens in the spine: A rare cause of post-surgical infection.

    Marroquin-Herrera, Omar / Rosales-Camargo, Santiago Andres / Morales-Sáenz, Luis Carlos / Alvarado-Gomez, Fernando

    Surgical neurology international

    2021  Volume 12, Page(s) 544

    Abstract: Background: Post-surgical infections of the spine occur in from 0% to 18% of cases. Postoperative spine infections due to Clostridium Perfringens (CP) resulting in necrotizing fasciitis are extremely rare. However, since they may be fatal, early and ... ...

    Abstract Background: Post-surgical infections of the spine occur in from 0% to 18% of cases. Postoperative spine infections due to Clostridium Perfringens (CP) resulting in necrotizing fasciitis are extremely rare. However, since they may be fatal, early and definitive treatment is critical.
    Case description a: 62-year-old male with a T8-T9 Type C fracture, in ASIA Grade "E" (neurologically intact) underwent a posterior T6-T10 arthrodesis. However, 2 weeks postoperatively, he developed a postoperative thoracic wound infection; the cultures were positive for CP. As the patient developed necrotizing fasciitis, emergent debridement, negative pressure continued drainage, and initiation of appropriate antibiotic therapy were critical.
    Conclusion: Postoperative spinal infections due to CP with accompanying necrotizing fasciitis are extremely rare. As these infections may be fatal, they must be rapidly diagnosed and treated.
    Language English
    Publishing date 2021-11-02
    Publishing country United States
    Document type Case Reports
    ISSN 2229-5097
    ISSN 2229-5097
    DOI 10.25259/SNI_1039_2021
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Inferior approach instead of standard "pull-down" technique for transseptal puncture in difficult anatomy.

    Arroyo, Alonso / Tejeda, Miguel / Tapias, Carlos / Rodriguez, Diego / Saenz, Luis Carlos

    Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing

    2020  Volume 58, Issue 3, Page(s) 363–364

    MeSH term(s) Cardiac Catheterization ; Catheter Ablation ; Humans ; Punctures
    Keywords covid19
    Language English
    Publishing date 2020-05-12
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 1329179-8
    ISSN 1572-8595 ; 1383-875X
    ISSN (online) 1572-8595
    ISSN 1383-875X
    DOI 10.1007/s10840-020-00750-w
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Transhepatic right vein access for radiofrequency ablation of atrioventricular nodal reentry tachycardia in a patient with infrarenal vena cava agenesis.

    Arroyo, Alonso / Tejeda, Miguel / Montenegro, Juan / Rodriguez, Diego / Saenz, Luis Carlos / Tapias, Carlos

    Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing

    2020  Volume 60, Issue 1, Page(s) 159–160

    MeSH term(s) Arrhythmias, Cardiac ; Catheter Ablation ; Electrocardiography ; Humans ; Radiofrequency Ablation ; Tachycardia, Atrioventricular Nodal Reentry/diagnostic imaging ; Tachycardia, Atrioventricular Nodal Reentry/surgery
    Language English
    Publishing date 2020-07-12
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 1329179-8
    ISSN 1572-8595 ; 1383-875X
    ISSN (online) 1572-8595
    ISSN 1383-875X
    DOI 10.1007/s10840-020-00820-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Acute and Long-Term Scar Characterization of Venous Ethanol Ablation in the Left Ventricular Summit.

    Fuentes Rojas, Stephanie C / Malahfji, Maan / Tavares, Liliana / Patel, Apoor / Schurmann, Paul A / Dave, Amish S / Tapias, Carlos / Rodríguez, Diego / Sáenz, Luis Carlos / Korolev, Sergey / Papiashvili, Giorgi / Peichl, Petr / Kautzner, Josef / Blaszyk, Krzysztof / Malaczynska-Rajpold, Katarzyna / Chen, Tiffany / Santangeli, Pasquale / Shah, Dipan J / Valderrábano, Miguel

    JACC. Clinical electrophysiology

    2022  Volume 9, Issue 1, Page(s) 28–39

    Abstract: Background: Venous ethanol ablation (VEA) can be effective for ventricular arrhythmias from the left ventricular summit (LVS); however, there are concerns about excessive ablation by VEA.: Objectives: The purpose of this study was to delineate and ... ...

    Abstract Background: Venous ethanol ablation (VEA) can be effective for ventricular arrhythmias from the left ventricular summit (LVS); however, there are concerns about excessive ablation by VEA.
    Objectives: The purpose of this study was to delineate and quantify the location, extent, and evolution of ablated tissue after VEA as an intramural ablation technique in the LVS.
    Methods: VEA was performed in 59 patients with LVS ventricular arrhythmias. Targeted intramural veins were selected by electrograms from a 2F octapolar catheter or by guide-wire unipolar signals. Median ethanol delivered was 4 mL (IQR: 4-7 mL). Ablated areas were estimated intraprocedurally as increased echogenicity on intracardiac echocardiography (ICE) and incorporated into 3-dimensional maps. In 44 patients, late gadolinium enhancement cardiac magnetic resonance (CMR) imaged VEA scar and its evolution.
    Results: ICE-demonstrated increased intramural echogenicity (median volume of 2 mL; IQR: 1.7-4.3) at the targeted region of the 3-dimensional maps. Post-ethanol CMR showed intramural scar of 2.5 mL (IQR: 2.1-3.5 mL). Early (within 48 hours after VEA) CMR showed microvascular obstruction (MVO) in 30 of 31 patients. Follow-up CMR after a median of 51 (IQR: 41-170) days showed evolution of MVO to scar. ICE echogenicity and CMR scar volumes correlated with each other and with ethanol volume. Ventricular function and interventricular septum remained intact.
    Conclusions: VEA leads to intramural ablation that can be tracked intraprocedurally by ICE and creates regions of MVO that are chronically replaced by myocardial scar. VEA scar volume does not compromise septal integrity or ventricular function.
    MeSH term(s) Humans ; Cicatrix ; Contrast Media ; Tachycardia, Ventricular/surgery ; Catheter Ablation/methods ; Gadolinium ; Arrhythmias, Cardiac/surgery ; Ventricular Septum
    Chemical Substances Contrast Media ; Gadolinium (AU0V1LM3JT)
    Language English
    Publishing date 2022-10-26
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 2846739-5
    ISSN 2405-5018 ; 2405-500X ; 2405-500X
    ISSN (online) 2405-5018 ; 2405-500X
    ISSN 2405-500X
    DOI 10.1016/j.jacep.2022.08.035
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: A Simple Bone Cyst in Cervical Vertebrae of an Adolescent Patient.

    Boude, Adriana Bruges / Vásquez, Lina González / Alvarado-Gomez, Fernando / Bedoya, María Constanza / Rodríguez-Múnera, Andrés / Morales-Saenz, Luis Carlos

    Case reports in orthopedics

    2017  Volume 2017, Page(s) 8908216

    Abstract: Introduction: Spinal simple bone cysts, also known as solitary cysts, are extremely unusual benign primary bone tumors with few cases reported in the literature.: Case presentation: Incidental Magnetic Resonance Imaging (MRI) finding of a C2 Simple ... ...

    Abstract Introduction: Spinal simple bone cysts, also known as solitary cysts, are extremely unusual benign primary bone tumors with few cases reported in the literature.
    Case presentation: Incidental Magnetic Resonance Imaging (MRI) finding of a C2 Simple bone cyst in a 13-year-old female patient is reported. Complementary studies suggested the benign nature of the lesion. Patient underwent cervical curettage followed by tumor excision. A lateral submandibular approach to the upper cervical spine was used and careful bone resection was possible with a radiofrequency assisted burr and no instrumentation or fixation was required. The stability of the defect was ensured by filling it with bone allograft and by prescribing a postsurgical plastic cervical collar to maintain neck immobilization. Histological examination supported the diagnosis of simple bone cyst. At 6-12-month follow-up the patient presented no recurrence or symptomatology.
    Conclusions: Solitary bone cysts are infrequent entities in the cervical vertebrae and preservation of spine stability without instrumentation to avoid neurological complications is often challenging. In this case, the proximity of the cyst to the right vertebral artery and the risk of injury were high; however the surgical approach used was successful and no recurrence or instability was evidenced on postoperative MRI.
    Language English
    Publishing date 2017-05-28
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2684648-2
    ISSN 2090-6757 ; 2090-6749
    ISSN (online) 2090-6757
    ISSN 2090-6749
    DOI 10.1155/2017/8908216
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: European Heart Rhythm Association (EHRA)/Heart Rhythm Society (HRS)/Asia Pacific Heart Rhythm Society (APHRS)/Latin American Heart Rhythm Society (LAHRS) expert consensus statement on catheter and surgical ablation of atrial fibrillation.

    Tzeis, Stylianos / Gerstenfeld, Edward P / Kalman, Jonathan / Saad, Eduardo / Shamloo, Alireza Sepehri / Andrade, Jason G / Barbhaiya, Chirag R / Baykaner, Tina / Boveda, Serge / Calkins, Hugh / Chan, Ngai-Yin / Chen, Minglong / Chen, Shih-Ann / Dagres, Nikolaos / Damiano, Ralph J / De Potter, Tom / Deisenhofer, Isabel / Derval, Nicolas / Di Biase, Luigi /
    Duytschaever, Mattias / Dyrda, Katia / Hindricks, Gerhard / Hocini, Meleze / Kim, Young-Hoon / la Meir, Mark / Merino, Jose Luis / Michaud, Gregory F / Natale, Andrea / Nault, Isabelle / Nava, Santiago / Nitta, Takashi / O'Neill, Mark / Pak, Hui-Nam / Piccini, Jonathan P / Pürerfellner, Helmut / Reichlin, Tobias / Saenz, Luis Carlos / Sanders, Prashanthan / Schilling, Richard / Schmidt, Boris / Supple, Gregory E / Thomas, Kevin L / Tondo, Claudio / Verma, Atul / Wan, Elaine Y

    Heart rhythm

    2024  

    Language English
    Publishing date 2024-04-05
    Publishing country United States
    Document type Practice Guideline
    ZDB-ID 2229357-7
    ISSN 1556-3871 ; 1547-5271
    ISSN (online) 1556-3871
    ISSN 1547-5271
    DOI 10.1016/j.hrthm.2024.03.017
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: 2024 European Heart Rhythm Association/Heart Rhythm Society/Asia Pacific Heart Rhythm Society/Latin American Heart Rhythm Society expert consensus statement on catheter and surgical ablation of atrial fibrillation.

    Tzeis, Stylianos / Gerstenfeld, Edward P / Kalman, Jonathan / Saad, Eduardo / Shamloo, Alireza Sepehri / Andrade, Jason G / Barbhaiya, Chirag R / Baykaner, Tina / Boveda, Serge / Calkins, Hugh / Chan, Ngai-Yin / Chen, Minglong / Chen, Shih-Ann / Dagres, Nikolaos / Damiano, Ralph J / De Potter, Tom / Deisenhofer, Isabel / Derval, Nicolas / Di Biase, Luigi /
    Duytschaever, Mattias / Dyrda, Katia / Hindricks, Gerhard / Hocini, Meleze / Kim, Young-Hoon / la Meir, Mark / Merino, Jose Luis / Michaud, Gregory F / Natale, Andrea / Nault, Isabelle / Nava, Santiago / Nitta, Takashi / O'Neill, Mark / Pak, Hui-Nam / Piccini, Jonathan P / Pürerfellner, Helmut / Reichlin, Tobias / Saenz, Luis Carlos / Sanders, Prashanthan / Schilling, Richard / Schmidt, Boris / Supple, Gregory E / Thomas, Kevin L / Tondo, Claudio / Verma, Atul / Wan, Elaine Y

    Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing

    2024  

    Abstract: In the last three decades, ablation of atrial fibrillation (AF) has become an evidence-based safe and efficacious treatment for managing the most common cardiac arrhythmia. In 2007, the first joint expert consensus document was issued, guiding healthcare ...

    Abstract In the last three decades, ablation of atrial fibrillation (AF) has become an evidence-based safe and efficacious treatment for managing the most common cardiac arrhythmia. In 2007, the first joint expert consensus document was issued, guiding healthcare professionals involved in catheter or surgical AF ablation. Mounting research evidence and technological advances have resulted in a rapidly changing landscape in the field of catheter and surgical AF ablation, thus stressing the need for regularly updated versions of this partnership which were issued in 2012 and 2017. Seven years after the last consensus, an updated document was considered necessary to define a contemporary framework for selection and management of patients considered for or undergoing catheter or surgical AF ablation. This consensus is a joint effort from collaborating cardiac electrophysiology societies, namely the European Heart Rhythm Association, the Heart Rhythm Society (HRS), the Asia Pacific HRS, and the Latin American HRS.
    Language English
    Publishing date 2024-04-13
    Publishing country Netherlands
    Document type Journal Article ; Review
    ZDB-ID 1329179-8
    ISSN 1572-8595 ; 1383-875X
    ISSN (online) 1572-8595
    ISSN 1383-875X
    DOI 10.1007/s10840-024-01771-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: 2024 European Heart Rhythm Association/Heart Rhythm Society/Asia Pacific Heart Rhythm Society/Latin American Heart Rhythm Society expert consensus statement on catheter and surgical ablation of atrial fibrillation.

    Tzeis, Stylianos / Gerstenfeld, Edward P / Kalman, Jonathan / Saad, Eduardo B / Sepehri Shamloo, Alireza / Andrade, Jason G / Barbhaiya, Chirag R / Baykaner, Tina / Boveda, Serge / Calkins, Hugh / Chan, Ngai-Yin / Chen, Minglong / Chen, Shih-Ann / Dagres, Nikolaos / Damiano, Ralph J / De Potter, Tom / Deisenhofer, Isabel / Derval, Nicolas / Di Biase, Luigi /
    Duytschaever, Mattias / Dyrda, Katia / Hindricks, Gerhard / Hocini, Meleze / Kim, Young-Hoon / la Meir, Mark / Merino, Jose Luis / Michaud, Gregory F / Natale, Andrea / Nault, Isabelle / Nava, Santiago / Nitta, Takashi / O'Neill, Mark / Pak, Hui-Nam / Piccini, Jonathan P / Pürerfellner, Helmut / Reichlin, Tobias / Saenz, Luis Carlos / Sanders, Prashanthan / Schilling, Richard / Schmidt, Boris / Supple, Gregory E / Thomas, Kevin L / Tondo, Claudio / Verma, Atul / Wan, Elaine Y / Steven, Daniel / Agbayani, Michael-Joseph / Jared Bunch, T / Chugh, Aman / Díaz, Juan Carlos / Freeman, James V / Hardy, Carina Abigail / Heidbuchel, Hein / Johar, Sofian / Linz, Dominik / Maesen, Bart / Noseworthy, Peter A / Oh, Seil / Porta-Sanchez, Andreu / Potpara, Tatjana / Rodriguez-Diez, Gerardo / Sacher, Frederic / Suwalski, Piotr / Trines, Serge A

    Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology

    2024  Volume 26, Issue 4

    Abstract: In the last three decades, ablation of atrial fibrillation (AF) has become an evidence-based safe and efficacious treatment for managing the most common cardiac arrhythmia. In 2007, the first joint expert consensus document was issued, guiding healthcare ...

    Abstract In the last three decades, ablation of atrial fibrillation (AF) has become an evidence-based safe and efficacious treatment for managing the most common cardiac arrhythmia. In 2007, the first joint expert consensus document was issued, guiding healthcare professionals involved in catheter or surgical AF ablation. Mounting research evidence and technological advances have resulted in a rapidly changing landscape in the field of catheter and surgical AF ablation, thus stressing the need for regularly updated versions of this partnership which were issued in 2012 and 2017. Seven years after the last consensus, an updated document was considered necessary to define a contemporary framework for selection and management of patients considered for or undergoing catheter or surgical AF ablation. This consensus is a joint effort from collaborating cardiac electrophysiology societies, namely the European Heart Rhythm Association, the Heart Rhythm Society, the Asia Pacific Heart Rhythm Society, and the Latin American Heart Rhythm Society .
    MeSH term(s) Humans ; Atrial Fibrillation/diagnosis ; Atrial Fibrillation/surgery ; Latin America ; Treatment Outcome ; Catheters ; Asia ; Catheter Ablation/adverse effects ; Catheter Ablation/methods
    Language English
    Publishing date 2024-04-08
    Publishing country England
    Document type Journal Article
    ZDB-ID 1449879-0
    ISSN 1532-2092 ; 1099-5129
    ISSN (online) 1532-2092
    ISSN 1099-5129
    DOI 10.1093/europace/euae043
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  9. Article ; Online: Cardiac sympathetic denervation for intractable ventricular arrhythmias in Chagas disease.

    Saenz, Luis Carlos / Corrales, Federico Malavassi / Bautista, William / Traina, Mahmoud / Meymandi, Sheba / Rodriguez, Diego A / Tellez, Luis J / Vaseghi, Marmar / Garcia, Fermin / Shivkumar, Kalyanam / Bradfield, Jason S

    Heart rhythm

    2016  Volume 13, Issue 7, Page(s) 1388–1394

    Abstract: Background: Autonomic modulation is a valuable therapeutic option for the management of ventricular arrhythmias. Bilateral cardiac sympathetic denervation (BCSD) has shown promising results in the acute, intermediate, and long-term management of ... ...

    Abstract Background: Autonomic modulation is a valuable therapeutic option for the management of ventricular arrhythmias. Bilateral cardiac sympathetic denervation (BCSD) has shown promising results in the acute, intermediate, and long-term management of polymorphic and monomorphic ventricular tachycardia (VT) in patients with structural heart disease. Cardiomyopathy (CM) due to Chagas disease (CD), and associated VT, is thought to be in part due to autonomic neuronal destruction and dysfunction.
    Objective: The purpose of this study was to assess whether BCSD is a safe and effective treatment modality in patients with CD and VT storm or refractory VT.
    Methods: A retrospective analysis of data from patients with chagasic CM who underwent BCSD between 2009 and 2015 at 2 international centers was performed.
    Results: Of 75 patients who underwent BCSD for VT storm or refractory VT in the setting of CM, 7 (9.3%) patients had CD as the etiology of CM. All patients had monomorphic VT. Median follow-up was 7 months (range 1-46 months). All patients either underwent previous unsuccessful catheter ablation or were not candidates for ablation. The median number of implantable cardioverter-defibrillator (ICD) shocks 1 month before BCSD was 4 (range 2-30) and decreased to 0 (range 0-2) during available follow-up after BCSD. When antitachycardia pacing therapies were included in the analysis, the median number of ICD therapies (shocks + antitachycardia pacing) still decreased to 1 (range 0-3).
    Conclusion: In patients with chagasic CM presenting with refractory monomorphic VT, early evidence suggests that BCSD reduces appropriate ICD therapy and may represent a valuable treatment option.
    Language English
    Publishing date 2016-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2229357-7
    ISSN 1556-3871 ; 1547-5271
    ISSN (online) 1556-3871
    ISSN 1547-5271
    DOI 10.1016/j.hrthm.2016.03.014
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  10. Article ; Online: Ventricular Tachycardia Ablation-For Whom, When, and How?

    Barrett, Conor D / Di Biase, Luigi / Vacca, Miguel / Saenz, Luis Carlos / Burkhardt, J David / Ruskin, Jeremy N / Natale, Andrea

    Cardiac electrophysiology clinics

    2009  Volume 1, Issue 1, Page(s) 201–211

    Abstract: This article discusses how ventricular tachycardia ablation should be used, discusses which patients may derive benefit from this treatment, and highlights the best means of implementing it. ...

    Abstract This article discusses how ventricular tachycardia ablation should be used, discusses which patients may derive benefit from this treatment, and highlights the best means of implementing it.
    Language English
    Publishing date 2009-12
    Publishing country United States
    Document type Journal Article
    ISSN 1877-9190
    ISSN (online) 1877-9190
    DOI 10.1016/j.ccep.2009.08.003
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