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  1. Article: Sepsis and multiorgan failure following TVT procedure.

    Stec, Piotr / Connell, Rowan

    Ginekologia polska

    2014  Volume 85, Issue 4, Page(s) 314–317

    Abstract: Tension-free vaginal tape (TVT), is a commonly performed, low risk procedure for treatment of stress urinary incontinence (SUI). Severe complications are rare, but can be potentially life threatening. We present a case of 66 year old patient who ... ...

    Abstract Tension-free vaginal tape (TVT), is a commonly performed, low risk procedure for treatment of stress urinary incontinence (SUI). Severe complications are rare, but can be potentially life threatening. We present a case of 66 year old patient who sustained bladder perforation at the time of TVT procedure and subsequently developed sepsis rapidly leading to multi-organ failure and triggering sequence of serious complications. During her inpatient stay she required ITU admission, emergency laparotomy, TVT mesh removal, bowel resection due to ischemic colitis and anticoagulation for pulmonary embolism. Despite of clinical picture of sepsis her microbiology tests were almost consistently negative. This case emphasise importance of awareness and quick recognition of TVT related complications. Patient ultimately survived and recovered thanks to timely and coordinated management by the multidisciplinary team of doctors.
    MeSH term(s) Aged ; Device Removal ; Female ; Humans ; Laparoscopy ; Multiple Organ Failure/etiology ; Multiple Organ Failure/therapy ; Postoperative Complications ; Sepsis/etiology ; Sepsis/therapy ; Suburethral Slings/adverse effects ; Treatment Outcome ; Urinary Incontinence, Stress/surgery ; Urologic Surgical Procedures/adverse effects
    Language English
    Publishing date 2014-05-15
    Publishing country Poland
    Document type Case Reports ; Journal Article
    ZDB-ID 130894-4
    ISSN 0017-0011
    ISSN 0017-0011
    DOI 10.17772/gp/1730
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Catheter ablation of complex arrhythmic anomalies: Bayes syndrome, Wolff-Parkinson-White syndrome, atrial and dilated cardiomyopathy.

    Stec, Piotr J / Chrabąszcz, Michał / Ujda, Marek / Krawczykiewicz, Radosław / Śledź, Janusz / Stec, Sebastian

    HeartRhythm case reports

    2019  Volume 5, Issue 9, Page(s) 476–479

    Language English
    Publishing date 2019-07-15
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2834871-0
    ISSN 2214-0271
    ISSN 2214-0271
    DOI 10.1016/j.hrcr.2019.07.006
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Efficacy and safety of zero-fluoroscopy approach for ablation of atrioventricular nodal reentry tachycardia: experience from more than 1000 cases.

    Świętoniowska-Mścisz, Aleksandra / Stec, Piotr / Stec, Sebastian / Szydłowski, Lesław / Zagrodzka, Magdalena / Kusa, Jacek / Morka, Aleksandra / Kameczura, Tomasz / Mścisz, Adrian / Anna Stec-Gola / Karbarz, Dariusz / Śledź, Janusz

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

    2022  Volume 66, Issue 5, Page(s) 1231–1242

    Abstract: Background: Radiofrequency catheter ablation (RFCA) of the slow pathway in atrioventricular nodal reentry tachycardia (AVNRT) is associated with high efficacy and low risk of total perioperative or late atrioventricular block. This study aimed to ... ...

    Abstract Background: Radiofrequency catheter ablation (RFCA) of the slow pathway in atrioventricular nodal reentry tachycardia (AVNRT) is associated with high efficacy and low risk of total perioperative or late atrioventricular block. This study aimed to evaluate the efficacy, safety, and feasibility of slow-pathway RFCA for AVNRT using a zero-fluoroscopy approach.
    Methods: Data were obtained from a prospective multicenter registry of catheter ablation from January 2012 to February 2018. Consecutive unselected patients with the final diagnosis of AVNRT were recruited. Electrophysiological and 3-dimensional (3D) electroanatomical mapping systems were used to create 3D maps and to navigate only 2 catheters from the femoral access. Acute procedural efficacy was evaluated using the isoproterenol and/or atropine test, with 15-min observation after ablation. Each case of recurrence or complication was consulted at an outpatient clinic during long-term follow-up.
    Results: Of the 1032 procedures, 1007 (97.5%) were completed without fluoroscopy. Conversion to fluoroscopy was required in 25 patients (2.5%), mainly due to an atypical location of the coronary sinus (n = 7) and catheter instability (n = 7). The mean radiation exposure time was 1.95 ± 1.3 min for these cases. The mean fluoroscopy time for the entire study cohort was 0.05 ± 0.4 min. The mean total procedure time was 44.8 ± 18.6 min. There were no significant in-hospital complications. The total success rate was 96.1% (n = 992), and the recurrence rate was 3.9% (n = 40).
    Conclusion: Slow-pathway RFCA can be safely performed without fluoroscopy, with a minimal risk of complications and a high success rate.
    MeSH term(s) Humans ; Tachycardia, Atrioventricular Nodal Reentry/diagnosis ; Prospective Studies ; Atrioventricular Block/etiology ; Isoproterenol ; Fluoroscopy/methods ; Catheter Ablation/methods ; Treatment Outcome
    Chemical Substances Isoproterenol (L628TT009W)
    Language English
    Publishing date 2022-12-10
    Publishing country Netherlands
    Document type Multicenter Study ; Journal Article
    ZDB-ID 1329179-8
    ISSN 1572-8595 ; 1383-875X
    ISSN (online) 1572-8595
    ISSN 1383-875X
    DOI 10.1007/s10840-022-01419-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Book: Segmentation of colour video sequences using the fast marching method

    Steć, Piotr

    (Lecture notes in control and computer science ; 7)

    2005  

    Author's details Piotr Steć
    Series title Lecture notes in control and computer science ; 7
    Language English
    Size 108 S., Ill., graph. Darst.
    Publisher Univ. Press
    Publishing place Zielona Góra
    Document type Book
    ISBN 8389712474 ; 9788389712479
    Database Library catalogue of the German National Library of Science and Technology (TIB), Hannover

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  5. Article ; Online: Association between the geographic region and the risk of familial atrioventricular nodal reentrant tachycardia in the Polish population.

    Deutsch, Karol / Ciurzyński, Michał / Śledź, Janusz / Zienciuk-Krajka, Agnieszka / Mazij, Mariusz / Ludwik, Bartosz / Stec, Piotr / Wileczek, Antoni / Pruszczyk, Piotr / Stec, Sebastian

    Polish archives of internal medicine

    2021  Volume 131, Issue 11

    MeSH term(s) Arrhythmias, Cardiac/surgery ; Catheter Ablation/methods ; Europe ; Humans ; Poland/epidemiology ; Tachycardia, Atrioventricular Nodal Reentry/diagnosis ; Tachycardia, Atrioventricular Nodal Reentry/epidemiology ; Tachycardia, Atrioventricular Nodal Reentry/genetics
    Language English
    Publishing date 2021-09-28
    Publishing country Poland
    Document type Journal Article
    ZDB-ID 123500-x
    ISSN 1897-9483 ; 0032-3772
    ISSN (online) 1897-9483
    ISSN 0032-3772
    DOI 10.20452/pamw.16099
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Zero-fluoroscopy catheter ablation of symptomatic pre-excitation from non-coronary cusp during pregnancy.

    Karbarz, Dariusz / Stec, Piotr J / Deutsch, Karol / Śledź, Janusz / Stec, Sebastian

    Kardiologia polska

    2017  Volume 75, Issue 12, Page(s) 1351

    MeSH term(s) Arrhythmias, Cardiac/diagnostic imaging ; Arrhythmias, Cardiac/etiology ; Arrhythmias, Cardiac/surgery ; Catheter Ablation ; Female ; Humans ; Pregnancy ; Pregnancy Complications, Cardiovascular/diagnostic imaging ; Pregnancy Complications, Cardiovascular/etiology ; Pregnancy Complications, Cardiovascular/surgery ; Wolff-Parkinson-White Syndrome/complications ; Young Adult
    Language English
    Publishing date 2017-12-18
    Publishing country Poland
    Document type Case Reports ; Journal Article
    ZDB-ID 411492-9
    ISSN 1897-4279 ; 0022-9032
    ISSN (online) 1897-4279
    ISSN 0022-9032
    DOI 10.5603/KP.2017.0231
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Maximum voltage gradient technique for optimization of ablation for typical atrial flutter with zero-fluoroscopy approach.

    Deutsch, Karol / Śledź, Janusz / Mazij, Mariusz / Ludwik, Bartosz / Labus, Michał / Karbarz, Dariusz / Pasicka, Bernadetta / Chrabąszcz, Michał / Śledź, Arkadiusz / Klank-Szafran, Monika / Vitali-Sendoz, Laura / Kameczura, Tomasz / Śpikowski, Jerzy / Stec, Piotr / Ujda, Marek / Stec, Sebastian

    Medicine

    2017  Volume 96, Issue 25, Page(s) e6939

    Abstract: Radiofrequency catheter ablation (RFCA) is an established effective method for the treatment of typical cavo-tricuspid isthmus (CTI)-dependent atrial flutter (AFL). The introduction of 3-dimensional electro-anatomic systems enables RFCA without ... ...

    Abstract Radiofrequency catheter ablation (RFCA) is an established effective method for the treatment of typical cavo-tricuspid isthmus (CTI)-dependent atrial flutter (AFL). The introduction of 3-dimensional electro-anatomic systems enables RFCA without fluoroscopy (No-X-Ray [NXR]). The aim of this study was to evaluate the feasibility and effectiveness of CTI RFCA during implementation of the NXR approach and the maximum voltage-guided (MVG) technique for ablation of AFL.Data were obtained from prospective standardized multicenter ablation registry. Consecutive patients with the first RFCA for CTI-dependent AFL were recruited. Two navigation approaches (NXR and fluoroscopy based as low as reasonable achievable [ALARA]) and 2 mapping and ablation techniques (MVG and pull-back technique [PBT]) were assessed. NXR + MVG (n  =  164; age: 63.7 ± 9.5; 30% women), NXR + PBT (n  =  55; age: 63.9 ± 10.7; 39% women); ALARA + MVG (n  =  36; age: 64.2 ± 9.6; 39% women); and ALARA + PBT (n  =  205; age: 64.7 ± 9.1; 30% women) were compared, respectively. All groups were simplified with a 2-catheter femoral approach using 8-mm gold tip catheters (Osypka AG, Germany or Biotronik, Germany) with 15 min of observation. The MVG technique was performed using step-by-step application by mapping the largest atrial signals within the CTI.Bidirectional block in CTI was achieved in 99% of all patients (P  =  NS, between groups). In NXR + MVG and NXR + PBT groups, the procedure time decreased (45.4 ± 17.6 and 47.2 ± 15.7 min vs. 52.6 ± 23.7 and 59.8 ± 24.0 min, P < .01) as compared to ALARA + MVG and ALARA + PBT subgroups. In NXR + MVG and NXR + PBT groups, 91% and 98% of the procedures were performed with complete elimination of fluoroscopy. The NXR approach was associated with a significant reduction in fluoroscopy exposure (from 0.2 ± 1.1 [NXR + PBT] and 0.3 ± 1.6 [NXR + MVG] to 7.7 ± 6.0 min [ALARA + MVG] and 9.1 ± 7.2 min [ALARA + PBT], P < .001). The total application time significantly decreased in the MVG technique subgroup both in NXR and ALARA (P < .01). No major complications were observed in either groups.Complete elimination of fluoroscopy is feasible, safe, and effective during RFCA of CTI in almost all AFL patients without cardiac implanted electronic devices. The most optimal method for RFCA of CTI-dependent AFL seems to be MVG; however, it required validation of optimal RFCA's parameters with clinical follow-up.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Atrial Flutter/surgery ; Catheter Ablation/methods ; Feasibility Studies ; Female ; Fluoroscopy ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Prospective Studies ; Quality Improvement ; Registries ; Treatment Outcome
    Language English
    Publishing date 2017-06-22
    Publishing country United States
    Document type Evaluation Study ; Journal Article ; Multicenter Study
    ZDB-ID 80184-7
    ISSN 1536-5964 ; 0025-7974
    ISSN (online) 1536-5964
    ISSN 0025-7974
    DOI 10.1097/MD.0000000000006939
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Infertility information on the World Wide Web: a cross-sectional survey of quality of infertility information on the internet in the UK.

    Marriott, Jennifer V / Stec, Piotr / El-Toukhy, Tarek / Khalaf, Yakoub / Braude, Peter / Coomarasamy, Arri

    Human reproduction (Oxford, England)

    2008  Volume 23, Issue 7, Page(s) 1520–1525

    Abstract: Background: The internet is a frequently used source of information for infertile couples. Previous studies suggested that the quality of health information on the internet is poor. The aim of this study was to assess the quality of websites providing ... ...

    Abstract Background: The internet is a frequently used source of information for infertile couples. Previous studies suggested that the quality of health information on the internet is poor. The aim of this study was to assess the quality of websites providing information on infertility and its management in the UK. Differences between website types and affiliations were assessed.
    Methods: A Google search for the keyword 'infertility' was performed and 107 relevant websites were identified and categorized by type. Websites were assessed for credibility, accuracy and ease of navigation using predefined criteria.
    Results: The total scores for all types of websites were low, particularly in the accuracy category. Websites affiliated to the UK National Health Service (NHS) scored higher than those affiliated to private fertility clinics and other clinics providing non-conventional fertility treatment. Specifically, NHS websites were more likely to report success rates (92.9% versus 60% and 0%, P < or = 0.05) and display information about their sources of funding (85.7% versus 15% and 14.8%, P < or = 0.0001).
    Conclusions: Internet resources available to infertile patients are variable. Differences in the quality of infertility information exist between the different types of websites.
    MeSH term(s) Cross-Sectional Studies ; Female ; Health Education/standards ; Humans ; Infertility ; Internet/standards ; Male ; National Health Programs ; Private Sector ; Reproductive Techniques, Assisted/standards ; United Kingdom
    Language English
    Publishing date 2008-07
    Publishing country England
    Document type Journal Article
    ZDB-ID 632776-x
    ISSN 1460-2350 ; 0268-1161 ; 1477-741X
    ISSN (online) 1460-2350
    ISSN 0268-1161 ; 1477-741X
    DOI 10.1093/humrep/den072
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