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1.
Heart Vessels ; 38(7): 881-888, 2023 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-36695858

RESUMO

The optimal approach for prevention of cardiovascular events and reduction of bleeding in patients with acute coronary syndrome (ACS) and atrial fibrillation (AF) is still controversial. The aim of our study is to asses our single-center experience with concomitant left atrial appendage occlusion (LAAO) and percutaneous coronary intervention (PCI). 50 patients with ACS without ST elevation and history of AF were randomized after successful PCI to LAAO or conventional medical therapy. The primary endpoints were safety and length of hospitalization. The follow-up period was 30 days. The mean procedural times were 113 ± 23 min PCI + LAAO implantation and 39 ± 19 min of PCI only (p < 0.001), while mean fluoroscopy times were 18 ± 8 min and 12 ± 8 min (p < 0.001), respectively. No procedure-related complications were observed. There was no difference observed for length of hospitalization between two groups. LAAO in patients with ACS and AF undergoing PCI appears safe.


Assuntos
Síndrome Coronariana Aguda , Apêndice Atrial , Fibrilação Atrial , Intervenção Coronária Percutânea , Acidente Vascular Cerebral , Humanos , Fibrilação Atrial/complicações , Fibrilação Atrial/diagnóstico , Fibrilação Atrial/cirurgia , Projetos Piloto , Síndrome Coronariana Aguda/complicações , Síndrome Coronariana Aguda/diagnóstico , Síndrome Coronariana Aguda/cirurgia , Apêndice Atrial/diagnóstico por imagem , Apêndice Atrial/cirurgia , Estudos de Viabilidade , Intervenção Coronária Percutânea/efeitos adversos , Resultado do Tratamento
2.
Pacing Clin Electrophysiol ; 44(2): 385-388, 2021 02.
Artigo em Inglês | MEDLINE | ID: mdl-32969523

RESUMO

Remote magnetic navigation (RMN) can be safely and effectively utilized in patients with difficult cardiac arrhythmias and complex anatomy. Interruption of the inferior vena cava (IVC) is a rare congenital abnormality that results in the inability to use conventional femoral access in patients that require interventional procedures. The present case demonstrates the feasibility of left atrial flutter ablation using RMN via jugular approach in a patient with interruption of IVC.


Assuntos
Flutter Atrial/cirurgia , Ablação por Cateter/métodos , Veias Jugulares , Veia Cava Inferior/anormalidades , Flutter Atrial/complicações , Procedimentos Cirúrgicos Cardíacos/métodos , Humanos , Campos Magnéticos , Masculino , Pessoa de Meia-Idade
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