Ganglionated plexus ablation for atrial fibrillation: Just because we can, does that mean we should?

Just because we can does not mean we should: a perspective on combined tracheostomy and percutaneous endoscopic gastrostomy tube insertion.

journal.publications.chestnet.org elevated pulmonary arterial pressures were not required for enrollment in the Flolan International Randomized Survival Trial (FIRST). 2 However, all patients underwent right-sided heart catheterization, and most subjects ( . 75%) did, in fact, have PH as defi ned by mean pulmonary arterial pressure . 25 mm Hg. This makes it unlikely that epoprostenol is of sign...

Commentary: An Unusual Case of Leadless Pacemaker Implantation in a Patient with Wolff–Parkinson-White Syndrome: Just Because We Can, Does That Mean That We Should?

In the case presented by Drs. Tanaka-Esposito and Cantillon, a patient deemed to be at risk of developing unpredictable atrioventricular (AV) block based on electrophysiology findings and a catheter ablation procedure is chosen for the implantation of a leadless pacemaker that will provide permanent, prophylactic ventricular pacing. Briefly, this case involved a patient with a midseptal accesso...

Imaging the PM/AICD patient; just because we can, should we?

Methods Over 3 years, 48 patients were imaged via MRI/CMR (1.5T GE, Milwaukee, WI). Specifically: 8 AICD, 7 AICD/PM, 2 retained lead, 2 REVO and 29 dual chamber PM. Specific criteria were followed for all pts to objectively define whether final diagnosis provided additional information towards pt care. A checklist of 3 questions was answered following scan interpretation by both the technologis...

Ganglionated Plexi Ablation for Atrial Fibrillation

Ablation of atrial fibrillation: what can we tell our patients?

Although catheter-based radiofrequency ablation is no longer experimental, it is not yet the first-line treatment for most patients. The authors describe how this procedure works, its indications, benefits, and limitations, and important points to communicate to potential candidates for this procedure.