Introduction The efficacy of catheter ablation for scar-related ventricular tachycardia (VT) has significantly improved since the introduction of percutaneous epicardial access by Sosa in 1996. Percutaneous epicardial ablation has been used in approximately 30% of VT ablation cases associated with nonischemic cardiomyopathy. However, complications such as cardiac tamponade, coronary artery lace...

PURPOSE To investigate the feasibility, safety and efficacy of ultrasound guided percutaneous microwave (MW) ablation for small splenic metastasis. MATERIALS AND METHODS A total of four patients with five pathologically proven splenic metastases (from ovarian, pulmonary, gastric adenocarcinoma and hepatocellular carcinoma, respectively) 1.3 to 2.9 cm in diameter were treated with microwave ab...

BACKGROUND Epicardial mapping and ablation of accessory pathways through a subxiphoid approach can be an alternative when endocardial or epicardial transvenous mapping has failed. METHODS AND RESULTS We reviewed acute and long-term follow-up of 21 patients (14 males) referred for percutaneous epicardial accessory pathway ablation. There was a median of 2 previous failed procedures. All patien...

A 60-year-old Japanese man with autosomal dominant polycystic kidney disease (ADPKD) on maintenance hemodialysis underwent colonoscopy and endoscopic mucosal resection (EMR). He was hospitalized after 4 days of fever that began the day following colonoscopy. We detected Klebsiella pneumoniae in a blood culture and a ring-shaped integration in the liver cyst by gallium scintigraphy. He recovered...

A 62-yr-old woman with an autosomal dominant polycystic kidney disease (ADPKD) was admitted to our hospital for further evaluation of intermittent fever, nausea and left flank discomfort. The computed tomography (CT) scan revealed a gas-forming, infectious cyst of approximately 8.1 cm in size in left kidney lower pole. Escherichia coli was identified from the cyst fluid culture examination. Her...

E chinococcal disease involves the liver in 70% of cases, 1 with communication rates between the cyst and the biliary tree ranging from 9% to 25%. Various operative, laparoscopic, endoscopic or percutaneous methods have been proposed for the curative management of uncomplicated echinococcocal cysts; however, in patients with hydatid cyst rupture into the alimentary or biliary tract, open operat...