A 70-year-old patient with chronic ischemic cardiomy-opathy (NYHA III, left ventricle ejection fraction (EFLV) = 15%, left bundle branch block (LBBB), percutaneous coronary intervention (PCI) left anterior descending artery (LAD) in 2006 and right coronary artery (RCA) in 2007), after an episode of sustained VT, terminated pharmacologically , was qualified for a cardiac resynchronization therap...

A lthough the pancreas is not a common site of metastasis for renal cell carcinoma, it is the most common indication for pancreatectomy for metastatic disease. Metastatic disease may occur many years after nephrectomy (0.5-27 years in a recent article). Thompson and Heffess reviewed the combined English literature of 109 patients and reported that the interval between initial nephrectomy and pr...

Catheter ablation of atrial fibrillation has been widely accepted as an effective therapy for drug refractory symptomatic atrial fibrillation (AF) or as first line therapy in select patients with symptomatic paroxysmal AF [1,2]. Several factors impact procedural outcomes and associated complications including patient characteristics, procedure volume and operator technique [3,4]. The risk of co...

BACKGROUND Recent concern regarding interference with facial skeletal growth and the risk of complications after endoscopic sinus surgery (ESS) has led to interest in exploring other treatment options for the management of chronic sinusitis in children. OBJECTIVE To present the use of a stepwise protocol that includes intravenous (IV) antibiotic therapy as a therapeutic alternative to pediatr...

A 49-year-old Caucasian female underwent a second kidney–pancreas transplant in May 2002 for end-stage diabetic nephropathy. Her postoperative course was complicated by intra-abdominal sepsis and the development of bilateral deep venous thrombosis (DVT). The patient was treated conservatively, with a 6-month course of oral anticoagulation. One month after discontinuation of oral anticoagulation...

Ischemic scar mediated VT ablation has evolved to being performed through the femoral vein and artery with either transseptal or retrograde access left ventricle (LV). However, in some patients severe peripheral arterial disease (PAD), via may not be possible. We present a case of patient recurrent ischemic ICD who had undergone two Fem-Fem surgeries was felt n appropriate candidate for vascula...