We report 2 cases of successful treatment of neck and back pain with bipolar radiofrequency ablation (RFA) of the cervical and lumbar facet joints in patients with an automatic implantable cardioverter defibrillator (AICD).Two patients with complex cardiac histories and AICD devices were treated with bipolar RFA of the facet joints. One presented with axial neck pain and the other with axial ba...

IN a recent survey of 167 patients with buIndle-branch l)lock 1 10 in.stances of transient bundle-branch block were discovered. Since the completion of this study four more patients with this condition have been encountered. These 14 patients represent the subjects of this report. Transient bundle-branch block is defined as an intraventricular conduction defect that subsequently returns, if onl...

A RECENT STUDY of the prognosis of patients with left bundle branch block (L.B.B.B.) suggested that life expectancy was extremely short (Smith and Hayes 1965). While in general L.B.B.B. has a sinister reputation, we have been struck by a few individuals who have survived many years with L.B.B.B., and we thought an analysis of some of the material available at the Royal Victoria Hospital, Belfas...

Of 325 consecutive cases with acute myocardial infarction admitted to a coronary care unit, II3 per cent developed one or more intraventricular conduction defects as an early, and often transient complication. The most common Lintraventricular conduction defect was block of the anterior fascicle, followed by complete right bundle-branch block, and by the association of right bundle-branch block...

Fluoroscopy guidance is useful to confirm anatomical landmark and needle location for spine intervention; however, it can lead to radiation exposure in patients, physicians, and medical staff. Physicians who used fluoroscopy should be cognizant of radiation exposure and intend to minimize radiation dose. We retrospectively reviewed three lumbar spine intervention procedures (nerve root block, m...

This article reviews the relationship between the spinal dorsal ramus system and low back pain, including the anatomy, clinical findings, pathogenesis and treatment of low back pain mediated by spinal dorsal ramus and zygapophysial (facet) joint syndrome. Each spinal dorsal ramus arises from the spinal nerve and then divides into a medial and lateral branch. The medial branch supplies the tissu...

The electrocardiograms and salient clinical features of seven patients with electrocardiographic evidence of various types of bilateral bundle-branch block (BBBB) have been presented. When the complexes change in form and the P-R interval varies, the mechanisms are usually best interpreted by using the concepts of first degree, second degree, and third degree bundle-branch block with or without...

BACKGROUND Lumbar facet nerve (medial branch) blocks are often used to diagnose facet joint-mediated pain. The authors recently described a new ultrasound-guided methodology. The current study determines its accuracy using computed tomography scan controls. METHODS Fifty bilateral ultrasound-guided approaches to the lumbar facet nerves were performed in five embalmed cadavers. The target poin...

The ramifications of the portal vein in the liver of horses were studied by using corrosion casting and gross dissection. The portal vein in the horse supplies the hepatic lobes by six major branches. The right lobe is supplied by three main branches, namely the dorsal diaphragmatic, the right caudodorsal and the right intermediate branches. The left branch supplies the left lateral and medial ...

Intermittent left bundle branch block is uncommon. During anaesthesia,, left bundle branch block may be related to hypertension or tachycardia and its occurrence makes the diagnosis of acute myocardial ischaemia or infarction difficult. Patients with intermittent left bundle branch block often develop established left bundle branch block, which may represent an earlier state of ischaemic heart ...