Non fluoroscopic ablation of different arrhythmic structures in an electrophysiology unit. Assessment of efficiency and security.

Abstract:

BACKGROUND:Electroanatomical mapping systems (EMS) reduce fluoroscopy dose for the ablation. Higher costs and longer procedure times are the drawbacks associated with EMS. Our objective was to validate the efficiency of the EMS. OBJECTIVE:To demonstrate that using EMS is more efficient and as secure as the traditional system of ablation. METHODS:From April 2013 to June 2018, all patients were included into two groups, according to the intention of ablation with or without fluoroscopy. Right, left, supraventricular and ventricular ablation were included. We compared procedure variables (fluoroscopy, radiofrequency and procedure times, ablation results, complication rates and costs of the procedure) that included material and detrimental effect of fluoroscopy. RESULTS:A total of 105 were included in the fluoroscopy group and 287 in the without fluoroscopy group. We found an important reduction in time and radiation dose in all the ablation procedures studied, without increasing the procedure time. No differences in ablation results nor complications rate were found. We found lower costs in the flutter ablation without fluoroscopy, similar costs in the right focal tachycardia ablation group and higher costs in the without fluoroscopy group for the AVNRT and left accessory pathway. When detrimental effect of fluoroscopy was added, all procedures without fluoroscopy were significantly more efficient than the ones performed with it. CONCLUSIONS:Ablation without fluoroscopy is a technique as safe and effective as the conventional technique. Our study suggests that the radiation dose delivered to the patient and staff might be reduced, without increasing the total procedure time, being even more efficient.

journal_name

Ir J Med Sci

authors

Gil-Ortega I,Serna-Berná A,Trujillo-Santos AJ,Ramos-Amores D,Garrido-Corro B,Cortez-Salazar RJ,Archondo-Arce TG,Castillo-Moreno JA

doi

10.1007/s11845-020-02247-x

subject

Has Abstract

pub_date

2021-02-01 00:00:00

pages

79-87

issue

1

eissn

0021-1265

issn

1863-4362

pii

10.1007/s11845-020-02247-x

journal_volume

190

pub_type

杂志文章
  • Prevalence of metronidazole-resistant Helicobacter pylori in dyspeptic patients.

    abstract::Susceptibility to metronidazole of 213 clinical strains of H. pylori from dyspeptic patients was determined by a plate dilution method. Seventy two (33.8%) of the strains were resistant to metronidazole (MIC > 8 mg/L), 20 of these were from 24 patients who had received previously metronidazole (83.3%), giving a primar...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/BF02942098

    authors: Xia HX,Daw MA,Beattie S,Keane CT,O'Morain CA

    更新日期:1993-03-01 00:00:00

  • Intermediate filament expression in carcinoid tumours.

    abstract::Twenty-eight carcinoid tumours were stained with monoclonal antibodies to epithelial and neural related intermediate filaments. All were found to express epithelial markers, and none expressed neural markers. These results support the theory that carcinoids are of epithelial, rather than neural crest origin. ...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/BF02957889

    authors: Mooney EE,Casey M,Dervan PA

    更新日期:1991-11-01 00:00:00

  • Impact of safety warnings on domperidone prescribing in Ireland.

    abstract:AIM:This study aimed to investigate the impact of the 2014 safety warnings on use of domperidone, on subsequent prescribing patterns in Ireland. METHODS:The Irish HSE-PCRS pharmacy claims database was used to identify the study cohort (aged 18+), prescribed domperidone from Jan 2014 to Oct 2015. Dosage was available f...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-017-1657-1

    authors: Teeling M,MacAvin MJ,Bennett K

    更新日期:2018-05-01 00:00:00

  • A preventable cause of tracheal injury at oesophagectomy.

    abstract::Advocates of transhiatal oesophagectomy warn of the danger of tracheal injury resulting from the blind dissection of tumours of the upper and middle thirds of the oesophagus when the tumour has invaded the membranous part of the trachea. We report an unusual cause of tracheal injury at transhiatal oesophagectomy due t...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/BF02947266

    authors: Hurley JP,Gallagher H,Keeling P

    更新日期:1991-03-01 00:00:00

  • Parental awareness of newborn bloodspot screening in Ireland.

    abstract:BACKGROUND:There is little known regarding how familiar parents are with the newborn bloodspot screening (NBS) test or how well parents of a child with a screen-detected condition understand that condition initially. AIM:The study aim was to examine parental NBS awareness and conditions screened. METHODS:Two studies ...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-018-1949-0

    authors: Fitzpatrick P,Fitzgerald C,Somerville R,Linnane B

    更新日期:2019-08-01 00:00:00

  • Fractured closed suction catheter: an unusual cause of endobronchial obstruction in a ventilated patient.

    abstract:BACKGROUND:A 32-year-old HIV-positive man required ventilation for seizures secondary to viral encephalitis. He had a prolonged care unit stay and had percutaneous tracheostomy performed on day 14 of his admission. He subsequently developed persistent right basal infiltrates and atelectasis on chest radiographs that we...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-008-0182-7

    authors: Rogan MP,Marsh B

    更新日期:2010-03-01 00:00:00

  • The forgotten ureteric JJ stent and its prevention: a prospective audit of the value of a ureteric stent logbook.

    abstract:BACKGROUND:Temporary ureteric stent insertion is an integral part of modern endo-urological practice. Delayed stent removal or forgotten stents are associated with increased patient morbidity and complications which are often difficult to manage. METHODS AND RESULTS:We prospectively audited our ureteric stent insertio...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-007-0043-9

    authors: Thomas AZ,Casey RG,Grainger R,McDermott T,Flynn R,Thornhill JA

    更新日期:2007-07-01 00:00:00

  • Tinnitus management in Ireland: a pilot study of general practitioners.

    abstract:BACKGROUND:Tinnitus is a phenomenon that affects approximately 15% of the adult population. A minority of patients will experience chronic bothersome tinnitus that has a detrimental effect on their quality of life. Management of such tinnitus is challenging for healthcare practitioners. Primary care services are the fi...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-020-02222-6

    authors: Kilroy N,El Refaie A

    更新日期:2020-11-01 00:00:00

  • Urinary calcium excretion in children with monosymptomatic enuresis.

    abstract:BACKGROUND:Among many factors predisposing to monosymptomatic enuresis (MNE) disturbances in urinary electrolites excretion play an important role. Because of many controversies in this field there is a need to debate the role of hypercalciuria in MNE. The aim of our study was to determine the urinary calcium in childr...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-014-1217-x

    authors: Korzeniecka-Kozerska A,Porowski T,Wasilewska A,Stefanowicz M

    更新日期:2015-12-01 00:00:00

  • The current status of adjuvant hormonal therapy combined with radiation therapy for localised prostate cancer.

    abstract::Analysis of the results of treatment of localised prostate cancer with radiation and surgery has identified patients who are at high risk of developing metastatic dissemination. High histologic grade, serum prostate specific antigen above 20 ng/ml, extension beyond the capsule of the prostate, and involvement of lymph...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/BF02937924

    authors: Armstrong J

    更新日期:1998-07-01 00:00:00

  • Recognizing dysphagia: implementation of an in-hospital screening protocol.

    abstract:BACKGROUND:Dysphagia affects up to 30% of hospitalized patients, and it is associated with numerous complications. AIMS:Assess the impact of a 24/7 dysphagia screening protocol in an Internal Medicine Unit regarding respiratory complications (such as aspiration pneumonia) as the primary outcome. Length of stay and dis...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-020-02371-8

    authors: Taveira I,Silva S,Bonança Í,Parreira D,Antunes C

    更新日期:2020-09-22 00:00:00

  • Acute aortic occlusion in a patient with heparin-induced thrombocytopenia treated by thrombectomy.

    abstract:INTRODUCTION:Heparin-induced thrombocytopenia syndrome (HITS) is an infrequent complication of heparin anticoagulation. CASE REPORT:We present the case of a 44-year-old male who was admitted with acute ischaemia of his right lower limb. He was initially treated with unfractionated heparin and thrombolysis, but subsequ...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-010-0531-1

    authors: Collins D,Moloney MA,O'Donnell D,Brophy D,Sheehan SJ

    更新日期:2012-09-01 00:00:00

  • Current concepts on bibliometrics: a brief review about impact factor, Eigenfactor score, CiteScore, SCImago Journal Rank, Source-Normalised Impact per Paper, H-index, and alternative metrics.

    abstract:BACKGROUND:Understanding the impact of a publication by using bibliometric indices becomes an essential activity not only for universities and research institutes but also for individual academicians. This paper aims to provide a brief review of the current bibliometric tools used by authors and editors and proposes an...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章,评审

    doi:10.1007/s11845-018-1936-5

    authors: Roldan-Valadez E,Salazar-Ruiz SY,Ibarra-Contreras R,Rios C

    更新日期:2019-08-01 00:00:00

  • Atrial myxoma: national incidence, diagnosis and surgical management.

    abstract::Despite being the most common benign intracardiac tumour with an excellent prognosis after surgical excision the incidence of atrial myxoma (except at autopsy) is unknown. We reviewed all patients admitted to the National Cardiac Surgery Unit (n = 26) with an atrial myxoma over a fifteen year period (1977-1991) to com...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章,评审

    doi:10.1007/BF02945200

    authors: MacGowan SW,Sidhu P,Aherne T,Luke D,Wood AE,Neligan MC,McGovern E

    更新日期:1993-06-01 00:00:00

  • Not written, not done: are we identifying elderly at-risk patients for pneumococcal vaccination?

    abstract:BACKGROUND:Pneumococcal disease, especially in its invasive form, is a significant cause of morbidity and mortality worldwide. However, with the advent of vaccination, invasive disease is potentially avoidable. This study aimed to assess the documentation of pneumococcal vaccination status in elderly patients by health...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-013-0919-9

    authors: Macken WL,Macken HC,Callanan I,Butler MW

    更新日期:2013-09-01 00:00:00

  • Five-year outcomes of patients attending a diabetic foot clinic in a tertiary referral centre.

    abstract:BACKGROUND:Diabetic foot ulcers (DFU) are associated with an increased risk of lower limb amputation and death. Reported mortality rates for patients with DFU are as high as 50% after 5 years. AIMS:The aim of this retrospective study was to examine the 5-year clinical outcomes of patients with high-risk diabetic foot ...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-019-02108-2

    authors: Forde H,Wrigley S,O'Murchadha LT,Cusack L,Casserly S,Moneley D,Walsh J,Smith D

    更新日期:2020-05-01 00:00:00

  • Translating Dutch: challenges and opportunities in reforming health financing in Ireland.

    abstract::In 2006, Dutch authorities introduced a new health financing system of compulsory private for-profit insurance with strong government regulation. This system has recently attracted attention in Ireland. This paper assesses the theoretical arguments and evidence for applying the Dutch ideas to Ireland. In particular, t...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章,评审

    doi:10.1007/s11845-009-0365-x

    authors: Ryan P,Thomas S,Normand C

    更新日期:2009-09-01 00:00:00

  • Ossifying fibromyxoid tumour of soft parts.

    abstract::Ossifying fibromyxoid tumour of soft parts (OFMT) is a recently described soft tissue tumour. Although rare it deserves recognition as a locally invasive but essentially benign neoplasm. Prior to its description in 1989 by Enzinger, ossifying fibromyxoid tumours of soft parts were classified as a wide variety of lesio...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/BF02943588

    authors: McCormack D,Lane H,Bennett D,Fenelon G

    更新日期:1997-07-01 00:00:00

  • Are elective surgical operations cancelled due to increasing medical admissions?

    abstract:BACKGROUND:Cancellation of operations increases theatre costs and decreases efficiency. We examined the causes of theatre cancellations in general surgery. METHODS:The Beaumont hospital database (ORSUS system) and theatre records were examined retrospectively between April 1997 and March 2002. The number and causes of...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/BF03167925

    authors: Robb WB,O'Sullivan MJ,Brannigan AE,Bouchier-Hayes DJ

    更新日期:2004-07-01 00:00:00

  • Factors affecting warfarin dose requirements and quality of anticoagulation in adult Egyptian patients: role of gene polymorphism.

    abstract:BACKGROUND:Warfarin is the mainstay of anticoagulation therapy worldwide. CYP2C9 and VKORC1 are two major genetic factors associated with inter-individual and inter-ethnic variability in the warfarin dose. AIM:This study aims to assess the impact of VKORC1-1639G>A polymorphism and the most common CYP2C9 variant allele...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-013-0978-y

    authors: Bazan NS,Sabry NA,Rizk A,Mokhtar S,Badary OA

    更新日期:2014-06-01 00:00:00

  • A review of 100 consecutive sutureless child and adult circumcisions.

    abstract:BACKGROUND:Circumcision is one of the world's most common operations. Series describing a new technique involving the use of fibrin-based glue have become more apparent in the literature. Here we outline the first 100 such cases for 62 children and 38 adults in our practice describing complications and learning curve. ...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-010-0545-8

    authors: D'Arcy FT,Jaffry SQ

    更新日期:2011-03-01 00:00:00

  • Antibiotic prophylaxis for transrectal ultrasound biopsy of the prostate in Ireland.

    abstract:INTRODUCTION:Prostate cancer is the most common solid cancer affecting men in Ireland. Transrectal ultrasound (TRUS) biopsies of the prostate are routinely performed to diagnose prostate cancer. They are, in general, a safe procedure but are associated with a significant risk of infective complications ranging from fev...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-011-0774-5

    authors: Smyth LG,Mulvin DW

    更新日期:2012-03-01 00:00:00

  • Severe abdominal injuries sustained in an adult wearing a pelvic seatbelt: a case report and review of the literature.

    abstract::In automobile accidents, the "seatbelt syndrome" (SBS) consists of a constellation of injuries, predominantly involving thoraco-lumbar vertebral fractures and intraabdominal organ injury. A recent amendment to Irish legislation has made the wearing of seatbelts mandatory for all rear seated passengers in an effort to ...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章,评审

    doi:10.1007/s11845-008-0215-2

    authors: O'Kelly F,O'Brien GC,Broe PJ

    更新日期:2008-12-01 00:00:00

  • Use of cardiopulmonary pump support during coronary artery bypass grafting in the high-risk: a meta-analysis.

    abstract:BACKGROUND:Data from randomized trials evaluating the efficacy of on- versus off-pump coronary artery bypass grafting remain inconclusive, particularly in high-risk populations. AIMS:The aim of this study is to compare the outcomes associated with on- versus off-pump coronary artery bypass grafting among high-risk pat...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章,meta分析

    doi:10.1007/s11845-017-1679-8

    authors: Yousif A,Addison D,Lakkis N,Rosengart T,Virani SS,Birnbaum Y,Alam M

    更新日期:2018-05-01 00:00:00

  • The ratio of hemoglobin to red cell distribution width predicts survival in patients with gastric cancer treated by neoadjuvant FLOT: a retrospective study.

    abstract:BACKGROUND:Hemoglobin (HB) and red cell distribution width (RDW) are known to be prognostic in many cancer types. The HB-RDW ratio (HRR) is a new biomarker that has been shown to be predictive in some cancer types. However, the prognostic significance of HRR in patients with gastric cancer (GC) is unknown. AIMS:In thi...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-019-02153-x

    authors: Yılmaz A,Mirili C,Tekin SB,Bilici M

    更新日期:2020-02-01 00:00:00

  • Idiopathic mesenteric thrombosis following caesarean section.

    abstract::Mesenteric venous thrombosis, "the great mimicker", is a very rare disorder in pregnancy and the puerperium, particularly when not associated with any pre-existing thrombophilia or autoimmune states. We describe a patient requiring a resection of 150 cm of gangrenous small bowel after uncomplicated elective Caesarean ...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/BF02945845

    authors: McGurgan P,Holohan M,McKenna P,Gorey TF

    更新日期:1999-07-01 00:00:00

  • Recurrent variceal haemorrhage managed with splenic vein stenting.

    abstract:INTRODUCTION:Extrahepatic Portal Hypertension (EPH) is defined as extrahepatic hypertension of the portal venous system in the absence of liver cirrhosis. Isolated splenic vein stenosis/occlusion as one of the causes of extrahepatic portal hypertension is uncommon, comprising less than 5 % of all cases of portal hypert...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章,评审

    doi:10.1007/s11845-016-1420-z

    authors: El Kininy W,Kearney L,Hosam N,Broe P,Keeling A

    更新日期:2017-05-01 00:00:00

  • Risk factors of systematic biliary complications in patients with gallbladder stones.

    abstract:BACKGROUND:Gallbladder stone with symptom is an indication of cholecystectomy according to the current guideline. However, about 80% of gallstone patients are asymptomatic. The identification of gallbladder stone patients likely to develop symptomatic complications would be of benefit in clinical practice. AIMS:The ai...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-019-02161-x

    authors: Cao Z,Wei J,Zhang N,Liu W,Hong T,He X,Qu Q

    更新日期:2020-08-01 00:00:00

  • Tumor suppression function of FoxD3 in lung cancer.

    abstract:INTRODUCTION:The transcription factor forkhead box D3 (FoxD3) is a forkhead protein and serves as a transcriptional repressor. The functions of FoxD3 in embryogenesis and in the development of neural crest cells have been diversely studied. Its role associated with tumor development has attracted attention just in rece...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-015-1297-2

    authors: Wang C,Huang Y,Dai W

    更新日期:2016-08-01 00:00:00

  • The free cortisol index.

    abstract::The development of the Free Cortisol Index, an indirect measurement of the free or metabolically active portion of circulating cortisol, is described. Patients with non-adrenal disease had FCl values in the same range as normal subjects and in patients with adrenal disease the FCl values moved in the same direction as...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/BF02939036

    authors: Brien TG,Hingerty DJ

    更新日期:1975-12-01 00:00:00