Journal of Innovations in Cardiac Rhythm Management最新文献

Brugadaphobia. Brugadaphobia。

Journal of Innovations in Cardiac Rhythm Management Pub Date : 2025-09-15 eCollection Date: 2025-09-01 DOI: 10.19102/icrm.2025.16091

Laszlo Littmann, William C Bock

引用次数: 0

Successful Cardiac Resynchronization Therapy Defibrillator Implantation via the Vein of Marshall in a Patient with Coronary Sinus Ostial Occlusion. 心脏再同步化治疗：经马歇尔静脉植入除颤器治疗冠状窦口闭塞1例。

Journal of Innovations in Cardiac Rhythm Management Pub Date : 2025-09-15 eCollection Date: 2025-09-01 DOI: 10.19102/icrm.2025.16094

Farid Aliyev, Emin Karimli, Aytan Hajili

引用次数: 0

Tips and Tricks to Perform a Successful Vein of Marshall Alcohol Ablation. 执行成功的马歇尔酒精消融静脉的提示和技巧。

Journal of Innovations in Cardiac Rhythm Management Pub Date : 2025-09-15 eCollection Date: 2025-09-01 DOI: 10.19102/icrm.2025.16092

Aashish Katapadi, Mahmoud Gomaa, Rayyan Bhutta, Aleena Arif, Emile Daoud, Muhammad R Afzal

{"title":"Tips and Tricks to Perform a Successful Vein of Marshall Alcohol Ablation.","authors":"Aashish Katapadi, Mahmoud Gomaa, Rayyan Bhutta, Aleena Arif, Emile Daoud, Muhammad R Afzal","doi":"10.19102/icrm.2025.16092","DOIUrl":"10.19102/icrm.2025.16092","url":null,"abstract":"Marshall bundle ablation via retrograde ethanol infusion into the vein of Marshall (VoM) is one of the few adjunctive approaches complementary to the success of pulmonary vein (PV) isolation during catheter ablation for persistent atrial fibrillation (AF). VoM ablation also increases the success and durability of mitral isthmus block for the management of peri-mitral flutter. Despite its promise, the adoption of VoM ablation is limited due to anatomical variations that result in a steep learning curve. Successful Marshall bundle ablation requires accurate identification and successful cannulation of the VoM with an appropriate-size balloon to achieve adequate occlusion, followed by non-traumatic ethanol infusion. VoM ablation is often performed before wide-area circumferential ablation of the left-sided PVs. Mitral isthmus ablation to achieve mitral annular block is always recommended after VoM ablation to minimize the risk of peri-mitral flutter. This paper discusses a step-by-step approach for successful Marshall bundle ablation with tips and tricks for difficult cases based upon the performance of over 500 cases performed at the Ohio State University Medical Center.","PeriodicalId":36299,"journal":{"name":"Journal of Innovations in Cardiac Rhythm Management","volume":"16 9","pages":"6424-6437"},"PeriodicalIF":0.0,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12513730/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Letter from the Editor in Chief. 总编辑的来信。

Journal of Innovations in Cardiac Rhythm Management Pub Date : 2025-09-15 eCollection Date: 2025-09-01 DOI: 10.19102/icrm.2025.16095

Devi Nair

引用次数: 0

A Case of Epicardial Ablation of the Sinus Node for the Treatment of Inappropriate Sinus Tachycardia. 心外膜窦结消融治疗不适当性窦性心动过速1例。

Journal of Innovations in Cardiac Rhythm Management Pub Date : 2025-09-15 eCollection Date: 2025-09-01 DOI: 10.19102/icrm.2025.16093

Mahmoud Eldesouky, Noha Elbanhawy, Shajil Chalil, Khalid Abozguia

{"title":"A Case of Epicardial Ablation of the Sinus Node for the Treatment of Inappropriate Sinus Tachycardia.","authors":"Mahmoud Eldesouky, Noha Elbanhawy, Shajil Chalil, Khalid Abozguia","doi":"10.19102/icrm.2025.16093","DOIUrl":"10.19102/icrm.2025.16093","url":null,"abstract":"Despite advancements in medical therapy, managing symptomatic inappropriate sinus tachycardia (IST) remains challenging. The role of catheter ablation in addressing this condition remains ambiguous according to multiple cardiac society guidelines. In this case study, we illustrate the efficacy of a hybrid approach involving sinus node modification and ablation in a patient with refractory symptoms, while also addressing the associated challenges and safety considerations of this procedure. A 58-year-old female patient was troubled with recurrent palpitations secondary to IST. Due to the proximity of the target ablation site to the phrenic nerve, this area was not amenable to complete ablation endocardially. To alleviate symptoms, an ablation procedure was planned, aiming for epicardial sinus node modification and displacement of the phrenic nerve from the target site. The procedure was completed under general anesthesia. The conventional subxiphoid technique was deemed challenging even with a surgical approach due to the patient's body habitus and significantly increased body mass index; hence, she underwent a 5-cm right anterior thoracotomy to establish access to the pericardium. The sinoatrial (SA) node was ablated surgically by direct application under vision of the right atrium around the area of the SA node to avoid the phrenic nerve. Modification and ablation of the sinus node in patients exhibiting features of IST may be considered to help alleviate patients' symptoms. Further follow-up and assessments with large cohorts and powered randomized controlled studies are needed. Our case represents an example where a hybrid invasive approach resulted in a safe procedure with immediate symptomatic benefit.","PeriodicalId":36299,"journal":{"name":"Journal of Innovations in Cardiac Rhythm Management","volume":"16 9","pages":"6438-6444"},"PeriodicalIF":0.0,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12513729/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Outcomes and Safety of Catheter Ablation in the Elderly. 老年人导管消融的疗效和安全性。

Journal of Innovations in Cardiac Rhythm Management Pub Date : 2025-08-15 eCollection Date: 2025-08-01 DOI: 10.19102/icrm.2025.16084

Khalid Sawalha, Anis John Kadado, Shayal Pundlik, Kyle Gobeil, Mohamed Abdelazeem, Fadi Chalhoub

{"title":"Outcomes and Safety of Catheter Ablation in the Elderly.","authors":"Khalid Sawalha, Anis John Kadado, Shayal Pundlik, Kyle Gobeil, Mohamed Abdelazeem, Fadi Chalhoub","doi":"10.19102/icrm.2025.16084","DOIUrl":"10.19102/icrm.2025.16084","url":null,"abstract":"Catheter ablation has emerged as a first-line therapy for many arrhythmias. However, data on the safety and outcomes of catheter ablation in the elderly population remain limited. Here, we aimed to study the outcomes of catheter ablation in octogenarians. The data used in this study were obtained from the National Inpatient Sample database through years 2016-2019. We identified patients ≥80 years old who were diagnosed with atrial fibrillation (AF), atrial flutter (AFL), supraventricular tachycardia (SVT), or ventricular tachycardia (VT) as primary diagnoses. The patients' characteristics and common procedure complications were extracted. We investigated the predictors of mortality and in-hospital complications using multivariable logistic regression. A total of 18,595 patients were included in our analysis. The most common procedure performed was ablation for AF (46%), followed by AFL ablation (23%), VT ablation (18%), and SVT ablation (12%). Higher rates of tamponade (1.6%) were seen in patients undergoing VT ablation. A Charlson's comorbidity index (CCI) score of ≥3 points was used as an independent predictor for complications (odds ratio [OR], 2.14; 95% confidence interval [CI], 1.4-3.3, P = .001). Mortality was higher in VT ablation (4.2%) compared to AFL (1.3%), AF (0.9%), and SVT (0.3%). After logistic regression analysis, a CCI score of ≥3 points (OR, 14.7; 95% CI, 1.88-114.9; P = .01) and tamponade (OR, 4.9; 95% CI, 1.65-14.8; P = .004) were independent predictors of mortality. We found a low incidence of procedural complication rates across all ablation groups in octogenarians. Those undergoing VT ablation were more likely to have complications and a higher mortality rate. Baseline comorbidities can be used to risk-stratify patients when deciding on the best treatment strategy.","PeriodicalId":36299,"journal":{"name":"Journal of Innovations in Cardiac Rhythm Management","volume":"16 8","pages":"6412-6419"},"PeriodicalIF":0.0,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12407494/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Electrophysiology Lab of the Future. 未来的电生理实验室。

Journal of Innovations in Cardiac Rhythm Management Pub Date : 2025-08-15 eCollection Date: 2025-08-01 DOI: 10.19102/icrm.2025.16081

John Cochran, Michael M Shehata

引用次数: 0

Breaking the Circuit: A Case of Macro-re-entrant Biatrial Tachycardia. 打破电路：一例宏观再入性双房性心动过速。

Journal of Innovations in Cardiac Rhythm Management Pub Date : 2025-08-15 eCollection Date: 2025-08-01 DOI: 10.19102/icrm.2025.16082

Mustafa Gabarin, Javier Bonacina, Syamkumar Divakara Menon

引用次数: 0

Letter from the Editor in Chief. 总编辑的来信。

Journal of Innovations in Cardiac Rhythm Management Pub Date : 2025-08-15 eCollection Date: 2025-08-01 DOI: 10.19102/icrm.2025.16085

Devi Nair

引用次数: 0

A Novel Technique for Conduction System Pacing in Patients Undergoing Simultaneous Ablation of the Atrioventricular Node Using Axillary Venous Access. 腋静脉通道同时消融房室结的传导系统起搏新技术。

Journal of Innovations in Cardiac Rhythm Management Pub Date : 2025-08-15 eCollection Date: 2025-08-01 DOI: 10.19102/icrm.2025.16083

Hussam Abuissa, Ahmed Elawad

引用次数: 0