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159 results on '"Fassini, G"'

1. STRA-MI-VT (STereotactic RadioAblation by Multimodal Imaging for Ventricular Tachycardia): rationale and design of an Italian experimental prospective study

Author

Carbucicchio, C., Jereczek-Fossa, B. A., Andreini, D., Catto, V., Piperno, G., Conte, E., Cattani, F., Rondi, E., Vigorito, S., Piccolo, C., Bonomi, A., Gorini, A., Pepa, M., Mushtaq, S., Fassini, G., Moltrasio, M., Tundo, F., Marvaso, G., Veglia, F., Orecchia, R., Tremoli, E., and Tondo, C.

Published
2021
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2. Left atrial appendage closure in patients with atrial fibrillation and haemodialysis: outcomes from an international, multicentric registry

Author

Urbanek, L, primary, Heine, G, additional, Reddavid, C, additional, Saw, J, additional, Kawamura, I, additional, Reddy, V, additional, Galea, R, additional, Raeber, L, additional, Sedaghat, A, additional, Della Rocca, D, additional, Natale, A, additional, Fassini, G, additional, Tondo, C, additional, Doshi, S, additional, and Schmidt, B, additional

Published
2024
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3. Direct epicardial validation of posterior wall isolation in persistent atrial fibrillation: pulsed field versus radiofrequency ablation

Author

Compagnucci, P, primary, Solimene, F, additional, Tondo, C, additional, La Fazia, V M, additional, Schillaci, V, additional, Mohanty, S, additional, Cipolletta, L, additional, Fassini, G M, additional, Chiariello, P, additional, Mottola, G, additional, Schiavone, M, additional, Casella, M, additional, Dello Russo, A, additional, and Natale, A, additional

Published
2024
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4. Pulsed-field ablation of atrial fibrillation in patients with multiple cardiovascular comorbidities: acute safety and efficacy from a large nationwide multicenter experience

Author

Casella, M, primary, Bianchi, S, additional, Solimene, F, additional, Tondo, C, additional, Dello Russo, A, additional, Schillaci, V, additional, Tundo, F, additional, Valeri, Y, additional, Colella, J, additional, Compagnucci, P, additional, Volpicelli, M, additional, Polselli, M, additional, Fassini, G, additional, Malacrida, M, additional, and Iacopino, S, additional

Published
2024
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7. Utility of intracardiac echocardiography during pulsed-field ablation of atrial fibrillation: preliminary experience in large multicenter clinical setting

Author

Dello Russo, A, primary, Casella, M, additional, Tondo, C, additional, Bianchi, S, additional, Solimene, F, additional, Fassini, G, additional, Artale, P, additional, Cipolletta, L, additional, Arestia, A, additional, Polselli, M, additional, Colella, J, additional, Riva, S, additional, Parisi, Q, additional, Malacrida, M, additional, and Iacopino, S, additional

Published
2023
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8. Pulsed-field ablation: analysis of a new ablation technique for atrial fibrillation. A single centre experience

Author

Sattin, T, primary, Fassini, G, additional, Cellucci, S, additional, Tundo, F, additional, Riva, S, additional, Moltrasio, M, additional, Bianchini, L, additional, Majocchi, B, additional, Pizzamiglio, F, additional, Sicuso, R, additional, Vettor, G, additional, Ribatti, V, additional, Dessanai, M, additional, and Tondo, C, additional

Published
2023
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12. Left atrial appendage closure guided by 3D computed tomography printing technology: A case control study

Author

Conti, M, Marconi, S, Muscogiuri, G, Guglielmo, M, Baggiano, A, Italiano, G, Mancini, M, Auricchio, F, Andreini, D, Rabbat, M, Guaricci, A, Fassini, G, Gasperetti, A, Costa, F, Tondo, C, Maltagliati, A, Pepi, M, Pontone, G, Conti M, Marconi S, Muscogiuri G, Guglielmo M, Baggiano A, Italiano G, Mancini ME, Auricchio F, Andreini D, Rabbat MG, Guaricci AI, Fassini G, Gasperetti A, Costa F, Tondo C, Maltagliati A, Pepi M, Pontone G, Conti, M, Marconi, S, Muscogiuri, G, Guglielmo, M, Baggiano, A, Italiano, G, Mancini, M, Auricchio, F, Andreini, D, Rabbat, M, Guaricci, A, Fassini, G, Gasperetti, A, Costa, F, Tondo, C, Maltagliati, A, Pepi, M, Pontone, G, Conti M, Marconi S, Muscogiuri G, Guglielmo M, Baggiano A, Italiano G, Mancini ME, Auricchio F, Andreini D, Rabbat MG, Guaricci AI, Fassini G, Gasperetti A, Costa F, Tondo C, Maltagliati A, Pepi M, and Pontone G

Abstract

Background: We sought to evaluate the additional value of left atrial appendage (LAA) 3D printing derived from computed tomography (CCT) in determining the size for LAA occlusion (LAAO) devices as compared to standard measurement by using occurrence of LAA leak as endpoint. Methods: We evaluated 6 patients with LAA leak (cases) and 14 matched patients without LAA leak (controls) after LAAO. For each group, a patient-specific 3D printed model of LAA was manufactured using CT pre-operative images. The size recommended by the 3D printed model was compared with the size of the implanted device. Results: Compared to the 3D printed model, 55% of the devices were underestimated, the two sizing approaches agreed in 35% of the patients, while the 3D printed model overestimated the size in 10% of patients. The prevalence of LAA leak was significantly higher in the subset of patients with underestimation of prosthesis implanted with the standard approach as compared to the other patients (p = 0.019). Conclusion: 3D printing of the LAA may provide additional value to standard practice for LAAO device prosthesis sizing with the potential impact to reduce LAA leak.

Published
2019

13. Novel cryo-balloon ablation technology for pulmonary vein isolation in patients with atrial fibrillation: preliminary experience from a multicenter clinical practice

Author

Tondo, C, primary, Stabile, G, additional, Filannino, P, additional, Moltrasio, M, additional, De Simone, A, additional, Artale, P, additional, Fassini, G, additional, La Rocca, V, additional, Bianchi, S, additional, Perna, F, additional, Tundo, F, additional, Colella, J, additional, Iuliano, A, additional, Malacrida, M, additional, and Iacopino, S, additional

Published
2021
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15. STRA-MI-VT (STereotactic RadioAblation by Multimodal Imaging for Ventricular Tachycardia): rationale and design of an Italian experimental prospective study

Author

Carbucicchio, C., primary, Jereczek-Fossa, B. A., additional, Andreini, D., additional, Catto, V., additional, Piperno, G., additional, Conte, E., additional, Cattani, F., additional, Rondi, E., additional, Vigorito, S., additional, Piccolo, C., additional, Bonomi, A., additional, Gorini, A., additional, Pepa, M., additional, Mushtaq, S., additional, Fassini, G., additional, Moltrasio, M., additional, Tundo, F., additional, Marvaso, G., additional, Veglia, F., additional, Orecchia, R., additional, Tremoli, E., additional, and Tondo, C., additional

Published
2020
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18. P1799 The importance of 3D imaging techniques in left atrial appendage closure: landing zone eccentricity influence on peri-device leak incidence and its implication in long-term clinical outcomes

Author

Italiano, G, primary, Maltagliati, A, additional, Mantegazza, V, additional, Gasperetti, A, additional, Fusini, L, additional, Arioli, L, additional, Susini, F, additional, Brusoni, D, additional, Fassini, G, additional, Tondo, C, additional, and Pepi, M, additional

Published
2020
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19. P5560Assessing etiology in a cohort of patients with myocarditis presenting with complex ventricular arrhythmias: can the percutaneous endomyocardial biopsy help?

Author

Dello Russo, A, primary, Casella, M, additional, Gasperetti, A, additional, Basso, C, additional, Bianchini, L, additional, Zanchi, S, additional, Catto, V, additional, Della Rocca, D, additional, Moltrasio, M, additional, Fassini, G, additional, Andreini, D, additional, Natale, A, additional, and Tondo, C, additional

Published
2019
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21. P3682Myocardial structural abnormalities in nonischemic patients presenting with ventricular arrhythmias

Author

Dello Russo, A, primary, Della Rocca, D, additional, Gasperetti, A, additional, Casella, M, additional, Basso, C, additional, Bianchini, L, additional, Fassini, G, additional, Riva, S, additional, Moltrasio, M, additional, Ribatti, V, additional, Tundo, F, additional, Zucchetti, M, additional, Carbucicchio, C, additional, Natale, A, additional, and Tondo, C, additional

Published
2019
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23. P4652Magnetic resonance and electroanatomical guided endomyocardial biopsy as a diagnostic tool in the clinician's box: a 5 year experience

Author

Casella, M, primary, Dello Russo, A, additional, Gasperetti, A, additional, Basso, C, additional, Conte, E, additional, Della Rocca, A, additional, Catto, V, additional, Moltrasio, M, additional, Fassini, G, additional, Musthaq, S, additional, Andreini, D, additional, Natale, A, additional, and Tondo, C, additional

Published
2019
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24. P993Diagnostic accuracy of cardiac magnetic resonance and endomyocardial biopsy for arrhythmogenic right ventricular dysplasia/cardiomyopathy and myocarditis

Author

Della Rocca, D G, primary, Casella, M, additional, Dello Russo, A, additional, Gasperetti, A, additional, Fassini, G, additional, Catto, V, additional, Tundo, F, additional, Riva, S, additional, Ribatti, V, additional, Dessanai, M A, additional, Pizzamiglio, F, additional, Moltrasio, M, additional, Carbucicchio, C, additional, Natale, A, additional, and Tondo, C, additional

Published
2019
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27. P1533Prevalence of lymphocytic myocarditis mimicking arrhythmogenic right ventricular cardiomyopathy in competitive athlethes

Author

Dello Russo, A., primary, Riva, S., additional, Catto, V., additional, Casella, M., additional, Dessanai, M., additional, Pizzamiglio, F., additional, Majocchi, B., additional, Cellucci, S., additional, Vettor, G., additional, Fassini, G., additional, Basso, C., additional, Thiene, G., additional, Carbucicchio, C., additional, Zeppilli, P., additional, and Tondo, C., additional

Published
2017
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30. Proven isolation of the pulmonary vein antrum with or without left atrial posterior wall isolation in patients with persistent atrial fibrillation

Author

Bai, R., Di Biase, L., Mohanty, P., Trivedi, C., Dello Russo, A., Themistoclakis, S., Casella, M., Santarelli, P., Fassini, G., Santangeli, P., Mohanty, S., Rossillo, A., Pelargonio, G., Horton, R., Sanchez, J., Gallinghouse, J., Burkhardt, J. D., Ma, C. -S., Tondo, C., Natale, A., Dello Russo A., Casella M., Pelargonio G., Bai, R., Di Biase, L., Mohanty, P., Trivedi, C., Dello Russo, A., Themistoclakis, S., Casella, M., Santarelli, P., Fassini, G., Santangeli, P., Mohanty, S., Rossillo, A., Pelargonio, G., Horton, R., Sanchez, J., Gallinghouse, J., Burkhardt, J. D., Ma, C. -S., Tondo, C., Natale, A., Dello Russo A., Casella M., and Pelargonio G.

Abstract

Background It is unclear whether isolation of the left atrial posterior wall (LAPW) offers additional benefits over pulmonary vein antrum isolation (PVAI) alone in patients with persistent atrial fibrillation (AF). Objective We sought to determine the impact of PVAI and LAPW isolation (PVAI+LAPW) versus PVAI alone on the outcome of ablation of persistent AF. Methods During the first procedure, PVAI was performed in 20 patients (group 1), whereas in 32 patients (group 2), PVAI was extended to the left atrial (LA) septum and coronary sinus (CS), and isolation of the LAPW was targeted (ePVAI+LAPW). Isolation of the superior vena cava was achieved in both groups. All patients, regardless of arrhythmia recurrence, underwent a second procedure 3 months after the first procedure. In patients with reconnection of pulmonary veins or LAPW, reisolation was performed, and a third procedure was performed 3 months later to verify isolation. Patients entered follow-up only after PVAI (group 1) or PVAI+LAPW (group 2) isolation was proven. Results At the 1-, 2-, and 3-year follow-up examinations, the rates of freedom from atrial tachyarrhythmia without use of an antiarrhythmic drug were 20%, 15%, and 10% in group 1 and 65%, 50%, and 40% in group 2, respectively (log-rank P <.001). The median recurrence-free survival time was 8.5 months (interquartile range 6.5-11.0) in group 1 and 28.0 months (interquartile range 8.5-32.0) in group 2. Conclusion Proven isolation of the LAPW provides additional benefits over PVAI alone in the treatment of persistent AF and improves procedural outcome at follow-up. However, the ablation strategy of ePVAI+LAPW is still associated with a significant high incidence of very late recurrence of atrial tachyarrhythmia. Clinical Trial Registration "Outcome of Atrial Fibrillation Ablation After Permanent Pulmonary Vein Antrum Isolation With or Without Proven Left Atrial Posterior Wall Isolation" (LIBERATION). ClinicalTrials.gov Identifier: NCT01660100.

Published
2016

31. The growing culture of a minimally fluoroscopic approach in electrophysiology lab

Author

Casella, M. (Michela), Russo, E. (Eleonora), Pizzamiglio, F. (Francesca), Conti, S. (Sergio), Al-Mohani, G. (Ghaliah), Colombo, D. (Daniele), Casula, V. (Victor), D’Alessandra, Y. (Yuri), Biagioli, V. (Viviana), Carbucicchio, C. (Corrado), Riva, S. (Stefania), Fassini, G. (Gaetano), Moltrasio, M. (Massimo), Tundo, F. (Fabrizio), Zucchetti, M. (Martina), Majocchi, B. (Benedetta), Marino, V. (Vittoria), Forleo, G. (Giovanni), Santangeli, P. (Pasquale), Di Biase, L. (Luigi), Dello Russo, A. (Antonio), Natale, A. (Andrea), Tondo, C. (Claudio), Casella, M. (Michela), Russo, E. (Eleonora), Pizzamiglio, F. (Francesca), Conti, S. (Sergio), Al-Mohani, G. (Ghaliah), Colombo, D. (Daniele), Casula, V. (Victor), D’Alessandra, Y. (Yuri), Biagioli, V. (Viviana), Carbucicchio, C. (Corrado), Riva, S. (Stefania), Fassini, G. (Gaetano), Moltrasio, M. (Massimo), Tundo, F. (Fabrizio), Zucchetti, M. (Martina), Majocchi, B. (Benedetta), Marino, V. (Vittoria), Forleo, G. (Giovanni), Santangeli, P. (Pasquale), Di Biase, L. (Luigi), Dello Russo, A. (Antonio), Natale, A. (Andrea), and Tondo, C. (Claudio)

Abstract

Most of interventional procedures in cardiology are carried out under fluoroscopic imaging guidance. Besides other peri-interventional risks, radiation exposure should be considered for its stochastic (inducing malignancy) and deterministic effects on health (tissue reactions like erythema, hair loss and cataracts). In this article we analized the radiation risk from cardiovascular imaging to both patients and medical staff and discusses how customize the X-ray system and how to implement shielding measures in the cath lab. Finally, we reviewed the most recent developments and the latest findings in catheter navigation and 3D electronatomical mapping systems that may help to reduce patient and operator exposure.

Published
2014

34. Prevalence and clinical significance of collateral findings detected by chest computed tomography in patients undergoing atrial fibrillation ablation

Author

Casella, M., primary, Perna, F., additional, Pontone, G., additional, Dello Russo, A., additional, Andreini, D., additional, Pelargonio, G., additional, Riva, S., additional, Fassini, G., additional, Pepi, M., additional, Ballerini, G., additional, Moltrasio, M., additional, Majocchi, B., additional, Bartoletti, S., additional, Formenti, A., additional, Santangeli, P., additional, Di Biase, L., additional, Natale, A., additional, and Tondo, C., additional

Published
2011
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35. Poster Session 1

Author

Deshmukh, A., primary, Sharma, S. S., additional, Gobal, F. G., additional, Singla, S. S., additional, Hebbar, P. H., additional, Paydak, H. P., additional, Igarashi, M., additional, Tada, H., additional, Sekiguchi, Y., additional, Yamasaki, H., additional, Kuroki, K., additional, Machino, T., additional, Yoshida, K., additional, Aonuma, K., additional, Shavadia, J., additional, Otieno, H., additional, Yonga, G., additional, Jinah, A., additional, Qvist, J. F., additional, Soerensen, P. H., additional, Dixen, U., additional, Ramirez-Marrero, M. A., additional, Perez-Villardon, B., additional, Gaitan-Roman, D., additional, Jimenez-Navarro, M., additional, Delgado-Prieto, J. L., additional, De Teresa-Galvan, E., additional, De Mora-Martin, M., additional, Deshmukh, A., additional, Hebbar, P. B., additional, Wei, W. X., additional, Bardari, S., additional, Zecchin, M., additional, Salame', R., additional, Vitali Serdoz, L., additional, Di Lenarda, A., additional, Guerrini, N., additional, Barbati, G., additional, Sinagra, G., additional, Hanazawa, K., additional, Kaitani, K., additional, Nakagawa, Y., additional, Lenaerts, I., additional, Driesen, R., additional, Hermida, N., additional, Heidbuchel, H., additional, Janssens, S., additional, Balligand, J. L., additional, Sipido, K. R., additional, Willems, R., additional, Sehra, R., additional, Krummen, D., additional, Briggs, C., additional, Narayan, S., additional, Tanaka, Y., additional, Hirao, K., additional, Nakamura, T., additional, Inaba, O., additional, Yagishita, A., additional, Higuchi, K., additional, Hachiya, H., additional, Isobe, M., additional, Kallergis, E., additional, Kanoupakis, E. M., additional, Mavrakis, H. E., additional, Goudis, C. A., additional, Maliaraki, N. E., additional, Vardas, P. E., additional, Kiuchi, K., additional, Piorkowski, C., additional, Kircher, S., additional, Gaspar, T., additional, Watanabe, N., additional, Bollmann, A., additional, Hindricks, G., additional, Wauters, K., additional, Grosse, A., additional, Raffa, S., additional, Brunelli, M., additional, Geller, J. C., additional, Maggioni, A. P., additional, Gonzini, L., additional, Gussoni, G., additional, Vescovo, G., additional, Gulizia, M., additional, Pirelli, S., additional, Mathieu, G., additional, Di Pasquale, G., additional, Salame, R., additional, Magnani, S., additional, Sakamoto, T., additional, Kumagai, K., additional, Fuke, E., additional, Nishiuchi, S., additional, Hayashi, T., additional, Miki, Y., additional, Naito, S., additional, Oshima, S., additional, Hof, I. E., additional, Vonken, E., additional, Velthuis, B. K., additional, Meine, M., additional, Hauer, R. N. W., additional, Loh, K. P., additional, Na, J. O., additional, Choi, C. U., additional, Kim, E. J., additional, Rha, S. W., additional, Park, C. G., additional, Seo, H. S., additional, Oh, D. J., additional, Lim, H. E., additional, Wichterle, D., additional, Bulkova, V., additional, Fiala, M., additional, Chovancik, J., additional, Simek, J., additional, Peichl, P., additional, Cihak, R., additional, Kautzner, J., additional, Glick, A., additional, Viskin, S., additional, Belhassen, B., additional, Navarrete, A., additional, Conte, F., additional, Ishti, A., additional, Sai, D., additional, Moran, M., additional, Chitovova, Z., additional, Ahmed, H., additional, Mares, K., additional, Skoda, J., additional, Sediva, L., additional, Petru, J., additional, Reddy, V. Y., additional, Neuzil, P., additional, Schmidt, M., additional, Dorwarth, U., additional, Leber, A., additional, Wankerl, M., additional, Krieg, J., additional, Straube, F., additional, Reif, S., additional, Hoffmann, E., additional, Mikhaylov, E., additional, Tikhonenko, V., additional, Lebedev, D., additional, Shin, S. Y., additional, Yong, H. S., additional, Choi, J. I., additional, Kim, S. H., additional, Matsuo, S., additional, Yamane, T., additional, Hioki, M., additional, Ito, K., additional, Narui, R., additional, Date, T., additional, Sugimoto, K., additional, Yoshimura, M., additional, Rolf, S., additional, Sommer, P., additional, Batalov, R., additional, Popov, S., additional, Antonchenko, I., additional, Suslova, T., additional, Fichtner, S., additional, Czudnochowsky, U., additional, Estner, H. L., additional, Ammar, S., additional, Reents, T., additional, Jilek, C., additional, Hessling, G., additional, Deisenhofer, I., additional, Pokushalov, E., additional, Romanov, A., additional, Corbucci, G., additional, Artemenko, S., additional, Losik, D., additional, Shabanov, V., additional, Turov, A., additional, Elesin, D., additional, Abramov, M., additional, Sanders, P., additional, Jais, P., additional, Roberts-Thomson, K., additional, Fukumoto, K., additional, Takatsuki, S., additional, Kimura, T., additional, Nishiyama, N., additional, Aizawa, Y., additional, Sato, T., additional, Miyoshi, S., additional, Fukuda, K., additional, Roux, Y., additional, Tenkorang, J., additional, Carroz, P., additional, Schlaepfer, J., additional, Pascale, P., additional, Forclaz, A., additional, Fromer, M., additional, Pruvot, E., additional, Sknouril, L., additional, Nevralova, R., additional, Dorda, M., additional, Januska, J., additional, Santi, R., additional, Geller, C., additional, Nakamura, K., additional, Kasseno, K., additional, Taniguchi, K., additional, Wutzler, A., additional, Huemer, M., additional, Parwani, A., additional, Boldt, L. H., additional, Blaschke, D., additional, Dietz, R., additional, Haverkamp, W., additional, Coutu, B., additional, Malanuk, R., additional, Ait Said, M., additional, Vicentini, A., additional, Schade, S., additional, Ando, K., additional, Rousseauplasse, A., additional, Deering, T., additional, Picarra, B. C., additional, Santos, A. R., additional, Dionisio, P., additional, Semedo, P., additional, Matos, R., additional, Leitao, M., additional, Jacinto, A., additional, Trinca, M., additional, Wan, C., additional, Glad, J., additional, Szymkiewicz, S., additional, Habibovic, M., additional, Versteeg, H., additional, Pelle, A. J. M., additional, Theuns, D. A. M. J., additional, Jordaens, L., additional, Pedersen, S. S., additional, Pakarinen, S., additional, Toivonen, L., additional, Taggeselle, J., additional, Frey, A., additional, Birkenhagen, A., additional, Kohler, S., additional, Maier, S. K. G., additional, Lobitz, N., additional, Paule, S., additional, Becher, J., additional, Mustafa, G., additional, Ibrahim, A., additional, King, G., additional, Foley, B., additional, Wilkoff, B., additional, Freedman, R., additional, Hayes, D., additional, Kalbfleisch, S., additional, Kutalek, S., additional, Schaerf, R., additional, Fazal, I. A., additional, Tynan, M., additional, Plummer, C. J., additional, Mccomb, J. M., additional, Oto, A., additional, Aytemir, K., additional, Yorgun, H., additional, Canpolat, U., additional, Kaya, E. B., additional, Tokgozoglu, L., additional, Kabakci, G., additional, Ozkutlu, H., additional, Greenberg, S., additional, Hamati, F., additional, Styperek, R., additional, Alonso, J., additional, Peress, D., additional, Bolanos, O., additional, Augostini, R., additional, Pelini, M., additional, Zhang, S., additional, Stoycos, S., additional, Witsaman, S., additional, Mowrey, K., additional, Bremer, J., additional, Oza, A., additional, Ciconte, G., additional, Mazzone, P., additional, Paglino, G., additional, Marzi, A., additional, Vergara, P., additional, Sora, N., additional, Gulletta, S., additional, Della Bella, P., additional, Nagashima, M., additional, Goya, M., additional, Soga, Y., additional, Hiroshima, K., additional, Andou, K., additional, Hayashi, K., additional, An, Y., additional, Nobuyoshi, M., additional, Kutarski, A., additional, Malecka, B., additional, Pietura, R., additional, Osmancik, P., additional, Herman, D., additional, Stros, P., additional, Kocka, V., additional, Tousek, P., additional, Linkova, H., additional, Bortnik, M., additional, Occhetta, E., additional, Dell'era, G., additional, Degiovanni, A., additional, Plebani, L., additional, Marino, P. N., additional, Gorev, M. V., additional, Alimov, D. G., additional, Raju, P., additional, Kully, S., additional, Ugni, S., additional, Furniss, S., additional, Lloyd, G., additional, Patel, N. R., additional, Richards, M. W., additional, Warren, C. E., additional, Anderson, M. H., additional, Hero, M., additional, Rey, J. L., additional, Ouali, S., additional, Azzez, S., additional, Kacem, S., additional, Hammas, S., additional, Ben Salem, H., additional, Neffeti, E., additional, Remedi, F., additional, Boughzela, E., additional, Kronborg, M. B., additional, Mortensen, P. T., additional, Poulsen, S. H., additional, Nielsen, J. C., additional, Simantirakis, E. N., additional, Kontaraki, J. E., additional, Arkolaki, E. G., additional, Chrysostomakis, S. I., additional, Nyktari, E. G., additional, Patrianakos, A. P., additional, Funck, R. C., additional, Harink, C., additional, Mueller, H. H., additional, Koelsch, S., additional, Maisch, B., additional, Bolzani, V., additional, Costandi, P., additional, Shehada, R. E., additional, Butala, N., additional, Coppola, B., additional, Taborsky, M., additional, Heinc, P., additional, Fedorco, M., additional, Doupal, V., additional, Di Cori, A., additional, Zucchelli, G., additional, Soldati, E., additional, Segreti, L., additional, De Lucia, R., additional, Viani, S., additional, Paperini, L., additional, Bongiorni, M. G., additional, Gutleben, K. J., additional, Kranig, W., additional, Barr, C., additional, Morgenstern, M. M., additional, Simon, M., additional, Dalal, Y. H., additional, Landolina, M., additional, Pierantozzi, A., additional, Agricola, T., additional, Lunati, M., additional, Pisano', E., additional, Lonardi, G., additional, Bardelli, G., additional, Zucchi, G., additional, Thibault, B., additional, Dubuc, M., additional, Karst, E., additional, Ryu, K., additional, Paiement, P., additional, Carlson, M. D., additional, Farazi, T., additional, Alhous, H., additional, Mont, L., additional, Porres, J. M., additional, Alzueta, J., additional, Beiras, X., additional, Fernandez-Lozano, I., additional, Macias, A., additional, Ruiz, R., additional, Brugada, J., additional, Viani, S. 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Published
2011
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43. Atypical atrial flutter: clinical features, electrophysiological characteristics and response to radiofrequency catheter ablation.

Author

Bella, P. Della, Fraticelli, A., Tondo, C., Riva, S., Fassini, G., and Carbucicchio, C.

Abstract

Aims To evaluate the clinical and electrophysiological features of atypical atrial flutter (AAF) and its response to radiofrequency catheter ablation. Methods and Results In 90 consecutive patients referred for sustained atrial flutter, bipolar recordings were obtained from the tricuspid annulus, coronary sinus, interatrial septum and left atrium. AAF was defined by the absence of concealed entrainment from the inferior vena cava — tricuspid annulus isthmus. Target sites were identified by early, fragmented or double potentials and by concealed entrainment. Linear lesions were created between target sites and nearby anatomical barriers in a temperature-controlled mode: 20 episodes of AAFs were documented in 19/90 (21%) patients. Mitral valve disease and surgery were significantly more frequent in patients with AAF. Target sites were identified in the right atrial free wall (n=8), interatrial septum (n=6), left atrium (n=4) and coronary sinus (n=2). Effective ablation was obtained in 15/19 patients (79%). After a 15·7±10·7 month follow-up, AAF recurred in 0/15 patients with a successful and 3/4 (75%) with a failed procedure (P< 0·05). Conclusions Conventional mapping techniques enable identification of critical sites of AAF and allow successful ablation in the majority of cases. Copyright 2002 The European Society of Cardiology. Published by Elsevier Science Ltd. All rights reserved. [ABSTRACT FROM PUBLISHER]

Published
2002
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44. Non-contact mapping to guide catheter ablation of untolerated ventricular tachycardia.

Author

Della Bella, P., Pappalardo, A., Riva, S., Tondo, C., Fassini, G., and Trevisi, N.

Abstract

Aims The role of a novel non-contact mapping system (ESI 3000, Endocardial Solutions) to guide radiofrequency catheter ablation of untolerated ventricular tachycardia was investigated in 17 patients; 11 with prior myocardial infarction, three with arrhythmogenic right ventricular dysplasia, and three with idiopathic dilated cardiomyopathy.Methods Twenty-seven monomorphic ventricular tachycardias were induced (mean cycle 320±60ms, range 230–450ms), mapped for 15–20s, and terminated by overdrive pacing or DC shock. Off-line analysis of isopotential activation mapping was performed to identify the diastolic pathway and/or the exit point of the ventricular tachycardia reentry circuit. Radiofrequency current was applied to create a line of block across the diastolic pathway or around the exit point.Results All 27 ventricular tachycardias were mapped with the non-contact system. The endocardial exit point (−7±15ms before QRS onset) was defined in 21/21 postinfarction ventricular tachycardias, in 3/3 arrhythmogenic right ventricular dysplasia and in 1/3 idiopathic dilated cardiomyopathy ventricular tachycardias, respectively. The diastolic pathway (earliest endocardial diastolic activity: −65±49ms before QRS onset) was identified in 17/21 postinfarction ventricular tachycardias, in 1/3 arrhythmogenic right ventricular dysplasia and in 1/3 idiopathic dilated cardiomyopathy ventricular tachycardias, respectively. Catheter ablation was performed in 25/27 ventricular tachycardias (93%) in 15/17 patients (88%): 16/25 ventricular tachycardias (64%) were successfully ablated in 10/17 patients (59%). Catheter ablation was not performed in two patients or proved unsuccessful in five patients. At a follow-up of 15±5 months, there was no recurrence of documented ventricular tachycardia in all 10 patients with successful catheter ablation; in two of them a previously non-documented ventricular tachycardia occurred. A high recurrence of ventricular tachycardia was observed in patients with a failed procedure (5/7: 71%). No major complication or death occurred.Conclusions Non-contact mapping can be effectively used to map and guide radiofrequency catheter ablation of untolerated ventricular tachycardias. Given the favourable acute and clinical long-term results, this approach proves to be more effective in patients with postinfarction ventricular tachycardias, in comparison to patients with arrhythmogenic right ventricular dysplasia and idiopathic dilated cardiomyopathy. [ABSTRACT FROM PUBLISHER]

Published
2002
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45. Incidence and clinical significance of transformation of atrial fibrillation to atrial flutter in patients undergoing long-term antiarrhythmic drug treatment.

Author

Riva, S., Tondo, C., Carbucicchio, C., Galimberti, P., Fassini, G., and Della Bella, P.

Abstract

Aims To investigate the rate of transformation of atrial fibrillation to atrial flutter in patients taking antiarrhythmic drugs for the prophylaxis of atrial fibrillation, we retrospectively analysed data from 305 consecutive patients with paroxysmal atrial fibrillation (155 male; mean age 63±11 years) treated with ventricular rate controlling drugs, antiarrhythmic drugs, or without drugs. Methods and Results At a mean follow-up of 9 months (range 1–24) all patients experienced recurrence of arrhythmia: 48 (14·6%, Group A) suffered Type 1 atrial flutter, and 257 (85·4%, Group B) atrial fibrillation. The relative rate of recurrence of atrial flutter vs atrial fibrillation was similar in patients without treatment or with ventricular rate controlling drugs (from 6·8% to 14·6%, P=ns). However, recurrence was higher (25%) in patients administered antiarrhythmic drug therapy. The relative risk in these patients was 3·02 times greater, compared with patients without treatment, or treated with rate controlling drugs (P<0·001). There were no differences between groups concerning the baseline clinical characteristics and the clinical consequences of the recurrence; patients with atrial flutter had a lower rate of conversion to sinus rhythm (42% vs 64%) and a higher rate of hospital admission (69% vs 36%) compared with those with atrial fibrillation. Six patients (8·5%) experienced 1:1 atrioventricular conduction during atrial flutter with a ventricular rate of 240–280 beats.min−1. Conclusion Our data suggest that the use of antiarrhythmic drugs for the prophylaxis of atrial fibrillation is associated with a threefold increase in the probability of Type 1 atrial flutter recurrence, as opposed to atrial fibrillation, which may have important clinical consequences, but which did not in our study. [ABSTRACT FROM PUBLISHER]

Published
1999
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47. Monitoring atrial fibrillation after catheter ablation

Author

Forleo, G. B., Casella, M., Antonio Dello Russo, Moltrasio, M., Fassini, G., Tesauro, M., and Tondo, C.

Subjects
Featured Review
Abstract

Although catheter ablation is an effective treatment for recurrent atrial fibrillation (AF), there is no consensus on the definition of success or follow-up strategies. Symptoms are the major motivation for undergoing catheter ablation in patients with AF, however it is well known that reliance on perception of AF by patients after AF ablation results in an underestimation of recurrence of the arrhythmia. Because symptoms of AF occurrence may be misleading, a reliable assessment of rhythm outcome is essential for the definition of success in both clinical care and research trials. Continuous rhythm monitoring over long periods of time is superior to intermittent recording using external monitors to detect the presence of AF episodes and to quantify the AF burden. Today, new devices implanted subcutaneously using a minimally invasive technique have been developed for continuous AF monitoring. Implantable devices keep detailed information about arrhythmia recurrences and might allow identification of very brief episodes of AF, the significance of which is still uncertain. In particular, it is not known whether there is any critical value of daily AF burden that has a prognostic significance. This issue remains an area of active discussion, debate and investigation. Further investigation is required to determine if continuous AF monitoring with implantable devices is effective in reducing stroke risk and facilitating maintenance of sinus rhythm after AF ablation.

50. The growing culture of a minimally fluoroscopic approach in electrophysiology lab

Author

Casella, M., Russo, E., Pizzamiglio, F., Conti, S., Al-Mohani, G., Colombo, D., Casula, V., Yuri D'Alessandra, Biagioli, V., Carbucicchio, C., Riva, S., Fassini, G., Moltrasio, M., Tundo, F., Zucchetti, M., Majocchi, B., Marino, V., Forleo, G., Santangeli, P., Di Biase, L., Russo, A. D., Natale, A., and Tondo, C.

Subjects
Journal Review
Abstract

Most of interventional procedures in cardiology are carried out under fluoroscopic imaging guidance. Besides other peri-interventional risks, radiation exposure should be considered for its stochastic (inducing malignancy) and deterministic effects on health (tissue reactions like erythema, hair loss and cataracts). In this article we analized the radiation risk from cardiovascular imaging to both patients and medical staff and discusses how customize the X-ray system and how to implement shielding measures in the cath lab. Finally, we reviewed the most recent developments and the latest findings in catheter navigation and 3D electronatomical mapping systems that may help to reduce patient and operator exposure.

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