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335 results on '"Sara Foresti"'

1. Nearly fatal ventricular arrhythmia following pacemaker implantation in a young female with complete heart block

Author

Hussam Ali, Pierpaolo Lupo, Sara Foresti, Guido De Ambroggi, Riccardo Mantovani, Carmine De Lucia, Ilaria Passarelli, Luigi De Ambroggi, and Riccardo Cappato

Subjects
complete heart block, long QT, pacemaker, ventricular repolarization, ventricular tachyarrhythmia, Diseases of the circulatory (Cardiovascular) system, RC666-701
Abstract

Abstract This case concerns a 24‐year‐old female who developed malignant ventricular tachyarrhythmia a few weeks after pacemaker implantation for complete heart block. Apparently, right ventricular pacing caused significant repolarization abnormalities in both native and paced rhythms with marked QT prolongation and substantial electrical instability. This case highlights other intriguing phenomena in the puzzle of cardiac repolarization and how pacing therapy may alter this complex process providing arrhythmic substrate in vulnerable subjects. Though such arrhythmic events are clinically rare, vulnerable patients or with suspected myocardial disease that may cause QT prolongation should be carefully followed in the course of pacing therapy.

Published
2019
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2. Long‐term follow‐up after radiofrequency ablation of ectopic atrial tachycardia in young patients

Author

Cristina Balla, Sara Foresti, Hussam Ali, Antonio Sorgente, Gabriele Egidy Assenza, Guido De Ambroggi, Gianluca Epicoco, Pierpaolo Lupo, and Riccardo Cappato

Subjects
ablation, children, ectopic atrial tachycardia, young adults, Diseases of the circulatory (Cardiovascular) system, RC666-701
Abstract

Abstract Aim Ectopic atrial tachycardia (EAT) is a common arrhythmia in children, adolescents, and young adults. Radiofrequency (RF) ablation is often considered the treatment of choice in this population. We sought to evaluate the long‐term follow‐up after RF ablation. Methods and Results We retrospectively analyzed 36 young patients (age range 8‐29 years), with clinical signs and symptoms suspected for EAT who underwent an electrophysiological study in our center. We evaluated the safety and acute success rate of ablation and the long‐term follow‐up. Ectopic foci were more frequently localized in the right atrium along the crista terminalis (28%) and EAT was successfully terminated in 97% of patients. At median follow‐up (38 months), the recurrence rate was 20% with mostly recurrences expressed within 6 months. Conclusions The study confirmed the safety and high acute success rate of EAT ablation in a population of children, adolescents, and young adults. Therefore, catheter ablation of EAT can be considered early in the course of treatment of these patients. The evidence of most recurrences within 6 months could be useful for advising patients on likely outcomes.

Published
2019
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17. Information Security and Privacy - Challenges and Outlook.

Author

Steven Furnell, Paul S. Haskell-Dowland, Manish Agrawal, Richard L. Baskerville, Anirban Basu 0001, Matt Bishop, Jorge Cuéllar, Sara Foresti, Lynn Futcher, Nurit Gal-Oz, Tejaswini (Teju) Herath, Christian Damsgaard Jensen, Allen C. Johnston, Wouter Joosen, Giovanni Livraga, Javier López 0001, Stephen Marsh 0001, Fabio Martinelli, Fabio Massacci, Aljosa Pasic, Stef Schinagl, Abbas Shahim, Kerry-Lynn Thomson, Jaideep Vaidya, Tony Vance, and Merrill Warkentin

Published
2021
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39. Chiari network for the interventional cardiologist: A hidden enemy at the heart gate – A systematic review of the literature

Author

Hussam Ali, Pierpaolo Lupo, Ernesto Cristiano, Leoluca Nicolì, Sara Foresti, Guido De Ambroggi, Robert H. Anderson, Carmine De Lucia, Dario Turturiello, Edoardo Maria Paganini, Riccardo Bessi, Ahmad Abdelrady Abdelsalam Farghaly, Gianfranco Butera, and Riccardo Cappato

Subjects
Cardiology and Cardiovascular Medicine
Abstract

This study aimed to collect and analyze the literature data regarding Chiari network (CN) and other right atrium (RA) remnants comprising the Eustachian and Thebesian valves (EV, ThV) as a potential entrapment site during different percutaneous cardiac procedures (PCP).A systematic search was conducted using Pubmed and Embase databases following the PRISMA guidelines to obtain available data concerning PCP associated with entrapment of inserted materials within CN-EV-ThV. The final analysis included 41 patients who underwent PCP with reported material entrapment within these RA remnants. The PCP was atrial septal defect (ASD)/patent foramen ovale (PFO) closure, catheter ablation, and pacemaker/defibrillator implantation in 44%, 22%, and 17% of patients, respectively. The entrapped materials were ASD/PFO devices, multipolar electrophysiology catheters, passive-fixation pacing leads, and J-guidewires in about 30%, 20%, 15%, and 10% of patients, respectively. Intraprocedural transthoracic, transoesophageal and intracardiac echocardiography showed sensitivity to reveal these structures of 20%, ∼95%, and 100%, respectively. A percutaneous approach successfully managed 70% of patients, while cardiovascular surgery was required in 20% and three patients died (7.3%).CN and other RA remnants may cause entrapment of various devices or catheters during PCP requiring right heart access. The percutaneous approach, guided by intraprocedural imaging, appears safe and effective in managing most patients. Prevention includes recognizing these anatomical structures at baseline cardiac imaging and intraprocedural precautions. Further studies are needed to analyze the actual incidence of this condition, its clinical impact and appropriate management.

Published
2023
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