Current Updates on Arrhythmia and Cardiac Electrophysiology

A special issue of Journal of Personalized Medicine (ISSN 2075-4426). This special issue belongs to the section "Methodology, Drug and Device Discovery".

Deadline for manuscript submissions: 31 December 2024 | Viewed by 795

Special Issue Editors


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Guest Editor
Department of Cardiology, University Hospital of Patras, 265 04 Patras, Greece
Interests: left bundle branch pacing; ventricular ectopy; leadless pacing; resynchronization; pulsed field ablation

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Guest Editor
First Department of Cardiology, Hippocration General Hospital, National and Kapodistrian University of Athens, 11527 Athens, Greece
Interests: electrophysiology; arrhythmias; ablation; atrial fibrillation; sudden cardiac death
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Special Issue Information

Dear Colleagues, 

We are launching a Special Issue entitled Current Updates on Arrhythmia and Cardiac Electrophysiology and we are looking forward to publishing original research, reviews, and combined original–review papers. This Special Issue is mainly devoted to the technological advances that have emerged in electrophysiology, in general. Both in the field of ablation and devices, new tools have been presented and added to our armamentarium. In particular, pulsed field ablation has been considered as a game changer. The expectation is that in the coming years, this energy mode will prevail against thermal ablation. What needs to be explored is whether pulsed field ablation is more effective than thermal ablation in terms of lesion size and durability. So far data that come from animal models and initial medium-scale studies are encouraging. Moreover, randomized studies are in the process of defining which energy mode is more effective. Until then, its safety profile, ease of procedure and simplified and fast workflow are the reasons why this method is already very popular amongst operators.

Moreover, a new era has emerged for devices. Major achievements have been noted with the advent of leadless pacemakers that have an updated portfolio of devices covering almost every aspect of pacing indication. In addition to this, conduction system pacing has attracted the attention of physicians, and preliminary results indicate better resynchronization compared to conventional biventricular devices. However, this needs to be verified through large-scale randomized studies.

Articles (both original studies and reviews) that highlight the importance of these new technologies, express current concerns and apply critical thinking to analyze their pros and cons are welcome.

Dr. Georgios Leventopoulos
Dr. Dimitris L. Tsiachris
Guest Editors

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Keywords

  • ablation energy mode
  • conduction system pacing
  • pulsed field ablation
  • leadless pacing
  • resynchronization
  • myocardial work
  • atrial fibrillation

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Published Papers (1 paper)

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Research

12 pages, 907 KiB  
Article
Ultrasound-Guided Axillary Access Using a Micropuncture Needle Versus Conventional Cephalic Venous Access for Implantation of Cardiac Devices: A Single-Center Randomized Trial
by Georgios Leventopoulos, Christoforos K. Travlos, Athinagoras Theofilatos, Panagiota Spyropoulou, Angeliki Papageorgiou, Angelos Perperis, Rafail Koros, Athanasios Moulias, Ioanna Koniari and Periklis Davlouros
J. Pers. Med. 2024, 14(11), 1084; https://doi.org/10.3390/jpm14111084 - 31 Oct 2024
Viewed by 486
Abstract
(1) Background: Ultrasound-guided axillary (USAX) vein puncture is a relatively new method to obtain venous access for the implantation of cardiac implantable electronic devices (CIED). However, its use is limited as most of the operators are not familiar with this technique. Our aim [...] Read more.
(1) Background: Ultrasound-guided axillary (USAX) vein puncture is a relatively new method to obtain venous access for the implantation of cardiac implantable electronic devices (CIED). However, its use is limited as most of the operators are not familiar with this technique. Our aim was to investigate the safety and efficacy of the USAX compared with the traditional cephalic vein dissection for venous access in CIED implantation. (2) Methods: This was a single-center, randomized, controlled, superiority trial. A total of 114 patients were randomized (1:1 ratio) to either USAX (u/s axillary group; 59 patients) or cephalic vein access (cephalic group; 55 patients). The primary study endpoint was defined as successful placement of all leads via the chosen access. Secondary study endpoints included time from local anesthetic injection to lead advancement in the SVC, total procedure time (skin to skin), procedure-related complications and pain perception. (3) Results: USAX was superior to cephalic access in terms of primary endpoint (OR: 4.3, 95% CI: 1.3, 14.0; p = 0.012). Total procedure duration was higher in the cephalic group (55.15 ± 16.62 vs. 48.35 ± 12.81 min, p = 0.017) but there was neither a significant difference in fluoroscopy time (p = 0.872) nor in total radiation dose (p = 0.815). The level of pain was higher in the cephalic group (p = 0.016), while the rates of complications were similar in both groups (p > 0.05). (4) Conclusion: USAX was superior to cephalic access regarding success rate, total procedure duration and level of pain, while having no difference in complication rates. Full article
(This article belongs to the Special Issue Current Updates on Arrhythmia and Cardiac Electrophysiology)
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