Volume 11 - Issue 12 - December 2011

Catheter Ablation of Atrial Arrhythmias in the Setting of Congenital Heart Disease

In this article, the authors provide an overview on the major types of congenital heart disease surgery such as biventricular repair, the modified Fontan procedure, and atrial baffle procedures, and include details on catheter-based therapies.

 



Boston Atrial Fibrillation Symposium: 2012 Preview

The Boston Atrial Fibrillation Symposium is taking place January 12-14, 2012. In this interview we speak with Course Director Jeremy N. Ruskin, MD.

Congratulations on the success of the Boston Atrial Fibrillation Symposium, which is in its 17th year!



Spotlight Interview: Covenant HealthCare

What is the size of the EP lab facility, and what is the mix of staff credentials?

Covenant HealthCare has two dedicated electrophysiology (EP) labs. One lab is completely upgraded to do Carto 3D mapping (Biosense Webster, Inc., a Johnson & Johnson company, Diamond Bar, CA) and laser lead extractions, and the other lab is Carto equipped.



The PINNACLE-AF Outpatient Registry

In this interview, EP Lab Digest speaks with William J. Oetgen, MD, MBA, FACC, Senior Vice President for Science and Quality of the American College of Cardiology.The Division of Science and Quality oversees the National Cardiovascular Data Registry (NCDR), which includes the PINNACLE Registry.



Hybrid OR: Planning for the Metamorphosis

In this article, the author discusses the development of a hybrid OR at the University of Michigan, which has three hybrid rooms and plans to add two more: one for the new children’s and women’s hospitals, and another in the Cardiovascular Center.

We have seen it happen before in healthcare as well as in other industries: new technologies that force changes to structure, function and personnel.



Wasteful Medicare Spending, Abusive Medicare Policies, and a Call to Arms

December 23rd is the deadline to make recommendations directly to the Department of Health and Human Services (HHS) regarding which Medicare regulations and policies should be eliminated or revised to remove administrative burden and improve the quality of healthcare.1 I am personally submitting a recommendation that will reconcile coverage guidelines for cardiac rhythm management devices with evidence-based criteria.



Trial Update: The FIX-HF-5B Study

Dr. William Abraham talks with EP Lab Digest about a new study evaluating the safety and efficacy of the OPTIMIZER® System (Impulse Dynamics N.V.). Dr. Abraham is the Principal Investigator of the FIX-HF-5B study, Professor of Internal Medicine and Physiology and Cell Biology, Chair of Excellence in Cardiovascular Medicine, Director of the Division of Cardiovascular Medicine, and Deputy Director of the Davis Heart & Lung Research Institute in Columbus, Ohio.



All About the Sudden Cardiac Arrest Association

In this interview we speak with Lisa A. Levine, CAE, President of the Sudden Cardiac Arrest Association (SCAA) and Co-Chair of the Sudden Cardiac Arrest Coalition.



Mechanisms and Application of Cardiac Cryoablation

In this article, the authors review the science behind cryoablation, including cellular physiology and mechanism of ablation, as well as clinical applications for cryoablation such as AF ablation and ablation of certain SVTs.

The effectiveness of cryoablation is demonstrated by long-term studies from diverse clinical applications.1



AF Ablation: Inside or Out?

Dear Readers,

A 68-year-old woman with hypertension and medically-refractory, highly symptomatic recurrent persistent atrial fibrillation (AF) underwent a radiofrequency catheter ablation procedure involving wide area circumferential ablation with electrical isolation of the pulmonary veins (PVs). She recovered well, but had three more episodes of persistent AF requiring cardioversion at 3, 4, and 5 months after the procedure. What next?



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