Subject(s)
Atrial Fibrillation , Catheter Ablation , Electroporation , Atrial Fibrillation/surgery , Atrial Fibrillation/physiopathology , Humans , Electroporation/methods , Catheter Ablation/methods , Pericardium/surgery , Pericardium/diagnostic imaging , Pericardium/physiopathology , Male , Middle Aged , Female , AgedABSTRACT
Embolic cerebral protection devices are not routinely used in clinical practice during electrophysiological interventions. We report a case series of patients with intracardiac thrombosis undergoing a percutaneous left atrial appendage (LAA) closure and a ventricular tachycardia (VT) catheter ablation supported by TriGuard 3 Cerebral Embolic Protection Device.
Subject(s)
Atrial Appendage , Atrial Fibrillation , Embolic Protection Devices , Heart Diseases , Thrombosis , Humans , Atrial Fibrillation/surgery , Treatment Outcome , Atrial Appendage/surgery , Thrombosis/surgeryABSTRACT
In December 2019, the world started to face a new pandemic situation, the severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2). Although coronavirus disease (COVID-19) clinical manifestations are mainly respiratory, major cardiac complications are being reported. Cardiac manifestations etiology seems to be multifactorial, comprising direct viral myocardial damage, hypoxia, hypotension, enhanced inflammatory status, ACE2-receptors downregulation, drug toxicity, endogenous catecholamine adrenergic status, among others. Studies evaluating patients with COVID-19 presenting cardiac injury markers show that it is associated with poorer outcomes, and arrhythmic events are not uncommon. Besides, drugs currently used to treat the COVID-19 are known to prolong the QT interval and can have a proarrhythmic propensity. This review focus on COVID-19 cardiac and arrhythmic manifestations and, in parallel, makes an appraisal of other virus epidemics as SARS-CoV, Middle East respiratory syndrome coronavirus, and H1N1 influenza.
Subject(s)
Arrhythmias, Cardiac/complications , Cardiomyopathies/complications , Coronavirus Infections/complications , Coronavirus , Myocarditis/complications , Pneumonia, Viral/complications , Arrhythmias, Cardiac/virology , Betacoronavirus , COVID-19 , Cardiomyopathies/virology , Coronavirus Infections/diagnosis , Coronavirus Infections/epidemiology , Humans , Male , Myocarditis/virology , Pandemics , Pneumonia, Viral/diagnosis , Pneumonia, Viral/epidemiology , SARS-CoV-2ABSTRACT
Transvenous extraction of Riata lead could be a challenging procedure due to insulation failure and conductor cables' externalization through the eroded outer insulation. In this case, a complete lead extraction was achieved through a combined LASER and femoral approach because of the massive conductors' externalization.
