- Cardiac Arrhythmias and Treatments
- Atrial Fibrillation Management and Outcomes
- Cardiac electrophysiology and arrhythmias
- Cardiac pacing and defibrillation studies
- Venous Thromboembolism Diagnosis and Management
- ECG Monitoring and Analysis
- Advanced MRI Techniques and Applications
- Neurological disorders and treatments
- Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
- Cardiovascular and Diving-Related Complications
- Health Systems, Economic Evaluations, Quality of Life
- Cardiovascular Effects of Exercise
- Cardiovascular Function and Risk Factors
- Ultrasound and Hyperthermia Applications
- Takotsubo Cardiomyopathy and Associated Phenomena
- Sarcoidosis and Beryllium Toxicity Research
- Antiplatelet Therapy and Cardiovascular Diseases
Agostino Gemelli University Polyclinic
2024
Fatebenefratelli Hospital
2020-2024
Clinique Pasteur
2023
Azienda Ospedaliera Fatebenefratelli e Oftalmico
2022
Abstract Aims Pulsed field ablation (PFA) has emerged as a novel, non-thermal energy source to selectively ablate cardiac tissue. We describe multicentre experience on pulmonary vein isolation (PVI) via the pentaspline Farapulse™ PFA system vs. thermal-based technologies in propensity score-matched population of paroxysmal atrial fibrillation (PAF) patients. Methods and results Propensity score matching was adopted compare PVI-only outcomes Farawave™ (Group PFA), cryoballoon CRYO), or focal...
Abstract Aims Left atrial appendage (LAA) imaging is critical during percutaneous occlusion procedures. 3D-intracardiac echocardiography (ICE) features direct visualization of LAA from multiple cross-sectional planes at a time. We aimed reporting procedural success 3D-ICE-guided and the correlation between pre-procedural transoesophageal (TEE) intraprocedural 3D-ICE for sizing. Methods results Among 274 patients undergoing left (LAAO) with Watchman FLX, periprocedural ICE guidance was...
The analysis of the wave-front activation patterns is crucial for comprehension and treatment ventricular tachycardia (VT). electrograms duration map (VEDUM) a potential method to identify areas (VEDUM area) with slow inhomogeneous activation. There no available data on characteristics arrhythmogenic role VEDUM identified during sinus/paced rhythm.
ABSTRACT Background Factors contributing to early recurrence after atrial fibrillation (AF) ablation, particularly with pulsed‐field ablation (PFA), are poorly understood. Purpose This study aimed evaluate the significance of and identify factors associated its occurrence, focusing on predicting late in AF patients treated PFA. Methods A total 620 consecutive referred for their first paroxysmal or persistent underwent procedure using FARAPULSE PFA system (Boston Scientific) across 10...
Background: Atrial fibrillation (AF) and heart failure (HF) often coexist synergistically contribute to an increased risk of hospitalization, stroke, mortality. Objective: To compare the efficacy catheter ablation (CA) versus medical therapy (MT) in HF patients with AF. Methods: Electronic databases were queried for randomized controlled trials (RCTs) CA MT AF HF. Risk ratios (RRs), mean differences (MDs), 95% confidence intervals (CIs) measured using Mantel−Haenszel method. Results: A total...
Catheter ablation of persistent atrial fibrillation (PsAF) represents a challenge for the electrophysiologist and there are still divergences regarding best ablative approach to adopt. Create new map duration bipolar electrograms (Atrial Electrogram DUration Map, AEDUM) recognize functional substrate during sinus rhythm guide patient-tailored strategy PsAF.
Abstract Background Optimal pulmonary vein (PV) occlusion, usually verified with selective contrast injection, is mandatory to obtain an effective PV isolation during cryoballoon (CB) ablation. Aim of the study The purpose this was verify feasibility and accuracy a new dielectric sensing system in assessing occlusion CB ablation patients atrial fibrillation (AF). Methods We enrolled 28 consecutive paroxysmal or persistent AF. After transseptal access, detailed image reconstruction left...
The circumferential electrical isolation of the pulmonary vein (PV) antra represents cornerstone all atrial fibrillation (AF) treatments. Traditionally, PV by means radiofrequency (RF) ablation is achieved using a point-by-point technique, which makes it difficult to create circular and contiguous lesions, potentially allowing conduction gaps incomplete (nontransmural) lesions in cases poor catheter-tissue contact. Cryoballoon now emerging as an important alternative RF ablation.
Spatial differences in conduction velocity (CV) are critical for cardiac arrhythmias induction. We propose a method an automated CV calculation to identify areas of slower during and sinus rhythm.Color-coded representations the isochronal activation map using data coming from RHYTHMIA™ Mapping System were reproduced by applying temporal window at 20 ms. Geodesic distances 3D mesh calculated algorithm selecting minimum distance pathway (MDP). The estimation was performed considering points on...