[HSF] AF - LCPV

[prasannasimha]

This is a nice article for starters.
http://radiology.rsnajnls.org/cgi/content/full/234/3/702
Prasanna

Nasser F. Abou'Seada wrote:
> reference please?
>
> NFA
>  
> On 6/5/07, *Prasanna Simha M* <prasannasimha at gmail.com 
> <mailto:prasannasimha at gmail.com>> wrote:
>
>     Actually there is a host of literature in the electrophysiology
>     journals and I am just extending it to intra-operative work.
>     Prasanna
>
>
>     On 6/5/07, *Nasser F. Abou'Seada *<nfaabouseada at gmail.com
>     <mailto:nfaabouseada at gmail.com>> wrote:
>
>         Dear Prasanna
>         Thank you for your kind reply
>         I think that point you have raised about ablating the mouth of
>         the common PV is magnificent ..... do you have supporting
>         evidence ? ... tht would be a great subject for publication.
>          
>         Kindest Regards
>          
>         Nasser
>
>          
>         On 6/4/07, *prasannasimha* <prasannasimha at gmail.com
>         <mailto:prasannasimha at gmail.com>> wrote:
>
>             Same wattage (40 Spray) but the mouth of the pulmonary
>             veins should not
>             be mistaken for just the burn - more importantly the
>             common ostial
>             origin needs to be burnt.
>             The picture labeled dual orifice represents two separate
>             orifices.
>             The picture labeled common pulmonary vein orifice shows a
>             common
>             pulmonary vein orifice stretched open (There are actually
>             two orifices
>             within it and the sucker has gone into one)whereas it
>             looks like common
>             pulmonaryvein2 when unstretched.Burning within this just
>             the individual
>             ostia would leave a left atrial trigger within the common
>             pulmonary vein
>             area.
>             Prasanna
>             Nasser F. Abou'Seada wrote:
>             > Dear Prasanna, would you please elaborate more on how you
>             do tackle this
>             > point of ablating the left common pulmonary vein - the common
>             > orifice- utilizing your technique of spray diathermy?
>             .... what
>             > energy settings do you use here at this site, compared to
>             other sites ?
>             >
>             > NFA
>             >
>             > On 6/3/07, prasannasimha < prasannasimha at gmail.com
>             <mailto:prasannasimha at gmail.com>> wrote:
>             >>
>             >> The left superior pulmonary vein is one of the most
>             common sites of Afib
>             >> triggers and this is the one which is most important to
>             ablate.
>             >> Unfortunately many do not pay attention to it and then
>             complain of
>             >> reduced rates of conversion of Afib.The other variation
>             to pay special
>             >> attention is the left common pulmonary vein- the common
>             orifice should
>             >> be ablated as there are triggers between the common
>             ostium and the
>             >> individual ostia and is another important consideration.
>             >>
>             >> Prasanna
>             >> Hgrmd at aol.com <mailto:Hgrmd at aol.com>wrote:
>             >> > John,
>             >> >   I've used Cryocath for the last 4-5 years.  I've got
>             a poster  in
>             >> the
>             >> > upcoming Society of Heart Valve Disease in 10 days in
>             which my
>             >> results
>             >> were
>             >> > outlined. You can go to their website and get
>             the  abstract.  The
>             >> bottom
>             >> line is
>             >> > that 95% of the patients were in AV synchrony  at
>             their last
>             >> followup.  That is
>             >> > quite comparable to a "cut and sew"  maze.  One of the
>             main advantages
>             >> it has
>             >> > over Atricure is that the left  pulmonary vein lesions
>             are done
>             >> endocardially.
>             >> > Dissecting the left  pulmonary veins on a redo so that
>             you can get an
>             >> > Atricure clamp around them is  no picnic.
>             >> > Hal
>             >> >
>             >> >
>             >> >
>             >> > ************************************** See what's free at
>             >> http://www.aol.com <http://www.aol.com/>.
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>         -- 
>         Nasser  F.  Abou'Seada,
>         MB,ChB,MD,FRCSEd,ChM,ChD C/Th,
>         FICS,FISCVS,FSSRCTS,FHMS,MESC
>
>
>
>
>     -- 
>     Prasanna Simha M 
>
>
>
>
> -- 
> Nasser  F.  Abou'Seada,
> MB,ChB,MD,FRCSEd,ChM,ChD C/Th,
> FICS,FISCVS,FSSRCTS,FHMS,MESC