28 research outputs found
Rationale and design of the multicenter catheter ablation of ventricular tachycardia before transcatheter pulmonary valve replacement in repaired tetralogy of Fallot study
Patients with repaired tetralogy of Fallot are at elevated risk for ventricular arrhythmia and sudden cardiac death. Over the past decade, the pathogenesis and natural history of ventricular tachycardia has become increasingly understood, and catheter ablation has emerged as an effective treatment modality. Concurrently, there has been great progress in the development of a versatile array of transcatheter valves that can be placed in the native right ventricular outflow tract for the treatment of long-standing pulmonary regurgitation. Although such valve platforms may eliminate the need for repeat cardiac operations, they may also impede catheter access to the myocardial substrates responsible for sustained macro-reentrant ventricular tachycardia. This manuscript provides the rationale and design of a recently devised multicenter study that will examine the clinical outcomes of a uniform, preemptive strategy to eliminate ventricular tachycardia substrates before transcatheter pulmonary valve implantation in patients with tetralogy of Fallot.Cardiolog
Broadband multi-wavelength properties of M87 during the 2017 Event Horizon Telescope campaign
High Energy AstrophysicsInstrumentatio
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Microstructural interpretation of the fluence and temperature dependence of the mechanical properties of irradiated AISI 316
The effects of neutron irradiation on the mechanical properties of annealed and 20% cold-worked AISI 316 irradiated in EBR-II were determined for the temperature regime of 370 to 760/sup 0/C for fluences up to 8.4 x 10/sup 22/ n/cm/sup 2/ (E > 0.1 MeV). At irradiation temperatures below about 500/sup 0/C, both annealed and cold-worked material exhibit a substantial increase in the flow stress with increasing fluence. Furthermore, both materials eventually exhibit the same flow stress, which is independent of fluence. At temperatures in the range of 538 to 650/sup 0/C, the cold-worked material exhibits a softening with increasing fluence. Annealed AISI 316 in this temperature regime exhibits hardening and at a fluence of 2 to 3 x 10/sup 22/ n/cm/sup 2/ (E > 0.1 MeV) reaches the same value of flow stress as the cold-worked material