Combined epicardial and endocardial ablation for atrial fibrillation:Best practices and guide to hybrid convergent procedures

The absence of strategies to consistently and effectively address nonparoxysmal atrial fibrillation by nonpharmacological interventions has represented a long-standing treatment gap. A combined epicardial/endocardial ablation strategy, the hybrid Convergent procedure, was developed in response to this clinical need. A subxiphoid incision is used to access the pericardial space facilitating an epicardial ablation directed at isolation of the posterior wall of the left atrium. This is followed by an endocardial ablation to complete isolation of the pulmonary veins and for additional ablation as needed. Experience gained with the hybrid Convergent procedure during the last decade has led to the development and adoption of strategies to optimize the technique and mitigate risks. Additionally, a surgical and electrophysiology "team" approach including comprehensive training is believed critical to successfully develop the hybrid Convergent program. A recently completed randomized clinical trial indicated that this ablation strategy is superior to an endocardial-only approach for patients with persistent atrial fibrillation. In this review, we propose and describe best practice guidelines for hybrid Convergent ablation on the basis of a combination of published data, author consensus, and expert opinion. A summary of clinical outcomes, emerging evidence, and future perspectives is also given

Photon detector system timing performance in the DUNE 35-ton prototype liquid argon time projection chamber

The 35-ton prototype for the Deep Underground Neutrino Experiment far detector was a single-phase liquid argon time projection chamber with an integrated photon detector system, all situated inside a membrane cryostat. The detector took cosmic-ray data for six weeks during the period of February 1, 2016 to March 12, 2016. The performance of the photon detection system was checked with these data. An installed photon detector was demonstrated to measure the arrival times of cosmic-ray muons with a resolution better than 32 ns, limited by the timing of the trigger system. A measurement of the timing resolution using closely-spaced calibration pulses yielded a resolution of 15 ns for pulses at a level of 6 photo-electrons. Scintillation light from cosmic-ray muons was observed to be attenuated with increasing distance with a characteristic length of 155 ± 28 cm

Long-Baseline Neutrino Facility (LBNF) and Deep Underground Neutrino Experiment (DUNE) Conceptual Design Report Volume 2: The Physics Program for DUNE at LBNF

The Physics Program for the Deep Underground Neutrino Experiment (DUNE) at the Fermilab Long-Baseline Neutrino Facility (LBNF) is described

Design, Construction and Testing of the Digital Hadron Calorimeter (DHCAL) Electronics

A novel hadron calorimeter is being developed for future lepton colliding beam detectors. The calorimeter is optimized for the application of Particle Flow Algorithms (PFAs) to the measurement of hadronic jets and features a very finely segmented readout with 1 x 1 cm2 cells. The active media of the calorimeter are Resistive Plate Chambers (RPCs) with a digital, i.e. one-bit, readout. To first order the energy of incident particles in this calorimeter is reconstructed as being proportional to the number of pads with a signal over a given threshold. A large-scale prototype calorimeter with approximately 500,000 readout channels has been built and underwent extensive testing in the Fermilab and CERN test beams. This paper reports on the design, construction, and commissioning of the electronic readout system of this prototype calorimeter. The system is based on the DCAL front-end chip and a VME-based back-end

Photon detector system timing performance in the DUNE 35-ton prototype liquid argon time projection chamber

The 35-ton prototype for the Deep Underground Neutrino Experiment far detector was a single-phase liquid argon time projection chamber with an integrated photon detector system, all situated inside a membrane cryostat. The detector took cosmic-ray data for six weeks during the period of February 1, 2016 to March 12, 2016. The performance of the photon detection system was checked with these data. An installed photon detector was demonstrated to measure the arrival times of cosmic-ray muons with a resolution better than 32 ns, limited by the timing of the trigger system. A measurement of the timing resolution using closely-spaced calibration pulses yielded a resolution of 15 ns for pulses at a level of 6 photo-electrons. Scintillation light from cosmic-ray muons was observed to be attenuated with increasing distance with a characteristic length of 155 ± 28 cm

Long-Baseline Neutrino Facility (LBNF) and Deep Underground Neutrino Experiment (DUNE) Conceptual Design Report Volume 1: The LBNF and DUNE Projects

This document presents the Conceptual Design Report (CDR) put forward by an international neutrino community to pursue the Deep Underground Neutrino Experiment at the Long-Baseline Neutrino Facility (LBNF/DUNE), a groundbreaking science experiment for long-baseline neutrino oscillation studies and for neutrino astrophysics and nucleon decay searches. The DUNE far detector will be a very large modular liquid argon time-projection chamber (LArTPC) located deep underground, coupled to the LBNF multi-megawatt wide-band neutrino beam. DUNE will also have a high-resolution and high-precision near detector

Long-Baseline Neutrino Facility (LBNF) and Deep Underground Neutrino Experiment (DUNE) Conceptual Design Report, Volume 4 The DUNE Detectors at LBNF

A description of the proposed detector(s) for DUNE at LBN