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Adolfo Fontenla, María López-Gil, Isabel Montilla, Fernando Arribas
We report the entrapment of Pulmonary Vein Ablation Catheter (Medtronic, Minneapolis, MN, USA) and its guidewire within the right pulmonary veins in two patients. The catheters could be retrieved without complications but they were disabled in both cases. This nondescribed incident should be recognized by PVAC users since it may be a source of potential severe complications during pulmonary vein isolation procedures.
July 18, 2018: Pacing and Clinical Electrophysiology: PACE
Giovanni Rovaris, Paolo De Filippo, Francesco Laurenzi, Gabriele Zanotto, Nicola Bottoni, Mattia Pozzi, Fabrizio Giofrè, Piergiuseppe De Girolamo, Emanuela Visentin, Elena Piazzi, Paola Ferrari
PURPOSE: Complete pulmonary vein isolation (PVI) is the best documented target for catheter ablation, and different technologies have shown comparable outcomes. The multielectrode phased-RF/duty cycled (PhRF/DC) pulmonary vein ablation catheter (PVAC) and its second generation (PVAC-GOLD) have shown promising clinical results in single and multicenter experiences. Our aim is to assess and compare the safety and efficacy in the real clinical practice among two generations of circular PhRF/DC catheters by performing PVI in patients suffering from recurrent atrial fibrillation (AF)...
December 2017: Journal of Interventional Cardiac Electrophysiology: An International Journal of Arrhythmias and Pacing
Stefan G Spitzer, Patrick Leitz, Anke Langbein, Laszlo Karolyi, Frank Scharfe, Thomas Weinmann, Carola Rämmler, Christian Pott, Gerold Mönnig, Lars Eckardt
BACKGROUND: There is a lack of procedural and follow-up data on pulmonary vein isolation (PVI) with the second-generation pulmonary vein ablation catheter® (PVAC Gold) in patients with atrial fibrillation (AF). This study provides data on PVI procedures and 1-year follow-up results with PVAC Gold in patients with AF treated in clinical practice. METHODS AND RESULTS: Three hundred and eighty four patients with documented symptomatic paroxysmal (n=198) or persistent (n=186) AF were included in a non-randomized prospectively designed database...
August 15, 2017: International Journal of Cardiology
P Gal, T J Buist, J J J Smit, A Adiyaman, A R Ramdat Misier, P P H M Delnoy, A Elvan
INTRODUCTION: Pulmonary vein (PV) reconnection is frequently the cause of recurrence of atrial fibrillation (AF) after ablation. The second-generation gold multi-electrode ablation (Gold-MEA) catheter has a new design possibly resulting in improved lesion formation compared with its predecessor. We aimed to determine the association between effective radiofrequency applications with the Gold-MEA catheter and outcome after AF ablation. METHODS: 50 consecutive patients with paroxysmal AF underwent Gold-MEA (PVAC GOLD(TM), Medtronic Inc...
January 2017: Netherlands Heart Journal
Stefan Weber, Martin Höher, Dominik Schultes
PURPOSE: Pulmonary vein isolation with radiofrequency energy is widely used as a strategy for catheter ablation of atrial fibrillation (AF). Anatomically designed catheters have been developed to increase the efficiency of AF ablation procedures. The second-generation circular ablation catheter, PVAC GOLD, was re-designed to improve energy delivery and mitigate emboli. We investigated the procedural efficiency, biophysics, and chronic efficacy of PVAC GOLD in patients with AF. METHODS: We consecutively enrolled 40 patients (60 ± 11 years) with highly symptomatic, drug refractory AF...
November 2016: Journal of Interventional Cardiac Electrophysiology: An International Journal of Arrhythmias and Pacing
Mélèze Hocini, Cathy Condie, Mark T Stewart, Nicole Kirchhof, Jason D Foell
BACKGROUND: Long-term clinical outcomes for atrial fibrillation ablation depend on the creation of durable transmural lesions during pulmonary vein isolation and on substrate modification. Focal conventional radiofrequency (RF) ablation studies have demonstrated that tissue temperature and power are important factors for lesion formation. However, the impact and predictability of temperature and power on contiguous, transmural lesion formation with a phased RF system has not been described...
July 2016: Heart Rhythm: the Official Journal of the Heart Rhythm Society
Yves De Greef, Lukas Dekker, Lucas Boersma, Stephen Murray, Marcus Wieczorek, Stefan G Spitzer, Neil Davidson, Steve Furniss, Mélèze Hocini, J Christoph Geller, Zoltan Csanádi
AIMS: This prospective, multicentre study (PRECISION GOLD) evaluated the incidence of asymptomatic cerebral embolism (ACE) after pulmonary vein isolation (PVI) using a new gold multi-electrode radiofrequency (RF) ablation catheter, pulmonary vein ablation catheter (PVAC) GOLD. Also, procedural efficiency of PVAC GOLD was compared with ERACE. The ERACE study demonstrated that a low incidence of ACE can be achieved with a platinum multi-electrode RF catheter (PVAC) combined with procedural manoeuvres to reduce emboli...
May 2016: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
Rana Golshaei, Zeliha Guler, Sezai A Sarac
A novel electrospun nanofiber mat (Au/PANA/PVAc) consists of (Gold/Poly Anthranilic acid) (Au/PANA) core/shell nanostructures as a support material for protein immobilization that was developed and characterized by electrochemical impedance spectroscopy. In the core/shells, PANA served carboxyl groups (-COOH) for covalent protein immobilization and Au enhanced the electrochemical properties by acting as tiny conduction centers to facilitate electron transfer. Covalent immobilization of albumin and streptavidin as model proteins onto the (Au/PANA/PVAc) nanofibers was carried out by using 1-ethyl-3-(dimethyl-aminopropyl) carbodiimide hydrochloride (EDC)/N-hydroxyl succinimide (NHS) activation...
March 2016: Materials Science & Engineering. C, Materials for Biological Applications
Patrick Leitz, Fatih Güner, Kristina Wasmer, Philip Foraita, Christian Pott, Dirk Georg Dechering, Stephan Zellerhoff, Simon Kochhäuser, Philipp Sebastian Lange, Lars Eckardt, Gerold Mönnig
AIMS: The second-generation multi-electrode-phased radiofrequency pulmonary vein ablation catheter (PVAC GOLD(®)) was redesigned with the intent to improve its safety and efficacy. METHODS AND RESULTS: Using a prospectively designed single-centre database, we retrospectively analysed 128 consecutive patients (102 paroxysmal and 43 female) who underwent their first pulmonary vein isolation with the PVAC GOLD(®). The analysis focused on procedural data as well as in-hospital complications...
May 2016: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
Heather L Filiatrault, R Stephen Carmichael, Rachel A Boutette, Tricia Breen Carmichael
We demonstrate a simple, low-cost, and green approach to deposit a microstructured coating on the silicone elastomer polydimethylsiloxane (PDMS) that can be coated with gold to produce highly stretchable and conductive films. The microstructured coating is fabricated using an aqueous emulsion of poly(vinyl acetate) (PVAc): common, commercially available white glue. The aqueous glue emulsion self-assembles on the PDMS surface to generate clustered PVAc globules, which can be conformally coated with gold. The microstructured surface provides numerous defect sites that localize strain when the structure is stretched, resulting in the initiation of numerous microcracks...
September 23, 2015: ACS Applied Materials & Interfaces
Gerold Mönnig, Lars Eckardt
Electrical isolation of pulmonary veins is the cornerstone of catheter ablation for patients with symptomatic atrial fibrillation. However, uncertainty surrounds the choice of energy source in pulmonary vein isolation (PVI). Various alternative techniques such as the Pulmonary Vein Ablation Catheter (PVAC(®), Medtronic Inc., Minneapolis, MN, USA) have been developed to facilitate PVI. This over-the-wire multielectrode catheter is delivering duty-cycled bipolar and unipolar radiofrequency (RF) energy at relatively low power...
December 2014: Herzschrittmachertherapie & Elektrophysiologie
Xin Huang, Buyi Li, Hui Zhang, Irshad Hussain, Liyun Liang, Bien Tan
At present, thiol ligands are generally used whenever the classical Brust-Schiffrin two-phase method is employed to prepare metal nanoparticles. In general, the previous research was mainly focused on utilizing small molecular thiol compounds or thiol polymers as the stabilizers in organic phase to obtain small sized and uniform gold nanoparticles (Au NPs). Such preparations are usually associated with the problems of ligand exchange on the nanoparticle's surface due to strong Au-thiol interaction. Herein, we report an approach to produce fairly uniform Au NPs with diameters about 2-6 nm using thioether end-functional polymer ligands (DDT-PVAc and PTMP-PVAc) as the capping agents...
April 2011: Nanoscale
V Somerset, P Baker, E Iwuoha
This paper reports the construction of the gold/mercaptobenzothiazole/polyaniline/acetylcholinesterase/polyvinylacetate (Au/ MBT/PANI/AChE/PVAc) thick-film biosensor for the determination of certain organophosphate pesticide solutions in selected aqueous organic solvent solutions. The Au/MBT/PANI/AChE/PVAc electrocatalytic biosensor device was constructed by encapsulating acetylcholinesterase (AChE) enzyme in the PANI polymer composite, followed by the coating of poly(vinyl acetate) (PVAc) on top to secure the biosensor film from disintegration in the organic solvents evaluated...
February 2009: Journal of Environmental Science and Health. Part. B, Pesticides, Food Contaminants, and Agricultural Wastes
Vernon S Somerset, Michael J Klink, Priscilla G L Baker, Emmanuel I Iwuoha
The behavior of an amperometric organic-phase biosensor consisting of a gold electrode modified first with a mercaptobenzothiazole self-assembled monolayer, followed by electropolymerization of polyaniline in which acetylcholinesterase as enzyme was immobilized, has been developed and evaluated for organophosphorous pesticide detection. The voltammetric results have shown that the formal potential shifts anodically as the Au/MBT/PANI/AChE/PVAc thick-film biosensor responded to acetylthiocholine substrate addition under anaerobic conditions in selected organic solvent media containing 2% v/v 0...
March 2007: Journal of Environmental Science and Health. Part. B, Pesticides, Food Contaminants, and Agricultural Wastes
I Reinertsen, D L Collins
Validation of techniques that characterize and correct for brain shift for image guided surgery requires a realistic anthropomorphic phantom for use as a gold standard. The purpose of this study was to determine the characteristics of a deformable brain phantom made of polyvinyl alcohol cryogel (PVAc). The phantom was made of three layers of PVAc with inserted plastic tubes to simulate blood vessels. A catheter with an inflatable balloon was placed under the phantom in order to deform it in a nonlinear manner...
September 2006: Medical Physics
Santosh Aryal, N Dharmaraj, Shanta Raj Bhattarai, Myung Seob Khil, Hak Yong Kim
A simple method to deposit spherical gold nanoparticles on the surface of MgTiO3 ceramic nanofibers is presented. Electrospun MgTiO3/poly(vinyl acetate) (PVAc) hybrid nanofibers were calcined at 650 degrees C to obtain phase pure ceramic MgTiO3 nanofibers with 100-150 nm diameters. These ceramic nanofibers were immersed in an aqueous solution of HAuCl4 containing poly(vinyl alcohol) (PVA) as capping agent followed by photoreduction at 365 nm to get a novel Au-MgTiO3 nanocomposite. The formation of gold nanoparticles upon irradiation was confirmed by the appearance of a surface plasmon band (SPB) at 590 nm in the UV-visible absorption spectra...
February 2006: Journal of Nanoscience and Nanotechnology
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