SISSY LARA DE MELO
Projetos de Pesquisa
Unidades Organizacionais
Instituto do Coração, Hospital das Clínicas, Faculdade de Medicina - Médico
4 resultados
Resultados de Busca
Agora exibindo 1 - 4 de 4
- Anatomically guided atrial ganglionated plexus ablation evaluated by extracardiac vagal stimulation for vagally mediated atrioventricular block(2021) SARABANDA, A. V.; MELO, S. L.; RIVAROLA, E.; HACHUL, D.; SCANAVACCA, M.[No abstract available]
- Differential diagnosis and treatment of wide QRS tachycardia in an Ebstein anomaly patient(2021) MELO, S. Lara de; ROSA, X. F.; PISANI, C. F.; LOPES, H. B.; CHOKR, M. O.; SCANAVACCA, M. I.
- Epicardial ablation for cardiac arrhythmias: techniques, indications and results(2014) PISANI, Cristiano F.; LARA, Sissy; SCANAVACCA, MauricioPurpose of reviewTo review the most relevant published data on epicardial ablation of cardiac arrhythmias in the last few years.Recent findingsSeveral studies performing epicardial and endocardial ablation have demonstrated that epicardial ablation may improve the results of ventricular tachycardia (VT) ablation in almost all cardiomyopathies. New imaging techniques have been recently applied, refining the identification of patients who actually benefit from epicardial ablation and increasing its safety.SummaryEpicardial VT ablation is an important tool for electrophysiologists to deal with the challenge of scar-related ventricular arrhythmias.
- Comparative study of strategies to prevent esophageal and periesophageal injury during atrial fibrillation ablation(2020) OLIVEIRA, Barbara D. de; OYAMA, Helena; HARDY, Carina A.; MELO, Sissy L. de; PISANI, Cristiano F.; CHOKR, Muhieddine O.; BALBO, Conrado; DARRIEUX, Francisco C. Costa; HACHUL, Denise T.; CHAVES, Dalton M.; ARTIFON, Everson L. de Almeida; CESTARI, Idagene A.; SAKAI, Paulo; I, Mauricio ScanavaccaObjective To compare the prevalence of esophageal and periesophageal thermal injury in patients undergoing radiofrequency (RF) atrial fibrillation (AF) ablation using 8 mm tip catheters during three different esophageal protection strategies. Methods Forty-five consecutive patients with paroxysmal or persistent AF underwent first ablation procedure, besides esophagogastroduodenoscopy (EGD) combined with radial endosonography (EUS) performed before and after the pulmonary vein (PV) isolation. Before the procedure, patients were randomly assigned to one of three esophageal lesion protection strategies: group I-without any protective or monitoring dispositive and limiting RF applications to 30 W for 20 seconds, in left atrium posterior wall (LAPW); group II-power and time of RF delivery, up to 50 W for 20 seconds at LAPW, limited by esophageal temperature monitoring; group III-applications of RF in LAPW with fixed power application of 50 W for 20 seconds during continuous esophageal cooling. Results Baseline characteristics of patients were similar in all groups. The four PVs were isolated in 14 (93.3%), 13 (86.7%), and 15 (100%) patients, respectively in groups I, II, and III. The mean RF power was significantly higher (P < .001) in the posterior side of PVs in group III. Post-AF ablation EGD and EUS revealed two esophageal wall ulcerations and two periesophageal mediastinal edemas only in the esophageal cooling group (P = .008). Conclusion Esophageal cooling balloon strategy resulted in a higher RF power energy delivery when ablating at the LA posterior wall, using 8 mm nonirrigated tip catheters under temperature mode control. Despite that, patients presented a relatively low incidence of esophageal and periesophaeal injuries.