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567 results on '"Stabile, G."'

151. [A methodological approach to the transcatheter radiofrequency ablation of anomalous Kent-type pathways]

Author

Carlo Pappone, Lamberti, F., Santomauro, M., Stabile, G., Simone, A., Franciosa, P., Senatore, G., Loricchio, M. L., Chiariello, M., Pappone, C, Lamberti, F, Santomauro, M, Stabile, G, De Simone, A, Franciosa, P, Senatore, G, Loricchio, Ml, and Chiariello, M

Subjects
Adult, Male, Adolescent, Cardiac Pacing, Artificial, Arrhythmias, Cardiac, Middle Aged, Electrophysiology, Electrocardiography, Heart Conduction System, Recurrence, Child, Preschool, Catheter Ablation, Humans, Female, Child, Follow-Up Studies
Abstract

Aim of this study is to suggest our methodological approach for transcatheter ablation of Kent bundles by radiofrequency energy as to the potential ablation sites, the need in unipolar or bipolar recording mode, single catheter or multiple catheters mapping of anomalous pathways, the vascular approach for both left sited and right sited anomalous pathways, and finally the duration and power to supply. The recording of Kent potential and/or a Va-QRS intervalor = 0 ms have been considered significant predictors of success (respectively p0.001 and p0.05). The unipolar recording mode has been considered critical in the choice of ablation site in 47 (29.9%) patients. A 6-catheter approach for both diagnostic electrophysiologic studies and mapping allowed us to easily localize accessory pathways and to record either a probable or possible Kent potential in a high percentage of patients and to reduce the permanence of the ablation catheter in the left ventricle. By transaortic retrograde approach in ablating left sited anomalous pathways, we obtained a high success rate, while right sited accessory pathway were approached from the inferior vena cava. In right sited anomalous pathway we delivered radiofrequency energy for a longer time in order to avoid a relapse soon after the procedure. We performed ablation of 174/178 (97.7%) anomalous pathways in 165/169 (97.6%) patients. We observed a 3.8% relapse during a mean follow up of 13 +/- 9 months.

152. [Radiofrequency catheter ablation of atrial tachycardia: technique, results and follow-up]

Author

Carlo Pappone, Stabile, G., Simone, A., Senatore, G., Turco, P., Marrazzo, N., Mazzone, P., Santomauro, M., Chiariello, M., Pappone, C, Stabile, G, De Simone, A, Senatore, G, Turco, P, Marrazzo, N, Mazzone, P, Santomauro, M, and Chiariello, M

Subjects
Electrophysiology, Electrocardiography, Time Factors, Evaluation Studies as Topic, Recurrence, Catheter Ablation, Tachycardia, Supraventricular, Humans, Heart Atria, Sensitivity and Specificity, Follow-Up Studies
Abstract

Recently radiofrequency (RF) catheter ablation (CA) of atrial tachycardia (AT) showed to be highly effective with a low incidence of compliance. Aim of our study was to report the results and follow-up of RFCA of drug-refractory AT in 59 consecutive patients (pts).Two mapping techniques were used to localize the ablation site of AT: the earliest atrial activation and the pace-mapping. Traumatic interruption of AT was used to verify the ablation site identified by the previous procedures. Moreover we evaluated the sensitivity, specificity and the positive predictive value of the three mapping techniques.AT was successfully treated in 55/59 (93.2%) pts with a mean of 4.0 +/- 3.8 (range 1-16) RF pulses for patient. The mean procedure time was 185.2 +/- 48.5 min with a mean rx-time of 41.5 +/- 21.3 min. An interval between the onset of the intracavitary atrial deflection and the onset of the P-wave, during atrial tachycardia, (AP interval)or = 30 ms and pace-mapping concordant sequence were highly sensitive (90.9% and 89.1%) but less specific (49.2% and 33.9%) in identifying the site of ablation. By using atrial tachycardia traumatic interruption combined with the AP interval30 ms or the pace-mapping concordant sequence we obtained a specificity of 78.7% and 77.0% respectively and a positive predictive value of 48.0% and 46.8% respectively. Four recurrences (7.3%) were observed during a mean follow-up of 23.4 +/- 13.3 months. In the 22 (37.3%) pts with dilated cardiomyopathy, chest Xr and echocardiography showed a significant decrease of cardiothoracic index (0.56 +/- 0.08 pre ablation, 0.43 +/- 0.07 post ablation, p0.001) and end-diastolic diameter (64 +/- 8 mm pre ablation, 52 +/- 8 mm post ablation, p0.001) and a significant improvement of left ventricular ejection fraction (37 +/- 9% pre ablation, 48 +/- 11% post ablation, p0.05).The RFCA of AT was effective and safe. Moreover we observed a hemodynamic improvement in patients with reduced ejection fraction and increased cardiac volumes. An AP intervalor = 30 ms and the pace-mapping concordant sequence were reliable features to predict the outcome of the ablation procedure. Traumatic ablation of atrial tachycardia improved the specificity and the positive predictive value of these two mapping techniques and was able to predict the response to radiofrequency with a high specificity.

153. [Cytoprotective activity of anti-ulcer drugs in humans]

Author

Fausto Fiocca, Schietroma M, Colella A, Costa G, De Santis A, Stabile G, Caruso C, Pianese G, Savino T, and Grasso E

Subjects
Gastric Mucosa, Sialoglycoproteins, Stomach Diseases, Humans, Anti-Ulcer Agents, Gastrointestinal Hemorrhage
Published
1988

193. Criteria of appropriateness in the treatment of atrial fibrillation with dronedarone: Practical aspects. The opinion of a group of Italian expert cardiologists | Criteri di appropriatezza nel trattamento della fibrillazione atriale con dronedarone: Aspetti pratici. L'Opinione di un gruppo di esperti cardiologi Italiani

Author

Botto, G. L., Capucci, A., Raviele, A., Boriani, G., Brignole, M., Leonardo Calò, Calvi, V., Ponti, R., Simone, A., Delise, P., Di Biase, M., Lombardi, F., Lunati, M., Santomauro, M., Senni, M., Stabile, G., Themistoclakis, S., Tritto, M., and Volpe, M.

195. [Morbidity and mortality in acute cholangitis]

Author

Schietroma M, Fausto Fiocca, Colella A, Stabile G, De Santis A, Caruso C, Greco E, D'Ambrosio G, Trifero M, and Fiorini F

Subjects
Postoperative Complications, Time Factors, Italy, Cholangitis, Acute Disease, Humans, Morbidity

196. Radical management of solid ameloblastoma of the mandible: Report of a case with 5-year follow-up

Author

Jorge-Boos, F. B. D., Eduardo Hochuli-Vieira, Stabile, G. A. V., Sonoda, C. K., Souza, F. A., Melo, W. M., Universidade Estadual Paulista (Unesp), Universidade Estadual de Londrina (UEL), and Antônio Dias Regional Hospital-FHEMIG/SUS

Abstract

Made available in DSpace on 2018-12-11T16:38:05Z (GMT). No. of bitstreams: 0 Previous issue date: 2014-06-18 Introduction: Ameloblastoma is a true neoplasm of odontogenic epithelial origin. This pathology can be classified into 4 groups: unicystic, solid or multicystic, peripheral, and malignant. Solid ameloblastomas of the mandible are the most common of them, and represent a challenging group of tumours to treat; in addition the follicular histopathological subtype has a high likelihood of recurrence. Thus, the challenges in the management of this tumour are to provide complete excision in addition to reconstruct the bony defect, in order to provide the patient with reasonable cosmetic and functional outcome. With this in mind, this paper aimed to describe the management of a solid multilocular ameloblastoma of follicular subtype in a 39-year-old female. Case report: The authors report a case of a solid multilocular ameloblastoma of follicular subtype in a 39-year-old female who was successfully treated by partial resection of the mandible with immediate reconstruction using an iliac crest, as a donor site. After 15 months, the patient was rehabilitated using titanium implant dentistry, and has been followed up for 5 years without signs or symptoms of recurrence. Conclusion: Correct surgical planning is the key for successful management of solid ameloblastoma with multilocular features, which is best treated using radical resection with immediate reconstruction, which ensures complete tumour excision, prevents recurrence, and enables fast and safe dental rehabilitation. Biomedical prototypes should be used since they provide acceptable precision and are useful for surgical planning. Univ. Estadual Paulista Júlio de Mesquita Filho - FOA/UNESP Univ. Estadual Paulista Júlio de Mesquita Filho - FOAr/UNESP University Hospital of Londrina Londrina State University Antônio Dias Regional Hospital-FHEMIG/SUS Univ. Estadual Paulista Júlio de Mesquita Filho - FOA/UNESP Univ. Estadual Paulista Júlio de Mesquita Filho - FOAr/UNESP

200. Criteria of appropriateness in the treatment of atrial fibrillation with dronedarone: Practical aspects. The opinion of a group of Italian expert cardiologists,Criteri di appropriatezza nel trattamento della fibrillazione atriale con dronedarone: Aspetti pratici. L'Opinione di un gruppo di esperti cardiologi Italiani

Author

Botto, G. L., Capucci, A., Raviele, A., Boriani, G., Michele Brignole, Calò, L., Calvi, V., Ponti, R., Simone, A., Delise, P., Di Biase, M., Lombardi, F., Lunati, M., Santomauro, M., Senni, M., Stabile, G., Themistoclakis, S., Tritto, M., and Volpe, M.

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