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    Wyświetlanie 1-4 z 4
    Tytuł:
    Usefulness of CartoMerge image integration module in catheter ablation of atrial fibrillation
    Autorzy:
    Drelich, Łukasz
    Królak, Tomasz
    Liżewska-Springer, Aleksandra
    Kempa, Maciej
    Kozłowski, Dariusz
    Raczak, Grzegorz
    Powiązania:
    https://bibliotekanauki.pl/articles/895815.pdf
    Data publikacji:
    2019-06-04
    Wydawca:
    Gdański Uniwersytet Medyczny
    Tematy:
    CartoMerge
    catheter ablation
    atrial fibrillation
    image integration
    Opis:
    Background: Anatomy assessment using Computer Tomography (CT) and Magnetic Resonance (MRI) is performed in patients undergoing pulmonary vein isolation (PVI). The aim of this analysis was to investigate whether electroanatomical 3D map and CT/MRI image integration using the CartoMerge system improves efficacy, reduces procedure time or fluoroscopy usage. Materials and methods: 57 patients undergoing PVI were divided in two groups: “Merge” (n=45 pts) and “non-Merge” (n=14 pts) depending on usage of image integration. PV isolation during procedure (acute PVI), procedure time, fluoroscopy time, number of radio frequency (RF) applications and AF recurrence during follow-up (Merge group: 12-24 months, non-Merge group: 9-18 months) were analyzed. Results: Intra-procedural PVI was equal in both groups (93%). Long-term efficacy, defined as absence of AF recurrence, was insignificantly higher in the Merge group (69,8% vs 50%, p=0,11793). Procedure time was significantly longer in the Merge group – 239,1 (±55,5) min. vs 192,4 (±44,5). Fluoroscopy time was similar in both groups 29,9 (±12,23) vs 24,6 (±26,5) min, (p=0,579). Number of RF applications was significantly higher in the Merge group 48,5 (±25,2) vs 27,2 (±14,9). Conclusions: CartoMerge did not improve the rate of acute PVI, long-term effectivity or fluoroscopy time. In the non-Merge group the procedure time was shorter and the number of applications was significantly smaller.
    Źródło:
    European Journal of Translational and Clinical Medicine; 2019, 2, 1; 48-52
    2657-3148
    2657-3156
    Pojawia się w:
    European Journal of Translational and Clinical Medicine
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Implantable cardiac electronic device infections: single center study
    Autorzy:
    Sławiński, Grzegorz
    Kempa, Maciej
    Lewicka, Ewa Katarzyna
    Budrejko, Szymon
    Królak, Tomasz
    Raczak, Grzegorz
    Powiązania:
    https://bibliotekanauki.pl/articles/895743.pdf
    Data publikacji:
    2018-09-28
    Wydawca:
    Gdański Uniwersytet Medyczny
    Tematy:
    infective endocarditis
    septic shock
    implantable cardiac electronic device infections
    Opis:
    Implantable cardiac electronic device (ICED) infections include- lead infection (ICED-LI), device pocket infection (PI) and infective endocarditis (ICED-IE). The aim of this study is to analyze the records of patients with ICED, who developed implantable device-related infections. We analyzed retrospectively the records of the University Clinical Centre (Gdańsk) patients who in 2012-2018 underwent transvenous lead extraction (TLE) due to infections. In order to identify potential ICED infection risk factors we included patients who underwent any electrotherapy procedure within 2 years prior to the TLE. ICED infections that led to septic shock were defined as severe. The analyzed sample included 59 patients with infectious complications (37 male and 22 female) with median age of 74. The in-hospital mortality was 8.5%. All patients with severe ICED infection were diagnosed with ICED-LI, whereas the rest of the sample was diagnosed mostly with PI (p<0.001). The most commonly cultured pathogens were S. aureus and S. epidermidis. In the analyzed sample, the most common infectious complication related to the ICED was PI and the most common etiological agents were S. aureus and S. epidermidis. Severe ICED infections that present with septic shock are associated with a 50% in-hospital mortality rate.
    Źródło:
    European Journal of Translational and Clinical Medicine; 2018, 1, 1; 57-62
    2657-3148
    2657-3156
    Pojawia się w:
    European Journal of Translational and Clinical Medicine
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
      Wyświetlanie 1-4 z 4

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