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64


A new trick to a routine procedure: taking the fear out of the axillary vein stick using the 35° caudal view

Yang, Felix; Kulbak, Guy
AIMS/OBJECTIVE:The axillary vein is frequently used to implant pacemaker and defibrillator leads. We describe a technique utilizing the caudal fluoroscopic view to facilitate axillary venous access without contrast. METHODS AND RESULTS/RESULTS:Outcomes of device implants or upgrades utilizing this technique were examined during a 1-year period at our institution. Of 229 consecutive implants, only 9 patients required an alternate technique for lead implantation. There were zero cases of pneumothorax. CONCLUSIONS:The caudal view allows for optimal appreciation of the anterior border of the lung and the first rib. This simple technique increases the implanter's appreciation of and control over the access needle depth relative to the lung and first rib, thereby reducing pneumothorax risk.
PMID: 25969438
ISSN: 1532-2092
CID: 5375872

Pulmonary Vein Isolation: Making the Most of Local Vein Capture with Exit Block

Yang, Felix; Raiszadeh, Farbod; Fisher, John D; Ferrick, Kevin J; Gross, Jay N; Kim, Soo G; Krumerman, Andrew K
ORIGINAL:0016534
ISSN: 2156-3977
CID: 5429202

An unusual interaction between an abandoned pacing lead and an ICD lead [Case Report]

Valentino, Vito; Greenberg, Yisachar Jesse; Saunders, Paul; Yang, Felix
PMID: 25708881
ISSN: 1556-3871
CID: 5375862

A Unique Pressure Bandage Approach for the Prevention of Device Pocket Hematoma

Valentino, Vito; Greenberg, Yisachar Jesse; Yang, Felix
ORIGINAL:0016531
ISSN: 1535-2226
CID: 5429162

Converging Towards an Effective Cure for Persistent AF: A Review of Techniques, and the Case for a First-Line Multidisciplinary Approach

Yang, Felix
ORIGINAL:0016532
ISSN: 1535-2226
CID: 5429172

Optimizing lead body control during lead extractions: the "Felix helix" lead compression method

Yang, Felix
PMID: 24915634
ISSN: 1556-3871
CID: 5375842

Increased mortality associated with digoxin in contemporary patients with atrial fibrillation: findings from the TREAT-AF study

Turakhia, Mintu P; Santangeli, Pasquale; Winkelmayer, Wolfgang C; Xu, Xiangyan; Ullal, Aditya J; Than, Claire T; Schmitt, Susan; Holmes, Tyson H; Frayne, Susan M; Phibbs, Ciaran S; Yang, Felix; Hoang, Donald D; Ho, P Michael; Heidenreich, Paul A
BACKGROUND:Despite endorsement of digoxin in clinical practice guidelines, there exist limited data on its safety in atrial fibrillation/flutter (AF). OBJECTIVES/OBJECTIVE:The goal of this study was to evaluate the association of digoxin with mortality in AF. METHODS:Using complete data of the TREAT-AF (The Retrospective Evaluation and Assessment of Therapies in AF) study from the U.S. Department of Veterans Affairs (VA) healthcare system, we identified patients with newly diagnosed, nonvalvular AF seen within 90 days in an outpatient setting between VA fiscal years 2004 and 2008. We used multivariate and propensity-matched Cox proportional hazards to evaluate the association of digoxin use with death. Residual confounding was assessed by sensitivity analysis. RESULTS:Of 122,465 patients with 353,168 person-years of follow-up (age 72.1 ± 10.3 years, 98.4% male), 28,679 (23.4%) patients received digoxin. Cumulative mortality rates were higher for digoxin-treated patients than for untreated patients (95 vs. 67 per 1,000 person-years; p < 0.001). Digoxin use was independently associated with mortality after multivariate adjustment (hazard ratio [HR]: 1.26, 95% confidence interval [CI]: 1.23 to 1.29, p < 0.001) and propensity matching (HR: 1.21, 95% CI: 1.17 to 1.25, p < 0.001), even after adjustment for drug adherence. The risk of death was not modified by age, sex, heart failure, kidney function, or concomitant use of beta-blockers, amiodarone, or warfarin. CONCLUSIONS:Digoxin was associated with increased risk of death in patients with newly diagnosed AF, independent of drug adherence, kidney function, cardiovascular comorbidities, and concomitant therapies. These findings challenge current cardiovascular society recommendations on use of digoxin in AF.
PMID: 25125296
ISSN: 1558-3597
CID: 5375852

An 18 Year Old Man Who Presented With Typical AV Nodal Reentrant Tachycardia and Pulmonary Embolus After Blunt Chest Trauma [Meeting Abstract]

Victor, Joy; Shenoy, Mangalore Amith; Chadha, Sameer; Yang, Felix; Hollander, Gerald; Shani, Jacob
ISI:000364518700071
ISSN: 0012-3692
CID: 3465842

Exercise-Induced Arrhythmias

Chapter by: Yang, Felix; Turakhia, Mintu P.; Froelicher, Victor F.
in: Cardiac Electrophysiology: From Cell to Bedside: Sixth Edition by
[S.l.] : Elsevier Inc., 2014
pp. 613-619
ISBN: 9781455728565
CID: 5428132

The delta wave in Wolff-Parkinson-White syndrome [Case Report]

Chadha, S; Kulbak, G; Yang, F; Hollander, G; Shani, J
PMID: 23108032
ISSN: 1460-2393
CID: 5429182