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Skip to main page content home • subscriptions • archives • feedback • authors • help • circulation journals home • aha journals home search: go advanced search user name password sign in original articles feasibility of circumferential pulmonary vein isolation using a novel endoscopic ablation system boris schmidt , md, andreas metzner , md, kyoung ryul julian chun , md, dionysios leftheriotis , md, yasuhiro yoshiga , md, alexander fuernkranz , md, kars neven , md, roland richard tilz , md, erik wissner , md, feifan ouyang , md and karl-heinz kuck , md from the asklepios klinik st georg, department of cardiology, hamburg, germany. generic viagra shipped usa Correspondence to boris schmidt, md, asklepios klinik st georg, department of cardiology, lohmuehlenstr 5, 20099 hamburg, germany. viagra without doctor prescription E-mail boris_schmidt{at}arcor. buy viagra online De abstract background— pulmonary vein isolation (pvi) is an established treatment option for patients with drug refractory paroxysmal atrial fibrillation. generic viagra au canada A novel compliant endoscopic ablation system housing a 980-nm-diode laser allows for discrete point-by-point ablation enabling a true circumferential ablation line design. Viagra prices walmart pharmacy We sought to determine the feasibility and safety of a circumferential ablation using endoscopic ablation system. Methods and results— thirty patients (17 female; mean age, 58â±9 years) with a median paroxysmal atrial fibrillation history of 3 years (range, 1 to 17 years) were treated. Pvi was achieved in 114 of 116 (98%) pvs (4 left common pvs), thereby achieving simultaneous pvi for separate ipsilateral pvs in 19 of 26 (73%) left pvs and 6 of 30 (20%) right pvs. cheap generic viagra The total procedure time was 250â±62 minutes. cheap generic viagra Procedure time decreased from 310â±59 to 220â±37 minutes (p=0. can viagra viagra mixed 0001) between the first 10 and the last 20 cases. can viagra viagra mixed Mean fluoroscopy time was 30â±18 minutes. viagra cheap discount Twenty-seven patients underwent postoperative endoscopy showing no or minimal thermal lesions in the esophagus in 21 (78%) and 2 (7%), respectively. taking viagra and viagra at the same time In 4 (15%) patients, an esophageal ulceration was found that healed without sequelae. Viagra kaufen in der schweiz One pericardial tamponade and 1 right-sided phrenic nerve palsy occurred. generic viagra online During a median follow-up of 168 days (113 to 203 days; q1-q3), 24 of 30 patients (80%) remained free of atrial fibrillation recurrence. vendita di viagra online Conclusions— circumferential pvi using the novel compliant endoscopic ablation system was feasible in the majority of left pvs and minority of right pvs accompanied by a complication rate comparable to established approaches. can viagra viagra mixed To minimize the risk for thermal esophageal injury temperature monitoring is recommended. Can i buy viagra in spain over the counter Key words: balloon fibrillation ablation received march 16, 2010. buy viagra online Accepted july 6, 2010. â© 2010 american heart association, inc. Citeulike connotea delicious digg facebook google+ mendeley reddit stumbleupon twitter what's this? viagra canada ads â« prev article | next article â» table of contents this article circulation: arrhythmia and electrophysiology. cheap viagra online 2010; 3: 481-488. cheap generic viagra viagra for sale

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