![]() ![]() Wired transfer from your iOS device to your Galaxy: iOS 5. Designed for media professionals, Switch enables visual file inspection, single file transcoding and is a complete. Switch lets you play a variety of web and professional media formats, inspect and adjust the properties of the file, and then export a new file. Get 40 - 650 off iPhone 13 when you trade in an iPhone 7 or newer. The most powerful, multiformat video player & encoder with inspection and correction. IOS™ devices - use the option that’s best for you: We approximate your location from your internet IP address by matching it to a geographic region or from the location entered during your previous visit to Apple. Wired transfer: Android 4.3 or higher, charger cable, and a USB connector When the switch is turned off, the data is not backed up and any data already backed up to iCloud is removed. Wireless transfers from a compatible Android device to Galaxy device: Android 4.3 or higher (Note that non-Samsung devices with Android versions lower than 6.0 can only connect with Galaxy devices that support a mobile AP.) Note: Security and privacy are the utmost concern at Samsung. Most iPhone and iPad users are using much newer versions of IOS. See it all on your new Chromebook Once you’ve signed in, you’re. However, there is partial support for Apple devices from IOS 5 and iCloud backups. To start listening to your music, either download the YouTube Music app, or launch Apple Music and sign in with your Apple ID. It’s also fully compatible with Windows phones and Blackberry devices. download the equivalent app from the Google Play Store, sign in, and your entire. You can also create a backup of your iOS device and sync data using Smart Switch for a Mac or PC. This is an official Samsung program, it supports almost all of Samsung’s range of mobile devices. Wireless transfer: Android 4.3 or higher Congrats on your new phone You'll be happy to learn that the Smart Switch app lets you seamlessly transfer all your content from your previous iOS phone to a Samsung Galaxy phone.
0 Comments
![]() If it’s actually so bad at NCIS that many wanted to complain but didn’t dare, so it was left to the one who was popular enough that she could, then someone needs to take a deeper look at what’s wrong. Much can be said while avoiding being libellous. I wish Pauley had taken more care over those. But if it was him, there is no explanation for those badly written tweets in the last week. He is still being blamed for the break-up. I have clearly read too much celebrity gossip, but there have been one or two bits of information about Mark’s personal past behaviour that always made me wonder what he thought he was doing. If there was any looking up to be done, it ought to be the younger actors to Ilya Kuryakin. I felt uncomfortable when David McCallum spoke about Mark Harmon as though he was the one they all looked up to, the one who looked after his gang. It’s one thing to have Gibbs the boss in the fictional team, but why should the actor playing him be boss of the team of actors away from the cameras. But what if he wasn’t?Īnd who got rid of Pancho Demmings? In fact, who was it who thought that practical jokes were good to play on their fellow actors on the show? Could that have had anything to do with Sasha Alexander leaving? It was always something I felt uncomfortable about, even if he was a slave-driver. In fact, the most interesting tweet was Pauley saying she’d had a long conversation with Don Bellisario.īecause we know how Bellisario was shunted off his own creation. ![]() We can start making our own deductions based on who is not mentioned. That opportunity is now lost.īut, OK, there are tweets saying nice things about most of her co-workers. On the other hand, if she really wanted to have a go at someone, she’d have done better to get her act together to say something more lucid and meaningful. ![]() Pauley had the opportunity of keeping quiet, but I can see that doesn’t sit well with her. Whether the secret is so big and so bad that knowing about it would bring NCIS down is anybody’s guess. I can see that she wants to save the jobs of her friends still working on the show. After Abby’s last episode it was as if Pauley had to get it out of her system and she tweeted some very cryptical stuff. But it’s always possible to deduce something that may be close to the truth. Keep in mind though that the datadabe is updated always with some lag.We are not really any the wiser regarding why Pauley Perrette left NCIS. Thankfully, Muse Watson is still alive (as of ) and is 75 years old. See also: famous people with name Muse When was Muse Watson born? What happened with Muse Watson?Ĭheck the latest news about Muse Watson here. People with similar height:Īs of 2023, Muse Watson weights approximately 75 kg. Of course, Muse Watson height changes with time slowly. Muse Watson Net Worth is similar to:Īs of, Muse Watson spouse seems to be unknown. In 2011 he won an assign for Best Actor in a Feature Film at the Trail Dance Film Festival. Watson has starred in the movies Something to Talk About, Assassins, I Know What You Did Last Summer, Lolita, I Still Know What You Did Last Summer, Austin Powers: The Spy Who Shagged Me, Morgan’s Ferry, American Outlaws, A Day Without a Mexican, Small Town Saturday Night, A Christmas Snow, The Lamp, Meeting Evil, The Last Exorcism Part 2, Compound Fracture, and Suburban Gothic. From 2006 to 2013 he had a recurring role as Mike Franks in the TV series NCIS. From 2005 to 2008 he starred as Charles Westmoreland in the television series Prison Break. He also starred in marvellous of Hamlet, A Street Car Named Desire, and Man of La Mancha. His leading acting advent came on stage in Shakespeare’s The Taming of the Shrew. His is best known for playing the roles of Charles Westmoreland on the television series Prison Break and Mike Franks on the TV series NCIS. Muse Watson was born in Alexandria, Louisiana in July 1948. Muse Watson net worth: Muse Watson is an American doer who has a net worth of $2 million. Muse Watson Net Worth: 2023 update 2023 Muse Watson net worth and salaryĪccording to statistics and other open sources, in 2023 Muse Watson net worth is estimated around $ 2.000.000 - good for celebrities. ![]() Muse Watson gained popularity also with the help of social media: Instagram, YouTube and TikTok. Born, Muse Watson is definitely one of the most well-known male celebrities, like Allen Haff, Evan Marriott, Hosea Chanchez, Chauncey Leopardi, Tickle Moonshiner. ![]() This stress can last throughout the winter as deer are constantly trying to catch up, always trying to find enough food to sustain them through these difficult times. Bucks that survived the hunting season face the prospect of many difficult months with poor forage and the constant caloric burden of maintaining body heat. It is important, however, not to forget about managing your deer herd during the winter months. At that point many deer managers are waiting for spring, looking forward to hunting for shed antlers, planting food plots, and warmer weather. ![]() In northern regions the days are short and temperatures are low. The hunting season has ended, the deer are tagged and processed, and the snow and cold weather have come. The Importance of a Winter Food Source for Whitetailsįor deer managers, winter is largely ignored. Extremely harsh winters can make it impossible for bucks to gain back the body mass lost during the rut, leading to increased risk of disease or predation or, in some cases, death. Already depleted and worn down from breeding activity, bucks face the prospect of surviving the difficult winter months with a limited supply of food. In northern climates snow covers much of the ground after the end of the rut, making it even more difficult to find food. With the exception of the brief period of intense energy expenditure during the rut, there is no more stressful time in the life of a whitetail buck than winter. These plots are generally maintained through the beginning of the hunting season, but when the bucks are beginning to think about does and hunters are preparing to pursue bucks, food plot maintenance typically dwindles. The weather is pleasant and the anticipation of the fall hunting season serves as the necessary motivation to plant food plots. Most deer managers are more than willing to plant their plots in the spring and summer. Whether it’s planted in a food plot, or fed at a feeding site, corn can be a great benefit to whitetails during winter. Although corn has poor protein, it has high carbohydrates. When the rut ends bucks are left depleted going into the leanest time of year. So weight loss can be significant as the demands of the season take their toll. Bucks that have survived to the beginning of winter have undergone the trying weeks of chasing does, fighting with other bucks and because their single focus is finding and breeding as many does as possible they stop eating, their food intake can be reduced 90% during this period. The events that occur annually in a deer’s life cycle (antler formation and release and increased testosterone levels in bucks and the estrus cycle in does) are directly related to pineal gland activity and length of days more than any other single factor.Īs the rut winds down and hunting season draws to a close, bucks begin trying to regain some of the body mass that was lost during the stress of the rut. Much of the whitetails’ annual cycle is related to the length of day and the resulting effect on the deer’s pineal gland, which regulates hormone levels in the body. Mature bucks are healthy and fat at the beginning of the rut, using their stores of energy to survive the demanding weeks that follow as they chase does, fight with other bucks and remain on the move both day and night. During the rut most bucks will dramatically decrease food intake, in addition to spending tremendous amounts of energy chasing does.Īs the rut nears, bucks shift their focus from feeding to patrolling their territory and waiting for the first does to come into estrus. As hunters are clearing shooting lanes, sighting in bows, checking game cameras and hanging stands, at the same time whitetail bucks are busy feeding on high-energy foods like legumes, acorns, and cultivated crops to pack on the additional 30 pounds or so that will be required to last them through the rut. If you are serious about manufacturing healthy deer herds then consider a supplemental winter deer feeding program.Īutumn is a busy time for both deer and deer hunters. When hunting season draws to a close some tend to forget that the hardest season of the year for whitetails has just begun. Brad Fitzpatrick | Originally published in GameKeepers: Farming for Wildlife Magazine Winter: The Hardest Season of the Year Earn 5 badges – Tadpole ranking, 10 for Minnow, 20 for Fish and obtain all 32 to be a Senior Wilderness Explorer. If you cannot finish it all in one day, no worries! You can still receive a Wilderness Explorer ranking. To complete the book, you need 32 stickers from the guides around the park. Each focuses on a specific topic, and the badges fit neatly into icons on the top right or left corner of the pages. We were able to complete each station in just a few minutes.Īll stations coordinate neatly with the pages in the handbook. Badge guides use props, ask interactive questions, and have fun activities for the kids to do (such as animal hunts for backyard friends). These activities were related to the land we were in and its plant and animal residents. They were very eager to collect their badges and looked for the Wilderness Explorers symbol.Īt each Wilderness Explorers station, a badge guide led us through an activity designed to deepen our understanding of the natural world and how human interaction affects it. My son and daughter loved reading the map and leading us to the next station. You can also ask a Cast Member and they will direct you if you have trouble. The map is easy to read and each station has a Wilderness Explorer sign. Wilderness Explorer stations are located in the different areas of the park (Africa, Asia, Dinoland U.S.A., Discovery Island, Oasis and Pandora) and could be found on a simplified map in the front of your handbook. The hours of operation vary based on parks hours so please check the Wilderness Explorers Headquarters, located by the Tree of Life. No matter where you begin in the park, the free handbooks are given out at the first station you visit. The badges represent the topic explored at that particular station, such as the bioluminescent flowers in Pandora for the botany badge. Like Russell, from the Pixar’s Up, Wilderness Explorers of all ages can earn badges (stickers) by completing tasks throughout the park and placing them in the Wilderness Explorers handbook. ![]() Wilderness Explorers is a free interactive scavenger/games hunt at Animal Kingdom. ![]() I highly recommend it! My kids loved doing it and were so proud when they completed it. Going to Walt Disney World with my kids for the first time, I experienced things I had never done before! One of those things was the Wilderness Explorers program at Disney’s Animal Kingdom. The Sims 4 still teasing werewolves as two new Kit DLCs announced Lin Heqin. RELATED: 10 Hidden Things Fans Missed In The Sims 4: Tiny Living. Basically, my play style differs from save to save but I feel like I could use all three of the kits I mentioned (still not sure about the Throwback one because I didn't give it a second glance because I rarely pay attention to athletic wear) in all of them. 636 of 827 Spas & Wellness in New York City. Frames & DIY Kits: If youve ordered a frame or hardware kit, your bed will. I bought Laundry Day as soon as I could because I love the mundane tasks like laundry that kind of counteract the sometimes extreme zaniness that is the game (the giant telescope, alien pregnancy, etc.) so Bust the Dust has that kind of appeal to me but I know it's buggy. I also really like the way that Country Kitchen gives me both grandma vibes and young couple just starting out vibes and I love the cottage builds that feature it too. The DLC goes live across PS4, Xbox One, and PC at 10 AM PT / 1 PM ET on Tuesday, May 18, and it. The Sims 4 Courtyard Oasis Kit is coming next week May 18th and simmers have already found a way to uncover all of the objects thanks to the new update JonathanBML uncovered a full list of objects from the Main Menu that come with the upcoming Courtyard Oasis Kit. This includes objects, build items, styled rooms and any other item that was included with. I'm not a big builder (the gallery is my saving grace because what is roofing) but I know a lot of builds will now feature the Courtyard Oasis kit and I do like how a lot of it looks. EA has announced a new Courtyard Oasis Kit for The Sims 4. The Sims 4 Courtyard Oasis Kit includes 31 buy and build mode items. Down below you can check out the full promotional renders, logo and screens of the Kit. Let me know what you think! Thanks!!Įdit: Just a quick edit! My play style is kind of all over the place. The Sims Team provided us with the official assets for The Sims 4 Courtyard Oasis Kit. ![]() With the Desert Luxe Kit, Sims can relax in their modern oasis with luxurious indoor and outdoor furniture, inspired by the natural landscape of the Southwestern desert and materials like stone and wood. ![]() If you bought the kits, do you recommend them? Or should I wait until they go on sale? I just don't want to waste any extra money when I don't have a steady income. From September 14 through October 17, all players who have purchased The Sims 4 base game will receive the Desert Luxe Kit as a gift. Now I'm thinking about getting the kits too (mostly just Country Kitchen and Bust the Dust, maybe Courtyard Oasis) but I'm not sure if they're worth the $5+ per kit. Hi guys! So, recently I finally had some extra money to fill out my S4 collection so I bought all the game/stuff packs I didn't have (except Batuu because f that lol) when they were on sale. ![]() Head to the far right corner and look for this plan on top the desk across from the Recycler. Artax Propulsion System Fabrication Plan The Atrax Propulsion System Fabrication Plan is a critical story item, so it shouldn't be hard to miss in the Hardware Labs. Beside the Security Station terminal, you'll find the Silenced Pistol Ammo Fabrication Plan on the desk. Pass under the debris to enter the office. Hardware Labs Silenced Pistol Ammo Fabrication PlanĮnter the Security Room inside the Hardware Labs. Look for this plan on top the desk in the middle of the room. To find the first Medkit Fabrication Plan, head to the Trauma Center on the second floor of the Talos I Lobby, just across from the Staff Lounge. This corpse also carried the Silenced Pistol. The Fabrication Plan for crafting 9mm bullets is found on a corpse in the Teleconferencing Center in the Talos I Lobby. While you’re snagging the previous plan in Morgan Yu’s office, make sure to look on the desk beside the Fabricator machine to obtain the Wrench Fabrication Plan as well. The code to enter Morgan Yu’s office is 0451. The first is the GLOO Canister Fabrication Plan, which is inside the safe. There are two Fabrication Plans located in Morgan Yu’s office. Open the safe to get the Shotgun Shells Fabrication Plan. Once inside the Security Office, look for the Security Station safe code in a book on the desk. Security Room and look on the desk to the left. To find the keycard, go up to the second floor I.T. To get into the Security Station, you’ll need the Security Station keycard as well as the safe code. One of the Shotgun Shells Fabrication Plans in Prey is located inside a safe the Security Station office in the Talos I Lobby. ![]() Talos 1 Lobby Shotgun Shells Fabrication Plan ![]() An Anti-Rad Pharma Fabrication Plan should be on top a crash cart. Head to the Neuromod Installation and Extraction area in Volunteer Testing. Anti-Rad Pharma Fabrication Plan The Anti-Rad Pharma Fabrication Plan is found on the crash cart in Volunteer Testing. Inside the office to the left is the Disruptor Stun Gun Fabrication Plan, just beside the bottles of bourbon. To open the door, use the code 8545 or 9758. Go through the Level 2 door to the Volunteer Quarters. Once you hack into the system, go to Files and press Transfer Files to download the Huntress Boltcaster Fabrication Plan. You’ll need to unlock Hacking 1 first in order to access the computer terminal. This Fabrication Plan is found on Caleb Hawethorne's computer inside the Research & Design office in the Neuromod Division. Huntress Boltcaster Fabrication Plan You'll need to come back to this computer once you've obtained Hacking 1. This Fabrication Plan allows you to craft your own Neuromods. Loot the body on the ground on Level 1 to get the keycard for the Fabrication area, and enter through the blocked doorway. Read Bianca Goodwin’s emails in the Talos I Executive Offices to get the keycode to access the Volunteer Quarters. This Neuromod Fabrication Plan is found in Halden Graves’ office in the Fabrication area of the Volunteer Quarters. Inside, you'll find a Psi Hypo Fabrication Plan along with some other useful items. There's a safe in the corner that can be opened using the code 5150. Shortly after leaving your apartment, head to the Simulation Debriefing room. Neuromod Division Psi Hypo Fabrication Plan This guide will help players track down every Fabrication Plan in each major location of Talos I in Prey. Several of the Fabrication Plans can be found in multiple areas, so if you miss one, browse through our guide to see if you can find the same plan elsewhere. ![]() In Prey, Fabrication Plans are a type of blueprint that allow players to craft various items including Neuromods, weapons, and medkits. ![]() Use the HubMax connector to branch out in 6 directions, and stick more HubMax pieces on the end of those. Attach yourself to an asteroid with Da Klaw, strap on a Convert-O-Tron 250, some Drill-O-Matic Mining Excavators of any kind, some radiators, holding tanks, and Gigantor XL Solar Arrays, and get yourself a temporary free fuel source. They provide much more rigid structural connections then the other types. Don't forget to set them to "pilot only", lest they tear your station apart when a ship docks also, balance them out so that 1 side of the station receives roughly as much force as the other.Add big battery banks for those big reaction wheels as well you don't really want to run out of power as you're swinging towards a fragile fuel tanker. The Advanced Reaction Wheel Module, Large is your best bet, with 30 kn of thrust. Include monopropellant for RCS thrusters and the O-10 "Puff" Monopropellant Engine (if you actually use that thing). Include liquid fuel and oxidizer, and also include specialized liquid-fuel dumps for LV-N "Nerv" Atomic Rocket Motors and jet engines, as well as xenon gas and big battery banks for the IX-6315 "Dawn" Electric Propulsion System. Otherwise, Rockomax Jumbo-64/Orange tanks can suffice if you use two to three of them. If you somehow manage to put this thing into orbit (best to do it empty), it can act as a medium-sized fuel dump on its own. The Kerbodyne S3-14400 fuel tank can carry 6,480 units of liquid fuel and 7,920 units of oxidizer. ![]() They act as a warehouse for fuel being shipped up from a surface refinery. The other type is usually only found in Career mode, often in a stationary orbit or semi-stationary orbit above an atmosphere-less moon (i.e. They are often found near a vehicle assembly station, due to the need for the newly-assembled vehicle to take on fuel before moving off. 1 type is typically found in low-Kerbin or keostationary orbit, they act as a jumping-off point for large vessels that spent most of their fuel leaving Kerbin's atmosphere. Refueling stops are the other common type of space station in KSP. The Mobile Processing Lab is big it can easily take the RA-100 Relay Antenna on top. Ideally, your station could be launched with a single heavy rocket. Attach parts such as batteries radially try not to use their stack-size counterparts. Alternatively, find a power source that can match the requirements of the lab continually Gigantor XL Solar Arrays are best for this. Science in the Mobile Processing Lab MPL-LG-2 consumes a good of electricity per second (5) Z-4K Rechargable Battery Banks can last you a good while. The bare minimum for a science lab is a docking port, Mobile Processing Lab MPL-LG-2, command module (often a probe core), substantial battery buffer (for science experiments), powerful antenna (for transmitting data to Kerbin) and quarters for any Kerbals who may be leveling up at the station. Their purpose is to convert science points to data points, level up Kerbals without needing to land on Kerbin, and store duplicate experiments. They typically consist of a Mobile Processing Lab MPL-LG-2 with solar panels, habitation modules, and command modules attached. Science stations are one of the most common types of space station in KSP. This guide is intended for beginners looking to assemble their first space stations. They generally fall into the following categories: science stations, refueling stops, parts testing locations, and vehicle assembly locations. Set up communications networks to communicate between your spacecraft and Kerbal Space Center.Space stations in KSP serve many functions.Use satellites to scan terrain and find biomes and other anomalies.Dock spacecraft together to construct space stations, massive starships, and surface bases on new planets.Send your Kerbal crew outside their ships for “extra-vehicular” activities.Discover a whole star system with unique moons and planets, exploring detailed terrain at a vast scale.Manage your Kerbal crewmembers, including hiring, training, and sending them into space to become heroes.Take full control over your ship’s setup to execute complex flight maneuvers.Build spaceships, rockets, and vehicles using any imaginable combination of parts, each with their own function that will affect the way your spacecraft behaves.KSP has a huge modding community, with upwards of 2600 mods published on CKAN alone. Notable members of the space industry have also taken an interest in the game and in 2014, NASA had their first input via the Asteroid Redirection update. Several well known modders for KSP have since been inducted into the Squad team and now help create further updates for the game. ![]() Updates have been continuously released for the game since it's launch and also supports game mods. Kerbal Space Program (commonly shortened to KSP) is a spaceflight simulator developed by Squad. ![]() Sound particles are not molecules in the physical or chemical sense they do not have. Songs from the Apple Music catalog cannot be burned to a CD. In the context of particle displacement and velocity, a sound particle is an imaginary infinitesimal volume of a medium that shares the movement of the medium in response to the presence of sound at a specified point or in a specified region. iTunes-compatible CD or DVD recorder to create audio CDs, MP3 CDs, or backup CDs or DVDs.To relate the motion of the medium to the spatial variations in pressure, we need Newton’s. To relate pressure to density, we need to know a little about the elasticity of the medium, which is often a gas. ![]() For a wave in a gas, high and low density correspond respectively to high and low pressures. The two sections highlighted by the pink boxes show regions of the medium subject to nett forces. Notice that, for a sine wave, the maxima and minima of density correspond to zeros in y(x'). Internet connection to use Apple Music, the iTunes Store, and iTunes Extras Once the particles are displaced longitudinally, we see that there are regions of high and low density.Screen resolution of 1024x768 or greater 1280x800 or greater is required to play an iTunes LP or iTunes Extras.To play 1080p HD video, a 2.4GHz Intel Core 2 Duo or faster processor, 2GB of RAM, and an Intel GMA X4500HD, ATI Radeon HD 2400, or NVIDIA GeForce 8300 GS or better is required.To play 720p HD video, an iTunes LP, or iTunes Extras, a 2.0GHz Intel Core 2 Duo or faster processor, 1GB of RAM, and an Intel GMA X3000, ATI Radeon X1300, or NVIDIA GeForce 6150 or better is required.Download from our library of free Sparkle sound effects. To play standard-definition video from the iTunes Store, an Intel Pentium D or faster processor, 512MB of RAM, and a DirectX 9.0–compatible video card is required After Effects has Particle Presets Kit, Glitter Particles Logo, Elegant Particle.PC with a 1GHz Intel or AMD processor with support for SSE2 and 512MB of RAM. The emoji used in this project are free for commercial use and can be found here. Making it smileįor our last step, we will update our index.html to display an area where we can show the emoji. While we can select other languages in the Web Speech API we would have to find a scored list similar to AFINN in our desired language to make the matching work. Using the Speech Recognition Web API, we want to capture a users voice, convert their speech to text, and display that. Now that we have the score returned, we just have to make it show in our browser. Package.json will end up looking something like this: What we want is the score property which in this case would lead to a positive result
Participants in persistent AFL will be cardioverted at the end of the procedure. If spontaneous PV reconnection is identified, cryoballoon application is repeated, where required. Prior to removal of the left atrial catheters, an assessment of each PV is undertaken with the Achieve Advance Mapping catheter. Targeted treatment of non-PV triggers or use of focal RF catheter as an adjunct is not allowed by the protocol. Failure to achieve PVI with this maximum of 4 freezes is not pursued with further ablation attempts. In the case of 2 unsuccessful attempts to achieve an effective freeze for any PV, a 240-s freeze is delivered to the vein, followed by an additional 180-s freeze if PVI is not achieved by the former. No ‘bonus’ freeze is routinely applied for any PV once an effective freeze has been delivered. In the event that an effective freeze is not achieved at 60 s, the freeze is terminated, and further ablation attempts are made with a better contrast seal. If PV signals not discernible on any pole(s) of the Achieve Advance Mapping catheter, lowering of balloon temperature below − 40 ☌ at 60 s However, the use of cryoballoon PVI only in patients with typical AFL and no prior documentation of AF has not been studied. Cryoballoon ablation is also associated with a shorter learning curve, with more reproducible results across operators and shorter procedure times than RFA, while ensuring a high probability of creating durable PVI. In recent years, cryoballoon ablation has been developed for AF and has been shown to be non-inferior to RFA in terms of efficacy and safety profile. As such, in spite of the recognition that CTI ablation often represents only a short-term or partial solution, it continues to be the recommended, first-line treatment approach for symptomatic, recurrent, typical AFL. Despite this, CTI ablation has remained the preferred option for patients with typical AFL, partly because of the perceived complexity of traditional PVI with RFA, and the high possibility of requiring multiple procedures to achieve durable PVI. A small single centre study even showed the efficacy of standalone PVI in patients with typical AFL compared with AADs or CTI ablation. Previous studies have demonstrated the benefit of a combined pulmonary vein isolation (PVI) and CTI ablation approach among patients with AFL. In fact, there is evidence to suggest that pulmonary vein (PV) ectopy is a common initiating trigger for both arrhythmias. The elevated risk of AF among patients with AFL indicates the presence of shared underlying disease processes that remain unchanged with only CTI ablation. However, as many as half of these patients go on to develop atrial fibrillation (AF) during follow-up. Radiofrequency ablation (RFA) of the CTI has a very high acute success rate and is often used as first line treatment. In patients with AFL, the use of anti-arrhythmic drugs (AADs) to maintain sinus rhythm has limited success. Typical atrial flutter (AFL) is a macro-reentrant tachycardia with a circuit within the right atrium involving the cavo-tricuspid isthmus (CTI) as the critical isthmus. The primary safety endpoint is the composite of death, stroke/transient ischaemic attack, cardiac tamponade requiring drainage, atrio-oesophageal fistula, requirement for a permanent pacemaker, serious vascular complications requiring intervention or delaying discharge and persistent phrenic nerve palsy lasting > 24 h. Key secondary endpoints include (1) total arrhythmia burden at 12 months, (2) time to first episode of AF lasting ≥ 2 min, (3) time to recurrence of AFL or AT and (4) procedural and fluoroscopy times. The primary endpoint is time to first recurrence of sustained symptomatic atrial arrhythmia. Post-procedural cardiac monitoring is performed using an implantable loop recorder. Participants with typical AFL are randomised in a 1:1 ratio to either treatment arm, with patients randomised to PVI not receiving CTI ablation. CRAFT is an international, prospective, randomised, open with blinded assessment, multicentre superiority study comparing radiofrequency CTI ablation and cryoballoon PVI in patients with typical AFL. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |