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Peter Wells

Publications and source records attributed to Peter Wells.

5 recordsLinked to original sources
PubMed2004

Results of catheter ablation of typical atrial flutter.

The purpose of this study was to evaluate the safety and efficacy of radiofrequency (RF) ablation of typical atrial flutter by using an 8-mm electrode catheter and a 100-W RF power generator. A limitation of previous trials of catheter ablation of atrial flutter is that the data were not collected as part of a prospective multicenter clinical trial. The study results associated catheter ablation of typical atrial flutter in a cohort of 150 patients with an 88% acute efficacy rate. At 6-month follow-up, recurrent typical atrial flutter was observed in 13% of patients. Of the 12 patients with typical atrial flutter recurrence, 4 were symptomatic and 8 were asymptomatic. Procedure duration was a significant predictor of typical atrial flutter recurrence. The 12-month rate for development of atrial fibrillation was 30%. Catheter ablation of atrial flutter was associated with significant improvements in 5 of 8 domains of the Short Form 36 Survey (quality of life) and significant decreases in 13 of the 16 symptoms of the Symptom Checklist. The device- or procedure-related complication rate was 2.7%. Skin burns occurred at the dispersive pad site due to stronger RF power in 3 patients. Use of a dual dispersive pad system mitigated this problem. Thus, the results of this study associated catheter ablation of atrial flutter with high acute efficacy, a small risk of recurrent atrial flutter, and an important risk of atrial fibrillation during follow-up.

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PubMed2001

SOLAR: student oriented learning about radiography.

The success or otherwise of a radiographic examination is like other health-related interventions, crucially dependent upon the knowledge base of the radiographer and the quality of his/her clinical acumen. Traditional curricular approaches are limited in their ability to assist students to make vital connections between science and clinical decision making. This paper describes a computer-based case-oriented program called SOLAR (student oriented learning about radiography) that has been designed to achieve the necessary level of integration. The key feature of SOLAR is the requirement for students to construct a clinical action plan in response to a scenario provided. Upon submitting this plan, the student can then compare his/her plan to that prepared by an expert. The browsing configuration of SOLAR makes it highly attractive for other health professions as well. Student feedback indicates a high degree of approval for this approach.

Journal Article↗