Is empirical four pulmonary vein isolation necessary for focally triggered paroxysmal atrial fibrillation? Comparison of selective pulmonary vein isolation versus empirical four pulmonary vein isolation

Journal of Cardiovascular Electrophysiology

Volumn 19, Issue 5, 2008, Pages 473-479

  Pak, Hui Nam ^b   Kim, Jin Seok ^b   Shin, Seung Yong ^b   Lee, Hyun Soo ^b   Choi, Jong Il ^b   Lim, Hong Euy ^b   Hwang, Chun ^a   Kim, Young Hoon ^b,c  

^a Utah Valley Medical Center   (United States)

^b Korea University   (South Korea)

^c NONE   (South Korea)

Author keywords

Arrhythmogenic pulmonary vein; Catheter ablation; Paroxysmal atrial fibrillation

Indexed keywords

ADULT; AGED; ARTICLE; CATHETER ABLATION; CLINICAL TRIAL; COMPARATIVE STUDY; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; FEMALE; HEART ATRIUM FIBRILLATION; HEART ELECTROPHYSIOLOGY; HUMAN; MAJOR CLINICAL STUDY; MALE; PRIORITY JOURNAL; PULMONARY VEIN; RANDOMIZED CONTROLLED TRIAL; RECURRENCE RISK; RECURRENT DISEASE; RETREATMENT;

ATRIAL FIBRILLATION; CATHETER ABLATION; FEMALE; HEART CONDUCTION SYSTEM; HUMANS; MALE; MIDDLE AGED; PULMONARY VEINS; RECURRENCE; TREATMENT OUTCOME;

EID: 43049103064     PISSN: 10453873     EISSN: 15408167     Source Type: Journal    
DOI: 10.1111/j.1540-8167.2007.01074.x     Document Type: Article

References (32)

1. Oral H, Pappone C, Chugh A, Good E, Bogun F, Pelosi F Jr., Bates ER, Lehmann MH, Vicedomini G, Augello G, Agricola E, Sala S, Santinelli V, Morady F : Circumferential pulmonary-vein ablation for chronic atrial fibrillation. N Engl J Med 2006 354 : 934 941.
2. Macle L, Jais P, Weerasooriya R, Hocini M, Shah DC, Choi KJ, Scavee C, Raybaud F, Clementy J, Haissaguerre M : Irrigated-tip catheter ablation of pulmonary veins for treatment of atrial fibrillation. J Cardiovasc Electrophysiol 2002 13 : 1067 1073.
3. Kanj MH, Wazni O, Fahmy T, Thal S, Patel D, Elay C, Di Biase L, Arruda M, Saliba W, Schweikert RA, Cummings JE, Burkhardt JD, Martin DO, Pelargonio G, Dello Russo A, Casella M, Santarelli P, Potenza D, Fanelli R, Massaro R, Forleo G, Natale A : Pulmonary vein antral isolation using an open irrigation ablation catheter for the treatment of atrial fibrillation: A randomized pilot study. J Am Coll Cardiol 2007 49 : 1634 1641.
4. Pak HN, Hwang C, Lim HE, Kim JS, Kim YH : Hybrid epicardial and endocardial ablation of persistent or permanent atrial fibrillation: A new approach for difficult cases. J Cardiovasc Electrophysiol 2007 18 : 917 923.
5. Cummings JE, Schweikert RA, Saliba WI, Burkhardt JD, Kilikaslan F, Saad E, Natale A : Brief communication: Atrial-esophageal fistulas after radiofrequency ablation. Ann Intern Med 2006 144 : 572 574.
6. Mesas CE, Pappone C, Lang CC, Gugliotta F, Tomita T, Vicedomini G, Sala S, Paglino G, Gulletta S, Ferro A, Santinelli V : Left atrial tachycardia after circumferential pulmonary vein ablation for atrial fibrillation: Electroanatomic characterization and treatment. J Am Coll Cardiol 2004 44 : 1071 1079.
7. Haissaguerre M, Hocini M, Sanders P, Takahashi Y, Rotter M, Sacher F, Rostock T, Hsu LF, Jonsson A, O'Neill MD, Bordachar P, Reuter S, Roudaut R, Clementy J, Jais P : Localized sources maintaining atrial fibrillation organized by prior ablation. Circulation 2006 113 : 616 625.
8. Pappone C, Oreto G, Rosanio S, Vicedomini G, Tocchi M, Gugliotta F, Salvati A, Dicandia C, Calabro MP, Mazzone P, Ficarra E, Di Gioia C, Gulletta S, Nardi S, Santinelli V, Benussi S, Alfieri O : Atrial electroanatomic remodeling after circumferential radiofrequency pulmonary vein ablation: Efficacy of an anatomic approach in a large cohort of patients with atrial fibrillation. Circulation 2001 104 : 2539 2544.
9. Pak HN, Hwang C, Lim HE, Kim JW, Lee HS, Kim YH : Electroanatomic characteristics of atrial premature beats triggering atrial fibrillation in patients with persistent versus paroxysmal atrial fibrillation. J Cardiovasc Electrophysiol 2006 17 : 818 824.
10. Natale A, Raviele A, Arentz T, Calkins H, Chen SA, Haissaguerre M, Hindricks G, Ho Y, Kuck KH, Marchlinski F, Napolitano C, Packer D, Pappone C, Prystowsky EN, Schilling R, Shah D, Themistoclakis S, Verma A : Venice Chart international consensus document on atrial fibrillation ablation. J Cardiovasc Electrophysiol 2007 18 : 560 580.
11. Hamabe A, Okuyama Y, Miyauchi Y, Zhou S, Pak HN, Karagueuzian HS, Fishbein MC, Chen PS : Correlation between anatomy and electrical activation in canine pulmonary veins. Circulation 2003 107 : 1550 1555.
12. Haissaguerre M, Jais P, Shah DC, Takahashi A, Hocini M, Quiniou G, Garrigue S, Le Mouroux A, Le Metayer P, Clementy J : Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins. N Engl J Med 1998 339 : 659 666.
13. Tada H, Naito S, Meguro K, Nogami A, Taniguchi K : Persistent tachycardia originating from the superior vena cava as a driver for atrial fibrillation. Pacing Clin Electrophysiol 2004 27 : 252 255.
14. Oral H, Scharf C, Chugh A, Hall B, Cheung P, Good E, Veerareddy S, Pelosi F Jr., Morady F : Catheter ablation for paroxysmal atrial fibrillation: Segmental pulmonary vein ostial ablation versus left atrial ablation. Circulation 2003 108 : 2355 2360.
15. Pappone C, Santinelli V, Manguso F, Vicedomini G, Gugliotta F, Augello G, Mazzone P, Tortoriello V, Landoni G, Zangrillo A, Lang C, Tomita T, Mesas C, Mastella E, Alfieri O : Pulmonary vein denervation enhances long-term benefit after circumferential ablation for paroxysmal atrial fibrillation. Circulation 2004 109 : 327 334.
16. Oral H, Knight BP, Tada H, Ozaydin M, Chugh A, Hassan S, Scharf C, Lai SW, Greenstein R, Pelosi F Jr., Strickberger SA, Morady F : Pulmonary vein isolation for paroxysmal and persistent atrial fibrillation. Circulation 2002 105 : 1077 1081.
17. Jahangir A, Lee V, Friedman PA, Trusty JM, Hodge DO, Kopecky SL, Packer DL, Hammill SC, Shen WK, Gersh BJ : Long-term progression and outcomes with aging in patients with lone atrial fibrillation: A 30-year follow-up study. Circulation 2007 115 : 3050 3056.
18. Wijffels MC, Kirchhof CJ, Dorland R, Allessie MA : Atrial fibrillation begets atrial fibrillation. A study in awake chronically instrumented goats. Circulation 1995 92 : 1954 1968.
19. Zrenner B, Ndrepepa G, Karch MR, Schneider MA, Schreieck J, Schomig A, Schmitt C : Electrophysiologic characteristics of paroxysmal and chronic atrial fibrillation in human right atrium. J Am Coll Cardiol 2001 38 : 1143 1149.
20. Ndrepepa G, Karch MR, Schneider MA, Weyerbrock S, Schreieck J, Deisenhofer I, Zrenner B, Schomig A, Schmitt C : Characterization of paroxysmal and persistent atrial fibrillation in the human left atrium during initiation and sustained episodes. J Cardiovasc Electrophysiol 2002 13 : 525 532.
21. Cha TJ, Ehrlich JR, Zhang L, Shi YF, Tardif JC, Leung TK, Nattel S : Dissociation between ionic remodeling and ability to sustain atrial fibrillation during recovery from experimental congestive heart failure. Circulation 2004 109 : 412 418.
22. Goette A, Staack T, Rocken C, Arndt M, Geller JC, Huth C, Ansorge S, Klein HU, Lendeckel U : Increased expression of extracellular signal-regulated kinase and angiotensin-converting enzyme in human atria during atrial fibrillation. J Am Coll Cardiol 2000 35 : 1669 1677.
23. Kalifa J, Jalife J, Zaitsev AV, Bagwe S, Warren M, Moreno J, Berenfeld O, Nattel S : Intra-atrial pressure increases rate and organization of waves emanating from the superior pulmonary veins during atrial fibrillation. Circulation 2003 108 : 668 671.
24. Cappato R, Negroni S, Pecora D, Bentivegna S, Lupo PP, Carolei A, Esposito C, Furlanello F, De Ambroggi L : Prospective assessment of late conduction recurrence across radiofrequency lesions producing electrical disconnection at the pulmonary vein ostium in patients with atrial fibrillation. Circulation 2003 108 : 1599 1604.
25. Nanthakumar K, Plumb VJ, Epstein AE, Veenhuyzen GD, Link D, Kay GN : Resumption of electrical conduction in previously isolated pulmonary veins: Rationale for a different strategy? Circulation 2004 109 : 1226 1229.
26. Gerstenfeld EP, Callans DJ, Dixit S, Zado E, Marchlinski FE : Incidence and location of focal atrial fibrillation triggers in patients undergoing repeat pulmonary vein isolation: Implications for ablation strategies. J Cardiovasc Electrophysiol 2003 14 : 685 690.
27. Callans DJ, Gerstenfeld EP, Dixit S, Zado E, Vanderhoff M, Ren JF, Marchlinski FE : Efficacy of repeat pulmonary vein isolation procedures in patients with recurrent atrial fibrillation. J Cardiovasc Electrophysiol 2004 15 : 1050 1055.
28. Hsieh MH, Tai CT, Lee SH, Lin YK, Tsao HM, Chang SL, Lin YJ, Wongchaoen W, Lee KT, Chen SA : The different mechanisms between late and very late recurrences of atrial fibrillation in patients undergoing a repeated catheter ablation. J Cardiovasc Electrophysiol 2006 17 : 231 235.
29. Mainigi SK, Sauer WH, Cooper JM, Dixit S, Gerstenfeld EP, Callans DJ, Russo AM, Verdino RJ, Lin D, Zado ES, Marchlinski FE : Incidence and predictors of very late recurrence of atrial fibrillation after ablation. J Cardiovasc Electrophysiol 2007 18 : 69 74.
30. Hsieh MH, Tai CT, Tsai CF, Lin WS, Lin YK, Tsao HM, Huang JL, Ueng KC, Yu WC, Chan P, Ding YA, Chang MS, Chen SA : Clinical outcome of very late recurrence of atrial fibrillation after catheter ablation of paroxysmal atrial fibrillation. J Cardiovasc Electrophysiol 2003 14 : 598 601.
31. Verma A, Kilicaslan F, Pisano E, Marrouche NF, Fanelli R, Brachmann J, Geunther J, Potenza D, Martin DO, Cummings J, Burkhardt JD, Saliba W, Schweikert RA, Natale A : Response of atrial fibrillation to pulmonary vein antrum isolation is directly related to resumption and delay of pulmonary vein conduction. Circulation 2005 112 : 627 635.
32. Hocini M, Sanders P, Jais P, Hsu LF, Weerasoriya R, Scavee C, Takahashi Y, Rotter M, Raybaud F, Macle L, Clementy J, Haissaguerre M : Prevalence of pulmonary vein disconnection after anatomical ablation for atrial fibrillation: Consequences of wide atrial encircling of the pulmonary veins. Eur Heart J 2005 26 : 696 704.