Prospective study of atrial fibrillation termination during ablation guided by automated detection of fractionated electrograms

Journal of Cardiovascular Electrophysiology

Volumn 19, Issue 6, 2008, Pages 613-620

  Porter, Michael ^a   Spear, William ^a   Akar, Joseph G ^a   Helms, Ray ^a   Brysiewicz, Neil ^a   Santucci, Peter ^a   Wilber, David J ^a  

^a LOYOLA UNIVERSITY MEDICAL CENTER   (United States)

Author keywords

Ablation; Atrial fibrillation; Atrium; Electrograms; Mapping

Indexed keywords

ADULT; ALGORITHM; ARTICLE; CATHETER ABLATION; CONTROLLED STUDY; ELECTROGRAPHY; FEMALE; FOLLOW UP; HEART ATRIUM FIBRILLATION; HEART ATRIUM SEPTUM; HUMAN; MAJOR CLINICAL STUDY; MALE; PRIORITY JOURNAL; PROSPECTIVE STUDY; PULMONARY VEIN;

ATRIAL FIBRILLATION; CATHETER ABLATION; ELECTROCARDIOGRAPHY; FEMALE; FOLLOW-UP STUDIES; HEART RATE; HUMANS; MALE; MIDDLE AGED; MONITORING, INTRAOPERATIVE; PROSPECTIVE STUDIES; TIME FACTORS; TREATMENT OUTCOME;

EID: 45149105804     PISSN: 10453873     EISSN: 15408167     Source Type: Journal    
DOI: 10.1111/j.1540-8167.2008.01189.x     Document Type: Article

References (38)

1. 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.
2. Hocini M, Ho SY, Kawara T, Linnenbank AC, Potse M, Shah D, Jais P, Janse MJ, Haissaguerre M, De Bakker JM: Electrical conduction in canine pulmonary veins: Electrophysiological and anatomic correlation. Circulation 2002 105: 2442 2448.
3. Arora R, Verheule S, Scott L, Navarrete A, Katari V, Wilson E, Vaz D, Olgin JE: Arrhythmogenic substrate of the pulmonary veins assessed by high-resolution optical mapping. Circulation 2003 107: 1816 1821.
4. Chen YJ, Chen SA: Electrophysiology of pulmonary veins. J Cardiovasc Electrophysiol 2006 17: 220 224.
5. Calkins H, Brugada J, Packer DL, Cappato R, Chen SA, Crijns HJ, Damiano RJ Jr., Davies DW, Haines DE, Haissaguerre M, Iesaka Y, Jackman W, Jais P, Kottkamp H, Kuck KH, Lindsay BD, Marchlinski FE, McCarthy PM, Mont JL, Morady F, Nademanee K, Natale A, Pappone C, Prystowsky E, Raviele A, Ruskin JN, Shemin RJ: HRS/EHRA/ECAS expert consensus statement on catheter and surgical ablation of atrial fibrillation: Recommendations for personnel, policy, procedures and follow-up. Heart Rhythm 2007 4: 816 861.
6. 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.
7. Willems S, Klemm H, Rostock T, Brandstrup B, Ventura R, Steven D, Risius T, Lutomsky B, Meinertz T: Substrate modification combined with pulmonary vein isolation improves outcome of catheter ablation in patients with persistent atrial fibrillation: A prospective randomized comparison. Eur Heart J 2006 27: 2871 2878.
8. Kanj M, Wazni O, Natale A: Pulmonary vein antrum isolation. Heart Rhythm 2007 S73 S79.
9. Ouyang F, Antz M, Ernst S, Hachiya H, Mavrakis H, Deger FT, Schaumann A, Chun J, Falk P, Hennig D, et al: Recovered pulmonary vein conduction as a dominant factor for recurrent atrial tachyarrhythmias after complete circular isolation of the pulmonary veins: Lessons from double Lasso technique. Circulation 2005 111: 127 135.
10. 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.
11. 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.
12. Arentz T, von RJ, Blum T, Stockinger J, Burkle G, 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.
13. Hocini M, Jais P, Sanders P, Takahashi Y, Rotter M, Rostock T, Hsu LF, Sacher F, Reuter S, Clementy J, et al Techniques, evaluation, and consequences of linear block at the left atrial roof in paroxysmal atrial fibrillation: A prospective randomized study. Circulation 2005 112: 3688 3696.
14. Jais P, Hocini M, Hsu LF, Sanders P, Scavee C, Weerasooriya R, Macle L, Raybaud F, Garrigue S, Shah DC, Le Metayer P, Clementy J, Haissaguerre M: Technique and results of linear ablation at the mitral isthmus. Circulation 2004 110: 2996 3002.
15. Nademanee K, McKenzie J, Kosar E, Schwab M, Sunsaneewitayakul B, Vasavakul T, Khunnawat C, Ngarmukos T: A new approach for catheter ablation of atrial fibrillation: Mapping of the electrophysiologic substrate. J Am Coll Cardiol 2004 43: 2044 2053.
16. Oral H, Chugh A, Good E, Wimmer A, Dey S, Gadeela N, Sankaran S, Crawford T, Sarrazin JF, Kuhne M, Chalfoun N, Wells D, Frederick M, Fortino J, Benloucif-Moore S, Jongnarangsin K, Pelosi F Jr., Bogun F, Morady F: Radiofrequency catheter ablation of chronic atrial fibrillation guided by complex electrograms. Circulation 2007 115: 2606 2612.
17. Oral H, Chugh A, Lemola K, Cheung P, Hall B, Good E, Han J, Tamirisa K, Bogun F, Pelosi F Jr., Morady F: Noninducibility of atrial fibrillation as an end point of left atrial circumferential ablation for paroxysmal atrial fibrillation: A randomized study. Circulation 2004 110: 2797 2801.
18. Oral H, Chugh A, Good E, Sankaran S, Reich SS, Igic P, Elmouchi D, Tschopp D, Crawford T, Dey S, Wimmer A, Lemola K, Jongnarangsin K, Bogun F, Pelosi F Jr., Morady F: A tailored approach to catheter ablation of paroxysmal atrial fibrillation. Circulation 2006 113: 1824 1831.
19. Schmitt C, Estner H, Hecher B, Luik A, Kolb C, Karch M, Ndrepepa G, Zrenner B, Hessling G, Deisenhofer I: Radiofrequency ablation of complex fractionated atrial electrograms (CFAE): Preferential sites of acute termination and regularization in paroxysmal and persistent atrial fibrillation. J Cardiovasc Electrophysiol 2007 18: 1039 1046.
20. Haissaguerre M, Sanders P, Hocini M, Takahashi Y, Rotter M, Sacher F, Rostock T, Hsu LF, Bordachar P, Reuter S, Roudaut R, Clementy J, Jais P: Catheter ablation of long lasting atrial fibrillation. Critical structures for termination. J Cardiovasc Electrophysiol 2005 15: 1125 1137.
21. Nademanee K, Schwab M, Porath J, Abbo A: How to perform electrogram-guided atrial fibrillation ablation. Heart Rhythm 2006 3: 981 984.
22. Scherr D, Dalal D, Cheema A, Cheng A, Henrikson CA, Spragg D, Marine JE, Berger RD, Calkins H, Dong J: Automated detection and characterization of complex fractionated atrial electrograms in human left atrium during atrial fibrillation. Heart Rhythm 2007 4: 1013 1020.
23. Haissaguerre M, Sanders P, Hocini M, Takahashi Y, Rotter M, Sacher F, Rostock T, Hsu LF, Bordachar P, Reuter S, Roudaut R, Clementy J, Jais P: Catheter ablation of long lasting persistent atrial fibrillation: Clinical outcome and mechanisms of subsequent arrhythmias. J Cardiovasc Electrophysiol 2005 16: 1138 1147.
24. Konings KT, Kirchhof CJ, Smeets JR, Wellens HJ, Penn OC, Allessie MA: High-density mapping of electrically induced atrial fibrillation in humans. Circulation 1994 89: 1665 1680.
25. Konings KTS, Smeets JLRM, Penn OC, et al Configuration of unipolar atrial electrograms during electrically induced atrial fibrillation in humans. Circulation 1997 95: 1231 1241.
26. Spach MS, Dolber PC, Heidlage JF: Influence of the passive anisotropic properties on directional differences in propagation following modification of the sodium conductance in human atrial muscle. A model of reentry based on anisotropic discontinuous conduction. Circ Res 1988 62: 811 832.
27. Spach MS, Heidlage JF, Dolber PC, Barr RC: Mechanism of origin of conduction disturbances in aging human atrial bundles: Experimental and model study. Heart Rhythm 2007 4: 175 185.
28. Kalifa J, Tanaka K, Zaitsev AV, Warren M, Vaidyanathan R, Auerbach D, Pandit S, Vikstrom KL, Ploutz-Snyder R, Talkachou A, Atienza F, Guiraudon G, Jalife J, Berenfeld O: Mechanisms of wave fractionation at boundaries of high-frequency excitation in the posterior left atrium of the isolated sheep heart during atrial fibrillation. Circulation 2006 113: 626 633.
29. Tanaka K, Zlochiver S, Vikstrom KL, Yamazaki M, Moreno J, Klos M, Zaitsev AV, Vaidyanathan R, Auerbach DS, Landas S, Guiraudon G, Jalife J, Berenfeld O, Kalifa J: Spatial distribution of fibrosis governs fibrillation wave dynamics in the posterior left atrium during heart failure. Circ Res 2007 101: 839 847.
30. Armour JA, Murphy DA, Yuan BX, Macdonald S, Hopkins DA: Gross and microscopic anatomy of the human intrinsic cardiac nervous system. Anat Rec 1997 247: 289 298.
31. Lin J, Scherlag BJ, Zhou J, Lu Z, Patterson E, Jackman WM, Lazzara R, Po SS: Autonomic mechanism to explain complex fractionated atrial electrograms (CFAE). J Cardiovasc Electrophysiol 2007 18: 1197 1205.
32. Lemery R, Birnie D, Tang AS, Green M, Gollob M: Feasibility study of endocardial mapping of ganglionated plexuses during catheter ablation of atrial fibrillation. Heart Rhythm 2006 3: 387 396.
33. Mcclelland JH, Duke D, Reddy R: Preliminary results of a limited thoracotomy: New approach to treat atrial fibrillation. J Cardiovasc Electrophysiol 2007 18: 1289 1295.
34. Rostock T, Rotter M, Sanders P, Takahashi Y, Jais P, Hocini M, Hsu LF, Sacher F, Clementy J, Hassaguerre M: High-density activation mapping of fractionated electrograms in the atria of patients with paroxysmal atrial fibrillation. Heart Rhythm 2006 3: 27 34.
35. Scherr D, Dalal D, Cheema A, Nazarian S, Bilchick K, Cheng A, Henrikson C, Spragg D, Marine JE, Berger RD, Calkins H: Temporal stability of complex fractionated atrial electrograms in human left atrium during atrial fibrillation (abstract). Circulation 2007 116: II 392.
36. Stiles MK, Brooks A, John B, Dhar S, Wilson L, Kuklik P, Dimitri H, Lau H, Roberts-Thomson RL, Mackenzie L, Willoughby S, Young GD, Sanders P: Effect of the electrogram duration on quantification of complex fractionated atrial electrograms and dominant frequency. J Cardiovasc Electrophysiol 2008 19: 252 258.
37. Chang SL, Tai CT, Lin YJ, Wongcharoen W, Lo LW, Tuan TC, Udyavar AR, Chang SH, Tsao HM, Hsieh MH, Hu YF, Chen YJ, Chen SA: The efficacy of inducibility and circumferential ablation with pulmonary vein isolation in patients with paroxysmal atrial fibrillation. J Cardiovasc Electrophysiol 2007 18: 607 611.
38. Haissaguerre M, Sanders P, Hocini M, Hsu LF, Shah DC, Scavee C, Takahashi Y, Rotter M, Pasquie JL, Garrigue S, Clementy J, Jais P: Changes in atrial fibrillation cycle length and inducibility during catheter ablation and their relation to outcome. Circulation 2004 109: 3007 3013.