Diagnostic accuracy of a new software for complex fractionated electrograms identification in patients with persistent and permanent atrial fibrillation

Journal of Cardiovascular Electrophysiology

Volumn 19, Issue 10, 2008, Pages 1024-1030

  Calò, Leonardo ^a,e   De Ruvo, Ermenegildo ^a   Sciarra, Luigi ^a   Gricia, Roberto ^b   Navone, Giovanna ^a   De Luca, Lucia ^a   Nuccio, Francesca ^a   Sette, Antonella ^a   Pristipino, Cristian ^c   Dulio, Alessandro ^a   Gaita, Fiorenzo ^d   Lioy, Ernesto ^a  

^a ASL Roma B   (Italy)

^b JOHNSON AND JOHNSON   (United States)

^c SAN FILIPPO NERI HOSPITAL   (Italy)

^d Ospedale Civile di Asti   (Italy)

^e FONDAZIONE POLICLINICO UNIVERSITARIO A GEMELLI IRCCS   (Italy)

Author keywords

Atrial fibrillation; Catheter ablation; Complex fractionated atrial electrograms; Mapping

Indexed keywords

ADULT; AGED; ARTICLE; CATHETER ABLATION; CLINICAL ARTICLE; COMPUTER PROGRAM; CORONARY SINUS; DIAGNOSTIC ACCURACY; ELECTROGRAPHY; FEMALE; HEART ATRIUM FIBRILLATION; HEART LEFT ATRIUM; HEART RIGHT ATRIUM; HUMAN; MALE; PRIORITY JOURNAL; SENSITIVITY AND SPECIFICITY;

ALGORITHMS; ATRIAL FIBRILLATION; BODY SURFACE POTENTIAL MAPPING; CATHETER ABLATION; CHRONIC DISEASE; DIAGNOSIS, COMPUTER-ASSISTED; FEMALE; HUMANS; MALE; MIDDLE AGED; REPRODUCIBILITY OF RESULTS; SENSITIVITY AND SPECIFICITY; SOFTWARE; SOFTWARE VALIDATION; TREATMENT OUTCOME;

EID: 52049126370     PISSN: 10453873     EISSN: 15408167     Source Type: Journal    
DOI: 10.1111/j.1540-8167.2008.01219.x     Document Type: Article

References (30)

1. Konings KT, Smeets JL, Penn OC, Wellens HJ, Allessie MA : Configuration of unipolar atrial electrograms during electrical induced atrial fibrillation in humans. Circulation 1997 95 : 1231 1241.
2. Rostock T, Rotter M, Sanders P, Takahashi Y, Jaïs P, Hocini M, Hsu LF, Sacher F, Clémenty J, Haïssaguerre M : High-density activation mapping of fractionated electrograms in the atria of patients with paroxysmal atrial fibrillation. Heart Rhythm 2006 3 : 27 34.
3. Papageorgiou P, Monahan K, Boyle NG, Seifert MJ, Beswick P, Zebede J, Epstein LM, Josephson ME : Site-dependent intra-atrial conduction delay: Relationship to initiation of atrial fibrillation. Circulation 1996 94 : 384 389.
4. Gaita F, Calò L, Riccardi R, Garberoglio L, Scaglione M, Licciardello G, Coda L, Di Donna P, Bocchiardo M, Caponi D, Antolini R, Orzan F, Trevi GP : Different patterns of atrial activation in idiopathic atrial fibrillation: Simultaneous multisite atrial mapping in patients with paroxysmal and chronic atrial fibrillation. J Am Coll Cardiol 2001 37 : 534 541.
5. 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.
6. Haïssaguerre M, Sanders P, Hocini M, Takahashi Y, Rotter M, Sacher F, Rostock T, Hsu LF, Bordachar P, Reuter S, Roudaut R, Clémenty J, Jaïs P : Catheter ablation of long-lasting persistent atrial fibrillation: Critical structures for termination. J Cardiovasc Electrophysiol 2005 16 : 1125 1137.
7. Calò L, Lamberti F, Loricchio ML, De Ruvo E, Colivicchi F, Bianconi L, Pandozi C, Santini M : Left atrial ablation versus biatrial ablation for persistent and permanent atrial fibrillation: A prospective and randomized study. J Am Coll Cardiol 2006 47 : 2504 2512.
8. Lévy S, Camm AJ, Saksena S, Aliot E, Breithardt G, Crijns H, Davies W, Kay N, Prystowsky E, Sutton R, Waldo A, Wyse DG : Working group on arrhythmias, working group on cardiac pacing of the European society of cardiology, North American society of pacing and electrophysiology. International consensus on nomenclature and classification of atrial fibrillation. Europace 2003 5 : 119 122.
9. Saffitz JE, Kanter HL, Green KG, Tolley TK, Beyer EC : Tissue-specific determinants of anisotropic conduction velocity in canine atrial and ventricular myocardium. Circ Res 1994 74 : 1065 1070.
10. Li H, Hare J, Mughal K, Krum D, Biehl M, Deshpande S, Dhala A, Blanck Z, Sra J, Jazayeri M, Akhtar M : Distribution of atrial electrogram types during atrial fibrillation: Effect of rapid atrial pacing and intercaval junction ablation. J Am Coll Cardiol 1996 27 : 1713 1721.
11. Platonov PG, Yuan S, Hertervig E, Kongstad O, Roijer A, Vygovsky AB, Chireikin LV, Olsson SB : Further evidence of localized posterior interatrial conduction delay in lone paroxysmal atrial fibrillation. Europace 2001 3 : 100 107.
12. Kumagai K, Uno K, Khrestian C, Waldo AL : Single site radiofrequency catheter ablation of atrial fibrillation: Studies guided by simultaneous multisite mapping in the canine sterile pericarditis model. J Am Coll Cardiol 2000 36 : 917 933.
13. Oral H, Ozaydin M, Chugh A, Scharf C, Tada H, Hall B, Cheung P, Pelosi F, Knight BP, Morady F : Role of the coronary sinus in maintenance of atrial fibrillation. J Cardiovasc Electrophysiol 2003 14 : 1329 1336.
14. Roithingher FX, SippensGroenewegen A, Karch MR, Steiner PR, Ellis WS, Lesh MD : Organized activation during atrial fibrillation in man: Endocardial and electrocardiographic manifestations. J Cardiovasc Electrophysiol 1998 9 : 451 461.
15. Sanders P, Berenfeld O, Hocini M, Jaïs P, Vaidyanathan R, Hsu LF, Garrigue S, Takahashi Y, Rotter M, Sacher F, Scavée C, Ploutz-Snyder R, Jalife J, Haïssaguerre M : Spectral analysis identifies sites of high-frequency activity maintaining atrial fibrillation in humans. Circulation 2005 112 : 789 797.
16. Jalife J, Berenfeld O, Mansour M. Mother rotors and fibrillatory conduction: A mechanism of atrial fibrillation. Cardiovasc Res 2002 54 : 204 216.
17. Scherlag BJ, Yamanashi W, Patel U, Lazzara R, Jackman WM : Autonomically induced conversion of pulmonary vein focal into atrial fibrillation. J Am Coll Cardiol 2005 45 : 1878 1886.
18. Hou Y, Scherlag BJ, Lin J, Zhang Y, Lu Z, Truong K, Patterson E, Lazzara R, Jackman WM, Po SS : Ganglionated plexi modulate extrinsic cardiac autonomic nerve input: Effect on sinus rate, atrioventricular conduction, refractoriness, and inducibility of atrial fibrillation. J Am Coll Cardiol 2007 50 : 61 68.
19. Jaïs P, Haïssaguerre M, Shah DC, Chouairi S, Clémenty J : Regional disparities of endocardial atrial activation in paroxysmal atrial fibrillation. Pacing Clin Electrophysiol 1996 19 (Pt II 1998 2003.
20. Gaita F, Riccardi R, Calò L, Scaglione M, Garberoglio L, Antolini R, Kirchner M, Lamberti F, Richiardi E : Atrial mapping and radiofrequency catheter ablation in patients with idiopathic atrial fibrillation. Electrophysiological findings and ablation results. Circulation 1998 97 : 2136 2145.
21. 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.
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. Tondo C, Scherlag BJ, Otomo K, Antz M, Patterson E, Arruda M, Jackman WM, Lazzara R : Critical atrial site for ablation of pacing-induced atrial fibrillation in the normal dog heart. J Cardiovasc Electrophysiol 1997 8 : 1255 1265.
24. Betts TR, Roberts PR, Morgan JM : Feasibility of a left atrial electrical disconnection procedure for atrial fibrillation using transcatheter radiofrequency ablation. J Cardiovasc Electrophysiol 2001 12 : 1278 1283.
25. Cox JL, Schuessler RB, Lappas DG, Boineau JP : An 8-1/2-year clinical experience with surgery for atrial fibrillation. Ann Surg 1996 224 : 267 273.
26. Nair M, Shah P, Batra R, Kumar M, Mohan J, Kaul U, Arora R : Chronic atrial fibrillation in patients with rheumatic heart disease. Mapping and radiofrequency ablation of flutter circuits seen at initiation after cardioversion. Circulation 2001 104 : 802 809.
27. Corradi D, Callegari S, Benussi S, Maestri R, Pastori P, Nascimbene S, Bosio S, Dorigo E, Grassani C, Rusconi R, Vettori MV, Alinovi R, Astorri E, Pappone C, Alfieri O : Myocyte changes and their left atrial distribution in patients with chronic atrial fibrillation related to mitral valve disease. Hum Pathol 2005 36 : 1080 1089.
28. Ndrepepa G, Karch MR, Schneider MA, Weyerbrock S, Schreieck J, Deisenhofer I, Zrenner B, Schömig A, Schmitt C : Characterization of paroxysmal and persistent atrial fibrillation in the human left atrium during initiation and sustained episodes. J Cardiovasc Electophysiol 2002 13 : 525 532.
29. Lazar S, Dixit S, Marchlinski FE, Callans DJ, Gerstenfeld EP : Presence of left-to-right atrial frequency gradient in paroxysmal but not persistent atrial fibrillation in humans. Circulation 2004 110 : 3181 3186.
30. 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.