Induced atrial tachycardia after circumferential pulmonary vein isolation of paroxysmal atrial fibrillation: Electrophysiological characteristics and impact of catheter ablation on the follow-up results

Journal of Cardiovascular Electrophysiology

Volumn 20, Issue 4, 2009, Pages 388-394

  Chang, Shih Lin ^a,b,c   Lin, Yenn Jiang ^a,b   Tai, Ching Tai ^b   Lo, Li Wei ^b   Tuan, Ta Chuan ^b   Udyavar, Ameya R ^b   Hu, Yu Feng ^b   Chiang, Shuo Ju ^b   Wongcharoen, Wanwarang ^b   Tsao, Hsuan Ming ^a   Ueng, Kwo Chang ^d   Higa, Satoshi ^e   Lee, Pi Chang ^a,b   Chen, Shih Ann ^a,b  

^a NATIONAL YANG MING UNIVERSITY   (Taiwan)

^b TAIPEI VETERANS GENERAL HOSPITAL   (Taiwan)

^c Yuan Shan Veterans Hospital   (Taiwan)

^d CHUNG SHAN MEDICAL UNIVERSITY HOSPITAL   (Taiwan)

^e UNIVERSITY OF THE RYUKYUS   (Japan)

Author keywords

Atrial fibrillation; Atrial tachycardia; Catheter ablation; Inducibility; Mapping

Indexed keywords

ADULT; ARTICLE; CATHETER ABLATION; CONTROLLED STUDY; FEMALE; FOLLOW UP; HEART ATRIUM FIBRILLATION; HEART ELECTROPHYSIOLOGY; HUMAN; MAJOR CLINICAL STUDY; MALE; PRIORITY JOURNAL; PULMONARY VEIN; SUPRAVENTRICULAR TACHYCARDIA;

ADULT; ATRIAL FIBRILLATION; CATHETER ABLATION; ELECTROCARDIOGRAPHY; ELECTROPHYSIOLOGIC TECHNIQUES, CARDIAC; FEMALE; HEART CATHETERIZATION; HUMANS; IMAGING, THREE-DIMENSIONAL; MALE; MIDDLE AGED; PULMONARY VEINS; RADIOGRAPHIC IMAGE INTERPRETATION, COMPUTER-ASSISTED; RETROSPECTIVE STUDIES; TACHYCARDIA, SUPRAVENTRICULAR; TIME FACTORS; TOMOGRAPHY, X-RAY COMPUTED; TREATMENT OUTCOME;

EID: 63049105707     PISSN: 10453873     EISSN: 15408167     Source Type: Journal    
DOI: 10.1111/j.1540-8167.2008.01358.x     Document Type: Article

References (22)

1. Chae S, Oral H, Good E, Dey S, Wimmer A, Crawford T, Wells D, Sarrazin JF, Chalfoun N, Kuhne M, Fortino J, Huether E, Lemerand T, Pelosi F, Bogun F, Morady F, Chugh A : Atrial tachycardia after circumferential pulmonary vein ablation of atrial fibrillation: Mechanistic insights, results of catheter ablation, and risk factors for recurrence. J Am Coll Cardiol 2007 50 : 1781 1787.
2. Gerstenfeld EP, Callans DJ, Sauer W, Jacobson J, Marchlinski FE : Reentrant and nonreentrant focal left atrial tachycardias occur after pulmonary vein isolation. Heart Rhythm 2005 2 : 1195 1202.
3. Ouyang F, Antz M, Ernst S, Hachiya H, Mavrakis H, Deger FT, Schaumann A, Chun J, Falk P, Hennig D, Liu X, Bansch D, Kuck KH : 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.
4. Chang SL, Tai CT, Lin YJ, Wongcharoen W, Lo LW, Lee KT, Chang SH, Tuan TC, Chen YJ, Hsieh MH, Tsao HM, Wu MH, Sheu MH, Chang CY, Chen SA : The role of left atrial muscular bundles in catheter ablation of atrial fibrillation. J Am Coll Cardiol 2007 50 : 964 973.
5. 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.
6. Lo LW, Tai CT, Lin YJ, Chang SL, Wongcharoen W, Chang SH, Hsieh MH, Tuan TC, Udyavar AR, Chen YJ, Tsao HM, Chen SA : Progressive remodeling of the atrial substrate-a novel finding from consecutive voltage mapping in patients with recurrence of atrial fibrillation after catheter ablation. J Cardiovasc Electrophysiol 2007 18 : 258 265.
7. Saoudi N, Cosio F, Waldo A, Chen SA, Iesaka Y, Lesh M, Saksena S, Salerno J, Schoels W : Classification of atrial flutter and regular atrial tachycardia according to electrophysiologic mechanism and anatomic bases: A statement from a joint expert group from the Working Group of Arrhythmias of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. J Cardiovasc Electrophysiol 2001 12 : 852 866.
8. Chen SA, Chiang CE, Yang CJ, Cheng CC, Wu TJ, Wang SP, Chiang BN, Chang MS : Sustained atrial tachycardia in adult patients. Electrophysiological characteristics, pharmacological response, possible mechanisms, and effects of radiofrequency ablation. Circulation 1994 90 : 1262 1278.
9. Wongcharoen W, Tsao HM, Wu MH, Tai CT, Chang SL, Lin YJ, Lo LW, Chen YJ, Sheu MH, Chang CY, Chen SA : Morphologic characteristics of the left atrial appendage, roof, and septum: Implications for the ablation of atrial fibrillation. J Cardiovasc Electrophysiol 2006 17 : 951 956.
10. Kistler PM, Ho SY, Rajappan K, Morper M, Harris S, Abrams D, Sporton SC, Schilling RJ : Electrophysiologic and anatomic characterization of sites resistant to electrical isolation during circumferential pulmonary vein ablation for atrial fibrillation: A prospective study. J Cardiovasc Electrophysiol 2007 18 : 1282 1288.
11. Udyavar AR, Chang SL, Tai CT, Lin YJ, Lo LW, Tuan TC, Tsao HM, Hsieh MH, Hu YF, Chiang SJ, Chen YJ, Wongcharoen W, Higa S, Ueng KC, Chen SA : The important role of pulmonary vein carina ablation as an adjunct to circumferential pulmonary vein isolation. J Cardiovasc Electrophysiol 2008 19 : 593 598.
12. Pappone C, Manguso F, Vicedomini G, Gugliotta F, Santinelli O, Ferro A, Gulletta S, Sala S, Sora N, Paglino G, Augello G, Agricola E, Zangrillo A, Alfieri O, Santinelli V : Prevention of iatrogenic atrial tachycardia after ablation of atrial fibrillation: A prospective randomized study comparing circumferential pulmonary vein ablation with a modified approach. Circulation 2004 110 : 3036 3042.
13. Kobza R, Hindricks G, Tanner H, Schirdewahn P, Dorszewski A, Piorkowski C, Gerds-Li JH, Kottkamp H : Late recurrent arrhythmias after ablation of atrial fibrillation: Incidence, mechanisms, and treatment. Heart Rhythm 2004 1 : 676 683.
14. Cummings JE, Schweikert R, Saliba W, Hao S, Martin DO, Marrouche NF, Burkhardt JD, Kilicaslan F, Verma A, Beheiry S, Belden W, Natale A : Left atrial flutter following pulmonary vein antrum isolation with radiofrequency energy: Linear lesions or repeat isolation. J Cardiovasc Electrophysiol 2005 16 : 293 297.
15. Gerstenfeld EP, Callans DJ, Dixit S, Russo AM, Nayak H, Lin D, Pulliam W, Siddique S, Marchlinski FE : Mechanisms of organized left atrial tachycardias occurring after pulmonary vein isolation. Circulation 2004 110 : 1351 1357.
16. Chugh A, Oral H, Lemola K, Hall B, Cheung P, Good E, Tamirisa K, Han J, Bogun F, Pelosi F Jr., Morady F: Prevalence, mechanisms, and clinical significance of macroreentrant atrial tachycardia during and following left atrial ablation for atrial fibrillation. Heart Rhythm 2005 2 : 464 471.
17. Daoud EG, Weiss R, Augostini R, Hummel JD, Kalbfleisch SJ, Van Deren JM, Dawson G, Bowman K : Proarrhythmia of circumferential left atrial lesions for management of atrial fibrillation. J Cardiovasc Electrophysiol 2006 17 : 157 165.
18. Gerstenfeld EP, Dixit S, Bala R, Callans DJ, Lin D, Sauer W, Garcia F, Cooper J, Russo AM, Marchlinski FE : Surface electrocardiogram characteristics of atrial tachycardias occurring after pulmonary vein isolation. Heart Rhythm 2007 4 : 1136 1143.
19. Ho SY, Cabrera JA, Tran VH, Farre J, Anderson RH, Sanchez-Quintana D : Architecture of the pulmonary veins: Relevance to radiofrequency ablation. Heart 2001 86 : 265 270.
20. Satomi K, Bansch D, Tilz R, Chun J, Ernst S, Antz M, Greten H, Kuck KH, Ouyang F : Left atrial and pulmonary vein macroreentrant tachycardia associated with double conduction gaps: A novel type of man-made tachycardia after circumferential pulmonary vein isolation. Heart Rhythm 2008 5 : 43 51.
21. Hocini M, Jais P, Sanders P, Takahashi Y, Rotter M, Rostock T, Hsu LF, Sacher F, Reuter S, Clementy J, Haissaguerre M : 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.
22. 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.