The optimal automatic algorithm for the mapping of complex fractionated atrial electrograms in patients with atrial fibrillation

Journal of Cardiovascular Electrophysiology

Volumn 21, Issue 1, 2010, Pages 21-26

  Tsai, Wen Chin ^a,b   Lin, Yenn Jiang ^a,c   Tsao, Hsuan Ming ^a,c   Chang, Shih Lin ^a,c   Lo, Li Wei ^a,c   Hu, Yu Feng ^a,c   Chang, Chien Jung ^a   Tang, Wei Hua ^a   Tuan, Ta Chun ^a,c   Udyavar, Ameya R ^a   Wang, Ji Hung ^b   Chen, Shih Ann ^a,c  

^a TAIPEI VETERANS GENERAL HOSPITAL   (Taiwan)

^b BUDDHIST TZU CHI GENERAL HOSPITAL   (Taiwan)

^c NATIONAL YANG MING UNIVERSITY   (Taiwan)

Author keywords

Atrial fibrillation; Catheter ablation; Complex fractionated atrial electrograms; Electroanatomical mapping; Voltage mapping

Indexed keywords

ADULT; ALGORITHM; ARTICLE; CATHETER ABLATION; CLINICAL ARTICLE; DIAGNOSTIC ACCURACY; DIAGNOSTIC VALUE; ELECTRIC POTENTIAL; ELECTROGRAPHY; HEART ATRIUM FIBRILLATION; HEART INDEX; HEART LEFT ATRIUM; HUMAN; PAROXYSMAL SUPRAVENTRICULAR TACHYCARDIA; PREDICTION; PRIORITY JOURNAL; SINUS RHYTHM; AGED; ATRIAL FIBRILLATION; FEMALE; HEART FUNCTION TEST; MALE; MIDDLE AGED; PROCEDURES;

ADULT; AGED; ALGORITHMS; ATRIAL FIBRILLATION; CATHETER ABLATION; ELECTROPHYSIOLOGIC TECHNIQUES, CARDIAC; FEMALE; HUMANS; MALE; MIDDLE AGED;

EID: 72949121023     PISSN: 10453873     EISSN: 15408167     Source Type: Journal    
DOI: 10.1111/j.1540-8167.2009.01567.x     Document Type: Article

References (30)

1. 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. A report of the Heart Rhythm Society (HRS) task force on catheter and surgical ablation of atrial fibrillation. Heart Rhythm 2007 4 : 816 861.
2. 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.
3. Chen SA, Hsieh MH, Tai CT, Tsai CF, Prakash VS, Yu WC, Hsu TL, Ding YA, Chang MS : Initiation of atrial fibrillation by ectopic beats originating from the pulmonary veins: Electrophysiological characteristics, pharmacological responses, and effects of radiofrequency ablation. Circulation 1999 100 : 1879 1886.
4. 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.
5. Nademanee K, Schwab M, Porath J, Abbo A : How to perform electrogram-guided atrial fibrillation ablation. Heart Rhythm 2006 3 : 981 984.
6. Haissaguerre M, Hocini M, Sanders P, Sacher F, Rotter M, Takahashi Y, 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. (Pubitemid 43919998)
7. 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.
8. Nademanee K : Trials and travails of electrogram-guided ablation of chronic atrial fibrillation. Circulation 2007 115 : 2592 2594.
9. Lin YJ, Tai CT, Kao T, Chang SL, Wongcharoen W, Lo LW, Tuan TC, Udyavar AR, Chen YJ, Higa S, Ueng KC, Chen SA : Consistency of complex fractionated atrial electrograms during atrial fibrillation. Heart Rhythm 2008 5 : 406 412.
10. 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 : Biatrial substrate properties in patients with atrial fibrillation. J Cardiovasc Electrophysiol 2007 18 : 1134 1139.
11. 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.
12. Sanders P, Morton JB, Kistler PM, Spence SJ, Davidson NC, Hussin A, Vohra JK, Sparks PB, Kalman JM : Electrophysiological and electroanatomic characterization of the atria in sinus node disease: Evidence of diffuse atrial remodeling. Circulation 2004 109 : 1514 1522.
13. Sanders P, Morton JB, Davidson NC, Spence SJ, Vohra JK, Sparks PB, Kalman JM : Electrical remodeling of the atria in congestive heart failure: Electrophysiological and electroanatomic mapping in humans. Circulation 2003 108 : 1461 1468.
14. Kistler PM, Sanders P, Fynn SP, Stevenson IH, Spence SJ, Vohra JK, Sparks PB, Kalman JM : Electrophysiologic and electroanatomic changes in the human atrium associated with age. J Am Coll Cardiol 2004 44 : 109 116.
15. Boldt A, Wetzel U, Lauschke J, Weigl J, Gummert J, Hindricks G, Kottkamp H, Dhein S : Fibrosis in left atrial tissue of patients with atrial fibrillation with and without underlying mitral valve disease. Heart 2004 90 : 400 405.
16. Hassink RJ, Aretz HT, Ruskin J, Keane D : Morphology of atrial myocardium in human pulmonary veins: A postmortem analysis in patients with and without atrial fibrillation. J Am Coll Cardiol 2003 42 : 1108 1114.
17. Van Dam RT, Moore EN, Hoffman BF : Initiation and conduction of impulses in partially depolarized cardiac fibers. Am J Physiol 1963 204 : 1133 1144.
18. Saoudi N, Redonnet M, Anselme F, Poty H, Cribier A : Catheter ablation of atrioatrial conduction as a cure for atrial arrhythmia after orthotopic heart transplantation. J Am Coll Cardiol 1998 32 : 1048 1055.
19. Love BA, Collins KK, Walsh EP, Triedman JK : Electroanatomic characterization of conduction barriers in sinus/atrially paced rhythm and association with intra-atrial reentrant tachycardia circuits following congenital heart disease surgery. J Cardiovasc Electrophysiol 2001 12 : 17 25.
20. Jais P, Haissaguerre M, Shah DC, Chouairi S, Clementy J : Regional disparities of endocardial atrial activation in paroxysmal atrial fibrillation. Pacing Clin Electrophysiol 1996 19 : 1998 2003.
21. Scherlag BJ, Yamanashi W, Patel U, Lazzara R, Jackman WM : Autonomically induced conversion of pulmonary vein focal firing into atrial fibrillation. J Am Coll Cardiol 2005 45 : 1878 1886.
22. Konings KT, Smeets JL, Penn OC, Wellens HJ, Allessie MA : Configuration of unipolar atrial electrograms during electrically induced atrial fibrillation in humans. Circulation 1997 95 : 1231 1241.
23. Calo L, De Ruvo E, Sciarra L, Gricia R, Navone G, De Luca L, Nuccio F, Sette A, Pristipino C, Dulio A, Gaita F, Lioy E : Diagnostic accuracy of a new software for complex fractionated electrograms identification in patients with persistent and permanent atrial fibrillation. J Cardiovasc Electrophysiol 2008 19 : 1024 1030.
24. 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.
25. Wu J, Estner H, Luik A, Ucer E, Reents T, Pflaumer A, Zrenner B, Hessling G, Deisenhofer I : Automatic 3D mapping of complex fractionated atrial electrograms (CFAE) in patients with paroxysmal and persistent atrial fibrillation. J Cardiovasc Electrophysiol 2008 19 : 897 903.
26. Aizer A, Holmes DS, Garlitski AC, Bernstein NE, Smyth-Melsky JM, Ferrick AM, Chinitz LA : Standardization and validation of an automated algorithm to identify fractionation as a guide for atrial fibrillation ablation. Heart Rhythm 2008 5 : 1134 1141.
27. Stiles MK, Brooks AG, John B, Wilson L, Kuklik P, Dimitri H, Lau DH, Roberts-Thomson RL, Mackenzie L, Willoughby S, Young GD, Sanders P : The effect of electrogram duration on quantification of complex fractionated atrial electrograms and dominant frequency. J Cardiovasc Electrophysiol 2008 19 : 252 258.
28. Verma A, Wulffhart Z, Beardsall M, Whaley B, Hill C, Khaykin Y : Spatial and temporal stability of complex fractionated electrograms in patients with persistent atrial fibrillation over longer time periods: Relationship to local electrogram cycle length. Heart Rhythm 2008 5 : 1127 1133.
29. Porter M, Spear W, Akar JG, Helms R, Brysiewicz N, Santucci P, Wilber DJ : Prospective study of atrial fibrillation termination during ablation guided by automated detection of fractionated electrograms. J Cardiovasc Electrophysiol 2008 19 : 613 620.
30. Lin YJ, Tai CT, Chang SL, Lo LW, Wongcharoen W, Tuan TC, Udyavar AR, Hu YF, Chiang CJ, Tsai WC, Kao T, Satoshi H, Chen SA : The efficacy of additional ablation of complex fractionated atrial electrograms for catheter ablation of non-paroxysmal atrial fibrillation. J Cardiovasc Electrophysiol 2009 20 : 609 615.