Intraprocedural use of ibutilide to organize and guide ablation of complex fractionated atrial electrograms: Preliminary assessment of a modified step-wise approach to ablation of persistent atrial fibrillation

Journal of Cardiovascular Electrophysiology

Volumn 21, Issue 6, 2010, Pages 608-616

  Singh, Sheldon M ^a   D'Avila, Andre ^a   Kim, Steven J ^b   Houghtaling, Christopher ^b   Dukkipati, Srinivas R ^a   Reddy, Vivek Y ^a  

^a MOUNT SINAI SCHOOL OF MEDICINE   (United States)

^b St Jude Medical Inc USA   (United States)

Author keywords

Anti arrhythmic drugs; Atrial fibrillation; Catheter ablation; Complex fractionated electrograms; Ibutilide

Indexed keywords

IBUTILIDE; ANTIARRHYTHMIC AGENT; SULFONAMIDE;

ADULT; AGED; ARTICLE; CATHETER ABLATION; CATHETER COMPLICATION; CLINICAL ARTICLE; DRUG MECHANISM; ELECTROGRAPHY; FEMALE; FOLLOW UP; HEART ATRIUM FIBRILLATION; HUMAN; MALE; PRIORITY JOURNAL; PULMONARY VEIN; SINUS RHYTHM; ATRIAL FIBRILLATION; COHORT ANALYSIS; DRUG EFFECTS; ELECTROCARDIOGRAPHY; HEART ATRIUM; INTRAVENOUS DRUG ADMINISTRATION; MIDDLE AGED; PREOPERATIVE CARE; PROSPECTIVE STUDY; TREATMENT OUTCOME;

ADULT; AGED; ANTI-ARRHYTHMIA AGENTS; ATRIAL FIBRILLATION; CATHETER ABLATION; COHORT STUDIES; ELECTROCARDIOGRAPHY; FEMALE; FOLLOW-UP STUDIES; HEART ATRIA; HUMANS; INJECTIONS, INTRAVENOUS; MALE; MIDDLE AGED; PREOPERATIVE CARE; PROSPECTIVE STUDIES; SULFONAMIDES; TREATMENT OUTCOME;

EID: 77952620745     PISSN: 10453873     EISSN: 15408167     Source Type: Journal    
DOI: 10.1111/j.1540-8167.2009.01671.x     Document Type: Article

References (17)

1. Nademanee K, McKenzie J, Kosar E, Schwab M, Sunsaneewitayakul B, Vasavakul T, Kunnawat 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.
2. Nademanee K, Schwab M, Kosar E, Karwecki M, Moran MD, Visessook N, Don Michael A, Ngarmukos T : Clinical outcomes of catheter substrate ablation for high-risk patients with atrial fibrillation. J Am Coll Cardiol 2008 51 : 843 849.
3. Porter M, Spear W, Akar JG, Helms R, Brysiewicz N, Santucci P, Wilber DJ : Prospective study of atrial fibrillation termination guided by automated detection of fractionated electrograms. J Cardiovasc Electrophysiol 2008 19 : 613 620.
4. Elayi C, Verma A, Dibiase L, Ching CK, Patel D, Barrett C, Martin D, Rong B, Fahmy TS, Khaykin Y, Hongo R, Hao S, Pelargonio G, Dello Russo A, Casella M, Santarelli P, Potenza D, Fanelli R, Massaro R, Arruda M, Schweikert RA, Natale A : Ablation for long standing permanent atrial fibrillation: Results from a randomized study comparing three different strategies. Heart Rhythm 2008 5 : 1658 1664.
5. Oral H, Chugh A, Yoshida K, Sarrazin JF, Kuhne M, Crawford T, Chalfoun N, Wells D, Boonyapisit W, Veerareddy S, Billakanty S, Wong WS, Good E, Jongnarangsin K, Pelosi F, Bogun F, Morady F : A randomized assessment of the incremental role of ablation of complex fractionated atrial electrograms after antral pulmonary vein isolation for long-lasting persistent atrial fibrillation. J Am Coll Cardiol 2009 53 : 782 789.
6. Roux JF, Gojraty S, Bala R, Liu CF, Hutchinson MD, Dixit S, Callans DJ, Marchlinski F, Gerstenfeld EP : Complex fractionated electrogram distribution and temporal stability in patients undergoing atrial fibrillation ablation. J Cardiovasc Electrophysiol 2008 19 : 815 820.
7. Roux JF, Gojraty S, Bala R, Liu CF, Dixit S, Hutchison MD, Garcia F, Lin D, Callans DJ, Riley M, Marchlinski F, Gerstenfeld EP : Effect of pulmonary vein isolation on the distribution of complex fractionated electrograms in humans. Heart Rhythm 2009 6 : 156 160.
8. Rostock T, Rotter M, Sanders P, Takahashi Y, Jais P, Hocini M, Hsu L, Sacher F, Clementy J, Haissaguerre M : High-density activation mapping of fractionated electrograms in the atria of patients with paroxysmal atrial fibrillation. Heart Rhythm 2006 3 : 27 34.
9. Haissaguerre M, Hocini M, Sanders P, Sacher F, Rotter M, Takahashi Y, Rostock T, Hsu L, Bordachar P, Reuter S, Roudaut R, Clementy J, Jais P : Catheter ablation of long lasting persistent atrial fibrillation: Clinical outcomes and mechanisms of subsequent arrhythmias. J Cardiovasc Electrophysiol 2005 16 : 1138 1147.
10. Shan Z, Van Der voort PH, Blaauw Y, Duytschaever M, Allessie MA : Fractionation of electrograms and linking of activation during pharmacologic cardioversion of persistent atrial fibrillation in the goat. J Cardiovasc Electrophysiol 2004 572 580.
11. Fuster V, Ryden LE, Cannom DS, Crijns HJ, Curtis AB, Ellenbogen KA, Halperin JL, Le Heuzey JY, Kay GN, Lowe JE, Olsson SB, Prystowsky EN, Tamargo JL, Wann S, Smith SC Jr., Jacobs AK, Adams CD, Anderson JL, Antman EM, Halperin JL, Hunt SA, Nishimura R, Ornato JP, Page RL, Riegel B, Priori SG, Blanc JJ, Budaj A, Camm AJ, Dean V, Deckers JW, Despres C, Dickstein K, Lekakis J, McGregor K, Metra M, Morais J, Osterspey A, Tamargo JL, Zamorano JL : American College of Cardiology/American Heart Association Task Force on Practice Guidelines; European Society of Cardiology Committee for Practice Guidelines; European Heart Rhythm Association; Heart Rhythm Society. ACC/AHA/ESC 2006 guidelines for the management of patients with atrial fibrillation: A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the European Society of Cardiology Committee for Practice Guidelines (Writing Committee to Revise the 2001 Guidelines for the Management of Patients With Atrial Fibrillation): Developed in collaboration with the European Heart Rhythm Association and the Heart Rhythm Society. Circulation 2006 114 : e257 e35.
12. Morillo CA, Klein GJ, Jones DL, Guiraudon G : Chronic rapid atrial pacing. Structural, functional, and electrophysiological characteristics of a new model of sustained atrial fibrillation. Circulation 1995 91 : 159 63.
13. 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.
14. Tada H, Yoshida K, Chugh A, Boonyapisit W, Crawford T, Sarrazin JF, Kuhne M, Chalfoun N, Wells D, Dey S, Veerareddy S, Billakanty S, Wong WS, Kalra D, Kfahagi A, Good E, Jongnarangsin K, Pelosi F, Bogun F, Morady F, Oral H : Prevalence and characteristics of continuous electrical activity in patients with paroxysmal and persistent atrial fibrillation. J Cardiovasc Electrophysiol 2008 19 : 606 612.
15. Lin YJ, Tai CT, Chang SL, Lo LW, Tuan TA, Wongcharoen W, Udyavar AR, Hu YF, Chang CJ, Tsai WC, Kao T, Siga S, Chen SA : Efficacy of additional ablation of complex fractionated atrial electrograms for catheter ablation of non-paroxysmal atrial fibrillation. J Cardiovasc Electrophysiol 2009 20 : 607 615.
16. Aizer A, Holmes DS, Garlitski AC, Bernstein NE, Smyth-Melsky JM, Ferrick AM, Chinitz LM : Standardization and validation of an automated algorithm to identify fractionation as a guide for atrial fibrillation ablation. Heart Rhythm 2008 5 : 1134 1141.
17. Oral H, Chugh A, Good E, Crawford T, Sarrazin JF, Kuhne M, Chalfoun N, Wells D, Boonyapisit W, Gadeela N, Sankaran S, Kfahagi A, Jongnarangsin K, Pelosi F, Bogun F, Morady F : A randomized evaluation of right atrial ablation after left atrial ablation of complex fractionated electrograms for chronic atrial fibrillation. Circ Arrhythm Electrophysiol 2008 1 : 6 13.