Does the number of simultaneously activated electrodes during phased RF multielectrode ablation of atrial fibrillation influence the incidence of silent cerebral microembolism?

Heart Rhythm

Volumn 10, Issue 7, 2013, Pages 953-959

  Wieczorek, Marcus ^a   Hoeltgen, Reinhard ^a   Brueck, Martin ^b  

^a UNIVERSITY OF WITTEN HERDECKE   (Germany)

^b Klinikum Wetzlar   (Germany)

Author keywords

Anticoagulation; Multielectrode phased ablation; Pulmonary vein isolation; Silent cerebral microembolism

Indexed keywords

ADULT; ARTICLE; ASYMPTOMATIC CEREBRAL EMBOLUS; BRAIN EMBOLISM; CATHETER; DIFFUSION WEIGHTED IMAGING; ELECTRODE; FEMALE; FOLLOW UP; HEART ATRIUM FIBRILLATION; HUMAN; INCIDENCE; MAJOR CLINICAL STUDY; MALE; PRIORITY JOURNAL; PULMONARY VEIN; PULMONARY VEIN ABLATION CATHETER; RADIOFREQUENCY ABLATION;

ADULT; AGED; AGED, 80 AND OVER; ATRIAL FIBRILLATION; CATHETER ABLATION; ELECTRODES; EQUIPMENT DESIGN; FEMALE; FOLLOW-UP STUDIES; GERMANY; HUMANS; INCIDENCE; INTRACRANIAL EMBOLISM; MAGNETIC RESONANCE IMAGING; MALE; MIDDLE AGED; PROSPECTIVE STUDIES; TREATMENT OUTCOME; ULTRASONOGRAPHY, DOPPLER, TRANSCRANIAL; YOUNG ADULT;

EID: 84879497599     PISSN: 15475271     EISSN: 15563871     Source Type: Journal    
DOI: 10.1016/j.hrthm.2013.04.005     Document Type: Article

References (18)

1. H. Calkins, K.H. Kuck, and R. Cappato 2012 HRS/EHRA/ECAS expert consensus statement on catheter and surgical ablation of atrial fibrillation: recommendations for patient selection, procedural techniques, patient management and follow-up, definitions, endpoints, and research trial design. A report of the Heart Rhythm Society (HRS) Task Force on Catheter and Surgical Ablation of Atrial Fibrillation. Developed in partnership with the European Heart Rhythm Association (EHRA), a registered branch of the European Society of Cardiology (ESC) and the European Cardiac Arrhythmia Society (ECAS); and in collaboration with the American College of Cardiology (ACC), American Heart Association (AHA), the Asia Pacific Heart Rhythm Society (APHRS), and the Society of Thoracic Surgeons (STS). Endorsed by the governing bodies of the American College of Cardiology Foundation, the American Heart Association, the European Cardiac Arrhythmia Society, the European Heart Rhythm Association, the Society of Thoracic Surgeons, the Asia Pacific Heart Rhythm Society, and the Heart Rhythm Society Heart Rhythm 9 2012 632 696
2. L.D. Sauren, Y. van Belle, and L. de Roy Transcranial measurement of cerebral microembolic signals during endocardial pulmonary vein isolation: comparison of three different ablation techniques J Cardiovasc Electrophysiol 20 2009 1102 1107
3. R. Cappato, H. Calkins, and S.A. Chen Updated worldwide survey on the methods, efficacy, and safety of catheter ablation for human atrial fibrillation Circ Arrhythm Electrophysiol 3 2010 32 38
4. T. Deneke, D.I. Shin, and O. Balta Postablation asymptomatic cerebral lesions: long-term follow-up using magnetic resonance imaging Heart Rhythm 8 2011 1705 1711
5. C. Herrera Siklódy, T. Deneke, and M. Hocini Incidence of asymptomatic intracranial embolic events after pulmonary vein isolation: comparison of different atrial fibrillation ablation technologies in a multicenter study J Am Coll Cardiol 58 2011 681 688
6. E. Arbelo, J. Brugada, and G. Hindricks ESC-EURObservational Research Programme: the Atrial Fibrillation Ablation Pilot Study, conducted by the European Heart Rhythm Association Europace 14 2012 1094 1103
7. F. Gaita, J.F. Leclercq, and B. Schumacher Incidence of silent cerebral thromboembolic lesions after atrial fibrillation ablation may change according to technology used: comparison of irrigated radiofrequency, multipolar nonirrigated catheter and cryoballoon J Cardiovasc Electrophysiol 22 2011 961 968
8. M. Wieczorek, M. Lukat, and R. Hoeltgen Investigation into causes of abnormal cerebral MRI findings following PVAC duty-cycled, phased RF ablation of atrial fibrillation J Cardiovasc Electrophysiol 24 2013 121 128
9. D.E. Haines, M.T. Stewart, and N.D. Barka Microembolism and catheter ablation II: effects of cerebral microemboli injection in a canine model Circ Arrhythm Electrophysiol 6 2013 23 30
10. F. Gaita, D. Caponi, and M. Pianelli Radiofrequency catheter ablation of atrial fibrillation: a cause of silent thromboembolism? Magnetic resonance imaging assessment of cerebral thromboembolism in patients undergoing ablation of atrial fibrillation Circulation 122 2010 1667 1673
11. M. Wieczorek, R. Hoeltgen, E. Akin, A.R. Salili, H. Oral, and F. Morady Results of short-term and long-term pulmonary vein isolation for paroxysmal atrial fibrillation using duty-cycled bipolar and unipolar radiofrequency energy J Cardiovasc Electrophysiol 21 2010 399 405
12. M.C. Wijffels, O.m. Van, and L.V. Boersma Characterization of in vitro and in vivo lesions made by a novel multichannel ablation generator and a circumlinear decapolar ablation catheter J Cardiovasc Electrophysiol 20 2009 1142 1148
13. F. Kilicaslan, A. Verma, and E. Saad Transcranial Doppler detection of microembolic signals during pulmonary vein antrum isolation: implications for titration of radiofrequency energy J Cardiovasc Electrophysiol 17 2006 495 501
14. Zellerhoff S. Kochhäuser S. Mönnig G, et al. Further evidence for increased incidence of cerebral microemboli during catheter ablation of atrial fibrillation with duty cycled bipolar and unipolar radiofrequency catheter ablation (PVAC).Clin Res Cardiol 101(Suppl 1) 2012; DOI: 10.1007/s00392-012-1100-6,V1506
15. A. Rillig, U. Meyerfeldt, and R.R. Tilz Incidence and long-term follow-up of silent cerebral lesions after pulmonary vein isolation using a remote robotic navigation system as compared with manual ablation Circ Arrhythm Electrophysiol 5 2012 15 21
16. A. Bittner, G. Mönnig, and S. Zellerhoff Randomized study comparing duty-cycled bipolar and unipolar radiofrequency with point-by-point ablation in pulmonary vein isolation Heart Rhythm 8 2011 1383 1390
17. A. Bulava, J. Hanis, and D. Sitek Catheter ablation for paroxysmal atrial fibrillation: a randomized comparison between multielectrode catheter and point-by-point ablation Pacing Clin Electrophysiol 33 2010 1039 1046
18. T.M. Ringer, T. Neumann-Haefelin, R.A. Sobel, M.E. Moseley, and M.A. Yenari Reversal of early diffusion-weighted magnetic resonance imaging abnormalities does not necessarily reflect tissue salvage in experimental cerebral ischemia Stroke 32 2001 2362 2369