Adenosine testing in atrial flutter ablation: Unmasking of dormant conduction across the cavotricuspid isthmus and risk of recurrence

Journal of Cardiovascular Electrophysiology

Volumn 24, Issue 9, 2013, Pages 995-1001

  Morales, Gustavo X ^a,b   Macle, Laurent ^c   Khairy, Paul ^c   Charnigo, Richard ^a   Davidson, Evan ^a   Thal, Sergio ^d   Ching, Ck ^f   Lellouche, Nicolas ^e   Whitbeck, Matthew ^a   Delisle, Brian ^a   Thompson, Jenks ^a   Di Biase, Luigi ^g   Natale, Andrea ^g   Nattel, Stanley ^c   Elayi, Claude S ^a,b  

^a UNIVERSITY OF KENTUCKY   (United States)

^b LEXINGTON VA MEDICAL CENTER   (United States)

^c MONTREAL HEART INSTITUTE   (Canada)

^d SOUTHERN ARIZONA VA HEALTH CARE SYSTEM   (United States)

^e HENRI MONDOR HOSPITAL   (France)

^f DEPARTMENT OF CARDIOLOGY   (Singapore)

^g TEXAS CARDIAC ARRHYTHMIA INSTITUTE   (United States)

Author keywords

adenosine; atrial flutter; catheter ablation; supraventricular tachycardia; transient conduction

Indexed keywords

ADENOSINE; ISOPRENALINE;

ABLATION THERAPY; ADULT; ARTICLE; CATHETER ABLATION; CLINICAL ASSESSMENT; CONSCIOUS SEDATION; CORONARY SINUS; FEMALE; FOLLOW UP; HEART ATRIUM FIBRILLATION; HEART ATRIUM FLUTTER; HEART CONDUCTION; HEART RATE; HUMAN; MAJOR CLINICAL STUDY; MALE; P WAVE; PRIORITY JOURNAL; PROSPECTIVE STUDY; RECURRENT DISEASE;

ADENOSINE; ATRIAL FLUTTER; CATHETER ABLATION; SUPRAVENTRICULAR TACHYCARDIA; TRANSIENT CONDUCTION;

ADENOSINE; AGED; ATRIAL FLUTTER; CATHETER ABLATION; FEMALE; FOLLOW-UP STUDIES; HEART CONDUCTION SYSTEM; HUMANS; MALE; MIDDLE AGED; PROSPECTIVE STUDIES; RECURRENCE; RISK FACTORS; TRICUSPID VALVE;

EID: 84883755669     PISSN: 10453873     EISSN: 15408167     Source Type: Journal    
DOI: 10.1111/jce.12174     Document Type: Article

References (23)

1. ACC/AHA/ESC Guidelines for the Management of Patients With Supraventricular Arrhythmias-Executive Summary 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. JACC 2003; 42: 1493-1531.
2. Poty H, Saoudi N, Aziz AA, Nair M, Letac B,: Radiofrequency catheter ablation of type 1 atrial flutter. Prediction of late success by electrophysiological criteria. Circulation 1995; 92: 1389-1392.
3. Natale A, Newby KH, Pisano E, Leonelli F, Fanelli R, Potenza D, Beheiry S, Tomassoni G,: Prospective randomized comparison of antiarrhythmic therapy versus first-line radiofrequency ablation in patients with atrial flutter. JACC 2000; 35: 1898-1904.
4. Sawhney N, Anand K, Robertson CE, Wurdeman T, Anousheh R, Feld GK,: Recovery of mitral isthmus conduction leads to the development of macro-reentrant tachycardia after left atrial linear ablation for atrial fibrillation. Circ Arrhythm Electrophysiol 2011; 4: 832-837.
5. Schumacher B, Pfeiffer D, Tebbenjohanns J, Lewalter T, Jung W, Lüderitz B,: Acute and long-term effects of consecutive radiofrequency applications on conduction properties of the subeustachian isthmus in type I atrial flutter. J Cardiovasc Electrophysiol 1998; 9: 152-163.
6. Nabar A, Rodriguez LM, Timmermans C, Smeets JL, Wellens HJ,: Isoproterenol to evaluate resumption of conduction after right atrial isthmus ablation in type I atrial flutter. Circulation 1999; 99: 3286-3291.
7. Arentz T, Macle L, Kalusche D, Hocini M, Jais P, Shah D, Haissaguerre M,: " Dormant" pulmonary vein conduction revealed by adenosine after ostial radiofrequency catheter ablation. J Cardiovasc Electrophysiol 2004; 15: 1041-1047.
8. Ninomiya Y, Iriki Y, Ishida S, Oketani N, Matsushita T, Ichiki H, Okui H, Kataoka T, Yoshikawa A, Ogawa M, Saihara K, Shinsato T, Miyata M, Hamasaki S, Tei C,: Usefulness of the adenosine triphosphate with a sufficient observation period for detecting reconduction after pulmonary vein isolation. PACE 2009; 32: 1307-1312.
9. Miyazaki S, Kuwahara T, Kobori A, Takahashi Y, Takei A, Sato A, Isobe M, Takahashi A,: Impact of adenosine-provoked acute dormant pulmonary vein conduction on recurrence of atrial fibrillation. J Cardiovasc Electrophysiol 2012; 23: 256-260.
10. Lehrmann H, Weber R, Park C, Allgeiier J, Shiebeling-Römer J, Arentz T, Jadidi A,: Dormant transithmus conduction revealed by adenosine after cavotricuspid ithsmus ablation. Heart Rhythm 2012; 9: 1942-1946.
11. Marchandise S, Scavee C, Badot D, Deceuninck O, Xhaët O, Hausman P, De Meestre C, De Waroux JB,: Intravenous Adenosine to predict conduction recurrence in cavotricuspid isthmus early after ablation of typical atrial flutter: myth or reality? J Cardiovasc Electrophysiol 2012; 23: 1201-1206.
12. Vijayaraman P, Dandamudi G, Naperkowski A, Oren J, Storm R, Ellenbogen K,: Adenosine facilitates dormant conduction acreoss cavotricuspid isthmus following catheter ablation. Heart Rhythm 2012; 9: 1785-1788.
13. 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.
14. Shah DC, Takahashi A, Jaïocini M, Clementy J, Haïssaguerre M,: Local electrogram-based criteria of cavotricuspid isthmus block. J Cardiovasc Electrophysiol 1999; 10: 662-669.
15. Schwartzman D, Callans DJ, Gottlieb CD, Dillon SM, Movsowitz C, Marchlinski FE,: Conduction block in the inferior vena caval-tricuspid valve isthmus: Association with outcome of radiofrequency ablation of type I atrial flutter. J Am Coll Cardiol 1996; 28: 1519-1531.
16. Nath S, Lynch C III, Whayne JG, Haines DE,: Cellular electrophysiologic effects of hyperthermia on isolated guinea pig papillary muscle: Implications for catheter ablation. Circulation 1993; 89: 2390-2395.
17. Ren JF, Schwartzman D, Brode SE, Callans DJ, Chaudhry FA, Marchinski FE,: Right atrial mural swelling and its effect on adjacent great vessels from linear radiofrequency ablation for atrial fibrillation (abstr). J Am Coll Cardiol 1999; 33 (Suppl): 137A.
18. Workman AJ, Kane KA, Rankin AC,: Ionic basis of a differential effect of adenosine on refractoriness in rabbit AV nodal and atrial isolated myocytes. Cardiovasc Res 1999; 43: 974-984.
19. Biaggioni I, Killian TJ, Mosqueda-Garcia R, Robertson RM, Robertson D,: Adenosine increases sympathetic nerve traffic in humans. Circulation 1991; 83: 1668-1675.
20. Nath S, Lynch C, Whayne J, Haines DE,: Cellular electrophysiological effects of hyperthermia on isolated guinea pig papillary muscle. Circulation 1993; 88: 1826-1831.
21. Datino T, Macle L, Q XY, Maguy A, Comtois P, Chartier D, Guerra PG, Arenal A, Fernandez-Aviles F, Nattel S,: Mechanisms by which adenosine restores conduction in dormant canine pulmonary veins. Circulation 2010; 121: 963-972.
22. Datino T, Macle L, Chartier D, Comptois P, Khairy P, Guerra P, Fernandez-Aviles F, Nattel S,: Differential effectiveness of pharmacological strategies to reveal dormant pulmonary vein conduction: A clinical-experimental correlation. Heart Rhythm 2011; 8: 1426-1433.
23. Nattel S,: Adenosine and atrial arrhythmias: Exploring electrophysiological mechanisms in vivo. Pacing Clin Electrophysiol 2012; 35: 553-555.