Unipolar signal modification as a guide for lesion creation during radiofrequency application in the left atrium prospective study in humans in the setting of paroxysmal atrial fibrillation catheter ablation

Circulation: Arrhythmia and Electrophysiology

Volumn 6, Issue 6, 2013, Pages 1095-1102

  Bortone, Agustín ^a   Appetiti, Anthony ^b   Bouzeman, Abdeslam ^a   Maupas, Eric ^a   Ciobotaru, Vlad ^a   Boulenc, Jean Marc ^a   Pujadas Berthault, Pénélope ^a   Rioux, Philippe ^a  

^a Hopital Prive Les Franciscaines   (France)

^b JOHNSON AND JOHNSON   (United States)

Author keywords

Atrial fibrillation; Catheter ablation; Radiofrequency

Indexed keywords

ADULT; AGED; ARTICLE; CATHETER ABLATION; CLINICAL ARTICLE; CONTROLLED STUDY; FEMALE; HUMAN; MALE; MIDDLE AGED; PAROXYSMAL HEART ATRIUM FIBRILLATION; PRIORITY JOURNAL; PROSPECTIVE STUDY; PULMONARY VEIN ISOLATION; RADIOFREQUENCY; SINUS RHYTHM;

EID: 84892168331     PISSN: 19413149     EISSN: 19413084     Source Type: Journal    
DOI: 10.1161/CIRCEP.113.000749     Document Type: Article

References (8)

1. Calkins H, Kuck KH, Cappato R, Brugada J, Camm AJ, Chen SA, Crijns HJ, Damiano RJ, Jr, Davies DW, DiMarco J, Edgerton J, Ellenbogen K, Ezekowitz MD, Haines DE, Haissaguerre M, Hindricks G, Iesaka Y, Jackman W, Jalife J, Jais P, Kalman J, Keane D, Kim YH, Kirchhof P, Klein G, Kottkamp H, Kumagai K, Lindsay BD, Mansour M, Marchlinski FE, McCarthy PM, Mont JL, Morady F, Nademanee K, Nakagawa H, Natale A, Nattel S, Packer DL, Pappone C, Prystowsky E, Raviele A, Reddy V, Ruskin JN, Shemin RJ, Tsao HM, Wilber D. 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, and the European Heart Rhythm Association, the Society of Thoracic Surgeons, the Asia Pacific Heart Rhythm Society, and the Heart Rhythm Society. Europace. 2012;14:528-606.
2. Ouyang F, Tilz R, Chun J, Schmidt B, Wissner E, Zerm T, Neven K, Köktürk B, Konstantinidou M, Metzner A, Fuernkranz A, Kuck KH. Long-term results of catheter ablation in paroxysmal atrial fibrillation: Lessons from a 5-year follow-up. Circulation. 2010;122:2368-2377.
3. Arujuna A, Karim R, Caulfield D, Knowles B, Rhode K, Schaeffter T, Kato B, Rinaldi CA, Cooklin M, Razavi R, O'Neill MD, Gill J. Acute pulmonary vein isolation is achieved by a combination of reversible and irreversible atrial injury after catheter ablation: Evidence from magnetic resonance imaging. Circ Arrhythm Electrophysiol. 2012;5:691-700.
4. Miller MA, d'Avila A, Dukkipati SR, Koruth JS, Viles-Gonzalez J, Napolitano C, Eggert C, Fischer A, Gomes JA, Reddy VY. Acute electrical isolation is a necessary but insufficient endpoint for achieving durable PV isolation: The importance of closing the visual gap. Europace. 2012;14:653-660.
5. Otomo K, Uno K, Fujiwara H, Isobe M, Iesaka Y. Local unipolar and bipolar electrogram criteria for evaluating the transmurality of atrial ablation lesions at different catheter orientations relative to the endocardial surface. Heart Rhythm. 2010;7:1291-1300.
6. Steven D, Reddy VY, Inada K, Roberts-Thomson KC, Seiler J, Stevenson WG, Michaud GF. Loss of pace capture on the ablation line: A new marker for complete radiofrequency lesions to achieve pulmonary vein isolation. Heart Rhythm. 2010;7:323-330.
7. Ranjan R, Kholmovski EG, Blauer J, Vijayakumar S, Volland NA, Salama ME, Parker DL, MacLeod R, Marrouche NF. Identification and acute targeting of gaps in atrial ablation lesion sets using a real-time magnetic resonance imaging system. Circ Arrhythm Electrophysiol. 2012;5:1130-1135.
8. Pérez-Castellano N, Villacastín J, Salinas J, Vega M, Moreno J, Doblado M, Ruiz E, Macaya C. Epicardial connections between the pulmonary veins and left atrium: Relevance for atrial fibrillation ablation. J Cardiovasc Electrophysiol. 2011;22:149-159.