Modified phased radiofrequency ablation of atrial fibrillation reduces the number of cerebral microembolic signals

Europace

Volumn 16, Issue 3, 2014, Pages 341-346

  Zellerhoff, Stephan ^a   Ritter, Martin A ^a   Kochhäuser, Simon ^a   Dittrich, Ralf ^a   Köbe, Julia ^a   Milberg, Peter ^a   Korsukewitz, Catharina ^a   Dechering, Dirk G ^a   Pott, Christian ^a   Wasmer, Kristina ^a   Leitz, Patrick ^a   Güner, Fatih ^a   Eckardt, Lars ^a   Mönnig, Gerold ^a  

^a UNIVERSITY OF MÜNSTER   (Germany)

Author keywords

Ablation; Atrial fibrillation; Complications

Indexed keywords

ADULT; ARTICLE; BRAIN EMBOLISM; CLINICAL ARTICLE; ELECTRODE; ENERGY; FEMALE; HEART ATRIUM FIBRILLATION; HUMAN; MALE; MICROEMBOLISM; PRIORITY JOURNAL; PULMONARY VEIN ISOLATION; RADIOFREQUENCY ABLATION; TRANSCRANIAL DOPPLER; TRANSESOPHAGEAL ECHOCARDIOGRAPHY;

ABLATION; ATRIAL FIBRILLATION; COMPLICATIONS;

ATRIAL FIBRILLATION; CATHETER ABLATION; FEMALE; HUMANS; INTRACRANIAL EMBOLISM; MALE; MIDDLE AGED; PULMONARY VEINS; TREATMENT OUTCOME;

EID: 84895762155     PISSN: 10995129     EISSN: 15322092     Source Type: Journal    
DOI: 10.1093/europace/eut282     Document Type: Article

References (13)

1. Camm AJ, Kirchhof P, Lip GY, Schotten U, Savelieva I, Ernst S et al. Guidelines for the management of atrial fibrillation: the Task Force for the Management of Atrial Fibrillation of the European Society of Cardiology (ESC). Europace 2010;12: 1360-420.
2. Gaita F, Leclercq JF, Schumacher B, Scaglione M, Toso E, Halimi F et al. 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 2011;22:961-8.
3. Herrera Siklódy C, Deneke T, Hocini M, Lehrmann H, Shin D-I, Miyazaki S et al. 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 2011;58:681-8.
4. Kochhäuser S, Ritter MA, Leitz P, Güner F, Lohmann H, Zellerhoff S et al. Cerebral microemboli and its neurological impact in phased versus irrigated radiofrequency ablation of atrial fibrillation: results of a prospective, randomised study [Internet]. Clin Res Cardiol 2013;102
5. Haines DE, Stewart MT, Ahlberg S, Barka ND, Condie C, Fiedler GR et al. Microembolism and catheter ablation I: a comparison of irrigated radiofrequency and multielectrode phased radiofrequency catheter ablation of pulmonary vein ostia. Circ Arrhythm Electrophysiol 2013;6:16-22.
6. Calkins H, Kuck K-H, Cappato R, Brugada J, Camm AJ, Chen S-A et al. 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. Europace 2012;14:528-606.
7. Bittner A, Mönnig G, Zellerhoff S, Pott C, Köbe J, Dechering D et al. Randomized study comparing duty-cycled bipolar and unipolar radiofrequency with point-by-point ablation in pulmonary vein isolation. Heart Rhythm 2011;8:1383-90.
8. Consensus Committee of the Ninth International Cerebral Hemodynamic Symposium. Basic identification criteria of Doppler microembolic signals. Stroke 1995;26: 1123.
9. Dittrich R, Ritter MA, Kaps M, Siebler M, Lees K, Larrue V et al. The use of embolic signal detection in multicenter trials to evaluate antiplatelet efficacy: signal analysis and quality control mechanisms in the CARESS (Clopidogrel and Aspirin for Reduction of Emboli in Symptomatic carotid Stenosis) trial. Stroke 2006;37:1065-9.
10. Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics 1977;33:159-74.
11. Wieczorek M, Hoeltgen R, Brueck M. Does the number of simultaneously activated electrodes during phased RF multielectrode ablation of atrial fibrillation influence the incidence of silent cerebral microembolism? Heart Rhythm 2013;10:953-9.
12. Hussein AA, Martin DO, Saliba W, Patel D, Karim S, Batal O et al. Radiofrequency ablation of atrial fibrillation under therapeutic international normalized ratio: a safe and efficacious periprocedural anticoagulation strategy. Heart Rhythm 2009;6: 1425-9.
13. Haines DE, Stewart MT, Barka ND, Kirchhof N, Lentz LR, Reinking NM et al. Microembolism and catheter ablation II: effects of cerebral microemboli injection in a canine model. Circ Arrhythm Electrophysiol 2013;6:23-30.