Cerebral microembolization during atrial fibrillation ablation: Comparison of different single-shot ablation techniques

International Journal of Cardiology

Volumn 174, Issue 2, 2014, Pages 276-281

  Kiss, Alexandra ^a   Nagy Baló, Edina ^a   Sándorfi, Gábor ^a   Édes, István ^a   Csanádi, Zoltán ^a  

^a UNIVERSITY OF DEBRECEN   (Hungary)

Author keywords

Atrial fibrillation; Cerebral microemboli; Pulmonary vein isolation; Transcranial Doppler

Indexed keywords

ANTIVITAMIN K; FENTANYL; HEPARIN; MIDAZOLAM;

ABLATION CATHETER; ABLATION THERAPY; ADULT; ARTICLE; BRAIN EMBOLISM; CATHETER SHEATH; CATHETERIZATION; CEREBRAL MICROEMBOLIZATION; COMPARATIVE STUDY; COMPUTER PROGRAM; CONTINUOUS INFUSION; CONTROLLED STUDY; CRYOBALLOON ABLATION; DOPPLER ECHOGRAPHY; FEMALE; HEART ATRIUM FIBRILLATION; HUMAN; MAJOR CLINICAL STUDY; MALE; MIDDLE CEREBRAL ARTERY; NEEDLE; PRIORITY JOURNAL; PULMONARY VEIN ISOLATION; RADIOFREQUENCY ABLATION; TREATMENT INDICATION; ATRIAL FIBRILLATION; CATHETER ABLATION; INTRACRANIAL EMBOLISM; MIDDLE AGED; RETROSPECTIVE STUDY;

ATRIAL FIBRILLATION; CATHETER ABLATION; FEMALE; HUMANS; INTRACRANIAL EMBOLISM; MALE; MIDDLE AGED; RETROSPECTIVE STUDIES;

EID: 84901191819     PISSN: 01675273     EISSN: 18741754     Source Type: Journal    
DOI: 10.1016/j.ijcard.2014.03.175     Document Type: Article

References (33)

1. L.C. Kok, J.M. Mangrum, D.E. Haines, and J.P. Mounsey Cerebrovascular complication associated with pulmonary vein ablation J Cardiovasc Electrophysiol 13 8 Aug 2002 764 767
2. C. Herrera Siklódy, T. Deneke, and M. Hocini 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 58 7 Aug 9 2011 681 688
3. F. Gaita, J.F. Leclercq, and B. Schumacher 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 22 9 Sep 2011 961 968
4. N. Schwarz, M. Kuniss, and M. Nedelmann et al. Neuropsychological decline after catheter ablation of atrial fibrillation Heart Rhythm 7 12 Dec 2010 1761 1767
5. T. Neumann, M. Kuniss, and G. Conradi et al. MEDAFI-Trial (micro-embolization during ablation of atrial fibrillation): comparison of pulmonary vein isolation using cryoballoon technique vs. radiofrequency energy Europace 13 1 Jan 2011 37 44
6. F. Gaita, D. Caponi, and M. Pianelli et al. 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 17 Oct 26 2010 1667 1673
7. J.W. Schrickel, L. Lickfett, and T. Lewalter et al. Incidence and predictors of silent cerebral embolism during pulmonary vein catheter ablation for atrial fibrillation Europace 12 1 Jan 2010 52 57
8. L. Lickfett, M. Hackenbroch, and T. Lewalter et al. Cerebral diffusion-weighted magnetic resonance imaging: a tool to monitor the thrombogenicity of left atrial catheter ablation J Cardiovasc Electrophysiol 17 1 Jan 2006 1 7
9. A. Verma, P. Debruyne, and S. Nardi et al. Evaluation and reduction of asymptomatic cerebral embolism in ablation of atrial fibrillation, but high prevalence of chronic silent infarction: results of the evaluation of reduction of asymptomatic cerebral embolism trial Circ Arrhythm Electrophysiol 6 5 Oct 2013 835 842
10. M. Wieczorek, R. Hoeltgen, and M. Brueck Does the number of simultaneously activated electrodes during phased RF multielectrode ablation of atrial fibrillation influence the incidence of silent cerebral microembolism? Heart Rhythm 10 7 Jul 2013 953 959
11. M. Wieczorek, M. Lukat, and R. Hoeltgen et al. Investigation into causes of abnormal cerebral MRI findings following PVAC duty-cycled, phased RF ablation of atrial fibrillation J Cardiovasc Electrophysiol 24 2 Feb 2013 121 128
12. D.E. Haines, M.T. Stewart, and S. Dahlberg 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 6 1 Feb 2013 16 22
13. D.E. Haines, M.T. Stewart, and N.D. Barka et al. Microembolism and catheter ablation II: effects of cerebral microemboli injection in a canine model Circ Arrhythm Electrophysiol 6 1 Feb 2013 23 30
14. M.A. Borger, C.M. Peniston, R.D. Weisel, M. Vasiliou, R.E. Green, and C.M. Feindel Neuropsychologic impairment after coronary bypass surgery: effect of gaseous microemboli during perfusionist interventions J Thorac Cardiovasc Surg 121 2001 743 749
15. M.E. Gaunt, P.J. Martin, and J.L. Smith et al. Clinical relevance of intraoperative embolization detected by transcranial Doppler ultrasonography during carotid endarterectomy: a prospective study of 100 patients Br J Surg 81 1994 1435 1439
16. F. Kilicaslan, A. Verma, and E. Saad et al. Transcranial Doppler detection of microembolic signals during pulmonary vein antrum isolation: implications for titration of radiofrequency energy J Cardiovasc Electrophysiol 17 5 May 2006 495 501
17. E. Nagy-Baló, D. Tint, and M. Clemens et al. Transcranial measurement of cerebral microembolic signals during pulmonary vein isolation: a comparison of two ablation techniques Circ Arrhythm Electrophysiol 6 3 Jun 2013 473 480
18. L.V. Boersma, M.C. Wijffels, H. Oral, E.F. Wever, and F. Morady Pulmonary vein isolation by duty-cycled bipolar and unipolar radiofrequency energy with a multielectrode ablation catheter Heart Rhythm 5 12 Dec 2008 1635 1642
19. C. Scharf, L. Boersma, and W. Davies et al. Ablation of persistent atrial fibrillation using multielectrode catheters and duty-cycled radiofrequency energy J Am Coll Cardiol 54 15 Oct 6 2009 1450 1456
20. L. Boersma, M. Duytschaever, J.C. Geller, and C. Scharf The PVAC workbook Remedica 2010
21. K.R. Chun, B. Schmidt, and A. Metzner et al. The 'single big cryoballoon' technique for acute pulmonary vein isolation in patients with paroxysmal atrial fibrillation: a prospective observational single centre study Eur Heart J 30 6 Mar 2009 699 709
22. D. Russel, and R. Brucher Online automatic discrimination between solid and gaseous microemboli with the first multifrequency transcranial Doppler Stroke 33 8 Aug 2002 1975 1980
23. H.S. Markus, and M. Punter Can transcranial Doppler discriminate between solid and gaseous microemboli? Assessment of a dual-frequency transducer system Stroke 36 8 Aug 2005 1731 1734
24. E.B. Ringelstein, D.W. Droste, and V.L. Babikian et al. Consensus on microembolus detection by TCD International Consensus Group on Microembolus Detection Stroke 29 1998 725 729
25. H. Calkins, K.H. Kuck, and R. Cappato et al. 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 J Interv Card Electrophysiol 33 2012 171 257
26. T. Deneke, D.I. Shin, and O. Balta Postablation asymptomatic cerebral lesions: long-term follow-up using magnetic resonance imaging Heart Rhythm 8 11 Nov 2011 1705 1711
27. P. Neuzil, V.Y. Reddy, and J. Kautzner et al. Electrical reconnection after pulmonary vein isolation is contingent on contact force during initial treatment: results from the EFFICAS I study Circ Arrhythm Electrophysiol 6 2 Apr 2013 327 333
28. K.H. Kuck, V.Y. Reddy, and B. Schmidt et al. A novel radiofrequency ablation catheter using contact force sensing: Toccata study Heart Rhythm 9 1 Jan 2012 18 23
29. E. Nagy-Balo, A. Kiss, C. Condie, M. Stewart, I. Edes, and Z. Csanadi Biophysical background of cerebral microembolization during phased radiofrequency ablation of atrial fibrillation: analysis of high resolution data from the ablation generator Eur Heart J 34 2013 1096 1097 [Abstract Supplement]
30. P. Khairy, P. Chauvet, and J. Lehmann et al. Lower incidence of thrombus formation with cryoenergy versus radiofrequency catheter ablation Circulation 107 15 Apr 22 2003 2045 2050
31. L.D. Sauren, Y. VAN Belle, and L. DE Roy et al. Transcranial measurement of cerebral microembolic signals during endocardial pulmonary vein isolation: comparison of three different ablation techniques J Cardiovasc Electrophysiol 20 10 Oct 2009 1102 1107
32. T. Deneke, A. Schade, and P. Müller et al. Acute safety and efficacy of a novel multipolar irrigated radiofrequency ablation catheter for pulmonary vein isolation J Cardiovasc Electrophysiol 25 4 Nov 14 2013 339 345
33. Z. Csanadi, E. Nagy-Baló, and S. Dank et al. Cerebrovascular complications related to atrial fibrillation ablation and strategies for periprocedural stroke prevention Card Electrophysiol Clin 6 1 March 2014 111 123