Benefit of left atrial roof linear ablation in paroxysmal atrial fibrillation: A prospective, randomized study

Journal of the American Heart Association

Volumn 3, Issue 5, 2014, Pages

  Arbelo, Elena ^a   Guiu, Esther ^a   Bisbal, Felipe ^a   Ramos, Pablo ^a   Borras, Roger ^a   Andreu, David ^a   Tolosana, José María ^a   Berruezo, Antonio ^a   Brugada, Josep ^a   Mont, Lluís ^a  

^a UNIVERSITY OF BARCELONA   (Spain)

Author keywords

Atrial fibrillation; Catheter ablationy; Roof line

Indexed keywords

ADULT; AGED; ARTICLE; CARDIAC MAPPING SYSTEM; CATHETER ABLATION; CONTROLLED STUDY; DISEASE DURATION; DISEASE FREE SURVIVAL; DOUBLE BLIND PROCEDURE; FEMALE; FLUOROSCOPY; FOLLOW UP; HEART ATRIUM FIBRILLATION; HEART TAMPONADE; HUMAN; HUMAN TISSUE; INFERIOR MYOCARDIAL INFARCTION; LEFT ATRIAL MACROREENTRANT TACHYCARDIA; LEFT ATRIAL ROOF LINEAR ABLATION; MAJOR CLINICAL STUDY; MALE; MAPPING CATHETER; MIDDLE AGED; MITRAL VALVE DISEASE; MITRAL VALVE RUPTURE; PERICARDITIS; PRIORITY JOURNAL; PROSPECTIVE STUDY; PULMONARY VEIN ISOLATION; RANDOMIZED CONTROLLED TRIAL; RECURRENCE FREE SURVIVAL; RECURRENT DISEASE; REENTRY TACHYCARDIA; SUPRAVENTRICULAR TACHYCARDIA; TRANSIENT ISCHEMIC ATTACK; TREATMENT OUTCOME; ADVERSE EFFECTS; ATRIAL FIBRILLATION; COMPARATIVE STUDY; HEART ATRIUM; INTERVENTIONAL RADIOLOGY; OPERATION DURATION; PATHOPHYSIOLOGY; PROCEDURES; PULMONARY VEIN; RISK FACTOR; TIME FACTOR;

ADULT; AGED; ATRIAL FIBRILLATION; CATHETER ABLATION; DISEASE-FREE SURVIVAL; DOUBLE-BLIND METHOD; FEMALE; HEART ATRIA; HUMANS; MALE; MIDDLE AGED; OPERATIVE TIME; PROSPECTIVE STUDIES; PULMONARY VEINS; RADIOGRAPHY, INTERVENTIONAL; RECURRENCE; RISK FACTORS; TIME FACTORS; TREATMENT OUTCOME;

EID: 84934441747     PISSN: None     EISSN: 20479980     Source Type: Journal    
DOI: 10.1161/JAHA.114.000877     Document Type: Article

References (36)

1. Cappato R, Calkins H, Chen SA, Davies W, Iesaka Y, Kalman J, Kim YH, Klein G, Packer D, Skanes A. Worldwide survey on the methods, efficacy, and safety of catheter ablation for human atrial fibrillation. Circulation. 2005;111:1100-1105.
2. Cappato R, Calkins H, Chen SA, Davies W, Iesaka Y, Kalman J, Kim YH, Klein G, Natale A, Packer D, Skanes A, Ambrogi F, Biganzoli E. Updated worldwide survey on the methods, efficacy, and safety of catheter ablation for human atrial fibrillation. Circ Arrhythm Electrophysiol. 2010;3:32-38
3. Arbelo E, Brugada J, Hindricks G, Maggioni A, Tavazzi L, Vardas P, Anselme F, Inama G, Jais P, Kalarus Z, Kautzner J, Lewalter T, Mairesse G, Perez-Villacastin J, Riahi S, Taborsky M, Theodorakis G, Trines S. ESC-EURObservational Research Programme: the Atrial Fibrillation Ablation Pilot Study, conducted by the European Heart Rhythm Association. Europace. 2012;14:1094-1103.
4. Arbelo E, Brugada J, Hindricks G, Maggioni AP, Tavazzi L, Vardas P, Laroche C, Anselme F, Inama G, Jais P, Kalarus Z, Kautzner J, Lewalter T, Mairesse GH, Perez-Villacastin J, Riahi S, Taborsky M, Theodorakis G, Trines SA; on the behalf of the Atrial Fibrillation Ablation Pilot Study Investigators. The atrial fibrillation ablation pilot study: an European Survey on Methodology and results of catheter ablation for atrial fibrillation: conducted by the European Heart Rhythm Association. Eur Heart J. 2014;35:1466-1478.
5. Oakes RS, Badger TJ, Kholmovski EG, Akoum N, Burgon NS, Fish EN, Blauer JJE, Rao SN, DiBella EVR, Segerson NM, Daccarett M, Windfelder J, McGann CJ, Parker D, MacLeod RS, Marrouche NF. Detection and quantification of left atrial structural remodeling with delayed-enhancement magnetic resonance imaging in patients with atrial fibrillation. Circulation. 2009;119:1758-1767.
6. Ernst S, Ouyang F, Lober F, Antz M, Kuck KH. Catheter-induced linear lesions in the left atrium in patients with atrial fibrillation: an electroanatomic study. J Am Coll Cardiol. 2003;42:1271-1282.
7. Jais P, Hocini M, Hsu LF, Sanders P, Scavee C, Weerasooriya R, Macle L, Raybaud F, Garrigue S, Shah DC, Le Metayer P, Clementy J, Haissaguerre M. Technique and results of linear ablation at the mitral isthmus. Circulation. 2004;110:2996-3002.
8. Pappone C, Manguso F, Vicedomini G, Gugliotta F, Santinelli O, Ferro A, Gulletta S, Sala S, Sora N, Paglino G, Augello G, Agricola E, Zangrillo A, Alfieri O, Santinelli V. Prevention of iatrogenic atrial tachycardia after ablation of atrial fibrillation: a prospective randomized study comparing circumferential pulmonary vein ablation with a modified approach. Circulation. 2004;110:3036-3042.
9. Hocini M, Jais P, Sanders P, Takahashi Y, Rotter M, Rostock T, Hsu LF, Sacher F, Reuter S, Clementy J, Haissaguerre M. Techniques, evaluation, and consequences of linear block at the left atrial roof in paroxysmal atrial fibrillation: a prospective randomized study. Circulation. 2005;112:3688-3696.
10. Willems S, Klemm H, Rostock T, Brandstrup B, Ventura R, Steven D, Risius T, Lutomsky B, Meinertz T. Substrate modification combined with pulmonary vein isolation improves outcome of catheter ablation in patients with persistent atrial fibrillation: a prospective randomized comparison. Eur Heart J. 2006;27:2871-2878.
11. Sanders P, Hocini M, Jaïs P, Sacher FD, Hsu L-F, Takahashi Y, Rotter M, Rostock T, Nalliah CJ, Clémenty J, Haïssaguerre M. Complete isolation of the pulmonary veins and posterior left atrium in chronic atrial fibrillation. Longterm clinical outcome. Eur Heart J. 2007;28:1862-1871
12. Knecht S, Hocini M, Wright M, Lellouche N, O'Neill MD, Matsuo S, Nault I, Chauhan VS, Makati KJ, Bevilacqua M, Lim K-T, Sacher F, Deplagne A, Derval N, Bordachar P, Jais P, Clementy J, Haissaguerre M. Left atrial linear lesions are required for successful treatment of persistent atrial fibrillation. Eur Heart J. 2008;29:2359-2366.
13. Tamborero D, Mont L, Berruezo A, Matiello M, Benito B, Sitges M, Vidal B, de Caralt TM, Perea RJ, Vatasescu R, Brugada J. Left atrial posterior wall isolation does not improve the outcome of circumferential pulmonary vein ablation for atrial fibrillation: a prospective randomized study. Circ Arrhythm Electrophysiol. 2009;2:35-40
14. Calvo N, Mont L, Vidal B, Nadal M, Montserrat S, Andreu D, Tamborero D, Pare C, Azqueta M, Berruezo A, Brugada J, Sitges M. Usefulness of transoesophageal echocardiography before circumferential pulmonary vein ablation in patients with atrial fibrillation: is it really mandatory? Europace. 2011;13:486-491.
15. Sang C, Jiang C, Dong J, Liu X, Yu R, Long D, Tang R, Gao L, Ning M, Chen G, Li W, Ma C. A new method to evaluate linear block at the left atrial roof: is it reliable without pacing? J Cardiovasc Electrophysiol. 2010;21:741-746.
16. Ouyang F, Tilz R, Chun J, Schmidt B, Wissner E, Zerm T, Neven K, Kokturk 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.
17. Hussein AA, Saliba WI, Martin DO, Bhargava M, Sherman M, Magnelli-Reyes C, Chamsi-Pasha M, John S, Williams-Adrews M, Baranowski B, Dresing T, Callahan T, Kanj M, Tchou P, Lindsay BD, Natale A, Wazni O. Natural history and long-term outcomes of ablated atrial fibrillation. Circ Arrhythm Electrophysiol. 2011;4:271-278
18. Medi C, Sparks PB, Morton JB, Kistler PM, Halloran K, Rosso R, Vohra JK, Kumar S, Kalman JM. Pulmonary vein antral isolation for paroxysmal atrial fibrillation: results from long-term follow-up. J Cardiovasc Electrophysiol. 2011;22:137-141.
19. Katritsis D, Ellenbogen K, Giazitzoglou E, Sougiannis D, Paxinos G, Fragakis N, Camm A. Clinical outcome of left atrial ablation for paroxysmal atrial fibrillation is related to the extent of radiofrequency ablation. J Interv Card Electrophysiol. 2008;22:31-37.
20. Gaita F, Caponi D, Scaglione M, Montefusco A, Corleto A, Di Monte F, Coin D, Di Donna P, Giustetto C. Long-term clinical results of 2 different ablation strategies in patients with paroxysmal and persistent atrial fibrillation/clinical perspective. Circ Arrhythm Electrophysiol. 2008;1:269-275
21. Sawhney N, Anousheh R, Chen W, Feld GK. Circumferential pulmonary vein ablation with additional linear ablation results in an increased incidence of left atrial flutter compared with segmental pulmonary vein isolation as an initial approach to ablation of paroxysmal atrial fibrillation. Circ Arrhythm Electrophysiol. 2010;3:243-248
22. Mun H-S, Joung B, Shim J, Hwang HJ, Kim JY, Lee M-H, Pak HN. Does additional linear ablation after circumferential pulmonary vein isolation improve clinical outcome in patients with paroxysmal atrial fibrillation? Prospective randomised study Heart. 2012;98:480-484.
23. Haissaguerre M, Sanders P, Hocini M, Hsu LF, Shah DC, Scavee C, Takahashi Y, Rotter M, Pasquie JL, Garrigue S, Clementy J, Jais P. Changes in atrial fibrillation cycle length and inducibility during catheter ablation and their relation to outcome. Circulation. 2004;109:3007-3013.
24. Chae S, Oral H, Good E, Dey S, Wimmer A, Crawford T, Wells D, Sarrazin JF, Chalfoun N, Kuhne M, Fortino J, Huether E, Lemerand T, Pelosi F, Bogun F, Morady F, Chugh A. Atrial tachycardia after circumferential pulmonary vein ablation of atrial fibrillation: mechanistic insights, results of catheter ablation, and risk factors for recurrence. J Am Coll Cardiol. 2007;50:1781-1787.
25. Mesas CE, Augello G, Edward Lang CC, Gugliotta F, Vicedomini G, Sora N, De Paola AAV, Pappone C. Electroanatomic remodeling of the left atrium in patients undergoing repeat pulmonary vein ablation: mechanistic insights and implications for ablation. J Cardiovasc Electrophysiol. 2006;17:1279-1285
26. Chugh A, Oral H, Lemola K, Hall B, Cheung P, Good E, Tamirisa K, Han J, Bogun F, Pelosi F, Morady F. Prevalence, mechanisms, and clinical significance of macroreentrant atrial tachycardia during and following left atrial ablation for atrial fibrillation. Heart Rhythm. 2005;2:464-471.
27. Haissaguerre M, Hocini M, Sanders P, Sacher F, Rotter M, Takahashi Y, Rostock T, Hsu LF, Bordachar P, Reuter S, Roudaut R, Clementy J, Jais P. Catheter ablation of long-lasting persistent atrial fibrillation: clinical outcome and mechanisms of subsequent arrhythmias. J Cardiovasc Electrophysiol. 2005;16:1138-1147.
28. Matsuo S, Wright M, Knecht S, Nault I, Lellouche N, Lim KT, Arantes L, O'Neill MD, Hocini M, Jais P, Haissaguerre M. Peri-mitral atrial flutter in patients with atrial fibrillation ablation. Heart Rhythm. 2010;7:2-8.
29. Ouyang F, Ernst S, Vogtmann T, Goya M, Volkmer M, Schaumann A, Bansch D, Antz M, Kuck KH. Characterization of reentrant circuits in left atrial macroreentrant tachycardia: critical isthmus block can prevent atrial tachycardia recurrence. Circulation. 2002;105:1934-1942.
30. Jais P, Hocini M, Sanders P, Hsu LF, Takahashi Y, Rotter M, Rostock T, Sacher F, Clementy J, Haissaguerre M. Long-term evaluation of atrial fibrillation ablation guided by noninducibility. Heart Rhythm. 2006;3:140-145.
31. Oral H, Chugh A, Good E, Sankaran S, Reich SS, Igic P, Elmouchi D, Tschopp D, Crawford T, Dey S, Wimmer A, Lemola K, Jongnarangsin K, Bogun F, Pelosi F Jr, Morady F. A tailored approach to catheter ablation of paroxysmal atrial fibrillation. Circulation. 2006;113:1824-1831.
32. Tamborero D, Mont L, Molina I, Matiello M, Berruezo A, Sitges M, Perea RJ, de Caralt TM, Vidal B, Zamorano N, Brugada J. Selective segmental ostial ablation and circumferential pulmonary veins ablation. Results of an individualized strategy to cure refractory atrial fibrillation. J Interv Card Electrophysiol. 2007;19:19-27.
33. Lemola K, Oral H, Chugh A, Hall B, Cheung P, Han J, Tamirisa K, Good E, Bogun F, Pelosi F Jr, Morady F. Pulmonary vein isolation as an end point for left atrial circumferential ablation of atrial fibrillation. J Am Coll Cardiol. 2005;46:1060-1066.
34. Karch MR, Zrenner B, Deisenhofer I, Schreieck J, Ndrepepa G, Dong J, Lamprecht K, Barthel P, Luciani E, Schomig A, Schmitt C. Freedom from atrial tachyarrhythmias after catheter ablation of atrial fibrillation: a randomized comparison between 2 current ablation strategies. Circulation. 2005;111:2875-2880.
35. Calo L, Lamberti F, Loricchio ML, De Ruvo E, Colivicchi F, Bianconi L, Pandozi C, Santini M. Left atrial ablation versus biatrial ablation for persistent and permanent atrial fibrillation: a prospective and randomized study. J Am Coll Cardiol. 2006;47:2504-2512.
36. Arentz T, Weber R, Burkle G, Herrera C, Blum T, Stockinger J, Minners J, Neumann FJ, Kalusche D. Small or large isolation areas around the pulmonary veins for the treatment of atrial fibrillation? Results from a prospective randomized study. Circulation. 2007;115:3057-3063.