Impact of complete versus incomplete circumferential lines around the pulmonary veins during catheter ablation of paroxysmal atrial fibrillation: Results from the gap-atrial fibrillation-German atrial fibrillation competence network 1 trial

Circulation: Arrhythmia and Electrophysiology

Volumn 9, Issue 1, 2016, Pages

  Kuck, Karl Heinz ^a   Hoffmann, Boris A ^b   Ernst, Sabine ^a   Wegscheider, Karl ^c   Treszl, Andras ^c   Metzner, Andreas ^a   Eckardt, Lars ^d   Lewalter, Thorsten ^e   Breithardt, Günter ^d   Willems, Stephan ^b  

^a DEPARTMENT OF CARDIOLOGY   (Germany)

^b UNIVERSITY HEART CENTER HAMBURG   (Germany)

^c UNIVERSITY MEDICAL CENTER HAMBURG EPPENDORF   (Germany)

^d UNIVERSITY HOSPITAL MÜNSTER   (Germany)

^e UNIVERSITY HOSPITAL BONN   (Germany)

Author keywords

Arrhythmias; Atrial fibrillation; cardiac; Catheter ablation; Pulmonary veins; Randomized controlled trial

Indexed keywords

ANTIARRHYTHMIC AGENT; ANTICOAGULANT AGENT; BETA ADRENERGIC RECEPTOR BLOCKING AGENT;

ADULT; AGED; ARTICLE; BLEEDING; CATHETER ABLATION; CEREBROVASCULAR ACCIDENT; CONTROLLED STUDY; ELECTROCARDIOGRAM; ESOPHAGUS FISTULA; FAINTNESS; FEMALE; FOLLOW UP; HEART TAMPONADE; HOSPITALIZATION; HUMAN; INTENTION TO TREAT ANALYSIS; MAJOR CLINICAL STUDY; MALE; MULTICENTER STUDY; NEUROLOGIC DISEASE; PAROXYSMAL ATRIAL FIBRILLATION; PRIORITY JOURNAL; PROSPECTIVE STUDY; PULMONARY VEIN ISOLATION; PULMONARY VEIN OBSTRUCTION; RADIOFREQUENCY ABLATION; RANDOMIZED CONTROLLED TRIAL; RECURRENT DISEASE; RESUSCITATION; SINUS RHYTHM; TRANSIENT ISCHEMIC ATTACK; ATRIAL FIBRILLATION; CLINICAL TRIAL; ELECTROCARDIOGRAPHY; HEART MUSCLE CONDUCTION SYSTEM; HEART RATE; MIDDLE AGED; PATHOPHYSIOLOGY; PHYSIOLOGY; PROCEDURES; PULMONARY VEIN; TACHYCARDIA, PAROXYSMAL; TIME FACTOR; TREATMENT OUTCOME;

ATRIAL FIBRILLATION; CATHETER ABLATION; ELECTROCARDIOGRAPHY; FEMALE; FOLLOW-UP STUDIES; HEART CONDUCTION SYSTEM; HEART RATE; HUMANS; MALE; MIDDLE AGED; PROSPECTIVE STUDIES; PULMONARY VEINS; TACHYCARDIA, PAROXYSMAL; TIME FACTORS; TREATMENT OUTCOME;

EID: 84956505644     PISSN: 19413149     EISSN: 19413084     Source Type: Journal    
DOI: 10.1161/CIRCEP.115.003337     Document Type: Article

References (32)

1. Haïssaguerre M, Jaïs P, Shah DC, Takahashi A, Hocini M, Quiniou G, Garrigue S, Le Mouroux A, Le Métayer P, Clémenty J., Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins. N Engl J Med 1998 339 659 666. doi: 10.1056/NEJM199809033391003
2. Haïssaguerre M, Shah DC, Jaïs P, Hocini M, Yamane T, Deisenhofer I, Chauvin M, Garrigue S, Clémenty J., Electrophysiological breakthroughs from the left atrium to the pulmonary veins. Circulation 2000 102 2463 2465
3. Oral H, Scharf C, Chugh A, Hall B, Cheung P, Good E, Veerareddy S, Pelosi F Jr, Morady F., Catheter ablation for paroxysmal atrial fibrillation: segmental pulmonary vein ostial ablation versus left atrial ablation. Circulation 2003 108 2355 2360. doi: 10.1161/01.CIR.0000095796.45180.88
4. Pappone C, Rosanio S, Oreto G, Tocchi M, Gugliotta F, Vicedomini G, Salvati A, Dicandia C, Mazzone P, Santinelli V, Gulletta S, Chierchia S., Circumferential radiofrequency ablation of pulmonary vein ostia: A new anatomic approach for curing atrial fibrillation. Circulation 2000 102 2619 2628
5. Ouyang F, Bänsch D, Ernst S, Schaumann A, Hachiya H, Chen M, Chun J, Falk P, Khanedani A, Antz M, Kuck KH., Complete isolation of left atrium surrounding the pulmonary veins: new insights from the double-Lasso technique in paroxysmal atrial fibrillation. Circulation 2004 110 2090 2096. doi: 10.1161/01.CIR.0000144459.37455.EE
6. 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. doi: 10.1016/j.jacc.2005.05.069
7. Camm AJ, Lip GY, De Caterina R, Savelieva I, Atar D, Hohnloser SH, Hindricks G, Kirchhof P, ESC Committee for Practice Guidelines-CPG; Document Reviewers 2012 focused update of the ESC Guidelines for the management of atrial fibrillation: an update of the 2010 ESC Guidelines for the management of atrial fibrillation-developed with the special contribution of the European Heart Rhythm Association. Europace 2012 14 1385 1413. doi: 10.1093/europace/eus305
8. Calkins H, Brugada J, Packer DL, Cappato R, Chen SA, Crijns HJ, Damiano RJ Jr, Davies DW, Haines DE, Haissaguerre M, Iesaka Y, Jackman W, Jais P, Kottkamp H, Kuck KH, Lindsay BD, Marchlinski FE, McCarthy PM, Mont JL, Morady F, Nademanee K, Natale A, Pappone C, Prystowsky E, Raviele A, Ruskin JN, Shemin RJ, Heart Rhythm Society; European Heart Rhythm Association; European Cardiac Arrhythmia Society; American College of Cardiology; American Heart Association; Society of Thoracic Surgeons HRS/EHRA/ECAS expert consensus statement on catheter and surgical ablation of atrial fibrillation: recommendations for personnel, policy, procedures and follow-up. 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) and the European Cardiac Arrhythmia Society (ECAS); in collaboration with the American College of Cardiology (ACC), American Heart Association (AHA), and the Society of Thoracic Surgeons (STS). Endorsed and approved by the governing bodies of the American College of Cardiology, the American Heart Association, the European Cardiac Arrhythmia Society, the European Heart Rhythm Association, the Society of Thoracic Surgeons, and the Heart Rhythm Society. Europace 2007 9 335 379. doi: 10.1093/europace/eum120
9. 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. Europace 2012 14 528 606. doi: 10.1093/europace/eus027
10. Huang H, Wang X, Chun J, Ernst S, Satomi K, Ujeyl A, Chu H, Shi H, Bänsch D, Antz M, Kuck KH, Ouyang F., A single pulmonary vein as electrophysiological substrate of paroxysmal atrial fibrillation. J Cardiovasc Electrophysiol 2006 17 1193 1201. doi: 10.1111/j.1540-8167.2006.00599.x
11. Ouyang F, Antz M, Ernst S, Hachiya H, Mavrakis H, Deger FT, Schaumann A, Chun J, Falk P, Hennig D, Liu X, Bänsch D, Kuck KH., Recovered pulmonary vein conduction as a dominant factor for recurrent atrial tachyarrhythmias after complete circular isolation of the pulmonary veins: lessons from double Lasso technique. Circulation 2005 111 127 135. doi: 10.1161/01.CIR.0000151289.73085.36
12. Oral H, Knight BP, Ozaydin M, Tada H, Chugh A, Hassan S, Scharf C, Lai SW, Greenstein R, Pelosi F Jr, Strickberger SA, Morady F., Clinical significance of early recurrences of atrial fibrillation after pulmonary vein isolation. J Am Coll Cardiol 2002 40 100 104
13. Cappato R, Negroni S, Pecora D, Bentivegna S, Lupo PP, Carolei A, Esposito C, Furlanello F, De Ambroggi L., Prospective assessment of late conduction recurrence across radiofrequency lesions producing electrical disconnection at the pulmonary vein ostium in patients with atrial fibrillation. Circulation 2003 108 1599 1604. doi: 10.1161/01.CIR.0000091081.19465.F1
14. Gerstenfeld EP, Callans DJ, Dixit S, Russo AM, Nayak H, Lin D, Pulliam W, Siddique S, Marchlinski FE., Mechanisms of organized left atrial tachycardias occurring after pulmonary vein isolation. Circulation 2004 110 1351 1357. doi: 10.1161/01.CIR.0000141369.50476.D3
15. Lemola K, Hall B, Cheung P, Good E, Han J, Tamirisa K, Chugh A, Bogun F, Pelosi F Jr, Morady F, Oral H., Mechanisms of recurrent atrial fibrillation after pulmonary vein isolation by segmental ostial ablation. Heart Rhythm 2004 1 197 202. doi: 10.1016/j.hrthm.2004.03.071
16. Callans DJ, Gerstenfeld EP, Dixit S, Zado E, Vanderhoff M, Ren JF, Marchlinski FE., Efficacy of repeat pulmonary vein isolation procedures in patients with recurrent atrial fibrillation. J Cardiovasc Electrophysiol 2004 15 1050 1055. doi: 10.1046/j.1540-8167.2004.04052.x
17. Mesas CE, Augello G, Lang CC, Gugliotta F, Vicedomini G, Sora N, De Paola AA, 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. doi: 10.1111/j.1540-8167.2006.00654.x
18. Sauer WH, McKernan ML, Lin D, Gerstenfeld EP, Callans DJ, Marchlinski FE., Clinical predictors and outcomes associated with acute return of pulmonary vein conduction during pulmonary vein isolation for treatment of atrial fibrillation. Heart Rhythm 2006 3 1024 1028. doi: 10.1016/j.hrthm.2006.05.007
19. Stabile G, Turco P, La Rocca V, Nocerino P, Stabile E, De Simone A., Is pulmonary vein isolation necessary for curing atrial fibrillation? Circulation 2003 108 657 660. doi: 10.1161/01.CIR.0000086980.42626.34
20. Kottkamp H, Tanner H, Kobza R, Schirdewahn P, Dorszewski A, Gerds-Li JH, Carbucicchio C, Piorkowski C, Hindricks G., Time courses and quantitative analysis of atrial fibrillation episode number and duration after circular plus linear left atrial lesions: trigger elimination or substrate modification: early or delayed cure? J Am Coll Cardiol 2004 44 869 877. doi: 10.1016/j.jacc.2004.04.049
21. Hocini M, Sanders P, Jaïs P, Hsu LF, Weerasoriya R, Scavée C, Takahashi Y, Rotter M, Raybaud F, Macle L, Clémenty J, Haïssaguerre M., Prevalence of pulmonary vein disconnection after anatomical ablation for atrial fibrillation: consequences of wide atrial encircling of the pulmonary veins. Eur Heart J 2005 26 696 704. doi: 10.1093/eurheartj/ehi096
22. Fetsch T, Bauer P, Engberding R, Koch HP, Lukl J, Meinertz T, Oeff M, Seipel L, Trappe HJ, Treese N, Breithardt G, Prevention of Atrial Fibrillation after Cardioversion Investigators Prevention of atrial fibrillation after cardioversion: results of the PAFAC trial. Eur Heart J 2004 25 1385 1394. doi: 10.1016/j.ehj.2004.04.015
23. Freedman LS., Tables of the number of patients required in clinical trials using the logrank test. Stat Med 1982 1 121 129
24. Willems S, Steven D, Servatius H, Hoffmann BA, Drewitz I, Müllerleile K, Aydin MA, Wegscheider K, Salukhe TV, Meinertz T, Rostock T., Persistence of pulmonary vein isolation after robotic remote-navigated ablation for atrial fibrillation and its relation to clinical outcome. J Cardiovasc Electrophysiol 2010 21 1079 1084. doi: 10.1111/j.1540-8167.2010.01773.x
25. Arora R, Verheule S, Scott L, Navarrete A, Katari V, Wilson E, Vaz D, Olgin JE., Arrhythmogenic substrate of the pulmonary veins assessed by high-resolution optical mapping. Circulation 2003 107 1816 1821. doi: 10.1161/01.CIR.0000058461.86339.7E
26. Reddy VY, Shah D, Kautzner J, Schmidt B, Saoudi N, Herrera C, Jaïs P, Hindricks G, Peichl P, Yulzari A, Lambert H, Neuzil P, Natale A, Kuck KH., The relationship between contact force and clinical outcome during radiofrequency catheter ablation of atrial fibrillation in the TOCCATA study. Heart Rhythm 2012 9 1789 1795. doi: 10.1016/j.hrthm.2012.07.016
27. Jarman JW, Panikker S, DAS M, Wynn GJ, Ullah W, Kontogeorgis A, Haldar SK, Patel PJ, Hussain W, Markides V, Gupta D, Schilling RJ, Wong T., Relationship between contact force sensing technology and medium-term outcome of atrial fibrillation ablation: a multicenter study of 600 patients. J Cardiovasc Electrophysiol 2015 26 378 384. doi: 10.1111/jce.12606
28. Neuzil P, Reddy VY, Kautzner J, Petru J, Wichterle D, Shah D, Lambert H, Yulzari A, Wissner E, Kuck KH., Electrical reconnection after pulmonary vein isolation is contingent on contact force during initial treatment: results from the EFFICAS I study. Circ Arrhythm Electrophysiol 2013 6 327 333. doi: 10.1161/CIRCEP.113.000374
29. Macle L, Khairy P, Weerasooriya R, Novak P, Verma A, Willems S, Arentz T, Deisenhofer I, Veenhuyzen G, Scavée C, Jaïs P, Puererfellner H, Levesque S, Andrade JG, Rivard L, Guerra PG, Dubuc M, Thibault B, Talajic M, Roy D, Nattel S, ADVICE Trial Investigators Adenosine-guided pulmonary vein isolation for the treatment of paroxysmal atrial fibrillation: an international, multicentre, randomised superiority trial. Lancet 2015 386 672 679. doi: 10.1016/S0140-6736(15)60026-5
30. Dukkipati SR, Neuzil P, Skoda J, Petru J, d'Avila A, Doshi SK, Reddy VY., Visual balloon-guided point-by-point ablation: reliable, reproducible, and persistent pulmonary vein isolation. Circ Arrhythm Electrophysiol 2010 3 266 273
31. Metzner A, Reissmann B, Rausch P, Mathew S, Wohlmuth P, Tilz R, Rillig A, Lemes C, Deiss S, Heeger C, Kamioka M, Lin T, Ouyang F, Kuck KH, Wissner E., One-year clinical outcome after pulmonary vein isolation using the second-generation 28-mm cryoballoon. Circ Arrhythm Electrophysiol 2014 7 288 292
32. 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