Anatomic Approach for Ganglionic Plexi Ablation in Patients With Paroxysmal Atrial Fibrillation

作者: Demosthenes Katritsis , Eleftherios Giazitzoglou , Demetrios Sougiannis , Nicolaos Goumas , George Paxinos

DOI: 10.1016/J.AMJCARD.2008.03.062

关键词: In patientInternal medicineHeart diseaseProspective cohort studyAtrial fibrillationRadiofrequency ablationMedicineSurgeryAblationCirculatory systemParoxysmal atrial fibrillationCardiology

摘要: There is evidence that parasympathetic denervation may prevent atrial fibrillation (AF) recurrences. This study aimed at applying an anatomic approach for ablation of ganglionic plexi (GPs) in patients with paroxysmal AF. Nineteen symptomatic, AF underwent anatomically guided radiofrequency the location 4 main left GPs and were prospectively assessed recurrence or other arrhythmia. group was compared 19 age- gender-matched who previously conventional circumferential pulmonary vein ablation. All procedures uneventful. Circumferential GP ablations accomplished a delivery time 28 ± 5 versus 18 3 min (p

参考文章(28)
L. Liu, S. Nattel, Differing sympathetic and vagal effects on atrial fibrillation in dogs: role of refractoriness heterogeneity. American Journal of Physiology-heart and Circulatory Physiology. ,vol. 273, ,(1997) , 10.1152/AJPHEART.1997.273.2.H805
HIROSHI NAKAGAWA, WARREN M. JACKMAN, BENJAMIN J. SCHERLAG, RALPH LAZZARA, Pulmonary vein isolation during atrial fibrillation: insight into the mechanism of pulmonary vein firing. Journal of Cardiovascular Electrophysiology. ,vol. 14, pp. 261- 262 ,(2003) , 10.1046/J.1540-8167.2003.03002.X
Benjamin J. Scherlag, Hiroshi Nakagawa, Warren M. Jackman, William S. Yamanashi, Eugene Patterson, Sunny Po, Ralph Lazzara, Electrical stimulation to identify neural elements on the heart : Their role in atrial fibrillation Journal of Interventional Cardiac Electrophysiology. ,vol. 13, pp. 37- 42 ,(2005) , 10.1007/S10840-005-2492-2
John R. Mehall, Robert M. Kohut, E. William Schneeberger, Tsuyoshi Taketani, Walter H. Merrill, Randall K. Wolf, Intraoperative Epicardial Electrophysiologic Mapping and Isolation of Autonomic Ganglionic Plexi The Annals of Thoracic Surgery. ,vol. 83, pp. 538- 541 ,(2007) , 10.1016/J.ATHORACSUR.2006.09.022
Chuen-Wang Chiou, John N. Eble, Douglas P. Zipes, Efferent Vagal Innervation of the Canine Atria and Sinus and Atrioventricular Nodes: The Third Fat Pad Circulation. ,vol. 95, pp. 2573- 2584 ,(1997) , 10.1161/01.CIR.95.11.2573
J. Andrew Armour, David A. Murphy, Bing-Xiang Yuan, Sara MacDonald, David A. Hopkins, Gross and microscopic anatomy of the human intrinsic cardiac nervous system The Anatomical Record. ,vol. 247, pp. 289- 298 ,(1997) , 10.1002/(SICI)1097-0185(199702)247:2<289::AID-AR15>3.0.CO;2-L
MÉLÈZE HOCINI, MICHEL HAÏSSAGUERRE, DIPEN SHAH, PIERRE JAÏS, JING TIAN PENG, TEIICHI YAMANE, ISABEL DEISENHOFER, STÉPHANE GARRIGUE, KRISTINE FUIMAONO, ROB PIKE, JACQUES CLÉMENTY, Multiple sources initiating atrial fibrillation from a single pulmonary vein identified by a circumferential catheter Pacing and Clinical Electrophysiology. ,vol. 23, pp. 1828- 1831 ,(2000) , 10.1111/J.1540-8159.2000.TB07030.X
Demosthenes Katritsis, Mark A. Wood, Richard K. Shepard, Eleftherios Giazitzoglou, Georgia Kourlaba, Kenneth A. Ellenbogen, Atrial arrhythmias following ostial or circumferential pulmonary vein ablation. Journal of Interventional Cardiac Electrophysiology. ,vol. 16, pp. 123- 130 ,(2006) , 10.1007/S10840-006-9036-2
Seil Oh, Youhua Zhang, Steve Bibevski, Nassir F. Marrouche, Andrea Natale, Todor N. Mazgalev, Vagal denervation and atrial fibrillation inducibility: Epicardial fat pad ablation does not have long-term effects Heart Rhythm. ,vol. 3, pp. 701- 708 ,(2006) , 10.1016/J.HRTHM.2006.02.020