Segmental pulmonary vein antrum isolation using the "large-size" lasso catheter in patients with atrial fibrillation.
作者： Teiichi Yamane , Taro Date , Yasuko Kanzaki , Keiichi Inada , Seiichiro Matsuo
DOI: 10.1253/CIRCJ.71.753
关键词:
摘要: Background The limited efficacy and complications of segmental ostial pulmonary vein isolation (PVI) for treating atrial fibrillation (AF) have been discussed so, in the present study feasibility efficiency performing (PV) antrum to treat AF were assessed. Methods Results A total 187 patients with drug-refractory (paroxysmal 120, persistent 67) underwent PVI guided by circumferential 20-electrode catheters (Lasso). Radiofrequency (RF) current was delivered either at ostium using a regular Lasso (15-20 mm diameter, 70 patients: Group 1) or larger (25-30 117 2). significantly wider region had be ablated, longer RF application time, isolate all 4 PVs 2 than 1 patients. Although rate recurrence after initial session equal both groups, greater number free from mean 1.4 procedures (93% vs 76% paroxysmal AF, 78% 48% AF). Conclusions Segmental antral large-sized found more effective safer treatment AF. (Circ J 2007; 71: 753 - 760)
sci-hub.se 参考文章(30)
Teiichi Yamane, Dipen C. Shah, Pierre Jaïs, Mélèze Hocini, Jing Tian Peng, Isabel Deisenhofer, Jacques Clémenty, Michel Haïssaguerre, Dilatation as a Marker of Pulmonary Veins Initiating Atrial Fibrillation Journal of Interventional Cardiac Electrophysiology. ,vol. 6, pp. 245- 249 ,(2002) , 10.1023/A:1019561820830
State of the Journal 2003 Journal of Cardiovascular Electrophysiology. ,vol. 15, pp. 1- 1 ,(2004) , 10.1111/J.1540-8167.2004.07001.X
ATUL VERMA, NASSIR F. MARROUCHE, ANDREA NATALE, Pulmonary vein antrum isolation: intracardiac echocardiography-guided technique. Journal of Cardiovascular Electrophysiology. ,vol. 15, pp. 1335- 1340 ,(2004) , 10.1046/J.1540-8167.2004.04428.X
Kumaraswamy Nanthakumar, Vance J. Plumb, Andrew E. Epstein, George D. Veenhuyzen, Dale Link, G. Neal Kay, Resumption of Electrical Conduction in Previously Isolated Pulmonary Veins Rationale for a Different Strategy Circulation. ,vol. 109, pp. 1226- 1229 ,(2004) , 10.1161/01.CIR.0000121423.78120.49
Jian-Fang Ren, David Lin, Francis E. Marchlinski, David J. Callans, Vickas Patel, Esophageal imaging and strategies for avoiding injury during left atrial ablation for atrial fibrillation. Heart Rhythm. ,vol. 3, pp. 1156- 1161 ,(2006) , 10.1016/J.HRTHM.2006.06.006
Koichiro Kumagai, Hiroo Noguchi, Masahiro Ogawa, Hideko Nakashima, Bo Zhang, Shin-ichiro Miura, Keijiro Saku, New approach to pulmonary vein isolation for atrial fibrillation using a multielectrode basket catheter. Circulation. ,vol. 70, pp. 88- 93 ,(2006) , 10.1253/CIRCJ.70.88
T D Christopher, G Konstantinow, R H Jones, Bayesian analysis of data from radionuclide angiocardiograms for diagnosis of coronary artery disease. Circulation. ,vol. 69, pp. 65- 72 ,(1984) , 10.1161/01.CIR.69.1.65
SIMON P. FYNN, JONATHAN M. KALMAN, Pulmonary veins: anatomy, electrophysiology, tachycardia, and fibrillation. Pacing and Clinical Electrophysiology. ,vol. 27, pp. 1547- 1559 ,(2004) , 10.1111/J.1540-8159.2004.00675.X
TSUKASA SAITO, KENJI WAKI, ANTON E. BECKER, Left atrial myocardial extension onto pulmonary veins in humans: anatomic observations relevant for atrial arrhythmias. Journal of Cardiovascular Electrophysiology. ,vol. 11, pp. 888- 894 ,(2000) , 10.1111/J.1540-8167.2000.TB00068.X
Hiroo Noguchi, Koichiro Kumagai, Tomoo Yasuda, Masahiro Ogawa, Hideaki Tojo, Keijiro Saku, Conduction Recovery After Pulmonary Vein Isolation for Atrial Fibrillation Circulation Journal. ,vol. 69, pp. 65- 68 ,(2005) , 10.1253/CIRCJ.69.65