Journal ArticleDOI
Ablation for longstanding permanent atrial fibrillation: Results from a randomized study comparing three different strategies
Claude S. Elayi,Atul Verma,Luigi Di Biase,Chi Keong Ching,Dimpi Patel,Conor D. Barrett,David O. Martin,Bai Rong,Tamer S. Fahmy,Yaariv Khaykin,Richard Hongo,Steven Hao,Gemma Pelargonio,Antonio Dello Russo,Michela Casella,Pietro Santarelli,Domenico Potenza,Raffaele Fanelli,Raimondo Massaro,Mauricio Arruda,Robert A. Schweikert,Andrea Natale +21 more
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TLDR
The hybrid AF ablation strategy including antrum isolation and CFAE ablation had the highest likelihood of maintaining sinus rhythm in patients with longstanding permanent AF.About:
This article is published in Heart Rhythm.The article was published on 2008-12-01. It has received 310 citations till now. The article focuses on the topics: Longstanding persistent atrial fibrillation & Sinus rhythm.read more
Citations
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Journal ArticleDOI
Approaches to Catheter Ablation for Persistent Atrial Fibrillation
Atul Verma,Chen-yang Jiang,Timothy R. Betts,Jian Chen,I. Deisenhofer,Roberto Mantovan,Laurent Macle,Carlos A. Morillo,Wilhelm Haverkamp,Rukshen Weerasooriya,Jean-Paul Albenque,Stefano Nardi,Endrj Menardi,Paul Novak,Prashanthan Sanders +14 more
TL;DR: Among patients with persistent atrial fibrillation, there was no reduction in the rate of recurrent atrialfibrillation when either linear ablation or ablation of complex fractionated electrograms was performed in addition to pulmonary-vein isolation.
Journal ArticleDOI
Left atrial appendage: An underrecognized trigger site of atrial fibrillation
Luigi Di Biase,Luigi Di Biase,J. David Burkhardt,Prasant Mohanty,Javier Sanchez,Sanghamitra Mohanty,Rodney Horton,G. Joseph Gallinghouse,Shane Bailey,Jason Zagrodzky,Pasquale Santangeli,Steven Hao,Richard Hongo,Richard Hongo,Salwa Beheiry,Sakis Themistoclakis,Aldo Bonso,Antonio Rossillo,Andrea Corrado,Antonio Raviele,Amin Al-Ahmad,Paul J. Wang,Jennifer E. Cummings,Robert A. Schweikert,Gemma Pelargonio,Antonio Dello Russo,Michela Casella,Pietro Santarelli,William R. Lewis,Andrea Natale +29 more
TL;DR: Isolation of the LAA could achieve freedom from atrial fibrillation in patients presenting for a repeat procedure when arrhythmias initiating from this structure are demonstrated.
Journal ArticleDOI
Approaches to catheter ablation of persistent atrial fibrillation
TL;DR: Further efforts are needed to develop better techniques and tools to safely, effectively, and permanently isolate the PV antra, to identify which sites are critical to the maintence of AF, and to create durable transmural linear lesions to interrupt intraatrial reentry.
Journal ArticleDOI
Outcomes of long-standing persistent atrial fibrillation ablation: a systematic review.
Anthony G. Brooks,Martin K. Stiles,Julien Laborderie,Dennis H. Lau,Pawel Kuklik,Nicholas J. Shipp,Li-Fern Hsu,Prashanthan Sanders +7 more
TL;DR: The variation in success within and between techniques suggests that the optimal ablation technique for long-standing persistent AF is unclear.
Journal ArticleDOI
Catheter ablation of long-standing persistent atrial fibrillation: 5-year outcomes of the Hamburg Sequential Ablation Strategy.
Roland Richard Tilz,Andreas Rillig,Anna-Maria Thum,Anita Arya,Peter Wohlmuth,Andreas Metzner,Shibu Mathew,Yasuhiro Yoshiga,Erik Wissner,Karl-Heinz Kuck,Feifan Ouyang +10 more
TL;DR: During 5-year follow-up, single- and multiple ablation procedure success was 20% and 45%, respectively, for patients with LS-AF, and For patients with a total AF duration of <2 years, the outcomes were favorable.
References
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Journal ArticleDOI
Spontaneous Initiation of Atrial Fibrillation by Ectopic Beats Originating in the Pulmonary Veins
Michel Haïssaguerre,Pierre Jaïs,D. C. Shah,Atsushi Takahashi,Mélèze Hocini,G Quiniou,S. Garrigue,A Le Mouroux,P Le Métayer,Jacques Clementy +9 more
TL;DR: The pulmonary veins are an important source of ectopic beats, initiating frequent paroxysms of atrial fibrillation and these foci respond to treatment with radio-frequency ablation.
Journal ArticleDOI
A new approach for catheter ablation of atrial fibrillation: mapping of the electrophysiologic substrate
Koonlawee Nademanee,John McKenzie,Erol M. Kosar,Mark Schwab,Buncha Sunsaneewitayakul,Thaveekiat Vasavakul,Chotikorn Khunnawat,Tachapong Ngarmukos +7 more
TL;DR: Testing the hypothesis that complex fractionated electrograms recorded during atrial fibrillation could be used as target sites for catheter ablation of AF found areas with CFAEs represent a defined electrophysiologic substrate and are ideal target Sites for ablations to eliminate AF and maintain normal sinus rhythm.
Journal ArticleDOI
Circumferential Radiofrequency Ablation of Pulmonary Vein Ostia A New Anatomic Approach for Curing Atrial Fibrillation
Carlo Pappone,Salvatore Rosanio,Giuseppe Oreto,Monica Tocchi,Filippo Gugliotta,Gabriele Vicedomini,Adriano Salvati,Cosimo Dicandia,Patrizio Mazzone,Vincenzo Santinelli,Simone Gulletta,Sergio Chierchia +11 more
TL;DR: In this paper, the authors developed an anatomic approach aimed at isolating each pulmonary vein from the left atrium (LA) by circumferential radiofrequency (RF) lesions around their ostia.
Journal ArticleDOI
Pulmonary Vein Isolation for Paroxysmal and Persistent Atrial Fibrillation
Hakan Oral,Bradley P. Knight,Hiroshi Tada,Mehmet Ozaydin,Aman Chugh,Sohail Hassan,Christoph Scharf,Steve W.K. Lai,Radmira Greenstein,Frank Pelosi,S. Adam Strickberger,Fred Morady +11 more
TL;DR: The clinical efficacy of pulmonary vein isolation is much lower when AF is persistent than when it is paroxysmal, and with a segmental isolation approach that targets at least 3 PVs, a clinically satisfactory result can be achieved in >80% of patients with paroxYSmal AF.
Journal ArticleDOI
Circumferential pulmonary-vein ablation for chronic atrial fibrillation.
Hakan Oral,Carlo Pappone,Aman Chugh,Eric Good,Frank Bogun,Frank Pelosi,Eric R. Bates,Michael H. Lehmann,Gabriele Vicedomini,Giuseppe Augello,Eustachio Agricola,Simone Sala,Vincenzo Santinelli,Fred Morady +13 more
TL;DR: Sinus rhythm can be maintained long term in the majority of patients with chronic atrial fibrillation by means of circumferential pulmonary-vein ablation independently of the effects of antiarrhythmic-drug therapy, cardioversion, or both.
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