Heart Rhythm
Volume 7, Issue 1 , Pages 81-87 , January 2010

Intrapericardial balloon placement for prevention of collateral injury during catheter ablation of the left atrium in a porcine model

Received 11 August 2009 ,Accepted 14 September 2009.

References 

  1. Haissaguerre M, Jais P, Shah DC, et al. Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins. N Engl J Med. 1998;339:659–666
  2. Jais P, Hocini M, Hsu LF, et al. Technique and results of linear ablation at the mitral isthmus. Circulation. 2004;110:2996–3002
  3. Hocini M, Jais P, Sanders P, et al. 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
  4. Cappato R, Calkins H, Chen SA, et al. Prevalence and causes of fatal outcome in catheter ablation of atrial fibrillation. J Am Coll Cardiol. 2009;53:1798–1803
  5. Cummings JE, Schweikert RA, Saliba WI, et al. Brief communication: atrial-esophageal fistulas after radiofrequency ablation. Ann Intern Med. 2006;144:572–574
  6. Bai R, Patel D, Di Biase L, et al. Phrenic nerve injury after catheter ablation: should we worry about this complication?. J Cardiovasc Electrophysiol. 2006;17:944–948
  7. Sacher F, Monahan KH, Thomas SP, et al. Phrenic nerve injury after atrial fibrillation catheter ablation: characterization and outcome in a multicenter study. J Am Coll Cardiol. 2006;47:2498–2503
  8. Buch E, Nakahara S, Shivkumar K. Intra-pericardial balloon retraction of the left atrium: a novel method to prevent esophageal injury during catheter ablation. Heart Rhythm. 2008;5:1473–1475
  9. Buch E, Vaseghi M, Cesario DA, et al. A novel method for preventing phrenic nerve injury during catheter ablation. Heart Rhythm. 2007;4:95–98
  10. Fan R, Cano O, Ho SY, et al. Characterization of the phrenic nerve course within the epicardial substrate of patients with nonischemic cardiomyopathy and ventricular tachycardia. Heart Rhythm. 2009;6:59–64
  11. Matsuo S, Jais P, Knecht S, et al. Images in cardiovascular medicine (Novel technique to prevent left phrenic nerve injury during epicardial catheter ablation). Circulation. 2008;117:e471
  12. Redfearn DP, Trim GM, Skanes AC, et al. Esophageal temperature monitoring during radiofrequency ablation of atrial fibrillation. J Cardiovasc Electrophysiol. 2005;16:589–593
  13. Perzanowski C, Teplitsky L, Hranitzky PM, et al. Real-time monitoring of luminal esophageal temperature during left atrial radiofrequency catheter ablation for atrial fibrillation: observations about esophageal heating during ablation at the pulmonary vein ostia and posterior left atrium. J Cardiovasc Electrophysiol. 2006;17:166–170
  14. Cummings JE, Schweikert RA, Saliba WI, et al. Assessment of temperature, proximity, and course of the esophagus during radiofrequency ablation within the left atrium. Circulation. 2005;112:459–464
  15. Noheria A, Kumar A, Wylie JV, et al. Catheter ablation vs antiarrhythmic drug therapy for atrial fibrillation: a systematic review. Arch Intern Med. 2008;168:581–586
  16. Singh TM, d'Avila A, Doshi SK, et al. Esophageal injury and temperature monitoring during atrial fibrillation ablation. Circ Arrhythm Electrophysiol. 2008;1:162–168
  17. Yamane T, Matsuo S, Date T, et al. Visualization of the esophagus throughout left atrial catheter ablation for atrial fibrillation. J Cardiovasc Electrophysiol. 2006;17:105
  18. Berjano EJ, Hornero F. A cooled intraesophageal balloon to prevent thermal injury during endocardial surgical radiofrequency ablation of the left atrium: a finite element study. Phys Med Biol. 2005;50:N269–N279
  19. Herweg B, Johnson N, Postler G, et al. Mechanical esophageal deflection during ablation of atrial fibrillation. Pacing Clin Electrophysiol. 2006;29:957–961
  20. Chugh A, Rubenstein J, Good E, et al. Mechanical displacement of the esophagus in patients undergoing left atrial ablation of atrial fibrillation. Heart Rhythm. 2009;6:319–322
  21. Dixit S, Marchlinski FE. How to recognize, manage, and prevent complications during atrial fibrillation ablation. Heart Rhythm. 2007;4:108–115
  22. Sanchez-Quintana D, Cabrera JA, Climent V, et al. Anatomic relations between the esophagus and left atrium and relevance for ablation of atrial fibrillation. Circulation. 2005;112:1400–1405
  23. Nakagawa H, Ikeda A, Shah DC, et al. Role of contact force in esophageal injury during left atrial radiofrequency ablation. Heart Rhythm. 2008;15:S68
  24. Rumbak MJ, Chokshi SK, Abel N, et al. Left phrenic nerve paresis complicating catheter radiofrequency ablation for Wolff-Parkinson-White syndrome. Am Heart J. 1996;132:1281–1285
  25. Durante-Mangoni E, Del Vecchio D, Ruggiero G. Right diaphragm paralysis following cardiac radiofrequency catheter ablation for inappropriate sinus tachycardia. Pacing Clin Electrophysiol. 2003;26:783–784
  26. Lee BK, Choi KJ, Kim J, et al. Right phrenic nerve injury following electrical disconnection of the right superior pulmonary vein. Pacing Clin Electrophysiol. 2004;27:1444–1446
  27. Sanchez-Quintana D, Cabrera JA, Climent V, et al. How close are the phrenic nerves to cardiac structures? (Implications for cardiac interventionalists). J Cardiovasc Electrophysiol. 2005;16:309–313
  28. Cappato R, Calkins H, Chen SA, et al. Worldwide survey on the methods, efficacy, and safety of catheter ablation for human atrial fibrillation. Circulation. 2005;111:1100–1105

 The University of California, Los Angeles, has intellectual property relating to this area of work. This study was supported by National Institutes of Health grant nos. IH RO1-HL084261 and HL067647 (to KS).

PII: S1547-5271(09)01034-0

doi: 10.1016/j.hrthm.2009.09.022

Heart Rhythm
Volume 7, Issue 1 , Pages 81-87 , January 2010

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