Heart Rhythm
Volume 6, Issue 2 , Pages 156-160 , February 2009

Effect of pulmonary vein isolation on the distribution of complex fractionated electrograms in humans

Received 28 September 2008 ,Accepted 31 October 2008.

References 

  1. Oral H, Knight BP, Tada H, et al. Pulmonary vein isolation for paroxysmal and persistent atrial fibrillation. Circulation. 2002;105:1077–1081
  2. Lang CC, Santinelli V, Augello G, et al. Transcatheter radiofrequency ablation of atrial fibrillation in patients with mitral valve prostheses and enlarged atria: safety, feasibility, and efficacy. J Am Coll Cardiol. 2005;45:868–872
  3. Nademanee K, McKenzie J, Kosar E, et al. A new approach for catheter ablation of atrial fibrillation: mapping of the electrophysiologic substrate. J Am Coll Cardiol. 2004;43:2044–2053
  4. Nademanee K, Schwab M, Porath J, et al. How to perform electrogram-guided atrial fibrillation ablation. Heart Rhythm. 2006;3:981–984
  5. Haissaguerre M, Hocini M, Sanders P, et al. Catheter ablation of long-lasting persistent atrial fibrillation: clinical outcome and mechanisms of subsequent arrhythmias. J Cardiovasc Electrophysiol. 2005;16:1138–1147
  6. Roux JF, Gojraty S, Bala R, et al. Complex fractionated electrogram distribution and temporal stability in patients undergoing atrial fibrillation ablation. J Cardiovasc Electrophysiol. 2008;19:815–820
  7. Verma A, Novak P, Macle L, et al. A prospective, multicenter evaluation of ablating complex fractionated electrograms (CFEs) during atrial fibrillation (AF) identified by an automated mapping algorithm: acute effects on AF and efficacy as an adjuvant strategy. Heart Rhythm. 2008;5:198–205
  8. Scherr D, Dalal D, Cheema A, et al. Automated detection and characterization of complex fractionated atrial electrograms in human left atrium during atrial fibrillation. Heart Rhythm. 2007;4:1013–1020
  9. Sanders P, Hocini M, Jais P, et al. Complete isolation of the pulmonary veins and posterior left atrium in chronic atrial fibrillation (Long-term clinical outcome). Eur Heart J. 2007;28:1862–1871
  10. Porter M, Spear W, Akar JG, et al. Prospective study of atrial fibrillation termination during ablation guided by automated detection of fractionated electrograms. J Cardiovasc Electrophysiol. 2008;19:613–620
  11. Haissaguerre M, Sanders P, Hocini M, et al. Catheter ablation of long-lasting persistent atrial fibrillation: critical structures for termination. J Cardiovasc Electrophysiol. 2005;16:1125–1137
  12. Oral H, Chugh A, Good E, et al. A tailored approach to catheter ablation of paroxysmal atrial fibrillation. Circulation. 2006;113:1824–1831
  13. Wu J, Estner H, Luik A, et al. Automatic 3D mapping of complex fractionated atrial electrograms (CFAE) in patients with paroxysmal and persistent atrial fibrillation. J Cardiovasc Electrophysiol. 2008;19:897–903
  14. Zhou J, Scherlag BJ, Niu G, et al. Anatomy and physiology of the right interganglionic nerve: implications for the pathophysiology of inappropriate sinus tachycardia. J Cardiovasc Electrophysiol. 2008;19:971–976
  15. Hou Y, Scherlag BJ, Lin J, et al. Interactive atrial neural network: determining the connections between ganglionated plexi. Heart Rhythm. 2007;4:56–63
  16. Scherlag BJ, Yamanashi W, Patel U, et al. Autonomically induced conversion of pulmonary vein focal firing into atrial fibrillation. J Am Coll Cardiol. 2005;45:1878–1886
  17. Ho SY, Anderson RH, Sanchez-Quintana D. Atrial structure and fibres: morphologic bases of atrial conduction. Cardiovasc Res. 2002;54:325–336
  18. Haissaguerre M, Sanders P, Hocini M, et al. Changes in atrial fibrillation cycle length and inducibility during catheter ablation and their relation to outcome. Circulation. 2004;109:3007–3013
  19. Oral H, Chugh A, Good E, et al. Radiofrequency catheter ablation of chronic atrial fibrillation guided by complex electrograms. Circulation. 2007;115:2606–2612

 Dr. Gerstenfeld has received research grants from St. Jude Medical. These funds were not used to conduct the present study.

 Dr. Roux is the recipient of the Max Schaldach Fellowship in Cardiac Pacing and Electrophysiology from the Heart Rhythm Society.

PII: S1547-5271(08)01085-0

doi: 10.1016/j.hrthm.2008.10.046

Heart Rhythm
Volume 6, Issue 2 , Pages 156-160 , February 2009

Article Tools

* Image Usage & Resolution