Heart Rhythm
Volume 7, Issue 2 , Pages 173-180 , February 2010

Inadvertent electrical isolation of the left atrial appendage during catheter ablation of persistent atrial fibrillation

Received 10 August 2009 ,Accepted 26 October 2009.

References 

  1. O'Neill MD, Wright M, Knecht S, et al. Long-term follow-up of persistent atrial fibrillation ablation using termination as a procedural endpoint. Eur Heart J. 2009;30:1105–1112
  2. Kuhne M, Ho SY, Morady F, et al. Elimination of left atrial appendage potentials during radiofrequency ablation near the right superior pulmonary vein. Heart Rhythm. 2008;5:475–478
  3. Ruby RS, Wells D, Sankaran S, et al. Prevalence of fever in patients undergoing left atrial ablation of atrial fibrillation guided by barium esophagraphy. J Cardiovasc Electrophysiol. 2009;20:883–887
  4. Jais P, Hocini M, Hsu LF, et al. Technique and results of linear ablation at the mitral isthmus. Circulation. 2004;110:2996–3002
  5. 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
  6. Chae S, Oral H, Good E, et al. Atrial tachycardia after circumferential pulmonary vein ablation of atrial fibrillation: mechanistic insights, results of catheter ablation, and risk factors for recurrence. J Am Coll Cardiol. 2007;50:1781–1787
  7. Cosio FG, Martin-Penato A, Pastor A, et al. Atrial activation mapping in sinus rhythm in the clinical electrophysiology laboratory: observations during Bachmann's bundle block. J Cardiovasc Electrophysiol. 2004;15:524–531
  8. Takahashi Y, Sanders P, Rotter M, et al. Disconnection of the left atrial appendage for elimination of foci maintaining atrial fibrillation. J Cardiovasc Electrophysiol. 2005;16:917–919
  9. Ho S, Anderson R, Sanchez-Quintana D. Atrial Structure and fibres: morphological basis of atrial conduction. Cardiovasc Res. 2002;54:325–336
  10. Cabrera JA, Ho SY, Climent V, et al. The architecture of the left lateral atrial wall: a particular anatomic region with implications for ablation of atrial fibrillation. Eur Heart J. 2008;29:356–362
  11. Lemery R, Guiraudon G, Veinot JP. Anatomic description of Bachmann's bundle and its relation to the atrial septum. Am J Cardiol. 2003;91:1482–1485A8
  12. Oral H, Chugh A, Yoshida K, et al. A randomized assessment of the incremental role of ablation of complex fractionated atrial electrograms after antral pulmonary vein isolation for long-lasting persistent atrial fibrillation. J Am Coll Cardiol. 2009;53:782–789
  13. 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
  14. 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
  15. Chugh A, Oral H, Good E, et al. Catheter ablation of atypical atrial flutter and atrial tachycardia within the coronary sinus after left atrial ablation for atrial fibrillation. J Am Coll Cardiol. 2005;46:83–91
  16. Chugh A, Wimmer A, Morady F. Elimination of left superior pulmonary vein ostial potentials during radiofrequency ablation at the mitral isthmus. Heart Rhythm. 2007;4:85–87
  17. Hwang C, Wu T-J, Doshi R, et al. Vein of Marshall cannulation for the analysis of electrical activity in patients with atrial fibrillation. Circulation. 2000;101:1503–1505
  18. Hou Y, Scherlag BJ, Lin J, et al. Interactive atrial neural network: Determining the connections between ganglionated plexi. Heart Rhythm. 2007;4:56–63

 Drs. Oral and Morady are co-founders of Ablation Frontiers.

PII: S1547-5271(09)01255-7

doi: 10.1016/j.hrthm.2009.10.036

Heart Rhythm
Volume 7, Issue 2 , Pages 173-180 , February 2010

Article Tools

* Image Usage & Resolution