Electrogram Fractionation-Guided Ablation in the Left Atrium Decreases the Frequency of Activation in the Pulmonary Veins and Leads to Atrial Fibrillation Termination

JACC: Clinical Electrophysiology - Tập 2 - Trang 732-742 - 2016
Julien Seitz1, Clement Bars1,2, Ange Ferracci1, Alexandre Maluski1, Guillaume Penaranda3, Guillaume Theodore4, Jacques Faure1, Michel Bremondy1, Laurence Curel1, Sylvain Beurtheret1, Uma M.R. Avula5, Jerome Kalifa5, Andre Pisapia1
1Cardiology Rhythmology Department, Saint Joseph Hospital, Marseille, France
2Cardiology Rhythmology Department, Private Hospital Institute Mutualiste Montsouris, Paris, France
3Statistics Department, Alphabio Laboratory, Hôpital Européen Marseille, Marseille, France
4Cardiology Rhythmology Department, Nice University Hospital, Nice, France
5Center for Arrhythmia Research, Cardiovascular Research Center, Department of Internal Medicine, Division of Cardiology, University of Michigan, Ann Arbor, Michigan, USA

Tài liệu tham khảo

Haïssaguerre, 1998, Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins, N Engl J Med, 339, 659, 10.1056/NEJM199809033391003 Tada, 2003, Characteristics of rapid rhythms recorded within pulmonary veins during atrial fibrillation, Pacing Clin Electrophysiol, 26, 1342, 10.1046/j.1460-9592.2003.t01-1-00192.x Oral, 2002, Mechanistic significance of intermittent pulmonary vein tachycardia in patients with atrial fibrillation, J Cardiovasc Electrophysiol, 13, 645, 10.1046/j.1540-8167.2002.00645.x Haïssaguerre, 2000, Electrophysiological breakthroughs from the left atrium to the pulmonary veins, Circulation, 102, 2463, 10.1161/01.CIR.102.20.2463 Pappone, 2000, Circumferential radiofrequency ablation of pulmonary vein ostia: a new anatomic approach for curing atrial fibrillation, Circulation, 102, 2619, 10.1161/01.CIR.102.21.2619 Seitz, 2014, Active or passive pulmonary vein in atrial fibrillation: is pulmonary vein isolation always essential?, Heart Rhythm, 11, 579, 10.1016/j.hrthm.2014.01.009 Stabile, 2003, Is pulmonary vein isolation necessary for curing atrial fibrillation?, Circulation, 108, 657, 10.1161/01.CIR.0000086980.42626.34 Nademanee, 2004, A new approach for catheter ablation of atrial fibrillation: mapping of the electrophysiologic substrate, J Am Coll Cardiol, 43, 2044, 10.1016/j.jacc.2003.12.054 Narayan, 2012, Treatment of atrial fibrillation by the ablation of localized sources: CONFIRM (Conventional Ablation for Atrial Fibrillation With or Without Focal Impulse and Rotor Modulation) trial, J Am Coll Cardiol, 60, 628, 10.1016/j.jacc.2012.05.022 Iriki, 2011, Relationship between clinical outcomes and unintentional pulmonary vein isolation during substrate ablation of atrial fibrillation guided solely by complex fractionated atrial electrogram mapping, J Cardiol, 58, 278 Haïssaguerre, 2014, Driver domains in persistent atrial fibrillation, Circulation, 130, 530, 10.1161/CIRCULATIONAHA.113.005421 Oral, 2002, Segmental ostial ablation to isolate the pulmonary veins during atrial fibrillation: feasibility and mechanistic insights, Circulation, 106, 1256, 10.1161/01.CIR.0000027821.55835.00 Takahashi, 2008, Characterization of electrograms associated with termination of chronic atrial fibrillation by catheter ablation, J Am Coll Cardiol, 51, 1003, 10.1016/j.jacc.2007.10.056 Camm, 2010, Guidelines for the management of atrial fibrillation: the Task Force for the Management of Atrial Fibrillation of the European Society of Cardiology (ESC), Europace, 12, 1360, 10.1093/europace/euq350 Verma, 2015, Approaches to catheter ablation for persistent atrial fibrillation, N Engl J Med, 372, 1812, 10.1056/NEJMoa1408288 Fadahunsi, 2016, Ablation of complex fractionated atrial electrograms for atrial fibrillation rhythm control: a systematic review and meta-analysis, Can J Cardiol, 32, 791, 10.1016/j.cjca.2015.07.008 Providência, 2015, Is there still a role for complex fractionated atrial electrogram ablation in addition to pulmonary vein isolation in patients with paroxysmal and persistent atrial fibrillation? Meta-analysis of 1415 patients, Circ Arrhythm Electrophysiol, 8, 1017, 10.1161/CIRCEP.115.003019 O’Neill, 2006, The stepwise ablation approach for chronic atrial fibrillation–evidence for a cumulative effect, J Interv Card Electrophysiol, 16, 153, 10.1007/s10840-006-9045-1 Tan, 2006, Autonomic innervation and segmental muscular disconnections at the human pulmonary vein-atrial junction: implications for catheter ablation of atrial-pulmonary vein junction, J Am Coll Cardiol, 48, 132, 10.1016/j.jacc.2006.02.054 Atienza, 2011, Mechanisms of fractionated electrograms formation in the posterior left atrium during paroxysmal atrial fibrillation in humans, J Am Coll Cardiol, 57, 1081, 10.1016/j.jacc.2010.09.066 Haïssaguerre, 2005, Catheter ablation of long-lasting persistent atrial fibrillation: critical structures for termination, J Cardiovasc Electrophysiol, 16, 1125, 10.1111/j.1540-8167.2005.00307.x Seitz, 2011, Correlation between AF substrate ablation difficulty and left atrial fibrosis quantified by delayed-enhancement cardiac magnetic resonance, Pacing Clin Electrophysiol, 34, 1267, 10.1111/j.1540-8159.2011.03148.x Nathan, 1966, The junction between the left atrium and the pulmonary veins. An anatomic study of human hearts, Circulation, 34, 412, 10.1161/01.CIR.34.3.412 Klos, 2008, Atrial septopulmonary bundle of the posterior left atrium provides a substrate for atrial fibrillation initiation in a model of vagally mediated pulmonary vein tachycardia of the structurally normal heart, Circ Arrhythm Electrophysiol, 1, 175, 10.1161/CIRCEP.107.760447 Jiang, 2014, Incidence of pulmonary vein conduction recovery in patients without clinical recurrence after ablation of paroxysmal atrial fibrillation: Mechanistic implications, Heart Rhythm, 11, 969, 10.1016/j.hrthm.2014.03.015 Jaïs, 1996, Regional disparities of endocardial atrial activation in paroxysmal atrial fibrillation, Pacing Clin Electrophysiol, 19, 1998, 10.1111/j.1540-8159.1996.tb03269.x Rostock, 2006, High-density activation mapping of fractionated electrograms in the atria of patients with paroxysmal atrial fibrillation, Heart Rhythm, 3, 27, 10.1016/j.hrthm.2005.09.019 Narayan, 2011, Classifying fractionated electrograms in human atrial fibrillation using monophasic action potentials and activation mapping: evidence for localized drivers, rate acceleration, and nonlocal signal etiologies, Heart Rhythm, 8, 244, 10.1016/j.hrthm.2010.10.020 Nakatani, 2015, Location of epicardial adipose tissue affects the efficacy of a combined dominant frequency and complex fractionated atrial electrogram ablation of atrial fibrillation, Heart Rhythm, 12, 257, 10.1016/j.hrthm.2014.10.020 Katritsis, 2009, Complex fractionated atrial electrograms at anatomic sites of ganglionated plexi in atrial fibrillation, Europace, 11, 308, 10.1093/europace/eup036