Atrioventricular node ablation and permanent ventricular pacemaker implantation without fluoroscopy: use of an electroanatomic navigation system.

Abstract:

:Non-fluoroscopy AV ablation and pacemaker implantation. Fluoroscopic guidance is the standard tool used for transvenous pacemaker implantations and for electrophysiological and ablation procedures. It implies X-ray exposure, occasionally with high dose of radiation for the patient and operator. We describe the case of a 47-year-old man with uncontrollable permanent atrial fibrillation to whom ablation of the AV conduction and a permanent ventricular pacemaker implantation were successfully performed under the guidance of an electroanatomic navigation EnSite NavX system and with no use of fluoroscopy. This case illustrates the stand-alone use of one of the new non-fluoroscopic navigation systems for a complete procedure such as AV ablation and pacemaker implantation.

authors

Ruiz-Granell R,Morell-Cabedo S,Ferrero-De-Loma A,García-Civera R

doi

10.1046/j.1540-8167.2005.40774.x

keywords:

subject

Has Abstract

pub_date

2005-07-01 00:00:00

pages

793-5

issue

7

eissn

1045-3873

issn

1540-8167

pii

JCE40774

journal_volume

16

pub_type

杂志文章
  • Hyperventilation facilitates induction of supraventricular tachycardia: a novel method and the possible mechanism.

    abstract:INTRODUCTION:Hyperventilation has been demonstrated to alter autonomic function. Sympathomimetic drugs (isoproterenol) and parasympatholytic drugs (atropine) may be needed to facilitate induction of supraventricular tachycardia (SVT). The aim of this study was to test the clinical utility and mechanisms of hyperventila...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1046/j.1540-8167.2001.01242.x

    authors: Chen CC,Chen SA,Tai CT,Kuo TB,Chang MS,Prystowsky EN

    更新日期:2001-11-01 00:00:00

  • Heart rate and heart rate variability in normal young adults.

    abstract:INTRODUCTION:The relationships between heart rate (HR) and HR variability (HRV) are not simple. Because both depend on the autonomic nervous system (ANS), they are not independent variables. Technically, the quantification of HRV is influenced by the duration of the cardiac cycles. The complexity of these relationships...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.1994.tb01130.x

    authors: Coumel P,Maison-Blanche P,Catuli D

    更新日期:1994-11-01 00:00:00

  • Atrial fibrosis in non-atrial fibrillation individuals and prediction of atrial fibrillation by use of late gadolinium enhancement magnetic resonance imaging.

    abstract:INTRODUCTION:Besides the traditional concept of atrial fibrillation (AF) perpetuating atrial structural remodeling, there is increasing evidence that atrial fibrosis might precede AF, highlighting the need for better characterization of the fibrotic substrate. We aimed to assess atrial fibrosis by use of late gadoliniu...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.13846

    authors: Siebermair J,Suksaranjit P,McGann CJ,Peterson KA,Kheirkhahan M,Baher AA,Damal K,Wakili R,Marrouche NF,Wilson BD

    更新日期:2019-04-01 00:00:00

  • Arrhythmia recurrence after atrial fibrillation ablation: can magnetic resonance imaging identify gaps in atrial ablation lines?

    abstract::After pulmonary vein isolation for the treatment of atrial fibrillation, clinical arrhythmia recurrence is often a result of vein reconnection. By selectively visualizing scarred tissue, delayed enhancement magnetic resonance imaging may provide for a noninvasive means to identify gaps in radiofrequency ablation lines...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2007.01055.x

    authors: Reddy VY,Schmidt EJ,Holmvang G,Fung M

    更新日期:2008-04-01 00:00:00

  • Commotio cordis--sudden cardiac death with chest wall impact.

    abstract::Commotio cordis (CC), sudden death as a result of a blunt, often innocent-appearing chest wall blow, is being reported with increasing frequency. The clinical spectrum is diverse; however, a substantial number of cases occur in youth athletics. In events that occur during sport, victims are struck by projectiles regar...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章,评审

    doi:10.1111/j.1540-8167.2006.00684.x

    authors: Madias C,Maron BJ,Weinstock J,Estes NA 3rd,Link MS

    更新日期:2007-01-01 00:00:00

  • Dispersion of ventricular repolarization in left ventricular hypertrophy: influence of afterload and dofetilide.

    abstract:INTRODUCTION:Increased dispersion of ventricular repolarization is observed in cardiac hypertrophy and is associated with sudden cardiac death. At present, there is little information about the effects of cardiac hemodynamics and antiarrhythmic drugs on dispersion of repolarization in disease states. We compared the ef...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.1998.tb00140.x

    authors: Gillis AM,Mathison HJ,Kulisz E,Lester WM

    更新日期:1998-09-01 00:00:00

  • Patient selection for biventricular pacing.

    abstract:INTRODUCTION:Biventricular pacing improves functional status in the majority of patients with drug-refractory heart failure, dilated cardiomyopathy, and interventricular conduction delay. The aim of this study was to analyze the baseline clinical and functional data of a cohort of patients implanted with a biventricula...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 临床试验,杂志文章

    doi:10.1111/j.1540-8167.2002.tb01956.x

    authors: Lunati M,Paolucci M,Oliva F,Frigerio M,Magenta G,Cattafi G,Vecchi R,Vicini I,Cavaglià S

    更新日期:2002-01-01 00:00:00

  • Hands on: How to approach patients undergoing lead extraction.

    abstract::Due to the growing number of patients treated with cardiac implantable electronic devices (CIEDs) there is an increased need for lead management, evaluation, and extraction. While CIED lead extraction has many indications, a consistent approach to preprocedural planning should be applied in all cases, including a thor...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章,评审

    doi:10.1111/jce.14244

    authors: Lewis RK,Pokorney SD,Hegland DD,Piccini JP

    更新日期:2020-07-01 00:00:00

  • Spontaneous and adenosine-induced pulmonary vein reconnection after cryoballoon ablation with the second-generation device.

    abstract:INTRODUCTION:Longer observational time and adenosine challenge have proven to be able to detect pulmonary vein (PV) reconnections. The aim of this study was to assess incidence of spontaneous and adenosine-induced PV reconnection after ablation with second-generation cryoballoon (CB-Adv). METHODS AND RESULTS:Fifty con...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.12421

    authors: Ciconte G,Chierchia GB,DE Asmundis C,Sieira J,Conte G,Juliá J,DI Giovanni G,Wauters K,Baltogiannis G,Saitoh Y,Mugnai G,Catanzariti D,Tondo C,Brugada P

    更新日期:2014-08-01 00:00:00

  • Atrial macroreentry involving the myocardium of the coronary sinus: a unique mechanism for atypical flutter.

    abstract::Atrial flutter involving either clockwise or counterclockwise rotation around the tricuspid annulus utilizing the subeustachian isthmus has been well described. However, macroreentrant atrial circuits in atypical atrial flutter in patients who have not undergone previous surgery or without atrial disease are not well ...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.1998.tb00886.x

    authors: Olgin JE,Jayachandran JV,Engesstein E,Groh W,Zipes DP

    更新日期:1998-10-01 00:00:00

  • Dual conduction in a Mahaim fiber.

    abstract::The case of an 8-year-old girl with incessant nonsustained left bundle branch block-like tachycardia refractory to antiarrhythmic drug therapy is reported. Electrophysiologic study revealed the presence of a right-sided accessory atriofascicular pathway. Episodes of nonsustained tachycardia were found to be based upon...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1046/j.1540-8167.2004.04036.x

    authors: Sternick EB,Sosa EA,Scanavacca MI,Wellens HJ

    更新日期:2004-10-01 00:00:00

  • Catheter ablation of atrial fibrillation in patients with heart failure with reduced ejection fraction: Real world experience from six European centers.

    abstract:INTRODUCTION:Catheter ablation of atrial fibrillation (AF) has been recently shown to have an impact on the outcome of patients with heart failure and reduced LV ejection fraction (LVEF). We aimed to assess patients with reduced LVEF referred to catheter ablation of AF, and the efficacy and safety of this procedure com...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章,多中心研究

    doi:10.1111/jce.14027

    authors: Providência R,de Asmundis C,Chun J,Chierchia G,Defaye P,Anselme F,Creta A,Lambiase PD,Schmidt B,Chen S,Hunter RJ,Combes S,Honarbakhsh S,Combes N,Sousa MJ,Jebberi Z,Albenque JP,Boveda S

    更新日期:2019-08-01 00:00:00

  • Atrial structure and function 5 years after successful ablation for persistent atrial fibrillation: an MRI study.

    abstract:INTRODUCTION:The atrial outcome after extensive ablation is unknown. We sought to quantify atrial structure and function years after successful ablation for persistent atrial fibrillation (PsAF). METHODS AND RESULTS:We studied after 80 ± 15 months 26 patients (54 ± 8 years, 1 woman) with PsAF successfully treated by a...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.12449

    authors: Cochet H,Scherr D,Zellerhoff S,Sacher F,Derval N,Denis A,Knecht S,Komatsu Y,Montaudon M,Laurent F,Pieske BM,Hocini M,Haïssaguerre M,Jaïs P

    更新日期:2014-07-01 00:00:00

  • Quatrefoil reentry in myocardium: an optical imaging study of the induction mechanism.

    abstract:INTRODUCTION:The "critical point hypothesis" for induction of ventricular fibrillation has previously been extended to infer the coexistence of four critical points, and hence four simultaneous spiral reentries or a quatrefoil reentry, resulting from only one premature stimulus delivered to the same location as the pac...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.1999.tb00715.x

    authors: Lin SF,Roth BJ,Wikswo JP Jr

    更新日期:1999-04-01 00:00:00

  • Long-QT Syndrome and Therapy for Attention Deficit/Hyperactivity Disorder.

    abstract:INTRODUCTION:Stimulants are the mainstay therapy for attention deficit/hyperactivity disorder (ADHD) and are associated with adrenergic side effects. There are limited data on the clinical course of patients treated for ADHD who have long-QT syndrome (LQTS), for which β-blockade is the goal of therapy. METHODS:LQTS pa...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/jce.12739

    authors: Zhang C,Kutyifa V,Moss AJ,McNitt S,Zareba W,Kaufman ES

    更新日期:2015-10-01 00:00:00

  • Major complications and mortality within 30 days of an electrophysiological procedure at an academic medical center: implications for developing national standards.

    abstract:BACKGROUND:Despite growing attention to performance and quality measures, national standards for reporting of outcomes after all electrophysiology (EP) procedures have not yet been developed. We sought to characterize the incidence and timing of adverse events up to 30 days after EP procedures at a tertiary academic me...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.12639

    authors: Hussain SK,Eddy MM,Moorman L,Malhotra R,Darby AE,Bilchick K,Mason P,Mangrum MJ,Dimarco JP,Ferguson JD

    更新日期:2015-05-01 00:00:00

  • Clinical significance of complete conduction block of the left lateral isthmus and its relationship with anatomical variation of the vein of Marshall in patients with nonparoxysmal atrial fibrillation.

    abstract:BACKGROUND:The vein of Marshall (VOM), which exists along the left lateral isthmus (LLI), constitutes a muscular connection between the coronary sinus (CS) and the left atrium (LA). We hypothesized that anatomical variation of the VOM affects the bidirectional block of LLI and the clinical outcome in patients with nonp...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2008.01408.x

    authors: Choi JI,Pak HN,Park JH,Choi EJ,Kim SK,Kwak JJ,Jang JK,Hwang C,Kim YH

    更新日期:2009-06-01 00:00:00

  • Electrical activation of sinus venosus myocardium and expression patterns of RhoA and Isl-1 in the chick embryo.

    abstract:UNLABELLED:Electrical Activity and RhoA in the Embryo. INTRODUCTION:Myocardium at the venous pole (sinus venosus) of the heart has gained clinical interest as arrhythmias can be initiated from this area. During development, sinus venosus myocardium is incorporated to the primary heart tube and expresses different mark...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2010.01790.x

    authors: Vicente-Steijn R,Kolditz DP,Mahtab EA,Askar SF,Bax NA,VAN DER Graaf LM,Wisse LJ,Passier R,Pijnappels DA,Schalij MJ,Poelmann RE,Gittenberger-DE Groot AC,Jongbloed MR

    更新日期:2010-11-01 00:00:00

  • Modulation of ventricular repolarization in patients with transient left ventricular apical ballooning: a case control study.

    abstract:OBJECTIVE:Even though diffuse T wave inversion and prolongation of the QT interval in the surface electrocardiogram (ECG) have been consistently reported in patients with transient stress-induced left ventricular apical ballooning (AB), ventricular repolarization has not yet been systematically investigated in this cli...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2006.00644.x

    authors: Bonnemeier H,Ortak J,Bode F,Kurowski V,Reppel M,Weitz G,Barantke M,Schunkert H,Wiegand UK

    更新日期:2006-12-01 00:00:00

  • Potential overdiagnosis of long QT syndrome using exercise stress and QT stand testing in children and adolescents with a low probability of disease.

    abstract:BACKGROUND:Long QT syndrome (LQTS) is a dangerous arrhythmia disorder that often presents in childhood and adolescence. The exercise stress test (EST) and QT-stand test may unmask QT interval prolongation at key heart rate transition points in LQTS, but their utility in children is debated. OBJECTIVE:To determine if t...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.14865

    authors: Roston TM,De Souza AM,Romans HV,Franciosi S,Armstrong KR,Sanatani S

    更新日期:2020-12-31 00:00:00

  • Apamin-sensitive calcium-activated potassium currents in rabbit ventricles with chronic myocardial infarction.

    abstract:INTRODUCTION:The apamin-sensitive small-conductance calcium-activated potassium current (IKAS ) is increased in heart failure. It is unknown if myocardial infarction (MI) is also associated with an increase of IKAS . METHODS AND RESULTS:We performed Langendorff perfusion and optical mapping in 6 normal hearts and 10 h...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.12176

    authors: Lee YS,Chang PC,Hsueh CH,Maruyama M,Park HW,Rhee KS,Hsieh YC,Shen C,Weiss JN,Chen Z,Lin SF,Chen PS

    更新日期:2013-10-01 00:00:00

  • In vivo effects of mutant HERG K+ channel inhibition by disopyramide in patients with a short QT-1 syndrome: a pilot study.

    abstract:INTRODUCTION:Quinidine has been evaluated in patients with a short QT-1 syndrome caused by an IKr gain-of-function mutation of HERG. Recently, in vitro data with disopyramide showed an even stronger effect on the N588K mutant current. The aim of the present study was to test the in vivo effects of disopyramide in patie...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2007.00925.x

    authors: Schimpf R,Veltmann C,Giustetto C,Gaita F,Borggrefe M,Wolpert C

    更新日期:2007-11-01 00:00:00

  • Correlation of spontaneous and induced premature atrial complexes initiating atrial fibrillation in humans: electrophysiologic parameters for guiding therapy.

    abstract:INTRODUCTION:The low frequency of spontaneous premature atrial contractions (PACs) may be an impediment to mapping and ablation of atrial fibrillation (AF). It has been shown that PACs following external or internal cardioversion of AF can initiate AF. If this method could reproducibly induce PACs from the same locatio...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1046/j.1540-8167.2001.01347.x

    authors: Sra J,Zaidi ST,Krum D,Georgakopoulos N,Ahmad A,Akhtar M

    更新日期:2001-12-01 00:00:00

  • Fragmented, long-duration, low-amplitude electrograms characterize the origin of focal atrial tachycardia.

    abstract:BACKGROUND:Focal atrial tachycardias (FAT) originate from areas with poor cell-to-cell coupling. Due to cellular uncoupling extracellular potentials become fractionated. The degree of fragmentation may be used to identify the site of origin of FAT prior to catheter ablation. We studied electrical fragmentation in relat...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 临床试验,杂志文章

    doi:10.1111/j.1540-8167.2006.00568.x

    authors: De Groot NM,Schalij MJ

    更新日期:2006-10-01 00:00:00

  • Time course of esophageal lesions after catheter ablation with cryothermal and radiofrequency ablation: implication for atrio-esophageal fistula formation after catheter ablation for atrial fibrillation.

    abstract:BACKGROUND:Atrio-esophageal fistulas have been described as a consequence of radiofrequency (RF) ablation for the treatment of atrial fibrillation (AF). However, whether cryoablation can avoid this potential fatal complication remains unclear. METHODS AND RESULTS:We studied the effects of direct application of RF and ...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2007.00790.x

    authors: Ripley KL,Gage AA,Olsen DB,Van Vleet JF,Lau CP,Tse HF

    更新日期:2007-06-01 00:00:00

  • Ablation of ventricular tachycardia due to a postinfarct ventricular septal defect: identification and transection of a broad reentry loop.

    abstract:INTRODUCTION:Ventricular tachycardia (VT) after postinfarct ventricular septal defect (VSD) repair has not been well characterized. METHODS AND RESULTS:A 55-year-old man developed refractory VT after inferior wall infarction and VSD repair. Entrainment demonstrated a broad reentry circuit path (outer loop) between the...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.1997.tb01003.x

    authors: Ellison KE,Stevenson WG,Couper GS,Friedman PL

    更新日期:1997-10-01 00:00:00

  • New endpoint for ablation of ventricular tachycardia: change in QRS morphology with pacing at protected isthmus as index of isthmus block.

    abstract:INTRODUCTION:Endpoints confirming block in the critical isthmus in sinus rhythm and with pace mapping have not been established. METHODS AND RESULTS:A 44-year-old man with a history of Tetralogy of Fallot presented with recurrent ventricular tachycardia (VT). Entrainment mapping was consistent with a macroreentrant ci...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2009.01596.x

    authors: Bala R,Dhruvakumar S,Latif SA,Marchlinski FE

    更新日期:2010-03-01 00:00:00

  • Traditional and nonlinear heart rate variability are each independently associated with mortality after myocardial infarction.

    abstract:INTRODUCTION:Decreased heart rate variability (HRV) and abnormal nonlinear HRV shortly after myocardial infarction (MI) are risk factors for mortality. Traditional HRV predicts mortality in patients with a range of times post-MI, but the association of nonlinear HRV and outcome in this population is unknown. METHODS A...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1046/j.1540-8167.2005.04358.x

    authors: Stein PK,Domitrovich PP,Huikuri HV,Kleiger RE,Cast Investigators.

    更新日期:2005-01-01 00:00:00

  • Increased dispersion of repolarization time determined by monophasic action potentials in two patients with familial idiopathic ventricular fibrillation.

    abstract:INTRODUCTION:The role of increased dispersion of repolarization in the genesis of torsades de pointes in patients with long QT syndrome has been clarified, but its role in the genesis of idiopathic ventricular fibrillation (VF) is not yet known. To investigate the pathogenesis of VF, we recorded monophasic action poten...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.1998.tb00869.x

    authors: Matsuo K,Shimizu W,Kurita T,Suyama K,Aihara N,Kamakura S,Shimomura K

    更新日期:1998-01-01 00:00:00

  • Incidence of atrial fibrillation in heart transplant patients: long-term follow-up.

    abstract:BACKGROUND:The incidence of atrial fibrillation (AF) in heart transplant patients has not been well documented. METHODS:To determine the incidence of AF in a cohort of patients undergoing cardiac transplantation, clinical data were obtained from a prospectively collected database for all consecutive orthotopic heart t...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2006.00497.x

    authors: Khan M,Kalahasti V,Rajagopal V,Khaykin Y,Wazni O,Almahameed S,Zuzek R,Shah T,Lakkireddy D,Saliba W,Schweikert R,Cummings J,Martin DO,Natale A

    更新日期:2006-08-01 00:00:00