Magnetic navigation in left-sided AV reentrant tachycardias: preliminary results of a retrograde approach.

Abstract:

INTRODUCTION:A novel magnetic navigation system allows remote guidance of floppy radiofrequency (RF) ablation catheters. We evaluated the feasibility of mapping and ablation of left-sided accessory pathways (APs) using the retrograde transaortic approach with this system. This might open the gate to retrograde ablation of left atrial arrhythmias. METHODS AND RESULTS:Twenty consecutive patients were included. A Helios II was used in five and in 15 a Celsius RMT RF catheter with higher magnetic mass and different flexibility was used. Mapping and ablation were attempted. The learning curve was analyzed. Ablation was acutely successful in 60% of the patients using the Helios II and in 80% using the Celsius RMT. Median procedure time was 158 minutes, with median patient and physician fluoroscopy times of 26 and 4 minutes. In the last 10 patients, procedure times became significantly shorter (median 122 minutes, only Celsius RMT catheters) and standard catheters had to be used only twice. No complications occurred. CONCLUSIONS:Remote retrograde transaortic RF ablation of left-sided APs is feasible, safe, and reduces the physician's fluoroscopy exposure. There is a very steep initial learning curve, with the success rate increasing from 50% in the first 10 cases to 80% in the last 10 cases. Different catheter configurations may influence the outcome.

authors

Thornton AS,Rivero-Ayerza M,Knops P,Jordaens LJ

doi

10.1111/j.1540-8167.2007.00783.x

subject

Has Abstract

pub_date

2007-05-01 00:00:00

pages

467-72

issue

5

eissn

1045-3873

issn

1540-8167

pii

JCE783

journal_volume

18

pub_type

临床试验,杂志文章
  • Idiopathic left ventricular tachycardia with left and right bundle branch block configurations.

    abstract:INTRODUCTION:Idiopathic left ventricular tachycardia typically has a right bundle branch block configuration. The purpose of this case report is to demonstrate that idiopathic ventricular tachycardia arising in or near the left posterior fascicle also may have a left bundle branch block configuration. METHODS AND RESU...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.1997.tb00810.x

    authors: Zivin A,Goyal R,Daoud E,Man KC,Strickberger SA,Morady F

    更新日期:1997-04-01 00:00:00

  • Catheter ablation of atrial flutter after orthotopic heart transplantation.

    abstract:INTRODUCTION:Atrial arrhythmias, including atrial flutter, are common in orthotopic heart transplant recipients. However, only a small number of individual case reports describe the electrical circuit and catheter ablation of atrial flutter after heart transplantation. METHODS AND RESULTS:Detailed electrophysiologic e...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1046/j.1540-8167.2004.04440.x

    authors: Heist EK,Doshi SK,Singh JP,Di Salvo T,Semigran MJ,Reddy VY,Keane D,Ruskin JN,Mansour M

    更新日期:2004-12-01 00:00:00

  • Prognostic value of signal-averaged electrocardiogram in Chagas disease.

    abstract:BACKGROUND:The value of signal-averaged ECG (SAECG) in the risk stratification of Chagas disease (ChD), a potentially lethal illness prevalent in Latin America, remains controversial. The aim of this prospective longitudinal study was to determine the prognostic value of SAECG in ChD, using multivariate models with oth...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2007.01088.x

    authors: Ribeiro AL,Cavalvanti PS,Lombardi F,Nunes Mdo C,Barros MV,Rocha MO

    更新日期:2008-05-01 00:00:00

  • Comparison of Left Atrial Bipolar Voltage and Scar Using Multielectrode Fast Automated Mapping versus Point-by-Point Contact Electroanatomic Mapping in Patients With Atrial Fibrillation Undergoing Repeat Ablation.

    abstract:INTRODUCTION:Bipolar voltage criteria to delineate left atrial (LA) scar have been derived using point-by-point (PBP) contact electroanatomical mapping. It remains unclear how PBP-derived LA scar correlates with multielectrode fast automated mapping (ME-FAM) derived scar. We aimed to correlate scar and bipolar voltages...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.13151

    authors: Liang JJ,Elafros MA,Muser D,Pathak RK,Santangeli P,Supple GE,Schaller RD,Frankel DS,Dixit S

    更新日期:2017-03-01 00:00:00

  • Thrombus in the left atrial appendage in patients with atrial fibrillation treated with non-vitamin K antagonist oral anticoagulants in clinical practice-A multicenter registry.

    abstract:BACKGROUND:The prevalence and predictors of left atrial appendage thrombus (LAAT) in patients with non-valvular atrial fibrillation (AF) who have been treated with non-vitamin K antagonist oral anticoagulants (NOACs) are not well defined. We aimed to assess the occurrence and predictors of LAAT on transesophageal echoc...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.14589

    authors: Gorczyca I,Michalska A,Chrapek M,Budnik M,Starzyk K,Jelonek O,Uziębło-Życzkowska B,Kapłon-Cieślicka A,Gawałko M,Krzesiński P,Jurek A,Scisło P,Kochanowski J,Kiliszek M,Gielerak G,Filipiak KJ,Opolski G,Wożakowska-Kapłon B

    更新日期:2020-08-01 00:00:00

  • Decennial Analysis of Interventional Left Atrial Appendage Closure.

    abstract:INTRODUCTION:Data on long-term follow-up (LTFU) after interventional closure of the left atrial appendage (LAAC) in patients with nonvalvular atrial fibrillation (AF) are scarce. We sought to determine the outcome of patients after LAAC with the first generation device. METHODS AND RESULTS:The Cardioangiologisches Cen...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.12704

    authors: Schmidt B,Bordignon S,Fuernkranz A,Perrotta L,Scherer D,Chun KRJ

    更新日期:2015-08-01 00:00:00

  • Outcome of non-vitamin K oral anticoagulants in the treatment of left atrial/left atrial appendage thrombus in patients with nonvalvular atrial fibrillation.

    abstract:BACKGROUND:Data comparing dabigatran with rivaroxaban regarding the resolution of left atrial/left atrial appendage (LA/LAA) thrombus in patients with nonvalvular atrial fibrillation (AF) are scarce. This study aimed to compare the efficacy and safety of dabigatran vs rivaroxaban regarding the resolution of LA/LAA thro...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.14365

    authors: Lin C,Quan J,Bao Y,Hua W,Ke M,Zhang N,Jin Q,Xie Y,Wei Y,Ling T,Pan W,Wu L,Xie Y

    更新日期:2020-03-01 00:00:00

  • Bradycardiomyopathy: the case for a causative relationship between severe sinus bradycardia and heart failure.

    abstract::A 28-year-old man presented with progressive fatigue. Physical examination and ECG revealed severe sinus bradycardia. Echocardiography showed features of noncompaction cardiomyopathy and moderate aortic valve regurgitation. We hypothesized that the chronic volume overload exaggerated by prolonged diastole due to the b...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2009.01704.x

    authors: Caliskan K,Balk AH,Jordaens L,Szili-Torok T

    更新日期:2010-07-01 00:00:00

  • Bileaflet Mitral Valve Prolapse and Risk of Ventricular Dysrhythmias and Death.

    abstract:INTRODUCTION:Bileaflet mitral valve prolapse (BiMVP) is common among survivors of otherwise unexplained sudden cardiac death, but prognostic implications of BiMVP are unknown. This study evaluated whether patients with BiMVP are at higher risk for ventricular dysrhythmias, ICD placement, or death compared to controls w...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.12914

    authors: Nordhues BD,Siontis KC,Scott CG,Nkomo VT,Ackerman MJ,Asirvatham SJ,Noseworthy PA

    更新日期:2016-04-01 00:00:00

  • Determination of impulse conduction characteristics at a microscopic scale in patterned growth heart cell cultures using multiple site optical recording of transmembrane voltage.

    abstract::It is well established that impulse propagation in cardiac tissue is determined by the interaction between active membrane properties and the passive electrical characteristics of the network formed by individual myocytes. In the past, the intricate microarchitecture of intact cardiac tissue and the limited spatial re...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章,评审

    doi:10.1111/j.1540-8167.1995.tb00428.x

    authors: Rohr S

    更新日期:1995-07-01 00:00:00

  • Allergic reaction to suture material after an ICD procedure: device infection mimicry.

    abstract::When an implanted device is infected, complete explantation of the device system, including lead extraction, is usually required. Superficial problems with wound healing may be managed more conservatively, but distinguishing between a surface process and deeper infection can pose a clinical challenge. We present a cas...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2011.02224.x

    authors: Tschabrunn CM,Rosenbach M,Lavi N,Cooper JM

    更新日期:2012-03-01 00:00:00

  • Additional gene variants reduce effectiveness of beta-blockers in the LQT1 form of long QT syndrome.

    abstract:INTRODUCTION:Beta-blockers are widely used to prevent the lethal cardiac events associated with the long QT syndrome (LQTS), especially in KCNQ1-related LQTS (LQT1) patients. Some LQT1 patients, however, are refractory to this therapy. METHODS AND RESULTS:Eighteen symptomatic LQTS patients (12 families) were genetical...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1046/j.1540-8167.2004.03212.x

    authors: Kobori A,Sarai N,Shimizu W,Nakamura Y,Murakami Y,Makiyama T,Ohno S,Takenaka K,Ninomiya T,Fujiwara Y,Matsuoka S,Takano M,Noma A,Kita T,Horie M

    更新日期:2004-02-01 00:00:00

  • Prognostic value of QT/RR slope in predicting mortality in patients with congestive heart failure.

    abstract:INTRODUCTION:Repolarization dynamics, reflecting adaptation of QT to changing heart rate, is considered a marker of unfavorable prognosis in patients with heart diseases. We aimed to evaluate the prognostic value of QT/RR slope in predicting total mortality (TM) and sudden death (SD) in patients with congestive heart f...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2008.01210.x

    authors: Cygankiewicz I,Zareba W,Vazquez R,Almendral J,Bayes-Genis A,Fiol M,Valdes M,Macaya C,Gonzalez-Juanatey JR,Cinca J,Bayes de Luna A,MUSIC Investigators.

    更新日期:2008-10-01 00:00:00

  • Serial defibrillation lead impedance in patients with epicardial and nonthoracotomy lead systems.

    abstract:INTRODUCTION:The stability of implantable cardiac defibrillation lead impedance subsequent to implantation has not been reported and may have important clinical implications. The objective was to characterize the incidence and degree of impedance changes occurring after implantation of defibrillation lead systems. MET...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.1996.tb00577.x

    authors: Schwartzman D,Hull ML,Callans DJ,Gottlieb CD,Marchlinski FE

    更新日期:1996-08-01 00:00:00

  • Recent history of vasovagal syncope in a young, referral-based population is a stronger predictor of recurrent syncope than lifetime syncope burden.

    abstract:INTRODUCTION:accurate selection of patients for vasovagal syncope studies requires strong risk stratification and knowledge of the natural history of syncope. We aimed to test the hypothesis that recent history of vasovagal syncope compared to distant history better predicts subsequent recurrence of syncope. METHODS A...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1540-8167.2010.01848.x

    authors: Sumner GL,Rose MS,Koshman ML,Ritchie D,Sheldon RS,Prevention of Syncope Trial Investigators.

    更新日期:2010-12-01 00:00:00

  • Cardiac electrophysiology in genetically engineered mice.

    abstract::The mouse has become the principal animal model for studying biologic processes in mammals. Major advances in transgene and gene targeting technology enabled manipulation of the mouse genome in a predictable fashion. Mutant mouse strains provide important insights into the molecular mechanisms underlying normal and di...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章,评审

    doi:10.1111/j.1540-8167.2000.tb01806.x

    authors: Gehrmann J,Berul CI

    更新日期:2000-03-01 00:00:00

  • Radiofrequency catheter ablation of an atriofascicular pathway during atrial fibrillation: a case report.

    abstract:INTRODUCTION:A male patient with an atriofascicular pathway underwent catheter ablation of the atriofascicular pathway during atrial fibrillation. METHODS AND RESULTS:The patient had preexcited atrial fibrillation both clinically and repeatedly during electrophysiologic study. A preexcited tachycardia with a 1:1 AV re...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.1994.tb01123.x

    authors: Miller JM,Harper GR,Rothman SA,Hsia HH

    更新日期:1994-10-01 00:00:00

  • Mechanical occlusion of the left atrial appendage.

    abstract:INTRODUCTION:Oral anticoagulation therapy reduces significantly the risk of thromboembolism in patients with atrial fibrillation. However, effective oral anticoagulation therapy is not feasible in all patients. The interventional occlusion of the left atrial appendage may reduce the risk of thromboembolism in the latte...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 临床试验,杂志文章

    doi:10.1046/j.1540-8167.14.s9.11.x

    authors: Omran H,Hardung D,Schmidt H,Hammerstingl C,Lüderitz B

    更新日期:2003-09-01 00:00:00

  • Ranolazine exerts potent effects on atrial electrical properties and abbreviates atrial fibrillation duration in the intact porcine heart.

    abstract:INTRODUCTION:In vitro studies and ambulatory ECG recordings from the MERLIN TIMI-36 clinical trial suggest that the novel antianginal agent ranolazine may have the potential to suppress atrial arrhythmias. However, there are no reports of effects of ranolazine on atrial electrophysiologic properties in large intact ani...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2009.01437.x

    authors: Kumar K,Nearing BD,Carvas M,Nascimento BC,Acar M,Belardinelli L,Verrier RL

    更新日期:2009-07-01 00:00:00

  • Global P wave duration on the 65-lead ECG: single-site and dual-site pacing in the structurally normal human atrium.

    abstract:INTRODUCTION:Pacing is believed to prevent atrial fibrillation by reducing atrial activation time. Exact correlation between P wave duration (PWD) on surface ECG and endocardial atrial activation time is still unexplored. METHODS AND RESULTS:In 15 patients without structural heart disease (9 women, age 45 +/- 14 years...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1046/j.1540-8167.2002.01240.x

    authors: Gozolits S,Fischer G,Berger T,Hanser F,Abou-Harb M,Tilg B,Pachinger O,Hintringer F,Roithinger FX

    更新日期:2002-12-01 00:00:00

  • Ablation of atrioventricular nodal reentrant tachycardia in tricuspid atresia.

    abstract::A 31-year-old woman with tricuspid atresia and a palliative Waterston shunt presented with intractable poorly tolerated supraventricular tachycardia. Electrophysiologic evaluation was consistent with AV nodal reentrant tachycardia. The fast pathway region was mapped electroanatomically during tachycardia and with cons...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1046/j.1540-8167.2004.03546.x

    authors: Khairy P,Seslar SP,Triedman JK,Cecchin F

    更新日期:2004-06-01 00:00:00

  • Effect of pacing the right ventricular mid-septum tract in patients with permanent atrial fibrillation and low ejection fraction.

    abstract:INTRODUCTION:Permanent right ventricular (RV) pacing leads have been traditionally implanted in the right ventricular apex (RVA). Nowadays, some deleterious effects of RVA pacing have been recognized. The aim of this study was to evaluate the effect of different sites of RV pacing in patients with permanent atrial fibr...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2007.00914.x

    authors: Muto C,Ottaviano L,Canciello M,Carreras G,Calvanese R,Ascione L,Iengo R,Accadia M,Celentano E,Tuccillo B

    更新日期:2007-09-01 00:00:00

  • Pace-termination and pacing for prevention of atrial tachyarrhythmias: results from a multicenter study with an implantable device for atrial therapy.

    abstract:INTRODUCTION:Patients with bradycardia requiring permanent pacing frequently suffer from additional atrial tachyarrhythmias (ATs). This study evaluated the safety and efficacy of atrial antitachycardia pacing (ATP) and the performance of pacing for AT prevention implemented into a new pacemaker. METHODS AND RESULTS:In...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1046/j.1540-8167.2001.01121.x

    authors: Israel CW,Hügl B,Unterberg C,Lawo T,Kennis I,Hettrick D,Hohnloser SH,AT500 Verification Study Investigators.

    更新日期:2001-10-01 00:00:00

  • Long-term functional and neurocognitive recovery in patients who had an acute cerebrovascular event secondary to catheter ablation for atrial fibrillation.

    abstract:INTRODUCTION:Cerebral thromboembolic event (CTE) is a possible complication of pulmonary vein antrum isolation (PVAI). The objective of this study was to report long-term functional and neurocognitive recovery in patients who had a CTE during or within 48 hours of catheter ablation. METHODS AND RESULTS:We screened 3,0...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2009.01650.x

    authors: Patel D,Bailey SM,Furlan AJ,Ching M,Zachaib J,Di Biase L,Mohanty P,Horton RP,Burkhardt JD,Sanchez JE,Zagrodzky JD,Gallinghouse GJ,Schweikert R,Saliba W,Natale A

    更新日期:2010-04-01 00:00:00

  • The predictive value of heart rate variability indices tested in early period after radiofrequency catheter ablation for the recurrence of atrial fibrillation.

    abstract:INTRODUCTION:To explore the relationship between recurrence of atrial fibrillation (AF) and the autonomic nervous activity evaluated by heart rate variability (HRV) indices after radiofrequency catheter ablation (RFCA) in the early period. METHODS:We enrolled 102 patients with paroxysmal AF and tested the HRV indices ...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.14448

    authors: Zhu Z,Wang W,Cheng Y,Wang X,Sun J

    更新日期:2020-06-01 00:00:00

  • Atrial fibrillation in Brugada syndrome: Current perspectives.

    abstract::The incidence of atrial fibrillation (AF) in Brugada syndrome (BrS) has been reported at between 9% and 53% by different series, but the true prevalence is unknown. However, AF may be the presenting feature in some patients. The underlying mechanisms for AF may be a combination of multiple factors, genetic or acquired...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章,评审

    doi:10.1111/jce.14361

    authors: Vlachos K,Mascia G,Martin CA,Bazoukis G,Frontera A,Cheniti G,Letsas KP,Efremidis M,Georgopoulos S,Gkalapis C,Duchateau J,Parmbrun T,Derval N,Hocini M,Haissaguerre M,Jais P,Sacher F

    更新日期:2020-04-01 00:00:00

  • Prognostic significance of nonsustained ventricular tachycardia after revascularization.

    abstract:INTRODUCTION:Two randomized trials (Multicenter Automatic Defibrillator Implantation Trial [MADIT] and Multicenter Unsustained Tachycardia Trial [MUSTT]) suggest that implantable cardioverter defibrillator (ICD) placement is associated with improved survival in patients with coronary artery disease, depressed left vent...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1046/j.1540-8167.2002.00342.x

    authors: Mittal S,Lomnitz DJ,Mirchandani S,Stein KM,Markowitz SM,Slotwiner DJ,Iwai S,Das MK,Lerman BB

    更新日期:2002-04-01 00:00:00

  • Extra-ostial pulmonary venous isolation: use of epicardial ablation to eliminate a point of conduction breakthrough.

    abstract::Epicardial RFA to Achieve Electrical PV Isolation. During catheter ablation of atrial fibrillation, ablation within the pulmonary veins is undesirable due to the risk of pulmonary venous stenosis and the possibility of leaving residual cuffs of arrhythmogenic tissue proximal to the ablation lesion set. An extra-ostial...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1046/j.1540-8167.2003.03049.x

    authors: Reddy VY,Neuzil P,Ruskin JN

    更新日期:2003-06-01 00:00:00

  • Three-dimensional electromagnetic catheter technology: electroanatomical mapping of the right atrium and ablation of ectopic atrial tachycardia.

    abstract:INTRODUCTION:The difficult catheter orientation and navigation associated with conventional technology and mono-/multiplane fluoroscopy may complicate ablation procedures of atrial tachycardias. A new three-dimensional catheter technology for electroanatomical mapping of the right atrium and ablation of ectopic atrial ...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.1997.tb01029.x

    authors: Kottkamp H,Hindricks G,Breithardt G,Borggrefe M

    更新日期:1997-12-01 00:00:00

  • Spontaneous transition of 2:1 atrioventricular block to 1:1 atrioventricular conduction during atrioventricular nodal reentrant tachycardia: evidence supporting the intra-Hisian or infra-Hisian area as the site of block.

    abstract:INTRODUCTION:The incidence of spontaneous transition of 2:1 AV block to 1:1 AV conduction during AV nodal reentrant tachycardia has not been well reported. Among previous studies, controversy also existed about the site of the 2:1 AV block during AV nodal reentrant tachycardia. METHODS AND RESULTS:In patients with 2:1...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 临床试验,杂志文章

    doi:10.1046/j.1540-8167.2003.03198.x

    authors: Lee SH,Tai CT,Chiang CE,Yu WC,Cheng JJ,Ding YA,Chang MS,Chen SA

    更新日期:2003-12-01 00:00:00