当前位置： SCI文献检索 > JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY期刊下所有文献 > The impact of catheter ablation in the interpulmonary isthmus on atrial fibrillation ablation outcomes: a randomized study.

The impact of catheter ablation in the interpulmonary isthmus on atrial fibrillation ablation outcomes: a randomized study.

Abstract：

INTRODUCTION:Previous studies have underscored the importance of the interpulmonary isthmus in the initiation and maintenance of atrial fibrillation (AF). The efficacy of additional radiofrequency energy delivery in the interpulmonary isthmus following pulmonary vein antral isolation (PVAI) was investigated. METHODS AND RESULTS:A total of 76 patients (49 males, mean age 56.8 ± 10.3) with drug-resistant paroxysmal (n = 64) and short-lasting persistent AF (n = 12) underwent PVAI. Patients were then randomly assigned to receive either "no further ablation" (group I, n = 38) or additional lesions in the interpulmonary isthmus of both ipsilateral pulmonary veins (group II, n = 38). There were no significant differences between study groups regarding the clinical and echocardiographic data. A trend towards a longer fluoroscopy time was observed in group II (P = 0.076). After a mean follow-up period of 11.1 ± 2.6 months, 22 patients in group I (57.9%) and 25 patients in group II (65.8%) were free from arrhythmia recurrence without any antiarrhythmic drug treatment after a single ablation procedure. The Kaplan-Meier arrhythmia-free survival curves showed no significant differences between study groups (P = 0.460). CONCLUSIONS:Additional lesions in the interpulmonary isthmus following PVAI do not have incremental value in preventing AF recurrence.

journal_name

J Cardiovasc Electrophysiol

journal_title

Journal of cardiovascular electrophysiology

authors

Letsas KP,Efremidis M,Vlachos K,Karlis D,Lioni L,Asvestas D,Valkanas K,Mihas CC,Sideris A

doi

10.1111/jce.12399

subject

Has Abstract

pub_date

2014-07-01 00:00:00

pages

709-13

issue

7

eissn

1045-3873

issn

1540-8167

journal_volume

25

pub_type

杂志文章,随机对照试验

相关文献

JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY文献大全
  • Clinical outcome of very late recurrence of atrial fibrillation after catheter ablation of paroxysmal atrial fibrillation.

    abstract：INTRODUCTION:High recurrence rate is still a major problem associated with ablation of paroxysmal atrial fibrillation (AF). Most of the recurrences occur within 6 months after ablation. The characteristics of very late recurrent AF (>12 months after ablation) have not been reported. METHODS AND RESULTS:Two hundred sev...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type： 杂志文章

    doi：10.1046/j.1540-8167.2003.03047.x

    authors： Hsieh MH,Tai CT,Tsai CF,Lin WS,Lin YK,Tsao HM,Huang JL,Ueng KC,Yu WC,Chan P,Ding YA,Chang MS,Chen SA

    更新日期：2003-06-01 00:00:00

  • Increased Susceptibility to Atrial Fibrillation Secondary to Atrial Fibrosis in Transgenic Goats Expressing Transforming Growth Factor-β1.

    abstract：INTRODUCTION:Large animal models of progressive atrial fibrosis would provide an attractive platform to study relationship between structural and electrical remodeling in atrial fibrillation (AF). Here we established a new transgenic goat model of AF with cardiac specific overexpression of TGF-β1 and investigated the c...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type： 杂志文章

    doi：10.1111/jce.13049

    authors： Polejaeva IA,Ranjan R,Davies CJ,Regouski M,Hall J,Olsen AL,Meng Q,Rutigliano HM,Dosdall DJ,Angel NA,Sachse FB,Seidel T,Thomas AJ,Stott R,Panter KE,Lee PM,Van Wettere AJ,Stevens JR,Wang Z,MacLeod RS,Marrouche NF,

    更新日期：2016-10-01 00:00:00

  • Expanding indications for the use of Class III agents in patients at high risk for sudden death.

    abstract：:The evidence that antiarrhythmic compounds that act by slowing conduction velocity increase mortality in patients with cardiac disease is now compelling. Emphasis is now shifting to agents that act by lengthening repolarization and have additional antiadrenergic properties. There is preliminary evidence that pure Clas...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type： 杂志文章,评审

    doi：10.1111/j.1540-8167.1995.tb00365.x

    authors： Singh BN

    更新日期：1995-10-01 00:00:00

  • Left Ventricular Lead Placement Targeted at the Latest Activated Site Guided by Electrophysiological Mapping in Coronary Sinus Branches Improves Response to Cardiac Resynchronization Therapy.

    abstract：INTRODUCTION:Electrophysiological mapping (EPM) in coronary sinus (CS) branches is feasible for guiding LV lead placement to the optimal, latest activated site at cardiac resynchronization therapy (CRT) procedures. However, whether this procedure optimizes the response to CRT has not been demonstrated. This study was t...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type： 杂志文章

    doi：10.1111/jce.12771

    authors： Liang Y,Yu H,Zhou W,Xu G,Sun YI,Liu R,Wang Z,Han Y

    更新日期：2015-12-01 00:00:00

  • Issues in subgroup analyses and meta-analyses of clinical trials.

    abstract：:This commentary discusses two techniques commonly used to analyze clinical trials: subgroup analysis and meta-analysis. Subgroup analysis is used to evaluate the consistency of a treatment across multiple groups, usually within a clinical trial. Subgroup analysis often is used to generate or test an hypothesis about r...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type： 杂志文章

    doi：10.1046/j.1540-8167.14.s9.1.x

    authors： Bigger JT

    更新日期：2003-09-01 00:00:00

  • Retrograde (transseptal) activation of right bundle branch during sinus rhythm.

    abstract：:A 40-year-old man undergoing electrophysiologic study for recurrent palpitations was found to have a right bundle branch block during sinus rhythm and right bundle potentials occurring after ventricular activation. The sequence of activation of the proximal and distal right bundle potentials was suggestive of a retrog...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type： 杂志文章

    doi：10.1111/j.1540-8167.1993.tb01231.x

    authors： Jazayeri MR,Deshpande SS,Sra JS,Akhtar M

    更新日期：1993-06-01 00:00:00

  • Atrial fibrosis quantified using late gadolinium enhancement MRI is associated with sinus node dysfunction requiring pacemaker implant.

    abstract：INTRODUCTION:Sinus node dysfunction (SND) commonly manifests with atrial arrhythmias alternating with sinus pauses and sinus bradycardia. The underlying process is thought to be because of atrial fibrosis. We assessed the value of atrial fibrosis, quantified using late gadolinium enhanced-MRI (LGE-MRI), in predicting s...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type： 杂志文章

    doi：10.1111/j.1540-8167.2011.02140.x

    authors： Akoum N,McGann C,Vergara G,Badger T,Ranjan R,Mahnkopf C,Kholmovski E,Macleod R,Marrouche N

    更新日期：2012-01-01 00:00:00

  • Thromboembolic events and need for anticoagulation therapy following left atrial appendage occlusion in patients with electrical isolation of the appendage.

    abstract：INTRODUCTION:Electrical isolation of the left atrial appendage (LAA) is an important adjunctive ablation strategy in patients with nonparoxysmal atrial fibrillation (AF). Patients who have impaired LAA contractility following isolation may require long-term oral anticoagulant (OAC) therapy irrespective of their CHADS2 ...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type： 杂志文章,多中心研究

    doi：10.1111/jce.13838

    authors： Gadiyaram VK,Mohanty S,Gianni C,Trivedi C,Al-Ahmad A,Burkhardt DJ,Gallinghouse JG,Hranitzky PM,Horton RP,Sanchez JE,Della Rocca DG,Di Biase L,Price MJ,Couts L,Gibson D,Natale A

    更新日期：2019-04-01 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

  • Localization of ventricular activation origin using patient-specific geometry: Preliminary results.

    abstract：BACKGROUND AND OBJECTIVES:Catheter ablation of ventricular tachycardia (VT) may include induction of VT and localization of VT-exit site. Our aim was to assess localization performance of a novel statistical pace-mapping method and compare it with performance of an electrocardiographic inverse solution. METHODS:Seven ...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type： 杂志文章

    doi：10.1111/jce.13622

    authors： Zhou S,Sapp JL,AbdelWahab A,Šťovíček P,Horáček BM

    更新日期：2018-07-01 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

  • Bipolar ablation with contact force-sensing of swine ventricles shows improved acute lesion features compared to sequential unipolar ablation.

    abstract：INTRODUCTION:Despite technical progress, ventricular tachycardia (VT) recurrence after unipolar ablation remains relatively high (12%-47%). Bipolar ablation has been proposed as an appealing solution that may overcome limitations associated with unipolar ablation settings. We designed an animal study to compare bipolar...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type： 杂志文章

    doi：10.1111/jce.14407

    authors： Soucek F,Caluori G,Lehar F,Jez J,Pesl M,Wolf J,Wojtaszczyk A,Belaskova S,Starek Z

    更新日期：2020-05-01 00:00:00

  • Unknown Intracardiac Electrogram.

    abstract：:Watch a video presentation of this article. For additional educational resources, please visit Medtronic Academy . ...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type： 杂志文章

    doi：10.1111/jce.13216

    authors： Prystowsky EN

    更新日期：2017-06-01 00:00:00

  • Initial independent outcomes from focal impulse and rotor modulation ablation for atrial fibrillation: multicenter FIRM registry.

    abstract：INTRODUCTION:The success of pulmonary vein isolation (PVI) for atrial fibrillation (AF) may be improved if stable AF sources identified by Focal Impulse and Rotor Mapping (FIRM) are also eliminated. The long-term results of this approach are unclear outside the centers where FIRM was developed; thus, we assessed outcom...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type： 杂志文章,多中心研究

    doi：10.1111/jce.12474

    authors： Miller JM,Kowal RC,Swarup V,Daubert JP,Daoud EG,Day JD,Ellenbogen KA,Hummel JD,Baykaner T,Krummen DE,Narayan SM,Reddy VY,Shivkumar K,Steinberg JS,Wheelan KR

    更新日期：2014-09-01 00:00:00

  • The relationship of bipolar left ventricular pacing stimulus intensity to cardiac depolarization and repolarization in humans with cardiac resynchronization devices.

    abstract：BACKGROUND:Myocardial depolarization can be altered by varying pacing stimulus output. This may have implications on response rates for cardiac resynchronization therapy (CRT). The purpose of our study was to determine the relationship of left ventricular (LV) pacing stimulus intensity to measures of depolarization and...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type： 杂志文章

    doi：10.1111/j.1540-8167.2008.01378.x

    authors： Theis C,Bavikati VV,Langberg JJ,Lloyd MS

    更新日期：2009-06-01 00:00:00

  • Sentinel symptoms in patients with unexplained cardiac arrest: from the cardiac arrest survivors with preserved ejection fraction registry (CASPER).

    abstract：BACKGROUND:Warning symptoms may provide an opportunity to diagnose genetic disorders leading to preventative therapy. We explored the symptom history of patients with apparently unexplained cardiac arrest to determine the frequency of sentinel symptoms. METHODS:Patients with apparently unexplained cardiac arrest and n...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type： 杂志文章,多中心研究

    doi：10.1111/j.1540-8167.2011.02185.x

    authors： Krahn AD,Healey JS,Simpson CS,Chauhan VS,Birnie DH,Champagne J,Gardner M,Sanatani S,Chakrabarti S,Yee R,Skanes AC,Leong-Sit P,Ahmad K,Gollob MH,Klein GJ,Gula LJ,Sheldon RS

    更新日期：2012-01-01 00:00:00

  • Early ICD lead failure in defibrillator systems with multiple leads via cephalic access.

    abstract：INTRODUCTION:Implantable cardioverter defibrillators (ICDs) are proven to prevent sudden death in patients at elevated risk for sustained ventricular tachycardia or fibrillation. Complications related to ICD failure can stem from lead dysfunction, manufacturing defects, patient characteristics, or implantation techniqu...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type： 杂志文章

    doi：10.1111/jce.14523

    authors： Barbhaiya CR,Niazi O,Bostrom J,Patil S,Jankelson L,Bernstein S,Park D,Holmes D,Aizer A,Chinitz LA

    更新日期：2020-06-01 00:00:00

  • Rationale and design of ATHENA: A placebo-controlled, double-blind, parallel arm Trial to assess the efficacy of dronedarone 400 mg bid for the prevention of cardiovascular Hospitalization or death from any cause in patiENts with Atrial fibrillation/atria

    abstract：BACKGROUND:Atrial fibrillation (AF) is the most commonly encountered clinical arrhythmia, predominantly affecting elderly patients. There is a continued need for new antiarrhythmic drugs to treat the ever-increasing number of patients with this arrhythmia. Dronedarone is a new antiarrhythmic compound currently being de...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type： 杂志文章,随机对照试验

    doi：10.1111/j.1540-8167.2007.01016.x

    authors： Hohnloser SH,Connolly SJ,Crijns HJ,Page RL,Seiz W,Torp-Petersen C

    更新日期：2008-01-01 00:00:00

  • Epicardial macro-reentrant ventricular tachycardia exhibiting an endocardial centrifugal activation pattern in a case with arrhythmogenic right ventricular cardiomyopathy.

    abstract：:Macro-Reentrant ARVC epi-VT with a Focal Endo-Activation. A 55-year-old man with arrhythmogenic right ventricular cardiomyopathy underwent catheter ablation of ventricular tachycardia (VT) with left bundle branch block and left superior axis QRS morphology with an early precordial transition. Endocardial mapping durin...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type： 杂志文章

    doi：10.1111/j.1540-8167.2008.01395.x

    authors： Yamada T,Plumb VJ,Tabereaux PB,Kay GN

    更新日期：2009-06-01 00:00:00

  • Clinical experience with the new detection algorithms for atrial fibrillation of a defibrillator with dual chamber sensing and pacing.

    abstract：INTRODUCTION:A major drawback of therapy with an implantable defibrillator is the nonspecificity of detection. Theoretically, adding atrial sensing information to a decision algorithm could improve specificity of detection. METHODS AND RESULTS:This open-label nonrandomized study compares the detection algorithm of the...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type： 临床试验,杂志文章

    doi：10.1111/j.1540-8167.1999.tb01261.x

    authors： Kühlkamp V,Dörnberger V,Mewis C,Suchalla R,Bosch RF,Seipel L

    更新日期：1999-07-01 00:00:00

  • EP radiofrequency generators: Significant offsets between selected and delivered power?

    abstract：INTRODUCTION:For radiofrequency (RF) ablation, the EP Shuttle® (Stockert GmbH, Freiburg, Germany), Ampere® (St. Jude Medical, St. Paul, MN, USA), and SmartAblate® (Biosense Webster, Diamond Bar, CA, USA) generator models are most frequently used in clinical practice. The aim of this study was to assess the correlation ...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type： 杂志文章

    doi：10.1111/jce.13386

    authors： Bourier F,Schwarz B,Brkic A,Wolff L,Semmler V,Kottmaier M,Risse E,Telishevska M,Brooks S,Lengauer S,Kornmayer M,Koch-Büttner K,Berger F,Hessling G,Deisenhofer I,Reents T

    更新日期：2018-02-01 00:00:00

  • Atrial resynchronization following heart transplantation in childhood.

    abstract：:Despite preserved left ventricular function, exercise capacity is often impaired after cardiac transplantation due to autonomic denervation of the donor's sinus node. We present our experience with atrio-atrial resynchronization in 2 pediatric heart transplant recipients. Both were highly active, suffered from chronot...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type： 杂志文章

    doi：10.1111/j.1540-8167.2009.01678.x

    authors： Cadrin-Tourigny J,Fournier A,Khairy P,Vobecky SJ

    更新日期：2010-05-01 00:00:00

  • Geographic and racial representation and reported success rates of studies of catheter ablation for atrial fibrillation: Findings from the SMASH-AF meta-analysis study cohort.

    abstract：INTRODUCTION:We performed a systematic review and meta-analysis of geographic and racial representation and reported success rates of studies of catheter ablation for atrial fibrillation (AF). METHODS AND RESULTS:We searched PubMed, Scopus, and Cochrane databases from 1/1/1990 to 8/1/2016 for trials and observational ...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type： 杂志文章,meta分析

    doi：10.1111/jce.13439

    authors： Leef GC,Perino AC,Cluckey A,Yunus FN,Askari M,Heidenreich PA,Narayan SM,Wang PJ,Turakhia MP

    更新日期：2018-05-01 00:00:00

  • Comparison of atrial arrhythmia recurrence after persistent atrial fibrillation ablation between patients with or without tachycardia-induced cardiomyopathy.

    abstract：BACKGROUND:The presence of heart failure (HF) has been associated with poorer outcomes in patients undergoing catheter ablation (CA) for atrial fibrillation (AF). However, the effectiveness of CA amongst the subset of patients with tachycardia-induced cardiomyopathy (TIC) remains poorly defined. METHODS AND RESULTS:In...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type： 杂志文章

    doi：10.1111/jce.14144

    authors： Yamashita S,Tokuda M,Matsuo S,Mahida S,Hachisuka EO,Sato H,Ikewaki H,Oseto H,Yokoyama M,Isogai R,Tokutake K,Yokoyama K,Narui R,Kato M,Tanigawa S,Sugimoto K,Yoshimura M,Yamane T

    更新日期：2019-11-01 00:00:00

  • Preserved autonomic modulation of the sinus and atrioventricular nodes following posteroseptal ablation for treatment of atrioventricular nodal reentrant tachycardia.

    abstract：INTRODUCTION:Following radiofrequency catheter ablation of AV nodal reentrant tachycardia (AVNRT), inappropriate sinus tachycardia may occur, possibly due to damage to autonomic cardiac nerve fibers. Furthermore, inducibility of AVNRT is often critically dependent on the autonomic balance. We investigated whether succe...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type： 杂志文章

    doi：10.1111/j.1540-8167.1998.tb00936.x

    authors： Kowallik P,Escher S,Peters W,Braun C,Meesmann M

    更新日期：1998-06-01 00:00:00

  • Phrenic nerve stimulation during right ventricular outflow tract pacing: A rare but possible complication.

    abstract：:Phrenic nerve stimulation (PNS) caused by a right ventricular (RV) lead is an uncommon complication of pacemaker implantations. We demonstrated a case of left PNS caused by an RV lead placed in the RV outflow tract (RVOT). The PNS was dependent on ventricular capture. This case highlighted a risk of PNS even during RV...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type：

    doi：10.1111/jce.14760

    authors： Sekihara T,Miyazaki S,Ishida T,Nagao M,Kakehashi S,Mukai M,Aoyama D,Nodera M,Eguchi T,Hasegawa K,Uzui H,Tada H

    更新日期：2020-12-01 00:00:00

  • Transvenous cryothermal catheter ablation of a right anteroseptal accessory pathway.

    abstract：:In patients with Wolff-Parkinson-White syndrome, right anteroseptal accessory pathways are uncommon and run from the atrium to the ventricle in close anatomic proximity to the normal AV conduction system. Radiofrequency catheter ablation is the first-line therapy for elimination of these accessory pathways. Although t...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type： 杂志文章

    doi：10.1046/j.1540-8167.2001.01415.x

    authors： Kimman GJ,Szili-Torok T,Theuns DA,Jordaens LJ

    更新日期：2001-12-01 00:00:00

  • Characterization of paroxysmal and persistent atrial fibrillation in the human left atrium during initiation and sustained episodes.

    abstract：INTRODUCTION:Atrial fibrillation (AF) in the left atrium (LA) is poorly defined in terms of regional differences in the degree of organization, characteristics of paroxysmal and persistent variants, and electrophysiologic events that develop at the onset of episodes. METHODS AND RESULTS:The study population consisted ...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type： 杂志文章

    doi：10.1046/j.1540-8167.2002.00525.x

    authors： Ndrepepa G,Karch MR,Schneider MA,Weyerbrock S,Schreieck J,Deisenhofer I,Zrenner B,Schömig A,Schmitt C

    更新日期：2002-06-01 00:00:00

  • Clinical predictors of noninducibility of sustained atrial fibrillation after pulmonary vein isolation.

    abstract：BACKGROUND:Noninducibility of sustained atrial fibrillation (AF) after pulmonary vein isolation (PVI) has been shown to be associated with a better clinical outcome. We evaluated the role of clinical variables that could predict noninducibility of sustained AF after PVI. METHODS AND RESULTS:Data were collected prospec...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type： 杂志文章

    doi：10.1111/j.1540-8167.2005.00225.x

    authors： Rotter M,Jaïs P,Garrigue S,Sanders P,Hocini M,Hsu LF,Takahashi Y,Rostock T,Sacher F,Clementy J,Haïssaguerre M

    更新日期：2005-12-01 00:00:00

  • Modifying Ventricular Fibrillation by Targeted Rotor Substrate Ablation: Proof-of-Concept from Experimental Studies to Clinical VF.

    abstract：INTRODUCTION:Recent work has suggested a role for organized sources in sustaining ventricular fibrillation (VF). We assessed whether ablation of rotor substrate could modulate VF inducibility in canines, and used this proof-of-concept as a foundation to suppress antiarrhythmic drug-refractory clinical VF in a patient w...

    journal_title：Journal of cardiovascular electrophysiology

    pub_type： 杂志文章

    doi：10.1111/jce.12753

    authors： Krummen DE,Hayase J,Vampola SP,Ho G,Schricker AA,Lalani GG,Baykaner T,Coe TM,Clopton P,Rappel WJ,Omens JH,Narayan SM

    更新日期：2015-10-01 00:00:00