Complete isolation of left atrium surrounding the pulmonary veins: new insights from the double-Lasso technique in paroxysmal atrial fibrillation.

Abstract:

BACKGROUND:Paroxysmal atrial fibrillation (PAF) can be eliminated with continuous circular lesions (CCLs) around the pulmonary veins (PVs), but it is unclear whether all PVs are completely isolated. METHODS AND RESULTS:Forty-one patients with symptomatic PAF underwent 3D mapping, and all PV ostia were marked on the 3D map based on venography. Irrigated radiofrequency energy was applied at a distance from the PV ostia guided by 2 Lasso catheters placed within the ipsilateral superior and inferior PVs. The mean radiofrequency duration was 1550+/-511 seconds for left-sided PVs and 1512+/-506 seconds for right-sided PVs. After isolation, automatic activity was observed in the right-sided PVs in 87.8% and in the left-sided PVs in 80.5%. During the procedure, a spontaneous or induced PV tachycardia (PVT) with a cycle length of 189+/-29 ms was observed in 19 patients. During a mean follow-up of 6 months, atrial tachyarrhythmias recurred in 10 patients. Nine patients underwent a repeat procedure. Conduction gaps in the left CCL in 9 patients and in the right CCL in 2 patients were closed during the second procedure. A spontaneous PVT with a cycle length of 212+/-44 ms was demonstrated in 7 of 9 patients, even though no PVT had been observed in 6 of these 7 patients during the first procedure. No AF recurred in 39 patients after PV isolation during follow-up. CONCLUSIONS:Automatic activity and fast tachycardia within the PVs could reflect an arrhythmogenic substrate in patients with PAF, which could be eliminated by isolating all PVs with CCLs guided by 3D mapping and the double-Lasso technique in the majority of patients.

journal_name

Circulation

journal_title

Circulation

authors

Ouyang F,Bänsch D,Ernst S,Schaumann A,Hachiya H,Chen M,Chun J,Falk P,Khanedani A,Antz M,Kuck KH

doi

10.1161/01.CIR.0000144459.37455.EE

subject

Has Abstract

pub_date

2004-10-12 00:00:00

pages

2090-6

issue

15

eissn

0009-7322

issn

1524-4539

pii

01.CIR.0000144459.37455.EE

journal_volume

110

pub_type

杂志文章
  • Myocardial perfusion after aortocoronary bypass surgery: measurements at rest and after administration of isoproterenol.

    abstract::This study examined quantitative regional myocardial perfusion (RMP) measured by the washout of 133Xe at rest and after an isoproterenol challenge in 50 patients (group I) studied 8 to 14 days after they underwent saphenous vein bypass grafting to the left coronary artery, and compared this with RMP measured in the na...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.71.4.767

    authors: Schmidt DH,Blau FM,Hendrix LJ,Kamath ML,Ray G

    更新日期:1985-04-01 00:00:00

  • Results of endomyocardial biopsy in patients with spontaneous ventricular tachycardia but without apparent structural heart disease.

    abstract::To evaluate possible occult myocardial disease in 18 patients whose only major manifestation of heart disease was spontaneous ventricular tachycardia or fibrillation, right ventricular endomyocardial biopsies were performed. None of the patients had symptoms of ischemic or congestive heart disease, and at catheterizat...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.68.6.1171

    authors: Strain JE,Grose RM,Factor SM,Fisher JD

    更新日期:1983-12-01 00:00:00

  • Comparison between 201Tl and 99mTc sestamibi uptake during adenosine-induced vasodilation as a function of coronary stenosis severity.

    abstract:BACKGROUND:Myocardial uptake of either 201Tl or 99mTc-sestamibi (sestamibi) is known to plateau at high coronary flow rates. However, few direct comparisons have been made between these tracers to determine what effect differences in the uptake plateau for the two tracers may have on the detection of coronary stenoses ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.91.3.813

    authors: Glover DK,Ruiz M,Edwards NC,Cunningham M,Simanis JP,Smith WH,Watson DD,Beller GA

    更新日期:1995-02-01 00:00:00

  • Randomized, blinded trial comparing fondaparinux with unfractionated heparin in patients undergoing contemporary percutaneous coronary intervention: Arixtra Study in Percutaneous Coronary Intervention: a Randomized Evaluation (ASPIRE) Pilot Trial.

    abstract:BACKGROUND:Factor Xa plays a central role in the generation of thrombin, making it a novel target for treatment of arterial thrombosis. Fondaparinux is a synthetic factor Xa inhibitor that has been shown to be superior to standard therapies for the prevention of venous thrombosis. We performed a randomized trial to det...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1161/01.CIR.0000158485.70761.67

    authors: Mehta SR,Steg PG,Granger CB,Bassand JP,Faxon DP,Weitz JI,Afzal R,Rush B,Peters RJ,Natarajan MK,Velianou JL,Goodhart DM,Labinaz M,Tanguay JF,Fox KA,Yusuf S,ASPIRE Investigators.

    更新日期:2005-03-22 00:00:00

  • Downregulation of c-myc expression by antisense oligonucleotides inhibits proliferation of human smooth muscle cells.

    abstract:BACKGROUND:Proliferation of smooth muscle cells (SMCs) plays an important role in vascular pathobiology, being involved in the development of coronary restenosis and atherosclerosis. The activation of nuclear proto-oncogenes appears to be a final common pathway onto which various mitogenic signals coverage. Accordingly...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.88.3.1190

    authors: Shi Y,Hutchinson HG,Hall DJ,Zalewski A

    更新日期:1993-09-01 00:00:00

  • Mechanism of mitral regurgitation in hypertrophic cardiomyopathy: mismatch of posterior to anterior leaflet length and mobility.

    abstract:BACKGROUND:In hypertrophic cardiomyopathy, a spectrum of mitral leaflet abnormalities has been related to the mechanism of mitral systolic anterior motion (SAM), which causes both subaortic obstruction and mitral regurgitation. In the individual patient, SAM and regurgitation vary in parallel; clinically, however, grea...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.98.9.856

    authors: Schwammenthal E,Nakatani S,He S,Hopmeyer J,Sagie A,Weyman AE,Lever HM,Yoganathan AP,Thomas JD,Levine RA

    更新日期:1998-09-01 00:00:00

  • Effects of a novel platelet nitric oxide donor (LA816), aspirin, clopidogrel, and combined therapy in inhibiting flow- and lesion-dependent thrombosis in the porcine ex vivo model.

    abstract:BACKGROUND:Acetylsalicylic acid (ASA), or aspirin, plus clopidogrel is becoming the standard antithrombotic treatment in people with coronary disease. Novel approaches such as the use of platelet-selective nitric oxide (NO) donors may provide additional protection against thrombosis. We evaluated the antithrombotic pro...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000142296.19558.99

    authors: Vilahur G,Segalés E,Salas E,Badimon L

    更新日期:2004-09-21 00:00:00

  • Peak oxygen uptake correlates with survival without clinical deterioration in ambulatory children with dilated cardiomyopathy.

    abstract:BACKGROUND:Children stable at home with dilated cardiomyopathy remain at risk of death; there is evidence of survival benefit for transplantation out to 4 years postoperatively. The limited supply of donor organs makes risk stratification imperative, but although cardiopulmonary exercise test is well established as a p...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.111.035956

    authors: Giardini A,Fenton M,Andrews RE,Derrick G,Burch M

    更新日期:2011-10-18 00:00:00

  • Anti-inflammatory and antiatherogenic effects of the NLRP3 inflammasome inhibitor arglabin in ApoE2.Ki mice fed a high-fat diet.

    abstract:BACKGROUND:This study was designed to evaluate the effect of arglabin on the NLRP3 inflammasome inhibition and atherosclerotic lesion in ApoE2Ki mice fed a high-fat Western-type diet. METHODS AND RESULTS:Arglabin was purified, and its chemical identity was confirmed by mass spectrometry. It inhibited, in a concentrati...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.114.013730

    authors: Abderrazak A,Couchie D,Mahmood DF,Elhage R,Vindis C,Laffargue M,Matéo V,Büchele B,Ayala MR,El Gaafary M,Syrovets T,Slimane MN,Friguet B,Fulop T,Simmet T,El Hadri K,Rouis M

    更新日期:2015-03-24 00:00:00

  • Effect of testosterone on plaque development and androgen receptor expression in the arterial vessel wall.

    abstract:BACKGROUND:-Recent studies have suggested that testosterone has a protective effect in the arterial vascular system. However, little is known about the molecular aspects of the mechanism(s) involved in these processes. The aim of the present study was to investigate the effect of testosterone on neointimal plaque devel...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.103.10.1382

    authors: Hanke H,Lenz C,Hess B,Spindler KD,Weidemann W

    更新日期:2001-03-13 00:00:00

  • Ouabain- and marinobufagenin-induced proliferation of human umbilical vein smooth muscle cells and a rat vascular smooth muscle cell line, A7r5.

    abstract:BACKGROUND:We studied the growth-promoting effects of 2 sodium pump-selective cardiotonic steroids, ouabain and marinobufagenin, on cultured cells from vascular smooth muscle (VSMCs) from human umbilical vein and a rat VSMC line, A7r5. METHODS AND RESULTS:Both ouabain and marinobufagenin activated proliferation of the...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000101919.00548.86

    authors: Abramowitz J,Dai C,Hirschi KK,Dmitrieva RI,Doris PA,Liu L,Allen JC

    更新日期:2003-12-16 00:00:00

  • Disruption of striated preferentially expressed gene locus leads to dilated cardiomyopathy in mice.

    abstract:BACKGROUND:The striated preferentially expressed gene (Speg) generates 4 different isoforms through alternative promoter use and tissue-specific splicing. Depending on the cell type, Speg isoforms may serve as markers of striated or smooth muscle differentiation. METHODS AND RESULTS:To elucidate function of Speg gene ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.108.799536

    authors: Liu X,Ramjiganesh T,Chen YH,Chung SW,Hall SR,Schissel SL,Padera RF Jr,Liao R,Ackerman KG,Kajstura J,Leri A,Anversa P,Yet SF,Layne MD,Perrella MA

    更新日期:2009-01-20 00:00:00

  • Nitroglycerin improves functional recovery of neonatal lamb hearts after 2 hours of cold ischemia.

    abstract:BACKGROUND:Vascular events during initial reperfusion after a period of hypothermic cardioplegic ischemia may play an important role in the recovery of mechanical function. Prior studies have shown (1) that dysfunction of the postischemic myocardium after normothermic ischemia can be ameliorated by vasodilation and (2)...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Kawata H,Aoki M,Mayer JE Jr

    更新日期:1993-11-01 00:00:00

  • Right ventricular growth after transventricular pulmonary valvotomy and central aortopulmonary shunt for pulmonary atresia and intact ventricular septum.

    abstract::We performed transventricular pulmonary valvotomy as initial surgery in 22 consecutive patients with pulmonary atresia and intact ventricular septum who had a patent infundibulum. Nineteen patients also had placement of a central aortopulmonary shunt. All patients survived surgery, and 16 patients have had preoperativ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Shaddy RE,Sturtevant JE,Judd VE,McGough EC

    更新日期:1990-11-01 00:00:00

  • Endothelin receptor blockers in cardiovascular disease.

    abstract::The endothelin (ET) system is comprised of 4 active ETs, with ET-1 being the predominant isoform in the cardiovascular system. Because of the potent vasoconstricting and mitogenic effects of ET-1 and its involvement in various cardiovascular diseases, blockade of the ET receptor has received considerable attention. ET...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:10.1161/01.CIR.0000094397.19932.78

    authors: Rich S,McLaughlin VV

    更新日期:2003-11-04 00:00:00

  • Cerebral resuscitation after cardiac arrest: a review.

    abstract::Cerebral neurons can tolerate at least 20 min of normothermic ischemic anoxia. Cerebral recovery from more than 5 min of cardiac arrest is hampered by complex secondary derangements of multiple organ systems after reperfusion. There is increasing support of our hypothesis that this "postresuscitation syndrome" include...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:

    authors: Safar P

    更新日期:1986-12-01 00:00:00

  • Differential effects of kinins on cardiomyocyte hypertrophy and interstitial collagen matrix in the surviving myocardium after myocardial infarction in the rat.

    abstract:BACKGROUND:Left ventricular remodeling after myocardial infarction (MI) involves the hypertrophic growth of cardiomyocytes and the accumulation of fibrillar collagen in the interstitial space. We evaluated the role of kinins in postinfarction ventricular remodeling and their potential contribution to the antiremodeling...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.95.7.1910

    authors: Wollert KC,Studer R,Doerfer K,Schieffer E,Holubarsch C,Just H,Drexler H

    更新日期:1997-04-01 00:00:00

  • Catalase inhibition with 3-amino-1,2,4-triazole does not abolish infarct size reduction in heat-shocked rats.

    abstract:BACKGROUND:Recent studies have shown that improved myocardial salvage after heat-shock pretreatment correlates with the amount of induced cardiac heat-shock protein (HSP)72. However, heat shock also induces myocardial catalase activity, potentially reducing free radical-mediated ischemic injury. The aim of the present ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.92.11.3318

    authors: Auyeung Y,Sievers RE,Weng D,Barbosa V,Wolfe CL

    更新日期:1995-12-01 00:00:00

  • Plasma high-density lipoprotein cholesterol comparisons in black and white populations. The Lipid Research Clinics Program Prevalence Study.

    abstract::High-density lipoprotein (HDL) cholesterol distributions were compared among 191 black and 1341 white males and 233 black and 1088 white females, ages 5-44 years, examined in five of the Lipid Research Clinic (LRC) population-based surveys. Mean HDL cholesterol was higher in blacks than whites in each 5-year age group...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Tyroler HA,Glueck CJ,Christensen B,Kwiterovich PO Jr

    更新日期:1980-11-01 00:00:00

  • Acute occlusion after percutaneous transluminal coronary angioplasty--a new approach.

    abstract::Between July 1980 and November 1982, there were 935 coronary angioplasties attempted at Emory University Hospital. Of these patients, 20 developed acute occlusion. Of these 20, 19 presented within 3 hr of surgery or within 3 hr after stopping a continuous heparin infusion. Five patients required emergency surgery, but...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.68.4.725

    authors: Hollman J,Gruentzig AR,Douglas JS Jr,King SB 3rd,Ischinger T,Meier B

    更新日期:1983-10-01 00:00:00

  • Three-dimensional echocardiography. In vivo validation for right ventricular volume and function.

    abstract:BACKGROUND:Current two-dimensional echocardiographic measures of right ventricular volume are limited by the asymmetrical and crescentic shape of the ventricle and by difficulty in obtaining standardized views. Three-dimensional echocardiographic reconstruction, which does not require geometric assumptions or standardi...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.89.5.2342

    authors: Jiang L,Siu SC,Handschumacher MD,Luis Guererro J,Vazquez de Prada JA,King ME,Picard MH,Weyman AE,Levine RA

    更新日期:1994-05-01 00:00:00

  • Molecular variant of angiotensinogen gene is associated with coronary atherosclerosis.

    abstract:BACKGROUND:A positive association was previously reported between angiotensin-converting enzyme (ACE) gene polymorphism and several cardiovascular diseases, such as myocardial infarction, left ventricular hypertrophy, and restenosis after percutaneous transluminal coronary angioplasty. Plasma ACE activity and carotid-w...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.91.4.951

    authors: Ishigami T,Umemura S,Iwamoto T,Tamura K,Hibi K,Yamaguchi S,Nyuui N,Kimura K,Miyazaki N,Ishii M

    更新日期:1995-02-15 00:00:00

  • Comparison of high-dose with low-dose aspirin in patients with mechanical heart valve replacement treated with oral anticoagulant.

    abstract:BACKGROUND:There are no reported studies on the safety and efficacy of low-dose aspirin with low-intensity oral anticoagulation in patients with heart valve replacement. In this study, we compared the use of 100 mg/d aspirin with 650 mg/d aspirin in the prevention of systemic embolism and vascular death in patients wit...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.cir.94.9.2113

    authors: Altman R,Rouvier J,Gurfinkel E,Scazziota A,Turpie AG

    更新日期:1996-11-01 00:00:00

  • Enhanced coronary vasoconstriction to endothelin-B-receptor activation in experimental congestive heart failure.

    abstract:BACKGROUND:Endothelin (ET), a coronary vasoconstrictor, mediates its activity through the specific receptors ET-A and ET-B, which may demonstrate different activity under pathophysiological conditions. Thoracic inferior vena cava constriction (TIVCC) is an experimental model of congestive heart failure that is characte...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.93.4.646

    authors: Cannan CR,Burnett JC Jr,Lerman A

    更新日期:1996-02-15 00:00:00

  • Association of heart rate variability with occupational and environmental exposure to particulate air pollution.

    abstract:BACKGROUND:Airborne particulate matter has been linked to excess morbidity and mortality. Recent attention has focused on the effects of particulate exposure on cardiac autonomic control. Inhaled particulates may affect the autonomic nervous system either directly, by eliciting a sympathetic stress response, or indirec...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/hc3401.095038

    authors: Magari SR,Hauser R,Schwartz J,Williams PL,Smith TJ,Christiani DC

    更新日期:2001-08-28 00:00:00

  • A randomized, prospective comparison of anterior and posterior approaches to radiofrequency catheter ablation of atrioventricular nodal reentry tachycardia.

    abstract:BACKGROUND:Two different techniques have been developed for radiofrequency catheter ablation of typical atrioventricular nodal reentry (AVNRT). Lesions made anteriorly near the apex of the triangle of Koch usually eliminate fast pathway function, whereas lesions made posteriorly near the ostium of the coronary sinus se...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.cir.87.5.1551

    authors: Langberg JJ,Leon A,Borganelli M,Kalbfleisch SJ,el-Atassi R,Calkins H,Morady F

    更新日期:1993-05-01 00:00:00

  • Experience with bretylium tosylate by a hospital cardiac arrest team.

    abstract::The effect of bretylium tosylate (BT) was determined in 27 consecutive cases of resistant ventricular fibrillation (VF) encountered by a hospital cardiac arrest team. The VF was sustained and completely resistant to multiple injections of lidocaine, sequential DC shocks at 400 watt-sec and one or a combination of intr...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.55.3.541

    authors: Holder DA,Sniderman AD,Fraser G,Fallen EL

    更新日期:1977-03-01 00:00:00

  • Targeted disruption of the scavenger receptor and chemokine CXCL16 accelerates atherosclerosis.

    abstract:BACKGROUND:The uptake of oxidized low-density lipoprotein (OxLDL) by macrophage scavenger receptors is thought to be a key process in the formation of foam cells, the hallmark of early atherosclerotic lesions. CXCL16/scavenger receptor for phosphatidylserine and OxLDL is a multifunctional chemokine that exhibits scaven...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.105.540583

    authors: Aslanian AM,Charo IF

    更新日期:2006-08-08 00:00:00

  • Effects of verapamil on ischemia-induced changes in extracellular K+, pH, and local activation in the pig.

    abstract::In experimental animals, the calcium channel-blocking agents lessen the arrhythmogenic, ionic, metabolic, and electrical changes that occur during acute myocardial ischemia. To date, these effects have been studied separately, and the effects of these agents on local activation have not been correlated with ionic or m...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.73.4.837

    authors: Fleet WF,Johnson TA,Graebner CA,Engle CL,Gettes LS

    更新日期:1986-04-01 00:00:00

  • Sex differences in high density lipoprotein cholesterol among low-level alcohol consumers.

    abstract::The purpose of this study was to examine high density lipoprotein cholesterol (HDL-C) levels in a sample of community-living women and men who consumed 1 drink of alcohol/day or less. Self-reports of alcohol consumption and clinical assessments of plasma lipid and lipoprotein levels were obtained twice, at 12 months a...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.cir.83.1.176

    authors: Weidner G,Connor SL,Chesney MA,Burns JW,Connor WE,Matarazzo JD,Mendell NR

    更新日期:1991-01-01 00:00:00