(Circulation. 2000;102:2619.)
© 2000 American Heart Association, Inc.
Clinical Investigation and Reports |
Circumferential Radiofrequency Ablation of Pulmonary Vein Ostia
A New Anatomic Approach for Curing Atrial Fibrillation
From the Department of Cardiology, San Raffaele University Hospital (C.P., S.R., M.T., F.G., G.V., A.S., C.D., P.M., V.S., S.G., S.C.), Milan, Italy, and University of Messina (G.O.), Messina, Italy.
Correspondence to Dr Carlo Pappone, San Raffaele University Hospital, Via Olgettina 60, 20132 Milan, Italy. E-mail carlo.pappone{at}hsr.it
Background—The pulmonary veins (PVs) and surrounding ostial areas frequently house focal triggers or reentrant circuits critical to the genesis of atrial fibrillation (AF). We developed an anatomic approach aimed at isolating each PV from the left atrium (LA) by circumferential radiofrequency (RF) lesions around their ostia.
Methods and Results—We
selected 26 patients with resistant AF, either paroxysmal (n=14) or
permanent (n=12). A nonfluoroscopic mapping system was used to generate
3D electroanatomic LA maps and deliver RF energy. Two maps were
acquired during coronary sinus and right atrial pacing to validate the
lateral and septal PV lesions, respectively. Patients were followed up
closely for 
6 months. Procedures lasted 290±58 minutes, including
80±22 minutes for acquisition of all maps, and 118±16 RF pulses were
deployed. Among 14 patients in AF at the beginning of the procedure,
64% had sinus rhythm restoration during ablation. PV isolation was
demonstrated in 76% of 104 PVs treated by low peak-to-peak electrogram
amplitude (0.08±0.02 mV) inside the circular line and by
disparity in activation times (58±11 ms) across the lesion.
After 9±3 months, 22 patients (85%) were AF-free, including 62% not
taking and 23% taking antiarrhythmic drugs, with no difference
(P=NS) between paroxysmal and permanent AF. No
thromboembolic events or PV stenoses were observed by transesophageal
echocardiography.
Conclusions—Radiofrequency PV isolation with electroanatomic guidance is safe and effective in either paroxysmal or permanent AF.
Key Words: fibrillation • catheter ablation • mapping
This article has been cited by other articles:
 |
|
 |
|
  J. W. Schrickel, L. Lickfett, T. Lewalter, E. Mittman-Braun, S. Selbach, K. Strach, C. P. Nahle, J. O. Schwab, M. Linhart, R. Andrie, et al. Incidence and predictors of silent cerebral embolism during pulmonary vein catheter ablation for atrial fibrillation Europace, January 1, 2010; 12(1): 52 - 57. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Harata, Y. Inden, M. Shimano, T. Uchikawa, M. Mutoh, M. Hirai, and T. Murohara Morphological characteristics of the Holter P-waves associated with pulmonary vein pacing Europace, January 1, 2010; 12(1): 124 - 129. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. J. Klinkenberg, S. Ahmed, A. T. Hagen, A. C.P. Wiesfeld, E. S. Tan, F. Zijlstra, and I. C. Van Gelder Feasibility and outcome of epicardial pulmonary vein isolation for lone atrial fibrillation using minimal invasive surgery and high intensity focused ultrasound Europace, December 1, 2009; 11(12): 1624 - 1631. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Yamada, N. Yoshida, Y. Murakami, T. Okada, Y. Yoshida, M. Muto, Y. Inden, and T. Murohara The difference in autonomic denervation and its effect on atrial fibrillation recurrence between the standard segmental and circumferential pulmonary vein isolation techniques Europace, December 1, 2009; 11(12): 1612 - 1619. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. Dizon, K. Chen, M. Bacchetta, M. Argenziano, D. Mancini, A. Biviano, J. Sonett, and H. Garan A Comparison of Atrial Arrhythmias After Heart or Double-Lung Transplantation at a Single Center Insights Into the Mechanism of Post-Operative Atrial Fibrillation. J. Am. Coll. Cardiol., November 24, 2009; 54(22): 2043 - 2048. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. Bertaglia, C. Tondo, A. De Simone, F. Zoppo, M. Mantica, P. Turco, A. Iuliano, G. Forleo, V. La Rocca, and G. Stabile Does catheter ablation cure atrial fibrillation? Single-procedure outcome of drug-refractory atrial fibrillation ablation: a 6-year multicentre experience Europace, November 3, 2009; (2009) eup349v1. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 X Wang, X Liu, H Shi, J Gu, Y Sun, L Zhou, and W Hu Pulmonary vein isolation combined with substrate modification for persistent atrial fibrillation treatment in patients with valvular heart diseases Heart, November 1, 2009; 95(21): 1773 - 1783. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. Shah Electrophysiological evaluation of pulmonary vein isolation Europace, November 1, 2009; 11(11): 1423 - 1433. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 Y. Khaykin, A. Skanes, J. Champagne, S. Themistoclakis, L. Gula, A. Rossillo, A. Bonso, A. Raviele, C. A. Morillo, A. Verma, et al. A Randomized Controlled Trial of the Efficacy and Safety of Electroanatomic Circumferential Pulmonary Vein Ablation Supplemented by Ablation of Complex Fractionated Atrial Electrograms Versus Potential-Guided Pulmonary Vein Antrum Isolation Guided by Intracardiac Ultrasound Circ Arrhythm Electrophysiol, October 1, 2009; 2(5): 481 - 487. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Kapa and S. J. Asirvatham Atrial Fibrillation: Focal or Reentrant or Both?: A New Autonomic Lens to Examine an Old Riddle Circ Arrhythm Electrophysiol, August 1, 2009; 2(4): 345 - 348. [Full Text] [PDF]
|
|
|
|
|
|
J Pontoppidan, J C Nielsen, S H Poulsen, H K Jensen, H Walfridsson, A K Pedersen, and P S Hansen Prophylactic cavotricuspid isthmus block during atrial fibrillation ablation in patients without atrial flutter: a randomised controlled trial Heart, June 15, 2009; 95(12): 994 - 999. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. Sohara, H. Takeda, H. Ueno, T. Oda, and S. Satake Feasibility of the Radiofrequency Hot Balloon Catheter for Isolation of the Posterior Left Atrium and Pulmonary Veins for the Treatment of Atrial Fibrillation Circ Arrhythm Electrophysiol, June 1, 2009; 2(3): 225 - 232. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. Belhassen A 1 per 1,000 mortality rate after catheter ablation of atrial fibrillation an acceptable risk? J. Am. Coll. Cardiol., May 12, 2009; 53(19): 1804 - 1806. [Full Text] [PDF]
|
|
|
|
|
|
K. Rajappan, V. Baker, L. Richmond, P. M. Kistler, G. Thomas, C. Redpath, S. C. Sporton, M. J. Earley, S. Harris, and R. J. Schilling A randomized trial to compare atrial fibrillation ablation using a steerable vs. a non-steerable sheath Europace, May 1, 2009; 11(5): 571 - 575. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. R. Holmes Jr, K. H. Monahan, and D. Packer Pulmonary Vein Stenosis Complicating Ablation for Atrial Fibrillation: Clinical Spectrum and Interventional Considerations J. Am. Coll. Cardiol. Intv., April 1, 2009; 2(4): 267 - 276. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. C. Peters, J. V. Wylie, T. H. Hauser, R. Nezafat, Y. Han, J. J. Woo, J. Taclas, K. V. Kissinger, B. Goddu, M. E. Josephson, et al. Recurrence of atrial fibrillation correlates with the extent of post-procedural late gadolinium enhancement a pilot study. J. Am. Coll. Cardiol. Img., March 1, 2009; 2(3): 308 - 316. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Pandit and N. F. Marrouche Cardiac magnetic resonance in the world of the cardiac electrophysiologist the road to real-time cardiac magnetic resonance. J. Am. Coll. Cardiol. Img., March 1, 2009; 2(3): 317 - 318. [Full Text] [PDF]
|
|
|
|
|
|
N Perez-Castellano, J Villacastin, J Salinas, J Moreno, M Doblado, E Ruiz, R Isa, and C Macaya Cooled ablation reduces pulmonary vein isolation time: results of a prospective randomised trial Heart, February 1, 2009; 95(3): 203 - 209. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. Andrikopoulos, S. Tzeis, N. Maniadakis, H. E. Mavrakis, and P. E. Vardas Cost-effectiveness of atrial fibrillation catheter ablation Europace, February 1, 2009; 11(2): 147 - 151. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. J. Camm, P. Kirchhof, G. Y.H. Lip, I. Savelieva, and S. Ernst CHAPTER 29 Atrial Fibrillation ESC Textbook of Cardiovascular Medicine, January 1, 2009; 2(1): med-9780199566990-chapter - med-9780199566990-chapter. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. Jais, B. Cauchemez, L. Macle, E. Daoud, P. Khairy, R. Subbiah, M. Hocini, F. Extramiana, F. Sacher, P. Bordachar, et al. Catheter Ablation Versus Antiarrhythmic Drugs for Atrial Fibrillation: The A4 Study Circulation, December 9, 2008; 118(24): 2498 - 2505. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. M. Kistler, K. Rajappan, S. Harris, M. J. Earley, L. Richmond, S. C. Sporton, and R. J. Schilling The impact of image integration on catheter ablation of atrial fibrillation using electroanatomic mapping: a prospective randomized study Eur. Heart J., December 2, 2008; 29(24): 3029 - 3036. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. H.M. Wittkampf Image integration in 3D catheter mapping systems: proof of the pudding Eur. Heart J., December 2, 2008; 29(24): 2957 - 2958. [Full Text] [PDF]
|
|
|
|
|
|
T. H. Hauser, D. C. Peters, J. V. Wylie, and W. J. Manning Evaluating the left atrium by magnetic resonance imaging Europace, November 1, 2008; 10(suppl_3): iii22 - iii27. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. R. Halperin and S. Nazarian Damage Assessment After Ablation: Role of Cardiovascular Magnetic Resonance J. Am. Coll. Cardiol., October 7, 2008; 52(15): 1272 - 1273. [Full Text] [PDF]
|
|
|
|
|
|
F. Gaita, D. Caponi, M. Scaglione, A. Montefusco, A. Corleto, F. Di Monte, D. Coin, P. Di Donna, and C. Giustetto Long-Term Clinical Results of 2 Different Ablation Strategies in Patients With Paroxysmal and Persistent Atrial Fibrillation Circ Arrhythm Electrophysiol, October 1, 2008; 1(4): 269 - 275. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y Blaauw and H J G M Crijns Treatment of atrial fibrillation Heart, October 1, 2008; 94(10): 1342 - 1349. [Full Text] [PDF]
|
|
|
|
|
|
A. Proclemer, G. Allocca, D. Gregori, C. Bonanno, R. Ometto, A. Fontanelli, R. Mantovan, M. Crosato, V. Calzolari, D. Pavoni, et al. Radiofrequency ablation of drug-refractory atrial fibrillation: an observational study comparing 'ablate and pace' with pulmonary vein isolation Europace, September 1, 2008; 10(9): 1085 - 1090. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E. Aliot and J. N. Ruskin Controversies in ablation of atrial fibrillation Eur. Heart J. Suppl., September 1, 2008; 10(suppl_H): H32 - H54. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Knecht, H. Skali, M. D. O'Neill, M. Wright, S. Matsuo, G. M. Chaudhry, C. I. Haffajee, I. Nault, G. H.M. Gijsbers, F. Sacher, et al. Computed tomography-fluoroscopy overlay evaluation during catheter ablation of left atrial arrhythmia Europace, August 1, 2008; 10(8): 931 - 938. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Matiello, L. Mont, D. Tamborero, A. Berruezo, B. Benito, E. Gonzalez, and J. Brugada Cooled-tip vs. 8 mm-tip catheter for circumferential pulmonary vein ablation: comparison of efficacy, safety, and lesion extension Europace, August 1, 2008; 10(8): 955 - 960. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E. Pokushalov, A. Turov, P. Shugayev, S. Artyomenko, A. Romanov, and N. Shirokova Catheter Ablation of Left Atrial Ganglionated Plexi for Atrial Fibrillation Asian Cardiovasc Thorac Ann, June 1, 2008; 16(3): 194 - 201. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. Hertervig, O. Kongstad, E. Ljungstrom, B. Olsson, and S. Yuan Pulmonary vein potentials in patients with and without atrial fibrillation Europace, June 1, 2008; 10(6): 692 - 697. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
X.-H. Wang, X. Liu, Y.-M. Sun, H.-F. Shi, L. Zhou, and J.-N. Gu Pulmonary vein isolation combined with superior vena cava isolation for atrial fibrillation ablation: a prospective randomized study Europace, May 1, 2008; 10(5): 600 - 605. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. A Lubitz, A. Fischer, and V. Fuster Catheter ablation for atrial fibrillation BMJ, April 12, 2008; 336(7648): 819 - 826. [Full Text] [PDF]
|
|
|
|
|
|
A. M. Patel, A. d'Avila, P. Neuzil, S. J. Kim, MSEE, T. Mela, J. P. Singh, J. N. Ruskin, and V. Y. Reddy Atrial Tachycardia After Ablation of Persistent Atrial Fibrillation: Identification of the Critical Isthmus With a Combination of Multielectrode Activation Mapping and Targeted Entrainment Mapping Circ Arrhythm Electrophysiol, April 1, 2008; 1(1): 14 - 22. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. J. Wellens Forty Years of Invasive Clinical Electrophysiology: 1967-2007 Circ Arrhythm Electrophysiol, April 1, 2008; 1(1): 49 - 53. [Full Text] [PDF]
|
|
|
|
|
|
T. R. Betts Atrioventricular junction ablation and pacemaker implant for atrial fibrillation: still a valid treatment in appropriately selected patients Europace, April 1, 2008; 10(4): 425 - 432. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Chen, M. K. Off, E. Solheim, P. Schuster, P. I. Hoff, and O.-J. Ohm Treatment of atrial fibrillation by silencing electrical activity in the posterior inter-pulmonary-vein atrium Europace, March 1, 2008; 10(3): 265 - 272. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. Pratola, E. Baldo, P. Notarstefano, T. Toselli, and R. Ferrari Radiofrequency Ablation of Atrial Fibrillation: Is the Persistence of All Intraprocedural Targets Necessary for Long-Term Maintenance of Sinus Rhythm? Circulation, January 15, 2008; 117(2): 136 - 143. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. E. Marine Catheter Ablation Therapy for Supraventricular Arrhythmias JAMA, December 19, 2007; 298(23): 2768 - 2778. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Sutton, J. D. Fisher, C. Linde, and D. G. Benditt History of electrical therapy for the heart Eur. Heart J. Suppl., December 1, 2007; 9(suppl_I): I3 - I10. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. Pappone and V. Santinelli Non-fluoroscopic mapping as a guide for atrial ablation: current status and expectations for the future Eur. Heart J. Suppl., December 1, 2007; 9(suppl_I): I36 - I47. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S.-C. Seow, T.-W. Lim, C.-H. Koay, D. L. Ross, and S. P. Thomas Efficacy and late recurrences with wide electrical pulmonary vein isolation for persistent and permanent atrial fibrillation Europace, December 1, 2007; 9(12): 1129 - 1133. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. Arrantes, F. Gaita, K.-t. Lim, M. Scaglione, P. Jais, M. Hocini, S. Matsuo, S. Knecht, and M. Haissaguerre Atrial fibrillation ablation: evolution of the curative approach Eur. Heart J. Suppl., December 1, 2007; 9(suppl_I): I129 - I135. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 F. Saremi and S. Krishnan Cardiac Conduction System: Anatomic Landmarks Relevant to Interventional Electrophysiologic Techniques Demonstrated with 64-Detector CT RadioGraphics, November 1, 2007; 27(6): 1539 - 1565. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E. W. Schneeberger and R. M. Osterday Lateral Placement of Bipolar Clamp Facilitates Pulmonary Vein Isolation Ann. Thorac. Surg., October 1, 2007; 84(4): 1412 - 1413. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. D. O'Neill, P. Jais, M. Hocini, F. Sacher, G. J. Klein, J. Clementy, and M. Haissaguerre Catheter Ablation for Atrial Fibrillation Circulation, September 25, 2007; 116(13): 1515 - 1523. [Full Text] [PDF]
|
|
|
|
 |
|
 J. S. Ulphani, R. Arora, J. H. Cain, R. Villuendas, S. Shen, D. Gordon, F. Inderyas, L. A. Harvey, A. Morris, J. J. Goldberger, et al. The ligament of Marshall as a parasympathetic conduit Am J Physiol Heart Circ Physiol, September 1, 2007; 293(3): H1629 - H1635. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. D. Lindsay Is Pulmonary Vein Antrum Isolation a Critical Determinant of Recurrent Arrhythmias After Ablation of Atrial Fibrillation? J. Am. Coll. Cardiol., August 28, 2007; 50(9): 875 - 876. [Full Text] [PDF]
|
|
|
|
|
|
G. B. Forleo, C. Tondo, L. De Luca, A. D. Russo, M. Casella, V. De Sanctis, F. Clementi, R. L. Fagundes, R. Leo, F. Romeo, et al. Gender-related differences in catheter ablation of atrial fibrillation Europace, August 1, 2007; 9(8): 613 - 620. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Arentz, R. Weber, G. Burkle, C. Herrera, T. Blum, J. Stockinger, J. Minners, F. J. Neumann, and D. Kalusche Small or Large Isolation Areas Around the Pulmonary Veins for the Treatment of Atrial Fibrillation?: Results From a Prospective Randomized Study Circulation, June 19, 2007; 115(24): 3057 - 3063. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. Calkins, J. Brugada, D. L. Packer, R. Cappato, S.-A. Chen, H. J.G. Crijns, R. J. Damiano Jr, D. W. Davies, D. E. Haines, M. Haissaguerre, et al. HRS/EHRA/ECAS Expert Consensus Statement on Catheter and Surgical Ablation of Atrial Fibrillation: Recommendations for Personnel, Policy, Procedures and Follow-Up: A report of the Heart Rhythm Society (HRS) Task Force on Catheter and Surgical Ablation of Atrial Fibrillation Developed in partnership with the European Heart Rhythm Association (EHRA) and the European Cardiac Arrhythmia Society (ECAS); in collaboration with the American College of Cardiology (ACC), American Heart Association (AHA), and the Society of Thoracic Surgeons (STS). Endorsed and Approved by the governing bodies of the American College of Cardiology, the American Heart Association, the European Cardiac Arrhythmia Society, the European Heart Rhythm Association, the Society of Thoracic Surgeons, and the Heart Rhythm Society. Europace, June 1, 2007; 9(6): 335 - 379. [Full Text] [PDF]
|
|
|
|
|
|
K. Nademanee Trials and Travails of Electrogram-Guided Ablation of Chronic Atrial Fibrillation Circulation, May 22, 2007; 115(20): 2592 - 2594. [Full Text] [PDF]
|
|
|
|
|
|
M. H. Kanj, O. Wazni, T. Fahmy, S. Thal, D. Patel, C. Elay, L. Di Biase, M. Arruda, W. Saliba, R. A. Schweikert, et al. Pulmonary Vein Antral Isolation Using an Open Irrigation Ablation Catheter for the Treatment of Atrial Fibrillation: A Randomized Pilot Study J. Am. Coll. Cardiol., April 17, 2007; 49(15): 1634 - 1641. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. C. Peters, J. V. Wylie, T. H. Hauser, K. V. Kissinger, R. M. Botnar, V. Essebag, M. E. Josephson, and W. J. Manning Detection of Pulmonary Vein and Left Atrial Scar after Catheter Ablation with Three-dimensional Navigator-gated Delayed Enhancement MR Imaging: Initial Experience Radiology, March 1, 2007; 243(3): 690 - 695. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
O. M. Wazni, H.-M. Tsao, S.-A. Chen, H.-H. Chuang, W. Saliba, A. Natale, and A. L. Klein Cardiovascular Imaging in the Management of Atrial Fibrillation J. Am. Coll. Cardiol., November 21, 2006; 48(10): 2077 - 2084. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. Nilsson, X. Chen, S. Pehrson, and J. H. Svendsen The effectiveness of a high output/short duration radiofrequency current application technique in segmental pulmonary vein isolation for atrial fibrillation. Europace, November 1, 2006; 8(11): 962 - 965. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. Coutu, D. Chartier, and S. Nattel Comparison of Ca2+-handling properties of canine pulmonary vein and left atrial cardiomyocytes Am J Physiol Heart Circ Physiol, November 1, 2006; 291(5): H2290 - H2300. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Writing Committee Members, V. Fuster, L. E. Ryden, D. S. Cannom, H. J. Crijns, A. B. Curtis, K. A. Ellenbogen, J. L. Halperin, J.-Y. Le Heuzey, G. N. Kay, et al. ACC/AHA/ESC 2006 guidelines for the management of patients with atrial fibrillation: full text: A report of the American College of Cardiology/American Heart Association Task Force on practice guidelines and the European Society of Cardiology Committee for Practice Guidelines (Writing Committee to Revise the 2001 Guidelines for the Management of Patients With Atrial Fibrillation) Developed in collaboration with the European Heart Rhythm Association and the Heart Rhythm Society Europace, September 1, 2006; 8(9): 651 - 745. [Full Text] [PDF]
|
|
|
|
|
|
M. Scanavacca, C. F. Pisani, D. Hachul, S. Lara, C. Hardy, F. Darrieux, I. Trombetta, C. E. Negrao, and E. Sosa Selective Atrial Vagal Denervation Guided by Evoked Vagal Reflex to Treat Patients With Paroxysmal Atrial Fibrillation Circulation, August 29, 2006; 114(9): 876 - 885. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
V. Fuster, L. E. Ryden, D. S. Cannom, H. J. Crijns, A. B. Curtis, K. A. Ellenbogen, J. L. Halperin, J.-Y. Le Heuzey, G. N. Kay, J. E. Lowe, et al. ACC/AHA/ESC 2006 Guidelines for the Management of Patients With Atrial Fibrillation--Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the European Society of Cardiology Committee for Practice Guidelines (Writing Committee to Revise the 2001 Guidelines for the Management of Patients With Atrial Fibrillation) Developed in Collaboration With the European Heart Rhythm Association and the Heart Rhythm Society J. Am. Coll. Cardiol., August 15, 2006; 48(4): 854 - 906. [Full Text] [PDF]
|
|
|
|
|
|
V. Fuster, L. E. Ryden, D. S. Cannom, H. J. Crijns, A. B. Curtis, K. A. Ellenbogen, J. L. Halperin, J.-Y. Le Heuzey, G. N. Kay, J. E. Lowe, et al. ACC/AHA/ESC 2006 Guidelines for the Management of Patients With Atrial Fibrillation: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the European Society of Cardiology Committee for Practice Guidelines (Writing Committee to Revise the 2001 Guidelines for the Management of Patients With Atrial Fibrillation) Developed in Collaboration With the European Heart Rhythm Association and the Heart Rhythm Society J. Am. Coll. Cardiol., August 15, 2006; 48(4): e149 - e246. [Full Text] [PDF]
|
|
|
|
|
|
V. Fuster, L. E. Ryden, D. S. Cannom, H. J. Crijns, A. B. Curtis, K. A. Ellenbogen, J. L. Halperin, J.-Y. Le Heuzey, G. N. Kay, J. E. Lowe, et al. ACC/AHA/ESC 2006 Guidelines for the Management of Patients With Atrial Fibrillation: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the European Society of Cardiology Committee for Practice Guidelines (Writing Committee to Revise the 2001 Guidelines for the Management of Patients With Atrial Fibrillation): Developed in Collaboration With the European Heart Rhythm Association and the Heart Rhythm Society Circulation, August 15, 2006; 114(7): e257 - e354. [Full Text] [PDF]
|
|
|
|
|
|
V. Fuster, L. E. Ryden, D. S. Cannom, H. J. Crijns, A. B. Curtis, K. A. Ellenbogen, J. L. Halperin, J.-Y. Le Heuzey, G. N. Kay, J. E. Lowe, et al. ACC/AHA/ESC 2006 Guidelines for the Management of Patients With Atrial Fibrillation--Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the European Society of Cardiology Committee for Practice Guidelines (Writing Committee to Revise the 2001 Guidelines for the Management of Patients With Atrial Fibrillation): Developed in Collaboration With the European Heart Rhythm Association and the Heart Rhythm Society Circulation, August 15, 2006; 114(7): 700 - 752. [Full Text] [PDF]
|
|
|
|
|
|
Authors/Task Force Members, V. Fuster, L. E. Ryden, D. S. Cannom, H. J. Crijns, A. B. Curtis, K. A. Ellenbogen, J. L. Halperin, J.-Y. Le Heuzey, G. N. Kay, et al. ACC/AHA/ESC 2006 guidelines for the management of patients with atrial fibrillation executive summary: A report of the American College of Cardiology/American Heart Association Task Force on practice guidelines and the European Society of Cardiology Committee for Practice Guidelines (Writing Committee to Revise the 2001 Guidelines for the Management of Patients with Atrial Fibrillation) Developed in collaboration with the European Heart Rhythm Association and the Heart Rhythm Society Eur. Heart J., August 2, 2006; 27(16): 1979 - 2030. [Full Text] [PDF]
|
|
|
|
|
|
I. Deisenhofer, H. Estner, B. Zrenner, J. Schreieck, S. Weyerbrock, G. Hessling, K. Scharf, M. R. Karch, and C. Schmitt Left atrial tachycardia after circumferential pulmonary vein ablation for atrial fibrillation: incidence, electrophysiological characteristics, and results of radiofrequency ablation. Europace, August 1, 2006; 8(8): 573 - 582. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Jahangiri, G. Weir, K. Mandal, I. Savelieva, and J. Camm Current strategies in the management of atrial fibrillation. Ann. Thorac. Surg., July 1, 2006; 82(1): 357 - 364. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. E.W. Hemels, Y. L. Gu, A. E. Tuinenburg, P. W. Boonstra, A. C.P. Wiesfeld, M. P. van den Berg, D. J. Van Veldhuisen, and I. C. Van Gelder Favorable long-term outcome of maze surgery in patients with lone atrial fibrillation. Ann. Thorac. Surg., May 1, 2006; 81(5): 1773 - 1779. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. Pappone, G. Vicedomini, F. Manguso, F. Gugliotta, P. Mazzone, S. Gulletta, N. Sora, S. Sala, A. Marzi, G. Augello, et al. Robotic Magnetic Navigation for Atrial Fibrillation Ablation J. Am. Coll. Cardiol., April 4, 2006; 47(7): 1390 - 1400. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Forlani, R. De Paulis, L. G. Wolf, R. Greco, P. Polisca, M. Moscarelli, and L. Chiariello Conversion to Sinus Rhythm by Ablation Improves Quality of Life in Patients Submitted to Mitral Valve Surgery Ann. Thorac. Surg., March 1, 2006; 81(3): 863 - 867. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M C S Hall and D M Todd Modern management of arrhythmias Postgrad. Med. J., February 1, 2006; 82(964): 117 - 125. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Dickfeld, R. Kato, M. Zviman, S. Lai, G. Meininger, A. C. Lardo, A. Roguin, D. Blumke, R. Berger, H. Calkins, et al. Characterization of Radiofrequency Ablation Lesions With Gadolinium-Enhanced Cardiovascular Magnetic Resonance Imaging J. Am. Coll. Cardiol., January 17, 2006; 47(2): 370 - 378. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A de Roos, L J M Kroft, J J Bax, H J Lamb, and J Geleijns Cardiac applications of multislice computed tomography Br. J. Radiol., January 1, 2006; 79(937): 9 - 16. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Sra, D. Krum, A. Malloy, M. Vass, B. Belanger, E. Soubelet, R. Vaillant, and M. Akhtar Registration of Three-Dimensional Left Atrial Computed Tomographic Images With Projection Images Obtained Using Fluoroscopy Circulation, December 13, 2005; 112(24): 3763 - 3768. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
V. Essebag, F. Baldessin, M. R. Reynolds, S. McClennen, J. Shah, K. F. Kwaku, P. Zimetbaum, and M. E. Josephson Non-inducibility post-pulmonary vein isolation achieving exit block predicts freedom from atrial fibrillation Eur. Heart J., December 1, 2005; 26(23): 2550 - 2555. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F R Quinn and A C Rankin Atrial fibrillation ablation in the real world Heart, December 1, 2005; 91(12): 1507 - 1508. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
W. P. Beukema, A. Elvan, H. T. Sie, A. R. Ramdat Misier, and H. J.J. Wellens Successful Radiofrequency Ablation in Patients With Previous Atrial Fibrillation Results in a Significant Decrease in Left Atrial Size Circulation, October 4, 2005; 112(14): 2089 - 2095. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. J. Padanilam and E. N. Prystowsky Should Ablation Be First-Line Therapy and for Whom: The Antagonist Position Circulation, August 23, 2005; 112(8): 1223 - 1231. [Full Text] [PDF]
|
|
|
|
 |
|
 J. Edelson, R. Shah, and D. Ost A 45-Year-Old Man With Left Lung Hypoperfusion and Possible Pulmonary Embolism Chest, August 1, 2005; 128(2): 1032 - 1036. [Full Text] [PDF]
|
|