2020-05-01

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The occurrence of atrial tachycardias (AT) is a direct function of the volume of atrial tissue ablated in the patients with atrial fibrillation (AF). Thus, the incidence of AT is highest in persistent AF patients undergoing stepwise ablation using the strategic combination of pulmonary vein isolation, electrogram based ablation and left atrial linear ablation.

However, it remains unclear whether prophylactic cavotricuspid isthmus (CTI) ablation at the time of PVI improves long-term freedom from AF. Effect of right atrial isthmus ablation on the occurrence of atrial fibrillation: observations in four patient groups having type I atrial flutter with or without associated atrial fibrillation (Abstr). Se hela listan på ahajournals.org Conclusions: Crossing myocardial strands and bridges at the interpulmonary isthmus may be the anatomical substrate for electrical connection between superior and inferior PVs and may have implications for local PV isolation in patients with atrial fibrillation. In addition to PVI, some patients in group B underwent ablation of complex fractionated electrograms and/or creation of left atrial roof and mitral isthmus ablation line in a stepwise approach when AF was induced and sustained for more than 2 minutes. Mean follow‐up was 16 ± 4 months with a 48‐hour ambulatory monitor every 2 months. Introduction. Cavotricuspid isthmus (CTI) ablation is the treatment of choice for symptomatic and recurrent typical, isthmus-dependent atrial flutter (AFL).

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2001-04-01

However, the mechanisms underlying the initiation of AF in If you've ever had the feeling of your heart fluttering or skipping beats, you may be suffering from atrial fibrillation (Afib). Though the feeling may be quite disconcerting, having Afib doesn't necessarily mean you have a serious health c We are experiencing extremely high call volume related to COVID-19 vaccine interest. Please understand that our phone lines must be clear for urgent medical care needs.

Background: Pulmonary vein isolation (PVI) is the mainstay of catheter ablation ( CA) for paroxysmal atrial fibrillation (AF). However, for persistent and 

However the recommendations regarding long-term follow-up in order to detect early complications and recurrences, as well as its medical management, are scarce and vague.

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PPI indicates postpacing interval; and TCL, tachycardia The variant was then assessed as a predictor of incident AF after cavotricuspid isthmus ablation in 87 consecutive typical Afl patients with Cox proportional hazards models. The rs2200733 rare allele was associated with an adjusted 2.06-fold increased odds of isolated Afl (95% CI: 1.13-3.76, P = 0.019) and an adjusted 2.79-fold increased odds of a combined phenotype of AF and Afl (95% CI: 1.81-4.28, P < 0.001). ObjectiveData on the efficacy of adjunctive interpulmonary isthmus ablation following completion of extensive encircling pulmonary vein isolation (EEPVI) on atrial fibrillation (AF) recurrence have still been insufficient.

The aim of this study is to assess whether CTI ablation after PV isolation reduces inducibility of … The impact of isthmus ablation on AF recurrences differs according to the clinically predominant atrial arrhythmia and suggests a possible role of the RA isthmus in the occurrence of AF in some patients. Ablation of class IC atrial flutter in patients with therapy-resistant AF is a novel approach to management of this patient subset. Impact of prophylactic cavotricuspid isthmus ablation in atrial fibrillation recurrence after a first pulmonary vein isolation procedure.
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Isthmus ablation in atrial fibrillation




Atrial fibrillation complicating the course of degenerative mitral isthmus: a meta-analysis. first-line radiofrequency ablation in patients with atrial flutter. J Am.

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Incidence and Recurrence of Atrial Fibrillation in Patients Undergoing Cavotricuspid Isthmus Ablation for Typical Atrial Flutter November 2013 Conference: American Heart Association

Atrial flutter; cavotricuspid isthmus; ablation  PDF | Objective: Radiofrequency (RF) ablation is a highly successful procedure for the management of typical atrial flutter (AFL), an abnormal  Impact of cavotricuspid isthmus morphology in CRYO versus radiofrequency ablation of typical atrial flutter. Saygi S, Bastani H, Drca N, Insulander P, Wredlert C,  and surgical ablation of atrial fibrillation: recommendations for personnel, policy Left mitral isthmus ablation associated with PV Isolation: long-term results of a  För sammanfattning av "ESC - Guidelines on atrial fibrillation 2016", se sista delen av detta PM. Erbjud istmus-ablation till symtomatiska fladderpatienter. Clinical significance of early recurrences of atrial fibrillation after pulmonary vein isthmus after an initial, unsuccessful anatomically directed ablation line. av H Bastani · 2011 — In Study IV cryoablation was compared to RF ablation for the treatment of cavotricuspid isthmus- dependent atrial flutter with emphasis on clinical success, safety  av J Pontoppidan · 2009 · Citerat av 26 — SwePub titelinformation: Prophylactic cavotricuspid isthmus block during atrial fibrillation ablation in patients without atrial flutter: a randomised controlled trial.

Dual-loop reentrant atrial tachycardia (AT) has been reported infrequently. 1,2 Most reports have focused on the postoperative patient, 1 where dual-loop AT in right atrium seems to be common. More rarely, dual-loop ATs in the left atrium (LA) after ablation for atrial fibrillation (AF) 3 – 6 have also been reported. Extensive fibrosis and ablation procedures in persistent AF may cause

3, – 5 The development of AF after successful CTI ablation is high in patients Andres Enriquez, Axel Sarrias, Roger Villuendas, Fariha Sadiq Ali, Diego Conde, Wilma M. Hopman, Damian P. Redfearn, Kevin Michael, Christopher Simpson, Antoni Bayés De Luna, Antoni Bayés-Genís, Adrian Baranchuk, New-onset atrial fibrillation after cavotricuspid isthmus ablation: identification of advanced interatrial block is key, EP Europace, Volume 17, Issue 8, August 2015, Pages 1289 Broadly divided into pulmonary veins, left atrial (LA) roof, left atrium (incorporating all anatomic regions of the chamber), mitral isthmus and non-LA structures, each region is targeted in sequence and the impact of ablation upon the global fibrillatory process assessed by measurement of AF cycle length (AFCL) at a site remote from the ablation target. 2008-01-01 · Background.

2015-02-11 2020-05-01 ObjectiveData on the efficacy of adjunctive interpulmonary isthmus ablation following completion of extensive encircling pulmonary vein isolation (EEPVI) on atrial fibrillation (AF) recurrence have still been insufficient. We aimed to compare the AF recurrence between EEPVI with and without adjunctive interpulmonary isthmus ablation.