Article
Medicine, General & Internal
Julian Mueller, Karin Nentwich, Artur Berkovitz, Kai Sonne, Olena Kozlova, Sebastian Barth, Alexandru Deacanu, Christian Waechter, Philipp Halbfass, Heiko Lehrmann, Thomas Deneke
Summary: This study investigated the characteristics of patients undergoing redo AF ablation and the impact of different ablation strategies. The results showed that pulmonary vein reconnection was common among all techniques of AF ablation, and different ablation strategies did not improve long-term success.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Medicine, General & Internal
Yun Young Choi, Jaemin Shim, Yun Gi Kim, Kyongjin Min, Seung-Young Roh, Jin Seok Kim, Jong-Il Choi, Young-Hoon Kim
Summary: Adenosine-induced atrial fibrillation (AIAF) does not affect the long-term recurrence rate after pulmonary vein isolation (PVI). Additional ablation for the trigger site of AIAF does not improve clinical outcomes.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Cardiac & Cardiovascular Systems
Chi Cai, Jing Wang, Hong-Xia Niu, Jian-Min Chu, Wei Hua, Shu Zhang, Yan Yao
Summary: This study investigates the association between lesion size index (LSI) and acute conduction gap formation during high-power (HP) ablation for pulmonary vein isolation (PVI) in atrial fibrillation (AF) patients. Using LSI-guided HP ablation, a LSI value above 4.35 for all PV segments showed the best predictive value in avoiding gap formation for effective first-pass PVI. The optimal LSI cutoff values for predicting gap formation were 4.55 for the anterior wall and 3.95 for the posterior wall.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2022)
Article
Cardiac & Cardiovascular Systems
Nandor Szegedi, Judit Simon, Balint Szilveszter, Zoltan Sallo, Szilvia Herczeg, Lili Szaraz, Marton Kolossvary, Gabor Orban, Gabor Szeplaki, Klaudia Vivien Nagy, Mohammed El Mahdiui, Jeff M. Smit, Victoria Delgado, Jeroen J. Bax, Pal Maurovich-Horvat, Bela Merkely, Laszlo Geller
Summary: This study evaluated the impact of the spatial relationship between LSPV and LAA on recurrence after catheter ablation for paroxysmal AF. The study found that an abutting LAA-LSPV was associated with a higher chance of AF recurrence.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2022)
Article
Medicine, General & Internal
Sebastian Weyand, Viola Adam, Matthias Beuter, Simon Hanger, David Heinzmann, Willibald Schrezenmeier, Peter Seizer
Summary: For patients undergoing radiofrequency pulmonary vein isolation, the necessity of pulmonary vein angiography was investigated after the use of high-resolution mapping catheters and high-power, short-duration ablation technique. The study found that omitting pulmonary vein angiography had no significant impact on the efficacy, efficiency, and complications of the ablation procedure. Therefore, avoiding pulmonary vein angiography may be useful, especially for young patients and those with chronic renal disease, when using this protocol.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Cardiac & Cardiovascular Systems
Hubert Cochet, Yosuke Nakatani, Soumaya Sridi-Cheniti, Ghassen Cheniti, F. Daniel Ramirez, Takashi Nakashima, Charles Eggert, Christopher Schneider, Raju Viswanathan, Nicolas Derval, Josselin Duchateau, Thomas Pambrun, Remi Chauvel, Vivek Y. Reddy, Michel Montaudon, Francois Laurent, Frederic Sacher, Meleze Hocini, Michel Haissaguerre, Pierre Jais
Summary: In this study, extra-atrial injuries after pulmonary vein isolation (PVI) using pulsed field ablation (PFA) and thermal ablation methods were compared in 41 patients with paroxysmal atrial fibrillation (AF). It was found that PFA did not induce any signs of esophageal injury on cardiac magnetic resonance (CMR) imaging after PVI, indicating a potential improvement in safety for catheter ablation of AF.
Article
Cardiac & Cardiovascular Systems
Samuel K. Sorensen, Arne Johannessen, Rene Worck, Morten L. Hansen, Jim Hansen
Summary: Radiofrequency and cryoballoon catheter ablation demonstrate similar moderate to high durability in pulmonary vein isolation. However, about 5% of patients experienced recurrence of atrial fibrillation despite complete and durable PVI. The reduction in AF burden is associated with the number of durably isolated pulmonary veins.
CIRCULATION-ARRHYTHMIA AND ELECTROPHYSIOLOGY
(2021)
Article
Cardiac & Cardiovascular Systems
Daehoon Kim, Taehyun Hwang, Min Kim, Hee Tae Yu, Tae-Hoon Kim, Jae-Sun Uhm, Boyoung Joung, Moon-Hyoung Lee, Hui-Nam Pak
Summary: Extra-pulmonary vein triggers are commonly found in atrial fibrillation patients and associated with poorer rhythm outcomes after both de novo and repeat catheter ablation procedures.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2021)
Article
Medicine, General & Internal
Philippe Taghji, Jean-Claude Deharo, Sana Amraoui, Sok-Sithikun Bun
Summary: This study evaluated the efficacy of CLOSE-guided pulmonary vein isolation (PVI) in the treatment of persistent atrial fibrillation (AF). The results showed that CLOSE-guided PVI achieved a high single-procedure arrhythmia-free survival rate of 80% at 1 year under intensive cardiac rhythm monitoring. However, larger-scale studies are still needed to further confirm these findings.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Cardiac & Cardiovascular Systems
Xin Xie, Gang Yang, Xiaorong Li, Jinbo Yu, Fengxiang Zhang, Weizhu Ju, Hongwu Chen, Mingfang Li, Kai Gu, Dian Cheng, Xuecheng Wang, Yizhang Wu, Jian Zhou, Xiaoqian Zhou, Baowei Zhang, Pipin Kojodjojo, Kejiang Cao, Bing Yang, Minglong Chen
Summary: A retrospective study revealed that additional ablations were common in PAF patients, with lower LVEF and AF episodes before, during, and induced after PVI serving as independent predictors of additional ablation. Patients with PAF who underwent index procedures showed a single-procedure free rate from atrial arrhythmias at 70.48% after 58.36 +/- 7.12 months.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2021)
Article
Cardiac & Cardiovascular Systems
Michelle Lycke, Maria Kyriakopoulou, Milad El Haddad, Jean-Yves Wielandts, Gabriela Hilfiker, Alexandre Almorad, Teresa Strisciuglio, Jan De Pooter, Michael Wolf, Philippe Unger, Yves Vandekerckhove, Rene Tavernier, Jean-Benoit e Polain de Waroux, Mattias Duytschaever, Sebastien Knecht
Summary: The study aimed to identify predictors for atrial fibrillation (AF) recurrence 1 year after CLOSE-guided pulmonary vein isolation (PVI) in patients with paroxysmal AF.
Article
Cardiac & Cardiovascular Systems
Karim Benali, Valentin Barre, Alexis Hermida, Vincent Galand, Antoine Milhem, Severine Philibert, Serge Boveda, Clement Bars, Frederic Anselme, Baptiste Maille, Clementine Andre, Albin Behaghel, Ghassan Moubarak, Nicolas Clementy, Antoine Da Costa, Marine Arnaud, Sandrine Venier, Frederic Sebag, Laurence Jesel-Morel, Audrey Sagnard, Laure Champ-Rigot, Duc Dang, Benoit Guy-Moyat, Selim Abbey, Rodrigue Garcia, Olivier Cesari, Nicolas Badenco, Antoine Lepillier, Sandro Ninni, Stephane Boule, Philippe Maury, Vincent Algalarrondo, Babe Bakouboula, Jacques Mansourati, Francois Lesaffre, Philippe Lagrange, Abdeslam Bouzeman, Lucian Muresan, Raoul Bacquelin, Agustin Bortone, Sok-Sithikun Bun, Dominique Pavin, Laurent Macle, Raphael P. Martins
Summary: This study analyzed the impact of different ablation strategies on patients with recurrent atrial fibrillation (AF) despite durable pulmonary vein isolation (PVI). The results showed that no ablation strategy, whether used alone or in combination, appeared to be superior in improving arrhythmia-free survival. Left atrial dilatation was found to be a significant predictor of ablation outcome in this population.
CIRCULATION-ARRHYTHMIA AND ELECTROPHYSIOLOGY
(2023)
Article
Cardiac & Cardiovascular Systems
Giulio Falasconi, Diego Penela, David Soto-Iglesias, Pietro Francia, Cheryl Teres, Andrea Saglietto, Beatriz Jauregui, Daniel Viveros, Aldo Bellido, Jose Alderete, Julia Meca-Santamaria, Paula Franco, Carlo Gaspardone, Rodolfo San Antonio, Marina Huguet, Oscar Camara, Jose-Tomas Ortiz-Perez, Julio Marti-Almor, Antonio Berruezo
Summary: The study aimed to personalize the ablation index (AI) based on left atrial wall thickness (LAWT) and investigate its effectiveness in PV antrum isolation for persistent atrial fibrillation (PeAF). The results showed that this personalized approach was effective and efficient, with low procedure, fluoroscopy, and RF time. The importance of this study lies in providing a new method for the treatment of PeAF.
Article
Medicine, General & Internal
Ruzica Jurcevic, Lazar Angelkov, Nebojsa Tasic, Milosav Tomovic, Dejan Kojic, Petar Otasevic, Milovan Bojic
Summary: This study introduces PVIOD as a new semiquantitative measure for AF catheter ablation efficacy, and identifies longstanding persistent AF, left atrial diameter, and left ventricular ejection fraction as independent predictors associated with PVIOD.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Cardiac & Cardiovascular Systems
Arash Aryana, Anna M. Thiemann, Deep K. Pujara, Laura L. Cossette, Shelley L. Allen, Mark R. Bowers, Maheer Gandhavadi, Russell Heath, Amar D. Trivedi, Padraig Gearoid O'Neill, Ethan R. Ellis, Andre d'Avila
Summary: This study investigated the acute and long-term outcomes of cryoballoon PVI vs PVI+PWI in patients with symptomatic PAF. The results showed that PVI+PWI treatment was associated with greater freedom from recurrent atrial arrhythmias and AF during long-term follow-up, compared to PVI alone.
JACC-CLINICAL ELECTROPHYSIOLOGY
(2023)
Review
Cardiac & Cardiovascular Systems
Rishi Charate, Adnan Ahmed, Surya K. Aedma, Vasvi Singh, Jalaj Garg, Naga V. K. Pothineni, Domenico G. Della Rocca, Rakesh Gopinathannair, Andrea Natale, Dhanunjaya Lakkireddy
Summary: This article reviews the latest available data on the diagnosis, management, and intervention of central and peri-device leaks that occur after left atrial appendage closure. The aim is to gain a better understanding of addressing these leaks and determining the most suitable interventions and closure methods based on their cause, size, and operator experience.
JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY
(2023)
Article
Cardiac & Cardiovascular Systems
Atul E. Verma, David V. Haines, Lucas Boersma, Nitesh Sood, Andrea E. Natale, Francis Marchlinski, Hugh Calkins, Prashanthan L. Sanders, Douglas Packer, Karl-Heinz Kuck, Gerhard Hindricks, Birce Onal, Jeffrey Cerkvenik, Hiroshi B. Tada, David DeLurgio, PULSED AF Investigators
Summary: Pulsed field ablation is an effective and safe method for treating patients with atrial fibrillation. It has comparable effectiveness to traditional catheter ablation but with a lower rate of complications.
Article
Cardiac & Cardiovascular Systems
Pietro Rossi, Filippo Maria Cauti, Marta Niscola, Michele Magnocavallo, Marco Polselli, Silvia Capone, Domenico Giovanni Della Rocca, Jorge Rodriguez-Garrido, Gianfranco Piccirillo, Ignasi Anguera, Paolo Dallaglio, Stefano Bianchi
Summary: This study analyzed the wave-front activation patterns in ventricular tachycardia (VT) and identified a potential method, VEDUM maps, to identify areas with slow and inhomogeneous activation. It was found that these areas have important electrophysiological characteristics during sinus/paced rhythm. This provides new insights for the treatment of VT.
CIRCULATION-ARRHYTHMIA AND ELECTROPHYSIOLOGY
(2023)
Article
Cardiac & Cardiovascular Systems
Alexandre Almorad, Alvise Del Monte, Domenico Giovanni Della Rocca, Luigi Pannone, Robbert Ramak, Ingrid Overeinder, Gezim Bala, Erwin Stroker, Juan Sieira, Aurelie Dubois, Antonio Sorgente, Milad El Haddad, Saverio Iacopino, Serge Boveda, Carlo de Asmundis, Gian-Battista Chierchia
Summary: This study compared the efficacy and safety of a novel radiofrequency balloon (RFB) catheter with cryoballoon (CB) ablation in patients with paroxysmal atrial fibrillation (AF). The results showed no significant differences in freedom from atrial tachyarrhythmias (ATas) at 1 year, procedural characteristics, or major complications between the two groups.
Article
Cardiac & Cardiovascular Systems
Domenico G. Della Rocca, Michele Magnocavallo, Christoffel J. Van Niekerk, Thomas Gilhofer, Grace Ha, Gabriele D'Ambrosio, Sanghamitra Mohanty, Carola Gianni, Jennifer Galvin, Giampaolo Vetta, Carlo Lavalle, Luigi Di Biase, Antonio Sorgente, Gian-Battista Chierchia, Carlo de Asmundis, Lukas Urbanek, Boris Schmidt, J. Christoph Geller, Dhanunjaya R. Lakkireddy, Moussa Mansour, Jacqueline Saw, Rodney P. Horton, Douglas Gibson, Andrea Natale
Summary: Chronic kidney disease has prognostic value in patients undergoing percutaneous left atrial appendage occlusion, affecting the risks of thrombo-embolism and major bleeding.
Article
Cardiac & Cardiovascular Systems
Luigi Di Biase, Fengwei Zou, Aung N. Lin, Vito Grupposo, Jacopo Marazzato, Nicola Tarantino, Domenico Della Rocca, Sanghamitra Mohanty, Andrea Natale, Majd Al Deen Alhuarrat, Guy Haiman, David Haimovich, Richard A. Matthew, Jaclyn Alcazar, Graca Costa, Roy Urman, Xiaodong Zhang
Summary: This study aimed to evaluate the feasibility of a new deep learning imaging algorithm in comparison to cardiac computed tomography (CT) for left atrial anatomical rendering during atrial fibrillation (AF) ablation. The algorithm successfully reconstructed the anatomical structures of the left atrium and showed comparable results to CT measurements. The integration of this algorithm with intracardiac echocardiography (ICE) has the potential to streamline the workflow of AF ablation.
Editorial Material
Cardiac & Cardiovascular Systems
Sanghamitra Mohanty, Moussa Mansour, Andrea Natale
Review
Cardiac & Cardiovascular Systems
Andrea Natale, Katja Zeppenfeld, Paolo Della Bella, Xu Liu, Avi Sabbag, Pasquale Santangeli, Philipp Sommer, Christian Sticherling, Xiaodong Zhang, Luigi Di Biase
Summary: This article discusses the history, current state, and future directions of ventricular tachycardia ablation, highlighting the importance of Europace journal as a platform for publishing groundbreaking research in this field.
Article
Cardiac & Cardiovascular Systems
Ayman A. Hussein, M. Craig Delaughter, George Monir, Andrea Natale, Srinivas Dukkipati, Saumil Oza, Emile Daoud, Luigi Di Biase, Moussa Mansour, Robert Fishel, Miguel Valderrabano, Kenneth Ellenbogen, Jose Osorio, Q-FFICIENCY investigators
Summary: Paroxysmal AF ablation with the novel temperature-controlled RF catheter leads to significant improvement in QOL, reduction in AAD use, cardioversion, and cardiovascular hospitalization.
JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY
(2023)
Article
Cardiac & Cardiovascular Systems
Sanghamitra Mohanty, Prasant Mohanty, Danielle Kessler, Carola Gianni, Karim K. Baho, Trevor Morris, Tuna Yildiz, Angel Quintero Mayedo, Bryan Macdonald, Domenico G. Della Rocca, Amin Al-Ahmad, Mohamed Bassiouny, G. Joseph Gallinghouse, Rodney Horton, John D. Burkhardt, Luigi di Biase, Andrea Natale
Summary: This study aimed to evaluate the benefits of colchicine monotherapy in reducing the risk of pericarditis and related hospitalization rate in atrial fibrillation patients undergoing catheter ablation. The results showed that the use of colchicine from 7 days before to 1 month after the ablation procedure was associated with a significantly lower risk of acute pericarditis and related hospitalization. Furthermore, patients receiving colchicine had a higher arrhythmia-free survival rate compared to those not receiving colchicine at 1-year follow-up.
JACC-CLINICAL ELECTROPHYSIOLOGY
(2023)
Letter
Cardiac & Cardiovascular Systems
Domenico G. Della Rocca, Alvise Del Monte, Gezim Bala, Luigi Pannone, Erwin Stroker, Cinzia Monaco, Alexandre Almorad, Juan Sieira, Antonio Sorgente, Carlo de Asmundis, Gian-Battista Chierchia
JACC-CLINICAL ELECTROPHYSIOLOGY
(2023)
Article
Cardiac & Cardiovascular Systems
Mohamed Ali Ellejmi, Antonio Sorgente, Domenico Giovanni Della Rocca, Luigi Pannone, Andrea Sarkozy, Carlo de Asmundis, Gian-Battista Chierchia
JOURNAL OF INTERVENTIONAL CARDIAC ELECTROPHYSIOLOGY
(2023)
Article
Cardiac & Cardiovascular Systems
Alvise Del Monte, Gian Battista Chierchia, Domenico Giovanni Della Rocca, Luigi Pannone, Antonio Sorgente, Gezim Bala, Cinzia Monaco, Sahar Mouram, Lucio Capulzini Cremonini, Charles Audiat, Joke Praet, Robbert Ramak, Ingrid Overeinder, Erwin Stroker, Juan Sieira, Mark La Meir, Pedro Brugada, Andrea Sarkozy, Carlo de Asmundis, Alexandre Almorad
Summary: This study aimed to evaluate the feasibility of posterior wall isolation using the RF balloon catheter. The results showed that the RF balloon technology had a higher success rate in single-shot pulmonary vein isolation compared to cryoballoon ablation. The number of balloon applications for posterior wall isolation was similar between the two groups, but the RF balloon technology had a significantly shorter procedure time.
JOURNAL OF INTERVENTIONAL CARDIAC ELECTROPHYSIOLOGY
(2023)