Article
Cardiac & Cardiovascular Systems
Long Wang, Yan Zhang, Wei Zhou, Jingjing Chen, Yongkang Li, Qian Tang, Bingxiu Chen, Huiling Zhang, Lucas Zellmer, Jin Chen, Zhangrong Chen, Wei Li, Xingde Liu, Haiyan Zhou
Summary: This study found that LAA-PEV is associated with recurrence of persistent atrial fibrillation. The relationship between LAA-PEV and AF recurrence in patients undergoing initial cryoballoon ablation is uncertain. Subgroup analysis of female participants showed a positive correlation between LAA-PEV and AF recurrence.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2023)
Article
Cardiac & Cardiovascular Systems
Jing Yang, Yue Liu, Liang Feng, Mingqing Liu, Ling You, Yu Liu, Jinglan Wu, Guangming Zhang, Xue Geng, Ruiqin Xie
Summary: The study showed that combining left atrial appendage closure and catheter ablation in persistent atrial fibrillation patients significantly improved left atrial function. However, there was no significant difference in left atrial function improvement between the combined therapy group and simple ablation group after 1-year follow-up. This suggests that most of the effects on left atrial function resulted from ablation, not left atrial appendage closure.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2021)
Article
Respiratory System
Wentao Yang, Qing Zhao, Minghui Yao, Xiangdong Li, Yue Zhang, Chuanbin Liu, Zhaoliang Shan, Yutang Wang
Summary: The study found a connection between left atrial appendage peak flow velocity (LAAV) and AF recurrence in PeAF patients following first RFCA. Patients with lower LAAV values were more likely to experience AF relapse, making LAAV a useful predictor for optimizing treatment strategies for PeAF patients.
JOURNAL OF THORACIC DISEASE
(2021)
Article
Cardiac & Cardiovascular Systems
Chao Yang, Jing Yang, Qian Liu, Ling You, Jinglan Wu, Yanan Zhang, Lianxia Wang, Ruiqin Xie
Summary: This study found that patients with lower left atrial appendage emptying velocities had worse left atrial structure and function before undergoing left atrial appendage closure combined with catheter ablation surgery. However, after surgery, the left atrial structure and function of both groups improved, with no significant differences between them.
BMC CARDIOVASCULAR DISORDERS
(2022)
Article
Cardiac & Cardiovascular Systems
Jiaran Shi, Shuangbin Xu, Leiyang Chen, Bifeng Wu, Kun Yang, Shi Chen, Dongchen Zhou, Biqi Zhang, Tianming Xuan, Xiaosheng Hu
Summary: The left atrial sphericity index (LASI) is a significant geometric remodeling parameter for evaluating the prognosis of atrial fibrillation (AF). This study found that LASI, calculated using transthoracic echocardiography (TTE), can help predict the likelihood of AF recurrence after radiofrequency catheter ablation (RFCA). High LASI values were associated with a higher risk of recurrence, particularly in patients with mildly and moderately enlarged atria.
JOURNAL OF CARDIOVASCULAR TRANSLATIONAL RESEARCH
(2021)
Article
Medicine, General & Internal
Sabina Istratoaie, Stefan C. Vesa, Gabriel Cismaru, Dana Pop, Radu Rosu, Mihai Puiu, Diana Pepine, Cristina Ciobanu, Ioan A. Minciuna, Gelu Simu, Dumitru Zdrenghea, Anca D. Buzoianu
Summary: Assessing left atrial appendage function through TEE to predict AF recurrence after RFCA, with low LAAeV being the significant independent predictor of recurrence within 1 year.
Article
Cardiac & Cardiovascular Systems
Jin-Yan Ke, Lu-Shen Jin, Yuan-Nan Lin, Jing Xu, Wei-Ke Liu, Jia-Yang Fu, Ling Li, Yi-Lian Chen, Yi-Xuan Qiu, Yue-Chun Li
Summary: This study compared the efficacy and safety of the Watchman device and the LAmbre device in combined left atrial appendage closure and radiofrequency catheter ablation for non-valvular atrial fibrillation. The results showed that both devices had similar rates of adverse events and AF recurrence. However, the LAmbre device had a higher rate of minimal peri-device leakage at short-term follow-up.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2022)
Review
Cardiac & Cardiovascular Systems
Pengfei Chen, Yujiao Shi, Jianqing Ju, Deng Pan, Lina Miao, Xiaolin Guo, Zhuhong Chen, Jianpeng Du
Summary: Through a systematic review and meta-analysis, we found that lower left atrial appendage flow velocity may be associated with an increased risk of atrial fibrillation recurrence after catheter ablation.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2022)
Article
Cardiac & Cardiovascular Systems
Shiyu Gong, Jian Zhou, Bingyu Li, Sheng Kang, Xiaoye Ma, Ying Cai, Yang Guo, Rui Hu, Xumin Zhang
Summary: This study found that the morphology of left atrial appendage (LAA) is associated with the risk of atrial fibrillation (AF) recurrence after radiofrequency ablation (RFA), with the chicken-wing morphology having the highest recurrence risk. The structure type of LAA is also related to AF recurrence rate.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2021)
Article
Cardiac & Cardiovascular Systems
Jien-Jiun Chen, Fu-Chun Chiu, Sheng-Nan Chang, Hsiao-Liang Cheng, Pang-shuo Huang, Cho-Kai Wu, Yi-Chih Wang, Juey-Jen Hwang, Chia-Ti Tsai
Summary: This pioneer study investigated the impact of pre-existing left atrial appendage occluder (LAAO) on atrial fibrillation (AF) substrates and outcomes of pulmonary vein isolation (PVI). Results showed that LAAO may modulate left atrial substrate and induce peridevice fibrosis, peridevice left atrial flutter, and complex fractionate atrial electrogram.
Article
Radiology, Nuclear Medicine & Medical Imaging
Hyungjoon Cho, Yongwon Cho, Jaemin Shim, Jong-il Choi, Young-Hoon Kim, Yu-Whan Oh, Sung Ho Hwang
Summary: LAA isolation group showed significantly higher incidence of LAA emptying in SP phase but lower LAA emptying flux and LA ejection fraction compared to LAA normal activity group. The LAA-EP was found to be independent from LAEF.
KOREAN JOURNAL OF RADIOLOGY
(2021)
Article
Cardiac & Cardiovascular Systems
Jorge Romero, Mohamed Gabr, Kavisha Patel, David Briceno, Juan Carlos Diaz, Isabella Alviz, Chintan Trivedi, Sanghamitra Mohanty, Dalvert Polanco, Domenico Giovanni Della Rocca, Dhanunjaya Lakkireddy, Andrea Natale, Luigi Di Biase
Summary: A systematic review found that left atrial appendage electrical isolation significantly improves freedom from all-atrial arrhythmia recurrence in patients with non-paroxysmal AF undergoing catheter ablation, without increasing the risk of acute procedural complications or cerebral thromboembolic events.
Article
Clinical Neurology
Yuji Ueno, Nobukazu Miyamoto, Kenichiro Hira, Ryosuke Doijiri, Hidekazu Yamazaki, Kazutaka Sonoda, Junpei Koge, Tomonori Iwata, Kenichi Todo, Hiroshi Yamagami, Naoto Kimura, Masafumi Morimoto, Daisuke Kondo, Shuhei Okazaki, Masatoshi Koga, Eiichiro Nagata, Nobutaka Hattori
Summary: This study demonstrated that the evaluation of left atrial appendage flow velocity (LAA-FV) by transesophageal echocardiography can predict potential embolic sources and can be used for long-term monitoring of atrial fibrillation (AF) detected by the insertable cardiac monitor (ICM).
JOURNAL OF NEUROLOGY
(2023)
Article
Cardiac & Cardiovascular Systems
Xining Shang, Mingyu Sun, Zulu Wang, Zhiqing Jin, Ming Liang
Summary: This study aimed to assess the efficacy and safety of one-stop procedures that combined radiofrequency catheter ablation and left atrial appendage closure (LAAC) with the Watchman device under the guidance of intracardiac echocardiography (ICE) vs. transesophageal echocardiography (TEE) in patients with atrial fibrillation.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2023)
Article
Medicine, General & Internal
Ewa Pilichowska-Paszkiet, Jakub Baran, Piotr Kulakowski, Beata Zaborska
Summary: Detailed evaluations of left atrial function using speckle tracking echocardiography (STE) can predict outcomes after catheter ablation for atrial fibrillation. Parameters reflecting left atrial compliance - reservoir and conduit strain - are independent and strong predictors of catheter ablation outcome in patients with paroxysmal atrial fibrillation and normal standard echocardiographic assessment.
Article
Cardiac & Cardiovascular Systems
Hikmet Yorgun, Yusuf Ziya Sener, Nikita Tanese, Ahmet Keresteci, Burak Sezenoz, Cem Coteli, Ahmet Hakan Ates, Serge Boveda, Kudret Aytemir
Summary: The long-term safety and efficacy of left atrial appendage isolation (LAAi) in addition to pulmonary vein isolation (PVI) using cryoballoon (CB) in persistent atrial fibrillation (AF) were investigated in this study. The results showed that the LAAi + PVI strategy using CB had acceptable long-term outcomes in patients with persistent AF. However, systemic thrombo-embolic events were an important concern throughout the follow-up, especially in cases of non-adherence to anticoagulants.
Article
Cardiac & Cardiovascular Systems
Philipp Bohm, Tim Meyer, Kumar Narayanan, Matthias Schindler, Orianne Weizman, Frankie Beganton, Christian Schmied, Wulfran Bougouin, Sergio Barra, Florence Dumas, Olivier Varenne, Alain Cariou, Nicole Karam, Xavier Jouven, Eloi Marijon
Summary: Data on sports-related sudden cardiac arrest (SrSCA) among young adults are limited. This study aimed to determine the overall incidence, characteristics, and outcomes of SrSCA in young adults. Among the cases identified, most occurred in recreational male sports participants and the use of automated external defibrillators (AEDs) by bystanders was disappointingly low. However, survival rates were significantly higher among those who received bystander cardiopulmonary resuscitation (CPR) and early AED use. Coronary artery disease was found to be the most prevalent cause of SrSCA in young adults.
Article
Cardiac & Cardiovascular Systems
Satoshi Higuchi, Mathias Orban, Marianna Adamo, Cristina Giannini, Bruno Melica, Nicole Karam, Fabien Praz, Daniel Kalbacher, Edith Lubos, Lukas Stolz, Daniel Braun, Michael Naebauer, Mirjam Wild, Philipp Doldi, Michael Neuss, Christian Butter, Mohammad Kassar, Tobias Ruf, Aniela Petrescu, Niklas Schofer, Roman Pfister, Christos Iliadis, Matthias Unterhuber, Holger Thiele, Stephan Baldus, Ralph Stephan von Bardeleben, Steffen Massberg, Stephan Windecker, Philipp Lurz, Anna Sonia Petronio, Marco Metra, Joerg Hausleiter
Summary: Body surface area (BSA) has been reported to be a stronger predictor for prognosis than body mass index in heart failure (HF) patients. However, the sex-specific association of BSA with mortality remains unclear. This study evaluated the association of BSA with two-year all-cause mortality in HF patients and found a U-shaped curve association in females and a linear regression association in males.
INTERNATIONAL JOURNAL OF CARDIOLOGY
(2023)
Article
Cardiac & Cardiovascular Systems
Lukasz Januszkiewicz, Sergio Barra, Eloi Marijon, Rui Providencia, Carlo de Asmundis, Julian K. R. Chun, Michal M. Farkowski, Giulio Conte, Serge Boveda
Summary: This study aims to evaluate the information transmission to patients prior to ICD implantation and its impact on their quality of life. The findings show that although 71.5% of patients felt optimally informed at the time of implantation, many were not provided with information about ICD-related complications, driving restrictions, and end-of-life ICD deactivation. Women were less involved in the decision-making process and reported to be less often optimally informed before ICD implantation compared to men.
Letter
Cardiac & Cardiovascular Systems
Stefano Bordignon, Serge Boveda, K. R. J. ulian Chun
Article
Cardiac & Cardiovascular Systems
Ana Carolina Schwab, Ante Anic, Michal M. Farkowski, Jose Guerra, Konstantinos E. Iliodromitis, Kristine Jubele, Rui Providencia, Julian K. R. Chun, Serge Boveda
Summary: This study conducted a survey to show how clinicians currently approach the knowledge gap in dealing with recurrences after a failed ablation for atrial fibrillation (AF). The majority of respondents perform routine monitoring for AF recurrences after ablation and prefer a long-term monitoring strategy. The combination of absence of symptoms and recorded AF is considered as the definition of success by most respondents.
Article
Cardiac & Cardiovascular Systems
Nikita Tanese, Alexandre Almorad, Luigi Pannone, Pascal Defaye, Sophie Jacob, Mouna Ben Kilani, Gianbattista Chierchia, Sandrine Venier, Christele Cardin, Peggy Jacon, Stephane Combes, Elodie Deschamps, Roberto Mene, Carlo de Asmundis, Serge Boveda
Summary: This study compared the procedural efficacy and safety, as well as the 12-month AF recurrence, between the PolarX and AFA-Pro cryoballoon systems. It was found that the PolarX cryoballoon reaches lower temperatures than the AFA-Pro, but it is associated with a higher rate of transient phrenic nerve palsy. No significant differences were observed in terms of 1-year freedom from AF recurrence between the two systems.
Article
Cardiac & Cardiovascular Systems
Bratislav Kircanski, Serge Boveda, Frits Prinzen, Antonio Sorgente, Ante Anic, Giulio Conte, Haran Burri
Summary: This article provides an overview of the current practice of conduction system pacing (CSP) in Europe, based on an online questionnaire sent to physicians, national societies, and through social media. The data collected includes previous experience, indications, tools, unmet needs, and future perspectives on CSP.
Article
Cardiac & Cardiovascular Systems
Serge Boveda, Lucas Higuera, Colleen Longacre, Claudia Wolff, Kael Wherry, Kurt Stromberg, Mikhael F. El-Chami
Summary: This study compares the clinical outcomes between leadless pacemakers and transvenous ventricular pacemakers in subgroups of patients at higher risk of pacemaker complications. The results show that leadless pacemakers have lower rates of complications and reinterventions in several high-risk subgroups compared to transvenous ventricular pacemakers.
Review
Cardiac & Cardiovascular Systems
Lukasz Januszkiewicz, Sergio Barra, Rui Providencia, Julian K. R. Chun, Giulio Conte, Michal M. Farkowski, Jose M. Guerra, Eloi Marijon, Carlo de Asmundis, Serge Boveda
Summary: The aim of this study was to identify potential regional disparities in characteristics of ICD recipients, patient perceptions and perspectives after implantation and level of information provided to patients. The study found that patients in Western Europe reported higher satisfaction after ICD placement, while patients in Central/Eastern Europe felt more optimally informed at the time of device implantation. Therefore, novel strategies are needed to address regional differences in patients' quality of life and provision of information.
Article
Cardiac & Cardiovascular Systems
Anne-Celine Martin, Orianne Weizman, Jean-Marc Sellal, Vincent Algalarrondo, Walid Amara, Abdeslam Bouzeman, Estelle Gandjbakhch, Nicolas Lellouche, Jules Louembe, Aymeric Menet, Pierre Roumegou, Frederic Treguer, Anne Godier, Serge Boveda, Rodrigue Garcia, Eloi Marijon
Summary: The aim of this study is to investigate the impact of direct oral anticoagulant (DOAC) management on the incidence of pocket haematoma in patients undergoing pacemaker or implantable cardioverter-defibrillator implantation. The results of a large multicenter prospective observational study showed that the incidence of clinically relevant haematoma was low in patients with DOAC interruption, indicating that DOAC management can effectively reduce the risk of pocket haematoma.
Article
Cardiac & Cardiovascular Systems
Stephane Manzo-Silberman, Maite Velazquez, Sonya Burgess, Sheila Sahni, Patricia Best, Roxana Mehran, Emanuela Piccaluga, Laura Vitali-Serdoz, Amy Sarma, Israel Moshe Barbash, Josepa Mauri, Piotr Szymanski, Lynne Hinterbuchner, Giulio Stefanini, Alessia Gimelli, Pal Maurovich-Horvat, Lucas Boersma, Gill Louise Buchanan, Gianluca Pontone, Lene Holmvang, Nicole Karam, Antoinette Neylon, Marie-Claude Morice, Christophe Leclercq, Giuseppe Tarantini, Dariusz Dudek, Alaide Chieffo
Summary: The European Association of Percutaneous Cardiovascular Interventions (EAPCI), the European Heart Rhythm Association (EHRA), the European Association of Cardiovascular Imaging (EACVI), the European Society of Cardiology (ESC) Regulatory Affairs Committee and Women as One are committed to continuous improvement in healthcare quality and gender equity. Recent surveys showed that radiation exposure is a major concern for women wanting to pursue careers in interventional cardiology or cardiac electrophysiology (EP). This joint statement aims to provide clear information on radiation risk and the experiences of radiation-exposed cardiologists who continue to work during pregnancy, as well as propose measures to improve workplace safety and promote equity.
Article
Cardiac & Cardiovascular Systems
Anais Halin, Jean-Luc Hamelin, Pascal Defaye, Jean-Claude Deharo, Laurent Fauchier, Eloi Marijon, Olivier Piot, Serge Boveda
Summary: This study found that implantable cardioverter-defibrillator recipients lack sufficient information before the implantation, which is a concerning issue to be addressed. Patients' knowledge about implantable cardioverter-defibrillators needs improvement, especially in daily life, remote monitoring, and cardiac disease.
ARCHIVES OF CARDIOVASCULAR DISEASES
(2023)
Article
Cardiac & Cardiovascular Systems
Ante Anic, Darija Bakovic, Zrinka Jurisic, Michal Farkowski, Lucija Lisica, Toni Breskovic, Jens Erik Nielsen-Kudsk, Laura Perrotta, Carlo de Asmundis, Serge Boveda, Julian Chun
Summary: This study aims to investigate the diagnostic and therapeutic pathways for malignant LAA in European cardiac centers. The results show that most patients are treated on an outpatient basis, with a shift from VKA to DOAC. Left atrial appendage closure is only considered in patients with higher bleeding risk or complications.
Article
Cardiac & Cardiovascular Systems
Chiara Fraccaro, Nicole Karam, Helge Moellmann, Sabine Bleiziffer, Nikolaos Bonaros, Rui Campante Teles, Pedro Carrilho Ferreira, Alaide Chieffo, Martin Czerny, Erwan Donal, Dariusz Dudek, Nicolas Dumonteil, Giovanni Esposito, Stephane Fournier, Christian Hassager, Won-Keun Kim, Konstantin A. Krychtiuk, Julinda Mehilli, Jerzy Pregowski, Giulio G. Stefanini, Julien Ternacle, Holger Thiele, Matthias Thielmann, Flavien Vincent, Ralph Stephan von Bardeleben, Giuseppe Tarantini
Summary: This article reviews the available scientific evidence on the management of cardiogenic shock associated with left-sided valvular heart disease and provides a rationale and practical approach for the application of transcatheter valve interventions in this specific clinical setting.
