By Andrea Natale, Antonio Raviele
In recent times, catheter ablation of atrial traumatic inflammation has develop into a frequent therapy modality in electrophysiology laboratories world wide. however, many facets of the treatment are debatable. constructed through world-renowned specialists within the box, this ebook provides a accomplished and up-to date review of the entire most vital and debated features of atrial traumatic inflammation ablation, including: 8226; Ablation strategies and applied sciences 8226; Procedural endpoints 8226; sufferer administration pre-, peri- and post-ablation 8226; Anticoagulation concerns 8226; Prevention and therapy of issues 8226; Definition of luck and long term effects The textual content expands upon the content material of the VeniceChart foreign consensus rfile on atrial traumatic inflammation ablation and is enriched via a number of explanatory figures and tables. It presents a hugely beneficial resource of data not just for researchers and experts in electrophysiology, but additionally for normal cardiologists, internists, fellows in cardiology and scientific students. Read more...
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Extra resources for Atrial fibrillation ablation : the state of the art based on the VeniceChart international consensus document
The association of human connexin 40 genetic polymorphisms with atrial ﬁbrillation. Int J Cardiol 2007; 116: 107–112. 13 Ho SY, Anderson RH, Sanchez-Quintana D. Atrial structure and ﬁbres: morphological basis of atrial conduction. Cardiovasc Res 2002; 54: 325–336. 14 Cheung DW. Electrical activity of the pulmonary vein and its interaction with the right atrium in the guinea-pig. J Physiol 1981; 314: 445–456. 15 Chen YJ, Chen SA. Electrophysiology of pulmonary veins. J Cardiovasc Electrophysiol 2006; 17: 220–224.
Stepwise catheter ablation of chronic atrial ﬁbrillation: importance of discrete anatomic sites for termination. J Cardiovasc Electrophysiol 2006; 17: S28–S36. 13 Kottkamp H, Tanner H, Kobza R, et al. Time course and quantitative analysis of atrial ﬁbrillation episode number and duration after circular plus linear left atrial lesions: trigger elimination or substrate modiﬁcation; early or delayed cure? J Am Coll Cardiol 2004; 44: 869–877. 14 Willems S, Klemm H, Rostock T, et al. Substrate modiﬁcation combined with pulmonary vein isolation improves outcome of catheter ablation in patients with persistent atrial ﬁbrillation: a prospective randomized comparison.
The role of intravenous adenosine as an adjunct to prove permanent abolition of PV conduction has been suggested. Electrogram-based ablation or CFAEs ablation The local endpoint indicating when the radiofrequency should be discontinued is unclear. Endpoints for ablation at sites of CFAEs include (1) complete Endpoints of catheter ablation for atrial ﬁbrillation 31 elimination of the areas with CFAEs, (2) conversion of AF to normal sinus rhythm for both paroxysmal AF and persistent/long-lasting persistent AF patients, and (3) noninducibility of AF in paroxysmal AF patients.