The association between the recurrence of atrial fibrillation and the shape of left atrial lateral ridge

被引:0
作者
Sun, Yu-Han [1 ]
Tian, Xin [1 ]
Bao, Wen-Jun [1 ]
Liu, Xiao-Wei [1 ]
Kou, Chen-Guang [1 ]
Guo, Fu-Qian [1 ]
Zhang, Hao-Wen [1 ]
Li, Meng-Ya [1 ]
Li, Cai-Ying [1 ]
机构
[1] Hebei Med Univ, Hosp 2, Dept Med Imaging, 215 West Heping Rd, Shijiazhuang 050000, Peoples R China
关键词
Atrial fibrillation; Left atrial lateral ridge; Recurrence; CT; CATHETER ABLATION; ANATOMY; PREDICTS;
D O I
10.1038/s41598-024-81204-5
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
To investigate the role of the geometry of the left atrial lateral ridge (LLR) in the atrial fibrillation (AF) recurrence after radiofrequency ablation (RFA). A total of 225 patients with AF who underwent RFA for the first time were retrospectively enrolled and divided into the recurrence (n = 53) and non-recurrence (n = 172) groups. The clinical data and the volume of left atrium (LAV) and the LLR geometry were analyzed. The LAV in the recurrence group was greater than that in the non-recurrence group (P < 0.001). There were more rectangular LLR in the recurrence group than the non-recurrence group (43% vs. 77%, P < 0.001). The anteroposterior diameter of the LLR orifice in the recurrence group was smaller than that in the non-recurrence group (P = 0.001), while the length of the LLR in the recurrence group was longer (P = 0.012). Multivariate analysis revealed the shape of the LLR was significant independent predictor of recurrence AF. The shape of the LLR is an independent predictor of recurrence after RFA.
引用
收藏
页数:8
相关论文
共 22 条
[1]  
Calkins H, 2017, J ARRYTHM, V33, P369, DOI 10.1016/j.joa.2017.08.001
[2]   Updated Worldwide Survey on the Methods, Efficacy, and Safety of Catheter Ablation for Human Atrial Fibrillation [J].
Cappato, Riccardo ;
Calkins, Hugh ;
Chen, Shih-Ann ;
Davies, Wyn ;
Iesaka, Yoshito ;
Kalman, Jonathan ;
Kim, You-Ho ;
Klein, George ;
Natale, Andrea ;
Packer, Douglas ;
Skanes, Allan ;
Ambrogi, Federico ;
Biganzoli, Elia .
CIRCULATION-ARRHYTHMIA AND ELECTROPHYSIOLOGY, 2010, 3 (01) :32-38
[3]   The role of left atrial muscular bundles in catheter ablation of atrial fibrillation [J].
Chang, Shih-Lin ;
Tai, Ching-Tai ;
Lin, Yenn-Jiang ;
Wongcharoen, Wanwarang ;
Lo, Li-Wei ;
Lee, Kun-Tai ;
Chang, Sheng-Hsiung ;
Tuan, Ta-Chuan ;
Chen, Yi-Jen ;
Hsieh, Ming-Hsiung ;
Tsao, Hsuan-Ming ;
Wu, Mei-Han ;
Sheu, Ming-Huei ;
Chang, Cheng-Yen ;
Chen, Shih-Ann .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2007, 50 (10) :964-973
[4]   Long-term single procedure efficacy of catheter ablation of atrial fibrillation [J].
Cheema, Aamir ;
Vasamreddy, Chandrasekhar R. ;
Dalal, Darshan ;
Marine, Joseph E. ;
Dong, Jun ;
Henrikson, Charles A. ;
Spragg, David ;
Cheng, Alan ;
Nazarian, Saman ;
Sinha, Sunil ;
Halperin, Henry ;
Berger, Ronald ;
Calkins, Hugh .
JOURNAL OF INTERVENTIONAL CARDIAC ELECTROPHYSIOLOGY, 2006, 15 (03) :145-155
[5]   Bilateral left lateral ridge ablation increases the long-term success of patients ablated for atrial fibrillation [J].
Di Monaco, Antonio ;
Quadrini, Federico ;
Troisi, Federica ;
Vitulano, Nicola ;
Cecere, Giacomo ;
Guida, Pietro ;
Langialonga, Tommaso ;
Grimaldi, Massimo .
JOURNAL OF CARDIOVASCULAR MEDICINE, 2019, 20 (04) :186-191
[6]   Translational anatomy of the left atrium and esophagus as relevant to the pulmonary vein antral isolation for atrial fibrillation [J].
Gupta, Tulika ;
Cheema, Neelkamal ;
Randhawa, Arpan ;
Sahni, Daisy .
SURGICAL AND RADIOLOGIC ANATOMY, 2020, 42 (04) :367-376
[7]   Anatomy of the Left Atrium for Interventional Electrophysiologists [J].
Ho, Siew Yen ;
McCarthy, Karen P. .
PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY, 2010, 33 (05) :620-627
[8]   Atrial conduction time associated predictors of recurrent atrial fibrillation [J].
Karantoumanis, Iosif ;
Doundoulakis, Ioannis ;
Zafeiropoulos, Stefanos ;
Oikonomou, Kostas ;
Makridis, Pantelis ;
Pliakos, Christodoulos ;
Karvounis, Haralambos ;
Giannakoulas, George .
INTERNATIONAL JOURNAL OF CARDIOVASCULAR IMAGING, 2021, 37 (04) :1267-1277
[9]   The shape of the left lateral ridge as a predictor of long-term outcome of catheter ablation for atrial fibrillation based on clinical and experimental data [J].
Kim, Sunhwa ;
Kim, Yoo Ri ;
Nam, Gi-Byoung ;
Choi, Kee-Joon ;
Kim, You-Ho .
INTERNATIONAL JOURNAL OF CARDIOLOGY, 2021, 329 :91-98
[10]   Topographic variability of the left atrium and pulmonary veins assessed by 3D-CT predicts the recurrence of atrial fibrillation after catheter ablation [J].
Kiuchi, Kunihiko ;
Yoshida, Akihiro ;
Takei, Asumi ;
Fukuzawa, Koji ;
Itoh, Mitsuaki ;
Imamura, Kimitake ;
Fujiwara, Ryudo ;
Suzuki, Atsushi ;
Nakanishi, Tomoyuki ;
Yamashita, Soichiro ;
Hirata, Ken-ichi ;
Kanda, Gaku ;
Okajima, Katsunori ;
Shimane, Akira ;
Yamada, Shinichiro ;
Taniguchi, Yasuyo ;
Yasaka, Yoshinori ;
Kawai, Hiroya .
JOURNAL OF ARRHYTHMIA, 2015, 31 (05) :286-292