A comparison between multipolar mapping and conventional mapping of atrial tachycardias in the context of atrial fibrillation ablation

被引：13

作者：

Bun, Sok-Sithikun ^{[1
]}

Delassi, Tahar ^{[1
]}

Latcu, Decebal Gabriel ^{[1
]}

El Jamili, Mohammed ^{[1
]}

Ayari, Anis ^{[1
]}

Errahmouni, Abdelkarim ^{[1
]}

Berte, Benjamin ^{[2
]}

Saoudi, Nadir ^{[1
]}

机构：

[1] Princess Grace Hosp, Dept Cardiol, Pasteur Ave, Monaco, Monaco

[2] Dept Cardiol, Klin Pk, Zurich, Switzerland

来源：

ARCHIVES OF CARDIOVASCULAR DISEASES | 2018年 / 111卷 / 01期

关键词：

Multielectrode mapping; Atrial tachycardia; Atrial fibrillation; Activation mapping; CATHETER ABLATION; ARRHYTHMIAS; TERMINATION; FLUTTER;

D O I：

10.1016/j.acvd.2017.04.005

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background. - Activation mapping can be challenging and time-consuming in patients with multiple atrial tachycardias (ATs). Aims. - To compare multielectrode mapping using a dedicated mapping catheter - PentaRay (Biosense Webster Inc.) - and the conventional technique for mapping ATs in the context of atrial fibrillation (AF) ablation. Methods. - All procedures where PentaRay mapping of AT were used after or during persistent AF ablation - were analysed. These were compared to a historical group - using conventional mapping. Results. - A mean of 449 +/- 520 points within 14 +/- 6 min were acquired per AT in the PentaRay group (n = 17) versus 42 +/- 18 points (P < 0.0001) within 33 +/- 25 min (P = 0.04) in the conventional group (n = 17). All 25 AT isthmuses were easily identified and ablated in the PentaRay group (100%) versus 20/23 (87%) in the conventional group (P = 0.056). The ablation time was shorter in the PentaRay group (760 +/- 540 vs 1347 +/- 962 s; P = 0.037). However, procedure and fluoroscopy times were not significantly different between the PentaRay and conventional groups: 253 +/- 77 vs 267 +/- 73 min (P = 0.80) and 13.1 +/- 8.0 min vs 15.1 +/- 10.0 min (P = 0.98), respectively. Recurrence occurred in less patients in the PentaRay group (0 vs 23.5%; P = 0.033) during a mean follow-up of nearly 1 year. Conclusion. - In patients with multiple ATs, multielectrode PentaRay mapping was faster than the conventional technique, with less radiofrequency delivery and a better mid-term outcome. (C) 2017 Elsevier Masson SAS. All rights reserved.

引用

页码：33 / 40

页数：8

共 21 条

[1] Evaluation of a novel high-resolution mapping technology for ablation of recurrent scar-related atrial tachycardias [J].

Anter, Elad ;

McElderry, Thomas H. ;

Contreras-Valdes, Fernando M. ;

Li, Jianqing ;

Tung, Patricia ;

Leshem, Eran ;

Haffajee, Charles I. ;

Nakagawa, Hiroshi ;

Josephson, Mark E. .

HEART RHYTHM, 2016, 13 (10) :2048-2055

[2] High-Resolution Mapping of Scar-Related Atrial Arrhythmias Using Smaller Electrodes With Closer Interelectrode Spacing [J].

Anter, Elad ;

Tschabrunn, Cory M. ;

Josephson, Mark E. .

CIRCULATION-ARRHYTHMIA AND ELECTROPHYSIOLOGY, 2015, 8 (03) :537-545

[3] Ablation of Perimitral Flutter Following Catheter Ablation of Atrial Fibrillation: Impact on Outcomes from a Randomized Study (PROPOSE) [J].

Bai, Rong ;

Di Biase, Luigi ;

Mohanty, Prasant ;

Dello Russo, Antonio ;

Casella, Michela ;

Pelargonio, Gemma ;

Themistoclakis, Sakis ;

Mohanty, Sanghamitra ;

Elayi, Claude S. ;

Sanchez, Javier ;

Burkhardt, J. David ;

Horton, Rodney ;

Gallinghouse, G. Joseph ;

Bailey, Shane M. ;

Bonso, Aldo ;

Beheiry, Salwa ;

Hongo, Richard H. ;

Raviele, Antonio ;

Tondo, Claudio ;

Natale, Andrea .

JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, 2012, 23 (02) :137-144

[4] Avoiding tachycardia alteration or termination during attempted entrainment mapping of atrial tachycardia related to atrial fibrillation ablation [J].

Barbhaiya, Chirag R. ;

Kumar, Saurabh ;

Ng, Justin ;

Nagashima, Koichi ;

Choi, Eue-Keun ;

Enriquez, Alan ;

Chinitz, Jason ;

Epstein, Laurence M. ;

Tedrow, Usha B. ;

John, Roy M. ;

Stevenson, William G. ;

Michaud, Gregory F. .

HEART RHYTHM, 2015, 12 (01) :32-35

[5] Atrial flutter: more than just one of a kind [J].

Bun, Sok-Sithikun ;

Latcu, Decebal Gabriel ;

Marchlinski, Francis ;

Saoudi, Nadir .

EUROPEAN HEART JOURNAL, 2015, 36 (35) :2356-U28

[6] 2012 focused update of the ESC Guidelines for the management of atrial fibrillation [J].

Camm, A. John ;

Lip, Gregory Y. H. ;

De Caterina, Raffaele ;

Savelieva, Irene ;

Atar, Dan ;

Hohnloser, Stefan H. ;

Hindricks, Gerhard ;

Kirchhof, Paulus ;

Bax, Jeroen J. ;

Baumgartner, Helmut ;

Ceconi, Claudio ;

Dean, Veronica ;

Deaton, Christi ;

Fagard, Robert ;

Funck-Brentano, Christian ;

Hasdai, David ;

Hoes, Arno ;

Knuuti, Juhani ;

Kolh, Philippe ;

McDonagh, Theresa ;

Moulin, Cyril ;

Popescu, Bogdan A. ;

Reiner, Zeljko ;

Sechtem, Udo ;

Sirnes, Per Anton ;

Tendera, Michal ;

Torbicki, Adam ;

Vahanian, Alec ;

Windecker, Stephan ;

Vardas, Panos ;

Al-Attar, Nawwar ;

Alfieri, Ottavio ;

Angelini, Annalisa ;

Blomstrom-Lundqvist, Carina ;

Colonna, Paolo ;

De Sutter, Johan ;

Ernst, Sabine ;

Goette, Andreas ;

Gorenek, Bulent ;

Hatala, Robert ;

Heidbuchel, Hein ;

Heldal, Magnus ;

Kristensen, Steen Dalby ;

Le Heuzey, Jean-Yves ;

Mavrakis, Hercules ;

Mont, Lluis ;

Filardi, Pasquale Perrone ;

Ponikowski, Piotr ;

Prendergast, Bernard ;

Rutten, Frans H. .

EUROPEAN HEART JOURNAL, 2012, 33 (21) :2719-2747

[7] Atrial tachycardia after circumferential pulmonary vein ablation of atrial fibrillation - Mechanistic insights, results of catheter ablation, and risk factors for recurrence [J].

Chae, Sanders ;

Oral, Hakan ;

Good, Eric ;

Dey, Sujoya ;

Wimmer, Alan ;

Crawford, Thomas ;

Wells, Darryl ;

Sarrazin, Jean-Francois ;

Chalfoun, Nagib ;

Kuhne, Michael ;

Fortino, Jackie ;

Huether, Elizabeth ;

Lemerand, Tammy ;

Pelosi, Frank ;

Bogun, Frank ;

Morady, Fred ;

Chugh, Aman .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2007, 50 (18) :1781-1787

[8] Ultrasound-Guided Venous Puncture in Electrophysiological Procedures: A Safe Method, Rapidly Learned [J].

Errahmouni, Abdelkarim ;

Bun, Sok-Sithikun ;

Latcu, Decebal Gabriel ;

Saoudi, Nadir .

PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY, 2014, 37 (08) :1023-1028

[9] Inverse Relationship Between Fractionated Electrograms and Atrial Fibrosis in Persistent Atrial Fibrillation Combined Magnetic Resonance Imaging and High-Density Mapping [J].

Jadidi, Amir S. ;

Cochet, Hubert ;

Shah, Ashok J. ;

Kim, Steven J. ;

Duncan, Edward ;

Miyazaki, Shinsuke ;

Sermesant, Maxime ;

Lehrmann, Heiko ;

Lederlin, Matthieu ;

Linton, Nick ;

Forclaz, Andrei ;

Nault, Isabelle ;

Rivard, Lena ;

Wright, Matthew ;

Liu, Xingpeng ;

Scherr, Daniel ;

Wilton, Stephen B. ;

Roten, Laurent ;

Pascale, Patrizio ;

Derval, Nicolas ;

Sacher, Frederic ;

Knecht, Sebastien ;

Keyl, Cornelius ;

Hocini, Meleze ;

Montaudon, Michel ;

Laurent, Francois ;

Haissaguerre, Michel ;

Jais, Pierre .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2013, 62 (09) :802-812

[10] Mapping and ablation of left atrial flutters [J].

Jaïs, P ;

Shah, DC ;

Haïssaguerre, M ;

Hocini, M ;

Peng, JT ;

Takahashi, A ;

Garrigue, S ;

Le Métayer, P ;

Clémenty, J .

CIRCULATION, 2000, 101 (25) :2928-2934

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