Radiofrequency Catheter Ablation For Atrial Fibrillation: Approaches And Outcomes

被引：24
作者：
Kalla, Manish [1 ,2 ]
Sanders, Prashanthan [3 ,4 ]
Kalman, Jonathan M. [1 ,2 ]
Lee, Geoffrey [1 ,2 ]
机构：
[1] Royal Med Hosp, Dept Cardiol, Melbourne, Vic, Australia
[2] Univ Melbourne, Melbourne, Vic, Australia
[3] Univ Adelaide, Ctr Heart Rhythm Disorders, South Australian Hlth & Med Res Inst, Adelaide, SA, Australia
[4] Royal Adelaide Hosp, Adelaide, SA, Australia
来源：
HEART LUNG AND CIRCULATION | 2017年 / 26卷 / 09期
关键词：
Atrial fibrillation; Catheter ablation; Radiofrequency; Cryoballoon; Outcomes; PULMONARY VEIN ISOLATION; ANTIARRHYTHMIC-DRUG THERAPY; STRUCTURAL HEART-DISEASE; LONG-TERM FREEDOM; QUALITY-OF-LIFE; FOCAL IMPULSE; FOLLOW-UP; CONVENTIONAL ABLATION; RANDOMIZED-TRIAL; FORCE;
D O I：
10.1016/j.hlc.2017.05.125
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Catheter ablation is now at the forefront of the management of symptomatic atrial fibrillation (AF). Its role in paroxysmal AF is well defined with considerable data supporting its role. Catheter ablation in persistent AF has been less effective and the subject of considerable debate. Mechanistic studies have demonstrated the critical role of pulmonary vein physiology in paroxysmal AF, whereas the mechanisms that sustain persistent AF are not well understood. Additional substrate ablation in persistent AF has not improved long-term outcomes and the use of novel mapping technologies to assess rotor activity remains controversial. This review will focus on the current understanding of the mechanistic basis of paroxysmal and persistent AF, the role of catheter ablation and, recent advances in the management of these complex arrhythmias.
引用
收藏
页码：941 / 949
页数：9
相关论文
共 89 条
[1]   Pulmonary vein isolation using "contact force" ablation: The effect on dormant conduction and long-term freedom from recurrent atrial fibrillation-A prospective study [J].
Andrade, Jason G. ;
Monir, George ;
Pollak, Scott J. ;
Khairy, Paul ;
Dubuc, Marc ;
Roy, Denis ;
Talajic, Mario ;
Deyell, Marc ;
Rivard, Lena ;
Thibault, Bernard ;
Guerra, Peter G. ;
Nattel, Stanley ;
Macle, Laurent .
HEART RHYTHM, 2014, 11 (11) :1919-1924
[2]  
[Anonymous], HEART RHYTHM
[3]   Pulmonary vein isolation using the Rhythmia mapping system: Verification of intracardiac signals using the Orion mini-basket catheter [J].
Anter, Elad ;
Tschabrunn, Cory M. ;
Contreras-Valdes, Fernando M. ;
Li, Jianqing ;
Josephson, Mark E. .
HEART RHYTHM, 2015, 12 (09) :1927-1934
[4]   Arrhythmogenic substrate of the pulmonary veins assessed by high-resolution optical mapping [J].
Arora, R ;
Verheule, S ;
Scott, L ;
Navarrete, A ;
Katari, V ;
Wilson, E ;
Vaz, D ;
Olgin, JE .
CIRCULATION, 2003, 107 (13) :1816-1821
[5]   Long-term results and the predictors of outcome of catheter ablation of atrial fibrillation using steerable sheath catheter navigation after single procedure in 674 patients [J].
Arya, Arash ;
Hindricks, Gerhard ;
Sommer, Philipp ;
Huo, Yan ;
Bollmann, Andreas ;
Gaspar, Thomas ;
Bode, Kerstin ;
Husser, Daniela ;
Kottkamp, Hans ;
Piorkowski, Christopher .
EUROPACE, 2010, 12 (02) :173-180
[6]   Early complications of pulmonary vein catheter ablation for atrial fibrillation:: A multicenter prospective registry on procedural safety [J].
Bertaglia, Emanuele ;
Zoppo, Franco ;
Tondo, Claudio ;
Cotella, Andrea ;
Mantovan, Roberto ;
Senatore, Gaetano ;
Bottoni, Nicola ;
Carreras, Giovanni ;
Coro, Leonardo ;
Turco, Pietro ;
Mantica, Massimo ;
Stabile, Giuseppe .
HEART RHYTHM, 2007, 4 (10) :1265-1271
[7]   Impact of type of atrial fibrillation and repeat catheter ablation on long-term freedom from atrial fibrillation: Results from a multicenter study [J].
Bhargava, Mandeep ;
Di Biase, Luigi ;
Mohanty, Prasant ;
Prasad, Subramanyam ;
Martin, David O. ;
Williams-Andrews, Michelle ;
Wazni, Oussama M. ;
Burkhardt, J. David ;
Cummings, Jennifer E. ;
Khaykin, Yaariv ;
Verma, Atul ;
Hao, Steven ;
Beheiry, Salwa ;
Hongo, Richard ;
Rossillo, Antonio ;
Raviele, Antonio ;
Bonso, Aldo ;
Themistoclakis, Sakis ;
Stewart, Kelly ;
Saliba, Walid I. ;
Schweikert, Robert A. ;
Natale, Andrea .
HEART RHYTHM, 2009, 6 (10) :1403-1412
[8]   Hybrid ablation for atrial fibrillation: current approaches and future directions [J].
Bisleri, Gianluigi ;
Glover, Benedict .
CURRENT OPINION IN CARDIOLOGY, 2017, 32 (01) :17-21
[9]   Efficacy and safety of catheter ablation versus antiarrhythmic drugs for atrial fibrillation: a meta-analysis of randomized trials [J].
Bonanno, Carlo ;
Paccanaro, Mariemma ;
La Vecchia, Luigi ;
Ometto, Renato ;
Fontanelli, Alessandro .
JOURNAL OF CARDIOVASCULAR MEDICINE, 2010, 11 (06) :408-418
[10]   Outcomes of long-standing persistent atrial fibrillation ablation: A systematic review [J].
Brooks, Anthony G. ;
Stiles, Martin K. ;
Laborderie, Julien ;
Lau, Dennis H. ;
Kuklik, Pawel ;
Shipp, Nicholas J. ;
Hsu, Li-Fern ;
Sanders, Prashanthan .
HEART RHYTHM, 2010, 7 (06) :835-846
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