Catheter ablation of paroxysmal atrial fibrillation: Optimal approach and result

被引:2
|
作者
Shibu Mathew
Andreas Metzner
Feifan Ouyang
Karl-Heinz Kuck
Roland Richard Tilz
机构
[1] II. Medizinische Klinik, Klinik für Kardiologie, Asklepios Klinik, 20099 Hamburg
关键词
Atrial fibrillation ablation; Ballon-based ablation; Interventional electrophysiology; Paroxysmal atrial fibrillation; Pulmonary vein isolation;
D O I
10.1007/s00399-013-0244-z
中图分类号
学科分类号
摘要
The gold standard in ablation of paroxysmal atrial fibrillation (PAF) is radiofrequency (RF) based point by point pulmonary vein isolation (PVI). In the majority of patients with PAF (80 %) PVI can restore stable SR even during long-term follow-up of up to 5 years. However multiple procedures are often required. Cryo-balloon based PVI is an established technique. Safety and efficacy are comparable to RF ablation. Due to the high success rates in patients with PAF and the progression rate to persistent atrial fibrillation (AF) an early intervention is recommended as implemented in the latest guidelines for AF treatment. © 2013 Springer-Verlag Berlin Heidelberg.
引用
收藏
页码:7 / 14
页数:7
相关论文
共 50 条
  • [41] Catheter Ablation of Recurrent Paroxysmal Atrial Fibrillation: Is Gap-Closure Combining Ganglionated Plexi Ablation More Effective?
    Xu, Feng-Qiang
    Yu, Rong-Hui
    Guo, Jun-Jie
    Bai, Rong
    Liu, Nian
    An, Yi
    Guo, Xue-Yuan
    Tang, Ri-Bo
    Long, De-Yong
    Sang, Cai-Hua
    Du, Xin
    Dong, Jian-Zeng
    Ma, Chang-Sheng
    PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY, 2017, 40 (06): : 672 - 682
  • [42] Impact of baseline left atrial function on long-term outcome after catheter ablation for paroxysmal atrial fibrillation
    Oka, Takafumi
    Tanaka, Koji
    Ninomiya, Yuichi
    Hirao, Yuko
    Tanaka, Nobuaki
    Okada, Masato
    Inoue, Hiroyuki
    Takayasu, Kohtaro
    Kitagaki, Ryo
    Koyama, Yasushi
    Okamura, Atsunori
    Iwakura, Katsuomi
    Sakata, Yasushi
    Fujii, Kenshi
    Inoue, Koichi
    JOURNAL OF CARDIOLOGY, 2020, 75 (04) : 352 - 359
  • [43] Catheter Ablation for Paroxysmal Atrial Fibrillation With Sick Sinus Syndrome Insights From the Kansai Plus Atrial Fibrillation Registry
    Morishima, Itsuro
    Kanzaki, Yasunori
    Morita, Yasuhiro
    Inoue, Koichi
    Kobori, Atsushi
    Kaitani, Kazuaki
    Kurotobi, Toshiya
    Yamaji, Hirosuke
    Matsui, Yumie
    Nakazawa, Yuko
    Kusano, Kengo
    Tomomatsu, Toshiro
    Ikai, Yoshihiro
    Furui, Koichi
    Yamauchi, Ryota
    Miyazawa, Hiroyuki
    Tanaka, Nobuaki
    Morimoto, Takeshi
    Kimura, Takeshi
    Shizuta, Satoshi
    PAF Registry investigat
    HEART LUNG AND CIRCULATION, 2023, 32 (02) : 205 - 214
  • [44] Long-term outcome after catheter ablation of paroxysmal atrial fibrillation: Impact of different atrial fibrillation foci
    Takigawa, Masateru
    Takahashi, Atsushi
    Kuwahara, Taishi
    Okubo, Kenji
    Takahashi, Yoshihide
    Watari, Yuji
    Nakashima, Emiko
    Nakajima, Jun
    Yamao, Kazuya
    Takagi, Katsumasa
    Tanaka, Yasuaki
    Fujino, Tadashi
    Kimura, Shigeki
    Hikita, Hiroyuki
    Hirao, Kenzo
    Isobe, Mitsuaki
    INTERNATIONAL JOURNAL OF CARDIOLOGY, 2017, 227 : 407 - 412
  • [45] Impact of the Preprocedural Frequency of Paroxysmal Atrial Fibrillation on the Clinical Outcome after Catheter Ablation
    Miyazaki, Shinsuke
    Kuwahara, Taishi
    Takahashi, Atsushi
    PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY, 2012, 35 (10): : 1236 - 1241
  • [46] Recurrence after "long-term success" in catheter ablation of paroxysmal atrial fibrillation
    Usui, Eisuke
    Miyazaki, Shinsuke
    Taniguchi, Hiroshi
    Ichihara, Noboru
    Kanaji, Yoshihisa
    Takagi, Takamitsu
    Iwasawa, Jin
    Kuroi, Akio
    Nakamura, Hiroaki
    Hachiya, Hitoshi
    Isobe, Mitsuaki
    Hirao, Kenzo
    Iesaka, Yoshito
    HEART RHYTHM, 2015, 12 (05) : 893 - 898
  • [47] Six-Year Follow-up of Catheter Ablation in Paroxysmal Atrial Fibrillation
    Uchiyama, Takashi
    Miyazaki, Shinsuke
    Taniguchi, Hiroshi
    Komatsu, Yuki
    Kusa, Shigeki
    Nakamura, Hiroaki
    Hachiya, Hitoshi
    Iesaka, Yoshito
    CIRCULATION JOURNAL, 2013, 77 (11) : 2722 - 2727
  • [48] Asymptomatic pulmonary vein stenosis after cryoballoon catheter ablation of paroxysmal atrial fibrillation
    Thomas, Dierk
    Katus, Hugo A.
    Voss, Frederik
    JOURNAL OF ELECTROCARDIOLOGY, 2011, 44 (04) : 473 - 476
  • [49] Statistical Model of Paroxysmal Atrial Fibrillation Catheter Ablation Targets for Pulmonary Vein Isolation
    Al-Agamy, Ahmad
    Karim, Rashed
    Arujuna, Aruna
    Harrison, James L.
    Williams, Steven E.
    Rhode, Kawal S.
    van Assen, Hans C.
    STATISTICAL ATLASES AND COMPUTATIONAL MODELS OF THE HEART: IMAGING AND MODELLING CHALLENGES, 2015, 8896 : 221 - 230
  • [50] Left atrial low-voltage areas predict atrial fibrillation recurrence after catheter ablation in patients with paroxysmal atrial fibrillation
    Masuda, Masaharu
    Fujita, Masashi
    Iida, Osamu
    Okamoto, Shin
    Ishihara, Takayuki
    Nanto, Kiyonori
    Kanda, Takashi
    Tsujimura, Takuya
    Matsuda, Yasuhiro
    Okuno, Shota
    Ohashi, Takuya
    Tsuji, Aki
    Mano, Toshiaki
    INTERNATIONAL JOURNAL OF CARDIOLOGY, 2018, 257 : 97 - 101