Catheter Ablation of Atrial Fibrillation

被引:14
作者
Callahan, Thomas D. [1 ]
Di Biase, Luigi [1 ,2 ]
Horton, Rodney [3 ]
Sanchez, Javier [3 ]
Gallinghouse, Joseph G. [3 ]
Natale, Andrea [3 ,4 ,5 ,6 ]
机构
[1] Cleveland Clin, Cleveland, OH 44106 USA
[2] Univ Foggia, Dept Cardiol, Foggia, Italy
[3] St Davids Med Ctr, Texas Cardiac Arrhythmia Inst, Austin, TX USA
[4] Case Western Reserve Univ, Cleveland, OH 44106 USA
[5] Stanford Univ, Div Cardiol, Stanford, CA 94305 USA
[6] Calif Pacific Med Ctr, Atrial Fibrillat & Arrhythmia Program, San Francisco, CA USA
关键词
Catheter ablation; Atrial fibrillation; Pulmonary veins; Atrioventricular node ablation; Antiarrhythmic drugs; Rate control; Rhythm control; PULMONARY VEIN ISOLATION; QUALITY-OF-LIFE; PHRENIC-NERVE INJURY; RADIOFREQUENCY ABLATION; ELECTROPHYSIOLOGICAL CHARACTERISTICS; ATRIOVENTRICULAR JUNCTION; CIRCUMFERENTIAL ABLATION; NAVIGATION SYSTEM; ANTRUM ISOLATION; PACEMAKER IMPLANTATION;
D O I
10.1016/j.ccl.2008.09.004
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Atrial fibrillation is a common arrhythmia associated with significant morbidity, including angina, heart failure, and stroke. Medical therapy remains suboptimal, with significant side effects and toxicities, and a high recurrence rate. Catheter ablation or modification of the atrioventricular node with pacemaker implantation provides rate-control but exposes patients to the hazards associated with implantable devices and does nothing to reduce the risk for stroke. Pulmonary vein antrum isolation offers a nonpharmacologic means of restoring sinus rhythm, thereby eliminating the morbidity of atrial fibrillation and the need for antiarrhythmic drugs.
引用
收藏
页码:163 / +
页数:17
相关论文
共 108 条
[1]  
[Anonymous], 2006, J AM COLL CARDIOL
[2]   Localization of arrhythmogenic triggers of atrial fibrillation [J].
Ashar, MS ;
Pennington, J ;
Callans, DJ ;
Marchlinski, FE .
JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, 2000, 11 (12) :1300-1305
[3]   Phrenic nerve injury after catheter ablation: Should we worry about this complication? [J].
Bai, Rong ;
Patel, Dimpi ;
Di Biase, Luigi ;
Fahmy, Tamer S. ;
Kozeluhova, Marketa ;
Prasad, Subramanya ;
Schweikert, Robert ;
Cummings, Jennifer ;
Saliba, Walid ;
Andrews-Williams, Michelle ;
Themistoclakis, Sakis ;
Bonso, Aldo ;
Rossillo, Antonio ;
Raviele, Antonio ;
Schmitt, Claus ;
Karch, Martin ;
Uriarte, Jorge A. Salerno ;
Tchou, Patrick ;
Arruda, Mauricio ;
Natale, Andrea .
JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, 2006, 17 (09) :944-948
[4]  
BARRETT C, 2008, J CARDIOVASCR E 0612
[5]   Effects of circumferential or segmental pulmonary vein ablation for paroxysmal atrial fibrillation on cardiac autonomic function [J].
Bauer, Axel ;
Deisenhofer, Isabel ;
Schneider, Raphael ;
Zrenner, Bernhard ;
Barthel, Petra ;
Karch, Martin ;
Wagenpfeil, Stefan ;
Schmitt, Claus ;
Schmidt, Georg .
HEART RHYTHM, 2006, 3 (12) :1428-1435
[6]   Impact of atrial fibrillation on the risk of death [J].
Benjamin, EJ ;
Wolf, PA ;
D'Agostino, RB ;
Silbershatz, H ;
Kannel, WB ;
Levy, D .
CIRCULATION, 1998, 98 (10) :946-952
[7]   Assessment of atrioventricular junction ablation and VVIR pacemaker versus pharmacological treatment in patients with heart failure and chronic atrial fibrillation - A randomized, controlled study [J].
Brignole, M ;
Menozzi, C ;
Gianfranchi, L ;
Musso, G ;
Mureddu, R ;
Bottoni, N ;
Lolli, G .
CIRCULATION, 1998, 98 (10) :953-960
[8]   Left atrial ablation versus biatrial ablation for persistent and permanent atrial fibrillation -: A prospective and randomized study [J].
Calo, Leonardo ;
Lamberti, Filippo ;
Loricchio, Maria Luisa ;
De Ruvo, Ermenegildo ;
Colivicchi, Furio ;
Bianconi, Leopoldo ;
Pandozi, Claudio ;
Santini, Massimo .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2006, 47 (12) :2504-2512
[9]   Worldwide survey on the methods, efficacy, and safety of catheter ablation for human atrial fibrillation [J].
Cappato, R ;
Calkins, H ;
Chen, SA ;
Davies, W ;
Iesaka, Y ;
Kalman, J ;
Kim, YH ;
Klein, G ;
Packer, D ;
Skanes, A .
CIRCULATION, 2005, 111 (09) :1100-1105
[10]   Prospective assessment of late conduction recurrence across radiofrequency lesions producing electrical disconnection at the pulmonary vein ostium in patients with atrial fibrillation [J].
Cappato, R ;
Negroni, S ;
Pecora, D ;
Bentivegna, S ;
Lupo, PP ;
Carolei, A ;
Esposito, C ;
Furlanello, F ;
De Ambroggi, L .
CIRCULATION, 2003, 108 (13) :1599-1604