Anatomic substrate, procedural results, and clinical outcome of ultrasound-guided left atrial-pulmonary vein disconnection for treatment of atrial fibrillation

被引:11
作者
Herweg, B [1 ]
Sichrovsky, T
Polosajian, L
Vloka, M
Rozenshtein, A
Steinberg, JS
机构
[1] Univ S Florida, Div Cardiol, Tampa, FL 33620 USA
[2] St Lukes Roosevelt Hosp, Arrhythmia Serv, New York, NY USA
[3] St Lukes Roosevelt Hosp, Div Cardiol, New York, NY USA
[4] Univ Connecticut, Div Cardiol, Farmington, CT USA
[5] Valley Hosp, Ridgefield, NJ USA
[6] Columbia Univ, Coll Phys & Surg, New York, NY USA
关键词
D O I
10.1016/j.amjcard.2004.12.019
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
This report summarizes the efficacy, safety, and feasibility of intracardiac ultrasound (ICUS) and local electrographic-guided pulmonary vein (PV)-left atrial disconnection, including the isolation of common PV trunks accomplished in 170 consecutive patients with atrial fibrillation (AF). A left common PV was found in 43% of patients with AF. During a follow-up of 549 +/- 330 days after ablation, the AF-free survival rate was 80% and comparable in paroxysmal and persistent AF. PV stenosis was detected in only 1 asymptomatic patient, who required no intervention. (c) 2005 by Excerpta Medica Inc.
引用
收藏
页码:871 / 875
页数:5
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