Left atrial posterior wall isolation in conjunction with pulmonary vein isolation using cryoballoon for treatment of persistent atrial fibrillation (PIVoTAL): study rationale and design

2020 ◽  
Author(s):  
Arash Aryana ◽  
Deep K. Pujara ◽  
Shelley L. Allen ◽  
James H. Baker ◽  
Martin A. Espinosa ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Pulmonary Vein ◽  
Pulmonary Vein Isolation ◽  
Left Atrial ◽  
Persistent Atrial Fibrillation ◽  
Posterior Wall ◽  
Pivotal Study ◽  
Left Atrial Posterior

scholarly journals Pulmonary vein isolation plus left atrial posterior wall isolation and additional nonpulmonary vein trigger ablation using high‐dose isoproterenol for long‐standing persistent atrial fibrillation

2019 ◽  
Vol 35 (2) ◽  
pp. 215-222 ◽  
Author(s):  
Tomomasa Takamiya ◽  
Junichi Nitta ◽  
Akira Sato ◽  
Yukihiro Inamura ◽  
Nobutaka Kato ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Pulmonary Vein ◽  
Pulmonary Vein Isolation ◽  
Left Atrial ◽  
Persistent Atrial Fibrillation ◽  
Posterior Wall ◽  
High Dose ◽  
Left Atrial Posterior

Abstract 16499: Hybrid Cryoballoon Pulmonary Vein Isolation and Radiofrequency Posterior Wall Isolation for Persistent Atrial Fibrillation

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Heajung L Nguyen ◽  
Carlos Macias ◽  
Houman Khakpour ◽  
Jason S Bradfield ◽  
Kalyanam Shivkumar ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Energy Source ◽  
Catheter Ablation ◽  
Pulmonary Vein ◽  
Pulmonary Vein Isolation ◽  
Left Atrial ◽  
Persistent Atrial Fibrillation ◽  
Posterior Wall ◽  
Significant Difference ◽  
Hybrid Ablation

Introduction: Catheter ablation of persistent atrial fibrillation (AF) is associated with less successful outcomes compared to paroxysmal AF. The optimal ablation strategy for persistent AF is not well established. We report our center’s experience utilizing a hybrid ablation approach of cryoballoon (CB) pulmonary vein isolation (PVI) followed by radiofrequency (RF) left atrial posterior wall isolation (LAPWI). Methods: 134 patients with persistent AF who underwent catheter ablation between 2016 and 2019 at our center were retrospectively reviewed. Patients with congenital heart disease or prior left atrial ablation or surgery were excluded. Hybrid ablation (n=62) consisted of CB PVI followed by RF roof and floor lines resulting in LAPWI. The control group (n=72) had PVI ±LAPWI with either CB (n=38) or RF (n=34). Outcomes were monitored with office visits and 7-day Holter monitors at 3, 6, 12, and 24 months post-ablation. The primary endpoint was freedom from any documented atrial tachyarrhythmia over 30 seconds. Results: Concomitant atrial flutter ablation was performed in 19/62 (31%) and 5/72 (7%) of hybrid and control cases, respectively. There was no significant difference in procedure time, however fluoroscopy time was shorter with hybrid ablation compared to control (p<.01). 18-month freedom from atrial tachyarrhythmias was 70.4% with hybrid ablation and 51.6% with PVI±LAPWI with a single energy source (p=.048). Among those with recurrence, mean AF burden was significantly lower with hybrid ablation (7%) than with a single-energy approach (60%). Conclusion: In this single center experience with multiple operators, hybrid CB-RF PVI and LAPWI reduced AF recurrence (incidence and burden) compared to PVI±LAPWI with a single energy source.

scholarly journals B-PO02-077 OUTCOMES OF LEFT ATRIAL POSTERIOR WALL ISOLATION IN CONJUNCTION WITH PULMONARY VEIN ISOLATION FOR PAROXYSMAL ATRIAL FIBRILLATION

Heart Rhythm ◽  
2021 ◽  
Vol 18 (8) ◽  
pp. S127-S128
Author(s):  
Leonid Garber ◽  
Lior Jankelson ◽  
Eric H. Shulman ◽  
Roi Bar-Cohen ◽  
Connor Peterson ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Pulmonary Vein ◽  
Pulmonary Vein Isolation ◽  
Paroxysmal Atrial Fibrillation ◽  
Left Atrial ◽  
Posterior Wall ◽  
Left Atrial Posterior

scholarly journals Proven isolation of the pulmonary vein antrum with or without left atrial posterior wall isolation in patients with persistent atrial fibrillation

Heart Rhythm ◽  
2016 ◽  
Vol 13 (1) ◽  
pp. 132-140 ◽  
Author(s):  
Rong Bai ◽  
Luigi Di Biase ◽  
Prasant Mohanty ◽  
Chintan Trivedi ◽  
Antonio Dello Russo ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Pulmonary Vein ◽  
Left Atrial ◽  
Persistent Atrial Fibrillation ◽  
Posterior Wall ◽  
Left Atrial Posterior

Left atrial volume at MRI is the main determinant of outcome after pulmonary vein isolation plus linear lesion ablation for paroxysmal-persistent atrial fibrillation

2010 ◽  
Vol 11 (8) ◽  
pp. 593-598 ◽  
Author(s):  
Antonio Montefusco ◽  
Luigi Biasco ◽  
Alessandro Blandino ◽  
Yvonne Cristoforetti ◽  
Marco Scaglione ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Pulmonary Vein ◽  
Pulmonary Vein Isolation ◽  
Left Atrial ◽  
Left Atrial Volume ◽  
Persistent Atrial Fibrillation ◽  
Atrial Volume ◽  
Main Determinant

scholarly journals The Electrical Isolation of the Left Atrial Posterior Wall in Catheter Ablation of Persistent Atrial Fibrillation

2019 ◽  
Vol 5 (11) ◽  
pp. 1253-1261 ◽  
Author(s):  
Jung Myung Lee ◽  
Jaemin Shim ◽  
Junbeom Park ◽  
Hee Tae Yu ◽  
Tae-Hoon Kim ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Catheter Ablation ◽  
Left Atrial ◽  
Persistent Atrial Fibrillation ◽  
Posterior Wall ◽  
Electrical Isolation ◽  
Left Atrial Posterior
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