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ANDREA CORRADO M.D. ALDO BONSO M.D. MICHELA MADALOSSO M.D. ANTONIO ROSSILLO M.D. SAKIS THEMISTOCLAKIS M.D. LUIGI DI BIASE M.D. † ‡ REA NATALE M.D. † ANTONIO RAVIELE M.D. 《Journal of cardiovascular electrophysiology》2010,21(1):1-5
Impact of the Systematic Isolation of the Superior Vena Cava. Background: Pulmonary veins (PVs) have been shown to represent the most frequent sites of ectopic beats initiating paroxysmal atrial fibrillation (AF). However, additional non-PV triggers, arising from different areas, have been reported as well. One of the most common non-PV sites described is the superior vena cava.
Aims: The purpose of the study was to investigate the impact resulting from the systematic isolation of the superior vena cava (SVCI) in addition to pulmonary vein antrum isolation (PVAI) on the outcome of paroxysmal, persistent, and permanent AF ablation.
Methods: A total of 320 consecutive patients who had been referred to our center in order to undergo a first attempt of AF ablation were randomized into 2 groups. Group I (160 patients) underwent PVAI only; Group II (160 patients) underwent PVAI and SVCI.
Results: AF was paroxysmal in 134 (46%), persistent in 75 (23%), and permanent in 111 (31%) of said patients. SVCI was performed on 134 of the 160 patients (84%) in Group II. SVC isolation was not performed on the remaining 26 patients either because of phrenic nerve capture or the lack of SVC potentials. Comparison of the outcome data between the 2 groups, after a follow-up of 12 months, revealed a significant difference in total procedural success solely with patients manifesting paroxysmal atrial fibrillation (56/73 [77%] Group I vs. 55/61 [90%] Group II; P = 0.04; OR 2.78).
Conclusions: In our study, the strategy of the empiric SVCI in addition to PVAI has improved the outcome of AF ablation solely in patients manifesting paroxysmal AF. (J Cardiovasc Electrophysiol, Vol. 21, pp. 1–5, January 2010) 相似文献
Aims: The purpose of the study was to investigate the impact resulting from the systematic isolation of the superior vena cava (SVCI) in addition to pulmonary vein antrum isolation (PVAI) on the outcome of paroxysmal, persistent, and permanent AF ablation.
Methods: A total of 320 consecutive patients who had been referred to our center in order to undergo a first attempt of AF ablation were randomized into 2 groups. Group I (160 patients) underwent PVAI only; Group II (160 patients) underwent PVAI and SVCI.
Results: AF was paroxysmal in 134 (46%), persistent in 75 (23%), and permanent in 111 (31%) of said patients. SVCI was performed on 134 of the 160 patients (84%) in Group II. SVC isolation was not performed on the remaining 26 patients either because of phrenic nerve capture or the lack of SVC potentials. Comparison of the outcome data between the 2 groups, after a follow-up of 12 months, revealed a significant difference in total procedural success solely with patients manifesting paroxysmal atrial fibrillation (56/73 [77%] Group I vs. 55/61 [90%] Group II; P = 0.04; OR 2.78).
Conclusions: In our study, the strategy of the empiric SVCI in addition to PVAI has improved the outcome of AF ablation solely in patients manifesting paroxysmal AF. (J Cardiovasc Electrophysiol, Vol. 21, pp. 1–5, January 2010) 相似文献
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Pulmonary Vein Isolation to Reduce Future Risk of Atrial Fibrillation in Patients Undergoing Typical Flutter Ablation: Results from a Randomized Pilot Study (REDUCE AF) 下载免费PDF全文
SANGHAMITRA MOHANTY ANDREA NATALE PRASANT MOHANTY LUIGI DI BIASE CHINTAN TRIVEDI PASQUALE SANTANGELI RONG BAI J. DAVID BURKHARDT G. JOSEPH GALLINGHOUSE RODNEY HORTON JAVIER E. SANCHEZ PATRICK M. HRANITZKY AMIN AL‐AHMAD STEVEN HAO RICHARD HONGO SALWA BEHEIRY GEMMA PELARGONIO GIOVANNI FORLEO ANTONIO ROSSILLO SAKIS THEMISTOCLAKIS MICHELA CASELLA ANTONIO DELLO RUSSO CLAUDIO TONDO SANJAY DIXIT 《Journal of cardiovascular electrophysiology》2015,26(8):819-825
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ANDREA NATALE ANTONIO RAVIELE AMIN AL‐AHMAD OTTAVIO ALFIERI ETIENNE ALIOT JESUS ALMENDRAL GÜNTER BREITHARDT JOSEP BRUGADA HUGH CALKINS DAVID CALLANS RICCARDO CAPPATO JOHN A. CAMM PAOLO DELLA BELLA GERARD M. GUIRAUDON MICHEL HAÏSSAGUERRE GERHARD HINDRICKS SIEW YEN HO KARL H. KUCK FRANCIS MARCHLINSKI DOUGLAS L. PACKER ERIC N. PRYSTOWSKY VIVEK Y. REDDY JEREMY N. RUSKIN MAURICIO SCANAVACCA KALYANAM SHIVKUMAR KYOKO SOEJIMA WILLIAM J. STEVENSON SAKIS THEMISTOCLAKIS ATUL VERMA DAVID WILBER 《Journal of cardiovascular electrophysiology》2010,21(3):339-379
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ANTONIO ROSSILLO M.D. STEFANO INDIANI B.E. ALDO BONSO M.D. SAKIS THEMISTOCLAKIS M.D. REA CORRADO M.D. ANTONIO RAVIELE M.D. 《Journal of cardiovascular electrophysiology》2009,20(4):374-378
Introduction: Image integration is used in AF ablation procedures. To maximize the efficacy of image integration, it is essential to obtain good alignment between the electroanatomical map and the 3D image of the heart. In the present study, we compared an ICE-guided landmark registration with an ICE-guided focused endocardial surface registration.
Methods and Results: In 20 patients, registration was based on posterior landmarks acquired under ICE guidance (group A); in another 20 matched patients, a new ICE-guided focused endocardial surface registration technique was used (group B). In these latter patients, a single landmark was acquired in the inferior part of the LIPV, and several surface points were recorded in the posterior area of the left PV antrum and around the antra of the right PVs. The mean ablation point-to-CT image distance was calculated in both groups. In group A, the mean landmark point-to-CT image distance was also calculated after adding the surface registration. The mean landmark point-to-CT image distance was 4.62 ± 1.65 mm and increased to 7.66 ± 2.44 mm when surface registration was added. The ablation point-to-CT image distance was significantly shorter in group B (1.73 ± 0.29 mm vs 3 ± 0.99 mm; P < 0.001).
Conclusions: This ICE-guided focused endocardial surface registration seems to be superior to landmark registration in achieving a better alignment between the CT/MR image and the electroanatomical map. The concurrent use of standard surface registration may result in rotation of the atrial chamber. 相似文献
Methods and Results: In 20 patients, registration was based on posterior landmarks acquired under ICE guidance (group A); in another 20 matched patients, a new ICE-guided focused endocardial surface registration technique was used (group B). In these latter patients, a single landmark was acquired in the inferior part of the LIPV, and several surface points were recorded in the posterior area of the left PV antrum and around the antra of the right PVs. The mean ablation point-to-CT image distance was calculated in both groups. In group A, the mean landmark point-to-CT image distance was also calculated after adding the surface registration. The mean landmark point-to-CT image distance was 4.62 ± 1.65 mm and increased to 7.66 ± 2.44 mm when surface registration was added. The ablation point-to-CT image distance was significantly shorter in group B (1.73 ± 0.29 mm vs 3 ± 0.99 mm; P < 0.001).
Conclusions: This ICE-guided focused endocardial surface registration seems to be superior to landmark registration in achieving a better alignment between the CT/MR image and the electroanatomical map. The concurrent use of standard surface registration may result in rotation of the atrial chamber. 相似文献
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SAKIS THEMISTOCLAKIS M.D. ANTONIO RAVIELE M.D. PAOLO CHINA M.D. CARLO PAPPONE M.D. ROBERTO DE PONTI M.D. AMIRAN REVISHVILI M.D. ETIENNE ALIOT M.D. KARL‐HEINZ KUCK M.D. PER IVAR HOFF M.D.I. DIPEN SHAH M.D. JESúS ALMENDRAL M.D. ANTONIS S. MANOLIS M.D. GIAN‐BATTISTA CHIERCHIA M.D. ALI OTO M.D. RADU G. VATASESCU M.D. MATJAZ SINKOVEC M.D. RICCARDO CAPPATO M.D. 《Journal of cardiovascular electrophysiology》2014,25(10):1074-1081
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EMANUELE BERTAGLIA M.D. GIUSEPPE STABILE M.D. ALESSIA PAPPONE M.D. SAKIS THEMISTOCLAKIS M.D. CLAUDIO TONDO M.D. Ph.D. VALERIO DE SANCTIS M.D. EZIO SOLDATI M.D. MASSIMO TRITTO M.D. FRANCESCO SOLIMENE M.D. MASSIMO GRIMALDI M.D. Ph.D FRANCO ZOPPO M.D. CLAUDIO PANDOZI M.D. GIUSEPPE AUGELLO M.D. LEONARDO CALÒ M.D. CARLO PAPPONE M.D. Ph.D. 《Journal of cardiovascular electrophysiology》2013,24(10):1069-1074
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