Successful Ablation of Persistent Atrial Fibrillation Starting from Firing of Superior Vena Cava after Ablation of Complex Fractionated Atrial Electrograms
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概要
- 論文の詳細を見る
A 61 years old man admitted for catheter ablation for persistent atrial fibrillation (AF), lasting 18 months, which was resistant to aprindine and bepridil. At the catheter ablation, complex fractionated atrial electrograms (CFAEs) were mapped on the electroanatomical map merged with computed tomography using CARTO XP system (Johnson & Johnson). Radio frequency ablation was performed to the point of CFAEs in left atrium, but AF was persisting after CFAEs were decreased especially. Then, ablate for electrograms like action potential firing from high right atrium and inside of coronary sinus, AF changed into atrial tachycardia (AT) on which the earliest action potential started from high right atrium. Put Lasso catheter in superior vena cava (SVC), there was action potential firing in front side of SVC. AT terminated during ablation of action potential firing in front side of SVC, but AT repeated with firing electrograms from almost same site of SVC. After several times ablation to firing site of SVC, both AF and AT did not recur and they could not be induced.
著者
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KIKUCHI MIWA
Division of cardiology, Department of medicine, Showa University
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Watanabe Norikazu
Division of cardiology, Department of medicine, Showa University
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Kikuchi Miwa
Division Of Cardiology Department Of Medicine Showa University
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Ito Hiroyuki
Division Of Applied Bioscience Graduate School Of Agriculture Hokkaido University
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Kobayashi Youichi
Division Of Cardiology Department Of Internal Medicine Showa University School Of Medicine
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Miyoshi Fumito
Division Of Cardiology Department Of Internal Medicine Showa University School Of Medicine
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Watanabe Norikazu
Division Of Cardiology Department Of Internal Medicine Showa University School Of Medicine
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Tanno Kaoru
Division Of Cardiology Department Of Internal Medicine Showa University School Of Medicine
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Asano Taku
Division Of Cardiology Department Of Internal Medicine Showa University School Of Medicine
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Asano Taku
Division of Cardiology, Department of Medicine, Showa University
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Kobayashi Youichi
Division of Cardiology, Department of Medicine, Showa University
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Munetsugu Yumi
Division of Cardiology, Department of Internal Medicine, Showa University School of Medicine
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