Patterns of Pulmonary Vein Potential Disappearance During Encircling Ipsilateral Pulmonary Vein Isolation Can Predict Recurrence of Atrial Fibrillation

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概要

• 論文の詳細を見る

• Background: The relationship between pulmonary vein (PV) potential (PVP) disappearance patterns during encircling ipsilateral pulmonary vein isolation (EIPVI) of atrial fibrillation (AF), and outcome was examined. Methods and Results: A total of 352 consecutive AF patients (age, 61±12 years; 269 men, 76.4%; paroxysmal AF, n=239; persistent AF, n=73; and long-standing persistent AF, n=40) who underwent initial AF ablation were studied. After EIPVI with a double Lasso technique, pacing was performed from the PV carina to confirm isolation of the carina. PVP disappearance patterns were classified into 3 types: A, both superior and inferior PVP disappeared simultaneously; B, superior and inferior PVP disappeared separately; and C, additional RF applications were required inside the encircling lesions to eliminate the PVP after creating anatomical encircling lesions. The relationship between these patterns and outcome was examined. Six groups were defined according to the combination of right and left ipsilateral PVP disappearance patterns. The incidence of A-A, A-B, B-B, A-C, B-C, and C-C was 7.1%, 14.2%, 16.2%, 15.3%, 27.3%, and 19.9%, respectively. AF recurrence-free rate at 2 years for these 6 groups was 96%, 81%, 78%, 64%, 64%, and 59%, respectively (P<0.02). The incidence of a carina isolation was 153/154 (99.4%) for type A, 221/259 (85.3%) for type B, and 145/290 (50.0%) for type C. Conclusions: PVP disappearance pattern during EIPVI was significantly associated with the incidence of residual PV carina conduction and AF recurrence.

• 一般社団法人 日本循環器学会の論文

著者

• Takigawa Masateru

  Department Of Cardiology Nagoya Daini Red Cross Hospital

• Yamada Takumi

  Division Of Cardiovascular Disease University Of Alabama At Birmingham

• Kato Kazuo

  Department Of Cardiology Fujita Health University

• Tsuboi Naoya

  Cardiovascular Center Nagoya Daini Red Cross Hospital

• Tatematsu Yasushi

  Department of Cardiology, Nagoya Daini Red Cross Hospital

• Yoshida Yukihiko

  Department of Cardiology, Nagoya Daini Red Cross Hospital

• Yoshida Yukihiko

  Department Of Applied Physics Faculty Of Science Tokyo University Of Science

• Ishikawa Kiyotake

  Department Of Cardiology Nagoya Daini Red Cross Hospital

• Inoue Natsuo

  Department Of Cardiology Nagoya Daini Red Cross Hospital

• Nanasato Mamoru

  Department Of Cardiology Nagoya University Graduate School Of Medicine

• Aoyama Yutaka

  Department Of Cardiology Fujita Health University School Of Medicine

• Tatematsu Yasushi

  Department Of Cardiology Nagoya Daini Red Cross Hospital

• Yamamoto Takashi

  Department Of Applied Chemistry Faculty Of Engineering Ehime University

• Hirayama Haruo

  Department Of Cardiology Fujita Health University School Of Medicine

• Takigawa Masateru

  Department of Cardiology, Nagoya Daini Red Cross Hospital

• Tsuboi Naoya

  Cardiovascular Internal Medicine, Social Insurance Chukyo Hospital

• Kato Kazuo

  Department of Cardiology, Nagoya Daini Red Cross Hospital

• Yamamoto Takashi

  Department of Cardiology, Nagoya Daini Red Cross Hospital

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