Volume 12, Issue 7, Pages (July 2015)

Slides:

Advertisements

Similar presentations

Date of download: 7/6/2016 Copyright © The American College of Cardiology. All rights reserved. From: Catheter-induced linear lesions in theleft atrium.

Advertisements

Volume 13, Issue 1, Pages (January 2016)

Volume 4, Issue 1, Pages (January 2007)

Volume 2, Issue 1, Pages (January 2005)

Volume 12, Issue 5, Pages (May 2015)

Isolation of an arrhythmogenic roof vein with the guide of a circular mapping catheter in a case with paroxysmal atrial fibrillation Shin-ichi Tanigawa,

How to map and ablate left ventricular summit arrhythmias

Volume 15, Issue 1, Pages (January 2018)

Rachel D. Torok, MD, Benjamin Wei, MD, Ronald J. Kanter, MD, Robert D

Volume 9, Issue 1, Pages (January 2012)

Volume 7, Issue 1, Pages (January 2010)

Outcomes of inferior sinus venosus defect repair

Volume 13, Issue 1, Pages (January 2016)

Volume 12, Issue 2, Pages (February 2015)

Long-standing persistent atrial fibrillation ablation without use of fluoroscopy in a patient with cor triatriatum Saumil R. Shah, MD, Guru P. Mohanty,

Role of intracardiac echocardiography for guiding ablation of tricuspid valve arrhythmias Andres Enriquez, MD, Carlos Tapias, MD, Diego Rodriguez, MD,

Circular shunt in bidirectional cavopulmonary anastomosis

HeartRhythm Case Reports

Killing two gaps with a single activation map—Visualization of the precise macroreentrant circuit including the pulmonary vein and left atrium Hiro Yamasaki,

A novel mapping technique to detect non–pulmonary vein triggers: A case report of self- reference mapping technique Yasuharu Matsunaga-Lee, MD, Yuzuru.

Successful ablation of premature ventricular contractions originating from the inferoseptal process of the left ventricle using a coronary sinus approach

Volume 13, Issue 1, Pages (January 2016)

Intraatrial reentrant tachycardia originating from the prior suture line of the baffle in a patient who underwent the Mustard operation: Ultra-high-density.

Volume 11, Issue 1, Pages (January 2014)

A pseudo-sinus rhythm due to bigeminal ectopy with the focus in the right superior pulmonary vein Marina Arai, MD, Seiji Fukamizu, MD, PhD, Rintaro Hojo,

Three-dimensional electroanatomical mapping to guide transseptal catheterization Mark R. Bowers, MS, MD, Padraig Gearoid O'Neill, MD, FHRS, Rohit Bhaskar,

Volume 15, Issue 1, Pages (January 2018)

Iatrogenic atrial septal defect with right-to-left shunt following atrial fibrillation ablation in a patient with arrhythmogenic right ventricular cardiomyopathy

Induction of tachycardia confined within a pulmonary vein by electrical cardioversion of atrial fibrillation: Is it proof of reentry? Mauro Toniolo,

Intra-Atrial Rerouting and Maze Procedure for an Adult Patient in Cor Triatriatum, Persistent Left Superior Vena Cava, and Atrial Fibrillation Koichi.

Common veins, common freezes

Radiofrequency catheter ablation for drug-refractory paroxysmal atrial fibrillation in a patient with Ebstein’s anomaly Yong-Giun Kim, MD, Shin-Jae Kim,

Techniques for the provocation, localization, and ablation of non–pulmonary vein triggers for atrial fibrillation Pasquale Santangeli, MD, PhD, Francis.

Vein of Marshall partially isolated with radiofrequency ablation from the endocardium Shin Kashimura, MD, Takahiko Nishiyama, MD, Takehiro Kimura, MD,

Perimitral atrial flutter associated with a protected coronary sinus after a Maze IV procedure and concomitant mitral annulus repair Gaku Kanda, MD,

Isolation of the conduction between the Marshall bundle and distal coronary sinus and the entire coronary sinus for an atrial tachycardia after catheter.

Swallowing-induced atrial tachycardia arising from superior vena cava: Significant involvement of parasympathetic nerve activity Koji Higuchi, MD, PhD,

Percutaneous transhepatic approach for cryoballoon pulmonary vein isolation in a patient with persistent atrial fibrillation and interruption of the inferior.

Volume 14, Issue 8, Pages (August 2017)

Cavotricuspid isthmus ablation using multimodality imaging in Ebstein anomaly with a mechanical tricuspid valve replacement Sang Hyun Lee, MD, Hyung.

Cor triatriatum sinister: Is it less sinister in older patients?

Pseudo-conduction block at the mitral isthmus in a patient with epicardial impulse propagation through the vein of Marshall Rintaro Hojo, MD, Seiji Fukamizu,

Protecting the right phrenic nerve during catheter ablation: Techniques and anatomical considerations Stephen Stark, MD, David K. Roberts, MD, Thomas.

Successful transseptal puncture and cryoballoon ablation of symptomatic paroxysmal atrial fibrillation via jugular access in a patient with bilateral.

Focal atrial fibrillation presenting in the origin of atrial tachycardia Chin-Yu Lin, MD, Yenn-Jiang Lin, MD, Fa-Po Chung, MD, Shih-Ann Chen, MD HeartRhythm.

An unusual approach to intractable AVNRT in a pediatric patient

Tina Baykaner, MD, MPH, Joshua M. Cooper, MD, FHRS

Stephen A. Howard, PhD, Ryan P. Goff, PhD, David G

A case series and review of the literature regarding coronary artery complications associated with coronary sinus catheter ablation Paul J. Garabelli,

Phrenic nerve injury contemporaneous with acute decrease in compound motor action potential during laser balloon pulmonary vein isolation for atrial fibrillation

Electroanatomical high-density mapping of different tachycardias in the right atrium after heart transplantation Alexandra Schratter, MD, Valentina Schirripa,

Successful ablation for non-pulmonary multi-foci atrial fibrillation/tachycardia in a patient with coronary sinus ostial atresia by transseptal puncture.

A novel mapping and ablation strategy of the mitral isthmus using intracardiac echocardiography in the left atrium Thomas J. Flautt, DO, Alison L. Spangler,

Biatrial flutter circuit involving an anomalous insertion of the Bachmann bundle into the superior vena cava Ely Gracia, MD, Roger Fan, MD, FHRS HeartRhythm.

HeartRhythm Case Reports

Circular mapping recordings in a persistent left superior vena cava during atrial tachycardia: Was isolation achieved? Sandrine Venier, MD, Jason G.

Adam J. Small, MD, Eric F. Buch, MD, FHRS, FACC, Daniel R

Spastic occlusion of coronary artery during cryoballoon pulmonary vein isolation Takashi Kaneshiro, MD, Yoshiyuki Matsumoto, MD, Minoru Nodera, MD, Masashi.

Successful atrioventricular junction ablation in a patient with situs inversus with dextrocardia and complex venous anatomy Iosif Kelesidis, MD, MSc,

Atrial fibrillation resulting from superior vena cava drivers addressed with cryoballoon ablation: Late reconnection at the site of phrenic nerve pacing.

Pulmonary vein stenosis after second-generation cryoballoon ablation for atrial fibrillation Kenichi Tokutake, MD, Michifumi Tokuda, MD, PhD, Takayuki.

Getting to the right left atrium: Catheter ablation of atrial fibrillation and mitral annular flutter in cor triatriatum Ryan T. Borne, MD, Jaime Gonzalez,

Periesophageal vagal nerve injury following catheter ablation of atrial fibrillation: A case report and review of the literature Sandeep A. Saha, MD,

Usefulness of a 2-F catheter electrode in a case with successful electrical isolation of remarkably hypoplastic right inferior pulmonary vein Takeshi.

Catheter ablation for the treatment of persistent atrial fibrillation: Maintenance of sinus rhythm with left atrial appendage and coronary sinus isolation.

Left atrial access via an unroofed coronary sinus to eliminate fast/slow atypical AVNRT: A case report Gustavo X. Morales, MD, Yousef H. Darrat, MD,

Hepatic vein access for pulmonary vein isolation in patients without femoral vein access Ijeoma A. Ekeruo, MD, FHRS, Saumya Sharma, MD, Allan Cohen, MD,

Atrial fibrillation ablation with persistent left superior vena cava detected during intracardiac echocardiography Victor A. Abrich, MD, Jeffrey Munro,

Electrophysiological evidence of localized reentry as a trigger and driver of atrial fibrillation at the junction of the superior vena cava and right.

Ablation of Atrial Fibrillation With Minimally Invasive Mitral Surgery

Presentation transcript:

Volume 12, Issue 7, Pages 1658-1666 (July 2015) Best practice guide for cryoballoon ablation in atrial fibrillation: The compilation experience of more than 3000 procedures Wilber Su, MD, FHRS, Robert Kowal, MD, FHRS, Marcin Kowalski, MD, FHRS, Andreas Metzner, MD, FHRS, J. Thomas Svinarich, MD, FHRS, Kevin Wheelan, MD, FHRS, Paul Wang, MD, FHRS Heart Rhythm Volume 12, Issue 7, Pages 1658-1666 (July 2015) DOI: 10.1016/j.hrthm.2015.03.021 Copyright © 2015 Heart Rhythm Society Terms and Conditions

Figure 1 Right anterior oblique (RAO) view of right inferior pulmonary vein cryoballoon engagement angle when transseptal site is lower and more anterior. Example of patient with atrial septal occlusion device at the secundum defect location better demonstrates the transseptal location. Heart Rhythm 2015 12, 1658-1666DOI: (10.1016/j.hrthm.2015.03.021) Copyright © 2015 Heart Rhythm Society Terms and Conditions

Figure 2 A: Intracardiac echocardiography (ICE) demonstrating lower and more anterior transseptal access (arrow). LA = left atrium; MV= mitral valve; RA = right atrium. Shown is transseptal sheath through the inferior septum location with thicker inferior limbus as well as anterior position with MV seen on ICE. B: Anatomic layout of optimal transseptal site (white oval). (Image modified courtesy of Visible Heart Lab, University of Minnesota. See Online Supplementary video.) Heart Rhythm 2015 12, 1658-1666DOI: (10.1016/j.hrthm.2015.03.021) Copyright © 2015 Heart Rhythm Society Terms and Conditions

Figure 3 Proximal seal technique. Instead of initiating ablation after initial venogram, CB is first gently pulled back to reveal the real pulmonary vein (PV) ostium by noting contrast leak. The true antrum is much further back than initially realized. CB at left superior PV (A) and venogram (B) showing CB pulled back to reveal the real PV ostium (see Online Supplementary video). Heart Rhythm 2015 12, 1658-1666DOI: (10.1016/j.hrthm.2015.03.021) Copyright © 2015 Heart Rhythm Society Terms and Conditions

Figure 4 Intracardiac ultrasound image of CB at left inferior pulmonary vein (PV) and color Doppler revealing flow from left superior PV. CB outside of the PV antrum forms the “golf ball on tee” image (see Online Supplementary video). Heart Rhythm 2015 12, 1658-1666DOI: (10.1016/j.hrthm.2015.03.021) Copyright © 2015 Heart Rhythm Society Terms and Conditions

Figure 5 Recordings of the diaphragmatic compound motor action potential (CMAP) during pacing from the coronary sinus (CS) catheter at 60 bpm located in the superior vena cava and during application of cryoenergy to the right superior pulmonary vein. CMAP amplitude (asterisk) significantly decreased at 180 seconds of cryoballoon application. Note that the pulmonary vein is isolated. At the time of phrenic nerve palsy, CMAP amplitude is a fraction of baseline CMAP amplitude. CMAP amplitude increased after cryoenergy was discontinued but did not return to its original value. A decrease in CMAP amplitude by 35% from baseline predicted and prevented phrenic nerve injury. (Reproduced from Lakhani M, Saiful F, Parikh V, Goyal N, Bekheit S, Kowalski M. Recordings of diaphragmatic electromyograms during cryoballoon ablation for atrial fibrillation accurately predict phrenic nerve injury. Heart Rhythm 2014;11:369–374.) Heart Rhythm 2015 12, 1658-1666DOI: (10.1016/j.hrthm.2015.03.021) Copyright © 2015 Heart Rhythm Society Terms and Conditions