Ablation - Procedures
2013
A recent study involving participants in the Framingham Heart Study concluded that a high white blood cell (WBC) count is a risk factor for the development of atrial fibrillation (AF).
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Oxidative stress has been implicated as a major factor in the development and promotion of atrial fibrillation (AF). The main reactive oxygen species (ROS) involved in causing oxidative stress are the superoxide anion...
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Prof. Haissaguerre and colleagues in Bordeaux, France discovered in 1998 that paroxysmal atrial fibrillation (PAF) was triggered by ectopic activity in the pulmonary veins.
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Despite significant, recent improvements in catheter ablation strategies to treat atrial fibrillation (AF), recurrence remains a continuing concern.
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Most catheter ablation procedures use radiofrequency (RF) energy to create the lesions isolating the pulmonary veins (PVs) from the left atrium.
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2012
Ablations aimed at curing cardiac arrhythmias are traditionally performed using fluoroscopy to guide catheter placement. This exposes the patient, physician and staff to a not insignificant...
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Since 1998 when Prof. Haissaguerre and colleagues in Bordeaux discovered that 94% of AF episodes are triggered by impulses originating in the pulmonary veins...
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Catheter ablation for atrial fibrillation (AF) is associated with an approximately 1% risk of procedure-related ischemic stroke. The risk arises from the formation of blood clots...
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Catheter ablation for atrial fibrillation (AF) is associated with an approximately 1% risk of procedure-related ischemic stroke. The risk arises from the formation of blood clots...
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Radiofrequency-powered catheter ablation with the intent of curing atrial fibrillation (AF) involves the creation of lesions on the inside of heart tissue, primarily as rings encircling the areas...
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2011
It is becoming increasingly clear that about 15 to 50% of afibbers undergoing catheter ablation will need two or, in rare cases, more than two procedures in order to achieve...
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Initial complete success rates (no AF, no antiarrhythmics) for catheter ablation at high-volume centers average between 50 and 60% at the 1-year follow-up. The main cause...
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A radiofrequency catheter ablation for atrial fibrillation (AF) creates a significant amount of scar tissue. An important question is does this scar tissue impair the function of the left atrium?
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Between 20 and 50% of atrial fibrillation (AF) patients undergoing a pulmonary vein isolation (PVI) procedure requires one or more follow-up procedures in order to achieve the goal...
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It is becoming increasingly clear that as many as 30 to 50% of afibbers undergoing a radiofrequency catheter ablation will need a repeat procedure. What is not clear is the optimal timing of the second...
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Catheter ablations for atrial fibrillation (AF) are usually performed with the patient under conscious sedation, that is, awake, but sedated to minimize pain and movement during the procedure.
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Catheter ablation for atrial fibrillation (AF) is associated with an approximately 1% risk of procedure-related ischemic stroke. The risk arises from the formation of blood clots...
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Catheter ablation involves a fine balance between creating an effective electrical barrier and avoiding complications such as pericardial tamponade, stroke or TIA...
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Anticoagulation during catheter ablation needs to be precisely controlled. Too little anticoagulant (usually heparin) and blood clots may form on the catheter or sheaths...
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There is ample evidence that right atrial flutter and atrial fibrillation (AF) often coexist in the same patient. Although the patient may only have symptoms of one of the arrhythmias...
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Atrial fibrillation (AF) is a common adverse effect following cardiac surgery. It is estimated that between 30 and 60% of patients are affected and that 10-year mortality is up to 48%...
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2010
High intensity focused ultrasound (HIFU) is used successfully in the treatment of prostate cancer. Early trials also found it effective in the ablation of atrial fibrillation.
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The three most commonly used procedures for isolation of aberrant electrical impulses originating in the pulmonary veins are...
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In 1998 Profs. Haissaguerre and Jais at Hopital Cardiologique du Haut Leveque in Bordeaux discovered that the most common sites of ectopic beats...
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The pulmonary veins are the most important sources of "rogue" cells triggering atrial fibrillation (AF) episodes. Thus, they are routinely isolated...
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Pulmonary vein isolation (PVI) is the most common catheter ablation procedure performed in as effort to cure atrial fibrillation (AF). Originally, PVI was performed...
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The use of robotic systems for catheter ablation of atrial fibrillation (AF) and other cardiac arrhythmias has been under development for several years.
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Pulmonary vein isolation (PVI) is now the standard procedure for dealing with paroxysmal and persistent AF. In many cases, a PVI by itself is enough to eliminate...
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Having been in permanent atrial fibrillation for an extended period is associated with a poorer outcome of catheter ablation. Japanese cardiologists/electrophysiologists...
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Pulmonary vein isolation (PVI) on its own is not very effective in eliminating persistent and permanent atrial fibrillation. In order to achieve a reasonable rate of success...
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Common atrial flutter (AFL) originates in the right atrium between the tricuspid valve and the crista terminalis. Because the location of the AFL-associated macroreentrant...
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The average complete success rate (no AF, no antiarrhythmics) for 729 initial ablation procedures evaluated in the 2008 Ablation/Maze Survey was 50%...
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It is now common practice to perform transesophageal echocardiography (TEE) on patients scheduled to undergo catheter ablation with the intent of curing...
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The recurrence of afib or flutter following a pulmonary vein ablation (PVI) procedure is not uncommon, especially during the 3 months post-procedure.
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A catheter ablation for the purpose of curing atrial fibrillation (AF) involves the creation of extensive scar tissue in the left atrium. An obvious question is...
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Persistent atrial fibrillation (AF) is defined as episodes lasting longer than seven days but amenable to cardioversion to normal sinus rhythm. Persistent AF...
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2009
Success rates for catheter ablations aimed at curing atrial fibrillation vary widely and depend almost entirely on the skill and experience of the electrophysiologist...
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Paroxysmal (intermittent) atrial fibrillation (PAF) is the most common form of AF affecting about 80% of the afib population. The triggers...
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As more complex forms of atrial fibrillation (AF) are tackled with catheter ablation the incidence of post-procedure atrial tachycardia (AT) is increasing.
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Dr. Warren Jackman and his group at the University of Oklahoma Health Sciences Center present an excellent overview of the history of...
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Early recurrence of atrial arrhythmias (atrial fibrillation, flutter or tachycardia) is common following a pulmonary vein isolation (PVI) procedure, but does...
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2008
The Holy Grail of pulmonary vein isolation (PVI) procedures is to consistently achieve complete elimination of afib in one hour or less. Many approaches have...
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When the pulmonary vein isolation (PVI) procedure was first introduced it was common practice to place the lesion rings just inside...
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Although the success of antiarrhythmic drugs in the treatment of atrial fibrillation (AF) leaves a lot to be desired, it is generally accepted that therapy with....
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It is well established that patients with atrial flutter (AFL) treated with drugs are at high risk for the development of atrial fibrillation (AF). It is not clear, however...
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The prevalence of atrial fibrillation among individuals 75 years or older is about 15%. Clearly it is important to answer the question...
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In 1998 Professor Michel Haissaguerre at the Hopital Cardiologique du Haut Leveque in Bordeaux reported that paroxysmal atrial...
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Radiofrequency (RF) catheter ablation of common right atrial flutter (cavotricuspid isthmus-dependent – CTI) is a comparatively simple procedure...
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The Stereotaxis Niobe system is a magnetically-guided, remotely-controlled system for performing radiofrequency (RF) ablation. It is usually combined with the CartoMerge...
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The accidental creation of a fistula (hole) between the back wall of the left atrium and the esophagus is a rare but often fatal complication of pulmonary vein ablation.
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The success of a pulmonary vein isolation (PVI) ablation depends on the location and quality of the lesions (burns) imparted during the procedure.
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Currently radiofrequency (RF) pulmonary vein isolation (PVI) procedures employ 2 or 3 separate catheters for mapping, ablating and guidance.
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Success rates for pulmonary vein isolation (PVI) vary widely and depend primarily on the skill and experience of the electrophysiologist (EP) performing the ablation.
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It is common practice for electrophysiologists doing pulmonary vein isolations (PVIs) to check the quality of their work by using burst pacing to try to induce atrial fibrillation...
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By far the majority of atrial fibrillation triggers are located in or around the pulmonary veins making pulmonary vein isolation (PVI) and pulmonary vein antrum isolation...
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