Radiofrequency Ablation for Atrial Fibrillation

Overview

Journal Curr Treat Options Cardiovasc Med

Specialty Cardiology & Vascular Diseases

Date 2002 Jul 3

PMID 12093387

Citations 2

Authors

Lars M Lickfett

Hugh G Calkins

Ronald D Berger

Affiliations

Soon will be listed here.

Abstract

Catheter ablation has emerged as an excellent treatment option for atrial fibrillation. In appropriate patients, particularly those with paroxysmal atrial fibrillation in the absence of structural heart disease, catheter-based pulmonary vein isolation can eliminate or dramatically reduce the arrhythmia burden. However, with currently available tools, the procedure is complex and labor intensive. Simpler ablation procedures may emerge as newer ablation systems are developed.

Citing Articles

Advanced mapping techniques in atrial fibrillation.

Lickfett L, Schwab J, Lewalter T J Interv Card Electrophysiol. 2008; 22(2):155-9.

PMID: 18386170 DOI: 10.1007/s10840-008-9245-y.

Rationale and design of a prospective study of the clinical significance of atrial arrhythmias detected by implanted device diagnostics: the TRENDS study.

Glotzer T, Daoud E, Wyse D, Singer D, Holbrook R, Pruett K J Interv Card Electrophysiol. 2006; 15(1):9-14.

PMID: 16680544 DOI: 10.1007/s10840-006-7622-y.

References

Gerstenfeld E, Guerra P, Sparks P, Hattori K, Lesh M . Clinical outcome after radiofrequency catheter ablation of focal atrial fibrillation triggers. J Cardiovasc Electrophysiol. 2001; 12(8):900-8. DOI: 10.1046/j.1540-8167.2001.00900.x. View

Natale A, Pisano E, Shewchik J, Bash D, Fanelli R, Potenza D . First human experience with pulmonary vein isolation using a through-the-balloon circumferential ultrasound ablation system for recurrent atrial fibrillation. Circulation. 2000; 102(16):1879-82. DOI: 10.1161/01.cir.102.16.1879. View

Lemery R, Veinot J, Tang A, Green M, Farr N, Baxter L . Fiberoptic balloon catheter ablation of pulmonary vein ostia in pigs using photonic energy delivery with Diode laser. Pacing Clin Electrophysiol. 2002; 25(1):32-6. DOI: 10.1046/j.1460-9592.2002.00032.x. View

Cosio F, Lopez-Gil M, Goicolea A, Arribas F, Barroso J . Radiofrequency ablation of the inferior vena cava-tricuspid valve isthmus in common atrial flutter. Am J Cardiol. 1993; 71(8):705-9. DOI: 10.1016/0002-9149(93)91014-9. View

Oral H, Knight B, Tada H, Ozaydin M, Chugh A, Hassan S . Pulmonary vein isolation for paroxysmal and persistent atrial fibrillation. Circulation. 2002; 105(9):1077-81. DOI: 10.1161/hc0902.104712. View

Tanaka K, Satake S, Saito S, Takahashi S, Hiroe Y, Miyashita Y . A new radiofrequency thermal balloon catheter for pulmonary vein isolation. J Am Coll Cardiol. 2001; 38(7):2079-86. DOI: 10.1016/s0735-1097(01)01666-7. View

Jumrussirikul P, Atiga W, Lardo A, Berger R, Halperin H, Hutchins G . Prospective comparison of lesions created using a multipolar microcatheter ablation system with those created using a pullback approach with standard radiofrequency ablation in the canine atrium. Pacing Clin Electrophysiol. 2000; 23(2):203-13. DOI: 10.1111/j.1540-8159.2000.tb00801.x. View

Haissaguerre M, Shah D, Jais P, Hocini M, Yamane T, Deisenhofer I . Electrophysiological breakthroughs from the left atrium to the pulmonary veins. Circulation. 2000; 102(20):2463-5. DOI: 10.1161/01.cir.102.20.2463. View

Jais P, Haissaguerre M, Shah D, Chouairi S, Gencel L, Hocini M . A focal source of atrial fibrillation treated by discrete radiofrequency ablation. Circulation. 1997; 95(3):572-6. DOI: 10.1161/01.cir.95.3.572. View

10.

Fried N, Tsitlik A, Rent K, Berger R, Lardo A, Calkins H . Laser ablation of the pulmonary veins by using a fiberoptic balloon catheter: implications for treatment of paroxysmal atrial fibrillation. Lasers Surg Med. 2001; 28(3):197-203. DOI: 10.1002/lsm.1038. View

11.

Dubuc M, Talajic M, Roy D, Thibault B, Leung T, Friedman P . Feasibility of cardiac cryoablation using a transvenous steerable electrode catheter. J Interv Card Electrophysiol. 1998; 2(3):285-92. DOI: 10.1023/a:1009797206514. View

12.

Pappone C, Oreto G, Rosanio S, Vicedomini G, Tocchi M, Gugliotta F . Atrial electroanatomic remodeling after circumferential radiofrequency pulmonary vein ablation: efficacy of an anatomic approach in a large cohort of patients with atrial fibrillation. Circulation. 2001; 104(21):2539-44. DOI: 10.1161/hc4601.098517. View

13.

Haissaguerre M, MARCUS F, Fischer B, Clementy J . Radiofrequency catheter ablation in unusual mechanisms of atrial fibrillation: report of three cases. J Cardiovasc Electrophysiol. 1994; 5(9):743-51. DOI: 10.1111/j.1540-8167.1994.tb01197.x. View

14.

Cooper J, Epstein L . Use of intracardiac echocardiography to guide ablation of atrial fibrillation. Circulation. 2001; 104(25):3010-3. DOI: 10.1161/hc5001.101503. View

15.

Nathan H, Eliakim M . The junction between the left atrium and the pulmonary veins. An anatomic study of human hearts. Circulation. 1966; 34(3):412-22. DOI: 10.1161/01.cir.34.3.412. View

16.

Feinberg W, Cornell E, Nightingale S, Pearce L, Tracy R, Hart R . Relationship between prothrombin activation fragment F1.2 and international normalized ratio in patients with atrial fibrillation. Stroke Prevention in Atrial Fibrillation Investigators. Stroke. 1997; 28(6):1101-6. DOI: 10.1161/01.str.28.6.1101. View

17.

Chen S, Tai C, Yu W, Chen Y, Tsai C, Hsieh M . Right atrial focal atrial fibrillation: electrophysiologic characteristics and radiofrequency catheter ablation. J Cardiovasc Electrophysiol. 1999; 10(3):328-35. DOI: 10.1111/j.1540-8167.1999.tb00679.x. View

18.

Haissaguerre M, Jais P, Shah D, Garrigue S, Takahashi A, Lavergne T . Electrophysiological end point for catheter ablation of atrial fibrillation initiated from multiple pulmonary venous foci. Circulation. 2000; 101(12):1409-17. DOI: 10.1161/01.cir.101.12.1409. View

19.

Wood M, Kay G, Ellenbogen K . The North American experience with the Ablate and Pace Trial (APT) for medically refractory atrial fibrillation. Europace. 2001; 1(1):22-5. DOI: 10.1053/eupc.1998.0001. View

20.

Huang D, Monahan K, Zimetbaum P, Papageorgiou P, Epstein L, Josephson M . Hybrid pharmacologic and ablative therapy: a novel and effective approach for the management of atrial fibrillation. J Cardiovasc Electrophysiol. 1998; 9(5):462-9. DOI: 10.1111/j.1540-8167.1998.tb01837.x. View