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Ultra-high-density mapping of conduction gaps and atrial tachycardias: Distinctive patterns following pulmonary vein isolation with cryoballoon or contact-force-guided radiofrequency current

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Ultra-high-density mapping of conduction gaps and atrial tachycardias: Distinctive patterns following pulmonary vein isolation with cryoballoon or contact-force-guided radiofrequency current. / Gunawardene, Melanie A; Eickholt, Christian; Akbulak, Ruken Ö; Jularic, Mario; Klatt, Niklas; Hartmann, Jens; Schlüter, Michael; Meyer, Christian; Willems, Stephan; Schaeffer, Benjamin.

in: J CARDIOVASC ELECTR, Jahrgang 31, Nr. 5, 01.05.2020, S. 1051-1061.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Gunawardene, MA, Eickholt, C, Akbulak, RÖ, Jularic, M, Klatt, N, Hartmann, J, Schlüter, M, Meyer, C, Willems, S & Schaeffer, B 2020, 'Ultra-high-density mapping of conduction gaps and atrial tachycardias: Distinctive patterns following pulmonary vein isolation with cryoballoon or contact-force-guided radiofrequency current', J CARDIOVASC ELECTR, Jg. 31, Nr. 5, S. 1051-1061. https://doi.org/10.1111/jce.14413

APA

Gunawardene, M. A., Eickholt, C., Akbulak, R. Ö., Jularic, M., Klatt, N., Hartmann, J., Schlüter, M., Meyer, C., Willems, S., & Schaeffer, B. (2020). Ultra-high-density mapping of conduction gaps and atrial tachycardias: Distinctive patterns following pulmonary vein isolation with cryoballoon or contact-force-guided radiofrequency current. J CARDIOVASC ELECTR, 31(5), 1051-1061. https://doi.org/10.1111/jce.14413

Vancouver

Gunawardene MA, Eickholt C, Akbulak RÖ, Jularic M, Klatt N, Hartmann J et al. Ultra-high-density mapping of conduction gaps and atrial tachycardias: Distinctive patterns following pulmonary vein isolation with cryoballoon or contact-force-guided radiofrequency current. J CARDIOVASC ELECTR. 2020 Mai 1;31(5):1051-1061. https://doi.org/10.1111/jce.14413

Bibtex

@article{3ff114e11a564e1fb21f494ea2c19f5c,
title = "Ultra-high-density mapping of conduction gaps and atrial tachycardias: Distinctive patterns following pulmonary vein isolation with cryoballoon or contact-force-guided radiofrequency current",
abstract = "INTRODUCTION: The aim of this study was to investigate electrophysiological findings in patients with arrhythmia recurrence undergoing a repeat ablation procedure using ultra-high-density (UHDx) mapping following an index procedure using either contact-force (CF)-guided radiofrequency current (RFC) pulmonary vein isolation (PVI) or second-generation cryoballoon (CB) PVI for treatment of atrial fibrillation (AF).METHODS AND RESULTS: Fifty consecutive patients with recurrence of AF and/or atrial tachycardia (AT) following index CF-RFC PVI (n = 21) or CB PVI (n = 29) were included. A 64-pole mini-basket mapping catheter in combination with an UHDx-mapping system-guided ablation was used. RFC was applied using a catheter tip with three incorporated mini-electrodes. PV reconnection rates were higher after CF-RFC PVI (CF-RFC: 2.5 ± 1.3 PVs vs CB: 1.4 ± 0.9 PVs; P = .0025) and left PVs were more frequently reconnected (CF-RFC: 64% PVs vs CB: 35% PVs; P = .0077). Fractionated signals along the antral index ablation line (FS) were found in 30% of CB-PVI patients (CF-RFC: 9.5% vs CB:30%; P = .098) targeted for ablation. In five cases, FS were a critical part of maintaining consecutive AT. The main AT mechanism found during reablation (n = 45 ATs) was macroreentry (80% [36/45], CF-RFC: 78.9% vs CB: 80.8%; P = 1.0) with a variety of circuits throughout both atria.CONCLUSION: UHDx mapping is sensitive in detecting conduction gaps along the index ablation line. Left PVs are more frequently reconnected after initial CF-RFC PVI. FS are a common finding after CB PVI and can maintain certain forms of ATs. ATs after index PVI are mostly macroreentries with a broad spectrum of entities.",
keywords = "Action Potentials, Aged, Atrial Fibrillation/diagnosis, Catheter Ablation/adverse effects, Cryosurgery/adverse effects, Electrophysiologic Techniques, Cardiac, Female, Heart Rate, Humans, Male, Middle Aged, Predictive Value of Tests, Prospective Studies, Pulmonary Veins/physiopathology, Recurrence, Reoperation, Tachycardia, Supraventricular/diagnosis, Time Factors, Treatment Outcome",
author = "Gunawardene, {Melanie A} and Christian Eickholt and Akbulak, {Ruken {\"O}} and Mario Jularic and Niklas Klatt and Jens Hartmann and Michael Schl{\"u}ter and Christian Meyer and Stephan Willems and Benjamin Schaeffer",
note = "{\textcopyright} 2020 Wiley Periodicals, Inc.",
year = "2020",
month = may,
day = "1",
doi = "10.1111/jce.14413",
language = "English",
volume = "31",
pages = "1051--1061",
journal = "J CARDIOVASC ELECTR",
issn = "1045-3873",
publisher = "Wiley-Blackwell",
number = "5",

}

RIS

TY - JOUR

T1 - Ultra-high-density mapping of conduction gaps and atrial tachycardias: Distinctive patterns following pulmonary vein isolation with cryoballoon or contact-force-guided radiofrequency current

AU - Gunawardene, Melanie A

AU - Eickholt, Christian

AU - Akbulak, Ruken Ö

AU - Jularic, Mario

AU - Klatt, Niklas

AU - Hartmann, Jens

AU - Schlüter, Michael

AU - Meyer, Christian

AU - Willems, Stephan

AU - Schaeffer, Benjamin

N1 - © 2020 Wiley Periodicals, Inc.

PY - 2020/5/1

Y1 - 2020/5/1

N2 - INTRODUCTION: The aim of this study was to investigate electrophysiological findings in patients with arrhythmia recurrence undergoing a repeat ablation procedure using ultra-high-density (UHDx) mapping following an index procedure using either contact-force (CF)-guided radiofrequency current (RFC) pulmonary vein isolation (PVI) or second-generation cryoballoon (CB) PVI for treatment of atrial fibrillation (AF).METHODS AND RESULTS: Fifty consecutive patients with recurrence of AF and/or atrial tachycardia (AT) following index CF-RFC PVI (n = 21) or CB PVI (n = 29) were included. A 64-pole mini-basket mapping catheter in combination with an UHDx-mapping system-guided ablation was used. RFC was applied using a catheter tip with three incorporated mini-electrodes. PV reconnection rates were higher after CF-RFC PVI (CF-RFC: 2.5 ± 1.3 PVs vs CB: 1.4 ± 0.9 PVs; P = .0025) and left PVs were more frequently reconnected (CF-RFC: 64% PVs vs CB: 35% PVs; P = .0077). Fractionated signals along the antral index ablation line (FS) were found in 30% of CB-PVI patients (CF-RFC: 9.5% vs CB:30%; P = .098) targeted for ablation. In five cases, FS were a critical part of maintaining consecutive AT. The main AT mechanism found during reablation (n = 45 ATs) was macroreentry (80% [36/45], CF-RFC: 78.9% vs CB: 80.8%; P = 1.0) with a variety of circuits throughout both atria.CONCLUSION: UHDx mapping is sensitive in detecting conduction gaps along the index ablation line. Left PVs are more frequently reconnected after initial CF-RFC PVI. FS are a common finding after CB PVI and can maintain certain forms of ATs. ATs after index PVI are mostly macroreentries with a broad spectrum of entities.

AB - INTRODUCTION: The aim of this study was to investigate electrophysiological findings in patients with arrhythmia recurrence undergoing a repeat ablation procedure using ultra-high-density (UHDx) mapping following an index procedure using either contact-force (CF)-guided radiofrequency current (RFC) pulmonary vein isolation (PVI) or second-generation cryoballoon (CB) PVI for treatment of atrial fibrillation (AF).METHODS AND RESULTS: Fifty consecutive patients with recurrence of AF and/or atrial tachycardia (AT) following index CF-RFC PVI (n = 21) or CB PVI (n = 29) were included. A 64-pole mini-basket mapping catheter in combination with an UHDx-mapping system-guided ablation was used. RFC was applied using a catheter tip with three incorporated mini-electrodes. PV reconnection rates were higher after CF-RFC PVI (CF-RFC: 2.5 ± 1.3 PVs vs CB: 1.4 ± 0.9 PVs; P = .0025) and left PVs were more frequently reconnected (CF-RFC: 64% PVs vs CB: 35% PVs; P = .0077). Fractionated signals along the antral index ablation line (FS) were found in 30% of CB-PVI patients (CF-RFC: 9.5% vs CB:30%; P = .098) targeted for ablation. In five cases, FS were a critical part of maintaining consecutive AT. The main AT mechanism found during reablation (n = 45 ATs) was macroreentry (80% [36/45], CF-RFC: 78.9% vs CB: 80.8%; P = 1.0) with a variety of circuits throughout both atria.CONCLUSION: UHDx mapping is sensitive in detecting conduction gaps along the index ablation line. Left PVs are more frequently reconnected after initial CF-RFC PVI. FS are a common finding after CB PVI and can maintain certain forms of ATs. ATs after index PVI are mostly macroreentries with a broad spectrum of entities.

KW - Action Potentials

KW - Aged

KW - Atrial Fibrillation/diagnosis

KW - Catheter Ablation/adverse effects

KW - Cryosurgery/adverse effects

KW - Electrophysiologic Techniques, Cardiac

KW - Female

KW - Heart Rate

KW - Humans

KW - Male

KW - Middle Aged

KW - Predictive Value of Tests

KW - Prospective Studies

KW - Pulmonary Veins/physiopathology

KW - Recurrence

KW - Reoperation

KW - Tachycardia, Supraventricular/diagnosis

KW - Time Factors

KW - Treatment Outcome

U2 - 10.1111/jce.14413

DO - 10.1111/jce.14413

M3 - SCORING: Journal article

C2 - 32107811

VL - 31

SP - 1051

EP - 1061

JO - J CARDIOVASC ELECTR

JF - J CARDIOVASC ELECTR

SN - 1045-3873

IS - 5

ER -