© 2000 by European Society of Cardiology
REVIEW
Radiofrequency catheter ablation of atrial fibrillation initiated by spontaneous ectopic beats
Division of Cardiology, Department of Medicine, National Yang-Ming University, School of Medicine and Veterans General Hospital-Taipei Taiwan, R.O.C.
This paper reviews the technique of focal ablation for control of paroxysmal atrial fibrillation, its success rate and complications.
Key Words: Paroxysmal atrial fibrillation, premature atrial complexes, pulmonary vein stenosis, ablation
Correspondence: Shih-Ann Chen, MD, Division of Cardiology, Veterans General Hospital-Taipei, 201 Sec 2, Shih-Pai Road, Taipei, Taiwan, R.O.C.
[1] Jais P, Haissaguerre M, Shah DC. A focal source of atrial fibrillation treated by discrete radiofrequency ablation. Circulation 1997; 95: 572–576.
[2] Haissaguerre M, Jais P, Shah DC. Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins. New Engl J Med 1998; 339: 659–666.
[3] Wharton JM, Vergara I, Shander G, Sorrentino RA, Greenfield RA. Identification and ablation of focal mechanisms of atrial fibrillation (Abst). Circulation 1998; 98: I–18.
[4] Natale A, Behiery S, Richey M. Pulmonary vein ablation versus large dose of intravenous amiodarone for treatment of immediate recurrence of atrial fibrillation following electrical cardioversion (Abstr). Circulation 1998; 98: I–181.
[5] Lau CP, Tse HF, Ayers GM. Defibrillation guided mapping and radiofrequency ablation of focal atrial fibrillation. J Am Coll Cardiol 1999; 33: 1217–1226.
[6] Hsieh MH, Chen SA, Tai CT. Double multielectrode mapping catheters facilitate radiofrequency catheter ablation of focal atrial fibrillation originating from pulmonary veins. J. Cardiovasc Electrophysiol 1999; 10: 136–144.[Web of Science][Medline]
[7] Chen SA, Tai CT, Yu WC. Right atrial focal atrial fibrillation-electrophysiologic characteristics and radiofrequency catheter ablation. J Cardiovasc Electrophysiol 1999; 10: 328–335.[Web of Science][Medline]
[8] Chen SA, Hsieh MH, Tai CT. Initiation of atrial fibrillation by ectopic beats originating from the pulmonary veins — electrophysiologic characteristics, pharmacologic responses, and effects of radiofrequency ablation. Circulation 1999; 100: 1879–1886.
[9] Schwartzman D. Circumferential radiofrequency ablation of pulmonary vein orifices: feasibility of a new technique (Abstr). PACE 1999; 22: 711.
[10] Sparks P, Guerra P, Roithinger F, Groenewegen AS, Lesh MD. Insufficient atrial ectopy is the most common cause of failed RF ablation of atrial fibrillation arising from pulmonary vein foci (Abstr). PACE 1999; 22: 818.
[11] Blom NA, Gittenberger-de Groot AC, DeRuiter MC, Poelmann RC, Mentink MT, Ottenkamp J. Development of the cardiac conduction tissue in human embryos using HNK-1 antigen expression: possible relevance for understanding of abnormal atrial automaticity. Circulation 1999; 99: 800–806.
[12] DeRuiter MC, Gittenberger-de Groot AC, Wenink ACG, Polemann RE, Mentink MMT. In normal development pulmonary veins are connected to the sinus venous segment in the left atrium. Anat Rec 1995; 243: 84–92.[CrossRef][Medline]
[13] Spach MS, Barr RC, Jewitt PH. Spread of excitation from the atrium into thoracic veins in human beings and dogs. Am J Cardiol 1972; 30: 844–854.[CrossRef][Web of Science][Medline]
[14] Cheung DW. Electrical activity of the pulmonary vein and its interaction with the right atrium the guinea-pig. J Physiol 1980; 314: 445–456.[Web of Science]
[15] Cheung DW. Pulmonary vein as an ectopic focus in digitalis-induced arrhythmia. Nature 1981; 294: 582–584.[CrossRef][Medline]
[16] Chen YJ, Chen SA, Lin CI. Electropharmacology of the cardiac muscle in pulmonary vein of the dog (Abstr). PACE 1999; 22: 183.
[17] Yanaga T. Studies on aconitine-induced atrial fibrillation of young rabbit by the microelectrode technique. Jap Circul J 1961; 25: 1294–1304.
[18] Carrow R and Calhoun ML. The extent of cardiac muscle in the great veins of the dog. Anat Rec 1964; 150: 249–256.[Medline]
[19] Ito M, Arita M, Saeki K, Tanoue M, Fukushima I. Functional properties of sinocaval conduction. Jpn J Phsiol 1967; 17: 174–189.
[20] Nathan H and Gloobe H. Myocardial atrio-venous junctions and extensions (sleeves) over the pulmonary and caval veins. Anatomical observations in various mammals. Thorax 1970; 25: 317–324.
[21] Endo H, Mifune H, Kurohmaru M, Hayashi Y. Cardiac musculature of the cranial vena cava in the rat. Acta Anat 1994; 151: 107–111.[Medline]
[22] Hashizume H, Ushiki T, Abe K. A histological study of the cardiac muscle of the human superior and inferior venae cavae. Arch Histol Cytol 1995; 58: 457–464.[Web of Science][Medline]
[23] Schauerte PN, Scherlag BJ, Scherlag MA. Atrial fibrillation initiated by ectopic beats originating in the pulmonary veins and the superior vena cava: Reproducible induction by cardiac autonomic nerve stimulation (Abstr). PACE 1999; 22: 768.
[24] Hwang C, Karaguezian HS, Chen PS. Idiopathic paroxysmal atrial fibrillation induced by a focal discharge mechanism in the left superior pulmonary vein: possible role of the ligament of Marshall. J Cardiovasc Electrophysiol 1999; 10: 636–648.[Web of Science][Medline]
[25] Nathan H and Eliakim M. The junction between the left atrium and the pulmonary veins: an anatomic study of human hearts. Circulation 1966; 34: 412–422.
[26] Chen SA, Tai CT, Tsai CF, Hsieh MH, Ding YA, Chang MS. Radiofrequency catheter ablation of atrial fibrillation initiated by pulmonary vein ectopic beats. J Cardiovasc Electrophysiol 2000; .
[27] Haissaguerre M, Jais P, Shah D. End point of successful ablation of atrial fibrillation initiated from the pulmonary veins (Abstr). PACE 1999; 22: 711.
[28] Tsai CF, Chen SA, Chiou CW, Tai CT, Hsieh MS, Yu CW, Prakash VS, Ding YA, Chang MS. Bezold-Jarish reflex during radiofrequency ablation of focal atrial fibrillation originating from pulmonary veins. J Cardiovasc Electrophysiol 1999; 10: 27–35.[Web of Science][Medline]
[29] Hsieh MH, Wen ZC, Tai CT, Tsai CF, Ding YA, Chang MS, Chen SA. Alterations of heart rate variability after radiofrequency catheter ablation of focal atrial fibrillation. Circulation 1999; 100: 2237–2243.
[30] Yoshida K, Yoshikawa J, Akasaka T. Assessment of left-to-right atrial shunting after percutaneous mitral valvuloplasty by transesophageal color doppler flow-mapping. Circulation 1989; 80: 1521–1526.
[31] Jais P, Shah D, Haissaguerre M, Clementy J. Pulmonary vein patency after radiofrequency ablation (Abstr). PACE 1999; 22: 738.
[32] Yu WC, Hsu TL, Cheng HC. Focal stenosis of pulmonary vein after application of radiofrequency energy in patients with paroxysmal atrial fibrillation (Abstr). PACE 1999; 22: 712.
CiteULike 
Connotea 
Del.icio.us What's this?
This article has been cited by other articles:
|
|
 |
|
  P Jais, P Sanders, L F Hsu, M Hocini, and M Haissaguerre Catheter ablation for atrial fibrillation Heart, January 1, 2005; 91(1): 7 - 9. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. Jalife, O. Berenfeld, and M. Mansour Mother rotors and fibrillatory conduction: a mechanism of atrial fibrillation Cardiovasc Res, May 1, 2002; 54(2): 204 - 216. [Abstract] [Full Text] [PDF]
|
|
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||