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Article: Catheter ablation of atrial fibrillation via superior approach in patients with interruption of the inferior vena cava

TitleCatheter ablation of atrial fibrillation via superior approach in patients with interruption of the inferior vena cava
Authors
Issue Date2009
PublisherElsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/heartrhythmjournal
Citation
Heart Rhythm, 2009, v. 6 n. 2, p. 174-179 How to Cite?
AbstractBackground: Percutaneous transcatheter ablation of atrial fibrillation (AF) in patients with interruption of inferior vena cava (IVC) has not been reported in the literature. Objective: The purpose of this article was to demonstrate the safety and feasibility of the superior approach via the right internal jugular vein in performing catheter ablation of AF. Methods: We performed AF ablation in 3 patients (mean age: 51.7 ± 18.5 years, 2 paroxysmal AF and 1 persistent AF) with complete interruption of IVC. Transseptal puncture was performed via the right internal jugular vein with a long sheath and manually curved Brockenbrough needle to facilitate the tip downward to the FO. Three-dimensional (3D) mapping was performed in 2 patients. Electrical isolation of each pulmonary vein (PV) was confirmed by a circular mapping catheter. Bidirectional block at the RA isthmus was achieved in 1 patient with clinically documented typical atrial flutter. Results: In all patients, AF ablation after transseptal puncture via the superior approach was successfully performed without complications. Selective PV isolation of arrhythmogenic PV was done in 1 patient, and circumferential bilateral antral ablations were done in 2 patients. In 1 patient with persistent AF, linear ablations of left atrial roof and perimitral and RA isthmus were done after electrical isolation of all PVs. At a mean follow-up of 18.7 ± 15.5 months, arrhythmias were free without any antiarrhythmic drugs in all patients. Conclusion: AF ablation via the superior approach is a safe and feasible alternative technique when a femoral venous approach is not available. © 2009 Heart Rhythm Society.
Persistent Identifierhttp://hdl.handle.net/10722/59221
ISSN
2015 Impact Factor: 4.391
2015 SCImago Journal Rankings: 2.756
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLim, HEen_HK
dc.contributor.authorPak, HNen_HK
dc.contributor.authorTse, HFen_HK
dc.contributor.authorLau, CPen_HK
dc.contributor.authorHwang, Cen_HK
dc.contributor.authorKim, YHen_HK
dc.date.accessioned2010-05-31T03:45:25Z-
dc.date.available2010-05-31T03:45:25Z-
dc.date.issued2009en_HK
dc.identifier.citationHeart Rhythm, 2009, v. 6 n. 2, p. 174-179en_HK
dc.identifier.issn1547-5271en_HK
dc.identifier.urihttp://hdl.handle.net/10722/59221-
dc.description.abstractBackground: Percutaneous transcatheter ablation of atrial fibrillation (AF) in patients with interruption of inferior vena cava (IVC) has not been reported in the literature. Objective: The purpose of this article was to demonstrate the safety and feasibility of the superior approach via the right internal jugular vein in performing catheter ablation of AF. Methods: We performed AF ablation in 3 patients (mean age: 51.7 ± 18.5 years, 2 paroxysmal AF and 1 persistent AF) with complete interruption of IVC. Transseptal puncture was performed via the right internal jugular vein with a long sheath and manually curved Brockenbrough needle to facilitate the tip downward to the FO. Three-dimensional (3D) mapping was performed in 2 patients. Electrical isolation of each pulmonary vein (PV) was confirmed by a circular mapping catheter. Bidirectional block at the RA isthmus was achieved in 1 patient with clinically documented typical atrial flutter. Results: In all patients, AF ablation after transseptal puncture via the superior approach was successfully performed without complications. Selective PV isolation of arrhythmogenic PV was done in 1 patient, and circumferential bilateral antral ablations were done in 2 patients. In 1 patient with persistent AF, linear ablations of left atrial roof and perimitral and RA isthmus were done after electrical isolation of all PVs. At a mean follow-up of 18.7 ± 15.5 months, arrhythmias were free without any antiarrhythmic drugs in all patients. Conclusion: AF ablation via the superior approach is a safe and feasible alternative technique when a femoral venous approach is not available. © 2009 Heart Rhythm Society.en_HK
dc.languageengen_HK
dc.publisherElsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/heartrhythmjournalen_HK
dc.relation.ispartofHeart Rhythmen_HK
dc.subject.meshAdulten_HK
dc.subject.meshAgeden_HK
dc.subject.meshAngiographyen_HK
dc.subject.meshAtrial Fibrillation - physiopathology - radiography - surgeryen_HK
dc.subject.meshCatheter Ablation - instrumentation - methodsen_HK
dc.subject.meshContrast Media - administration & dosageen_HK
dc.subject.meshElectrocardiographyen_HK
dc.subject.meshEquipment Designen_HK
dc.subject.meshFeasibility Studiesen_HK
dc.subject.meshHumansen_HK
dc.subject.meshJugular Veins - radiography - surgeryen_HK
dc.subject.meshMaleen_HK
dc.subject.meshMiddle Ageden_HK
dc.subject.meshPulmonary Veins - physiopathology - radiography - surgeryen_HK
dc.subject.meshPuncturesen_HK
dc.subject.meshSafetyen_HK
dc.subject.meshTreatment Outcomeen_HK
dc.subject.meshVena Cava, Inferior - abnormalitiesen_HK
dc.titleCatheter ablation of atrial fibrillation via superior approach in patients with interruption of the inferior vena cavaen_HK
dc.typeArticleen_HK
dc.identifier.emailTse, HF:hftse@hkucc.hku.hken_HK
dc.identifier.authorityTse, HF=rp00428en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.hrthm.2008.10.026en_HK
dc.identifier.pmid19187906-
dc.identifier.scopuseid_2-s2.0-58849126610en_HK
dc.identifier.hkuros158486en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-58849126610&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume6en_HK
dc.identifier.issue2en_HK
dc.identifier.spage174en_HK
dc.identifier.epage179en_HK
dc.identifier.isiWOS:000263147800005-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridLim, HE=8075742800en_HK
dc.identifier.scopusauthoridPak, HN=7101865848en_HK
dc.identifier.scopusauthoridTse, HF=7006070805en_HK
dc.identifier.scopusauthoridLau, CP=7401968501en_HK
dc.identifier.scopusauthoridHwang, C=7403387482en_HK
dc.identifier.scopusauthoridKim, YH=36064610100en_HK

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