Catheter ablation of intra-atrial reentrant/focal atrial tachycardia in adult congenital heart disease: Value of final programmed atrial stimulation.

Heart Rhythm : the Official Journal of the Heart Rhythm Society
Victor WaldmannEloi Marijon

Abstract

While outcomes of intra-atrial reentrant/focal atrial tachycardia (IART/FAT) catheter ablation have considerably improved in adult congenital heart disease (ACHD), recurrences remain common with different circuits frequently encountered. We aimed to assess the value of programmed atrial stimulation after successful clinical IART/FAT catheter ablation in patients with ACHD. This is a retrospective study including all patients with ACHD undergoing IART/FAT catheter ablation in a tertiary center. After successful catheter ablation of clinical arrhythmia, survival free from arrhythmia recurrence was analyzed according to whether all inducible IARTs/FATs were targeted. From 2004 to 2020, 238 IART/FAT catheter ablation procedures were performed (mean age 44.1 ± 15.0 years; 61.3% men). Acute procedural success of clinical arrhythmia was achieved in 208 procedures (87.4%). Among 122 procedures with programmed atrial stimulation (58.7%), at least 1 other IART/FAT was induced in 61 patients (50%). All inducible IARTs/FATs were ablated in 54 patients (88.5%), whereas 7 patients (11.5%) presented with at least 1 nontargeted inducible IART/FAT. Patients with nontargeted inducible IART/FAT had a higher risk of atrial arrhythmia episodes than...Continue Reading

References

Mar 10, 2000·Pacing and Clinical Electrophysiology : PACE·B Brembilla-PerrotP Louis
Jul 21, 2004·Journal of the American College of Cardiology·Atul VermaAndrea Natale
Jul 5, 2005·Heart Rhythm : the Official Journal of the Heart Rhythm Society·John K TriedmanEdward P Walsh
May 2, 2006·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Natasja M S de GrootMartin J Schalij
Oct 14, 2009·Circulation·Judith BouchardyAriane J Marelli
May 29, 2016·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Jeremy P MooreSeshadri Balaji
Dec 3, 2016·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Roberto G GallottiJeremy P Moore
Oct 11, 2017·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Ivo Roca-LuqueAngel Moya Mitjans
Mar 27, 2018·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Antonio Hernández-MadridUNKNOWN ESC Scientific Document Group
Aug 16, 2019·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Yuko KatoYoshihide Nakamura

❮ Previous
Next ❯

Citations

Apr 14, 2021·Archives of Cardiovascular Diseases·Victor WaldmannLaurence Iserin
Jun 23, 2021·Indian Pacing and Electrophysiology Journal·Victor WaldmannNicolas Combes

❮ Previous
Next ❯

Related Concepts

Related Feeds

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.

Related Papers

Indian Pacing and Electrophysiology Journal
Victor WaldmannNicolas Combes
Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology
Abdalla HassanChristopher J McLeod
© 2022 Meta ULC. All rights reserved