Pulmonary vein isolation using segmental versus electroanatomical circumferential ablation for paroxysmal atrial fibrillation: over 3-year results of a prospective randomized study.

Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing
Martin FialaMarian Branny

Abstract

We tested the hypothesis that electroanatomic pulmonary vein (PV) antra encircling for the PV isolation will improve the outcome in treatment of paroxysmal atrial fibrillation (PAF), compared with segmental PV isolation. Fifty-four patients underwent segmental PV isolation (group 1) and 56 patients circumferential PV isolation (group 2) for symptomatic PAF in a randomized study. Following single ablation procedure, at the 48 +/- 8 month follow-up, 30 (56%) and 32 (57%) patients in groups 1 and 2 remained free of arrhythmia (P = 0.41). After repeat ablation, 43 (80%) and 45 (80%) patients in groups 1 and 2 were free of arrhythmia without antiarrhythmic drugs (AADs); 48 (89%) and 51 (91%) patients in groups 1 and 2 did not have arrhythmia recurrences without or with AADs. This study demonstrates no advantage in long-term arrhythmia-free clinical outcome after circumferential PV isolation in patients with frequent PAF.

References

Nov 26, 1999·Journal of Cardiovascular Electrophysiology·S Y HoR H Anderson
Aug 22, 2001·Journal of Cardiovascular Electrophysiology·E P GerstenfeldM D Lesh
Jul 27, 2002·Journal of the American College of Cardiology·Nassir F MarroucheAndrea Natale
Dec 12, 2002·Journal of Cardiovascular Electrophysiology·Laurent MacleMichel Haïssaguerre
Apr 16, 2003·Journal of Cardiovascular Electrophysiology·Helmut PürerfellnerHans Joachim Nesser
Jul 24, 2003·Journal of Cardiovascular Electrophysiology·Ming-Hsiung HsiehShih-Ann Chen
May 20, 2004·Journal of Cardiovascular Electrophysiology·Moussa MansourDavid Keane
Jun 3, 2004·Journal of the American College of Cardiology·Koonlawee NademaneeTachapong Ngarmukos
Apr 27, 2005·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Kristina LemolaHakan Oral
Nov 24, 2005·Journal of Cardiovascular Electrophysiology·Michel HaïssaguerrePierre Jaïs

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Citations

Jan 15, 2011·Herzschrittmachertherapie & Elektrophysiologie·C JilekI Deisenhofer
Jan 21, 2010·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Thomas NeumannHeinz F Pitschner
Mar 25, 2010·European Heart Journal·Isabelle NaultMichel Haïssaguerre
Oct 31, 2009·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·Takumi YamadaToyoaki Murohara
Nov 6, 2009·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·Emanuele BertagliaGiuseppe Stabile
Apr 23, 2010·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·Santi RaffaJohann Christoph Geller
Feb 20, 2013·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·Thomas NeumannMalte Kuniss
Feb 20, 2009·Circulation Journal : Official Journal of the Japanese Circulation Society·Naoki YoshidaToyoaki Murohara
Oct 26, 2011·Journal of Cardiovascular Medicine·Roberto RordorfMaurizio Landolina
Feb 4, 2016·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·Cas TeunissenPeter Loh
Feb 20, 2015·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·Stephanie FichtnerIsabel Deisenhofer
Dec 19, 2016·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Emanuele BertagliaGiuseppe Stabile
May 31, 2018·Journal of Cardiovascular Electrophysiology·Tadafumi NanbuMasayuki Sakurai
Apr 20, 2012·The Cochrane Database of Systematic Reviews·Huai Sheng ChenJian Ping Liu
Mar 30, 2013·Journal of the American Heart Association·Anand N GanesanPrashanthan Sanders
May 11, 2016·Circulation. Arrhythmia and Electrophysiology·Yalçin GökoğlanAndrea Natale
Jul 27, 2010·Circulation. Arrhythmia and Electrophysiology·Boris SchmidtKarl-Heinz Kuck
Jan 5, 2014·Circulation. Arrhythmia and Electrophysiology·Riccardo ProiettiAndrea Natale
Jun 10, 2010·Pacing and Clinical Electrophysiology : PACE·Stephanie FichtnerIsabel Deisenhofer
Jun 30, 2018·Biomedical Papers of the Medical Faculty of the University Palacký, Olomouc, Czechoslovakia·Jan ChovancikMartin Fiala
Nov 19, 2013·Journal of Cardiovascular Electrophysiology·Erik WissnerKarl-Heinz Kuck

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Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing
Martin FialaMarian Branny
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