Electrophysiological end point for catheter ablation of atrial fibrillation initiated from multiple pulmonary venous foci. Haissaguerre, M., Jais, P., Shah, D., Garrigue, S., Takahashi, A., Lavergne, T., Hocini, M., Peng, J., Roudaut, R., & Clementy, J. j-C, 101(12):1409–1417, 2000. bibtex @Article{RSM:Hai2000,
author = "M. Haissaguerre and P. Jais and D.C. Shah and S.
Garrigue and A. Takahashi and T. Lavergne and M. Hocini
and J.T. Peng and R. Roudaut and J. Clementy",
title = "Electrophysiological end point for catheter ablation
of atrial fibrillation initiated from multiple
pulmonary venous foci.",
journal = j-C,
year = "2000",
volume = "101",
number = "12",
pages = "1409--1417",
robnote = "BACKGROUND: The end point for catheter ablation of
pulmonary vein (PV) foci initiating atrial fibrillation
(AF) has not been determined. METHODS AND RESULTS:
Ninety patients underwent mapping during spontaneous or
induced ectopy and/or AF initiation. Ostial PV ablation
was performed by use of angiograms to precisely define
targeted sites. Success defined by elimination of AF
without drugs was correlated with the procedural end
point of the abolition of distal PV potentials. A total
of 197 arrhythmogenic PV foci (97\%)-single in 31\% and
multiple in 69\%-and 6 atrial foci were identified. A
discrete radiofrequency (RF) application eliminated the
PV potentials in 9 PV foci, whereas 2 foci from the
same PV required RF applications at separate sites in
19 cases. In others, a wider region was targeted with
progressive elimination of ectopy. In 49 patients,
multiple sessions were necessary owing to recurrent or
new ectopy. The clinical success rates were 93\%, 73\%,
and 55\% in patients with 1, 2, and > or =3
arrhythmogenic PV foci. Recovery of local PV potential
and the inability to abolish it were significantly
associated with AF recurrences (90\% success rate with
versus 55\% without PV potential abolition). PV
stenosis was noted acutely in 5 of 6 cases, remained
unchanged at restudy, and was associated with RF power
>45 W. CONCLUSIONS: Multiple PV foci are involved in
initiation of AF, and elimination of PV muscle
conduction is associated with clinical success.",
bibdate = "Sat Aug 11 10:47:17 2007",
}
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{"_id":"hG7aheepkpNr8ivo4","bibbaseid":"haissaguerre-jais-shah-garrigue-takahashi-lavergne-hocini-peng-etal-electrophysiologicalendpointforcatheterablationofatrialfibrillationinitiatedfrommultiplepulmonaryvenousfoci-2000","downloads":0,"creationDate":"2016-07-01T21:38:34.128Z","title":"Electrophysiological end point for catheter ablation of atrial fibrillation initiated from multiple pulmonary venous foci.","author_short":["Haissaguerre, M.","Jais, P.","Shah, D.","Garrigue, S.","Takahashi, A.","Lavergne, T.","Hocini, M.","Peng, J.","Roudaut, R.","Clementy, J."],"year":2000,"bibtype":"article","biburl":"http://www.sci.utah.edu/~macleod/Bibtex/biglit.bib","bibdata":{"bibtype":"article","type":"article","author":[{"firstnames":["M."],"propositions":[],"lastnames":["Haissaguerre"],"suffixes":[]},{"firstnames":["P."],"propositions":[],"lastnames":["Jais"],"suffixes":[]},{"firstnames":["D.C."],"propositions":[],"lastnames":["Shah"],"suffixes":[]},{"firstnames":["S."],"propositions":[],"lastnames":["Garrigue"],"suffixes":[]},{"firstnames":["A."],"propositions":[],"lastnames":["Takahashi"],"suffixes":[]},{"firstnames":["T."],"propositions":[],"lastnames":["Lavergne"],"suffixes":[]},{"firstnames":["M."],"propositions":[],"lastnames":["Hocini"],"suffixes":[]},{"firstnames":["J.T."],"propositions":[],"lastnames":["Peng"],"suffixes":[]},{"firstnames":["R."],"propositions":[],"lastnames":["Roudaut"],"suffixes":[]},{"firstnames":["J."],"propositions":[],"lastnames":["Clementy"],"suffixes":[]}],"title":"Electrophysiological end point for catheter ablation of atrial fibrillation initiated from multiple pulmonary venous foci.","journal":"j-C","year":"2000","volume":"101","number":"12","pages":"1409–1417","robnote":"BACKGROUND: The end point for catheter ablation of pulmonary vein (PV) foci initiating atrial fibrillation (AF) has not been determined. METHODS AND RESULTS: Ninety patients underwent mapping during spontaneous or induced ectopy and/or AF initiation. Ostial PV ablation was performed by use of angiograms to precisely define targeted sites. Success defined by elimination of AF without drugs was correlated with the procedural end point of the abolition of distal PV potentials. A total of 197 arrhythmogenic PV foci (97%)-single in 31% and multiple in 69%-and 6 atrial foci were identified. A discrete radiofrequency (RF) application eliminated the PV potentials in 9 PV foci, whereas 2 foci from the same PV required RF applications at separate sites in 19 cases. In others, a wider region was targeted with progressive elimination of ectopy. In 49 patients, multiple sessions were necessary owing to recurrent or new ectopy. The clinical success rates were 93%, 73%, and 55% in patients with 1, 2, and > or =3 arrhythmogenic PV foci. Recovery of local PV potential and the inability to abolish it were significantly associated with AF recurrences (90% success rate with versus 55% without PV potential abolition). PV stenosis was noted acutely in 5 of 6 cases, remained unchanged at restudy, and was associated with RF power >45 W. CONCLUSIONS: Multiple PV foci are involved in initiation of AF, and elimination of PV muscle conduction is associated with clinical success.","bibdate":"Sat Aug 11 10:47:17 2007","bibtex":"@Article{RSM:Hai2000,\n author = \"M. Haissaguerre and P. Jais and D.C. Shah and S.\n Garrigue and A. Takahashi and T. Lavergne and M. Hocini\n and J.T. Peng and R. Roudaut and J. Clementy\",\n title = \"Electrophysiological end point for catheter ablation\n of atrial fibrillation initiated from multiple\n pulmonary venous foci.\",\n journal = j-C,\n year = \"2000\",\n volume = \"101\",\n number = \"12\",\n pages = \"1409--1417\",\n robnote = \"BACKGROUND: The end point for catheter ablation of\n pulmonary vein (PV) foci initiating atrial fibrillation\n (AF) has not been determined. METHODS AND RESULTS:\n Ninety patients underwent mapping during spontaneous or\n induced ectopy and/or AF initiation. Ostial PV ablation\n was performed by use of angiograms to precisely define\n targeted sites. Success defined by elimination of AF\n without drugs was correlated with the procedural end\n point of the abolition of distal PV potentials. A total\n of 197 arrhythmogenic PV foci (97\\%)-single in 31\\% and\n multiple in 69\\%-and 6 atrial foci were identified. A\n discrete radiofrequency (RF) application eliminated the\n PV potentials in 9 PV foci, whereas 2 foci from the\n same PV required RF applications at separate sites in\n 19 cases. In others, a wider region was targeted with\n progressive elimination of ectopy. In 49 patients,\n multiple sessions were necessary owing to recurrent or\n new ectopy. The clinical success rates were 93\\%, 73\\%,\n and 55\\% in patients with 1, 2, and > or =3\n arrhythmogenic PV foci. Recovery of local PV potential\n and the inability to abolish it were significantly\n associated with AF recurrences (90\\% success rate with\n versus 55\\% without PV potential abolition). PV\n stenosis was noted acutely in 5 of 6 cases, remained\n unchanged at restudy, and was associated with RF power\n >45 W. CONCLUSIONS: Multiple PV foci are involved in\n initiation of AF, and elimination of PV muscle\n conduction is associated with clinical success.\",\n bibdate = \"Sat Aug 11 10:47:17 2007\",\n}\n\n","author_short":["Haissaguerre, M.","Jais, P.","Shah, D.","Garrigue, S.","Takahashi, A.","Lavergne, T.","Hocini, M.","Peng, J.","Roudaut, R.","Clementy, J."],"key":"RSM:Hai2000","id":"RSM:Hai2000","bibbaseid":"haissaguerre-jais-shah-garrigue-takahashi-lavergne-hocini-peng-etal-electrophysiologicalendpointforcatheterablationofatrialfibrillationinitiatedfrommultiplepulmonaryvenousfoci-2000","role":"author","urls":{},"metadata":{"authorlinks":{}},"downloads":0,"html":""},"search_terms":["electrophysiological","end","point","catheter","ablation","atrial","fibrillation","initiated","multiple","pulmonary","venous","foci","haissaguerre","jais","shah","garrigue","takahashi","lavergne","hocini","peng","roudaut","clementy"],"keywords":[],"authorIDs":[],"dataSources":["5HG3Kp8zRwDd7FotB"]}