1887
Volume 2015, Issue 1
  • ISSN: 2305-7823
  • E-ISSN:

Abstract

Atrial fibrillation ablation is a complex and challenging procedure. Appropriate patient selection is the most critical step to ensure safe and successful atrial fibrillation ablation procedure. The DECAAF study (Delayed-Enhancement MRI Determinant of Successful Radiofrequency Catheter Ablation of Atrial Fibrillation) showed that atrial tissue fibrosis, as estimated by delayed enhancement magnetic resonance imaging, was independently associated with recurrent arrhythmia post atrial fibrillation ablation. Magnetic resonance imaging also detected left atrial volume and shape. Integrating the data provided by magnetic resonance imaging into the pre-procedural planning is crucial.

Loading

Article metrics loading...

/content/journals/10.5339/gcsp.2015.8
2015-03-01
2019-08-20
Loading full text...

Full text loading...

/deliver/fulltext/gcsp/2015/1/gcsp.2015.8.html?itemId=/content/journals/10.5339/gcsp.2015.8&mimeType=html&fmt=ahah

References

  1. [1]. Haegeli   LM., , Calkins   H. . Catheter ablation of atrial fibrillation: an update. . Eur Heart J . [Internet]. 2014; Available from: http://www.ncbi.nlm.nih.gov/pubmed/25053659 .
    [Google Scholar]
  2. [2]. Tzou   WS., , Marchlinski   FE., , Zado   ES., , Lin   D., , Dixit   S., , Callans   DJ., , Cooper   JM., , Bala   R., , Garcia   F., , Hutchinson   MD., , Riley   MP., , Verdino   R. . Long-term outcome after successful catheter ablation of atrial fibrillation. . Circ Arrhythmia Electrophysiol.   2010; ;3: : 237– 242 .
    [Google Scholar]
  3. [3]. Bertaglia   E., , Tondo   C., , De Simone   A., , Zoppo   F., , Mantica   M., , Turco   P., , Iuliano   A., , Forleo   G., , La Rocca   V., , Stabile   G. . Does catheter ablation cure atrial fibrillation? Single-procedure outcome of drug-refractory atrial fibrillation ablation: A 6-year multicentre experience. . Europace . 2010; ;12: : 181– 187 .
    [Google Scholar]
  4. [4]. Berruezo   A., , Tamborero   D., , Mont   L., , Benito   B., , Tolosana   JM., , Sitges   M., , Vidal   B., , Arriagada   G., , Méndez   F., , Matiello   M., , Molina   I., , Brugada   J. . Pre-procedural predictors of atrial fibrillation recurrence after circumferential pulmonary vein ablation. . Eur Heart J.   2007; ;28: : 836– 841 .
    [Google Scholar]
  5. [5]. Arya   A., , Hindricks   G., , Sommer   P., , Huo   Y., , Bollmann   A., , Gaspar   T., , Bode   K., , Husser   D., , Kottkamp   H., , Piorkowski   C. . Long-term results and the predictors of outcome of catheter ablation of atrial fibrillation using steerable sheath catheter navigation after single procedure in 674 patients. . Europace . 2010; ;12: : 173– 180 .
    [Google Scholar]
  6. [6]. Marrouche   NF., , Wilber   D., , Hindricks   G., , Jais   P., , Akoum   N., , Marchlinski   F., , Kholmovski   E., , Burgon   N., , Hu   N., , Mont   L., , Deneke   T., , Duytschaever   M., , Neumann   T., , Mansour   M., , Mahnkopf   C., , Herweg   B., , Daoud   E., , Wissner   E., , Bansmann   P., , Brachmann   J. . Association of atrial tissue fibrosis identified by delayed enhancement MRI and atrial fibrillation catheter ablation: the DECAAF study. . JAMA . 2014; ;311: : 498– 506 , [Internet]. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24496537 .
    [Google Scholar]
  7. [7]. Vaziri   SM., , Larson   MG., , Benjamin   EJ., , Levy   D. . Echocardiographic predictors of nonrheumatic atrial fibrillation. . The Framingham Heart Study. Circulation.   1994; ;89: : 724– 730 .
    [Google Scholar]
  8. [8]. Rosenberg   MA., , Gottdiener   JS., , Heckbert   SR., , Mukamal   KJ. . Echocardiographic diastolic parameters and risk of atrial fibrillation: The cardiovascular health study. . Eur Heart J.   2012; ;33: : 904– 912 .
    [Google Scholar]
  9. [9]. Hof   I., , Chilukuri   K., , Arbab-Zadeh   A., , Scherr   D., , Dalal   D., , Nazarian   S., , Henrikson   C., , Spragg   D., , Berger   R., , Marine   J., , Calkins   H. . Does left atrial volume and pulmonary venous anatomy predict the outcome of catheter ablation of atrial fibrillation?.   J Cardiovasc Electrophysiol.   2009; ;20: : 1005– 1010 .
    [Google Scholar]
  10. [10]. Oakes   RS., , Badger   TJ., , Kholmovski   EG., , Akoum   N., , Burgon   NS., , Fish   EN., , Blauer   JJ., , Rao   SN., , DiBella   EV., , Segerson   NM., , Daccarett   M., , Windfelder   J., , McGann   CJ., , Parker   D., , MacLeod   RS., , Marrouche   NF. . Detection and quantification of left atrial structural remodeling with delayed-enhancement magnetic resonance imaging in patients with atrial fibrillation. . Circulation . 2009; ;119: : 1758– 1767 .
    [Google Scholar]
  11. [11]. Akoum   N., , Daccarett   M., , McGann   C., , Segerson   N., , Vergara   G., , Kuppahally   S., , Badger   T., , Burgon   N., , Haslam   T., , Kholmovski   E., , Macleod   R., , Marrouche   N. . Atrial fibrosis helps select the appropriate patient and strategy in catheter ablation of atrial fibrillation: A DE-MRI guided approach. . J Cardiovasc Electrophysiol . 2011; ;22: : 16– 22 .
    [Google Scholar]
  12. [12]. Bisbal   F., , Guiu   E., , Calvo   N., , Marin   D., , Berruezo   A., , Arbelo   E., , Ortiz-Pérez   J., , de Caralt   TM., , Tolosana   JM., , Borrás   R., , Sitges   M., , Brugada   J., , Mont   L. . Left atrial sphericity: A new method to assess atrial remodeling. impact on the outcome of atrial fibrillation ablation. . J Cardiovasc Electrophysiol . 2013; ;24: : 752– 759 .
    [Google Scholar]
  13. [13]. Wong   CX., , Abed   HS., , Molaee   P., , Nelson   AJ., , Brooks   AG., , Sharma   G., , Leong   DP., , Lau   DH., , Middeldorp   ME., , Roberts-Thomson   KC., , Wittert   GA., , Abhayaratna   WP., , Worthley   SG., , Sanders   P. . Pericardial fat is associated with atrial fibrillation severity and ablation outcome. . J Am Coll Cardiol.   2011; ;57: : 1745– 1751 .
    [Google Scholar]
  14. [14]. Bisbal   F., , Guiu   E., , Cabanas   P., , Calvo   N., , Berruezo   A., , Tolosana   JM., , Arbelo   E., , Vidal   B., , de Caralt   TM., , Sitges   M., , Brugada   J., , Mont   L. . Reversal of spherical remodelling of the left atrium after pulmonary vein isolation: Incidence and predictors. . Europace . 2014; ;16: : 840– 847 .
    [Google Scholar]
  15. [15]. Bisbal   F., , Guiu   E., , Cabanas-Grandío   P., , Berruezo   A., , Prat-Gonzalez   S., , Vidal   B., , Garrido   C., , Andreu   D., , Fernandez-Armenta   J., , Tolosana   JM., , Arbelo   E., , de Caralt   TM., , Perea   RJ., , Brugada   J., , Mont   L. . CMR-guided approach to localize and ablate gaps in repeat AF ablation procedure. . JACC Cardiovasc Imaging.   2014; ;7: : 653– 663 .
    [Google Scholar]
  16. [16]. Kottkamp   H. . Human atrial fibrillation substrate: Towards a specific fibrotic atrial cardiomyopathy. . European Heart Journal . 2013; ; 2731– 2738 .
    [Google Scholar]
  17. [17]. Kallergis   EM., , Goudis   CA., , Vardas   PE. . Atrial fibrillation: A progressive atrial myopathy or a distinct disease?.   International Journal of Cardiology . 2014; ; 126– 133 .
    [Google Scholar]
http://instance.metastore.ingenta.com/content/journals/10.5339/gcsp.2015.8
Loading
/content/journals/10.5339/gcsp.2015.8
Loading

Data & Media loading...

  • Article Type: Research Article
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error