Iturralde TP, Márquez MMF, Nava TS, Colin LL, Gómez-Flores J, González HJA

Language: Spanish
References: 12
Page: 196-199
PDF size: 77.92 Kb.

ABSTRACT

Since the first report of radiofrequency catheter ablation curing atrial fibrillation (AF) nearly a decade ago, numerous techniques have evolved, from linear ablation to modify the reentrant sustrate for AF, to electrical isolation of pulmonary vein to eliminate triggers of AF, to hibrid approaches of circunferential ablation around and between the pulmonary veins and mitral valve annulus to modify both the triggers and sustrate for AF. We describe the electroanatomic mapping system (CARTO, Biosense Webster) and its use in patients undergoing catheter ablation for AF.

REFERENCES

1. GEPSTEIN L, HAYMAN G, BEN-HAIM S: A Novel Method for Nonfluoroscopic Electromechanical Mapping of the Heart. Circulation, 1997; 96: 3672-3680.

2. Biosense Webster Carto, EP Navigation System User Manual. Inc., Aug 2003.

3. SHPUN S, GEPSTEIN L, HAYMAN G, BEN-HAIM S: Guidance of Radiofrequency Endocardial Ablation With Real-time Three-dimensional Magnetic Navigation System. Circulation 1997; 96: 2016-2021.

4. JAIS P, HAISSAGUERRE M, SHAH DC, HOCINI M, MACLE I, CHOI KJ, ET AL: A focal source of atrial fibrillation treated by discrete radiofrequency ablation. Circulation 1997; 95 (3): 572.

5. HAISSAGUERRE M, SHAH DC, JAIS P, TAKAHASHI A, HOCINI M, QUINIOU G, ET AL: Mapping-guided ablation of pulmonary veins to cure atrial fibrillation. Am J Cardiol 2000; 86(supl 1): K9.

6. KUCK KH, ERNST S, CAPPATO R, ET AL: Nonfluoroscopic endocardial catheter mapping of atrial fibrillation. J Cardiovasc Electrophysiol 1998; 9(8): 557-563.

7. PAPPONE C, ORETO G, LAMBERTI F, ET AL: Catheter ablation of paroxysmal atrial fibrillation using a 3D mapping system. Circulation 1999; 14(11): 1203.

8. PAPPONE C, ORETO G, ROSANIO S, VICEDOMINI G, TOCCHI M, GUGLIOTTA F, ET AL: Atrial electroanatomic remodeling after circumferential radiofrequency pulmonary vein ablation: efficacy of an anatomic approach in a large cohort of patients with atrial fibrillation. Circulation 2001; 104(21): 2539-2544.

9. PAPPONE C, SANTINELLI V: Pulmonary vein isolation by circumferential radiofrequency lesions in atrial fibrillation. From substrate to clinical outcome. Ann 1st Super Sanita 2001; 37(3): 401-407.

10. GEPSTEIN L, WOLF T, HAYAM G, BEN-HAIM SA: Accurate linear radiofrequency lesions guided by a nonfluoroscopic electroanatomic mapping method during atrial fibrillation. Pacing Clin Electrophysiol 2001; 24(11): 1672-1678.

11. SCHWEIKERT RA, PEREZ LA, KANAGARATNAM L, TOMASSONI G, BEHEIRY S, BASH D, ET AL: A simple method of mapping atrial premature depolarizations triggering atrial fibrillation. Pacing Clin Electrophysiology 2001; 24(1): 22-27.

12. DURU F, HINDRICKS G, KOTTKAMP H: Atypical left atrial flutter after intraoperative radiofrequency ablation of chronic atrial fibrillation: a successful ablation using three-dimensional electroanatomic mapping. J Cardiovascular Electrophysiol 2001; 12(5): 602-605.