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Catheter AblationAtrial FibrillationPulmonary VeinsElectrophysiologic Techniques, CardiacHeart AtriaAtrial FlutterElectrocardiographyAnti-Arrhythmia AgentsCatheters, IndwellingHeart Conduction SystemTachycardia, SupraventricularWolff-Parkinson-White SyndromeVentricular FibrillationBody Surface Potential MappingElectric CountershockTreatment OutcomeTachycardia, Ectopic AtrialAtrioventricular NodeAblation TechniquesCathetersCardiac Pacing, ArtificialTachycardia, Atrioventricular Nodal ReentryTachycardia, VentricularTachycardia, ParoxysmalRecurrenceWarfarinAnticoagulantsAtrial AppendageFollow-Up StudiesCryosurgeryAmiodaroneTachycardiaFluoroscopyAtrial Function, LeftCardiac CathetersElectrocardiography, AmbulatoryTime FactorsAtrial Premature ComplexesArrhythmias, CardiacThromboembolismAtrial FunctionSurgery, Computer-AssistedProspective StudiesVentricular Premature ComplexesRefractory Period, ElectrophysiologicalEpicardial MappingStrokePericardiumPacemaker, ArtificialAccessory Atrioventricular BundleEchocardiography, TransesophagealTachycardia, Sinoatrial Nodal ReentryCatheterizationRisk FactorsAtrial Function, RightElectrocoagulationBundle of HisRetrospective Studiesbeta-AlanineHeart BlockPulmonary Veno-Occlusive DiseaseAtrial SeptumEquipment DesignPropafenoneHeart RateCoronary SinusTricuspid ValveEndocardiumElectrophysiologyEchocardiographyFeasibility StudiesCardiac Surgical ProceduresPostoperative ComplicationsFlecainideSinoatrial NodeCardiac CatheterizationSotalolHeart SeptumPredictive Value of TestsRisk AssessmentDogsEsophageal FistulaSick Sinus SyndromeDefibrillators, ImplantableInternational Normalized RatioCardiac Complexes, PrematureEmbolismHeart DiseasesElectrodesRadio WavesMitral ValveRadiography, InterventionalIncidencePre-Excitation, Mahaim-TypeHeart VentriclesHemorrhageChronic DiseaseVena Cava, SuperiorTachycardia, SinusTachycardia, Ectopic Junctional
Paroxysmal atrial fibriTreat atrial fibrillationPersistentRadiofrequency catheter ablationComplicationsIsolationArrhythmiasAbstractFree of atrial fibrillationSymptomatic atrial fibrillationSymptomsProcedure called catheter ablationCryoablationMaintaining sinusEffect of Catheter AblationFlutterOutcomesCause atrial fibrillationCauses atrial fibrillationDevelop atrial fibrillationAFibUnderwentTreatment of atrialPulmonary Vein AblationCryoballoon catheterEfficacyPeople with atrialStrokeLeft atriumAnticoagulationTachyarrhythmiaAtrioventricular nodeSurgical ablationMethodsRFCAElectrical impulsesHeart rhythmYear after ablationSeptumRhythm controlEctopic beatsSignificantlyConclusions
Paroxysmal atrial fibri8
Treat atrial fibrillation3
Persistent8
  • When a patient experiences chronic or persistent atrial fibrillation (AF), catheter ablation is an effective, minimally invasive treatment. (pacificrimep.com)
  • During the past decade, catheter ablation of AF has rapidly evolved from a highly experimental unproved procedure, to its current status as a commonly performed procedure in many major hospitals throughout the world for symptomatic, drug refractory, paroxysmal, and persistent AF. (johnshopkins.edu)
  • Catheter ablation may be recommended for a recurrent or persistent arrhythmia resulting in symptoms or other dysfunction. (wikipedia.org)
  • Catheter ablation of long-standing persistent atrial fibrillation: A reckless challenge or a way to real cure? (elsevierpure.com)
  • Long-standing persistent atrial fibrillation (L-PeAF) is a category in which rhythm control is attempted while atrial fibrillation (AF) is maintained for more than 1 year. (elsevierpure.com)
  • At the time of the ablation procedure, 64 had progressed to persistent AF and 23 had increased transverse left atrial diameter. (bmj.com)
  • The chance of being in sinus rhythm was 73% (29 of 64) in those with paroxysmal as compared with only 45% (26 of 36) in those with persistent AF at the time of ablation (p = 0.01). (bmj.com)
  • Outcome was not influenced by patient age, length of AF history, or duration of persistent AF before ablation or to left atrial dimension. (bmj.com)
Radiofrequency catheter ablation3
Complications10
  • Catheter ablation of AF is associated with a risk of complications, including development of a stroke or transient ischemic attack. (hrsonline.org)
  • Jafry et al conclude that in carefully selected patients undergoing catheter ablation for AF, same-day discharge is feasible and safe, with no significant differences in post-discharge 30-day hospital visits, post-discharge vascular complications, as well as other outcomes included in the review. (cardiacrhythmnews.com)
  • This study is looking at how well oral anticoagulation medicines work to prevent complications, such as blood clots and heart attack, for patients who experience post-operative atrial fibrillation (POAF). (nih.gov)
  • Esophagogastric complications in radiofrequency and cryoballoon catheter ablation of atrial fibrillation. (bvsalud.org)
  • Direct comparison studies about the incidence of esophagogastric complications between radiofrequency (RF) and cryoballoon (CB) catheter ablation (CA) for atrial fibrillation (AF) have been scarce. (bvsalud.org)
  • The complications in the ablation arm were more serious and more numerous than those in the drug arm. (theskepticalcardiologist.com)
  • In this chart taken from the CABANA abstract presentation you can see the complications which do not include a highly feared atrial-esophageal fistula. (theskepticalcardiologist.com)
  • AF ablation carries a small risk of complications with the most serious being atrioesophageal fistula (AEF). (theskepticalcardiologist.com)
  • However, it is a complex form of ablation with a significant risk of serious complications. (bmj.com)
  • If atrial fibrillation (AF) is left untreated, it can lead to life-threatening complications like strokes or heart failure. (kkh.com.sg)
Isolation6
  • The risk of recurrence was significantly decreased compared to pulmonary vein isolation (PVI) alone for PVI with renal denervation (RR: 0.60, CI: 0.38-0.94), PVI with ganglia-plexi ablation (RR: 0.62, CI: 0.41-0.94), PVI with additional ablation lines (RR: 0.8, CI: 0.68-0.95) and PVI in combination with bi-atrial modification (RR: 0.32, CI: 0.11-0.88). (biomedcentral.com)
  • INTERVENTIONS: Pulmonary vein isolation, with additional ablation procedures at the discretion of the investigators, for the catheter ablation group (n = 1108) and standard rhythm and/or rate-control drugs selected and managed by investigators for the drug therapy group (n = 1096). (duke.edu)
  • The process does not incorporate pulmonary vein isolation (PVI) rather the ablation is performed using the CFAE (complex fractionated atrial electrogram) approach. (pacificrimep.com)
  • The presence of a large and/or compliant PFO is an independent factor for PV isolation failure and arrhythmia recurrence rate after the ablation. (nih.gov)
  • One type of catheter ablation is pulmonary vein isolation, where the ablation is done in the left atrium in the area where the 4 pulmonary veins connect. (wikipedia.org)
  • The clinical decision to use a rhythm-control or rate-control strategy requires an integrated consideration of several factors, including degree of symptoms, likelihood of successful cardioversion, presence of comorbidities, and candidacy for AF ablation (eg, pulmonary vein electric isolation or MAZE procedure). (medscape.com)
Arrhythmias9
  • When patients are unable to control their atrial arrhythmias with lifestyle changes or medication, we provide the option of ablation for arrhythmia control. (pacificrimep.com)
  • In order to ablate atrial arrhythmias, the left atrium must be accessed by crossing the septum with a very fine needle. (pacificrimep.com)
  • An international leader in research and treatment of atrial fibrillation , supraventricular and ventricular tachycardia , and other cardiac arrhythmias, esteemed Bangkok cardiologist Dr. Koonlawee Nademanee, director of Pacific Rim Electrophysiology, provides advanced, minimally-invasive treatments for patients around the globe. (pacificrimep.com)
  • Catheter ablation of arrhythmias can result in the rare but devastating complication of an atrioesophageal fistula. (johnshopkins.edu)
  • Catheter ablation is a procedure that uses radio-frequency energy or other sources to terminate or modify a faulty electrical pathway from sections of the heart of those who are prone to developing cardiac arrhythmias such as atrial fibrillation, atrial flutter and Wolff-Parkinson-White syndrome. (wikipedia.org)
  • If not controlled, such arrhythmias increase the risk of ventricular fibrillation and sudden cardiac arrest. (wikipedia.org)
  • citation needed] Catheter ablation of most arrhythmias has a high success rate. (wikipedia.org)
  • If the cardiac rhythm shows no abnormal signals or arrhythmias, the catheters are withdrawn from the heart and the incision is closed. (wikipedia.org)
  • Atrial fibrillation, also known as AFib or AF, is one of the most common types of arrhythmias . (medlineplus.gov)
Abstract3
Free of atrial fibrillation1
Symptomatic atrial fibrillation2
  • 001). CONCLUSIONS AND RELEVANCE: Among patients with symptomatic atrial fibrillation, catheter ablation, compared with medical therapy, led to clinically important and significant improvements in quality of life at 12 months. (duke.edu)
  • Radiofrequency ablation vs antiarrhythmic drugs as first-line treatment of symptomatic atrial fibrillation: a randomized trial. (pace-cme.org)
Symptoms11
  • The primary indication for performance of AF ablation is the presence of symptoms associated with AF. (hrsonline.org)
  • The study indicated that after failing one antiarrhythmic drug you have a much better chance of improvement in symptoms and improved quality of life from having an ablation than from trying more drugs. (stopafib.org)
  • The main goal of treatment for atrial fibrillation (AF) is to treat symptoms and/or arrhythmia-induced heart failure. (biomedcentral.com)
  • AV node ablation can control symptoms of atrial fibrillation in some people. (networkofcare.org)
  • This controls atrial fibrillation symptoms. (networkofcare.org)
  • Nodal ablation can control your heart rate and reduce your symptoms, but it does not prevent or cure atrial fibrillation. (networkofcare.org)
  • What are the symptoms of atrial fibrillation (AFib)? (medlineplus.gov)
  • Specifically, the investigators are aiming to evaluate if PVI performed with the Arctic Front cryoballoon is superior to AAD as first-line therapy in preventing atrial arrhythmia recurrences (arrhythmia related symptoms, hospitalisations, and health care utilization). (vchri.ca)
  • Although not directly life threatening, atrial fibrillation often produces a fast, irregular, and ineffective heart rhythm that can cause a variety of symptoms. (emoryhealthcare.org)
  • Atrial fibrillation is by far the most common sustained arrhythmia we see and it creates a tremendous amount of symptoms and disability in patients," says Emory Heart & Vascular Center electrophysiologist Angel Leon, MD, Director of Cardiology at Emory University Hospital Midtown. (emoryhealthcare.org)
  • By maintaining the atrial contribution to cardiac output, symptoms of heart failure and overall quality of life can improve. (medscape.com)
Procedure called catheter ablation2
Cryoablation6
  • in addition to new findings from a study published by the New England Journal of Medicine titled, " Progression of Atrial Fibrillation after Cryoablation or Drug Therapy " that focuses on the benefits of treating AFib patients with a cardiac catheter ablation rather than with drug therapy. (physiciansofficeresource.com)
  • The ablation procedure can be classified by energy source: radiofrequency ablation and cryoablation. (wikipedia.org)
  • Symptom onset for esophageal perforation or fistula was reported on average 19.3 days after the ablation procedure but could appear as short as 6 days and as long as 59 days post ablation.Esophageal injury has been observed most frequently with percutaneous radiofrequency ablation, although it has also been reported with other energy sources including cryoablation,high-intensity focused ultrasound and even surgical ablation. (theskepticalcardiologist.com)
  • PVI was performed by radiofrequency ablation in 13 patients (65%) and by cryoablation in the remaining 7 cases. (vub.be)
  • Over a median follow up of 29.7 months, a total of 7 (33%) AF recurrences were recorded with neither a difference between patients treated with cryoablation or radiofrequency ablation or between the two genders. (vub.be)
  • CONCLUSIONS: Catheter ablation by radiofrequency ablation or cryoablation in patients with pulmonary stumps is feasible and safe. (vub.be)
Maintaining sinus1
  • This research analyzed quality of life data that was collected as part of the previously-reported THERMOCOOL catheter trial in which catheter ablation was found to be significantly more effective at maintaining sinus rhythm than antiarrhythmic drugs. (stopafib.org)
Effect of Catheter Ablation2
  • Scholars@Duke publication: Effect of Catheter Ablation vs Medical Therapy on Quality of Life Among Patients With Atrial Fibrillation: The CABANA Randomized Clinical Trial. (duke.edu)
  • In the Catheter Ablation versus Standard Conventional Therapy in Patients with Left Ventricular Dysfunction and Atrial Fibrillation (CASTLE-AF) trial, a multicenter, open-label, randomized, controlled trial, the effect of catheter ablation on morbidity and mortality was evaluated compared with medical therapy in HF patients with symptomatic AF. (pace-cme.org)
Flutter9
Outcomes11
Cause atrial fibrillation2
Causes atrial fibrillation2
Develop atrial fibrillation2
AFib6
Underwent7
  • Methods and Results Five hundred twenty-three consecutive patients with symptomatic, medication-refractory atrial fibrillation underwent catheter ablation. (elsevierpure.com)
  • Method and Results: Forty-five patients (36 men and 9 women, mean age 60 ± 13 years) who underwent MRA before and more than 12 months (mean 21 ± 11) after ablation of paroxysmal AF were included in the study. (tmu.edu.tw)
  • We retrospectively reviewed patients who underwent AF ablation between 2009 and 2011 and underwent transthoracic echocardiography before ablation, 1-day and 3-month after ablation. (biomedcentral.com)
  • Patients with symptomatic and drug-refractory AF who underwent first time AF ablation at Mayo Clinic (Rochester, MN) between April 2009 and May 2011 were included. (biomedcentral.com)
  • Methods: The study identified patients who underwent AF ablation at 2 ablation centers from 2011 to 2017 with challenging TSP in whom bailout percutaneous ABS was performed to allow LA access. (elsevierpure.com)
  • Results: Fifteen patients (mean age 54.4 ± 15.5 years, 9 women) with challenging TSP (7 patients with prior surgical ASD repair, 2 with percutaneous ASD closure devices, and 13 with ≥1 previous TSP) underwent bailout ABS for AF ablation. (elsevierpure.com)
  • A total of 193 (22%) participants underwent catheter ablation prior to enrollment. (medscape.com)
Treatment of atrial1
  • The purpose of the study is to provide data demonstrating the safety and effectiveness of the PulseSelect™ PFA System for the treatment of atrial fibrillation. (vchri.ca)
Pulmonary Vein Ablation2
  • Pulmonary Vein Ablation of A-Fib is a relatively new procedure whose techniques and language are evolving. (a-fib.com)
  • To report six month outcome in patients undergoing their first pulmonary vein ablation procedure for idiopathic atrial fibrillation (AF) at a "non-pioneering" hospital. (bmj.com)
Cryoballoon catheter1
  • Atrial fibrillation ablation with advanced radiofrequency catheter versus second-generation cryoballoon catheter. (nih.gov)
Efficacy6
  • A decision to perform catheter or surgical ablation of AF should be made after a careful consideration of the efficacy, risks, and alternatives to undergoing the ablation procedure. (hrsonline.org)
  • The objective of this study was to compare the efficacy and safety of different CA strategies for AF ablation through network meta-analysis (NMA). (biomedcentral.com)
  • This article reviews the most current literature with respect to long-term clinical efficacy, risks, and benefits of catheter ablation of AF in the elderly. (johnshopkins.edu)
  • Conclusions - Ectopic beats initiating PAF can originate from the non-PV areas, and catheter ablation of the non-PV ectopy has a moderate efficacy in treatment of PAF. (tmu.edu.tw)
  • INTRODUCTION: Data regarding the efficacy of catheter ablation in patients with atrial fibrillation (AF) and patients' previous history of pulmonary lobectomy/pneumonectomy are scanty. (vub.be)
  • We sought to evaluate the efficacy and long-term follow-up of catheter ablation in this highly selected group of patients. (vub.be)
People with atrial1
Stroke10
Left atrium5
  • During ablation, a thin wire called a catheter is used to access the left atrium through an entry point in the groin. (pacificrimep.com)
  • A small puncture in the tissue that divides the right and left chambers (septum) allows the catheter to pass into the left atrium. (networkofcare.org)
  • A circular catheter is used to make Circular Radiofrequency Ablation lines around each of the four Pulmonary Vein openings (ostia) in the left atrium of the heart. (a-fib.com)
  • A well-recognized and highly feared complication of ablation , atrial-esophageal fistula, causes rapid death due to exsanguination through a channel between the left atrium and the esophagus which develop due to destruction/burning of the normal esophageal/atrial tissue. (theskepticalcardiologist.com)
  • Introduction: Understanding the structural remodeling and reverse remodeling of the left atrium (LA) and pulmonary vein (PV) after radiofrequency ablation of atrial fibrillation (AF) may provide important insights into the mechanism and management of AF. (tmu.edu.tw)
Anticoagulation2
  • A desire to stop anticoagulation is not an appropriate indication for AF ablation. (hrsonline.org)
  • Careful attention to anticoagulation prior to, during, and following the ablation procedure minimizes these risks. (hrsonline.org)
Tachyarrhythmia1
Atrioventricular node1
Surgical ablation5
  • May 12, 2017-This expert consensus statement represents a complete rewrite of the 2012 HRS/EHRA/ECAS Expert Consensus Statement on Catheter and Surgical Ablation of Atrial Fibrillation . (hrsonline.org)
  • The Catheter and Surgical Ablation of Atrial Fibrillation pocket card , a valuable educational reference tool created in partnership with Guideline Central, is available across multiple platforms, including print, electronic media, and the Guideline Central mobile app. (hrsonline.org)
  • All health care professionals involved in the care of patients with AF will benefit from this publication, particularly those with patients who are undergoing, or are being considered for, catheter or surgical ablation procedures for AF. (hrsonline.org)
  • Catheter and surgical ablation of AF are well established and important treatment options for patients with AF in whom a rhythm control strategy is chosen. (hrsonline.org)
  • Multiple tools and strategies are available to perform both catheter and surgical ablation of AF. (hrsonline.org)
Methods2
  • Methods and Results: We prospectively measured estimated glomerular filtration rate (eGFR), urinary albumin-to-creatinine ratio (UACR), and reactive hyperemia index (RHI) in 358 consecutive patients with AF before and 6 and 12 months after the ablation. (elsevierpure.com)
  • AF ablation methods continue to be studied and modified and thus may be considered as a work in progress rather than a mature primary therapy.Go to Catheter Ablation for complete information on this topic. (medscape.com)
RFCA2
  • However, the long-term effect of RFCA has not yet been evaluated when an open irrigation tip catheter (OITC) was used. (elsevierpure.com)
  • Conclusion In contrast to previous reports about long-term HRV recovery after AF ablation with a conventional catheter, change in cardiac autonomic nervous activity was maintained for 1 year after RFCA when an OITC was used. (elsevierpure.com)
Electrical impulses2
Heart rhythm5
  • After AV node ablation, a permanent pacemaker is needed to regulate your heart rhythm. (networkofcare.org)
  • Atrial fibrillation , also known as A-fib, is the most common form of arrhythmia, which is a condition where a person experiences heart rhythm problems. (medicalnewstoday.com)
  • This line of research shows that correcting the abnormal heart rhythm by zapping the faulty circuit with a catheter is actually better for your brain health than just taking medications alone," added Lakhan, who was not involved with the study. (medscape.com)
  • Atrial fibrillation (AF) is an abnormal heart rhythm (arrhythmia) characterised by rapid and irregular beating. (kkh.com.sg)
  • Atrial fibrillation is the most common irregular heart rhythm in the United States. (emoryhealthcare.org)
Year after ablation2
  • This study used magnetic resonance angiographic (MRA) images to investigate changes in PV and LA morphologies before and more than 1 year after ablation. (tmu.edu.tw)
  • One year after ablation, there were 333 (36%) acute readmissions for AF and 401 (43%) planned readmissions for AF. (regionh.dk)
Septum3
  • We considered that a large and/or compliant PFO was present if the catheters advanced gently into the LA without puncturing the septum. (nih.gov)
  • Background: Transseptal puncture (TSP) and LA access for AF ablation can be challenging in patients with prior atrial septal surgery, percutaneous closure, or scarred septum due to multiple prior TSPs. (elsevierpure.com)
  • Conclusions: In patients undergoing AF ablation with difficult transseptal access due to scarred, surgically, or percutaneously repaired atrial septum, ABS is a safe and effective bailout strategy to obtain transseptal access. (elsevierpure.com)
Rhythm control1
Ectopic beats1
  • In this early procedure doctors mapped the sources of ectopic beats (beats that come from any region of the heart that ordinarily should not produce heart beat signals), then used a Radiofrequency (RF) catheter to "ablate" or burn off areas or points within the heart producing these ectopic beats. (a-fib.com)
Significantly3
  • In the PeAF patients with CKD, ln-RHI significantly increased at 6 months after the ablation, and the change (Δ) in ln-RHI was significantly correlated with the ΔeGFR (r=0.35, p = 0.03). (elsevierpure.com)
  • Investigators found adults who had previously undergone catheter ablation were significantly less likely to be cognitively impaired during the 2-year study period, compared with those who receive medical management alone. (medscape.com)
  • Data were available for 9,979 patients with the overall time delay between diagnosis and the first ablation being a median of 2 years and this figure was not significantly different between the two categories of ejection fraction (p = 0.66). (hospitalhealthcare.com)
Conclusions2