Anesthetic Management of Patients Undergoing Pulmonary Vein Isolation for Treatment of Atrial Fibrillation Using High-Frequency Jet Ventilation

2012 HRS/EHRA/ECAS Expert Consensus Statement on Catheter and Surgical Ablation of Atrial Fibrillation: Recommendations for Patient Selection, Procedural Techniques, Patient Management and Follow-up, Definitions, Endpoints, and Research Trial Design

“…Data from one institution suggest improved clinical outcome as a result of enhanced lesion quality and reduction of PV reconnection when applying high-frequency jet ventilation in general anesthesia during PVI. 634,864,865 Further data from other centers are needed, however, before final conclusions can be drawn. A survey of the writing group members reveals that in the United States and Canada, 14% routinely employ high-frequency jet ventilation.…”

Airway support using a pediatric intubation tube in adult patients with atrial fibrillation: A simple and unique method to prevent heart movement during catheter ablation under continuous deep sedation

“…However, heart movement and desaturation caused by unstable respiration with considerable respiratory variations and airway obstruction due to a retracted tongue root are the main problems during the procedure. To avoid these issues, some studies recommended assisted ventilation or an anesthetist in immediate attendance during the procedures [6], [17], [18], [19]. However, these services require money, time, and the support of an anesthesiologist, and not all institutions can afford these preparations.…”

First-in-human case of repeat pulmonary vein isolation by targeting visual interlesion gaps using the direct endoscopic ablation catheter after single ring pulmonary vein isolation

“…However, delivery of more energy to create deeper and more efficacious lesions must be performed without compromising the safety of the procedure. Progress certainly has been made with the refinement of ablation techniques and ongoing development of technologies aimed at achieving better tissue contact during ablation, namely, the use of a long steerable sheath, high-frequency jet ventilation to reduce the negative effects of respiration on catheter stability,14, 15 and, more recently, real-time contact force catheters integrated with 3-dimensional EAM mapping 16, 17, 18…”