Esophageal Tissue Injury Following Pulmonary Vein Isolation Using the PVAC: Assessment by Endoscopy and Magnetic Resonance Imaging

Bary, Christian von; Dornia, Christian; Kirchner, Gabriele I.; Weber, Stefan; Fellner, Claudia; Nisenbaum, David; Georgieva, M; Stroszczynski, Christian; Hamer, Okka W.

doi:10.1111/pace.12085

Pacing Clinical Electrophis

2013

DOI: 10.1111/pace.12085

|View full text |Cite

Esophageal Tissue Injury Following Pulmonary Vein Isolation Using the PVAC: Assessment by Endoscopy and Magnetic Resonance Imaging

Christian von Bary

Christian Dornia

Gabriele I. Kirchner

et al.

Abstract: Endoluminal ETI is a rare but possible complication, which should be considered following PVAC procedures. MRI of the esophagus is currently not a reliable screening method due to false positive and negative findings compared to ESE.

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...

Citation Types

Supporting

Mentioning

Contrasting

Year Published

2014

2024

Publication Types

Select...

Article5

Relationship

Self Cite0

Independent5

Authors

Journals

Cited by 7 publications

References 37 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

The Value of Magnetic Resonance Imaging in Catheter Ablation of Atrial Fibrillation

Liu

2015

Clinical Cardiology

View full text Add to dashboard Cite

Atrial fibrillation (AF) is the most common arrhythmia encountered in clinical practice. Catheter ablation is now a recognized treatment for those with symptomatic AF refractory to drug therapy. Innovations in magnetic resonance imaging (MRI) have empowered clinicians to improve ablation efficacy while reducing the risk of complications. It is demonstrated that late gadolinium enhancement MRI has additional advantages over modalities such as echocardiography and computed tomography, due to its ability to assess the structural remodeling directly. As a result, MRI has become an indispensable imaging tool to personalize the AF ablation strategy, assess the efficacy and potential complications of AF ablation, and guide the repeat procedure.

show abstract

The Value of Magnetic Resonance Imaging in Catheter Ablation of Atrial Fibrillation

Liu

2015

Clinical Cardiology

View full text Add to dashboard Cite

show abstract

Multielectrode Pulmonary Vein Ablation Catheter (PVAC®)

Mönnig

Eckardt

2014

Herzschr Elektrophys

View full text Add to dashboard Cite

Electrical isolation of pulmonary veins is the cornerstone of catheter ablation for patients with symptomatic atrial fibrillation. However, uncertainty surrounds the choice of energy source in pulmonary vein isolation (PVI). Various alternative techniques such as the Pulmonary Vein Ablation Catheter (PVAC(®), Medtronic Inc., Minneapolis, MN, USA) have been developed to facilitate PVI. This over-the-wire multielectrode catheter is delivering duty-cycled bipolar and unipolar radiofrequency (RF) energy at relatively low power.PVI with this "one-shot" PVACatheter can shorten the procedure duration and lower fluoroscopy time compared to irrigated RF. It enables mapping and ablation with the same array, but fails to show signals during RF energy delivery. The effectiveness of PVAC is comparable to other technologies in randomized studies. The overall complication rate of PVAC PVI is comparable to irrigated RF and possibly slightly higher for cryoballoon PVI. Special attention has to be paid to an effective anticoagulation throughout the ablation procedure, avoidance of embolic events and pulmonary venous stenosis.The novel catheter design of the PVAC Gold(®) array may improve safety by reducing embolic events through avoidance of electrode 1-to-10 interaction and by better tissue contact due to the 20° forward tilt. Although clinical data with this new array are lacking so far, the PVAC system has been shown to be a promising tool for PVI. However, prospective studies especially with the novel array are required to determine its true role for catheter ablation of atrial fibrillation in the future.

show abstract

Late/delayed gadolinium enhancement in MRI after intravenous administration of extracellular gadolinium-based contrast agents: is it worth waiting?

Parillo,

Mallio,

Dekkers

et al. 2024

Magn Reson Mater Phy

View full text Add to dashboard Cite

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

customersupport@researchsolutions.com

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

Esophageal Tissue Injury Following Pulmonary Vein Isolation Using the PVAC: Assessment by Endoscopy and Magnetic Resonance Imaging

Abstract: Endoluminal ETI is a rare but possible complication, which should be considered following PVAC procedures. MRI of the esophagus is currently not a reliable screening method due to false positive and negative findings compared to ESE.

Cited by 7 publications

References 37 publications

The Value of Magnetic Resonance Imaging in Catheter Ablation of Atrial Fibrillation

The Value of Magnetic Resonance Imaging in Catheter Ablation of Atrial Fibrillation

Multielectrode Pulmonary Vein Ablation Catheter (PVAC®)

Late/delayed gadolinium enhancement in MRI after intravenous administration of extracellular gadolinium-based contrast agents: is it worth waiting?

Contact Info

Product

Resources

About