Symptomatic and Asymptomatic Long‐Term Recurrences Following Transcatheter Atrial Fibrillation Ablation

Manganiello, Sabrina; Anselmino, Matteo; Amellone, Claudia; Pelissero, E.; Giuggia, Marco; Trapani, Giuseppe Di; Giordano, Benedetta; Senatore, Gaetano; Gaïta, Fiorenzo

doi:10.1111/pace.12387

Cited by 14 publications

(17 citation statements)

References 17 publications

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“…Obesity and left atrial size were also found to be independent predictors of late AF recurrence in our population as has been shown by several prior publications. [40][41][42][43][44][45][46] In this context, it is worth mentioning that the Aggressive Risk Factor Reduction Study-Implication for AF (ARREST-AF) study has reported improved long-term success of AF ablation in a majorly PAF population from a single center after aggressive risk factor reduction and efficient weight management. 47 However, this was not a randomized study, and more than half of the patients experiencing recurrence in our series were not obese.…”

Section: Discussionmentioning

confidence: 99%

Pulmonary Vein Antrum Isolation in Patients With Paroxysmal Atrial Fibrillation

Gökoğlan¹,

Mohanty²,

Güneş³

et al. 2016

Circ: Arrhythmia and Electrophysiology

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Background-We report the outcome of pulmonary vein (PV) antrum isolation in paroxysmal atrial fibrillation (AF) patients over more than a decade of follow-up. Methods and Results-A total of 513 paroxysmal AF patients (age 54±11 years, 73% males) undergoing catheter ablation at our institutions were included in this analysis. PV antrum isolation extended to the posterior wall between PVs plus empirical isolation of the superior vena cava was performed in all. Non-PV triggers were targeted during repeat procedure(s). Follow-up was performed quarterly for the first year and every 6 to 9 months thereafter. The outcome of this study was freedom from recurrent AF/atrial tachycardia. At 12 years, single-procedure arrhythmia-free survival was achieved in 58.7% of patients. Overall, the rate of recurrent arrhythmia (AF/atrial tachycardia) was 21% at 1 year, 11% between 1 and 3 years, 4% between 3 and 6 years, and 5.3% between 6 and 12 years. Repeat procedure was performed in 74% of patients. Reconnection in the PV antrum was found in 31% of patients after a single procedure and in no patients after 2 procedures. Non-PV triggers were found and targeted in all patients presenting with recurrent arrhythmia after ≥2 procedures. At 12 years, after multiple procedures, freedom from recurrent AF/atrial tachycardia was achieved in 87%. Conclusions-In patients with paroxysmal AF undergoing extended PV antrum isolation, the rate of late recurrence is lower than what previously reported with segmental or less extensive antral isolation. However, over more than a decade of follow-up, nearly 14% of patients developed recurrence because of new non-PV triggers. (Circ Arrhythm Electrophysiol. 2016;9:e003660.

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Section: Discussionmentioning

confidence: 99%

Pulmonary Vein Antrum Isolation in Patients With Paroxysmal Atrial Fibrillation

Gökoğlan¹,

Mohanty²,

Güneş³

et al. 2016

Circ: Arrhythmia and Electrophysiology

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“…Популяційні дослідження вказують на збільшення майже вдвічі показників поширеності ФП Впровадження сучасних методів тривалої реєстрації ЕКГ дозволило зробити висновок про значну поширеність безсимптомних епізодів ФП у певних категорій пацієнтів, зокрема після проведення радіочастотної катетерної абляції (РЧА) [25,65,75]. Серед 1300 пацієнтів, котрим було проведено ізоляцію легеневих вен, за час спостереження ((367 ± 42) дні) симптомів не було більш ніж у половини, а безсимптомні рецидиви ФП зафіксовані у 25,8 % осіб [7].…”

Section: частота виявлення безсимптомної фібриляції передсердьunclassified

“…Серед 1300 пацієнтів, котрим було проведено ізоляцію легеневих вен, за час спостереження ((367 ± 42) дні) симптомів не було більш ніж у половини, а безсимптомні рецидиви ФП зафіксовані у 25,8 % осіб [7]. Ще в одному дослідженні за участю 113 пацієнтів імплантовані підшкірні монітори дозволили виявити рецидиви ФП або ТП у 75 (66,3 %) хворих, причому майже в половини з них не було жодних симптомів аритмії [65]. В іншому аналізі (n = 143) у 98 (68,5 %) хворих були виявлені рецидиви ФП після РЧА, з них у 45 (46 %) осіб -лише безсимптомні пароксизми [99].…”

Section: частота виявлення безсимптомної фібриляції передсердьunclassified

Diagnosis and prognostic value of asymptomatic atrial fibrillation

Pavlyk¹,

Chernyaha-Royko²,

Sorokivskyy³

et al. 2019

CSIC

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Львівський обласний державний клінічний лікувально-діагностичний кардіологічний центр 2 Львівський національний медичний університет імені Данила Галицького 3 Національна медична академія післядипломної освіти імені П.Л. Шупика, Київ

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“…The AF may relapse following the transcatheter ablation. Manganiello et al [99] investigated the incidence of symptomatic and asymptomatic AF recurrences applying continuous subcutaneous electrocardiogram (ECG) monitoring and insertable cardiac monitor (ICM, subcutaneously implanted during the ablation procedure) recording. They carried out a long-term follow-up of 113 patients who underwent PV ablation.…”

Section: Transcatheter Intervention Technologiesmentioning

confidence: 99%

Computer Vision Techniques for Transcatheter Intervention

Zhang

Xie

Roach

2015

IEEE J. Transl. Eng. Health Med.

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Minimally invasive transcatheter technologies have demonstrated substantial promise for the diagnosis and the treatment of cardiovascular diseases. For example, transcatheter aortic valve implantation is an alternative to aortic valve replacement for the treatment of severe aortic stenosis, and transcatheter atrial fibrillation ablation is widely used for the treatment and the cure of atrial fibrillation. In addition, catheter-based intravascular ultrasound and optical coherence tomography imaging of coronary arteries provides important information about the coronary lumen, wall, and plaque characteristics. Qualitative and quantitative analysis of these cross-sectional image data will be beneficial to the evaluation and the treatment of coronary artery diseases such as atherosclerosis. In all the phases (preoperative, intraoperative, and postoperative) during the transcatheter intervention procedure, computer vision techniques (e.g., image segmentation and motion tracking) have been largely applied in the field to accomplish tasks like annulus measurement, valve selection, catheter placement control, and vessel centerline extraction. This provides beneficial guidance for the clinicians in surgical planning, disease diagnosis, and treatment assessment. In this paper, we present a systematical review on these state-of-the-art methods. We aim to give a comprehensive overview for researchers in the area of computer vision on the subject of transcatheter intervention. Research in medical computing is multi-disciplinary due to its nature, and hence, it is important to understand the application domain, clinical background, and imaging modality, so that methods and quantitative measurements derived from analyzing the imaging data are appropriate and meaningful. We thus provide an overview on the background information of the transcatheter intervention procedures, as well as a review of the computer vision techniques and methodologies applied in this area.

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Symptomatic and Asymptomatic Long‐Term Recurrences Following Transcatheter Atrial Fibrillation Ablation

Cited by 14 publications

References 17 publications

Pulmonary Vein Antrum Isolation in Patients With Paroxysmal Atrial Fibrillation

Pulmonary Vein Antrum Isolation in Patients With Paroxysmal Atrial Fibrillation

Diagnosis and prognostic value of asymptomatic atrial fibrillation

Computer Vision Techniques for Transcatheter Intervention

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