2024 European Heart Rhythm Association/Heart Rhythm Society/Asia Pacific Heart Rhythm Society/Latin American Heart Rhythm Society expert consensus statement on catheter and surgical ablation of atrial fibrillation

Tzeis, Stylianos; Gerstenfeld, Edward P.; Kalman, Jonathan; Saad, Eduardo; Shamloo, Alireza Sepehri; Andrade, Jason G.; Barbhaiya, Chirag R.; Baykaner, Tina; Boveda, Serge; Calkins, Hugh; Chan, Ngai-Yin; Chen, Minglong; Chen, Shih-Ann; Dagres, Nikolaos; Damiano, Ralph J.; De Potter, Tom; Deisenhofer, Isabel; Derval, Nicolas; Di Biase, Luigi; Duytschaever, Mattias; Dyrda, Katia; Hindricks, Gerhard; Hocini, Meleze; Kim, Young-Hoon; la Meir, Mark; Merino, Jose Luis; Michaud, Gregory F.; Natale, Andrea; Nault, Isabelle; Nava, Santiago; Nitta, Takashi; O’Neill, Mark; Pak, Hui-Nam; Piccini, Jonathan P.; Pürerfellner, Helmut; Reichlin, Tobias; Saenz, Luis Carlos; Sanders, Prashanthan; Schilling, Richard; Schmidt, Boris; Supple, Gregory E.; Thomas, Kevin L.; Tondo, Claudio; Verma, Atul; Wan, Elaine Y.

doi:10.1007/s10840-024-01771-5

J Interv Card Electrophysiol

2024

DOI: 10.1007/s10840-024-01771-5

|View full text |Cite

2024 European Heart Rhythm Association/Heart Rhythm Society/Asia Pacific Heart Rhythm Society/Latin American Heart Rhythm Society expert consensus statement on catheter and surgical ablation of atrial fibrillation

Stylianos Tzeis,

Edward P. Gerstenfeld,

Jonathan Kalman

et al.

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...

Citation Types

Supporting

Mentioning

Contrasting

Year Published

2024

Publication Types

Select...

Article4

Relationship

Self Cite0

Independent4

Authors

Journals

Cited by 4 publications

References 1,393 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

Usefulness of empiric superior vena cava isolation in paroxysmal atrial fibrillation ablation: a meta-analysis of randomized clinical trials

Mariani,

Palombi,

Jabbour

et al. 2024

J Interv Card Electrophysiol

View full text Add to dashboard Cite

Background The long-term success rate of pulmonary vein isolation (PVI) is suboptimal due to the presence of non-pulmonary vein (PV) foci that can trigger atrial fibrillation (AF) in up to 11%. Among non-PV triggers, the superior vena cava (SVC) is a major site of origin of ectopic beats initiating AF. Objective To compare data from randomized controlled trials (RCTs) assessing PVI + empiric SVC isolation (SVCI) versus PVI alone in terms of AF recurrence, procedure-related complications, and fluoroscopic and procedural times. Methods A search of online scientific libraries (from inception to April 1, 2024) was performed. Four RCTs were considered eligible for the meta-analysis totaling 600 patients of whom 287 receiving PVI + SVCI and 313 receiving PVI alone. Results In the overall population, SVCI + PVI was associated with a non-significant reduction of AF recurrence at follow-up (0.66 [0.43;1.00], p = 0.05, I2 0%). In patients with paroxysmal AF (PAF), a significant reduction of AF recurrence was related to SVCI + PVI (11.7%) as compared to PVI alone (19.9%) (0.54 [0.32;0.92], p = 0.02, I2 0%). No statistical differences were found among the groups in terms of fluoroscopic (3.31 [− 0.8;7.41], p = 0.11, I2 = 91%), procedural times (5.69 [− 9.78;21.16], p = 0.47, I2 = 81%), and complications (1.06 [0.33;3.44], p = 0.92, I2 = 0%). Conclusion The addition of SVCI to PVI in patients in PAF is associated with a significant lower rate of AF recurrence at follow-up, without increasing complication rates and procedural and fluoroscopy times. Graphical Abstract

show abstract

Usefulness of empiric superior vena cava isolation in paroxysmal atrial fibrillation ablation: a meta-analysis of randomized clinical trials

Mariani,

Palombi,

Jabbour

et al. 2024

J Interv Card Electrophysiol

View full text Add to dashboard Cite

show abstract

Cardiac deceleration capacity: do we have a new indicator for pulmonary vein isolation?

Aksu,

Huang

2024

J Interv Card Electrophysiol

View full text Add to dashboard Cite

Efficacy and safety of a novel temperature‐controlled catheter for cavotricuspid isthmus ablation

Sano,

Yamaji,

Higashiya

et al. 2024

Cardiovasc electrophysiol

View full text Add to dashboard Cite

BackgroundMaintaining an adequate temperature at the target site is essential for effective ablation. We hypothesized that a tissue temperature‐controlled (T‐Con) catheter for cavotricuspid isthmus (CTI) ablation could improve the procedural ablation parameters.PurposeTo evaluate the efficacy and safety of the T‐Con (DiamondTemp™) catheter for CTI ablation compared with non‐irrigation (Non‐Irri) and irrigation (Irri) catheters.MethodsWe analyzed 150 patients who underwent prophylactic CTI ablation combined with pulmonary vein isolation. The Non‐Irri, Irri, and T‐Con catheter groups comprised 50 patients each, and the ablation procedural parameters and complications were compared between these groups.ResultsThere were no significant differences in clinical background characteristics among the three groups. The Kruskal–Wallis and post hoc tests demonstrated that the T‐Con group showed the lowest total radiofrequency energy delivery time among the three groups (median [25 and 75 percentiles]: 340 [209, 357], 147 [100, 199], and 83 [61, 109] s, respectively in the Non‐Irri, Irri, and T‐Con groups; T‐Con versus Non‐Irri, p < .01; T‐Con versus Irri, p < .01). The total procedural time and acute reconnection rate in the T‐Con group (264 s and 4%, respectively) were lower than those in the Non‐Irri group (438 s and 24%) but were similar to those in the Irri group (268 s and 6%). No significant complications were observed in any group.ConclusionsThe T‐Con catheter achieved a short energy delivery time and a low acute reconnection rate, indicating its potential as an alternative catheter for CTI ablation.

show abstract

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

hi@scite.ai

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

Henderson, NV 89052, USA

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.

2024 European Heart Rhythm Association/Heart Rhythm Society/Asia Pacific Heart Rhythm Society/Latin American Heart Rhythm Society expert consensus statement on catheter and surgical ablation of atrial fibrillation

Cited by 4 publications

References 1,393 publications

Usefulness of empiric superior vena cava isolation in paroxysmal atrial fibrillation ablation: a meta-analysis of randomized clinical trials

Usefulness of empiric superior vena cava isolation in paroxysmal atrial fibrillation ablation: a meta-analysis of randomized clinical trials

Cardiac deceleration capacity: do we have a new indicator for pulmonary vein isolation?

Efficacy and safety of a novel temperature‐controlled catheter for cavotricuspid isthmus ablation

Contact Info

Product

Resources

About