PRIMARY RESULTS OF RF CATHETER ABLATION FOR AF IN VIETNAM HEART INSTITUTE. PHAM QUOC KHANH, MD, PhD. et al Vietnam Heart Institute
|
|
- James Warren
- 6 years ago
- Views:
Transcription
1 PRIMARY RESULTS OF RF CATHETER ABLATION FOR AF IN VIETNAM HEART INSTITUTE PHAM QUOC KHANH, MD, PhD. et al Vietnam Heart Institute
2 Background - Forms of Atrial Fibrillation - Clinical type of AF: + paroxysmal <7days: self-terminating. + persistent > 7 days: require intervention termination. + permanent: refractory to cardioversion or accepted as final rhythm. -
3 Background - Prevalence of AFib General population-based prevalence 0.95% ATRIA study 2.5% Olmsted County study Go AS, et al. JAMA (2001) 285: 2370 Miyasaka Y, et al. Circulation (2006) 114: 119
4 Projected number of persons with AF (millions) Prevalence of AFib Olmsted County study Year Miyasaka Y, et al. Circulation (2006) 114: 119
5 At least one CV event (%) Increased Risk of Cardiovascular Events Death or hospitalization in individuals with CV event(s) after 20 years 100 Men 89 Women AFib No AFib AFib No AFib Stewart S, et al. Am J Med (2002) 113: 359
6 Mortality during follow-up (%) Mortality Associated with AFib Framingham Heart Study, n= Men AFib+ Women AFib+ 40 Men AFib- Women AFib Follow-up (y) Benjamin EJ, et al. Circulation (1998) 98: 946
7 Objectives 1. To evaluate the effect of RF catheter ablation for the treatment of AF 2. To study the applicability of this method for the clinical practice in Vietnam
8 METHODS 13 consecutive patients (12 male, 1 female) with AF: ( paroxysmal, persistent) Mean age:55,9 8,9 ( ) Multi-drug-resistant AF Serial MSCT before and 3 months after ablation 24-hour Holter and patients questionnaire at 3 months after procedure
9 Digitex 2400 Angiograph angiograph EP system Carto system
10 catheter positions
11 Ablation LIPV
12 CartoXP TM vs. CartoMerge TM CARTO XP: 79 pts. CARTO Merge: 82 pts.
13 AF ABLATION APPROACH Circumferential approach (WACA) (Pappone C et al., Circulation 2000; 102(21):2562-4) PV-Isolation (Haissaguerre M et al., N Engl J Med 1998; 339:659 65) Additional lines as needed.
14 Follow up Fu after 1 month (clinical examination, 24h-Holter- EKG, QOL) In hospital Fu at 3, 6 (clinical examination, Holter/Monitor, Echo, TEE, QOL; Lung scan and MRI as needed)
15 results and discussions 13 patients: + Age : 46-71; Average : 55,9 8,9 + Sex : M: 12 ; F: 1 + Biochemical test: normal + TEE: no thrombus in cardiac chambers. + Blood test: Normal. + Coronary angiography: - 3 : CHD - 10: Normal
16 ECHOCARDIOGRAPHY LA (mm) 36,3 4,3 Aotic (mm) 31 2,8 Dd (mm) 48,3 4,4 Ds (mm) 30,5 3,2 EF (%) 66,4 6,9
17 MSCT of LA RSPV (mm) 16,5 3,5 RIPV (mm) 25,1 4,2 LSPV (mm) 16,5 3,4 LIPV (mm) 15,1 3,2 Left atrial volume(cm3) 48,5 11
18 Arrhythmia Paroxysmal: n = 12 (92,3 %) Persistent: n = 1 ( 7,7%)
19 Classification of success Complete : 0 recurrences, 0 drug: Partial: 0 recurrences, + drug failure: + recurrences, + drug Clinical response: complete + partial success + Complete: 12/13 ( 92,3%). + Failure: 1/13: ( 7,7% )
20 Meta-analysis of Catheter Ablation Studies (I) Ablation method Patients Paroxysma l AF SHD 6-month cure 6-months OK Linear % 26% 33% 55% Focal % 35% 54% 71% Isolation 2,187 83% 36% 62% 75% Circumferential (all) 15,455 68% 37% 64% 74% Circumferential (LACA, WACA) Circumferential (PVAI) Substrate ablation (CFAE) 2,449 65% 37% 59% 72% 11,132 68% 42% 67% 76% % 49% 75% 87% TOTAL 23,626 61% 55% 63% 75% Cure (by each author s criteria) means no further AFib 6 months after the procedure in the absence of AAD. OK means improvement (fewer episodes, no episodes with previously ineffective AAD). SHD indicates structural heart disease. Fisher JD, et al. PACE (2006) 29: 523
21 Meta-analysis of Catheter Ablation Studies (II) Condition / Type of AFib Patients Paroxysma l AFib SHD 6-month cure 6-months OK No structural HD 1,026 86% 3% 81% 72% Structural HD % 100% 74% 79% Paroxysmal AFib 3, % 23% 64% 73% Persistent Permanent AFib 3,741 0% 82% 66% 74% Cure (by each author s criteria) means no further AFib 6 months after the procedure in the absence of AAD. OK means improvement (fewer episodes, no episodes with previously ineffective AAD). SHD indicates structural heart disease. Fisher JD, et al. PACE (2006) 29: 523
22 Worldwide Survey on Efficacy and Safety of Catheter Ablation for AFib Total success rate: 76% Of 8745 patients: 27.3% required 1 procedure 52.0% asymptomatic without drugs 23.9% asymptomatic with an AAD within <1 yr Highly variable outcome between centres Cappato R, et al. Circulation (2005) 111: 1100
23 Results from Pioneering Centres Total success rate: 75-88% Parox, SHD, Study Year Follow-up Age, y % % Tool(s) End point AF Free (Off drugs), % Follow-up, d Ouyang et al ± NA CART O PV Isolation Haïssaguerre et al ± 8 NA 43 Fluoro PV Isolation Mansour et al ± CART O PV Isolation Marrouche et al ± ICE PV Isolation Oral et al ± CART O EGM Reduction Pappone et al ± CART O EGM Reduction Total Verma A & Natale A Circulation (2005) 112: 1214
24 COMPLICATION RATE (n= 13) Complications Rate Transient ischemic attack 0% Stroke permanent 0% Tamonade/ perforation 1 /13 (7,7%) Severe vascular access complication 0%
25 Complication rates
26 Consuming time and fluoroscopy time in procedures Fluoroscopy time (minutes) Cosuming time(minutes) Patients (n=13) 56,5 18,4 266,6 62,8
27 Case report 61-year-old gentleman Smoker but quit several years ago. No hypertension, no diabetes Symptomatic paroxysmal AF not responded to Amiodarone (300 mg/day)
28 Blood test: Normal (Creatinin: 110 mcmol/l) Chest X-ray: Normal cardiac silhouette, clear lungs TTE and TEE: Dd 51 mm; EF 71%, very mild MR, no thrombus in LA Coronary MSCT (12/2006): < 50% narrowing of proximal RCA
29 MSCT of LA and PVs LA dimensions are 54 mm x 26 mm x 55 mm (LR x AP x SI, respectively). Estimated LA volume: 41 ml LSPV: 18,3 mm; LIPV: 17 mm; RSPV: 18,7 mm; RIPV: 18,1 mm
30 A PV
31
32
33 PV Antrum Isolation RAO LAO
34
35 conclusion 1. RF catheter ablation can cure paroxysmal and persistent AF with high successfull rate 2. Further training and development of the electrophysiology program are needed to improve the availability of this modality of treatment for AF in Vietnam.
36 THANK YOU FOR YOUR ATTENTION
AF ABLATION Concepts and Techniques
AF ABLATION Concepts and Techniques Antony F Chu, M.D. Director of Complex Ablation Arrhythmia Services Section Division of Cardiology at the Rhode Island and Miriam Hospital HIGHLIGHTS The main indications
More informationAblation Should Not Be Used as Primary Therapy for Treatment of Patients with Atrial Fibrillation
Ablation Should Not Be Used as Primary Therapy for Treatment of Patients with Atrial Fibrillation 25 October 2008 Update in Electrocardiography and Arrhythmias Zian H. Tseng, M.D., M.A.S. Assistant Professor
More informationCombined catheter ablation and left atrial appendage closure as a. treatment of atrial fibrillation
Combined catheter ablation and left atrial appendage closure as a hybrid procedure for the treatment of atrial fibrillation Giulio Molon, MD FACC, FESC, Fellow ANMCO Card Dept, S.Cuore hospital Negrar
More informationFibrillation Atriale Paroxystique : ablation, résultats, complications
Fibrillation Atriale Paroxystique : ablation, résultats, complications DIU Rythmologie Paris, le 27/01/16 sboveda@clinique-pasteur.com 1 A disease with bad consequences RR de patients en FA comparé avec
More informationΚΑΤΑΛΥΣΗ ΚΟΛΠΙΚΗΣ ΜΑΡΜΑΡΥΓΗΣ. ΥΠΕΡ. Michalis Efremidis MD Second Department of Cardiology Evangelismos General Hospital
ΚΑΤΑΛΥΣΗ ΚΟΛΠΙΚΗΣ ΜΑΡΜΑΡΥΓΗΣ. ΥΠΕΡ. Michalis Efremidis MD Second Department of Cardiology Evangelismos General Hospital Rate control versus Rhythm control for Atrial Fibrillation AFFIRM N Engl J Med 2002;347:1825-33
More informationStand alone maze: when and how?
Stand alone maze: when and how? Dong Seop Jeong Department of Thoracic and Cardiovascular Surgery, HVSI Samsung Medical Center Type of atrial fibrillation First diagnose AF Paroxysmal AF: self-terminating
More informationIs cardioversion old hat? What is new in interventional treatment of AF symptoms?
Is cardioversion old hat? What is new in interventional treatment of AF symptoms? Joseph de Bono Consultant Electrophysiologist University Hospitals Birmingham Atrial Fibrillation (AF) Affects 2% of the
More informationWhat s new in my specialty?
What s new in my specialty? Jon Melman, MD Heart Rhythm Specialists McKay-Dee Hospital some would say some would say my specialty 1 some would say my specialty First pacemaker 1958 some would say my specialty
More informationAF ablation Penn experience. Optimal approach to the ablation of PAF: Importance of identifying triggers 9/25/2009
Optimal approach to the ablation of PAF: Importance of identifying triggers David J. Callans, MD University of Pennsylvania School of Medicine AF ablation Penn experience Antral (circumferential) PV ablation
More informationRaphael Rosso MD, Yuval Levi Med. Eng., Sami Viskin MD Tel Aviv Sourasky Medical Center
Radiofrequency Ablation of Atrial Fibrillation: Comparison of Success Rate of Circular Ablation vs Point-by-Point Ablation with Contact Force Assessment in Paroxysmal and Persistent Atrial Fibrillation
More informationLong-Term Outcome and Risks of Catheter Ablation for Atrial Fibrillation
Long-Term Outcome and Risks of Catheter Ablation for Atrial Fibrillation Carlo Pappone, MD, PhD, FACC EP Director, Villa Maria Hospital Group How many times AF can increase mortality DO MORTALITY REALLY
More informationABLATION TECHNIQUES FOR ATRIAL FIBRILLATION
ABLATION TECHNIQUES FOR ATRIAL FIBRILLATION Demosthenes G. Katritsis, MD, PhD(Lon), FRCP Athens Euroclinic Ablation for AF Cox JL, et al. Surgery for atrial fibrillation. Semin Thorac Cardiovasc Surg.
More informationAtrial Fibrillation 2009
Atrial Fibrillation 2009 Michael Glikson, MD Director of Pacing & Electrophysiology Leviev Heart Center Sheba medical Center Sheba Medical Center Tel Hashomer The Leviev Heart Center Rhythm vs rate control
More informationCatheter ablation in AF patients with heart failure. What is possible?
Catheter ablation in AF patients with heart failure What is possible? Sébastien Knecht, MD PhD Hôpital cardiologique du Haut L Evêque, Bordeaux HEART FAILURE AND AF Ehrlich. JCE 2002 (13): 399-405, Wang
More informationAF :RHYTHM CONTROL BY DR-MOHAMMED SALAH ASSISSTANT LECTURER CARDIOLOGY DEPARTMENT
AF :RHYTHM CONTROL BY DR-MOHAMMED SALAH ASSISSTANT LECTURER CARDIOLOGY DEPARTMENT 5-2014 Atrial Fibrillation therapeutic Approach Rhythm Control Thromboembolism Prevention: Recommendations Direct-Current
More informationProgression of atrial fibrillation: can we prevent it? Early catheter ablation will stop progression of atrial fibrillation pro
Progression of atrial fibrillation: can we prevent it? Early catheter ablation will stop progression of atrial fibrillation pro Jerónimo Farré MD, Madrid, ES AF: the kingdom of wishful thinking In AF we
More informationAtrial Fibrillation and Heart Failure: Rate vs. Rhythm Control Time for Re-evaluation
Atrial Fibrillation and Heart Failure: Rate vs. Rhythm Control Time for Re-evaluation ANIL K. BHANDARI, M.D, Director, Electrophysiology and EPS Fellowship Program Good Samaritan Hospital/ Harbor UCLA
More informationAF Ablation in 2015 Why, Who, What and How? Steve Wilton ACC Rockies, Banff March 10, 2015
AF Ablation in 2015 Why, Who, What and How? Steve Wilton ACC Rockies, Banff March 10, 2015 Disclosures Research grant: St. Jude medical Speaking: Boehringer-Ingelheim Consulting: Arca Biopharma Learning
More informationCatheter Ablation of Atrial Fibrillation in Patients with Prosthetic Mitral Valve
Catheter Ablation of Atrial Fibrillation in Patients with Prosthetic Mitral Valve Luigi Di Biase, MD, PhD, FHRS Senior Researcher Texas Cardiac Arrhythmia Institute at St. David s Medical Center, Austin,
More informationContemporary Strategies for Catheter Ablation of Atrial Fibrillation
Contemporary Strategies for Catheter Ablation of Atrial Fibrillation Suneet Mittal, MD Director, Electrophysiology Medical Director, Snyder Center for Atrial Fibrillation The Arrhythmia Institute at The
More informationCatheter Ablation of Atrial Fibrillation
Cardiology Update 2011 Catheter Ablation of Atrial Fibrillation Laurent Haegeli University Hospital Zurich February 16, 2011 Willem Einthoven and Sir Thomas Lewis The first ECG in 1903 Willem Einthoven
More informationAF Today: W. For the majority of patients with atrial. are the Options? Chris Case
AF Today: W hat are the Options? Management strategies for patients with atrial fibrillation should depend on the individual patient. Treatment with medications seems adequate for most patients with atrial
More informationMapping techniques in AFib. Helmut Pürerfellner, MD Public Hospital Elisabethinen Academic Teaching Hospital Linz, Austria
Mapping techniques in AFib Helmut Pürerfellner, MD Public Hospital Elisabethinen Academic Teaching Hospital Linz, Austria critical zone Microreeentrant circuits LOM PV foci Sueda Ann Thorac Surg 1997 Haissaguerre
More informationIn Whom and When Should Atrial Fibrillation Ablation be Considered?
In Whom and When Should Atrial Fibrillation Ablation be Considered? Christian de Chillou, MD, PhD Department of Cardiology University Hospital Nancy, France ESC 2010 Stockholm, August 30. 2010 2 In Whom?
More informationComplications During Cardiovascular Interventions: Management and Prevention
Complications During Cardiovascular Interventions: Management and Prevention Helmut Pürerfellner, MD Public Hospital Elisabethinen Academic Teaching Hospital Linz, Austria Atrial Tachycardia/Atypical left
More informationIntegration of CT and fluoroscopy images in the ablative treatment of atrial fibrillation
Clinical applications Integration of CT and fluoroscopy images in the ablative treatment of atrial fibrillation C. Kriatselis M. Tang M. Roser J-H. erds-li E. leck Department of Internal Medicine/Cardiology,
More informationAtrial Fibrillation Ablation: in Whom and How
Update on Consensus Statement on Management of Atrial Fibrillation: EHRA 2012 Atrial Fibrillation Ablation: in Whom and How Update of HRS/EHRA AF/ECAS Ablation Document 2012 Anne M Gillis MD FHRS Professor
More informationTreating Atrial Fibrillation. Richard Schilling. St Bartholomew's Hospital, Queen Mary s University of London
Treating Atrial Fibrillation Richard Schilling St Bartholomew's Hospital, Queen Mary s University of London AF burden Framingham Lifetime risk of developing AF = 25% Mortality: SMR =1.9 1.5 NHS audit 1%
More informationAtrial Fibrillation: Classification and Electrophysiology. Saverio Iacopino, MD, FACC, FESC
Atrial Fibrillation: Classification and Electrophysiology Saverio Iacopino, MD, FACC, FESC Sinus Rythm Afib (first episode) AFib Paroxistic AFib Spontaneous conversion Permanent AFib Recurrence Sinus Rythm
More informationCATHETER ABLATION FOR ATRIAL FIBRILLATION WHEN and HOW
CATHETER ABLATION FOR ATRIAL FIBRILLATION WHEN and HOW Carlo Pappone, MD, PhD, FACC San Raffaele University Hospital, Milan, Italy ATRIAL FIBRILLATION FOR CLINICIANS FIRST DETECTED PAROXYSMAL PERMANENT
More informationCatheter Ablation for Treatment of Atrial Fibrillation 2010 and Beyond
Catheter Ablation for Treatment of Atrial Fibrillation 2010 and Beyond John M. Miller, MD Professor of Medicine Indiana University School of Medicine Director, Clinical Cardiac Electrophysiology Krannert
More informationIndicatie voor ablatie bij voorkamerfibrillatie. Andrea Sarkozy Cardiologie Universitair Ziekenhuis Antwerpen
Indicatie voor ablatie bij voorkamerfibrillatie Andrea Sarkozy Cardiologie Universitair Ziekenhuis Antwerpen Definition and Classification of AF - Practical aspects Classification of AF Paroxysmal, persistent,
More informationAtrial Fibrillation Ablation Recent Clinical Trials That Changed (or not) My Practice
Atrial Fibrillation Ablation Recent Clinical Trials That Changed (or not) My Practice Walid Saliba, MD, FHRS Director, Atrial Fibrillation Center Director EP laboratory Heart and Vascular Institute Cleveland
More informationLong Standing Persistent AF ; CPVI is enough for it
Long Standing Persistent AF ; CPVI is enough for it Kee-Joon Choi, MD University of Ulsan College of Medicine Asan Medical Center, Seoul, Korea Boston AF Symposium 2012 In a patient undergoing AF ablation
More informationThe EP Perspective: Should We Do Hybrid Ablation, and Who Should We Do It On?
The EP Perspective: Should We Do Hybrid Ablation, and Who Should We Do It On? L. Pison, MD PhD FESC AATS Surgical Treatment of Arrhythmias and Rhythm Disorders November 17-18, 2017 Miami Beach, FL, USA
More informationRebuttal. Jerónimo Farré MD 2010
Rebuttal 1.We do not know what are the types of AF in which ablation is worthless or most effective 2.Waiting implies to consider the ablation at an older age and when the duration of the history of AF
More informationAF and arrhythmia management. Dr Rhys Beynon Consultant Cardiologist and Electrophysiologist University Hospital of North Staffordshire
AF and arrhythmia management Dr Rhys Beynon Consultant Cardiologist and Electrophysiologist University Hospital of North Staffordshire Atrial fibrillation Paroxysmal AF recurrent AF (>2 episodes) that
More informationCatheter Ablation: Atrial fibrillation (AF) is the most common. Another Option for AF FAQ. Who performs ablation for treatment of AF?
: Another Option for AF Atrial fibrillation (AF) is a highly common cardiac arrhythmia and a major risk factor for stroke. In this article, Dr. Khan and Dr. Skanes detail how catheter ablation significantly
More informationBalloon and Mesh Catheter Ablation of Pulmonary Veins
Balloon and Mesh Catheter Ablation of Pulmonary Veins ISHNE 2009 Atul Verma, MD FRCPC Cardiology/Electrophysiology Heart Rhythm Program, Division of Cardiology Southlake Regional Health Centre Newmarket,
More informationPossible clinical and hemodynamic predictors of atrial fibrillation recurrence after catheter ablation
Samara Regional Center of Cardiosurgery Possible clinical and hemodynamic predictors of atrial fibrillation recurrence after catheter ablation S. Dolginina, S. Garkina, S. Khokhlunov, D. Duplyakov Russia
More informationRadiofrequency Catheter Ablation for Atrial Fibrillation
Radiofrequency Catheter Ablation for Atrial Fibrillation Background Atrial fibrillation (AP) is the commonest sustained arrhythmia. It affects around I% of the population, and its incidence is increasing.
More informationPatient Presentation
Update on Current Perspectives and Management Options for Atrial Fibrillation Burr Hall, M.D. March 20, 2015 Patient Presentation 72 year old active male farmer and tow truck operator from Hemlock, NY
More informationCatheter Ablation of Atrial Fibrillation Strategy and Outcome Predictors Shih-Ann Chen MD
Catheter Ablation of Atrial Fibrillation Strategy and Outcome Predictors Shih-Ann Chen MD Taipei Veterans General Hospital, Taiwan Outline of AF Ablation 1. Strategy for Catheter Ablation of AF 2. Substrate
More informationCurrent Guideline for AF Treatment. Young Keun On, MD, PhD, FHRS Samsung Medical Center Sungkyunkwan University School of Medicine
Current Guideline for AF Treatment Young Keun On, MD, PhD, FHRS Samsung Medical Center Sungkyunkwan University School of Medicine Case 1 59 year-old lady Sudden palpitation and breathlessness for 12 hours
More informationCatheter Ablation for Atrial Fibrillation: Patient Selection and Outcomes
Catheter Ablation for Atrial Fibrillation: Patient Selection and Outcomes Francis Marchlinski, MD Richard T and Angela Clark President s Distinguished Professor Director Cardiac Electrophysiolgy University
More informationMechanisms of atrial fibrillation terminations in humans: insights from non-invasive cardiac mapping
VENICE ARRHYTHMIAS, 16-18 OCTOBER, 2015 Mechanisms of atrial fibrillation terminations in humans: insights from non-invasive cardiac mapping E. Fetisova, A. Tsyganov, M. Chaykovskaya, V. Kalinin, M. Yakovleva
More informationHow Should we Select Patients for Catheter Ablation? Douglas Esberg, MD, FHRS
How Should we Select Patients for Catheter Ablation? Douglas Esberg, MD, FHRS November 2, 2018 2 3 4 5 Atrial Flutter Typical isthmus dependent flutter Success rate ~95% Complications 1% (mostly groin
More informationAblation of persistent AF Is it different than paroxysmal?
Ablation of persistent AF Is it different than paroxysmal? Steven J. Kalbfleisch, MD Medical Director Electrophysiology Laboratory Ohio State University Wexner Medical Center Ross Heart Hospital Columbus,
More informationAblation Update and Case Studies. Lawrence Nair, MD, FACC Director of Electrophysiology Presbyterian Heart Group
Ablation Update and Case Studies Lawrence Nair, MD, FACC Director of Electrophysiology Presbyterian Heart Group Disclosures No financial relationships to disclose Objectives At the conclusion of this activity,
More informationRole of LAA isolation in AF cure
MAM 2017, Zurich Role of LAA isolation in AF cure Sakis Themistoclakis, MD Director, Unit of Electrophysiology and Cardiac Pacing Department of Cardiothoracic & Vascular Medicine Ospedale dell Angelo,
More informationAtrial Fibrillation: Catheter Ablation with New Technologies, Improving Quality of Life and Outcomes in Various Disease States
Atrial Fibrillation: Catheter Ablation with New Technologies, Improving Quality of Life and Outcomes in Various Disease States Srinivas R. Dukkipati, MD Co-Director, Cardiac Arrhythmia Service The Mount
More informationAblation Index : A new standard for Safety and Efficacy. Dr Franck Halimi Hôpital Privé Parly 2 Le Chesnay, France
Ablation Index : A new standard for Safety and Efficacy Dr Franck Halimi Hôpital Privé Parly 2 Le Chesnay, France Disclosures Dr Franck Halimi... I have the following potential conflicts of interest to
More information20% 10/9/2018. Fluoroless Ablation relinquishing an old habit. Prevalence of Atrial Fibrillation. Atrial Fibrillation is a Progressive Disease
Fluoroless Ablation relinquishing an old habit Robert Percell, MD, FACC Cardiac Electrophysiologist, Bryan Heart Institute Lincoln, NE Prevalence of Atrial Fibrillation 3.1 Million + 1 Million by 2020
More informationA Cryo Anatomical Procedure to Everyone? Saverio Iacopino, FACC, FESC
A Cryo Anatomical Procedure to Everyone? Saverio Iacopino, FACC, FESC AF Clinical/Referral Challenge Asymptomatic 40% 3 Rx Effective 30% Failed Rx Ablation Atrial fibrillation (AF) is the most common Candidate
More informationJesus M. Paylos, C. Ferrero, L. Azcona, A. Morales, M. A. Vargas, L. Lacal, V. Gomez Tello.
CRYO-BALLOON CATHETER ABLATION EFFICACY RESTORING AND MAINTAINING SINUS-RHYTHM IN PATIENTS TREATED FOR PERSISTENT LONG STANDING ATRIAL FIBRILLATION AFTER ACUTE COMPLETE ELECTRICAL ISOLATION OF THE PULMONARY
More informationCLINICAL OUTCOME OF AF ABLATION Who Benefits from Catheter Ablation?? Dr Gamal Shaban MD FESC Fellow of EHRA ECR AFA AFIB ALLIANCE NHI
CLINICAL OUTCOME OF AF ABLATION Who Benefits from Catheter Ablation?? Dr Gamal Shaban MD FESC Fellow of EHRA ECR AFA AFIB ALLIANCE NHI RHYTHM IS THE SOUL OF LIFE AF the last remaining challenge Considerable
More information2015 Atrial Fibrillation Therapy Meds, Shock, or Ablate? D. Scott Kirby MD, FACC Cardiac Electrophysiologist
2015 Atrial Fibrillation Therapy Meds, Shock, or Ablate? D. Scott Kirby MD, FACC Cardiac Electrophysiologist Todays Objectives Atrial Fibrillation evaluation and treatment from an EP perspective Multimodal
More informationConcept, Challenges, Uptake and Adoption of Atrial Fibrillation Ablation: An Academic View. Douglas L. Packer MD Silver Springs, MD April 27, 2009
Concept, Challenges, Uptake and Adoption of Atrial Fibrillation Ablation: An Academic View Douglas L. Packer MD Silver Springs, MD April 27, 2009 Presenter Disclosure Information Catheter Ablation for
More informationAtrial fibrillation: Who should be referred for ablation therapy for atrial fibrillation?. September 12 th, 2015
Atrial fibrillation: Who should be referred for ablation therapy for atrial fibrillation?. September 12 th, 2015 MMMMMMM MMMMMMM MMMMMMM Sohail Hassan MD FACC, FHRS Director, Cardiac Electrophysiology
More informationAtrial fibrillation and advanced age
Atrial fibrillation and advanced age Prof. Fiorenzo Gaita Director of the Cardiology School University of Turin, Italy Prevalence of AF in the general population Prevalence and age distribution in patients
More informationInnovations in AF Management
Innovations in AF Management Barry Boilson MD PhD FRCPI boilson.barry@mayo.edu Disclosures Relevant None financial relationship(s) with industry None Off Label Usage None Overview Mechanisms of AF AF as
More informationRecent observations have focused attention on the PVs as a source of ectopic activity i determining i AF
Atrial Fibrillation in 2010 Panos Vardas Professor of Cardiology President of EHRA Atrial Fibrillation Pathophysiology of AF Triggers Recent observations have focused attention on the PVs as a source of
More information5/5/2010. World incidence 720, 000 new cases / year. World prevalence 5.55 million AF prevalence increasing with aging of population
Atrial Fibrillation: Guidelines through clinical cases and 2010 updates Samy Claude ELAYI Cardiac Clinical Pacing and Electrophysiology UK World incidence 720, 000 new cases / year World prevalence 5.55
More informationΠαροξυσμική Κολπική μαρμαρυγή σε νέο άτομο 40 ετών
Παροξυσμική Κολπική μαρμαρυγή σε νέο άτομο 40 ετών Ιωάννης Σκιαδάς MD, FESC, EHRA Accredited in Cardiac Pacing Καρδιολογικό Τμήμα Ιπποκράτειο ΓΝΑ Prevalence, percent AF Prevalence: Age and Gender Prevalence
More informationStoria dell ablazione della fibrillazione atriale: da dove siamo partiti, dove siamo, dove andremo. Prof. Fiorenzo Gaita
Storia dell ablazione della fibrillazione atriale: da dove siamo partiti, dove siamo, dove andremo Prof. Fiorenzo Gaita Knowledge Idea Serendipity Technology (right tools) Serendipity - discovery of a
More informationNew technology to minimize radiation
Room 103-104 15/April/2016 New technology to minimize radiation Jun Kim University of Ulsan College of Medicine Asan Medical Center Heart Institute Disclosure NONE I have no experience using Carto Univu
More informationIncidence and Disease Burden. Role of Catheter ablation Outcomes Data
Management of Atrial Fibrillation Nitish Badhwar, MD, FACC University of California, San Francisco Risk Appraisal Forum April 23, 2010 Incidence and Disease Burden Drug therapy Role of Catheter ablation
More informationHybrid Ablation of AF in the Operating Room: Is There a Need? MAZE III Procedure. Spectrum of Atrial Fibrillation
Hybrid Ablation of AF in the Operating Room: Is There a Need? MAZE III Procedure Paul J. Wang, MD Amin Al-Ahmad, MD Gan Dunnington, MD Stanford University Cox J, et al. Ann Thorac Surg. 1993;55:578-580.
More informationSamer Nasr, M.D. Mount Lebanon Hospital.
Samer Nasr, M.D. Mount Lebanon Hospital. Lone atrial fibrillation: Younger than 60 years old. No clinical or echo evidence of cardiopulmonary disease. Favorable prognosis. Thromboembolism usually not
More informationCatheter ablation of atrial fibrillation: Indications and tools for improvement of the success rate of the method. Konstantinos P.
Ioannina 2015 Catheter ablation of atrial fibrillation: Indications and tools for improvement of the success rate of the method Konstantinos P. Letsas, MD, FESC SECOND DEPARTMENT OF CARDIOLOGY LABORATORY
More informationAF Ablation in Patients with Heart Failure
AF Ablation in Patients with Heart Failure Christian de Chillou, MD, PhD Department of Cardiology University Hospital Nancy, France 28ème Journée Internationale du Centre Cardio-Thoracique de Monaco Monaco,
More informationAtrial Fibrillation: What Should You Know? I (888)
Atrial Fibrillation: What Should You Know? I was exhausted doing simple tasks because of my AFib. I couldn t walk from the store to my car in the parking lot. Then, I had a MAZE procedure. It was a very
More informationHigh density substrate mapping In AF
High density substrate mapping In AF A Pisapia J Seitz C Bars M Bremondy A Ferracci * J Khalifa ** * St Joseph Hospital Marseille ** Ann Arbor University Turin 2016 Hôpital Saint Joseph Marseille jseitz@hopital-saint-joseph.fr
More informationPVI and What Else for Persistent AF Lessons Learned from STAR AF 2 CCCEP 2015 October 31, New York
PVI and What Else for Persistent AF Lessons Learned from STAR AF 2 CCCEP 2015 October 31, New York Atul Verma, MD FRCPC FHRS Director, Arrhythmia Services Southlake Regional Health Centre Faculty of Medicine
More information2004 3 32 3 Chin J Cardiol, March 2004, Vol. 32 No. 3 211 4 ( ) 4 (HRA) (CS), 10 (Lasso ),, 4 (3 ) (1 ), 118,3,1, 417, ; ; The electrophysiological characteristics and ablation treatment of patients with
More informationCatheter Ablation of Atrial Fibrillation Persistent Atrial Fibrillation Catheter Ablation : where are we?
Catheter Ablation of Atrial Fibrillation Persistent Atrial Fibrillation Catheter Ablation : where are we? F. HIDDEN-LUCET francoise.hidden-lucet@aphp.fr Pitié-Salpétrière APHP FRANCE Disclosure Statement
More informationTHE AFIB REPORT. Your Premier Information Resource for Lone Atrial Fibrillation! NUMBER 115 DECEMBER 2011/JANUARY th YEAR
THE AFIB REPORT Your Premier Information Resource for Lone Atrial Fibrillation! NUMBER 115 DECEMBER 2011/JANUARY 2012 11 th YEAR Welcome to our 7 th ablation/maze survey. Previous surveys dealt mainly
More informationΚατάλυση παροξυσμικής κολπικής μαρμαρυγής Ποια τεχνολογία και σε ποιους ασθενείς; Χάρης Κοσσυβάκης Καρδιολογικό Τμήμα Γ.Ν.Α. «Γ.
Κατάλυση παροξυσμικής κολπικής μαρμαρυγής Ποια τεχνολογία και σε ποιους ασθενείς; Χάρης Κοσσυβάκης Καρδιολογικό Τμήμα Γ.Ν.Α. «Γ. ΓΕΝΝΗΜΑΤΑΣ» Rhythm control antiarrhythmic drugs vs catheter ablation Summary
More informationCost and Prevalence of A fib. Atrial Fibrillation: Guideline Directed Treatment. Prevalence of A Fib. Risk Factors for A Fib. Risk Factors for A Fib
Atrial Fibrillation: Guideline Directed Treatment Melissa Wendell, FNP-C, MSN Heart Failure - Lead Nurse Practitioner, Aspirus Wausau Hospital and Aspirus Cardiology Cost and Prevalence of A fib 33.5 million
More informationManagement strategies for atrial fibrillation Thursday, 20 October :27
ALTHOUGH anyone who has had to run up a flight of steps or has had a frightening experience is quite familiar with a racing heartbeat, for the more than 2 million Americans who suffer from atrial fibrillation
More informationArrhythmias and Heart Failure Dr Chris Lang Consultant Cardiologist and Electrophysiologist Royal Infirmary of Edinburgh
Arrhythmias and Heart Failure Dr Chris Lang Consultant Cardiologist and Electrophysiologist Royal Infirmary of Edinburgh Arrhythmias and Heart Failure Ventricular Supraventricular VT/VF Primary prevention
More informationΔιαδερμική Θεραπεία Κολπικής Μαρμαρυγής: Αποτελέσματα και Δεδομένα στην Ελλάδα
Διαδερμική Θεραπεία Κολπικής Μαρμαρυγής: Αποτελέσματα και Δεδομένα στην Ελλάδα Eleftherios M. Kallergis MD, PhD, FESC Cardiology Department Heraklion University Hospital ΠΑΝΕΛΛΗΝΙΑ ΣΕΜΙΝΑΡΙΑ ΟΜΑΔΩΝ ΕΡΓΑΣΙΑΣ
More informationControversies in Atrial Fibrillation and HF
Controversies in Atrial Fibrillation and HF Dr.Yahya Al Hebaishi Cardiac electrophysiology division, PSCC, Riyadh Atrial Fibrillation: Rate or Rhythm? HF and AF: the twin epidemic of cardiovascular disease.
More informationCatheter Ablation of Atrial Fibrillation 2011
Catheter Ablation of Atrial Fibrillation 2011 Larry A. Chinitz M.D. Director, Cardiac Electrophysiology and Invasive Cardiology Director, NYU Heart Rhythm Center Professor of Medicine New York University
More informationCatheter ablation of AF Where do we stand, where do we go?
Catheter ablation of AF Where do we stand, where do we go? Sébastien Knecht MD, PhD Hôpital cardiologique du Haut L Evêque, Bordeaux Declaration of conflict of interest ABLATION STRATEGIES Duration proc:
More information3/25/2017. Program Outline. Classification of Atrial Fibrillation
Alternate Strategies to Antiarrhythmic Therapy: The Role of Ablation Jennifer El Aile, MS, AGPCNP-BC Electrophysiology Nurse Practitioner Clinical Lecturer at the University of Michigan Program Outline
More informationHow to improve procedural outcome of cryoballoon ablation in persistent AF Experience from Redo procedures
How to improve procedural outcome of cryoballoon ablation in persistent AF Experience from Redo procedures Kyoung-Ryul Julian Chun Cardioangiologisches Centrum Bethanien (CCB) Markus Krankenhaus, Med.
More informationDipen Shah Cardiology Service, University Hospitals, Geneva Switzerland
Dipen Shah Cardiology Service, University Hospitals, Geneva Switzerland Disclosures Research Grants: Biosense Webster, St. Jude, Bard, Endosense, Biotronik Speakers Honoraria: Biosense Webster, Endosense,
More informationStroke secondary prevention. Gill Cluckie Stroke Nurse Consultant St. George s Hospital
Stroke secondary prevention Gill Cluckie Stroke Nurse Consultant St. George s Hospital Stroke recurrence The risk of recurrent stroke is greatest after first stroke 2 3% of survivors of a first stroke
More informationAblazione della fibrillazione atriale: dubbi presenti e prospettive future
Ablazione della fibrillazione atriale: dubbi presenti e prospettive future Carlo Pappone, MD, PhD, FACC Cardiac Pacing & Electrophysiology Department, Director Villa Maria Group, Italy Atrial Fibrillation
More informationAtrial Fibrillation and the NOAC s. John Raymond MS, PA-C, MHP February 10, 2018
Atrial Fibrillation and the NOAC s John Raymond MS, PA-C, MHP February 10, 2018 Pathogenesis EPIDEMIOLOGY Arrhythmia-related hospitalisations in the US Ventricular fibrillation 2% Atrial fibrillation 34%
More informationCatheter Ablation for Persistent Atrial Fibrillation
Catheter Ablation for Persistent Atrial Fibrillation Saeed Oraii MD, Cardiologist Interventional Electrophysiologist Tehran Arrhythmia Clinic April 2016 Atrial Fibrillation First reported by Sir William
More informationOutcomes of AF Ablation
2017 춘계심혈관통합학술대회 AF Summit: Atrial Fibrillation Apr.21(Fri) 14:40-16:10 Rm.300B 15:00-15:10 Outcomes of AF Ablation Gi-Byoung Nam MD Asan Medical Center, UUCM 2017 Annual Spring Scientific Conference of
More informationKey words: Paroxysmal atrial fibrillation, Pulmonary vein isolation, Cardiac autonomic nerve denervation, Catheter ablation
Combined Effect of Pulmonary Vein Isolation and Ablation of Cardiac Autonomic Nerves for Atrial Fibrillation Kimie OHKUBO, 1 MD, Ichiro WATANABE, 1 MD, Yasuo OKUMURA, 1 MD, Sonoko ASHINO, 1 MD, Masayoshi
More informationAtrial Fibrillation: Guidelines through clinical cases and 2010 updates
Atrial Fibrillation: Guidelines through clinical cases and 2010 updates Samy Claude ELAYI Cardiac Clinical Pacing and Electrophysiology World incidence 720, 000 new cases / year World prevalence 5.5 million
More informationIndividualised strategy approach to AF ablation
Individualised strategy approach to AF ablation Dr Tim Betts MD MBChB FRCP Consultant Cardiologist & Electrophysiologist Oxford Heart Centre, John Radcliffe Hospital Oxford University Hospitals NHS Foundation
More informationBasics of Atrial Fibrillation. By Mini Thannikal NP-BC Mount Sinai St Luke s Hospital New York, NY
Basics of Atrial Fibrillation By Mini Thannikal NP-BC Mount Sinai St Luke s Hospital New York, NY Atrial Fibrillation(AF) is a supraventricular tachyarrhythmia characterized by uncoordinated atrial activation
More informationThromboembolism During Sinus Rhythm in Patients with a History of Atrial Fibrillation
48 th Annual New York Cardiovascular Symposium Thromboembolism During Sinus Rhythm in Patients with a History of Atrial Fibrillation Is Left Atrial Appendage Dysfunction Sufficient to Generate Clots? December
More informationJay Simonson, MD, FACC, FHRS Medical Director, Cardiac Electrophysiology Park Nicollet Heart and Vascular Center
Jay Simonson, MD, FACC, FHRS Medical Director, Cardiac Electrophysiology Park Nicollet Heart and Vascular Center A-Fib Facts Yes, you may be able to blame your parents It is more of a nuisance than a
More informationDevices and Other Non- Pharmacologic Therapy in CHF. Angel R. Leon, MD FACC Division of Cardiology Emory University School of Medicine
Devices and Other Non- Pharmacologic Therapy in CHF Angel R. Leon, MD FACC Division of Cardiology Emory University School of Medicine Disclosure None University of Miami vs. OSU Renegade Miami football
More information