Ablation Index : A new standard for Safety and Efficacy. Dr Franck Halimi Hôpital Privé Parly 2 Le Chesnay, France
|
|
|
- Dana Murphy
- 5 years ago
- Views:
Transcription
1 Ablation Index : A new standard for Safety and Efficacy Dr Franck Halimi Hôpital Privé Parly 2 Le Chesnay, France
2 Disclosures Dr Franck Halimi... I have the following potential conflicts of interest to report: Consulting: - Medtronic, Saint Jude Medical, Boston Scientific, Biotronik, Johnson & Johnson Employment in industry: 0 Shareholder in a healthcare company: 0 Owner of a healthcare company: 0 Other(s): 0
3 Background: Contact force technology First name - last name Has become a new standard for catheter ablation AF ablation Evidences for Better acute PVI and long term outcomes Improved safety
4 2013
5 Primary and secondary acute endpoints in CF vs. Control group Effective acute PVI using an anatomical approach (no lasso)
6 Proportion of pts free of AF during the 12- month FU (3 months blanking period) Kaplan-Meier curve Primary mid-term endpoint
7
8 Time to first AF / atrial flutter / atrial tach recurrence through 12 months FU Kaplan-Meier curve Investigators working in their selected ranges
9 What are the missing information to create consistent and safe lesions? First name - last name Catheter stability Lesion continuity Visitag* Amount of energy for each RF pulse? Contact force magnitude Power settings RF duration Ablation Index*
10 First name - last name Catheter stability assessed by CARTO 3 Visitag* Module Visitag* are automatic tags that give valuable information on Catheter stability in mm (respiration gating) Minimum application time in sec Predefined range of contact force in grams
11 Importance of stability on ablation size 10 g 30 sec 25 W ablation 4m m 2 mm No movement 3mm movement (after 15sec)
12 Lesion continuity with Visitag* Contiguous tags to avoid gaps Dr F. Halimi, Parly 2
13 Linear lesions using 3D tags (floating points) Dr F. Halimi, Parly 2
14 Visitag* Study (ongoing) Single operator, Single center (Parly 2) Consecutive PAF, 1st procedure CARTO 3 and SmartTouch* catheters Inclusion 07/2012 to 07/ groups : CF / Visitag* OFF : 22 pts CF / Visitag* ON : 33 pts Follow-up : Clinical FU 24h-Holter at 3, 6 and 12 months Dr F. Halimi, Parly 2
15 Visitag* Study Results +24,3% p=0,18 90,0 80,0 70,0 69,1-45,1% 68,2 84,8 60,0 50,0 40,0 30,0 38,0-12,1% 34,8 30,6 20,0-46,8% 10,0 0,0 3,7 2,0 fluoroscopy time (min) radiation exposure (mgy/cm²) RF time (min) Primary endpoint, % Visitag OFF VISITAG ON Dr F. Halimi, Parly 2
16 The CARTO 3 Ablation Index* Provides automatic composite tag combining Contact force Power Application time (catheter in a stable position)
17 Ablation Depth VS. Time with constant contact force Using an irrigated catheter, Lesion Depth as function of RF Duration for different power levels represents non-linear progression. Contact Force is constant. Experimental and Numerical Analysis of Lesion Growth during Cardiac Radiofrequency Ablation Sytske Foppen BMTE 09.14, April 2009
18 Lesion Depth by Time for Variable Power & Contact-Force The Animal Model and Simulated Model show similar behavior. The effect of increased power is more significant than contact force. The ablation Depth graphs reflect a nonlinear relation with time for diverse Contact-Force and Power.
19 HRS 2012, Hiroshi Nakagawa, MD, PhD et al Ablation Index Formula versus Actual Lesion Depth CF: Contact Force, P: RF Power, t: Application Time Accuracy ±1mm (90%) Actual Lesion Depth (mm) n=161 No Pop FPTI Formula Predicted Lesion Depth (mm) (FPTI: Force Power Time Index)
20 Clinical Prospective Study High Incidence of Ipsilateral Pulmonary Vein Isolation by First Encirclement Using New Force-Power-Time Formula with Short Radiofrequency Time in Atrial Fibrillation Patients Methods: 43 PAF patients (2 centers) had PVI. Two Ablation Index target numbers were used: Anterior/superior segments (Represented by tag size 3 - Dark red) Posterior/inferior segments (Represented by tag size 2 - Orange) RF was delivered until Force Power Time Index reached target number or esophageal temperature reached 40C. RF power was increased at low CF and decreased at high CF.. LSPV LIPV LA in PA Projection RSPV RIPV Tag Size 2 Tag Size 3 Nakagawa, et al. Heart Rhythm PO Vol. 12, (5), May Supplement 2015
21 Results & Conclusions Results Median Range Contact force 15g 3-64g Parameters per application Power 35w 17-50w Complete Ip - PVs isolation 77/86 (90%) Time 28 sec 6-93 sec Adenosine reconnection 4/86 (5%) Ip-PVsi Circum. Length 12.2 cm cm Follow Up (2-11 months) no tachycardia 42/43 (98%) Conclusions: Ablation Index guidance produced complete ipsilateral PV isolation by a single encirclement in 90% using short RF time
22 Ablation Index* targeted values First name - last name At this point there are no predefined Ablation Index* values Each operator has to perform 10 blinded cases with retrospective Ablation Index* calculation per segment
23 My early experience 10 blinded cases First name - last name 13 PAF (ongoing) Third group to the Visitag* Study CF / Visitag* OFF CF / Visitag* ON CF / Ablation Index* 3D tags only (stability / lesion continuity) Dr F. Halimi, Parly 2
24 My Ablation Index values per segment Ridge 420 Anterior 400 Dr F. Halimi, Parly 2
25 Infero-sup / Carena 350 Posterior 320 Dr F. Halimi, Parly 2
26
27 First results: RF time Variable Visitag N Missing Mean S.D. RF time (s) No Yes Ablation Index min Total Dr F. Halimi, Parly 2
28 First results: X ray exposure Fluoro (seconds) Variable Visitag N Missing Mean S.D. Fluoroscopy time (s) No Yes Ablation Index Total Air Kerma (mgy/cm2) Variable Visitag N Missing Mean S.D. Air Kerma, dose (mgy/cm²) No Yes Ablation Index Total Dr F. Halimi, Parly 2
29 First Results with Ablation Index* ,8 1,7 0,8 RF time (min) Fluoro time (min) DAP (mgy/cm2) Acute success PVI (%) Visitag OFF Visitag ON Ablation Index Dr F. Halimi, Parly 2
30 Conclusion 1 Ablation Index* leads to a tailored RF strategy taking into consideration a combination of contact force and power to determine RF time for each stable application Slight changes in procedure workflow First name - last name Early results show Reduction in RF delivery Reduction in X Ray exposure 100% of acute PVI
31 Conclusion 2 First name - last name There are strong evidences supporting that Ablation Index* provides high per-procedural efficacy and increased safety Results of the CLOSE Study will soon be published in Circulation with excellent long term outcomes after a single procedure
Mapping and Ablation in AF: how can we evaluate the lesion formation?
Innovative Cardiac Arrhythmias solutions in only one technology Venice Arrhythmias 17 Oct 2015 Mapping and Ablation in AF: how can we evaluate the lesion formation? Dhiraj Gupta MD DM FRCP Consultant Cardiologist
Raphael 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
AF 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
Catheter 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
Fibrillation 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
New 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
Mapping 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
Linear Ablation Should Not Be a Standard Part of Ablation in Persistent AF. Disclosures. LA Ablation vs. Segmental Ostial Ablation With PVI for PAF
Linear Ablation Should Not Be a Standard Part of Ablation in Persistent AF The CA Heart Rhythm Symposium September 7, 2012 Gregory K. Feld, MD Professor of Medicine Director, Cardiac EP Program University
20% 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
Balloon 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,
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
Integration 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,
Pulmonary Vein Isolation for AF RF or Cryo? Dr. Yuen Ho Chuen Princess Margaret Hospital
Pulmonary Vein Isolation for AF RF or Cryo? Dr. Yuen Ho Chuen Princess Margaret Hospital PV as a Source of Ectopic Activity Haissaguerre, et al. NEJM 1998 RF Ablation Gold standard Point by point ablation
AF 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
PRIMARY RESULTS OF RF CATHETER ABLATION FOR AF IN VIETNAM HEART INSTITUTE. PHAM QUOC KHANH, MD, PhD. et al Vietnam Heart Institute
PRIMARY RESULTS OF RF CATHETER ABLATION FOR AF IN VIETNAM HEART INSTITUTE PHAM QUOC KHANH, MD, PhD. et al Vietnam Heart Institute Background - Forms of Atrial Fibrillation - Clinical type of AF: + paroxysmal
ABLATION 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.
A 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
Percutaneous Transvenous Atrial Fibrillation Ablation and Stroke
Percutaneous Transvenous Atrial Fibrillation Ablation and Stroke Vivek Y. Reddy, MD Helmsley Trust Professor of Medicine Director, Cardiac Arrhythmia Service The Mount Sinai Hospital Disclosures Grant
Storia 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
How 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.
Catheter 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
Catheter 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
Complications 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
Atrial 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
Debate-STAR AF 2 study. PVI is not enough
Debate-STAR AF 2 study PVI is not enough Debate about STAR AF 2 trial STAR AF trial Substrate and Trigger Ablation for Reduction of Atrial Fibrillation EHJ 2010 STAR-AF 2 trial One Size Fits All? PVI is
CLINICAL COMPENDIUM. The HeartLight Endoscopic Ablation System Putting a New Level of PVI Precision Close at Hand. CardioFocus.com
CLINICAL COMPENDIUM The HeartLight Endoscopic Ablation System Putting a New Level of PVI Precision Close at Hand CardioFocus.com Published results summarized in this compendium may include references to
Contemporary 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
Hybrid 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.
Complex Left Atrial (CLA) Best Practices for Navigant
Complex Left Atrial (CLA) Best Practices for Navigant Ischemic Ventricular Tachycardia (VT) Best Practices for Navigant Ischemic VT Ablation Procedures Set Up In the absence of a septal defect or other
Ablation Lesion Assessment
HRC 2016 Ablation Lesion Assessment The creation of effective and permanent lesions Ian Wright Imperial College Healthcare Wed 09:00-09:30 Hall 11 Objective Examine the role of existing strategies and
Long 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
High 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
Ablation 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,
The 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
1995 Our First AF Ablation. Atrial Tachycardias During and After Atrial Fibrillation Ablation. Left Atrial Flutter. 13 Hours Later 9/25/2009
1995 Our First AF Ablation Atrial Tachycardias During and After Atrial Fibrillation Ablation G. Neal Kay MD University of Alabama at Birmingham Right Anterior Oblique Left Anterior Oblique Left Atrial
What 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
Stand 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
Catheter 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
Implantable Cardiac Monitors for Atrial Fibrillation (AF) Detection: Ready for Routine Use?
Implantable Cardiac Monitors for Atrial Fibrillation (AF) Detection: Ready for Routine Use? Helmut Pürerfellner, MD, Assoc. Prof. Saint Elisabeth s Sisters Hospital Academic Teaching Center Linz/Austria
INTRODUCTION. Key Words:
Original Article Acta Cardiol Sin 2015;31:317 324 doi: 10.6515/ACS20141218A EPS and Arrhythmia The Electrical Characteristics and Clinical Significance of the Effect of Adenosine on Dissociated Activity
Atrial fibrillation (AF), the most sustained cardiac arrhythmia
Difference Between Dormant Conduction Sites Revealed by Adenosine Triphosphate Provocation and Unipolar Pace-Capture Sites Along the Ablation Line After Pulmonary Vein Isolation Rikitake Kogawa, 1 MD,
Catheter 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:
UNmasking Dormant Electrical Reconduction by Adenosine TriPhosphate
KPAF trial The Kansai Plus Atrial Fibrillation (KPAF) trial is a 2x2 factorial randomized controlled trial, composed of the UNDER-ATP and EAST-AF trials. Efficacy of adenosine triphosphate guided ablation
Catheter 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
2004 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
Erik Wissner, MD, F.A.C.C. Asklepios Klinik St. Georg Hamburg, Germany on behalf of the VTACH Study group
Impact of Inducibility of VT during Ablation and Acute Success of Catheter Ablation on Survival Free from VT/VF and ICD Shocks: Lessons from the VTACH Study Erik Wissner, MD, F.A.C.C. Asklepios Klinik
SEVEN YEARS OF CRYO-BALLOON CATHETER ABLATION
SEVEN YEARS OF CRYO-BALLOON CATHETER ABLATION. FOLLOW-UP ANALYSIS, RESULTS, RECURRENCES, COMPLICATIONS AND SIDE EFFECTS IN PATIENTS TREATED FOR PAROXYSMAL ATRIAL FIBRILLATION, WITH A PROSPECTIVE PROTOCOL
Introduction. CLINICAL RESEARCH Ablation for atrial fibrillation
Europace (2016) 18, 71 77 doi:10.1093/europace/euv224 CLINICAL RESEARCH Ablation for atrial fibrillation Electrophysiological findings following pulmonary vein isolation using radiofrequency catheter guided
Outcomes 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
Catheter 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,
Κατάλυση 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
Electrical isolation of the pulmonary veins (PVs) to treat
Mechanisms of Organized Left Atrial Tachycardias Occurring After Pulmonary Vein Isolation Edward P. Gerstenfeld, MD; David J. Callans, MD; Sanjay Dixit, MD; Andrea M. Russo, MD; Hemal Nayak, MD; David
How to Distinguish Focal Atrial Tachycardia from Small Circuits and Reentry
How to Distinguish Focal Atrial Tachycardia from Small Circuits and Reentry Pierre Jaïs; Bordeaux, France IHU LIRYC ANR-10-IAHU-04 Equipex MUSIC imaging platform ANR-11-EQPX-0030 Eutraf HEALTH-F2-2010-261057
Introduction. CLINICAL RESEARCH Ablation for atrial fibrillation
Europace (217) 19, 775 783 doi:1.193/europace/euw15 CLINICAL RESEARCH Ablation for atrial fibrillation Ablation index, a novel marker of ablation lesion quality: prediction of pulmonary vein reconnection
Atrial 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
CARDIOINSIGHT TM NONINVASIVE 3D MAPPING SYSTEM CLINICAL EVIDENCE SUMMARY
CARDIOINSIGHT TM NONINVASIVE 3D MAPPING SYSTEM CLINICAL EVIDENCE SUMMARY April 2017 SUPPORTING EVIDENCE RHYTHM AF VT PUBLICATIONS Driver Domains in Persistent Atrial Fibrillation (Haissaiguerre, et al)
CLINICAL COMPENDIUM. The HeartLight Endoscopic Ablation System Putting a New Level of PVI Precision Close at Hand. CardioFocus.com
CLINICAL COMPENDIUM The HeartLight Endoscopic Ablation System Putting a New Level of PVI Precision Close at Hand CardioFocus.com Published results noted below may include references to both on-label and
ΚΑΤΑΛΥΣΗ 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
Catheter ABlation vs ANtiarrhythmic Drug Therapy in Atrial Fibrillation (CABANA) Trial
Catheter ABlation vs ANtiarrhythmic Drug Therapy in Atrial Fibrillation (CABANA) Trial Douglas L. Packer MD, Kerry L. Lee PhD, Daniel B. Mark MD, MPH, Richard A. Robb PhD for the CABANA Investigators Mayo
Cardiology Department, Ain Shams University, Cairo, Egypt.
Early Pulmonary Vein Conduction Recovery After Catheter Ablation Of Atrial Fibrillation Ayman Mortada 1, Saeed Khaled 1, Samir Wafa 1, Hayam Eldamanhoury 1, Ahmed Nabil 1 1 Cardiology Department, Ain Shams
Ablation of atrial fibrillation Techniques and workflow in AF rotors. G. Hindricks and Ph. Sommer
IDSS - Israel Tel Aviv 2016 Ablation of atrial fibrillation Techniques and workflow in AF rotors G. Hindricks and Ph. Sommer University of Leipzig - Heart Center - Department of Electrophysiology Presenter
Surgical Ablation for Lone AF: What have we learned after 30 years?
Surgical Ablation for Lone AF: What have we learned after 30 years? Ralph J. Damiano, Jr., MD Evarts A. Graham Professor of Surgery Chief of Cardiothoracic Surgery Vice Chairman, Department of Surgery
Samuel Asirvatham, MD & Enrique Melgarejo Rojas, MD Saturday, June 24, :40 to 3:25 p.m.
Arrhythmias and Clinical EP Atrial Fibrillation: Contemporary Management Strategies Samuel Asirvatham, MD & Enrique Melgarejo Rojas, MD Saturday, June 24, 2017 2:40 to 3:25 p.m. AF Ablation and The Impact
Closurefast radiofrequency ablation for the treatment of GSV: Technique and outcome results
Closurefast radiofrequency ablation for the treatment of GSV: Technique and outcome results Stephen Black Consultant Vascular Surgeon Clinical Lead for Venous and Lymphoedema Surgery Guy s and St Thomas
Persistent AF: when and why using the Cryo Technology
Persistent AF: when and why using the Cryo Technology Cesare Storti Electrophysiology and Cardiac Pacing Unit Istituto di Cura Città di Pavia, Pavia, Italy Persistent AF: when and why using the Cryo Technology
Biatrial Maze or PVI to Ablate Afib? Marc Gillinov, MD
Biatrial Maze or PVI to Ablate Afib? Marc Gillinov, MD Disclosures Consultant/Speaker AtriCure Medtronic CryoLife Edwards Abbott Research Funding Abbott Equity Interest Clear Catheter Cleveland Clinic
Bipolar Radiofrequency Energy
Bipolar Radiofrequency Energy Ralph J. Damiano, Jr., MD Evarts A. Graham Professor of Surgery Chief, Division of Cardiothoracic Surgery Barnes-Jewish Hospital Washington University School of Medicine St.
Ablation 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
Indicatie 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,
Long-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
Combined 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
Jesus 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
The Future of Catheter Ablation
The Future of Catheter Ablation KH Kuck, MD Asklepios Klink St. Georg, Hamburg Disclosure Statement Research Grants Consultant / Advisory Board Ownership Interests Speaker s Bureau Honoraria Biosense Webster,
974 ZUCCHELLI G et al. Circ J 2018; 82: ORIGINAL ARTICLE doi: /circj.CJ
974 ZUCCHELLI G et al. Circ J 2018; 82: 974 982 ORIGINAL ARTICLE doi: 10.1253/circj.CJ-17-0421 Arrhythmia/Electrophysiology Contiguity Between Ablation Lesions and Strict Catheter Stability Settings Assessed
Original Article Short- and long-term experience in pulmonary vein segmental ostial ablation for paroxysmal atrial fibrillation*
www.ipej.org 6 Original Article Short- and long-term experience in pulmonary vein segmental ostial ablation for paroxysmal atrial fibrillation* *English version of "Langzeit-Ergebnisse der ostialen Pulmonalvenenisolation
Atrial Fibrillation Procedures Data Summary. Participant STS Period Ending 12/31/2016
Period Ending 12/31/2016 Number of Cases Preoperative Predominant Atrial Arrhythmia Type Paroxysmal Atrial Fibrillation... - - Persistent Atrial Fibrillation... - - Longstanding Persistent Atrial Fibrillation...
Atrial 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
Initial Experience Using AutoMark in Atrial Fibrillation Ablation
83 EJCM 2018; 06 (3): 83-88 Doi: 10.32596/ejcm.18.00383 Initial Experience Using AutoMark in Atrial Fibrillation Ablation Krasimir R. Dzhinsov 1, Tosho L. Balabanski 2 1) St. George University Hospital
Catheter ablation is a well-established treatment for
548 TANAKA N et al. Circulation Journal ORIGINAL ARTICLE Circ J 2019; 83: 548 555 doi: 10.1253/circj.CJ-18-1035 Arrhythmia/Electrophysiology Comparison of the Safety and Efficacy of Automated Annotation-Guided
The lesion characteristics assessed by LGE-MRI after the cryoballoon ablation and conventional radiofrequency ablation
Received: 24 October 2017 Accepted: 23 November 2017 DOI: 10.1002/joa3.12025 ORIGINAL ARTICLE The lesion characteristics assessed by LGE-MRI after the cryoballoon ablation and conventional radiofrequency
Mapping and Ablation of Challenging Outflow Tract VTs: Pulmonary Artery, LVOT, Epicardial
Mapping and Ablation of Challenging Outflow Tract VTs: Pulmonary Artery, LVOT, Epicardial Samuel J. Asirvatham, MD Mayo Clinic Rochester California Heart Rhythm Symposium San Francisco, CA September 8,
Supplementary Online Content
Supplementary Online Content Verma A, Champagne J, Sapp J, et al. Asymptomatic episodes of atrial fibrillation before and after catheter ablation: a prospective, multicenter study. JAMA Intern Med. Published
A MULTIDISCIPLINARY APPROACH TO ATRIAL FIBRILLATION: OUR EXPERIENCE WITH THE CONVERGENT PROCEDURE
A MULTIDISCIPLINARY APPROACH TO ATRIAL FIBRILLATION: OUR EXPERIENCE WITH THE CONVERGENT PROCEDURE Joe Aoun, MD Ioannis Koulouridis, MD, MSc Aleem Mughal, MD Maxwell Eyram Afari, MD Caroline Zahm, MD John
The Use of Adjunctive Venography and Endovascular Manoeuvres In The Treatment of Saphenous Vein Insufficiency. A Prospective, Multi-centre Study
The Use of Adjunctive Venography and Endovascular Manoeuvres In The Treatment of Saphenous Vein Insufficiency A Prospective, Multi-centre Study Ramon L. Varcoe, MBBS, MS, FRACS, PhD Associate Professor
One-year clinical success of a no-bonus freeze protocol using the second-generation 28 mm cryoballoon for pulmonary vein isolation
Europace (2015) 17, 1236 1240 doi:10.1093/europace/euv024 CLINICAL RESEARCH Ablation for atrial fibrillation One-year clinical success of a no-bonus freeze protocol using the second-generation 28 mm cryoballoon
Atrial Fibrillation and Sleep Apnea. Farhat S. Khairallah, MD, FHRS, FACC
Atrial Fibrillation and Sleep Apnea Farhat S. Khairallah, MD, FHRS, FACC The art of medicine consists in amusing the patient while nature cures the disease. Voltaire Classification of AF Paroxysmal AF
8/26/2016. Historical Perspective (1) Is Cryoballoon the Preferred Approach to Ablation of Paroxysmal AF? Historical Perspective (2)
California Heart Rhythm Symposium September 9-10, 2016 Is Cryoballoon the Preferred Approach to Ablation of Paroxysmal AF? Peter Guerra Institut de Cardiologie de Montréal Historical Perspective (1) 1992
Radiofrequency Energy: Irrigation and Alternate Catheters. Andreas Pflaumer
Radiofrequency Energy: Irrigation and Alternate Catheters Andreas Pflaumer Irrigated tip RF ablation Irrigated tip How does it work? Potential benefits? Potential risks? How is this relevant to pediatric
Modifiable Up-Stream Risk Factors:
Modifiable Up-Stream Risk Factors: Recent Studies in AF Prevention Behzad Pavri, MD, FACC, FHRS Professor of Medicine Director, CCEP Fellowship Thomas Jefferson University Hospital, Philadelphia, USA Disclosures
Rotor Mapping A FIRM Foundation Exists
Rotor Mapping A FIRM Foundation Exists John M. Miller, MD Professor of Medicine Indiana University School of Medicine Krannert Institute of Cardiology Director, Clinical Cardiac Electrophysiology ~ Disclosures
Treatment of Atrial Fibrillation in Heart Failure
Stockholm, September 1st 2010 Treatment of Atrial Fibrillation in Heart Failure Rhythm control: Which drugs? Stefan H. Hohnloser J.W. Goethe University Frankfurt, Germany Presenter disclosure information:
Comparative Effectiveness of Radiofrequency Catheter Ablation for Atrial Fibrillation Executive Summary
Number 15 Effective Health Care Comparative Effectiveness of Radiofrequency Catheter Ablation for Atrial Fibrillation Executive Summary Background The Agency for Healthcare Research and Quality commissioned
Ablation 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,
ViewFlex Xtra ICE Catheter. Positioning Reference Manual
ViewFlex Xtra ICE Catheter Positioning Reference Manual ViewFlex Xtra ICE Catheter Index The ViewFlex Xtra ICE Catheter, which is compatible with the ViewMate Z and ViewMate II ultrasound consoles, provides
Trial design and selection criteria
Background Cox-MAZE open chest, cardiac surgery was a very successful invasive procedure for treatment of AF 1, but highly invasive Since the landmark trial by Haissaguerre et al. 2, PV isolation by catheter
Hybrid Surgical Ablation in South America: Lesson Learned. Joao R. Breda
Hybrid Surgical Ablation in South America: Lesson Learned Joao R. Breda DISCLOSURES NONE 2 How to treat Atrial Fibrillation (AF) Understanding of pathophysiology mechanisms Ablation approach Choice of
Precise lesion formation is crucial for successful
2722 MÜNKLER P et al. Circ J 2018; 82: 2722 2727 ORIGINAL ARTICLE doi: 10.1253/circj.CJ-18-0361 Arrhythmia/Electrophysiology Ablation Index for Catheter Ablation of Atrial Fibrillation Clinical Applicability
Division of Cardiology, Northwestern University, Feinberg School of Medicine.
Reconnection Rate and Long-Term Outcome with Adenosine Provocation During Cryoballoon Ablation for Pulmonary Vein Isolation Rachel M Kaplan 1, Sanjay Dandamudi 1, Martha Bohn 1, Nishant Verma 1, Todd T
Can the UK afford ablation for persistent AF? cost efficacy analysis. Dr Derick Todd Liverpool Heart & Chest Hospital
Can the UK afford ablation for persistent AF? cost efficacy analysis Dr Derick Todd Liverpool Heart & Chest Hospital Conflicts of Interest Speaker fees / Consultancy / Travel support: Bayer Boehringer
Pulmonary vein isolation (PVI) has become the cornerstone. Original Article
Original Article In Vivo Contact Force Analysis and Correlation With Tissue Impedance During Left Atrial Mapping and Catheter Ablation of Atrial Fibrillation Hisaki Makimoto, MD, PhD; Tina Lin, MD; Andreas