scholarly journals Successful Catheter Ablation of Focal Left Atrial Tachycardia Originating From the Mitral Annulus Aorta Junction

2006 ◽  
Vol 47 (3) ◽  
pp. 461-468 ◽  
Author(s):  
Kiyoshi Otomo ◽  
Koji Azegami ◽  
Takeshi Sasaki ◽  
Mihoko Kawabata ◽  
Kenzo Hirao ◽  
...  
1996 ◽  
Vol 19 (6) ◽  
pp. 988-992 ◽  
Author(s):  
CHRISTOPHER MALLAVARAPU ◽  
DAVID SCHWARTZMAN ◽  
DAVID J. CALLANS ◽  
CHARLES D. GOTTLIEB ◽  
FRANCIS E. MARCHLINSKI

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Stephanie M Kochav ◽  
Elizabeth Wang ◽  
Isaac Goldenthal ◽  
Angelo B Biviano ◽  
Elaine Wan ◽  
...  

Introduction: Atrial arrhythmias (AA) are common after lung transplant (LT) and may impact overall mortality. The majority of arrhythmias tend to be organized flutter, amenable to ablation; however the data is limited. Hypothesis: The purpose of this study was to investigate the outcomes of radiofrequency catheter ablation of AA in LT recipients. Methods: All LT recipients undergoing electrophysiology study at our institution between 2011-2018 were retrospectively reviewed. A total of 20 atrial ablations were identified in 16 patients. Mean follow-up was 4 ± 2.9 years. Results: Overall, mean age was 55 ± 13 years, 63% were male, 63% were status post bilateral (vs. single) LT, and mean LVEF was 57%. Transplant indications included interstitial lung disease (44%), COPD (19%), and cystic fibrosis (19%). Antiarrhythmics and beta blockers were used in 44% and 75%, respectively. Mean time from transplant to first ablation was 2.7 years. Of 20 ablations, macro-reentrant flutter (75%) and focal atrial tachycardia (15%) were common, particularly in double LT recipients (Figure). The most common ablation sites were pulmonary vein anastomosis/left atrial ridge (60%), mitral annulus (35%) and left atrial roof (30%). Restoration of sinus rhythm occurred in 19 of 20 procedures and only one complication occurred (e.g. small pericardial effusion without tamponade). Arrhythmia recurred in 10 (63%) patients, however, most were managed conservatively. Repeat ablation was needed in 4 patients, of which AAs originated from different locations. Beta blocker use was associated with a lower risk of SVT recurrence (p=0.04). Reduced LVEF and longer time to procedure post-transplant were associated with repeat ablation (p<0.05). Conclusions: The majority of AAs in LT recipients are atrial flutter originating near the pulmonary vein anastomosis sites. Despite a high immediate procedural success rate, recurrence is high and 25% of patients require multiple ablation attempts.


2005 ◽  
Vol 14 (3) ◽  
pp. 46
Author(s):  
M.D. Gonzalez ◽  
L.J. Contreras ◽  
M.R.M. Jongbloed

2008 ◽  
Vol 24 (2) ◽  
pp. 87-90
Author(s):  
Masahiko Goya ◽  
Ken-ichi Hiroshima ◽  
Hitoshi Yasumoto ◽  
Harushi Niu ◽  
Yoshimitsu Soga ◽  
...  

2008 ◽  
Vol 24 (2) ◽  
pp. 87-90
Author(s):  
Masahiko Goya ◽  
Ken-ichi Hiroshima ◽  
Hitoshi Yasumoto ◽  
Harushi Niu ◽  
Yoshimitsu Soga ◽  
...  

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