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Journal of Interventional Cardiac Electrophysiology OnlineFirst articles

23.04.2024 | CASE REPORTS

Novel automated atrial pacemapping technique based on intracardiac pattern matching to identify the location of ectopic atrial activity

Atrial ectopy from the pulmonary veins and non-pulmonary vein foci can trigger atrial fibrillation. In addition, the elimination of atrial ectopy is important to prevent recurrence. The intracardiac pattern matching technique has been reported as …

verfasst von:
Suguru Nishiuchi, Tomohiro Sato, Shintaro Yamagami, Hirokazu Kondo, Toshihiro Tamura

23.04.2024 | CASE REPORTS

Severe ST-segment elevation and AV block during pulsed-field ablation due to vasospastic angina — a novel observation

Catheter ablation of atrial fibrillation using non-thermal electroporation represents a promising ablation modality due to its believed superior safety profile. Still, if electroporation is delivered in proximity to a coronary artery, vasospasms …

verfasst von:
David Schaack, Karin Plank, Stefano Bordignon, Lukas Urbanek, Shota Tohoku, Jun Hirokami, Boris Schmidt, Julian Kyoung-Ryul Chun

Open Access 22.04.2024 | ORIGINAL RESEARCH

Therapeutic potential of conduction system pacing as a method for improving cardiac output during ventricular tachycardia

Hemodynamic compromise in ventricular tachycardia (VT) does not arise solely from rapid heart rates because sinus tachycardia and supraventricular tachycardias, at similar rates, generally cause less compromise. One contributor is the loss of …

verfasst von:
Daniel Keene, Alejandra A. Miyazawa, Ahran D. Arnold, Akriti Naraen, Nandita Kaza, Jagdeep S. Mohal, David C. Lefroy, Phang Boon Lim, Fu Siong Ng, Michael Koa-Wing, Norman A. Qureshi, Nick W. F. Linton, Ian Wright, Nicholas S. Peters, Prapa Kanagaratnam, Matthew J. Shun-Shin, Darrel P. Francis, Zachary I. Whinnett

20.04.2024 | TECHNICAL REPORT

Pulsed field ablation for atrial fibrillation when in proximity to LAA AtriClip: the LAA-Clip does not inhibit the pulse

Pulsed field ablation (PFA) is a novel, non-thermal ablation technology to treat atrial fibrillation (AF). PFA has caught great interest because of its unique safety and efficacy profile, e.g., the myocardial tissue selectivity and the advantage …

verfasst von:
Ramin Ebrahimi, Julian K. R. Chun, Boris Schmidt, Shaojie Chen

20.04.2024 | INVITED COMMENTARY

Redefining cardiac care: the promising horizon of epicardial pulse field ablation for postoperative atrial fibrillation

We know from knowledge of anatomy that the cardiac GP is located in three main areas: the retroatrial GP, the annular ventricular GP in the oblique sinus, and the peri-great vessel GP in the transverse sinus [ 5 , 6 ]. Musikantow et al. describe …

verfasst von:
Juan Carlos Zerpa Acosta, Gurukripa N. Kowlgi

20.04.2024 | ORIGINAL RESEARCH

Trans-jugular approach for safe and successful cryoablation of para-Hisian/anterior-septal, anterior, and anterior-lateral accessory pathways in children

Acute success rates, fluoroscopy, and procedural times in pediatric transcatheter ablation have improved over the last 25 years [ 1 ]; however, recurrence rates remain considerable for specific AP localizations. Indeed, ablation of right anterior …

verfasst von:
Fabrizio Drago, Francesco Flore, Pietro Paolo Tamborrino, Massimo Stefano Silvetti, Stella Maiolo, Massimiliano Raponi

Open Access 18.04.2024

Three-year incidence of pacemaker implantation in patients with atrial fibrillation and sinus node dysfunction receiving ablation versus antiarrhythmic drugs

Atrial fibrillation (AF) is the most common cardiac arrhythmia among adults affecting up to 6 million people in the US and is expected to rise to 7.2 million by 2035 [ 1 , 2 ]. Sinus node dysfunction (SND) is characterized by abnormalities in the …

verfasst von:
Nazli Kubra Okumus, Emily P. Zeitler, Abdelmoniem Moustafa, Maximiliano Iglesias, Rahul Khanna, Yiran Rong, Saima Karim

18.04.2024 | Original Research

Comparative utility of omnipolar and bipolar electroanatomic mapping methods to detect and localize dual nodal substrate in patients with atrioventricular nodal reentrant tachycardia

Atrioventricular nodal reentrant tachycardia (AVNRT) is the most common form of paroxysmal supraventricular tachycardia in humans, caused by reentry using fast and slow pathways of the AV node typically located within the triangle of Koch (TK) on …

verfasst von:
Edward T. O’Leary, Davis Sneider, Robert Przybylski, Audrey Dionne, Mark E. Alexander, Douglas Y. Mah, John K. Triedman, Elizabeth S. DeWitt

17.04.2024

Effect of adaptive cardiac resynchronization therapy in heart failure patients with pacemaker dependency

Cardiac resynchronization therapy (CRT) is an established treatment for patients with heart failure with reduced ejection fraction (HFrEF) [ 1 ]. In the BLOCK-HF trial, patients with atrioventricular (AV) block and a left ventricular (LV) ejection …

verfasst von:
Toshihiro Nakamura, Kohei Ishibashi, Nobuhiko Ueda, Satoshi Oka, Yuichiro Miyazaki, Akinori Wakamiya, Kenzaburo Nakajima, Tsukasa Kamakura, Mitsuru Wada, Yuko Inoue, Koji Miyamoto, Satoshi Nagase, Takeshi Aiba, Kengo Kusano

Open Access 17.04.2024 | ORIGINAL RESEARCH

Pressure waveform analysis for occlusion assessment significantly reduces contrast medium use in cryoballoon pulmonary vein isolation

Pulmonary vein isolation (PVI) represents the cornerstone of atrial fibrillation (AF) ablation today [ 1 ]. Cryoballoon-guided PVI (CB-PVI) has emerged a well-established ablation approach for safe and successful AF ablation and has been shown to …

verfasst von:
Vanessa Sciacca, Thomas Fink, Stephan Winnik, Mustapha El Hamriti, Denise Guckel, Maxim Didenko, Maximilian Mörsdorf, Martin Braun, Moneeb Khalaph, Guram Imnadze, Philipp Sommer, Christian Sohns

13.04.2024 | CONSENSUS STATEMENT

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

In the last three decades, ablation of atrial fibrillation (AF) has become an evidence-based safe and efficacious treatment for managing the most common cardiac arrhythmia. In 2007, the first joint expert consensus document was issued, guiding …

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

Open Access 11.04.2024 | ORIGINAL RESEARCH

Strategy to achieve mitral isthmus flutter ablation by radiofrequency: the SHERIFF plan

Successful ablation of perimitral atrial tachycardia (PMAT) using radiofrequency catheter ablation remains challenging. The standard ablation technique consists of the creation of a mitral isthmus (MI) line from the lateral mitral annulus to the …

verfasst von:
Alexis Mechulan, Pierre Dieuzaide, Angélique Peret, Thibaud Vaugrenard, Sophiane Houamria, Frederic Pons, Lyassine Nait-Saidi, Ichem Miliani, Thomas Lemann, Ahmed Bouharaoua, Sébastien Prévot

11.04.2024 | RESEARCH LETTER

Time to capitalise on artificial intelligence in cardiac electrophysiology

The complexity and heterogeneity of data available for patients with cardiovascular disease present an ideal opportunity for artificial intelligence to enhance patient care. For patients with or under investigation for arrhythmias, data are …

verfasst von:
Neil Bodagh, Magda Klis, Ali Gharaviri, Vinush Vigneswaran, Keeran Vickneson, Michelle C. Williams, Steven Niederer, Mark O’Neill, Steven E. Williams

08.04.2024 | ORIGINAL RESEARCH

Ablation-induced left atrial mechanical dysfunction recovers in weeks after ablation

Atrial fibrillation (AF) is the most common cardiac arrhythmia associated with significant comorbidity [ 1 ]. AF is characterized by chaotic electrical activity in the atria produced by ectopic foci of activation and reentrant pathways, which gives …

verfasst von:
Jiawei Dong, Eugene Kwan, Jake A. Bergquist, Benjamin A. Steinberg, Derek J. Dosdall, Edward V. R. DiBella, Rob S. MacLeod, T. Jared Bunch, Ravi Ranjan

08.04.2024 | IMAGES IN ELECTROPHYSIOLOGY

Right-sided implantation with left-sided connection of a left bundle branch area pacing lead

verfasst von:
Serkan Cay, Gorkem Kus, Ozcan Ozeke, Firat Ozcan, Meryem Kara, Hande Cetin, Ahmet Korkmaz, Serkan Topaloglu

05.04.2024 | COMMENTARY

Intracardiac echocardiography, electroanatomical mapping, and the obsolescence of fluoroscopy for catheter ablation procedures

A zero-fluoro ablation is beneficial for patients, avoiding the carcinogenic stochastic effects of ionizing radiation. Radiation safety efforts have been aimed at using doses “as low as reasonably achievable”; in 2024, the complete absence of …

verfasst von:
Matthew J. Singleton, Jose Osorio

Open Access 04.04.2024

The impact of ultrasound-guided vascular access for catheter ablation of left atrial arrhythmias in a high-volume centre

Atrial fibrillation (AF) is the most common cardiac rhythm disorder affecting 2 to 4% of adults [ 1 ]. In recent decades, there has been a significant increase in the number of AF ablation procedures [ 2 ]. Catheter ablation is a well-established …

verfasst von:
Amelie Krimphoff, Lukas Urbanek, Stefano Bordignon, David Schaack, Shota Tohoku, Shaojie Chen, K. R. Julian Chun, Boris Schmidt

04.04.2024 | ORIGINAL RESEARCH

Optimal ablation settings of TactiFlex SE laser-cut irrigated-tip catheter: comparison with ThermoCool SmartTouch SurroundFlow porous irrigated-tip catheter

Radiofrequency catheter ablation (RFCA) represents a widely accepted treatment for symptomatic atrial fibrillation [ 1 , 2 ]. The success of RFCA relies significantly on creating adequate thermal lesions during the ablation procedure. Several …

verfasst von:
Kazumasa Suga, Hiroyuki Kato, Shigeki Akita, Taku Sakurai, Ryusuke Ota, Takuya Okada, Hisashi Murakami, Kenji Kada, Naoya Tsuboi, Satoshi Yanagisawa, Yasuya Inden, Toyoaki Murohara

01.04.2024 | INVITED COMMENTARY

One shot to challenge single-shot

verfasst von:
Matthew Dai, Chirag Barbhaiya

01.04.2024 | COMMENTARY

How to achieve optimal cardiac resynchronization therapy implantation in individuals with persistent left superior vena cava

verfasst von:
Naoya Kataoka, Teruhiko Imamura