Abstract
Rotational angiography is a novel method for three-dimensional reconstruction of the left atrium and pulmonary veins during catheter ablation for atrial fibrillation, but is still hampered by suboptimal reconstructions in a considerable number of patients. We describe the results of rapid pacing of the right ventricle for optimization of image acquisition during rotational angiography.
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Suzuki S, Yamashita T, Otsuka T, Sagara K, Uejima T, Oikawa Y, Yajima J, Koike A, Nagashima K, Kirigaya H, Ogasawara K, Sawada H, Yamazaki T, Aizawa T (2009) Treatment strategy and clinical outcome in Japanese patients with atrial fibrillation. Heart Vessels 24:287–293
Chiladakis J, Koutsogiannis N, Kalogeropoulos A, Zagli F, Arvanitis P, Alexopoulos D (2008) Usefulness of rate regulation through continuous ventricular pacing in patients with drug-controlled slower atrial fibrillation and normal or depressed left ventricular systolic function. Heart Vessels 23:403–408
Orlov MV, Hoffmeister P, Chaudhry GM, Almasry I, Gijsbers GH, Swack T, Haffajee CI (2007) Three-dimensional rotational angiography of the left atrium and esophagus—a virtual computed tomography scan in the electrophysiology lab? Heart Rhythm 4:37–43
Thiagalingam A, Manzke R, D’Avila A, Ho I, Locke AH, Ruskin JN, Chan RC, Reddy VY (2008) Intraprocedural volume imaging of the left atrium and pulmonary veins with rotational X-ray angiography: implications for catheter ablation of atrial fibrillation. J Cardiovasc Electrophysiol 19:293–300
Nölker G, Gutleben KJ, Marschang H, Ritscher G, Asbach S, Marrouche N, Brachmann J, Sinha AM (2008) Three-dimensional left atrial and esophagus reconstruction using cardiac C-arm computed tomography with image integration into fluoroscopic views for ablation of atrial fibrillation: accuracy of a novel modality in comparison with multislice computed tomography. Heart Rhythm 5:1651–1657
Kriatselis C, Tang M, Roser M, Fleck E, Gerds-Li H (2009) A new approach for contrast-enhanced X-ray imaging of the left atrium and pulmonary veins for atrial fibrillation ablation: rotational angiography during adenosine-induced asystole. Europace 11:35–41
Ector J, De Buck S, Nuyens D, Rossenbacker T, Huybrechts W, Gopal R, Maes F, Heidbüchel H (2009) Adenosine-induced ventricular asystole or rapid ventricular pacing to enhance three-dimensional rotational imaging during cardiac ablation procedures. Europace 11:751–762
Gerds-Li J-H, Tang M, Kriatselis C, Roser M, Goetze S, He D, Fleck E (2009) Rapid ventricular pacing to optimize rotational angiography in atrial fibrillation ablation. J Interv Card Electrophysiol 26:101–107
Tang M, Kriatselis C, Ye G, Nedios S, Roser M, Solowjowa N, Fleck E, Gerds-Li JH (2009) Reconstructing and registering three-dimensional rotational angiogram of left atrium during ablation of atrial fibrillation. Pacing Clin Electrophysiol 32:1407–1416
Li JH, Haim M, Movassaghi B, Mendel JB, Chaudhry GM, Haffajee CI, Orlov MV (2009) Segmentation and registration of three-dimensional rotational angiogram on live fluoroscopy to guide atrial fibrillation ablation: a new online imaging tool. Heart Rhythm 6:231–237
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S. Hilbert and N. Dagres contributed equally to this manuscript and are joint first authors.
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Hilbert, S., Dagres, N., Hindricks, G. et al. Rapid ventricular pacing: a fast, reliable, and safe technique for optimization of image acquisition during rotational angiography for catheter ablation of atrial fibrillation. Heart Vessels 26, 349–352 (2011). https://doi.org/10.1007/s00380-010-0023-2
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DOI: https://doi.org/10.1007/s00380-010-0023-2