Not all rotors, effective ablation targets for nonparoxysmal atrial fibrillation, are included in areas suggested by conventional indirect indicators of atrial fibrillation drivers: ExTRa Mapping project

Background Effects of nonparoxysmal atrial fibrillation (non‐PAF) ablation targeting complex fractionated atrial electrogram (CFAE) areas and/or low voltage areas (LVAs) are still controversial. Methods and Results A recently developed online real‐time phase mapping system (ExTRa Mapping) was used t...

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Published inJournal of arrhythmia Vol. 34; no. 2; pp. 176 - 184
Main Authors Sakata, Kensuke, Okuyama, Yusuke, Ozawa, Tomoya, Haraguchi, Ryo, Nakazawa, Kazuo, Tsuchiya, Takeshi, Horie, Minoru, Ashihara, Takashi
Format Journal Article
LanguageEnglish
Published Japan John Wiley & Sons, Inc 01.04.2018
John Wiley and Sons Inc
Wiley
Subjects
Ablation (Surgery)
Atrial fibrillation
Cardiac arrhythmia
catheter ablation
Catheters
Computer simulation
driver
Heart
mapping
Original
Patients
Peptides
rotor
United States > US
rotor
atrial fibrillation
mapping
catheter ablation
driver
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Abstract Background Effects of nonparoxysmal atrial fibrillation (non‐PAF) ablation targeting complex fractionated atrial electrogram (CFAE) areas and/or low voltage areas (LVAs) are still controversial. Methods and Results A recently developed online real‐time phase mapping system (ExTRa Mapping) was used to conduct LVA mapping and simultaneous ExTRa and CFAE mapping in 28 non‐PAF patients after pulmonary vein isolation (PVI). Nonpassively activated areas, in the form of meandering rotors and/or multiple wavelets assumed to contain non‐PAF drivers, partly overlapped with CFAE/LVAs but not always coincided with them. Conclusion Real‐time rotor imaging, rather than conventional indirect indicators only, might be very useful for detecting non‐PAF drivers.
AbstractList BackgroundEffects of nonparoxysmal atrial fibrillation (non-PAF) ablation targeting complex fractionated atrial electrogram (CFAE) areas and/or low voltage areas (LVAs) are still controversial.Methods and ResultsA recently developed online real-time phase mapping system (ExTRa Mapping) was used to conduct LVA mapping and simultaneous ExTRa and CFAE mapping in 28 non-PAF patients after pulmonary vein isolation (PVI). Nonpassively activated areas, in the form of meandering rotors and/or multiple wavelets assumed to contain non-PAF drivers, partly overlapped with CFAE/LVAs but not always coincided with them.ConclusionReal-time rotor imaging, rather than conventional indirect indicators only, might be very useful for detecting non-PAF drivers.
Abstract Background Effects of nonparoxysmal atrial fibrillation (non‐PAF) ablation targeting complex fractionated atrial electrogram (CFAE) areas and/or low voltage areas (LVAs) are still controversial. Methods and Results A recently developed online real‐time phase mapping system (ExTRa Mapping) was used to conduct LVA mapping and simultaneous ExTRa and CFAE mapping in 28 non‐PAF patients after pulmonary vein isolation (PVI). Nonpassively activated areas, in the form of meandering rotors and/or multiple wavelets assumed to contain non‐PAF drivers, partly overlapped with CFAE/LVAs but not always coincided with them. Conclusion Real‐time rotor imaging, rather than conventional indirect indicators only, might be very useful for detecting non‐PAF drivers.
Effects of nonparoxysmal atrial fibrillation (non-PAF) ablation targeting complex fractionated atrial electrogram (CFAE) areas and/or low voltage areas (LVAs) are still controversial. A recently developed online real-time phase mapping system (ExTRa Mapping) was used to conduct LVA mapping and simultaneous ExTRa and CFAE mapping in 28 non-PAF patients after pulmonary vein isolation (PVI). Nonpassively activated areas, in the form of meandering rotors and/or multiple wavelets assumed to contain non-PAF drivers, partly overlapped with CFAE/LVAs but not always coincided with them. Real-time rotor imaging, rather than conventional indirect indicators only, might be very useful for detecting non-PAF drivers.
Background: Effects of nonparoxysmal atrial fibrillation (non-PAF) ablation targeting complex fractionated atrial electrogram (CFAE) areas and/or low voltage areas (LVAs) are still controversial. Methods and Results: A recently developed online real-time phase mapping system (ExTRa Mapping) was used to conduct LVA mapping and simultaneous ExTRa and CFAE mapping in 28 non-PAF patients after pulmonary vein isolation (PVI). Nonpassively activated areas, in the form of meandering rotors and/or multiple wavelets assumed to contain non-PAF drivers, partly overlapped with CFAE/LVAs but not always coincided with them. Conclusion: Real-time rotor imaging, rather than conventional indirect indicators only, might be very useful for detecting non-PAF drivers.
Effects of nonparoxysmal atrial fibrillation (non-PAF) ablation targeting complex fractionated atrial electrogram (CFAE) areas and/or low voltage areas (LVAs) are still controversial. A recently developed online real-time phase mapping system (ExTRa Mapping) was used to conduct LVA mapping and simultaneous ExTRa and CFAE mapping in 28 non-PAF patients after pulmonary vein isolation (PVI). Nonpassively activated areas, in the form of meandering rotors and/or multiple wavelets assumed to contain non-PAF drivers, partly overlapped with CFAE/LVAs but not always coincided with them. Real-time rotor imaging, rather than conventional indirect indicators only, might be very useful for detecting non-PAF drivers.
Background Effects of nonparoxysmal atrial fibrillation (non‐PAF) ablation targeting complex fractionated atrial electrogram (CFAE) areas and/or low voltage areas (LVAs) are still controversial. Methods and Results A recently developed online real‐time phase mapping system (ExTRa Mapping) was used to conduct LVA mapping and simultaneous ExTRa and CFAE mapping in 28 non‐PAF patients after pulmonary vein isolation (PVI). Nonpassively activated areas, in the form of meandering rotors and/or multiple wavelets assumed to contain non‐PAF drivers, partly overlapped with CFAE/LVAs but not always coincided with them. Conclusion Real‐time rotor imaging, rather than conventional indirect indicators only, might be very useful for detecting non‐PAF drivers.
Audience Academic
Author Tsuchiya, Takeshi
Sakata, Kensuke
Nakazawa, Kazuo
Ashihara, Takashi
Haraguchi, Ryo
Horie, Minoru
Ozawa, Tomoya
Okuyama, Yusuke
AuthorAffiliation 4 EP Expert Doctors‐Team Tsuchiya Kumamoto Japan
2 Graduate School of Applied Informatics University of Hyogo Kobe Japan
3 Department of Medical Informatics National Cerebral and Cardiovascular Center Suita Japan
1 Department of Cardiovascular Medicine Shiga University of Medical Science Otsu Japan
AuthorAffiliation_xml – name: 1 Department of Cardiovascular Medicine Shiga University of Medical Science Otsu Japan
– name: 2 Graduate School of Applied Informatics University of Hyogo Kobe Japan
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Issue 2
Keywords rotor
atrial fibrillation
mapping
catheter ablation
driver
Language English
License Attribution-NonCommercial-NoDerivs
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Notes Funding information
This work was supported in part by the Grant‐in‐Aid 16K09431 and 25461106 for Scientific Research (C) (to K.S., T.O., R.H., K.N., and T.A.), 15H01801 for Scientific Research (A) (to K.N. and T.A.), and 15K09077 for Scientific Research (C) (to K.N. and T.A.) from the Ministry of Education, Culture, Sports, Science, and Technology of Japan.
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Snippet Background Effects of nonparoxysmal atrial fibrillation (non‐PAF) ablation targeting complex fractionated atrial electrogram (CFAE) areas and/or low voltage...
Effects of nonparoxysmal atrial fibrillation (non-PAF) ablation targeting complex fractionated atrial electrogram (CFAE) areas and/or low voltage areas (LVAs)...
Background: Effects of nonparoxysmal atrial fibrillation (non-PAF) ablation targeting complex fractionated atrial electrogram (CFAE) areas and/or low voltage...
BackgroundEffects of nonparoxysmal atrial fibrillation (non-PAF) ablation targeting complex fractionated atrial electrogram (CFAE) areas and/or low voltage...
Abstract Background Effects of nonparoxysmal atrial fibrillation (non‐PAF) ablation targeting complex fractionated atrial electrogram (CFAE) areas and/or low...
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StartPage 176
SubjectTerms Ablation (Surgery)
Atrial fibrillation
Cardiac arrhythmia
catheter ablation
Catheters
Computer simulation
driver
Heart
mapping
Original
Patients
Peptides
rotor
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Title Not all rotors, effective ablation targets for nonparoxysmal atrial fibrillation, are included in areas suggested by conventional indirect indicators of atrial fibrillation drivers: ExTRa Mapping project
URI https://onlinelibrary.wiley.com/doi/abs/10.1002%2Fjoa3.12036
https://www.ncbi.nlm.nih.gov/pubmed/29657593
https://www.proquest.com/docview/2329733512
https://search.proquest.com/docview/2025798281
https://pubmed.ncbi.nlm.nih.gov/PMC5891413
https://doaj.org/article/47b76431c71b4ba79e906e96971fc1d8
Volume 34
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