The ridge line of left pulmonary vein isolation from left atrial appendage can subsequently increase the completion rate of the mitral isthmus block line
Background and objectives Mitral isthmus (MI) ablation for mitral flutter is technically difficult, and incomplete block line is not uncommon. The objective of this study is to investigate the effect of the ridge line of left pulmonary vein isolation (LPVI) from left atrial appendage (LAA) on comple...
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| Veröffentlicht in: | Journal of interventional cardiac electrophysiology 2023-04, Vol.66 (3), p.673-681 |
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| creator | Hori, Hitomi Kaneko, Shinji Fujita, Masaya Nagai, Shin Ito, Ryota Shirai, Yoshinori Adachi, Kentaro Suzuki, Noriyuki Suzuki, Junya Kondo, Kiyota Yamauchi, Ryota Haga, Tomoaki Tatami, Yosuke Ohashi, Taiki Kubota, Ryuji Shinoda, Masanori Tanaka, Akihito Inden, Yasuya Murohara, Toyoaki |
| description | Background and objectives
Mitral isthmus (MI) ablation for mitral flutter is technically difficult, and incomplete block line is not uncommon. The objective of this study is to investigate the effect of the ridge line of left pulmonary vein isolation (LPVI) from left atrial appendage (LAA) on completion rate of mitral isthmus (MI) block line and recurrence rate of atrial tachycardia (AT) or atrial flutter (AFL) after the first MI ablation.
Methods
We identified 611 patients who underwent first MI ablation for mitral flutter during the study period. Finally, 559 patients were enrolled and divided into two groups according to the method of ridge line ablation of LPVI (LAA group,
n
= 467, conventional group,
n
= 92). Outcome measures were the completion of MI block line by first MI ablation, the recurrence of AT/AFL, and repeat MI ablation after the first MI ablation.
Results
The first MI block line completion rate was significantly higher in the LAA group than the conventional group (95% vs. 85%,
p
|
| doi_str_mv | 10.1007/s10840-022-01382-y |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2722312809</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2722312809</sourcerecordid><originalsourceid>FETCH-LOGICAL-c326t-4301d9b6f2fb6ce817ea10bd306b9d30f58efbb91529bbf78d05ec1dfeb238043</originalsourceid><addsrcrecordid>eNp9kc9uFiEUxSdGY__oC7gwJG66Gb3AxwyzNI3VJk3ctEl3E2AuLZWBERiT71F8W-k3VRMXboDA755zwmmaNxTeU4D-Q6Ygd9ACYy1QLlm7f9YcU9GzVopBPK9nLnkre3F71Jzk_AAAA7DuZXPEOwaUcnHc_Ly-R5LcdIfEu4AkWuLRFrKsfo5BpT35gS4Ql6NXxcVAbIrzhqiSnPJELQuGSVUBowLJq874fcVQ_J64YBKqjKRUExPnxeNBI6lycHq8nl1JVcXlcj-vmWgfzbdDlFfNC6t8xtdP-2lzc_Hp-vxLe_X18-X5x6vWcNaVdseBToPuLLO6Myhpj4qCnjh0eqirFRKt1gMVbNDa9nICgYZOFjXjEnb8tDnbdJcUa_Bcxtllg96rgHHNI-sZ45RJGCr67h_0Ia4p1HSVGjgTHCStFNsok2LOCe24JDfXrxwpjI_FjVtxYy1uPBQ37uvQ2yfpVc84_Rn53VQF-Abk-hTuMP31_o_sLzA5p0c</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2793253081</pqid></control><display><type>article</type><title>The ridge line of left pulmonary vein isolation from left atrial appendage can subsequently increase the completion rate of the mitral isthmus block line</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Hori, Hitomi ; Kaneko, Shinji ; Fujita, Masaya ; Nagai, Shin ; Ito, Ryota ; Shirai, Yoshinori ; Adachi, Kentaro ; Suzuki, Noriyuki ; Suzuki, Junya ; Kondo, Kiyota ; Yamauchi, Ryota ; Haga, Tomoaki ; Tatami, Yosuke ; Ohashi, Taiki ; Kubota, Ryuji ; Shinoda, Masanori ; Tanaka, Akihito ; Inden, Yasuya ; Murohara, Toyoaki</creator><creatorcontrib>Hori, Hitomi ; Kaneko, Shinji ; Fujita, Masaya ; Nagai, Shin ; Ito, Ryota ; Shirai, Yoshinori ; Adachi, Kentaro ; Suzuki, Noriyuki ; Suzuki, Junya ; Kondo, Kiyota ; Yamauchi, Ryota ; Haga, Tomoaki ; Tatami, Yosuke ; Ohashi, Taiki ; Kubota, Ryuji ; Shinoda, Masanori ; Tanaka, Akihito ; Inden, Yasuya ; Murohara, Toyoaki</creatorcontrib><description>Background and objectives
Mitral isthmus (MI) ablation for mitral flutter is technically difficult, and incomplete block line is not uncommon. The objective of this study is to investigate the effect of the ridge line of left pulmonary vein isolation (LPVI) from left atrial appendage (LAA) on completion rate of mitral isthmus (MI) block line and recurrence rate of atrial tachycardia (AT) or atrial flutter (AFL) after the first MI ablation.
Methods
We identified 611 patients who underwent first MI ablation for mitral flutter during the study period. Finally, 559 patients were enrolled and divided into two groups according to the method of ridge line ablation of LPVI (LAA group,
n
= 467, conventional group,
n
= 92). Outcome measures were the completion of MI block line by first MI ablation, the recurrence of AT/AFL, and repeat MI ablation after the first MI ablation.
Results
The first MI block line completion rate was significantly higher in the LAA group than the conventional group (95% vs. 85%,
p
< 0.001). The recurrence rate of AT/AFL after 3 months from first MI ablation was significantly lower in the LAA group. The requirement of additional MI ablation tended to be lower in the LAA group.
Conclusions
Our novel approach of ablating LPV-LAA ridge from the LAA side during PVI can increase the success rate of MI block line completion, and reduce the recurrence rate of AT/AFL and the need for additional MI block line ablation.
Graphical abstract
Ablation of the left pulmonary vein-left atrial appendage ridge from the left atrial appendage side during PVI increased the success rate of mitral isthmus block line completion</description><identifier>ISSN: 1383-875X</identifier><identifier>EISSN: 1572-8595</identifier><identifier>DOI: 10.1007/s10840-022-01382-y</identifier><identifier>PMID: 36201135</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Ablation ; Atrial Appendage - diagnostic imaging ; Atrial Appendage - surgery ; Atrial Fibrillation - diagnostic imaging ; Atrial Fibrillation - surgery ; Atrial Flutter - diagnostic imaging ; Atrial Flutter - surgery ; Cardiology ; Catheter Ablation - methods ; Humans ; Medicine ; Medicine & Public Health ; Pulmonary Veins - surgery ; Tachycardia ; Tachycardia, Supraventricular - surgery ; Treatment Outcome ; Veins ; Vibration</subject><ispartof>Journal of interventional cardiac electrophysiology, 2023-04, Vol.66 (3), p.673-681</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022. Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c326t-4301d9b6f2fb6ce817ea10bd306b9d30f58efbb91529bbf78d05ec1dfeb238043</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10840-022-01382-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10840-022-01382-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36201135$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hori, Hitomi</creatorcontrib><creatorcontrib>Kaneko, Shinji</creatorcontrib><creatorcontrib>Fujita, Masaya</creatorcontrib><creatorcontrib>Nagai, Shin</creatorcontrib><creatorcontrib>Ito, Ryota</creatorcontrib><creatorcontrib>Shirai, Yoshinori</creatorcontrib><creatorcontrib>Adachi, Kentaro</creatorcontrib><creatorcontrib>Suzuki, Noriyuki</creatorcontrib><creatorcontrib>Suzuki, Junya</creatorcontrib><creatorcontrib>Kondo, Kiyota</creatorcontrib><creatorcontrib>Yamauchi, Ryota</creatorcontrib><creatorcontrib>Haga, Tomoaki</creatorcontrib><creatorcontrib>Tatami, Yosuke</creatorcontrib><creatorcontrib>Ohashi, Taiki</creatorcontrib><creatorcontrib>Kubota, Ryuji</creatorcontrib><creatorcontrib>Shinoda, Masanori</creatorcontrib><creatorcontrib>Tanaka, Akihito</creatorcontrib><creatorcontrib>Inden, Yasuya</creatorcontrib><creatorcontrib>Murohara, Toyoaki</creatorcontrib><title>The ridge line of left pulmonary vein isolation from left atrial appendage can subsequently increase the completion rate of the mitral isthmus block line</title><title>Journal of interventional cardiac electrophysiology</title><addtitle>J Interv Card Electrophysiol</addtitle><addtitle>J Interv Card Electrophysiol</addtitle><description>Background and objectives
Mitral isthmus (MI) ablation for mitral flutter is technically difficult, and incomplete block line is not uncommon. The objective of this study is to investigate the effect of the ridge line of left pulmonary vein isolation (LPVI) from left atrial appendage (LAA) on completion rate of mitral isthmus (MI) block line and recurrence rate of atrial tachycardia (AT) or atrial flutter (AFL) after the first MI ablation.
Methods
We identified 611 patients who underwent first MI ablation for mitral flutter during the study period. Finally, 559 patients were enrolled and divided into two groups according to the method of ridge line ablation of LPVI (LAA group,
n
= 467, conventional group,
n
= 92). Outcome measures were the completion of MI block line by first MI ablation, the recurrence of AT/AFL, and repeat MI ablation after the first MI ablation.
Results
The first MI block line completion rate was significantly higher in the LAA group than the conventional group (95% vs. 85%,
p
< 0.001). The recurrence rate of AT/AFL after 3 months from first MI ablation was significantly lower in the LAA group. The requirement of additional MI ablation tended to be lower in the LAA group.
Conclusions
Our novel approach of ablating LPV-LAA ridge from the LAA side during PVI can increase the success rate of MI block line completion, and reduce the recurrence rate of AT/AFL and the need for additional MI block line ablation.
Graphical abstract
Ablation of the left pulmonary vein-left atrial appendage ridge from the left atrial appendage side during PVI increased the success rate of mitral isthmus block line completion</description><subject>Ablation</subject><subject>Atrial Appendage - diagnostic imaging</subject><subject>Atrial Appendage - surgery</subject><subject>Atrial Fibrillation - diagnostic imaging</subject><subject>Atrial Fibrillation - surgery</subject><subject>Atrial Flutter - diagnostic imaging</subject><subject>Atrial Flutter - surgery</subject><subject>Cardiology</subject><subject>Catheter Ablation - methods</subject><subject>Humans</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Pulmonary Veins - surgery</subject><subject>Tachycardia</subject><subject>Tachycardia, Supraventricular - surgery</subject><subject>Treatment Outcome</subject><subject>Veins</subject><subject>Vibration</subject><issn>1383-875X</issn><issn>1572-8595</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kc9uFiEUxSdGY__oC7gwJG66Gb3AxwyzNI3VJk3ctEl3E2AuLZWBERiT71F8W-k3VRMXboDA755zwmmaNxTeU4D-Q6Ygd9ACYy1QLlm7f9YcU9GzVopBPK9nLnkre3F71Jzk_AAAA7DuZXPEOwaUcnHc_Ly-R5LcdIfEu4AkWuLRFrKsfo5BpT35gS4Ql6NXxcVAbIrzhqiSnPJELQuGSVUBowLJq874fcVQ_J64YBKqjKRUExPnxeNBI6lycHq8nl1JVcXlcj-vmWgfzbdDlFfNC6t8xtdP-2lzc_Hp-vxLe_X18-X5x6vWcNaVdseBToPuLLO6Myhpj4qCnjh0eqirFRKt1gMVbNDa9nICgYZOFjXjEnb8tDnbdJcUa_Bcxtllg96rgHHNI-sZ45RJGCr67h_0Ia4p1HSVGjgTHCStFNsok2LOCe24JDfXrxwpjI_FjVtxYy1uPBQ37uvQ2yfpVc84_Rn53VQF-Abk-hTuMP31_o_sLzA5p0c</recordid><startdate>20230401</startdate><enddate>20230401</enddate><creator>Hori, Hitomi</creator><creator>Kaneko, Shinji</creator><creator>Fujita, Masaya</creator><creator>Nagai, Shin</creator><creator>Ito, Ryota</creator><creator>Shirai, Yoshinori</creator><creator>Adachi, Kentaro</creator><creator>Suzuki, Noriyuki</creator><creator>Suzuki, Junya</creator><creator>Kondo, Kiyota</creator><creator>Yamauchi, Ryota</creator><creator>Haga, Tomoaki</creator><creator>Tatami, Yosuke</creator><creator>Ohashi, Taiki</creator><creator>Kubota, Ryuji</creator><creator>Shinoda, Masanori</creator><creator>Tanaka, Akihito</creator><creator>Inden, Yasuya</creator><creator>Murohara, Toyoaki</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20230401</creationdate><title>The ridge line of left pulmonary vein isolation from left atrial appendage can subsequently increase the completion rate of the mitral isthmus block line</title><author>Hori, Hitomi ; Kaneko, Shinji ; Fujita, Masaya ; Nagai, Shin ; Ito, Ryota ; Shirai, Yoshinori ; Adachi, Kentaro ; Suzuki, Noriyuki ; Suzuki, Junya ; Kondo, Kiyota ; Yamauchi, Ryota ; Haga, Tomoaki ; Tatami, Yosuke ; Ohashi, Taiki ; Kubota, Ryuji ; Shinoda, Masanori ; Tanaka, Akihito ; Inden, Yasuya ; Murohara, Toyoaki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-4301d9b6f2fb6ce817ea10bd306b9d30f58efbb91529bbf78d05ec1dfeb238043</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Ablation</topic><topic>Atrial Appendage - diagnostic imaging</topic><topic>Atrial Appendage - surgery</topic><topic>Atrial Fibrillation - diagnostic imaging</topic><topic>Atrial Fibrillation - surgery</topic><topic>Atrial Flutter - diagnostic imaging</topic><topic>Atrial Flutter - surgery</topic><topic>Cardiology</topic><topic>Catheter Ablation - methods</topic><topic>Humans</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Pulmonary Veins - surgery</topic><topic>Tachycardia</topic><topic>Tachycardia, Supraventricular - surgery</topic><topic>Treatment Outcome</topic><topic>Veins</topic><topic>Vibration</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hori, Hitomi</creatorcontrib><creatorcontrib>Kaneko, Shinji</creatorcontrib><creatorcontrib>Fujita, Masaya</creatorcontrib><creatorcontrib>Nagai, Shin</creatorcontrib><creatorcontrib>Ito, Ryota</creatorcontrib><creatorcontrib>Shirai, Yoshinori</creatorcontrib><creatorcontrib>Adachi, Kentaro</creatorcontrib><creatorcontrib>Suzuki, Noriyuki</creatorcontrib><creatorcontrib>Suzuki, Junya</creatorcontrib><creatorcontrib>Kondo, Kiyota</creatorcontrib><creatorcontrib>Yamauchi, Ryota</creatorcontrib><creatorcontrib>Haga, Tomoaki</creatorcontrib><creatorcontrib>Tatami, Yosuke</creatorcontrib><creatorcontrib>Ohashi, Taiki</creatorcontrib><creatorcontrib>Kubota, Ryuji</creatorcontrib><creatorcontrib>Shinoda, Masanori</creatorcontrib><creatorcontrib>Tanaka, Akihito</creatorcontrib><creatorcontrib>Inden, Yasuya</creatorcontrib><creatorcontrib>Murohara, Toyoaki</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of interventional cardiac electrophysiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hori, Hitomi</au><au>Kaneko, Shinji</au><au>Fujita, Masaya</au><au>Nagai, Shin</au><au>Ito, Ryota</au><au>Shirai, Yoshinori</au><au>Adachi, Kentaro</au><au>Suzuki, Noriyuki</au><au>Suzuki, Junya</au><au>Kondo, Kiyota</au><au>Yamauchi, Ryota</au><au>Haga, Tomoaki</au><au>Tatami, Yosuke</au><au>Ohashi, Taiki</au><au>Kubota, Ryuji</au><au>Shinoda, Masanori</au><au>Tanaka, Akihito</au><au>Inden, Yasuya</au><au>Murohara, Toyoaki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The ridge line of left pulmonary vein isolation from left atrial appendage can subsequently increase the completion rate of the mitral isthmus block line</atitle><jtitle>Journal of interventional cardiac electrophysiology</jtitle><stitle>J Interv Card Electrophysiol</stitle><addtitle>J Interv Card Electrophysiol</addtitle><date>2023-04-01</date><risdate>2023</risdate><volume>66</volume><issue>3</issue><spage>673</spage><epage>681</epage><pages>673-681</pages><issn>1383-875X</issn><eissn>1572-8595</eissn><abstract>Background and objectives
Mitral isthmus (MI) ablation for mitral flutter is technically difficult, and incomplete block line is not uncommon. The objective of this study is to investigate the effect of the ridge line of left pulmonary vein isolation (LPVI) from left atrial appendage (LAA) on completion rate of mitral isthmus (MI) block line and recurrence rate of atrial tachycardia (AT) or atrial flutter (AFL) after the first MI ablation.
Methods
We identified 611 patients who underwent first MI ablation for mitral flutter during the study period. Finally, 559 patients were enrolled and divided into two groups according to the method of ridge line ablation of LPVI (LAA group,
n
= 467, conventional group,
n
= 92). Outcome measures were the completion of MI block line by first MI ablation, the recurrence of AT/AFL, and repeat MI ablation after the first MI ablation.
Results
The first MI block line completion rate was significantly higher in the LAA group than the conventional group (95% vs. 85%,
p
< 0.001). The recurrence rate of AT/AFL after 3 months from first MI ablation was significantly lower in the LAA group. The requirement of additional MI ablation tended to be lower in the LAA group.
Conclusions
Our novel approach of ablating LPV-LAA ridge from the LAA side during PVI can increase the success rate of MI block line completion, and reduce the recurrence rate of AT/AFL and the need for additional MI block line ablation.
Graphical abstract
Ablation of the left pulmonary vein-left atrial appendage ridge from the left atrial appendage side during PVI increased the success rate of mitral isthmus block line completion</abstract><cop>New York</cop><pub>Springer US</pub><pmid>36201135</pmid><doi>10.1007/s10840-022-01382-y</doi><tpages>9</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1383-875X |
| ispartof | Journal of interventional cardiac electrophysiology, 2023-04, Vol.66 (3), p.673-681 |
| issn | 1383-875X 1572-8595 |
| language | eng |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Ablation Atrial Appendage - diagnostic imaging Atrial Appendage - surgery Atrial Fibrillation - diagnostic imaging Atrial Fibrillation - surgery Atrial Flutter - diagnostic imaging Atrial Flutter - surgery Cardiology Catheter Ablation - methods Humans Medicine Medicine & Public Health Pulmonary Veins - surgery Tachycardia Tachycardia, Supraventricular - surgery Treatment Outcome Veins Vibration |
| title | The ridge line of left pulmonary vein isolation from left atrial appendage can subsequently increase the completion rate of the mitral isthmus block line |
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