Left atrial branches of coronary arteries; clinical implications related to linear catheter ablation for atrial fibrillation
Background Coronary artery damage has been reported during catheter ablation procedures. Recently, linear ablation of thin left atrial tissue has been performed for atrial fibrillation. Objective and Methods Because we have little information about the arteries in the left atrium, this study was per...
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| Veröffentlicht in: | Journal of interventional cardiac electrophysiology 2009-08, Vol.25 (2), p.141-144 |
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| container_title | Journal of interventional cardiac electrophysiology |
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| creator | Yano, Akio Igawa, Osamu Adachi, Masamitsu Miake, Junichiro Inoue, Yoshiaki Ogura, Kazuyoshi Kato, Masaru Iitsuka, Kazuhiko Hisatome, Ichiro |
| description | Background
Coronary artery damage has been reported during catheter ablation procedures. Recently, linear ablation of thin left atrial tissue has been performed for atrial fibrillation.
Objective and Methods
Because we have little information about the arteries in the left atrium, this study was performed to evaluate the anatomy of these arteries, and to compare them with previously reported ablation lines. Coronary angiography was performed in 262 patients. Atrial coronary arteries between the left atrial appendage and the left superior pulmonary vein (LAA-LSPV region), as well as between the left inferior pulmonary vein and the mitral annulus (“mitral isthmus” region) were examined.
Results
Atrial coronary arteries extending to the LAA-LSPV region were found in 92 subjects (35%), while arteries crossing the mitral isthmus region were found in 119 subjects (46%). Atrial coronary arteries crossed the ablation line in about 69% of subjects overall.
Conclusion
These results might suggest a risk of acute complications due to left atrial ablation. Alternatively, recurrence of atrial fibrillation might be caused by protected myocardium around the atrial arteries. We should note that atrial coronary arteries cross the ablation line in many patients. |
| doi_str_mv | 10.1007/s10840-008-9352-9 |
| format | Article |
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Coronary artery damage has been reported during catheter ablation procedures. Recently, linear ablation of thin left atrial tissue has been performed for atrial fibrillation.
Objective and Methods
Because we have little information about the arteries in the left atrium, this study was performed to evaluate the anatomy of these arteries, and to compare them with previously reported ablation lines. Coronary angiography was performed in 262 patients. Atrial coronary arteries between the left atrial appendage and the left superior pulmonary vein (LAA-LSPV region), as well as between the left inferior pulmonary vein and the mitral annulus (“mitral isthmus” region) were examined.
Results
Atrial coronary arteries extending to the LAA-LSPV region were found in 92 subjects (35%), while arteries crossing the mitral isthmus region were found in 119 subjects (46%). Atrial coronary arteries crossed the ablation line in about 69% of subjects overall.
Conclusion
These results might suggest a risk of acute complications due to left atrial ablation. Alternatively, recurrence of atrial fibrillation might be caused by protected myocardium around the atrial arteries. We should note that atrial coronary arteries cross the ablation line in many patients.</description><identifier>ISSN: 1383-875X</identifier><identifier>EISSN: 1572-8595</identifier><identifier>DOI: 10.1007/s10840-008-9352-9</identifier><identifier>PMID: 19148715</identifier><language>eng</language><publisher>Boston: Springer US</publisher><subject>Aged ; Atrial Fibrillation - diagnostic imaging ; Atrial Fibrillation - surgery ; Cardiology ; Catheter Ablation - methods ; Coronary Angiography ; Coronary Vessels - surgery ; Female ; Heart Atria - diagnostic imaging ; Heart Atria - surgery ; Humans ; Male ; Medicine ; Medicine & Public Health</subject><ispartof>Journal of interventional cardiac electrophysiology, 2009-08, Vol.25 (2), p.141-144</ispartof><rights>Springer Science+Business Media, LLC 2008</rights><rights>Springer Science+Business Media, LLC 2009</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c435t-923adc21a915e9988f1ca8649bed29234d6fbcdacf833149a6c9b88752dbad643</citedby><cites>FETCH-LOGICAL-c435t-923adc21a915e9988f1ca8649bed29234d6fbcdacf833149a6c9b88752dbad643</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/s10840-008-9352-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10840-008-9352-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51298</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19148715$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yano, Akio</creatorcontrib><creatorcontrib>Igawa, Osamu</creatorcontrib><creatorcontrib>Adachi, Masamitsu</creatorcontrib><creatorcontrib>Miake, Junichiro</creatorcontrib><creatorcontrib>Inoue, Yoshiaki</creatorcontrib><creatorcontrib>Ogura, Kazuyoshi</creatorcontrib><creatorcontrib>Kato, Masaru</creatorcontrib><creatorcontrib>Iitsuka, Kazuhiko</creatorcontrib><creatorcontrib>Hisatome, Ichiro</creatorcontrib><title>Left atrial branches of coronary arteries; clinical implications related to linear catheter ablation for atrial fibrillation</title><title>Journal of interventional cardiac electrophysiology</title><addtitle>J Interv Card Electrophysiol</addtitle><addtitle>J Interv Card Electrophysiol</addtitle><description>Background
Coronary artery damage has been reported during catheter ablation procedures. Recently, linear ablation of thin left atrial tissue has been performed for atrial fibrillation.
Objective and Methods
Because we have little information about the arteries in the left atrium, this study was performed to evaluate the anatomy of these arteries, and to compare them with previously reported ablation lines. Coronary angiography was performed in 262 patients. Atrial coronary arteries between the left atrial appendage and the left superior pulmonary vein (LAA-LSPV region), as well as between the left inferior pulmonary vein and the mitral annulus (“mitral isthmus” region) were examined.
Results
Atrial coronary arteries extending to the LAA-LSPV region were found in 92 subjects (35%), while arteries crossing the mitral isthmus region were found in 119 subjects (46%). Atrial coronary arteries crossed the ablation line in about 69% of subjects overall.
Conclusion
These results might suggest a risk of acute complications due to left atrial ablation. Alternatively, recurrence of atrial fibrillation might be caused by protected myocardium around the atrial arteries. We should note that atrial coronary arteries cross the ablation line in many patients.</description><subject>Aged</subject><subject>Atrial Fibrillation - diagnostic imaging</subject><subject>Atrial Fibrillation - surgery</subject><subject>Cardiology</subject><subject>Catheter Ablation - methods</subject><subject>Coronary Angiography</subject><subject>Coronary Vessels - surgery</subject><subject>Female</subject><subject>Heart Atria - diagnostic imaging</subject><subject>Heart Atria - surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><issn>1383-875X</issn><issn>1572-8595</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kctq3DAUhkVpyEymfYBuisiiOye6WLZEVyU0FxjopoHshCwfdTR4rInkWRTy8D2JJwQC3UiH83_nIv2EfOHsgjPWXhbOdM0qxnRlpBKV-UCWXLWi0sqojxhLLSvdqocFOStlyxgzTDSnZMENr3XL1ZI8rSFM1E05uoF22Y1-A4WmQH3KaXT5L3V5ghyhfKd-iGP0yMXdfsBgimksNMPgJujplCjq4DJFZQNYRF03vEA0pPw6I8Qux2HOfyInwQ0FPh_vFbm__vn76rZa_7q5u_qxrnwt1VQZIV3vBXeGKzBG68C9001tOugFinXfhM73zgctJa-Na7zpNL5b9J3rm1quyLe57z6nxwOUye5i8YBbjJAOxTZtrZTA4hU5fwdu0yGPuJsVXBvZtKZFiM-Qz6mUDMHuc9zhV1nO7LMvdvbFoi_22Rc8VuTrsfGh20H_VnE0AgExAwWl8Q_kt8n_7_oPj0ia6Q</recordid><startdate>20090801</startdate><enddate>20090801</enddate><creator>Yano, Akio</creator><creator>Igawa, Osamu</creator><creator>Adachi, Masamitsu</creator><creator>Miake, Junichiro</creator><creator>Inoue, Yoshiaki</creator><creator>Ogura, Kazuyoshi</creator><creator>Kato, Masaru</creator><creator>Iitsuka, Kazuhiko</creator><creator>Hisatome, Ichiro</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>20090801</creationdate><title>Left atrial branches of coronary arteries; clinical implications related to linear catheter ablation for atrial fibrillation</title><author>Yano, Akio ; Igawa, Osamu ; Adachi, Masamitsu ; Miake, Junichiro ; Inoue, Yoshiaki ; Ogura, Kazuyoshi ; Kato, Masaru ; Iitsuka, Kazuhiko ; Hisatome, Ichiro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c435t-923adc21a915e9988f1ca8649bed29234d6fbcdacf833149a6c9b88752dbad643</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Aged</topic><topic>Atrial Fibrillation - diagnostic imaging</topic><topic>Atrial Fibrillation - surgery</topic><topic>Cardiology</topic><topic>Catheter Ablation - methods</topic><topic>Coronary Angiography</topic><topic>Coronary Vessels - surgery</topic><topic>Female</topic><topic>Heart Atria - diagnostic imaging</topic><topic>Heart Atria - surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yano, Akio</creatorcontrib><creatorcontrib>Igawa, Osamu</creatorcontrib><creatorcontrib>Adachi, Masamitsu</creatorcontrib><creatorcontrib>Miake, Junichiro</creatorcontrib><creatorcontrib>Inoue, Yoshiaki</creatorcontrib><creatorcontrib>Ogura, Kazuyoshi</creatorcontrib><creatorcontrib>Kato, Masaru</creatorcontrib><creatorcontrib>Iitsuka, Kazuhiko</creatorcontrib><creatorcontrib>Hisatome, Ichiro</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>Yano, Akio</au><au>Igawa, Osamu</au><au>Adachi, Masamitsu</au><au>Miake, Junichiro</au><au>Inoue, Yoshiaki</au><au>Ogura, Kazuyoshi</au><au>Kato, Masaru</au><au>Iitsuka, Kazuhiko</au><au>Hisatome, Ichiro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Left atrial branches of coronary arteries; clinical implications related to linear catheter ablation for atrial fibrillation</atitle><jtitle>Journal of interventional cardiac electrophysiology</jtitle><stitle>J Interv Card Electrophysiol</stitle><addtitle>J Interv Card Electrophysiol</addtitle><date>2009-08-01</date><risdate>2009</risdate><volume>25</volume><issue>2</issue><spage>141</spage><epage>144</epage><pages>141-144</pages><issn>1383-875X</issn><eissn>1572-8595</eissn><abstract>Background
Coronary artery damage has been reported during catheter ablation procedures. Recently, linear ablation of thin left atrial tissue has been performed for atrial fibrillation.
Objective and Methods
Because we have little information about the arteries in the left atrium, this study was performed to evaluate the anatomy of these arteries, and to compare them with previously reported ablation lines. Coronary angiography was performed in 262 patients. Atrial coronary arteries between the left atrial appendage and the left superior pulmonary vein (LAA-LSPV region), as well as between the left inferior pulmonary vein and the mitral annulus (“mitral isthmus” region) were examined.
Results
Atrial coronary arteries extending to the LAA-LSPV region were found in 92 subjects (35%), while arteries crossing the mitral isthmus region were found in 119 subjects (46%). Atrial coronary arteries crossed the ablation line in about 69% of subjects overall.
Conclusion
These results might suggest a risk of acute complications due to left atrial ablation. Alternatively, recurrence of atrial fibrillation might be caused by protected myocardium around the atrial arteries. We should note that atrial coronary arteries cross the ablation line in many patients.</abstract><cop>Boston</cop><pub>Springer US</pub><pmid>19148715</pmid><doi>10.1007/s10840-008-9352-9</doi><tpages>4</tpages></addata></record> |
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| ispartof | Journal of interventional cardiac electrophysiology, 2009-08, Vol.25 (2), p.141-144 |
| issn | 1383-875X 1572-8595 |
| language | eng |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Aged Atrial Fibrillation - diagnostic imaging Atrial Fibrillation - surgery Cardiology Catheter Ablation - methods Coronary Angiography Coronary Vessels - surgery Female Heart Atria - diagnostic imaging Heart Atria - surgery Humans Male Medicine Medicine & Public Health |
| title | Left atrial branches of coronary arteries; clinical implications related to linear catheter ablation for atrial fibrillation |
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