Focal atrial tachycardia originating from the non-coronary aortic sinus : Electrophysiological characteristics and catheter ablation
We sought to investigate electrophysiological characteristics and catheter ablation in patients with focal atrial tachycardia (AT) originating from the non-coronary aortic sinus (AS). In patients with failed ablation of focal AT near the His bundle (HB) region, an origin from the non-coronary AS sho...
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| Veröffentlicht in: | Journal of the American College of Cardiology 2006-07, Vol.48 (1), p.122-131 |
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| creator | FEIFAN OUYANG JIAN MA JULIAN CHUN YUNLONG XIA SATOMI, Kazuhiro HUIMIN CHU SHU ZHANG ANTZ, Matthias SIEW YEN HO BÄNSCH, Dietmar SCHMIDT, Boris ERNST, Sabine KUCK, Karl-Heinz SHAOWEN LIU HE HUANG MIN CHEN |
| description | We sought to investigate electrophysiological characteristics and catheter ablation in patients with focal atrial tachycardia (AT) originating from the non-coronary aortic sinus (AS).
In patients with failed ablation of focal AT near the His bundle (HB) region, an origin from the non-coronary AS should be considered because of the close anatomical relationship.
This study included 9 patients with focal AT, in 6 of whom attempted radiofrequency (RF) ablation had previously failed. Activation mapping was performed during tachycardia to identify an earliest activation in the atria and the AS. The aortic root angiography was performed to identify the origin in the AS before RF ablation.
Focal AT was reproducibly induced by atrial pacing. Mapping in atria demonstrated that the earliest atrial activation was located at the HB region, whereas mapping in the non-coronary AS demonstrated that an earliest atrial activation preceded the atrial activation at the HB by 12.2 +/- 6.9 ms and was anatomically located superoposterior to the HB in all 9 patients. Also, His potentials were not found at the successful site in the non-coronary AS in all 9 patients. The focal AT was terminated in |
| doi_str_mv | 10.1016/j.jacc.2006.02.053 |
| format | Article |
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In patients with failed ablation of focal AT near the His bundle (HB) region, an origin from the non-coronary AS should be considered because of the close anatomical relationship.
This study included 9 patients with focal AT, in 6 of whom attempted radiofrequency (RF) ablation had previously failed. Activation mapping was performed during tachycardia to identify an earliest activation in the atria and the AS. The aortic root angiography was performed to identify the origin in the AS before RF ablation.
Focal AT was reproducibly induced by atrial pacing. Mapping in atria demonstrated that the earliest atrial activation was located at the HB region, whereas mapping in the non-coronary AS demonstrated that an earliest atrial activation preceded the atrial activation at the HB by 12.2 +/- 6.9 ms and was anatomically located superoposterior to the HB in all 9 patients. Also, His potentials were not found at the successful site in the non-coronary AS in all 9 patients. The focal AT was terminated in <8 s in all 9 patients. Junctional beats and PR prolongation did not occur during RF application in all 9 patients. No complications occurred in any of the nine patients. All 9 patients were free of arrhythmias without antiarrhythmic drugs during a follow-up of 9 +/- 3 months.
In patients with focal AT near the HB region, mapping in the non-coronary AS can improve clinical outcome.</description><identifier>ISSN: 0735-1097</identifier><identifier>EISSN: 1558-3597</identifier><identifier>DOI: 10.1016/j.jacc.2006.02.053</identifier><identifier>PMID: 16814658</identifier><identifier>CODEN: JACCDI</identifier><language>eng</language><publisher>New York, NY: Elsevier Science</publisher><subject>Adult ; Aged ; Biological and medical sciences ; Bundle of His - physiopathology ; Cardiac arrhythmia ; Cardiac dysrhythmias ; Cardiology ; Cardiology. Vascular system ; Catheter Ablation ; Catheters ; Electrocardiography ; Electrophysiologic Techniques, Cardiac ; Female ; Heart ; Humans ; Male ; Medical sciences ; Middle Aged ; Patients ; Sinus of Valsalva - physiopathology ; Tachycardia, Atrioventricular Nodal Reentry - physiopathology ; Tachycardia, Atrioventricular Nodal Reentry - surgery ; Tachycardia, Ectopic Atrial - diagnosis ; Tachycardia, Ectopic Atrial - physiopathology ; Tachycardia, Ectopic Atrial - surgery ; Veins & arteries</subject><ispartof>Journal of the American College of Cardiology, 2006-07, Vol.48 (1), p.122-131</ispartof><rights>2006 INIST-CNRS</rights><rights>Copyright Elsevier Limited Jul 4, 2006</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17929354$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16814658$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>FEIFAN OUYANG</creatorcontrib><creatorcontrib>JIAN MA</creatorcontrib><creatorcontrib>JULIAN CHUN</creatorcontrib><creatorcontrib>YUNLONG XIA</creatorcontrib><creatorcontrib>SATOMI, Kazuhiro</creatorcontrib><creatorcontrib>HUIMIN CHU</creatorcontrib><creatorcontrib>SHU ZHANG</creatorcontrib><creatorcontrib>ANTZ, Matthias</creatorcontrib><creatorcontrib>SIEW YEN HO</creatorcontrib><creatorcontrib>BÄNSCH, Dietmar</creatorcontrib><creatorcontrib>SCHMIDT, Boris</creatorcontrib><creatorcontrib>ERNST, Sabine</creatorcontrib><creatorcontrib>KUCK, Karl-Heinz</creatorcontrib><creatorcontrib>SHAOWEN LIU</creatorcontrib><creatorcontrib>HE HUANG</creatorcontrib><creatorcontrib>MIN CHEN</creatorcontrib><title>Focal atrial tachycardia originating from the non-coronary aortic sinus : Electrophysiological characteristics and catheter ablation</title><title>Journal of the American College of Cardiology</title><addtitle>J Am Coll Cardiol</addtitle><description>We sought to investigate electrophysiological characteristics and catheter ablation in patients with focal atrial tachycardia (AT) originating from the non-coronary aortic sinus (AS).
In patients with failed ablation of focal AT near the His bundle (HB) region, an origin from the non-coronary AS should be considered because of the close anatomical relationship.
This study included 9 patients with focal AT, in 6 of whom attempted radiofrequency (RF) ablation had previously failed. Activation mapping was performed during tachycardia to identify an earliest activation in the atria and the AS. The aortic root angiography was performed to identify the origin in the AS before RF ablation.
Focal AT was reproducibly induced by atrial pacing. Mapping in atria demonstrated that the earliest atrial activation was located at the HB region, whereas mapping in the non-coronary AS demonstrated that an earliest atrial activation preceded the atrial activation at the HB by 12.2 +/- 6.9 ms and was anatomically located superoposterior to the HB in all 9 patients. Also, His potentials were not found at the successful site in the non-coronary AS in all 9 patients. The focal AT was terminated in <8 s in all 9 patients. Junctional beats and PR prolongation did not occur during RF application in all 9 patients. No complications occurred in any of the nine patients. All 9 patients were free of arrhythmias without antiarrhythmic drugs during a follow-up of 9 +/- 3 months.
In patients with focal AT near the HB region, mapping in the non-coronary AS can improve clinical outcome.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Bundle of His - physiopathology</subject><subject>Cardiac arrhythmia</subject><subject>Cardiac dysrhythmias</subject><subject>Cardiology</subject><subject>Cardiology. Vascular system</subject><subject>Catheter Ablation</subject><subject>Catheters</subject><subject>Electrocardiography</subject><subject>Electrophysiologic Techniques, Cardiac</subject><subject>Female</subject><subject>Heart</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Patients</subject><subject>Sinus of Valsalva - physiopathology</subject><subject>Tachycardia, Atrioventricular Nodal Reentry - physiopathology</subject><subject>Tachycardia, Atrioventricular Nodal Reentry - surgery</subject><subject>Tachycardia, Ectopic Atrial - diagnosis</subject><subject>Tachycardia, Ectopic Atrial - physiopathology</subject><subject>Tachycardia, Ectopic Atrial - surgery</subject><subject>Veins & arteries</subject><issn>0735-1097</issn><issn>1558-3597</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpd0E1rHCEcBnApCc0mzRfooQiluc1Ux_EttxDyBoFc2vPw13F3XGZ1o85h7_ngNXRLIQd5RH48yIPQV0paSqj4uW23YG3bESJa0rWEs09oRTlXDeNanqAVkYw3lGh5hs5z3pIKFdWf0Rmt2QuuVujtPlqYMZTkaxSw08FCGj3gmPzGByg-bPA6xR0uk8MhhsbGFAOkA4aYirc4-7BkfI3vZmdLivvpkH2c48a_F9sJEtjiks_VZgxhxBZqVX3CYObaH8MXdLqGObvLY16g3_d3v24fm-eXh6fbm-dmYoSWRjujRlqPkNz1Vqiem06w0XXKUC1AK0dMp7QhlnSiN7IXst46MxKhRwnsAl397d2n-Lq4XIadz9bNMwQXlzwIxTXpe1bh9w9wG5cU6t8GyomgklGiqvp2VIvZuXHYJ7-ruwz_1q3gxxFArmOsEwTr838ndacZ79kfUoeMHg</recordid><startdate>20060704</startdate><enddate>20060704</enddate><creator>FEIFAN OUYANG</creator><creator>JIAN MA</creator><creator>JULIAN CHUN</creator><creator>YUNLONG XIA</creator><creator>SATOMI, Kazuhiro</creator><creator>HUIMIN CHU</creator><creator>SHU ZHANG</creator><creator>ANTZ, Matthias</creator><creator>SIEW YEN HO</creator><creator>BÄNSCH, Dietmar</creator><creator>SCHMIDT, Boris</creator><creator>ERNST, Sabine</creator><creator>KUCK, Karl-Heinz</creator><creator>SHAOWEN LIU</creator><creator>HE HUANG</creator><creator>MIN CHEN</creator><general>Elsevier Science</general><general>Elsevier Limited</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7T5</scope><scope>7TK</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20060704</creationdate><title>Focal atrial tachycardia originating from the non-coronary aortic sinus : Electrophysiological characteristics and catheter ablation</title><author>FEIFAN OUYANG ; JIAN MA ; JULIAN CHUN ; YUNLONG XIA ; SATOMI, Kazuhiro ; HUIMIN CHU ; SHU ZHANG ; ANTZ, Matthias ; SIEW YEN HO ; BÄNSCH, Dietmar ; SCHMIDT, Boris ; ERNST, Sabine ; KUCK, Karl-Heinz ; SHAOWEN LIU ; HE HUANG ; MIN CHEN</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-h301t-9eb8d1b8d675e4c6845b263de28b196a98e0b289b0c0264b7467c022bd069d7a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Bundle of His - physiopathology</topic><topic>Cardiac arrhythmia</topic><topic>Cardiac dysrhythmias</topic><topic>Cardiology</topic><topic>Cardiology. Vascular system</topic><topic>Catheter Ablation</topic><topic>Catheters</topic><topic>Electrocardiography</topic><topic>Electrophysiologic Techniques, Cardiac</topic><topic>Female</topic><topic>Heart</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Patients</topic><topic>Sinus of Valsalva - physiopathology</topic><topic>Tachycardia, Atrioventricular Nodal Reentry - physiopathology</topic><topic>Tachycardia, Atrioventricular Nodal Reentry - surgery</topic><topic>Tachycardia, Ectopic Atrial - diagnosis</topic><topic>Tachycardia, Ectopic Atrial - physiopathology</topic><topic>Tachycardia, Ectopic Atrial - surgery</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>FEIFAN OUYANG</creatorcontrib><creatorcontrib>JIAN MA</creatorcontrib><creatorcontrib>JULIAN CHUN</creatorcontrib><creatorcontrib>YUNLONG XIA</creatorcontrib><creatorcontrib>SATOMI, Kazuhiro</creatorcontrib><creatorcontrib>HUIMIN CHU</creatorcontrib><creatorcontrib>SHU ZHANG</creatorcontrib><creatorcontrib>ANTZ, Matthias</creatorcontrib><creatorcontrib>SIEW YEN HO</creatorcontrib><creatorcontrib>BÄNSCH, Dietmar</creatorcontrib><creatorcontrib>SCHMIDT, Boris</creatorcontrib><creatorcontrib>ERNST, Sabine</creatorcontrib><creatorcontrib>KUCK, Karl-Heinz</creatorcontrib><creatorcontrib>SHAOWEN LIU</creatorcontrib><creatorcontrib>HE HUANG</creatorcontrib><creatorcontrib>MIN CHEN</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the American College of Cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>FEIFAN OUYANG</au><au>JIAN MA</au><au>JULIAN CHUN</au><au>YUNLONG XIA</au><au>SATOMI, Kazuhiro</au><au>HUIMIN CHU</au><au>SHU ZHANG</au><au>ANTZ, Matthias</au><au>SIEW YEN HO</au><au>BÄNSCH, Dietmar</au><au>SCHMIDT, Boris</au><au>ERNST, Sabine</au><au>KUCK, Karl-Heinz</au><au>SHAOWEN LIU</au><au>HE HUANG</au><au>MIN CHEN</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Focal atrial tachycardia originating from the non-coronary aortic sinus : Electrophysiological characteristics and catheter ablation</atitle><jtitle>Journal of the American College of Cardiology</jtitle><addtitle>J Am Coll Cardiol</addtitle><date>2006-07-04</date><risdate>2006</risdate><volume>48</volume><issue>1</issue><spage>122</spage><epage>131</epage><pages>122-131</pages><issn>0735-1097</issn><eissn>1558-3597</eissn><coden>JACCDI</coden><abstract>We sought to investigate electrophysiological characteristics and catheter ablation in patients with focal atrial tachycardia (AT) originating from the non-coronary aortic sinus (AS).
In patients with failed ablation of focal AT near the His bundle (HB) region, an origin from the non-coronary AS should be considered because of the close anatomical relationship.
This study included 9 patients with focal AT, in 6 of whom attempted radiofrequency (RF) ablation had previously failed. Activation mapping was performed during tachycardia to identify an earliest activation in the atria and the AS. The aortic root angiography was performed to identify the origin in the AS before RF ablation.
Focal AT was reproducibly induced by atrial pacing. Mapping in atria demonstrated that the earliest atrial activation was located at the HB region, whereas mapping in the non-coronary AS demonstrated that an earliest atrial activation preceded the atrial activation at the HB by 12.2 +/- 6.9 ms and was anatomically located superoposterior to the HB in all 9 patients. Also, His potentials were not found at the successful site in the non-coronary AS in all 9 patients. The focal AT was terminated in <8 s in all 9 patients. Junctional beats and PR prolongation did not occur during RF application in all 9 patients. No complications occurred in any of the nine patients. All 9 patients were free of arrhythmias without antiarrhythmic drugs during a follow-up of 9 +/- 3 months.
In patients with focal AT near the HB region, mapping in the non-coronary AS can improve clinical outcome.</abstract><cop>New York, NY</cop><pub>Elsevier Science</pub><pmid>16814658</pmid><doi>10.1016/j.jacc.2006.02.053</doi><tpages>10</tpages></addata></record> |
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| subjects | Adult Aged Biological and medical sciences Bundle of His - physiopathology Cardiac arrhythmia Cardiac dysrhythmias Cardiology Cardiology. Vascular system Catheter Ablation Catheters Electrocardiography Electrophysiologic Techniques, Cardiac Female Heart Humans Male Medical sciences Middle Aged Patients Sinus of Valsalva - physiopathology Tachycardia, Atrioventricular Nodal Reentry - physiopathology Tachycardia, Atrioventricular Nodal Reentry - surgery Tachycardia, Ectopic Atrial - diagnosis Tachycardia, Ectopic Atrial - physiopathology Tachycardia, Ectopic Atrial - surgery Veins & arteries |
| title | Focal atrial tachycardia originating from the non-coronary aortic sinus : Electrophysiological characteristics and catheter ablation |
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