Is empirical four pulmonary vein isolation necessary for focally triggered paroxysmal atrial fibrillation? Comparison of selective pulmonary vein isolation versus empirical four pulmonary vein isolation
DC Field | Value | Language |
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dc.contributor.author | Pak, Hui-Nam | - |
dc.contributor.author | Kim, Jin Seok | - |
dc.contributor.author | Shin, Seung Yong | - |
dc.contributor.author | Lee, Hyun Soo | - |
dc.contributor.author | Choi, Jong Il | - |
dc.contributor.author | Lim, Hong Euy | - |
dc.contributor.author | Hwang, Chun | - |
dc.contributor.author | Kim, Young-Hoon | - |
dc.date.available | 2020-11-03T10:45:30Z | - |
dc.date.issued | 2008-05 | - |
dc.identifier.issn | 1045-3873 | - |
dc.identifier.issn | 1540-8167 | - |
dc.identifier.uri | https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/17018 | - |
dc.description.abstract | Selective PV Isolation in AF. Background: We questioned whether the empirical four pulmonary vein (PV) isolation (EmPVI) was necessary in patients with paroxysmal atrial fibrillation (PAF) triggered from clearly and reproducibly defined arrhythmogenic PVs. Methods: We compared the selective or ipsilateral isolation of the PVs triggering AF (SePVI: n = 42) and EmPVI (n = 35) in 77 patients (males 80.5%, mean age 53.0 +/- 13.4 years) with PAF who underwent radiofrequency catheter ablation (RFCA). Arrhythmogenic PVs were identified by the immediate recurrence of AF three consecutive times after cardioverting AF. Results: (1) The duration of the RF energy deliveries (P < 0.01) and total procedure time (P < 0.01) were shorter for the SePVI than the EmPVI. (2) During a mean follow-up of 38.6 +/- 23.1 months, the AF recurrence rate was 38.1% in the SePVI group and 25.7% in the EmPVI group (P = NS). (3) A redo-ablation was performed in 25 patients, and 81.0% of the recurrent arrhythmogenic foci were found at a previously ablated PV or ipsilateral PV. (4) In 15.4% of the SePVI and 20.0% of the EmPVI procedures, AF recurred after 32.5 +/- 15.2 months of the redo-ablation. Subsequently, the AF-free rate for each group was 88.1% (37/42) in the SePVI group and 91.4% (32/35) in the EmPVI group (P = NS). Conclusions: In patients with clearly documented arrhythmogenic PVs, the SePVI of the PV triggering the AF or an ipsilateral PV had a comparable long-term success rate and shorter RF energy delivery and procedure times than the EmPVI. | - |
dc.format.extent | 7 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | Blackwell Publishing Inc. | - |
dc.title | Is empirical four pulmonary vein isolation necessary for focally triggered paroxysmal atrial fibrillation? Comparison of selective pulmonary vein isolation versus empirical four pulmonary vein isolation | - |
dc.type | Article | - |
dc.publisher.location | 미국 | - |
dc.identifier.doi | 10.1111/j.1540-8167.2007.01074.x | - |
dc.identifier.scopusid | 2-s2.0-43049103064 | - |
dc.identifier.wosid | 000255484800009 | - |
dc.identifier.bibliographicCitation | Journal of Cardiovascular Electrophysiology, v.19, no.5, pp 473 - 479 | - |
dc.citation.title | Journal of Cardiovascular Electrophysiology | - |
dc.citation.volume | 19 | - |
dc.citation.number | 5 | - |
dc.citation.startPage | 473 | - |
dc.citation.endPage | 479 | - |
dc.type.docType | Article | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Cardiovascular System & Cardiology | - |
dc.relation.journalWebOfScienceCategory | Cardiac & Cardiovascular Systems | - |
dc.subject.keywordPlus | CATHETER ABLATION | - |
dc.subject.keywordPlus | LATE RECURRENCE | - |
dc.subject.keywordPlus | PERSISTENT | - |
dc.subject.keywordPlus | DISCONNECTION | - |
dc.subject.keywordPlus | TACHYCARDIA | - |
dc.subject.keywordPlus | RESUMPTION | - |
dc.subject.keywordPlus | CONDUCTION | - |
dc.subject.keywordPlus | INITIATION | - |
dc.subject.keywordPlus | EFFICACY | - |
dc.subject.keywordAuthor | paroxysmal atrial fibrillation | - |
dc.subject.keywordAuthor | catheter ablation | - |
dc.subject.keywordAuthor | arrhythmogenic pulmonary vein | - |
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