Pharmacologic Reversion of Persistent Atrial Fibrillation with Amiodarone Predicts Long-Term Sinus Rhythm Maintenance

2003 ◽  
Vol 8 (3) ◽  
pp. 179-186 ◽  
Author(s):  
Jorge Galperín ◽  
Marcelo V. Elizari ◽  
Pablo A. Chiale ◽  
Remberto Torres Molina ◽  
Raúl Ledesma ◽  
...  
2006 ◽  
Vol 21 (6) ◽  
pp. 375-381 ◽  
Author(s):  
Dariusz A. Kosior ◽  
Marcin Szulc ◽  
Grzegorz Opolski ◽  
Adam Torbicki ◽  
Daniel Rabczenko

EP Europace ◽  
2020 ◽  
Author(s):  
Mark M Gallagher ◽  
Gang Yi ◽  
Hanney Gonna ◽  
Lisa W M Leung ◽  
Idris Harding ◽  
...  

Abstract Aims Restoring sinus rhythm (SR) by ablation alone is an endpoint used in radiofrequency (RF) ablation for long-standing persistent atrial fibrillation (AF) but not with cryotherapy. The simultaneous use of two cryotherapy catheters can improve ablation efficiency; we compared this with RF ablation in chronic persistent AF aiming for termination to SR by ablation alone. Methods and results Consecutive patients undergoing their first ablation for persistent AF of >6 months duration were screened. A total of 100 participants were randomized 1:1 to multi-catheter cryotherapy or RF. For cryotherapy, a 28-mm Arctic Front Advance was used in tandem with focal cryoablation catheters. Open-irrigated, non-force sensing catheters were used in the RF group with a 3D mapping system. Pulmonary vein (PV) isolation and non-PV triggers were targeted. Participants were followed up at 6 and 12 months, then yearly. Acute PVI was achieved in all cases. More patients in the multi-catheter cryotherapy group were restored to SR by ablation alone, with a shorter procedure duration. Sinus rhythm continued to the last available follow-up in 16/49 patients (33%) in the multi-catheter at 3.0 ± 1.6 years post-ablation and in 12/50 patients (24%) in the RF group at 4.0 ± 1.2 years post-ablation. The yearly rate of arrhythmia recurrence was similar. Conclusion Multi-catheter cryotherapy can restore SR by ablation alone in more cases and more quickly than RF ablation. Long-term success is difficult to achieve by either methods and is similar with both.


2020 ◽  
Vol 11 (4) ◽  
pp. 90-95
Author(s):  
Sergey A. Vachev ◽  
Sergey V. Korolev ◽  
Alexandr S. Zotov ◽  
Robert I. Khabazov ◽  
Alexander V. Troitskiy

The article presents two clinical cases of delayed restoration of the sinus rhythm in patients with long-term persistent atrial fibrillation after the procedure of thoracoscopic radiofrequency fragmentation of the left atrium. The necessity of continuing attempts to restore the sinus rhythm up to the end of the "blind period" (90 days) is discussed.


2017 ◽  
Vol 1 ◽  
pp. 109-117 ◽  
Author(s):  
Michal Zembala ◽  
Krzysztof Filipiak ◽  
Oskar Kowalski ◽  
Piotr Buchta ◽  
Tomasz Niklewski ◽  
...  

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