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Atrial Fibrillation Ablation, 2011 Update: The State of the by Andrea Natale, Antonio Raviele

By Andrea Natale, Antonio Raviele

This concise textual content provides top practices for all points of atrial traumatic inflammation ablation as defined within the re-creation of the VeniceChart overseas Consensus rfile, that's awarded along side the biannual Venice Arrhythmias convention. as well as discussing the most recent in a-fib ablation examine, this 2011 replace covers the entire key components of treatment and sufferer administration, together with:

• ideas and technologies
• Procedural endpoints
• sufferer administration pre-, peri- and post-ablation
• Prevention and remedy of complications
• Definition of luck and long term results

With contributions from the world’s well-known idea leaders during this box, this e-book is a hugely worthwhile resource of data not just for experts in electrophysiology, but additionally for normal cardiologists, fellows in cardiology and others attracted to this dynamic and more and more vital topic.

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Extra info for Atrial Fibrillation Ablation, 2011 Update: The State of the Art Based on the VeniceChart International Consensus Document

Sample text

4 An example of photomicrograph of a myocardial sleeve extending around the SVC. The sleeve is located next to the adventitia of the caval vein. Its fibers are mainly circular and peripherally intermingled with fat cells. Longitudinally oriented fibers (arrows) are partially fibrotic. P1: SFK/UKS P2: SFK BLBK394-01 Color: 4C August 4, 2011 8 16:36 Trim: 9in X 6in Atrial Fibrillation Ablation, 2011 Update were randomized into two groups—PVI only and PVI with SVC isolation. SVC isolation was performed on 134 of the 160 patients (84%), and could not be accomplished in the remaining 26 patients because of PN proximity or due the lack of local potentials.

The data gathered from these studies have provided new insights in their morphologies and electrical function with a parallel improvement in patient care. However, as the ablation treatment of AF increases, the electrophysiologists’ interest has moved also to other structures that are directly or indirectly involved in the AF ablation procedures. These structures may be of interest for the access to the LA (atrial septum/fossa ovalis), for their role as sources of atrial ectopic activities (SVC, LAA/ligament of Marshall), for their implications in the ablation strategy (mitral isthmus) or in interatrial conduction (accessory interatrial connection pathways), for their role in the pathophysiology of AF (GP), and for their possible involvement in severe complications (PNs and esophagus).

Masson’s trichrome stain. causing disruption of accessory interatrial connections and tissue debulking [50], may considerably alter the interatrial propagation during postablation organized atrial arrhythmias with unexpected modification of the surface P-wave morphology. This may occur even during typical isthmus-dependent AFL and leads to misdiagnosis of this arrhythmia [51]. Ganglionated plexi The intrinsic cardiac nervous system influences cardiac rate, atrial and ventricular refractoriness, coronary blood flow, valve function, and atrial natriuretic peptide secretion, and it appears involved in many human heart P1: SFK/UKS P2: SFK BLBK394-01 Color: 4C August 4, 2011 12 16:36 Trim: 9in X 6in Atrial Fibrillation Ablation, 2011 Update disorders [52–54].

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