Download Catheter Ablation of Atrial Fibrillation by Etienne Aliot, Michel Haissaguerre, Warren Jackman PDF

By Etienne Aliot, Michel Haissaguerre, Warren Jackman

Catheter Ablation of Atrial traumatic inflammation Edited byEtienne Aliot, MD, FESC, FACC, FHRS leader of Cardiology, H?pital relevant, college of Nancy, FranceMichel Ha?ssaguerre, MD leader of Electrophysiology, H?pital Cardiologique du Haut-L?v?que, FranceWarren M. Jackman, MD leader of Electrophysiology, collage of Oklahoma overall healthiness technology heart, USAIn this article, across the world famous authors discover and clarify the advances in simple and medical electrophysiology that experience had the best influence on catheter ablation of atrial traumatic inflammation (AF).Designed to help in sufferer care, stimulate examine initiatives, and proceed the notable advances in catheter ablation of AF , the publication covers:the primary strategies of AF, foundation of indications, laptop simulation, and up-to-date experiences of ablation toolsthe current sensible ways to the ablation of particular pursuits within the fibrillating atria, together with pulmonary veins, atrial neural community, fragmented electrograms, and linear lesions, in addition to the options in paroxysmal or continual AF or dealing with left atrial tachycardiasthe certain problem of center failure sufferers, the influence of ablation on mortality, atrial mechanical functionality, and classes from surgical AF ablationRichly illustrated via a variety of fine quality photographs, Catheter Ablation of Atrial traumatic inflammation may help each member of the sufferer care crew.

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Extra info for Catheter Ablation of Atrial Fibrillation

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The esophagus and other extracardiac structures As repeatedly stated, catheter ablation techniques in patients with AF have progressively evolved to more extensive procedures. Two of the most widely used approaches involve not only circumferential ablation around the PVs but also the performance of linear lesions between the encircled PV orifices and between the left lower PV and the mitral annulus. These linear lesions involve the posterior wall of the LA. In addition, catheter ablation tools capable of creating larger and deeper lesions are increasingly used to reduce the number of pulses and the duration of the procedure and to assure transmurality of the ablation.

22). These anatomic structures may be affected by ablative procedures. It has been shown that radiofrequency may substantially elevate the temperature within the esophageal lumen and that atrioesophageal fistulae may result from this thermal injury. The heat from the probe may also result in subacute inflammatory reaction of the esophageal wall. Overlapping lines in the posterior wall may have been responsible for esophageal injury. Thus, the investigators recommend avoiding excessively deep lesions by decreasing the power, temperature, and duration of radiofrequency energy application.

Kim DT, Lai AC, Hwang C, et al. The ligament of Marshall: a structural analysis in human hearts with implications for atrial arrythmias. J Am Coll Cardiol 2000;36:1324–7. Makino M, Inoue S, Matsuyama TA, et al. Diverse myocardial extension and autonomic innervation on ligament of Marshall in humans. J Cardiovasc Electrophysiol 2006;17:594–9. Roithinger FX, Cheng J, SippensGroenewegen A, Lee RJ, Saxon LA, Scheinman MM, Lesh MD. Use of electroanatomic mapping to delineate transseptal atrial conduction in humans.

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