摘要
Journal of Cardiovascular ElectrophysiologyVolume 34, Issue 5 p. 1326-1328 INVITED EDITORIAL Reconduction (reconnection or gap) after pulmonary vein isolation for paroxysmal atrial fibrillation ablation is a multifactorial process rather than a battle of fire and ice alone! This article relates to: Differential gap location after radiofrequency versus cryoballoon pulmonary vein isolation: Insights from a randomized trial with protocol-mandated repeat procedure Samuel K. Sørensen MD, Arne Johannessen MD, DMSc, René Worck MD, PhD, Morten L. Hansen MD, PhD, Martin H. Ruwald MD, PhD, Jim Hansen MD, DMSc, Volume 34Issue 3Journal of Cardiovascular Electrophysiology pages: 519-526 First Published online: January 22, 2023 Ugur Canpolat MD, Corresponding Author Ugur Canpolat MD [email protected] orcid.org/0000-0002-4250-1706 Department of Cardiology, Arrhythmia and Electrophysiology Unit, Hacettepe University Faculty of Medicine, Ankara, Turkey Correspondence Ugur Canpolat, MD, Department of Cardiology, Arrhythmia and Electrophysiology Unit, Hacettepe University Faculty of Medicine, Altindag, 06100 Ankara, Turkey. Email: [email protected]Search for more papers by this author Ugur Canpolat MD, Corresponding Author Ugur Canpolat MD [email protected] orcid.org/0000-0002-4250-1706 Department of Cardiology, Arrhythmia and Electrophysiology Unit, Hacettepe University Faculty of Medicine, Ankara, Turkey Correspondence Ugur Canpolat, MD, Department of Cardiology, Arrhythmia and Electrophysiology Unit, Hacettepe University Faculty of Medicine, Altindag, 06100 Ankara, Turkey. Email: [email protected]Search for more papers by this author First published: 14 February 2023 https://doi.org/10.1111/jce.15857 Disclosure: None. 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Heart Rhythm. 2017; 14(10): e275-e444. 10.1016/j.hrthm.2017.05.012 PubMedWeb of Science®Google Scholar 3Haïssaguerre M, Jaïs P, Shah DC, et al. Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins. N Engl J Med. 1998; 339(10): 659-666. 10.1056/NEJM199809033391003 CASPubMedWeb of Science®Google Scholar 4Kuck KH, Brugada J, Fürnkranz A, et al. Cryoballoon or radiofrequency ablation for paroxysmal atrial fibrillation. N Engl J Med. 2016; 374(23): 2235-2245. 10.1056/NEJMoa1602014 PubMedWeb of Science®Google Scholar 5Nanthakumar K, Plumb VJ, Epstein AE, Veenhuyzen GD, Link D, Kay GN. Resumption of electrical conduction in previously isolated pulmonary veins: rationale for a different strategy? Circulation. 2004; 109(10): 1226-1229. 10.1161/01.CIR.0000121423.78120.49 PubMedWeb of Science®Google Scholar 6Ouyang F, Antz M, Ernst S, et al. Recovered pulmonary vein conduction as a dominant factor for recurrent atrial tachyarrhythmias after complete circular isolation of the pulmonary veins: lessons from double Lasso technique. Circulation. 2005; 111(2): 127-135. 10.1161/01.CIR.0000151289.73085.36 PubMedWeb of Science®Google Scholar 7Neuzil P, Reddy VY, Kautzner J, et al. Electrical reconnection after pulmonary vein isolation is contingent on contact force during initial treatment: results from the EFFICAS I study. Circ Arrhythmia Electrophysiol. 2013; 6(2): 327-333. 10.1161/CIRCEP.113.000374 PubMedWeb of Science®Google Scholar 8Nery PB, Belliveau D, Nair GM, et al. Relationship between pulmonary vein reconnection and atrial fibrillation recurrence. JACC Clin Electrophysiol. 2016; 2(4): 474-483. 10.1016/j.jacep.2016.02.003 PubMedGoogle Scholar 9De Pooter J, Strisciuglio T, El Haddad M, et al. Pulmonary vein reconnection no longer occurs in the majority of patients after a single pulmonary vein isolation procedure. JACC Clin Electrophysiol. 2019; 5(3): 295-305. 10.1016/j.jacep.2018.11.020 PubMedGoogle Scholar 10Cheung CC, Deyell MW, Macle L, et al. Repeat atrial fibrillation ablation procedures in the CIRCA-DOSE study. Circ Arrhythmia Electrophysiol. 2020; 13(9):e008480. 10.1161/CIRCEP.120.008480 PubMedWeb of Science®Google Scholar 11Mugnai G, Cecchini F, Stroker E, et al. Durability of pulmonary vein isolation following cryoballoon ablation: lessons from a large series of repeat ablation procedures. Int J Cardiol Heart Vasc. 2022; 40:101040. 10.1016/j.ijcha.2022.101040 PubMedWeb of Science®Google Scholar 12Rostock T, Mollnau H, Konrad T. Residual carina conduction after attempted circumferential pulmonary vein isolation: when anatomy meets electrophysiology. J Cardiovasc Electrophysiol. 2020; 31(7): 1628-1630. 10.1111/jce.14548 PubMedWeb of Science®Google Scholar 13Cabrera JA, Ho SY, Climent V, Fuertes B, Murillo M, Sánchez-Quintana D. Morphological evidence of muscular connections between contiguous pulmonary venous orifices: relevance of the interpulmonary isthmus for catheter ablation in atrial fibrillation. Heart Rhythm. 2009; 6(8): 1192-1198. 10.1016/j.hrthm.2009.04.016 PubMedWeb of Science®Google Scholar 14Teres C, Soto-Iglesias D, Penela D, et al. Left atrial wall thickness of the pulmonary vein reconnection sites during atrial fibrillation redo procedures. Pacing Clin Electrophysiol. 2021; 44(5): 824-834. 10.1111/pace.14222 PubMedWeb of Science®Google Scholar 15Pandozi C, Lavalle C, Ficili S, et al. Reasons for successful clinical outcome following pulmonary vein isolation despite lack of persistent LA-PV conduction block. Pacing Clin Electrophysiol. 2019; 42(7): 1056-1062. 10.1111/pace.13732 PubMedWeb of Science®Google Scholar 16Arentz T, Weber R, Bürkle G, et al. Small or large isolation areas around the pulmonary veins for the treatment of atrial fibrillation? Results from a prospective randomized study. Circulation. 2007; 115(24): 3057-3063. 10.1161/CIRCULATIONAHA.107.690578 PubMedWeb of Science®Google Scholar 17Gokoglan Y, Mohanty S, Gunes MF, et al. Pulmonary vein antrum isolation in patients with paroxysmal atrial fibrillation: more than a decade of follow-up. Circ Arrhythm Electrophysiol. 2016; 9(5):e003660. 10.1161/CIRCEP.115.003660 PubMedWeb of Science®Google Scholar 18Sakamoto Y, Osanai H, Tanaka Y, et al. Contrast-enhanced computed tomography for optimizing the outcomes of pulmonary vein isolation with cryoablation—the role of isolation of PVs including carina. J Interv Card Electrophysiol. 2022; 64(2): 455-461. 10.1007/s10840-021-01052-5 PubMedWeb of Science®Google Scholar 19Sorensen SK, Johannessen A, Worck R, Hansen ML, Hansen J. Radiofrequency versus cryoballoon catheter ablation for paroxysmal atrial fibrillation: durability of pulmonary vein isolation and effect on atrial fibrillation burden: the RACE-AF randomized controlled trial. Circ Arrhythm Electrophysiol. 2021; 14(5):e009573. 10.1161/CIRCEP.120.009573 PubMedWeb of Science®Google Scholar 20Sorensen SK, Johannessen A, Worck R, Hansen ML, Ruwald MH, Hansen J. Differential gap location after radiofrequency versus cryoballoon pulmonary vein isolation: insights from a randomized trial with protocol-mandated repeat procedure. J Cardiovasc Electrophysiol. Published online January 14, 2023. doi:10.1111/jce.15821 10.1111/jce.15821 PubMedWeb of Science®Google Scholar Volume34, Issue5May 2023Pages 1326-1328 ReferencesRelatedInformation