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Cited by 21Atrial Fibrillation Management and OutcomesCardiac Arrhythmias and TreatmentsCardiac pacing and defibrillation studies

Catheter ablation of inducible atrial flutter, in combination with atrial pacing and antiarrhythmic drugs ("hybrid therapy") improves rhythm control in patients with refractory atrial fibrillation

Prakash, Atul, Saksena, Sanjeev, Krol, Ryszard B., Filipecki, Artur, Philip, George·2002·Journal of Interventional Cardiac Electrophysiology
DOI 10.1023/a:1015319618049
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Abstract

Unlabelled Atrial flutter or tachycardia may coexist with atrial fibrillation [AF] and can be treated with ablation techniques in attempt to reduce the total AF burden. The role of ablation of latent atrial tachyarrhythmias elicited at electrophysiologic study in conjunction with atrial pacing and antiarrhythmic drugs in patients with refractory AF has not been evaluated. We evaluated the efficacy of catheter ablation of electrically induced atrial flutter or atrial tachycardia in improving rhythm control in patients with refractory AF. Methods Consecutive patients with refractory AF, and spontaneous atrial flutter (Group 1) or without spontaneous atrial flutter (Group 2) underwent programmed stimulation in a baseline drug-free state. All patients had electrically induced atrial flutter or tachycardia. Radiofrequency ablation of the arrhythmia substrate was performed in all patients. Primary endpoints evaluated for patient outcome in both groups included maintenance of rhythm control and freedom from recurrent atrial tachyarrhythmias. Results Forty-three patients, with a mean age of 66 +/- 13 years were studied. Group 1 consisted of 22 patients while Group 2 had 21 patients. Ablation of the tricuspid valve-inferior venacaval isthmus was performed in 41 patients who had common atrial flutter induced at electrophysiologic study. Ablation of other atrial sites was performed in 8 patients with induced atypical flutter and 4 patients with induced atrial tachycardia. Ten of these p…

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Crossref · 10.1023/a:1015319618049

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  • Combining cavotricuspid isthmus ablation and antiarrhythmic drugs may lead to improved rhythm control without the need for left atrial ablation in patients who develop 'drug-induced atrial flutter' on therapy with flecainide, propafenone, or amiodarone.

    “Combining cavotricuspid isthmus ablation and antiarrhythmic drugs may lead to improved rhythm control without the need for left atrial ablation in patients who develop 'drug-induced atrial flutter' on therapy with flecainide, propafenone, or amiodarone, [834][835][836]”

    From 2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS (2016) · cites this paper as [834]

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Authors
Prakash, A., Saksena, S., Krol, R. B., Filipecki, A., & Philip, G.
Affiliations
Atlantic Health System (US)
Corresponding author
Saksena, Sanjeev
ORCID
Venue
Journal of Interventional Cardiac Electrophysiology
Publisher
Springer Science and Business Media LLC
Published
2002-06
Volume
6
Issue
2
Pages
165-172
ISSN
  • 1383-875X (ISSN-L)
  • 1572-8595
DOI
10.1023/a:1015319618049
OpenAlex
W300902243
Cited by
21
References
25
Citations by year
2024: 1 · 2023: 1 · 2016: 3 · 2014: 1 · 2012: 1
FWCI
2.40
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Journal of Interventional Cardiac Electrophysiology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Atrial Fibrillation Management and Outcomes
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Arrhythmias and Treatments
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac pacing and defibrillation studies
Keywords
refractory atrial fibrillation, atrial flutter, catheter ablation, radiofrequency ablation, atrial pacing, antiarrhythmic drugs, hybrid therapy, programmed electrical stimulation, atrial tachycardia, rhythm control, arrhythmia recurrence
MeSH terms
Aged, Anti-Arrhythmia Agents, Atrial Fibrillation, Atrial Flutter, Cardiac Pacing, Artificial, Female, Humans, Male, Middle Aged, Recurrence, Catheter Ablation, Electrophysiologic Techniques, Cardiac

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