Practical Guide to Catheter Ablation of Atrial Fibrillation

Jonathan S. Steinberg, MD, Adjunct Professor of Medicine, University of Rochester School of Medicine and Dentistry; Director, The Arrhythmia Institute, The Valley Health System, New York, NY and Ridgewood, NJ, USA.Professor Jonathan S. Steinberg has helped produce many of the seminal and innovative clinical trials in electrophysiology, with a recent specific focus on the technical and clinical aspects of catheter ablation of atrial fibrillation. He is the author of more than 180 peer-reviewed publications and 250 abstracts, an editorial board member or regular reviewer for numerous journals, and is part of the American Board of Internal Medicine Clinical Cardiac Electrophysiology Committee. He continues to have an active clinical practice, managing patients with complex arrhythmias who require catheter ablation. Pierre Jais, M.D., Professor, Department of Cardiology, Universite Victor Segalen-Bordeaux 2 and Hopital Cardiologique du Haut-Leveque, Bordeaux, France.Pierre Jais is Professor at the Cardiology Hospital, Pessac, France, working with Michel Haissaguerre in the Rhythmology and Cardiac Stimulation Department. With this group he has pioneered AF ablation. He is a regular contributor at national and international symposia (240 communications) and has written many journal articles, mainly on electrophysiology and RF catheter ablation, particularly focusing on atrial and ventricular arrhythmias (412 journal publications, 38 as first author). Hugh Calkins, M.D., F.A.C.C., FHRS, FAHA. Nicholas J. Fortuin, M.D., Professor of Cardiology; Professor of Medicine; Director, Cardiac Arrhythmia Services and Electrophysiology Laboratory; Director, Johns Hopkins ARVD/C Program, Baltimore, MD, USA. Dr Hugh Calkins is the Nicholas J. Fortuin M.D. Professor of Cardiology and Professor of Medicine at the Johns Hopkins University School of Medicine. He also is the Director of the Clinical Electrophysiology Laboratory, the Atrial Fibrillation Center, and the Arrhythmia Service at the Johns Hopkins Hospital. Dr Calkins has published more 500 articles and book chapters. He has lectured extensively throughout the world. The focus of his research efforts have been on atrial fibrillation, and catheter ablation. Dr Calkins is on the editorial board of the Journal of the American College of Cardiology, Circulation, Heart Rhythm, the Journal of Interventional Electrophysiology, and Circulation Arrhythmia and Electrophysiology. He is a past President of the Heart Rhythm Society.

• Contributors, vii1 Indications for Catheter and Surgical Ablation of Atrial Fibrillation, 1Hugh Calkins2 Catheter Ablation for Atrial Fibrillation: Past, Present, and Future, 7David Spragg & Hugh Calkins3 Staffing, Training, and Ongoing Volume Requirements, 17Mehdi Namdar & Dipen Shah4 Equipment Options for the Ablation of Atrial Fibrillation, 23German Kamalov & John D. Hummel5 Preprocedure Preparation for Catheter-based Ablation of Atrial Fibrillation, 33Jose F. Huizar & Kenneth A. Ellenbogen6 Intracardiac Ultrasound, 49Dan L. Musat, Jayanthi N. Koneru, Scott W. Burke, Farooq A. Chaudhry, & Jonathan S. Steinberg7 Electroanatomic Mapping Systems, 65Carlos Macias, Olujimi Ajijola, Kalyanam Shivkumar, & Eric Buch8 Magnetic and Robotic Catheter Navigation, 75John M. Miller, Mark A. Dixon, Deepak Bhakta, Rahul Jain, & Mithilesh K. Das9 MRI-guided Procedures, 85Henry Halperin & Aravindan Kolandaivelu10 MRI Definition of Atrial Substrate, 101Leenhapong Navaravong & Nassir F. Marrouche11 The Utility of Noninvasive Mapping in Persistent Atrial Fibrillation Ablation, 109Han S. Lim, Stephan Zellerhoff, Nicolas Derval, Seigo Yamashita, Darren Hooks, Benjamin Berte, Saagar Mahida, Arnaud Denis, Ashok. J. Shah, Frédéric Sacher, Mélèze Hocini, Pierre Jaïs, & Michel Haïssaguerre12 Interpretation of Circular Mapping Catheter Recordings, 119Laurent Macle & Jason G. AndradeCONTROVERSY: Differing Energy Sources – the Use of Radiofrequency Energy, 131Suneet MittalCONTROVERSY: Differing Energy Sources/Use of Cryo-energy, 137Pipin Kojodjojo & D. Wyn Davies13 Circumferential Ablation with Pulmonary Vein Isolation Guided by Lasso Catheter, 145A. Metzner, K. Satomi, K.-H. Kuck, & F. OuyangCONTROVERSY: Circumferential versus Segmental Pulmonary Vein Isolation/Circumferential PVI, 176R. Proietti, L. Di Biase, P. Santangeli, P. Mohanty, C. Barrett, S. Danik, S. Mohanty, R. Bai, C. Trivedi, J.D. Burkhardt, & A. NataleCONTROVERSY: Circumferential versus Segmental Pulmonary Vein Isolation/Segmental PVI, 183Gregory K. Feld14 How to Select Target Sites in Electrogram-guided Ablation: Options, Techniques, and Results, 191Anand N. Ganesan, Dennis H. Lau, & Prashanthan SandersCONTROVERSY: Electrogram-guided Ablation: Valuable Technique, 206Naoya Oketani & Koonlawee NademaneeCONTROVERSY: Electrogram-guided Ablation: Limited Contribution to Successful Outcome, 215Hatice Duygu Bas, Kazim Baser, & Hakan Oral15 Left Atrial Linear Lesions, 221Stephan Zellerhoff, Han S. Lim, & Pierre Jaïs16 Ablation of Autonomic Ganglia, 229Evgeny Pokushalov & Jonathan S. Steinberg17 Trigger Mapping, 245Pasquale Santangeli & Francis E. Marchlinski18 Mapping and Ablation of Electrical Rotor and Focal Sources for Atrial Fibrillation: A Patient-tailored MechanisticApproach, 271Junaid A. B. Zaman, Siva K. Mulpuru, David E. Krummen, & Sanjiv M. Narayan19 Renal Artery Denervation: Modulation of the Autonomic Nervous System to Treat Atrial Fibrillation, 283Evgeny Pokushalov & Jonathan S. Steinberg20 The Stepwise Ablation Approach for Persistent Atrial Fibrillation, 293Han S. Lim, Stephan Zellerhoff, & Pierre Jaïs21 Limited Ablation for Persistent Atrial Fibrillation Using Preprocedure Reverse Remodeling, 303David J. Slotwiner & Jonathan S. Steinberg22 Long-standing Persistent Atrial Fibrillation Ablation, 315Luigi Di Biase, Pasquale Santangeli, Alessandro Paoletti Perini, Francesco Santoro, Rong Bai, Javier E. Sanchez, Rodney Horton, John David Burkhardt, & Andrea Natale23 Mapping and Ablation of Left Atrial Flutter, 323Matthew Daly, Yuki Komatsu, & Pierre Jaïs24 Follow-up After Ablation: Assessing Success, Symptom Status, and Recurrent Arrhythmias, 333Simon Kircher, Charlotte Eitel, & Gerhard Hindricks25 How to Strategize the “Redo” Ablation Procedure, 343Jeffrey S. Arkles & David J. Callans26 Periprocedural Care for Catheter Ablation of Atrial Fibrillation, 351Chirag Barbhaiya, Justin Ng, & Gregory F. Michaud27 Complications: Early and Late After Ablation, 361Antonio Sorgente & Riccardo Cappato28 Charting Long-term Success and the Challenge of Monitoring Outcomes, 371Isabel DeisenhoferIndex, 381