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BACKGROUND Paroxysmal atrial fibrillation (AF) naturally progresses toward chronic AF at an estimated rate of 15% to 30% over a 1- to 3-year period. Pulmonary vein (PV) isolation is increasingly performed for the treatment of drug-refractory paroxysmal AF. The long-term data on clinical outcome after circumferential PV isolation are limited. METHODS AND(More)
AIMS Manual mapping and ablation of right ventricular outflow tract (RVOT) tachycardia may be associated with cardiac perforation and complicated by mechanically induced ventricular extrasystoles (VESs). The aim of this study was to assess remote-controlled magnetic (RCM) mapping and ablation of RVOT ventricular tachycardia (VT)/VES utilizing a soft(More)
BACKGROUND Lack of an irrigated-tip magnetic catheter has limited the role of remote-controlled magnetic navigation (Niobe II, Stereotaxis) for catheter ablation of atrial fibrillation (AF). METHODS AND RESULTS A novel 3.5-mm-tip irrigated magnetic catheter (group 1, Thermocool Navistar RMT, Biosense Webster) was used for 3D left atrial reconstruction(More)
INTRODUCTION Robotic navigation (RN) is a novel technology for pulmonary vein isolation (PVI). We investigated the incidence of thermal esophageal injury using RN with commonly used power settings in comparison to manual PVI procedures. methods: Thirty-nine patients underwent circumferential PVI using a 3.5-mm irrigated-tip-catheter. In the manual (n = 25)(More)
AIMS Recently, the novel endoscopic ablation system (EAS) was introduced and proved its potential for successful pulmonary vein isolation (PVI) in patients suffering from paroxysmal atrial fibrillation (PAF). The current study will investigate the impact of pulmonary vein (PV) anatomy assessed by pre-interventional cardiac magnetic resonance imaging (CMRI)(More)
AIMS Cryothermal energy (CTE) ablation via a balloon catheter (Arctic Front, Cryocath) represents a novel technology for pulmonary vein isolation (PVI). However, balloon-based PVI approaches are associated with phrenic nerve palsy (PNP). We investigated whether 'single big cryoballoon'-deployed CTE lesions can (i) achieve acute electrical PVI without left(More)
Catheter ablation has become the curative treatment modality for various arrhythmias. Extending the indications for catheter ablation from simple supraventricular tachycardias to complex arrhythmias such as ventricular tachycardia or atrial fibrillation, the investigator faces prolonged procedure times, fluoroscopy exposure and the need for stable and(More)
BACKGROUND Cryoballoon pulmonary vein isolation (PVI) currently requires a long cryoballoon application (CBA) time of 240 to 300 seconds, thus repeated ineffective CBA prolongs procedure duration. We hypothesized that cryoballoon temperature (CBT) may be used to discriminate between effective and ineffective CBA during freezing. OBJECTIVE This study(More)
BACKGROUND The requirement for epicardial radiofrequency ablation (RFA) is still undefined in ventricular tachycardia (VT) late after myocardial infarction (MI). OBJECTIVE The purpose of this study was to evaluate the correlation between the need for epicardial RFA and the clinical and electrophysiologic characteristics of VT late after MI. METHODS(More)
BACKGROUND Pulmonary vein isolation (PVI) is an established treatment option for atrial fibrillation (AF). Recently the novel endoscopic ablation system (EAS) was introduced and proved potential for successful acute PVI. OBJECTIVE This study sought to investigate the 1-year follow-up results after EAS-based PVI. METHODS A total of 40 patients (20(More)