Authors:
N Szegedi Heart and Vascular Center, Semmelweis University, Budapest, Hungary

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E Zima Heart and Vascular Center, Semmelweis University, Budapest, Hungary

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M Clemens Cardiology Institute, University of Debrecen, Debrecen, Hungary

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A Szekely Department of Cardiology, State Health Center, Budapest, Hungary

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RG Kiss Department of Cardiology, State Health Center, Budapest, Hungary

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G Szeplaki Heart and Vascular Center, Semmelweis University, Budapest, Hungary

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L Geller Heart and Vascular Center, Semmelweis University, Budapest, Hungary

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B Merkely Heart and Vascular Center, Semmelweis University, Budapest, Hungary

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Z Csanadi Cardiology Institute, University of Debrecen, Debrecen, Hungary

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G Duray Department of Cardiology, State Health Center, Budapest, Hungary

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Open access

Background

Catheter ablation is a proven therapy of focal atrial tachycardia. However limited information is available about the additional value of electroanatomical over conventional mapping methods for this specific arrhythmia.

Methods

Consecutive catheter ablation procedures of FAT were analyzed in two cardiology centres. Only conventional mapping was used in 30 of the 60 procedures whereas additionally CARTO mapping was performed in another 30 procedures. Acute, six-month success rate, and procedural data were analyzed.

Results

Localization of ectopic foci is congruent with previously published data. There was no statistically significant difference between procedure time and fluoroscopy time using additionally CARTO mapping, compared to conventional mapping only. Acute success rate was higher in procedures guided by CARTO mapping than in procedures based on conventional mapping (27/30 vs. 18/30, p = 0.0081). During the 6-month follow-up period there was a better outcome (p = 0.045) in case of CARTO guided procedures (success: 11 cases, partial success: 12 cases, failure: 4 cases) compared to conventional mapping (success: 4 cases, partial success: 18 cases, failure: 7 cases).

Conclusions

Catheter ablation of focal atrial tachycardias using the CARTO electroanatomical mapping system seems to provide higher acute and 6-month success rate compared to ablation using conventional mapping methods only.

  • 1.

    Anguera I , Brugada J, Roba M, Mont L, Aguinaga L, Geelen P, Brugada P: Outcomes after radiofrequency catheter ablation of atrial tachycardia. Am. J. Cardiol. 87, 886890 (2001)

    • Search Google Scholar
    • Export Citation
  • 2.

    Biviano AB , Bain W, Whang W, Leitner J, Dizon J, Hickey K, Garan H.: Focal left atrial Tachycardias not Associated with prior catheter ablation for atrial fibrillation: clinical and Electrophysiological characteristics. Pacing Clin. Electrophysiol. 35, 1727 (2011)

    • Search Google Scholar
    • Export Citation
  • 3.

    Blomström-Lundqvist C , Scheinman MM, Aliot EM, Alpert JS, Calkins H, Camm AJ, Campbell WB, Haines DE, Kuck KH, Lerman BB, Miller DD, Shaeffer CW Jr, Stevenson WG, Tomaselli GF, Antman EM, Smith SC Jr, Alpert JS, Faxon DP, Fuster V, Gibbons RJ, Gregoratos G, Hiratzka LF, Hunt SA, Jacobs AK, Russell RO Jr, Priori SG, Blanc JJ, Budaj A, Burgos EF, Cowie M, Deckers JW, Garcia MA, Klein WW, Lekakis J, Lindahl B, Mazzotta G, Morais JC, Oto A, Smiseth O, Trappe HJ: ACC/AHA/ESC guidelines for the management of patients with supraventricular arrhythmias-executive summary. Eur. Heart J. 24, 18571897 (2003)

    • Search Google Scholar
    • Export Citation
  • 4.

    Cavaco D , Adragão P, Morgado F, Aguiar C, Chotalal D, Palos J, Bonhorst D, Seabra-Comes R: Electroanatomical mapping and ablation of atrial tachycardias with the CARTO system. Rev. Port. Cardiol. 21, 407418 (2002)

    • Search Google Scholar
    • Export Citation
  • 5.

    Femenía F , Arce M, Arrieta M, Baranchuk A: (Taquicardia auricular focal incesante originada en la orejuela derecha: riesgo de taquicardiomiopatía. Rol de la ablación por radiofrecuencia.) Incessant focal atrial tachycardia arising from the right appendage: risk of tachycardia mediated cardiomyopathy. Role of the radiofrequency ablation. Arch. Argent. Pediatr. 109, 3338 (2011)

    • Search Google Scholar
    • Export Citation
  • 6.

    Furushima H , Chinushi M, Hosaka Y, Aizawa Y: Focal atrial tachycardia refractory to radiofrequency catheter ablation originating from right atrial appendage. Europace 11, 521522 (2009).

    • Search Google Scholar
    • Export Citation
  • 7.

    González-Torrecilla E , Arenal Á, Quiles J, Atienza F, Jiménez-Candil J, del Castillo S, Almendral J: Nonfluoroscopic electroanatomical mapping (CARTO System) in the ablation of atrial tachycardias. Rev. Esp. Cardiol. 57, 3744 (2004)

    • Search Google Scholar
    • Export Citation
  • 8.

    Gurevitz OT , Glikson M, Asirvatham S, Kester TA, Grice SK, Munger TM, Rea RF, Shen WK, Jahangir A, Packer DL, Hammill SC, Friedman PA: Use of advanced mapping systems to guide ablation in complex cases: experience with noncontact mapping and electroanatomic mapping systems. Pacing Clin. Electrophysiol. 28, 316323 (2005)

    • Search Google Scholar
    • Export Citation
  • 9.

    Hindricks G : The Multicentre European Radiofrekvency Survey (MERFS): Complications of radiofrequency catheter ablation of arrhythmias. Eur. Heart J. 14, 16441653 (1993)

    • Search Google Scholar
    • Export Citation
  • 10.

    Hoffmann E , Reithmann C, Nimmermann P: Clinical experience with electroanatomic mapping of ectopic atrial tachycardia. Pacing Clin. Electrophysiol. 25, 4956 (2002)

    • Search Google Scholar
    • Export Citation
  • 11.

    Huo Y , Braunschweig F, Gaspar T, Richter S, Schönbauer R, Sommer P, Arya A, Rolf S, Bollmann A, Hindricks G, Piorkowski C: Diagnosis of atrial tachycardias originating from the lower right atrium: importance of P-wave morphology in the precordial leads V3–V6. Europace. 4, 570577 (2011)

    • Search Google Scholar
    • Export Citation
  • 12.

    Issa ZF , Miller JM, Zipes DP (2012): Focal atrial tachycardia. In: Clinical Arrhythmology and Electrophysiology. A companion to Braunwald’s Heart Disease, 2nd edition, Philadelphia, Saunders, pp. 212237

    • Search Google Scholar
    • Export Citation
  • 13.

    Kalman JM , Olgin JE, Karch MR, Hamdan M, Lee RJ, Lesh MD: “Cristal Tachycardias”: Origin of right atrial tachycardias from the crista terminalis identified by intracardiac echocardiography. J. Am. Coll. Cardiol. 31, 451459 (1998)

    • Search Google Scholar
    • Export Citation
  • 14.

    Kammeraad JAE , Balaji S, Oliver RP, Chugh SS, Halperin BD, Kron J, McAnulty JH: Nonautomatic focal atrial tachycardia: characterization and ablation of a poorly understood arrhythmia in 38 patients. Pacing Clin. Electrophysiol. 26, 736742 (2003)

    • Search Google Scholar
    • Export Citation
  • 15.

    Lesh MD , Van Hare GF, Epstein LM, Fitzpatrick AP, Scheinman MM, Lee RJ, Kwasman MA, Grogin HR, Griffin JC: Radiofrequency catheter ablation of atrial arrhythmias: results and mechanisms. Circulation. 89, 10741089 (1994)

    • Search Google Scholar
    • Export Citation
  • 16.

    Natale A , Breeding L, Tomassoni G, Rajkovich K, Richey M, Beheiry S, Martinez K, Cromwell L, Wides B, Leonelli F: Ablation of right and left ectopic atrial tachycardias using a three-dimensional nonfluoroscopic mapping system. Am. J. Cardiol. 82, 989992 (1998)

    • Search Google Scholar
    • Export Citation
  • 17.

    Packer DL : Three-dimensional mapping in interventional electrophysiology: techniques and technology. J. Cardiovasc. Electrophysiol. 16, 11101116 (2005)

    • Search Google Scholar
    • Export Citation
  • 18.

    Poty H , Saoudi N, Haissaguerre M, Daou A, Clémenty J, Letac B: Radiofrequency catheter ablation of atrial tachycardias. Am. Heart J. 131, 481489 (1996)

    • Search Google Scholar
    • Export Citation
  • 19.

    Poutiainen AM , Koistinen MJ, Airaksinen KEJ, Hartikainen EK, Kettunen RVJ, Karjalainen JE, Huikuri HV: Prevalence and natural course of ectopic atrial tachycardia. Eur. Heart J. 20, 694700 (1999)

    • Search Google Scholar
    • Export Citation
  • 20.

    Qian ZY , Hou XF, Xu DJ, Yang B, Chen ML, Chen C, Zhang FX, Shan QJ, Cao KJ, Zou JG: An algorithm to predict the site of origin of focal atrial tachycardia. Pacing Clin. Electrophysiol. 34, 414421 (2011)

    • Search Google Scholar
    • Export Citation
  • 21.

    Reithmann C , Hoffmann E, Dorwarth U, Remp T, Steinbeck G: Electroanatomical mapping for visualization of atrial activation in patients with incisional atrial tachycardias. Eur. Heart J. 22, 237246 (2001)

    • Search Google Scholar
    • Export Citation
  • 22.

    Roberts-Thomson KC , Kistler PM, Kalman JM: Focal atrial tachycardia I: clinical features, diagnosis, mechanisms, and anatomic location. Pacing Clin. Electrophysiol. 29, 643652 (2006)

    • Search Google Scholar
    • Export Citation
  • 23.

    Roberts-Thomson KC , Kistler PM, Kalman JM: Focal atrial tachycardia II: management. Pacing Clin. Electrophysiol. 29, 769778 (2006)

  • 24.

    Rosso R , Kistler PM: Focal atrial tachycardia. Heart. 96, 181185 (2006)

  • 25.

    Schmitt H , Weber S, Schwab JO, Voss RM, Kneller R, Tillmanns H, Waldecker B: Diagnosis and ablation of focal right atrial tachycardia using a new high-resolution, non-contact mapping system. Am. J. Cardiol. 87, 10171021 (2001)

    • Search Google Scholar
    • Export Citation
  • 26.

    Steinbeck G , Hoffmann E: ‘True’ atrial tachycardia. Eur. Heart J. 19, E102, E489 (1998)

  • 27.

    Teh AW , Kistler PM, Kalman JM: Using the 12-lead ECG to localize the origin of ventricular and atrial tachycardias: Part 1. Focal atrial tachycardia. J. Cardiovasc. Electrophysiol. 20, 706709 (2009)

    • Search Google Scholar
    • Export Citation
  • 28.

    Toyohara K , Fukuhara H, Yoshimoto J, Ozaki N, Nakamura Y: Electrophysiologic studies and radiofrequency catheter ablation of ectopic atrial tachycardia in children. Pediatr. Cardiol. 32, 4046 (2011)

    • Search Google Scholar
    • Export Citation
  • 29.

    Tracy CM , Swartz JF, Fletcher RD, Hoops HG, Solomon AJ, Karasik PE, Mukherjee D: Radiofrequency catheter ablation of ectopic atrial tachycardia using paced activation sequence mapping. J. Am. Coll. Cardiol. 21, 910917 (1993)

    • Search Google Scholar
    • Export Citation
  • 30.

    Walsh EP , Saul JP, Hulse JE, Rhodes LA, Hordof AJ, Mayer JE, Lock JE: Transcatheter ablation of ectopic atrial tachycardia in young patients using radiofrequency current. Circulation. 86, 11381146 (1992)

    • Search Google Scholar
    • Export Citation
  • 31.

    Yang Q , Ma J, Zhang S, Hu JQ, Liao ZL: Focal atrial tachycardia originating from the distal portion of the left atrial appendage: characteristics and long-term outcomes of radiofrequency ablation. Europace. 14, 254260 (2012)

    • Search Google Scholar
    • Export Citation
  • 32.

    Zhou YF , Wang Y, Zeng YJ, Li XL, Zheng JG, Yang P, Zhao X, Liu XF, Gao YS, Zhang H, Peng WH: Electrophysiologic characteristics and radiofrequency ablation of focal atrial tachycardia arising from noncoronary sinuses of Valsalva in the aorta. J. Interv. Card. Electrophysiol. 28, 147151 (2010)

    • Search Google Scholar
    • Export Citation
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Senior editors

Editor(s)-in-Chief: Rosivall, László

Honorary Editor(s)-in-Chief): Monos, Emil

Managing Editor(s): Bartha, Jenő; Berhidi, Anna

Co-editor(s): Koller, Ákos; Lénárd, László; Szénási, Gábor

Assistant Editor(s): G. Dörnyei (Budapest), Zs. Miklós (Budapest), Gy. Nádasy (Budapest)

Hungarian Editorial Board

    1. Benedek, György (Szeged)
    1. Benyó, Zoltán (Budapest)
    1. Boros, Mihály (Szeged)
    1. Chernoch, László (Debrecen)
    1. Détári, László (Budapest)
    1. Hamar, János (Budapest)
    1. Hantos, Zoltán (Szeged)
    1. Hunyady, László (Budapest)
    1. Imre, Sándor (Debrecen)
    1. Jancsó, Gábor (Szeged)
    1. Karádi, Zoltán (Pécs)
    1. Kovács, László (Debrecen)
    1. Palkovits, Miklós (Budapest)
    1. Papp, Gyula (Szeged)
    1. Pavlik, Gábor (Budapest)
    1. Spät, András (Budapest)
    1. Szabó, Gyula (Szeged)
    1. Szelényi, Zoltán (Pécs)
    1. Szolcsányi, János (Pécs)
    1. Szollár, Lajos (Budapest)
    1. Szücs, Géza (Debrecen)
    1. Telegdy, Gyula (Szeged)
    1. Toldi, József (Szeged)
    1. Tósaki, Árpád (Debrecen)

International Editorial Board

    1. R. Bauer (Jena)
    1. W. Benjelloun (Rabat)
    1. A. W. Cowley Jr. (Milwaukee)
    1. D. Djuric (Belgrade)
    1. C. Fry (London)
    1. S. Greenwald (London)
    1. O. Hänninen (Kuopio)
    1. H. G. Hinghofer-Szalkay (Graz)
    1. Th. Kenner (Graz)
    1. Gy. Kunos (Richmond)
    1. M. Mahmoudian (Tehran)
    1. T. Mano (Seki, Gifu)
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    1. O. Petersen (Liverpool)
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    1. R. S. Reneman (Maastricht)
    1. A. Romanovsky (Phoenix)
    1. G. M. Rubanyi (Richmond)
    1. T. Sakata (Oita)
    1. A. Siddiqui (Karachi)
    1. Cs. Szabo (Beverly)
    1. E. Vicaut (Paris)
    1. N. Westerhof (Amsterdam)
    1. L. F. Zhang (Xi'an)

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Acta Physiologica Hungarica
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Acta Physiologica Hungarica
Language English
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Year of
Foundation
1950
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changed title
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Founder Magyar Tudományos Akadémia
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H-1051 Budapest, Hungary, Széchenyi István tér 9.
Publisher Akadémiai Kiadó
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H-1117 Budapest, Hungary 1516 Budapest, PO Box 245.
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Chief Executive Officer, Akadémiai Kiadó
ISSN 0231-424X (Print)
ISSN 1588-2683 (Online)