NEW APPROACH FOR TREATMENT OF ATRIAL FIBRILLATION: CATHETER ABLATION OF GANGLIONIC PLEXUSES IN THE LEFT ATRIUM
Abstract
То develop the technique o f radiofrequency catheter ablation o f autonomic ganglia in the left atrium and to assess its effectiveness for treatment o f atrial fibrillation, fifty-eight patients aged 41-67 years (mean age 52.1±1.9 years) were examined and operated on.
About the Authors
E. A. Pokushalov
ФГУ «Новосибирский НИИ патологии кровообращения им. акад. Е.Н.Мешалкина Федерального агентства по здравоохранению и социальному развитию»
Russian Federation
Russian Federation
A. N. Turov
ФГУ «Новосибирский НИИ патологии кровообращения им. акад. Е.Н.Мешалкина Федерального агентства по здравоохранению и социальному развитию»
Russian Federation
Russian Federation
P. L. Shugaev
ФГУ «Новосибирский НИИ патологии кровообращения им. акад. Е.Н.Мешалкина Федерального агентства по здравоохранению и социальному развитию»
Russian Federation
Russian Federation
S. N. Artemenko
ФГУ «Новосибирский НИИ патологии кровообращения им. акад. Е.Н.Мешалкина Федерального агентства по здравоохранению и социальному развитию»
Russian Federation
Russian Federation
Ya. V. Syrtseva
ФГУ «Новосибирский НИИ патологии кровообращения им. акад. Е.Н.Мешалкина Федерального агентства по здравоохранению и социальному развитию»
Russian Federation
Russian Federation
References
1. Alex J., Guvendik L. Evaluation of ventral cardiac denervation as a prophylaxis against atrial fibrillation after coronary artery bypass grafting // Ann. Thorac. Surg. - 2005. V.79.-P.517-520.
2. Armour J.A. Cardiac neuronal hierarchy in health and disease // Am. J. Physiol. Regul. Integr. Comp. Physiol. 2004.-V.287.-P.262-271.
3. Bettoni M., Zimmermann M. Autonomic tone variations before the onset of paroxysmal atrial fibrillation // Circulation-2002.-V l 05.-P.2753.
4. Butler C. K., Smith F. M., Cardinal R. et al. Cardiac responses to electrical stimulation of discrete loci in canine atrial and ventricular ganglionated plexi //Am. J. Physiol. Heart. Circ. Physiol. -1990. -V.259. - P.1365-1373.
5. Chen Y. J., Chen S.A., Tai C.T. et al. Role of atrial electrophysiology and autonomic nervous system in patients with supraventricular tachycardia and paroxysmal atrial fibrillation//J. Am. Coll. Cardiol. -1998. - V.32. - P.732-738.
6. Chevalier P, Obadia J.F., Timour Q. et al. Thoracoscopic epicardial radiofrequency ablation for vagal atrial fibrillation in dogs // Pacing Clin. Electrophysiol. -1999. - V.22. - P.880886.
7. Chiou C., Eble J.N, Zipes D.P. Efferent vagal innervation of the canine atria and sinus and atrioventricular nodes: the third fat pad// Circulation. -1997. - V.95. - P.2573.
8. Coccagna G., Capucci A., Bauleo S. et al. Paroxysmal atrial fibrillation in sleep // Circulation. -1997. - V.20. - P.396-398.
9. Coumel P. Role of the autonomic nervous system in paroxysmal atrial fibrillation // Clin. Cardiol. - 1990. - V. 13. - P.209212.
10. Cox J.L., Canavan T.E., Schuessler R.B. et al. The surgical treatment of atrial fibrillation: II. Intraoperative electrophysiologic mapping and description of the electrophysiologic basis of atrial flutter and atrial fibrillation // J. Thorac. Cardiovasc. Surg. -1991. -V l01. -P.406-426.
11. Dimmer C., Tavernier R., Gjorgov N. et al. Variations of autonomic tone preceding onset of atrial fibrillation after coronary artery bypass grafting // Am. J. Cardiol. - 1998. V.82.-P.22-25.
12. Fioranelli M., Piccoli M., Mileto G.M. et al. Analysis of heart rate variability five minutes before the onset of paroxysmal atrial fibrillation//Pacing Clin. Electrophysiol. -1999.-V.22.-P.743-749.
13. Friedman P.L., Stevenson W.G., Kocovic D.Z. Autonomic dysfunction after catheter ablation// J. Cardiovasc. Electrophysiol. -1996. - V.7. - P.450-459.
14. Gagliardi M., Randall W.C., Bieger D. et al. Activity of in vivo canine cardiac plexus neurons // Am. J. Physiol. - 1988. -V.255.-P.789-800.
15. Haissaguerre M., Jais P, Shah D.C. et a I. Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins //NEJM. -1998. - V.339(10). -P.659-666.
16. Hirose M., Leatmanoratn Z., Laurita K.R. et al. Partial vagal denervation increases vulnerability to vagally induced atrial fibrillation // J. Cardiovasc. Electrophsyiol. - 2002. -V. 13.-P.1272-1279.
17. Hnatkova K., Waktare J.E.P, Sopher S.M. et al. A relationship between fluctuations in heart rate and the duration of subsequent episodes of atrial fibrillation // Pacing Clin. Electrophysiol. -1998. -V.21. -P.181-185.
18. Hsieh M., Chiou C., Wen Z. et al. Alterations of heart rate variability after radiofrequency catheter ablation of focal atrial fibrillation originating from pulmonary veins // Circulation. -1999. -V. 100. - P.2237.
19. Klingenheben T., Gronefeld G., Li Y.G. et al. Heart rate variability to assess changes in cardiac vagal modulation before the onset of paroxysmal atrial fibrillation in patients with and without structural heart disease // Ann. Noninvas. Electrocardiol. -1999. - V.4. - P 19-26.
20. Lok N.S., Lau C.P Abnormal vasovagal reaction, autonomic function, and heart rate variability in patients with paroxysmal atrial fibrillation//Pacing Clin. Electrophysiol. 1998.-V.21.-P.386-395.
21. Maisel W.H. Autonomic modulation preceding the onset of atrial fibrillation// J. Am. Coll. Cardiol. - 2003. - V.42. P.1269-1270.
22. Marron K., Wharton J., Sheppard M.N. et al. Distribution, morphology and neurochemistry of endocardial and epicardial nerve terminal arborizations in the human heart // Circulation. -1995. -V.92. -P.2343-2351.
23. Murphy D. A., Thompson G. W., Ardell J. L. et al. The heart reinnervates after transplantation// Ann. Thorac. Surg. - 2000. - V. 69(6). - P. 1769 -1781.
24. Nademance K., McKenzie J., Kosar E. et al. A new approach for catheter ablation of atrial fibrillation: mapping of the electrophysiologic substrate //. Am. Coll. Cardiol. - 2004. -V.43.-P.2044-2053.
25. Nilsson B., Chen X., Pehrson S. et al. Increased resting heart rate following radiofrequency catheter ablation for atrial fibrillation//Europace. -2005. - V.7(5). -P.415-420.
26. Ninomyia I. Direct evidence of nonuniform distribution of vagal effects on dog atria // Circ. Res. -1966. - V. 19. - P.576-583.
27. Oral H., Chugh A., Good E. et al. A tailored approach to catheter ablation of paroxysmal atrial fibrillation // Circulation. - 2006. - V. 113. - P. 1824-1831.
28. Pappone C., Rosanio S., Oreta G. et al. Circumferential radiofrequency ablation of pulmonary vein ostia: a new anatomic approach for curing atrial fibrillation// Circulation. 2000.-V. 102.-P.2619-2628.
29. Pappone C., Santinelli V., Manguso F. et al. Pulmonary vein denervation enhances long-term benefit after circumferential ablation for paroxysmal atrial fibrillation // Circulation. - 2004. - V. 109. - P.327-334.
30. Randall W.C., Ardell J.L. Nervous control of the heart: anatomy and pathophysiology. In: Zipes DP, Jalife J, eds. Cardiac Electrophysiology, from cell to bedside. - Philadelphia, Pa: WB Saunders Co. -1990. - P.291-299.
31. RandallW.C., Ardell J.L., Wurster R.D. et al. Vagal postganglionic innervation of the canine sinoatrial node // J. AutomNerv. Syst -1987. -V.20. - P.13-23.
32. Schauerte P, Scherlag B. J., Pitha J. et al. Catheter ablation of cardiac autonomic nerves for prevention of vagal atrial fibrillation//Circulation. -2000. -V. 102. -P.2774-2780.
33. Singh S., Johnson PT, Lee R.E. et al. Topography of cardiac ganglia in the adult human heart//J. Thorac. Cardiovasc. Surg. -1996. -V l 12. - P.943-953.
34. Smeets J.L., Allessie M. A., Lammers W.J. et al. The wavelength of the cardiac impulse and reentrant arrhythmias in isolated rabbit atrium: the role of the heart rate, autonomic transmitters, temperature, and potassium// Circ. Res. -1986. -V.58.-P.96-108.
35. Smeets J.L., Ben-Haim S.A., Rodriguez L.M. et al. New method for nonfluoroscopic endocardial mapping in humans: accuracy assessment and first clinical results // Circulation. -1998.-V. 97.-P.2426-2432.
36. Soejima K., Akaishi M., Mitamura H. et al. Increase in heart rate after radiofrequency catheter ablation is mediated by parasympathetic nervous withdrawal and related to site of ablation// J. Electrocardiol. -1997. - V.30. - P.239-246.
37. Takahashi Y., Jais P, Hocini M. et al. Shortening of fibrillatory cycle length in the pulmonary vein during vagal excitation//J. Am. Coll. Cardiol. - 2006. - V.47(4). - P.774 - 780.
38. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Heart rate variability: standards of measurement, physiological interpretation, and clinical use // Circulation. -1996. -V.93.-P.1043-1065.
39. Thompson G.W., Horackova M., Armour J.A. Chemotransduction properties of nodose ganglion cardiac afferent neurons in guinea pigs // Am. J. Physiol. Regul. Integr. Comp. Physiol. - 2000. -V.279. - P.433-439.
40. Wang Z., Page P, Nattel S. Mechanism of flecainide’s antiarrhythmic action in experimental atrial fibrillation// Circ. Res.-1992.-V.71.-P.271-287.
41. Zimmermann M., Kalusche D. Fluctuation in autonomic tone is a major determinant of sustained atrial arrhythmias in patients with focal ectopy originating from the pulmonary veins// J. Cardiovasc. Electrophysiol. -2001. -V l 2. -P.285-291.
Review
For citations:
Pokushalov E.A., Turov A.N., Shugaev P.L., Artemenko S.N., Syrtseva Ya.V. NEW APPROACH FOR TREATMENT OF ATRIAL FIBRILLATION: CATHETER ABLATION OF GANGLIONIC PLEXUSES IN THE LEFT ATRIUM. Journal of Arrhythmology. 2006;(45):17-27. (In Russ.)
Views:
207
Email this article 