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Not all rotors, effective ablation targets for nonparoxysmal atrial fibrillation, are included in areas suggested by conventional indirect indicators of atrial fibrillation drivers: ExTRa Mapping project.


ABSTRACT: Effects of nonparoxysmal atrial fibrillation (non-PAF) ablation targeting complex fractionated atrial electrogram (CFAE) areas and/or low voltage areas (LVAs) are still controversial.A recently developed online real-time phase mapping system (ExTRa Mapping) was used to conduct LVA mapping and simultaneous ExTRa and CFAE mapping in 28 non-PAF patients after pulmonary vein isolation (PVI). Nonpassively activated areas, in the form of meandering rotors and/or multiple wavelets assumed to contain non-PAF drivers, partly overlapped with CFAE/LVAs but not always coincided with them.Real-time rotor imaging, rather than conventional indirect indicators only, might be very useful for detecting non-PAF drivers.

SUBMITTER: Sakata K 

PROVIDER: S-EPMC5891413 | biostudies-literature | 2018 Apr

REPOSITORIES: biostudies-literature

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Not all rotors, effective ablation targets for nonparoxysmal atrial fibrillation, are included in areas suggested by conventional indirect indicators of atrial fibrillation drivers: ExTRa Mapping project.

Sakata Kensuke K   Okuyama Yusuke Y   Ozawa Tomoya T   Haraguchi Ryo R   Nakazawa Kazuo K   Tsuchiya Takeshi T   Horie Minoru M   Ashihara Takashi T  

Journal of arrhythmia 20180308 2


<h4>Background</h4>Effects of nonparoxysmal atrial fibrillation (non-PAF) ablation targeting complex fractionated atrial electrogram (CFAE) areas and/or low voltage areas (LVAs) are still controversial.<h4>Methods and results</h4>A recently developed online real-time phase mapping system (ExTRa Mapping) was used to conduct LVA mapping and simultaneous ExTRa and CFAE mapping in 28 non-PAF patients after pulmonary vein isolation (PVI). Nonpassively activated areas, in the form of meandering rotors  ...[more]

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