AZYGOS VEIN ISOLATION AS TREATMENT FOR A COMPLEX CASE OF ATRIAL ARRHYTHMIA

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Pulmonary vein isolation for treatment of atrial fibrillation.

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A 56-year-old male patient was admitted for catheter ablation of highly symptomatic paroxysmal atrial fibrillation. During the procedure, a rare anatomic variation with an interrupted inferior caval vein (ICV) branching suprarenal into an azygos venous continuation draining into the superior caval vein was detected. Using angiography, a continuation of the ICV leading into the liver, subdividin...

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Images and Case Reports in Arrhythmia and Electrophysiology Simultaneous, But Dissociated Left Atrial Fibrillation and Pulmonary Vein Tachycardia A Case of Occult Pulmonary Vein Isolation

A 74-year-old man with symptomatic drug-refractory persistent atrial fibrillation (AF) was referred for a catheter ablation procedure. The patient was in AF at the beginning of the procedure. As shown in Figure 1A, a decapolar catheter in the coronary sinus and a spiral mapping catheter within the ostium of the left common pulmonary vein (LCPV) demonstrated the presence of AF within both the le...

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Pulmonary vein isolation for atrial fibrillation.

Nonpharmacological treatment for atrial fibrillation (AF) has evolved dramatically over the past 20 years. Pulmonary vein isolation, a catheter ablation technique developed in the last decade, prevents focal triggers in the pulmonary veins from initiating episodes of AF. Although the procedure initially involved focal ablation with a catheter directly in the pulmonary veins, investigators subse...

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Adenosine-induced pulmonary vein ectopy as a predictor of recurrent atrial fibrillation after pulmonary vein isolation.

BACKGROUND Adenosine can unmask dormant pulmonary vein (PV) conduction after PV isolation. Adenosine can also induce ectopy in electrically silent PVs after isolation, possibly via activation of autonomic triggers. We sought to identify the implications of adenosine-induced PV ectopy for atrial fibrillation (AF) recurrence after PV isolation. METHODS AND RESULTS A total of 152 patients (age, ...

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ژورنال

عنوان ژورنال: Journal of the American College of Cardiology

سال: 2017

ISSN: 0735-1097

DOI: 10.1016/s0735-1097(17)35609-7