Clinical outcomes of AF patients treated with the first and second-generation of circular mapping and ablation catheter: insights from a real world multicenter experience

go back to reference Calkins H, Kuck KH, Cappato R, Brugada J, Camm AJ, Chen SA, et al. Heart Rhythm Society Task Force on Catheter and Surgical Ablation of Atrial Fibrillation. 2012 HRS/EHRA/ECAS expert consensus statement on catheter and surgical ablation of atrial fibrillation: recommendations for patient selection, procedural techniques, patient management and followup, definitions, endpoints, and research trial design: A report of the Heart Rhythm Society (HRS) Task Force on Catheter and Surgical Ablation of Atrial Fibrillation. Developed in partnership with the European Heart Rhythm Association (EHRA), a registered branch of the European Society of Cardiology (ESC) and the European Cardiac Arrhythmia Society (ECAS); and in collaboration with the American College of Cardiology (ACC), American Heart Association (AHA), the Asia Pacific Heart Rhythm Society (APHRS), and the Society of Thoracic Surgeons (STS). Endorsed by the governing bodies of the American College of Cardiology Foundation, the American Heart Association, the European Cardiac Arrhythmia Society, the European Heart Rhythm Association, the Society of Thoracic Surgeons, the Asia Pacific Heart Rhythm Society, and the Heart Rhythm Society. Heart Rhythm. 2012;9:632–696.e21.CrossRefPubMed Calkins H, Kuck KH, Cappato R, Brugada J, Camm AJ, Chen SA, et al. Heart Rhythm Society Task Force on Catheter and Surgical Ablation of Atrial Fibrillation. 2012 HRS/EHRA/ECAS expert consensus statement on catheter and surgical ablation of atrial fibrillation: recommendations for patient selection, procedural techniques, patient management and followup, definitions, endpoints, and research trial design: A report of the Heart Rhythm Society (HRS) Task Force on Catheter and Surgical Ablation of Atrial Fibrillation. Developed in partnership with the European Heart Rhythm Association (EHRA), a registered branch of the European Society of Cardiology (ESC) and the European Cardiac Arrhythmia Society (ECAS); and in collaboration with the American College of Cardiology (ACC), American Heart Association (AHA), the Asia Pacific Heart Rhythm Society (APHRS), and the Society of Thoracic Surgeons (STS). Endorsed by the governing bodies of the American College of Cardiology Foundation, the American Heart Association, the European Cardiac Arrhythmia Society, the European Heart Rhythm Association, the Society of Thoracic Surgeons, the Asia Pacific Heart Rhythm Society, and the Heart Rhythm Society. Heart Rhythm. 2012;9:632–696.e21.CrossRefPubMed

go back to reference Cappato R, Calkins H, Chen SA, Davies W, Iesaka Y, Kalman J, et al. Worldwide survey on the methods, efficacy and safety of catheter ablation for human atrial fibrillation. Circulation. 2005;111:1100–5.CrossRefPubMed Cappato R, Calkins H, Chen SA, Davies W, Iesaka Y, Kalman J, et al. Worldwide survey on the methods, efficacy and safety of catheter ablation for human atrial fibrillation. Circulation. 2005;111:1100–5.CrossRefPubMed

go back to reference Kirchhof P, Benussi S, Kotecha D, Ahlsson A, Atar D, Casadei B, et al. ESC guidelines for the management of atrial fibrillation developed in collaboration with EACTS. Eur Heart J. 2016; https://doi.org/10.1093/eurheartj/ehw210. Kirchhof P, Benussi S, Kotecha D, Ahlsson A, Atar D, Casadei B, et al. ESC guidelines for the management of atrial fibrillation developed in collaboration with EACTS. Eur Heart J. 2016; https://​doi.​org/​10.​1093/​eurheartj/​ehw210.

go back to reference Haïssaguerre M, Jaïs P, Shah DC, Takahashi A, Hocini M, Quiniou G, et al. Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins. N Engl J Med. 1998;339:659–66.CrossRefPubMed Haïssaguerre M, Jaïs P, Shah DC, Takahashi A, Hocini M, Quiniou G, et al. Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins. N Engl J Med. 1998;339:659–66.CrossRefPubMed

go back to reference Mönnig G, Eckardt L. Multielectrode Pulmonary Vein Ablation Catheter (PVAC®). Current data on results and risks. Herzschrittmacherther Elektrophysiol. 2014;25(4):236–40.CrossRefPubMed Mönnig G, Eckardt L. Multielectrode Pulmonary Vein Ablation Catheter (PVAC®). Current data on results and risks. Herzschrittmacherther Elektrophysiol. 2014;25(4):236–40.CrossRefPubMed

go back to reference De Greef Y, Buysschaert I, Schwagten B, Stockman D, Tavernier R, Duytschaever M. Duty-cycled multi-electrode radiofrequency vs. conventional irrigated point-by-point radiofrequency ablation for recurrent atrial fibrillation, comparative 3-year data. Europace. 2014;16(6):820–5.CrossRefPubMed De Greef Y, Buysschaert I, Schwagten B, Stockman D, Tavernier R, Duytschaever M. Duty-cycled multi-electrode radiofrequency vs. conventional irrigated point-by-point radiofrequency ablation for recurrent atrial fibrillation, comparative 3-year data. Europace. 2014;16(6):820–5.CrossRefPubMed

go back to reference Gal P, Aarntzen AE, Smit JJ, Adiyaman A, Misier AR, Delnoy PP, et al. Conventional radiofrequency catheter ablation compared to multi-electrode ablation for atrial fibrillation. Int J Cardiol. 2014;176(3):891–5.CrossRefPubMed Gal P, Aarntzen AE, Smit JJ, Adiyaman A, Misier AR, Delnoy PP, et al. Conventional radiofrequency catheter ablation compared to multi-electrode ablation for atrial fibrillation. Int J Cardiol. 2014;176(3):891–5.CrossRefPubMed

go back to reference Nardi S, Argenziano L, Cappato R, de Martino G, Esposito C, Scaglione M, et al. Ablation of paroxysmal and persistent atrial fibrillation with multielectrode phased radiofrequency duty-cycled catheters: long-term results from a large cohort of patients. J Cardiovasc Med (Hagerstown). 2013;14(12):879–85.CrossRef Nardi S, Argenziano L, Cappato R, de Martino G, Esposito C, Scaglione M, et al. Ablation of paroxysmal and persistent atrial fibrillation with multielectrode phased radiofrequency duty-cycled catheters: long-term results from a large cohort of patients. J Cardiovasc Med (Hagerstown). 2013;14(12):879–85.CrossRef

go back to reference Bhatt N, Turakhia M, Fogarty TJ. Cost-effectiveness of cardiac radiosurgery for atrial fibrillation: implications for reducing health care morbidity, utilization, and costs. Cureus. 2016;8(8):e720.PubMedPubMedCentral Bhatt N, Turakhia M, Fogarty TJ. Cost-effectiveness of cardiac radiosurgery for atrial fibrillation: implications for reducing health care morbidity, utilization, and costs. Cureus. 2016;8(8):e720.PubMedPubMedCentral

go back to reference Padeletti L, Curnis A, Tondo C, Lunati M, Porcellini S, Verlato R, et al. Pulmonary vein isolation with the Cryoballoon technique: feasibility, procedural outcomes, and adoption in the real world: data from one shot technologies TO pulmonary vein isolation (1STOP) project. Pacing Clin Electrophysiol. 2016; https://doi.org/10.1111/pace.12975. Padeletti L, Curnis A, Tondo C, Lunati M, Porcellini S, Verlato R, et al. Pulmonary vein isolation with the Cryoballoon technique: feasibility, procedural outcomes, and adoption in the real world: data from one shot technologies TO pulmonary vein isolation (1STOP) project. Pacing Clin Electrophysiol. 2016; https://​doi.​org/​10.​1111/​pace.​12975.

go back to reference De Greef Y, Dekker L, Boersma L, Murray S, Wieczorek M, Spitzer SG, Davidson N, Furniss S, Hocini M, Geller JC, Csanádi Z; PRECISION GOLD investigators. Low rate of asymptomatic cerebral embolism and improved procedural efficiency with the novel PVAC GOLD: results of the PRECISION GOLD trial. Europace 2016;18(5):687–695. https://doi.org/10.1093/europace/euv385. De Greef Y, Dekker L, Boersma L, Murray S, Wieczorek M, Spitzer SG, Davidson N, Furniss S, Hocini M, Geller JC, Csanádi Z; PRECISION GOLD investigators. Low rate of asymptomatic cerebral embolism and improved procedural efficiency with the novel PVAC GOLD: results of the PRECISION GOLD trial. Europace 2016;18(5):687–695. https://​doi.​org/​10.​1093/​europace/​euv385.

go back to reference Deneke T, Shin DI, Balta O, Bünz K, Fassbender F, Mügge A, et al. Postablation asymptomatic cerebral lesions: long-term follow-up using magnetic resonance imaging. Heart Rhythm. 2011;8(11):1705–11.CrossRefPubMed Deneke T, Shin DI, Balta O, Bünz K, Fassbender F, Mügge A, et al. Postablation asymptomatic cerebral lesions: long-term follow-up using magnetic resonance imaging. Heart Rhythm. 2011;8(11):1705–11.CrossRefPubMed

go back to reference Lau M, Hu B, Werneth R, Sherman M, Oral H, Morady F, et al. A theoretical and experimental analysis of radiofrequency ablation with a multielectrode, phased, duty-cycled system. Pacing Clin Electrophysiol. 2010;33(9):1089–100.CrossRefPubMed Lau M, Hu B, Werneth R, Sherman M, Oral H, Morady F, et al. A theoretical and experimental analysis of radiofrequency ablation with a multielectrode, phased, duty-cycled system. Pacing Clin Electrophysiol. 2010;33(9):1089–100.CrossRefPubMed

go back to reference Fredersdorf S, Weber S, Jilek C, Heinicke N, von Bary C, Jungbauer C, et al. Safe and rapid isolation of pulmonary veins using a novel circular ablation catheter and duty-cycled RF generator. J Cardiovasc Electrophysiol. 2009;20:1097–101.CrossRefPubMed Fredersdorf S, Weber S, Jilek C, Heinicke N, von Bary C, Jungbauer C, et al. Safe and rapid isolation of pulmonary veins using a novel circular ablation catheter and duty-cycled RF generator. J Cardiovasc Electrophysiol. 2009;20:1097–101.CrossRefPubMed

go back to reference von Bary C, Weber S, Dornia C, Eissnert C, Fellner C, Latzin P, et al. Evaluation of pulmonary vein stenosis after pulmonary vein isolation using a novel circular mapping and ablation catheter (PVAC). Circ Arrhythm Electrophysiol. 2011;4(5):630–6.CrossRef von Bary C, Weber S, Dornia C, Eissnert C, Fellner C, Latzin P, et al. Evaluation of pulmonary vein stenosis after pulmonary vein isolation using a novel circular mapping and ablation catheter (PVAC). Circ Arrhythm Electrophysiol. 2011;4(5):630–6.CrossRef

go back to reference Weber S, Höher M, Schultes D. First results and follow-up of a second-generation circular mapping and ablation catheter. J Interv Card Electrophysiol. 2016;47(2):213–9.CrossRefPubMed Weber S, Höher M, Schultes D. First results and follow-up of a second-generation circular mapping and ablation catheter. J Interv Card Electrophysiol. 2016;47(2):213–9.CrossRefPubMed

go back to reference Leitz P, Güner F, Wasmer K, Foraita P, Pott C, Dechering DG, et al. Data on procedural handling and complications of pulmonary vein isolation using the pulmonary vein ablation catheter GOLD. Europace. 2016;18:696–701.PubMed Leitz P, Güner F, Wasmer K, Foraita P, Pott C, Dechering DG, et al. Data on procedural handling and complications of pulmonary vein isolation using the pulmonary vein ablation catheter GOLD. Europace. 2016;18:696–701.PubMed

go back to reference Haines DE, Stewart MT, Dahlberg S, Barka ND, Condie C, Fiedler GR, et al. Microembolism and catheter ablation I: a comparison of irrigated radiofrequency and multielectrode phased radiofrequency catheter ablation of pulmonary vein ostia. Circ Arrhythm Electrophysiol. 2013;6:16–22.CrossRefPubMed Haines DE, Stewart MT, Dahlberg S, Barka ND, Condie C, Fiedler GR, et al. Microembolism and catheter ablation I: a comparison of irrigated radiofrequency and multielectrode phased radiofrequency catheter ablation of pulmonary vein ostia. Circ Arrhythm Electrophysiol. 2013;6:16–22.CrossRefPubMed

go back to reference Scharf C, Boersma L, Davies W, Kanagaratnam P, Peters NS, Paul V, et al. Ablation of persistent AF using multielectrode catheters and duty-cycled radiofrequency energy. J Am Coll Cardiol. 2009;54:1450–6.CrossRefPubMed Scharf C, Boersma L, Davies W, Kanagaratnam P, Peters NS, Paul V, et al. Ablation of persistent AF using multielectrode catheters and duty-cycled radiofrequency energy. J Am Coll Cardiol. 2009;54:1450–6.CrossRefPubMed

go back to reference Gaita F, Leclercq JF, Schumacher B, Scaglione M, Toso E, Halimi F, et al. Incidence of silent cerebral thromboembolic lesions after atrial fibrillation ablation may change according to technology used: comparison of irrigated radiofrequency, multipolar nonirrigated catheter and cryoballoon. J Cardiovasc Electrophysiol. 22:961–8. Gaita F, Leclercq JF, Schumacher B, Scaglione M, Toso E, Halimi F, et al. Incidence of silent cerebral thromboembolic lesions after atrial fibrillation ablation may change according to technology used: comparison of irrigated radiofrequency, multipolar nonirrigated catheter and cryoballoon. J Cardiovasc Electrophysiol. 22:961–8.

go back to reference Herrera Siklody C, Deneke T, Hocini M, Lehrmann H, Shin DI, Miyazaki S, et al. Incidence of asymptomatic intracranial embolic events after pulmonary vein isolation: comparison of different atrial fibrillation ablation technologies in a multicenter study. J Am Coll Cardiol. 2011;58:681–8.CrossRefPubMed Herrera Siklody C, Deneke T, Hocini M, Lehrmann H, Shin DI, Miyazaki S, et al. Incidence of asymptomatic intracranial embolic events after pulmonary vein isolation: comparison of different atrial fibrillation ablation technologies in a multicenter study. J Am Coll Cardiol. 2011;58:681–8.CrossRefPubMed

go back to reference Mönnig G, Eckardt L. Multielectrode Pulmonary Vein Ablation Catheter (PVAC®). Herzschrittmacherther Elektrophysiol. 2014;25:236–40.CrossRefPubMed Mönnig G, Eckardt L. Multielectrode Pulmonary Vein Ablation Catheter (PVAC®). Herzschrittmacherther Elektrophysiol. 2014;25:236–40.CrossRefPubMed

go back to reference Zellerhoff S, Ritter MA, Kochhauser S, Dittrich R, Kobe J, Milberg P, et al. Modified phased radiofrequency ablation of atrial fibrillation reduces the number of cerebral microembolic signals. Europace. 2014;16:341–6.CrossRefPubMed Zellerhoff S, Ritter MA, Kochhauser S, Dittrich R, Kobe J, Milberg P, et al. Modified phased radiofrequency ablation of atrial fibrillation reduces the number of cerebral microembolic signals. Europace. 2014;16:341–6.CrossRefPubMed

go back to reference Wieczorek M, Hoeltgen R, Brueck M. Does the number of simultaneously activated electrodes during phased RF multielectrode ablation of atrial fibrillation influence the incidence of silent cerebral microembolism? Heart Rhythm. 2013;10:953–9.CrossRefPubMed Wieczorek M, Hoeltgen R, Brueck M. Does the number of simultaneously activated electrodes during phased RF multielectrode ablation of atrial fibrillation influence the incidence of silent cerebral microembolism? Heart Rhythm. 2013;10:953–9.CrossRefPubMed

go back to reference Verma A, Debruyne P, Nardi S, Deneke T, DeGreef Y, Spitzer S, et al. ERACE investigators. Evaluation and reduction of asymptomatic cerebral embolism in ablation of atrial fibrillation, but high prevalence of chronic silent infarction, results of the evaluation of reduction of asymptomatic cerebral embolism trial. Circ Arrhythm Electrophysiol. 2013;6(5):835–42. Verma A, Debruyne P, Nardi S, Deneke T, DeGreef Y, Spitzer S, et al. ERACE investigators. Evaluation and reduction of asymptomatic cerebral embolism in ablation of atrial fibrillation, but high prevalence of chronic silent infarction, results of the evaluation of reduction of asymptomatic cerebral embolism trial. Circ Arrhythm Electrophysiol. 2013;6(5):835–42.

go back to reference Spitzer SG, Leitz P, Langbein A, Karolyi L, Scharfe F, Weinmann T, et al. Circumferential pulmonary vein isolation with second-generation multipolar catheter in patients with paroxysmal or persistent atrial fibrillation: Procedural and one-year follow-up results. Int J Cardiol. 2017; https://doi.org/10.1016/j.ijcard.2017.04.035. Spitzer SG, Leitz P, Langbein A, Karolyi L, Scharfe F, Weinmann T, et al. Circumferential pulmonary vein isolation with second-generation multipolar catheter in patients with paroxysmal or persistent atrial fibrillation: Procedural and one-year follow-up results. Int J Cardiol. 2017; https://​doi.​org/​10.​1016/​j.​ijcard.​2017.​04.​035.

go back to reference Bulava A, Hanis J, Sitek D, Osmera O, Karpianus D, Snorek M, et al. Catheter ablation for paroxysmal atrial fibrillation: a randomized comparison between multielectrode catheter and point-by-point ablation. Pacing Clin Electrophysiol. 2010;33:1039–46.CrossRefPubMed Bulava A, Hanis J, Sitek D, Osmera O, Karpianus D, Snorek M, et al. Catheter ablation for paroxysmal atrial fibrillation: a randomized comparison between multielectrode catheter and point-by-point ablation. Pacing Clin Electrophysiol. 2010;33:1039–46.CrossRefPubMed

go back to reference Bittner A, Monnig G, Zellerhoff S, Pott C, Köbe J, Dechering D, et al. Randomized study comparing duty-cycled bipolar and unipolar radiofrequency with point-by-point ablation in pulmonary vein isolation. Heart Rhythm. 2011;8:1383–90.CrossRefPubMed Bittner A, Monnig G, Zellerhoff S, Pott C, Köbe J, Dechering D, et al. Randomized study comparing duty-cycled bipolar and unipolar radiofrequency with point-by-point ablation in pulmonary vein isolation. Heart Rhythm. 2011;8:1383–90.CrossRefPubMed

go back to reference Lepillier A, Copie X, Lascault G, Paziaud O, Piot O. A 5-year clinical follow-up after duty-cycled phased RF ablation of paroxysmal atrial fibrillation. J Interv Card Electrophysiol 2016;48(3):327–31. Lepillier A, Copie X, Lascault G, Paziaud O, Piot O. A 5-year clinical follow-up after duty-cycled phased RF ablation of paroxysmal atrial fibrillation. J Interv Card Electrophysiol 2016;48(3):327–31.

go back to reference Pecha S, Aydin MA, Ahmadzade T, Hartel F, Hoffmann B, Steven D, et al. Implantable loop recorder monitoring after concomitant surgical ablation for atrial fibrillation (AF): insights from more than 200 continuously monitored patients. Heart Vessel. 2016;31(8):1347–53.CrossRef Pecha S, Aydin MA, Ahmadzade T, Hartel F, Hoffmann B, Steven D, et al. Implantable loop recorder monitoring after concomitant surgical ablation for atrial fibrillation (AF): insights from more than 200 continuously monitored patients. Heart Vessel. 2016;31(8):1347–53.CrossRef

go back to reference Charitos EI, Stierle U, Ziegler PD, Baldewig M, Robinson DR, Sievers HH, et al. A comprehensive evaluation of rhythm monitoring strategies for the detection of atrial fibrillation recurrence: insights from 647 continuously monitored patients and implications for monitoring after therapeutic interventions. Circulation. 2012;126(7):806–14.CrossRefPubMed Charitos EI, Stierle U, Ziegler PD, Baldewig M, Robinson DR, Sievers HH, et al. A comprehensive evaluation of rhythm monitoring strategies for the detection of atrial fibrillation recurrence: insights from 647 continuously monitored patients and implications for monitoring after therapeutic interventions. Circulation. 2012;126(7):806–14.CrossRefPubMed

go back to reference Brachmann J, Morillo CA, Sanna T, Di Lazzaro V, Diener HC, Bernstein RA, et al. Uncovering Atrial Fibrillation Beyond Short-Term Monitoring in Cryptogenic Stroke Patients: Three-Year Results From the Cryptogenic Stroke and Underlying Atrial Fibrillation Trial. Circ Arrhythm Electrophysiol. 2016;9(1):e003333. https://doi.org/10.1161/CIRCEP.115.003333.CrossRefPubMed Brachmann J, Morillo CA, Sanna T, Di Lazzaro V, Diener HC, Bernstein RA, et al. Uncovering Atrial Fibrillation Beyond Short-Term Monitoring in Cryptogenic Stroke Patients: Three-Year Results From the Cryptogenic Stroke and Underlying Atrial Fibrillation Trial. Circ Arrhythm Electrophysiol. 2016;9(1):e003333. https://​doi.​org/​10.​1161/​CIRCEP.​115.​003333.CrossRefPubMed

go back to reference Goldenberg GR, Burd D, Lodzinski P, Stabile G, Udell JA, Newman D, et al. Antiarrhythmic therapy as an adjuvant to promote post pulmonary vein isolation success, a meta-analysis. J Interv Card Electrophysiol. 2016;47:171–6. Goldenberg GR, Burd D, Lodzinski P, Stabile G, Udell JA, Newman D, et al. Antiarrhythmic therapy as an adjuvant to promote post pulmonary vein isolation success, a meta-analysis. J Interv Card Electrophysiol. 2016;47:171–6.