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This book on catheter ablation gives a comprehensive overview of the subject. It is a practical guide for exact diagnosis of cardiac arrhythmias, mapping of cardiac arrhythmias with newest 3D technology and catheter ablation of various arrhythmias from WPW syndrome to atrial fibrillation. Colored intracardiac tracings, as well as fluoroscopic and 3D mapping images, reflect the situation in the EP lab and will lead to the right diagnosis and successful ablation.
This book provides cutting-edge theories and techniques for catheter ablation of all kinds of tachyarrhythmias. Catheter ablation has been a main therapeutic method for tachyarrhythmias for more than thirty years now, and countless operations have been successfully performed. It is crucial for electrophysiologists to diagnose arrhythmia mechanisms correctly and to optimize ablation methods, especially in Japan, one of the world’s fastest-aging countries and where many of this book’s authors are based. The volume is divided into eight parts. The first three parts present the basic theories and novel insights essential to diagnosing and performing catheter ablations. In turn, the latter five parts highlight practical ablation methods in the context of frequently encountered arrhythmias cases, as well as rare ones such as chanellopathies. Written for electrophysiologists who treat patients with cardiac arrhythmias, the book offers readers essential tips and tricks for the optimal treatment of arrhythmias.
Catheter Ablation of Atrial Fibrillation Edited by Etienne Aliot, MD, FESC, FACC, FHRS Chief of Cardiology, Hôpital Central, University of Nancy, France Michel Haïssaguerre, MD Chief of Electrophysiology, Hôpital Cardiologique du Haut-Lévêque, France Warren M. Jackman, MD Chief of Electrophysiology, University of Oklahoma Health Science Center, USA In this text, internationally recognized authors explore and explain the advances in basic and clinical electrophysiology that have had the greatest impact on catheter ablation of atrial fibrillation (AF). Designed to assist in patient care, stimulate research projects, and continue the remarkable advances in catheter ablation of AF, the book covers: the fundamental concepts of AF, origin of signals, computer simulation, and updated reviews of ablation tools the present practical approaches to the ablation of specific targets in the fibrillating atria, including pulmonary veins, atrial neural network, fragmented electrograms, and linear lesions, as well as the strategies in paroxysmal or chronic AF or facing left atrial tachycardias the special challenge of heart failure patients, the impact of ablation on mortality, atrial mechanical function, and lessons from surgical AF ablation Richly illustrated by numerous high-quality images, Catheter Ablation of Atrial Fibrillation will help every member of the patient care team.
Pulmonary Vein Recordings A Practical Guide to the Mapping and Ablation of Atrial Fibrillation is an essential reference for electrophysiologists, fellows-in-training, and all those involved in the mapping and ablation of atrial fibrillation. Extensively illustrated with annotated multichannel tracings, this revised and updated edition adds 30 new tracings that illustrate important practical points and useful tips that will facilitate the interpretation of electrogram recordings obtained by circumferential mapping, leading to successful pulmonary vein isolation. PV electrograms from rare and interesting cases are also included.
The breadth and range of the topics covered, and the consistent organization of each chapter, give you simple but detailed access to information on anatomy, diagnostic criteria, differential diagnosis, mapping, and ablation. the book includes a unique section on troubleshooting difficult cases for each arrhythmia, and the use of tables, illustrations, and high-quality figures is unmatched among publications in the field.
Written and edited by expert electrophysiologists, this book is a practical, well-illustrated guide to the most successful techniques for catheter ablation of atrial fibrillation. While other texts address ablation of different arrhythmias, this is the first book to focus specifically on atrial fibrillation. Chapters explain how to establish programs and laboratories for treating atrial fibrillation; use complex imaging modalities and guidance systems; implement a variety of catheter-based ablation strategies, either isolated or in tandem; monitor the ablated patient's course for complications and arrhythmia recurrence; and manage these problems should they arise. The chapters on lab staffing and equipment, pre-procedure preparation, and post-procedure care will be of special interest to paraprofessionals such as lab nurses, nurse practitioners, and physician assistants. More than 200 diagrams, photographs, and other illustrations demonstrate the techniques.
This concise text presents best practices for all aspects of atrial fibrillation ablation as outlined in the new version of the VeniceChart International Consensus document, which is presented in conjunction with the biannual Venice Arrhythmias conference. In addition to discussing the latest in a-fib ablation research, this 2011 update covers all the key areas of therapy and patient management, including: • Techniques and technologies • Procedural endpoints • Patient management pre-, peri- and post-ablation • Prevention and treatment of complications • Definition of success and long-term results With contributions from the world’s recognized thought leaders in this field, this book is a highly valuable source of information not only for specialists in electrophysiology, but also for general cardiologists, fellows in cardiology and others interested in this dynamic and increasingly important topic.
Catheter ablation has become a widely used approach to treating various cardiac arrhythmias. Traditionally, catheter ablation procedures are guided by fluoroscopic imaging to help understand catheter position during mapping. The potentially significant exposure to radiation to the patient, physician, and staff increases risks of radiation exposure-related disease. Also, the protective lead garments worn increases risks of orthopedic injury. Current advanced electroanatomic mapping and intracardiac echocardiography technology have allowed the development of endocardial catheter ablation techniques without the use of fluoroscopy safely and effectively. A host of expert and experienced authors present a practical overview of the rationale and methodology for a low- or zero-fluoro environment in the electrophysiology lab with the critical goal of significantly reducing radiation exposure to the patient, physician, and staff. This practical guide: -Covers the entire spectrum of commonly (and less commonly) performed ablation procedures via endocardial approach. -Discusses general principles that are applicable across ICE and EAM platforms. -Will assist the electrophysiologist and their team to safely and effectively work toward the significant reduction in fluoroscopy utilization while also likely improving procedural safety, i.e., fewer complications, after the adoption of these techniques. -Includes a library of 50 videos, with 9 extended films (108 minutes) by Dr. Razminia detailing step-by-step procedures and techniques.
Atrial Fibrillation: A Multidisciplinary Approach to Improving Patient Outcomes, provides a current and comprehensive update on path physiology, epidemiology, management strategies of rate control, pharmacologic and nonpharmacologic approaches to rhythm control, risk stratification for stroke and bleeding, anticoagulant therapy, and left atrial occlusion devices. The contributions by experienced internists, cardiologists, electrophysiologists, surgeons, anesthesiologists, pharmacists, internists, nurse practitioners, and nurse educators provide a unique perspective. Case studies of paroxysmal, persistent, and permanent atrial provide clinical context incorporating recent evidence and best practices for the multidisciplinary approach to improving patient outcomes. “The physician is inundated with information, and needs all of this to be reduced and summarized in a readable form. This cannot be done simply by technical editing because it involves real expertise to pick the “jewels for the crown.” This has been accomplished so well by the authors who have contributed to this book. The result is a gem — a source of enlightenment for all the many clinicians who care for patients suffering from this ubiquitous arrhythmia. I read it from cover to cover in about three hours, and learned much which is new and useful to my practice. It is the best small book that I know dealing with this big subject.” -From the foreword by A. John Camm, MD
This text is a comprehensive introductory-level guide to invasive cardiac EP studies. Its focus is to enable the reader to understand and interpret the recording and stimulation techniques used during an EP study.