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Special Issue "Catheter Ablation of Cardiac Arrhythmias: Current Updates and Perspectives"

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1. Cardioangiologisches Centrum Bethanien (CCB), Kardiologie, Agaplesion Markus Krankenhaus, Akademisches Lehrkrankenhaus der Goethe-Universität Frankfurt am Main, Frankfurt, Germany
2. Medicine Section, Universität zu Lübeck, Lubeck, Germany
Interests: general cardiology; arrhythmias/electrophysiology/catheter ablation; hypertension; heart failure; stroke
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Dear Colleagues,

Catheter ablation is an effective treatment option for cardiac arrhythmia. For decades, there have been remarkable advancements in mapping and ablation techniques and technology, helping clinicians further understand the mechanism of arrhythmias, in order to facilitate procedures, and to improve the safety of ablation and patients’ clinical outcomes. The aim and scope of this Special Issue mainly focus on, but are not limited to, the following: current mapping and ablation techniques for arrhythmias, procedural endpoints and outcomes, procedural complications, and prevention strategies. We welcome original research, systematic reviews, state-of-the-art reviews, challenging/informative case series, challenging/informative images in mapping and ablation, new technologies, etc.

Dr. Shaojie Chen
Guest Editor

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Keywords

ablation
arrhythmia
electrophysiology
atrial fibrillation
atrial flutter
atrial tachycardia
mapping
supraventricular tachycardia
ventricular arrhythmia

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Open AccessReview

Evolving Role of Catheter Ablation for Atrial Fibrillation: Early and Effective Rhythm Control

Márcio Galindo Kiuchi

and

J. Clin. Med. 2022, 11(22), 6871; https://doi.org/10.3390/jcm11226871 - 21 Nov 2022

Cited by 2 | Viewed by 1802

Abstract

Catheter Ablation (CA) is an effective therapeutic option in treating atrial fibrillation (AF). Importantly, recent data show that CA as a rhythm control strategy not only significantly reduces AF burden, but also substantially improves clinical hard endpoints. Since AF is a progressive disease, the time of Diagnosis-to-Intervention appears crucial. Recent evidence shows that earlier rhythm control is associated with a lower risk of adverse cardiovascular outcomes in patients with early AF. Particularly, CA as an initial first line rhythm control strategy is associated with significant reduction of arrhythmia recurrence and rehospitalization in patients with paroxysmal AF. CA is shown to significantly lower the risk of progression from paroxysmal AF to persistent AF. When treating persistent AF, the overall clinical success after ablation remains unsatisfactory, however the ablation outcome in patients with “early” persistent AF appears better than those with “late” persistent AF. “Adjunctive” ablation on top of pulmonary vein isolation (PVI), e.g., ablation of atrial low voltage area, left atrial posterior wall, vein of Marshall, left atrial appendage, etc., may further reduce arrhythmia recurrence in selected patient group. New ablation concepts or new ablation technologies have been developing to optimize therapeutic effects or safety profile and may ultimately improve the clinical outcome. Full article

(This article belongs to the Special Issue Catheter Ablation of Cardiac Arrhythmias: Current Updates and Perspectives)

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Open AccessCase Report

Not Just a One-Way: Mahaim Accessory Pathway Concomitantly Supporting Orthodromic Atrioventricular Re-Entrant Tachycardia

Alexandru Deaconu

Viviana Gondos

and

Radu Vatasescu

J. Clin. Med. 2023, 12(1), 159; https://doi.org/10.3390/jcm12010159 - 25 Dec 2022

Cited by 1 | Viewed by 983

Abstract

Introduction: We report the case of a 41-year-old female with documented narrow QRS tachycardia. During electrophysiological study, both orthodromic and antidromic atrioventricular reentry tachycardia (AVRT) were demonstrated as well as short episodes of pre-excited atrial fibrillation. Programmed atrial stimulation resulted in decremental anterograde conduction on the AP, thus confirming an unexpected Mahaim accessory pathway (AP) diagnosis. Discussion: Limited 3D activation maps of the right atrium during orthoAVRT, respectively, and the right ventricle (RV) during antiAVRT were constructed and helped accurately describe the atrial and ventricular insertion points, which were superposed on the tricuspid ring, confirming the existence of a single short atrio-ventricular right free wall AP. Short atrioventricular APs with anterograde Mahaim-type conduction concomitantly sustaining orthodromic AVRT are extremely rare. Conclusions: Electroanatomical 3D mapping may help both to clarify the diagnosis and increase the success rate by accurately describing the insertion points of complex accessory pathways. Full article

(This article belongs to the Special Issue Catheter Ablation of Cardiac Arrhythmias: Current Updates and Perspectives)

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Special Issue "Catheter Ablation of Cardiac Arrhythmias: Current Updates and Perspectives"

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