Distance between the descending aorta and the left inferior pulmonary vein as a determinant of biophysical parameters during paroxysmal atrial fibrillation cryoablation
| Autor: | Jean Baptiste Guichard, Antoine Da Costa, Karim Benali, Dominique Pavin, Laurent Macle, Cécile Romeyer, Christophe Leclercq, Raphaël P. Martins, Vincent Galand, Nefissa Hammache |
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| Přispěvatelé: | Imagerie Adaptative Diagnostique et Interventionnelle (IADI), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Lorraine (UL), Centre Hospitalier Universitaire de Saint-Etienne (CHU de Saint-Etienne), Montreal Heart Institute - Institut de Cardiologie de Montréal, Service de Cardiologie [CHRU Nancy], Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy), Centre Hospitalier Universitaire [Rennes], Laboratoire Traitement du Signal et de l'Image (LTSI), Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Institut National de la Santé et de la Recherche Médicale (INSERM), Centre Hospitalier Universitaire de Saint-Etienne [CHU Saint-Etienne] (CHU ST-E), Université de Rennes (UR)-Institut National de la Santé et de la Recherche Médicale (INSERM) |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment cryoballoon Aorta Thoracic 030204 cardiovascular system & hematology Cryosurgery aortic imprint 03 medical and health sciences 0302 clinical medicine cryolesion Recurrence Physiology (medical) medicine.artery Internal medicine medicine Left inferior pulmonary vein Humans blood flow 030212 general & internal medicine Aged Retrospective Studies Aorta business.industry left inferior pulmonary vein temperature Cryoablation Atrial fibrillation Blood flow Middle Aged medicine.disease Ablation Ostium aorta Treatment Outcome Pulmonary Veins cryoablation Descending aorta Catheter Ablation cardiovascular system Cardiology Female [SDV.IB]Life Sciences [q-bio]/Bioengineering Cardiology and Cardiovascular Medicine business |
| Zdroj: | Journal of Cardiovascular Electrophysiology Journal of Cardiovascular Electrophysiology, Wiley, 2021, ⟨10.1111/jce.15234⟩ Journal of Cardiovascular Electrophysiology, Wiley, 2021, 32 (11), pp.2943-2952. ⟨10.1111/jce.15234⟩ Journal of Cardiovascular Electrophysiology, 2021, 32 (11), pp.2943-2952. ⟨10.1111/jce.15234⟩ |
| ISSN: | 1045-3873 1540-8167 |
| DOI: | 10.1111/jce.15234⟩ |
| Popis: | International audience; INTRODUCTION: The distance from the descending aorta (DA) to the posterior wall of the left atrium (LA) is variable. We aimed to determine whether the proximity between the DA and the left inferior pulmonary vein (LIPV) ostium has an impact on biophysical parameters and cryoballoon (CB) ablation efficacy during LIPV freezing. METHODS: Patients referred for CB-ablation of atrial fibrillation (AF) in two high-volume centers were included. Cryoablation data were collected prospectively for each patient. The anatomical relationships between the LIPV and the DA (distance LIPV ostium-DA, presence of an aortic imprint on the posterior aspect of the LIPV) were then retrospectively analysed on the LA computed tomography (CT) scans realized before AF ablation. RESULTS: 350 patients were included (70% men, 59.7±11.5 yo). The decrease in the Ostium-DA distance was significantly correlated to the increase in the Time-To-Isolation (TTI) (r=-0.31; p=0.036), with less negative temperature (r=-0.11; p=0.045). Similarly, the presence of an aortic imprint on the LIPV was associated with a longer TTI (p |
| Databáze: | OpenAIRE |
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