Persistent left superior vena cava as an arrhythmogenic source in atrial fibrillation: results from a multicenter experience View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2019-03

AUTHORS

Mohit K. Turagam, Moustapha Atoui, Donita Atkins, Luigi Di Biase, Kalyanam Shivkumar, T. Jared Bunch, Sanghamitra Mohanty, Carola Gianni, Andrea Natale, Dhanunjaya Lakkireddy

ABSTRACT

BACKGROUND: Persistent left superior vena cava (PLSVC) is one of the most frequently reported congenital anomalies and may be an important source of trigger of atrial fibrillation (AF). METHODS: This was a multicenter retrospective experience including 28 patients with PLSVC who were referred for catheter ablation for drug-refractory symptomatic AF. Pulmonary vein and PLSVC isolation were performed (3.5-mm open irrigated tip ablation catheter at maximum power of 20 W, maximum temperature 43 °C with flow rate of 17 ml/min). Clinical outcomes such as complications and long-term freedom from AF were measured. RESULTS: The mean age of the population was 61 ± 8 years, 21% were females, and AF duration was 60 ± 33 months. Sixty-one percent paroxysmal AF (17/28), 25% (7/28) persistent AF, and 14% (4/28) had long-standing persistent AF. There were no major complications that required any intervention. PLSVC isolation was achieved in 96% (27/28). Freedom from AF at 1 year without antiarrhythmic drugs was seen in 75% (21/28) of patients. CONCLUSIONS: In PLSVC patients with AF, segmental isolation of PLSVC appears to be feasible and safe and can translate into favorable clinical outcomes. More... »

PAGES

93-100

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10840-018-0444-x

DOI

http://dx.doi.org/10.1007/s10840-018-0444-x

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1107257745

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30259306


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