Practical Guide to Catheter Ablation of Atrial Fibrillation

Now in its second edition, this practical guide offers clear–headed guidance to the successful application of catheter ablation for atrial fibrillation. Edited by three globally–recognized clinician–educators and written by practitioners with vast experience using ablation to treat atrial fibrillation, the book concentrates on clinically–relevant information that providers can put to immediate use caring for patients.

Providing a practical approach to this technically challenging and rapidly evolving field, this 28 chapter manual is designed to educate practitioners about the process of performing a successful ablation for atrial fibrillation. The authors emphasize how to details while providing detailed descriptions of specific tasks related to the ablation procedure. They supplement their explanations with multiple diagrams, photographs and figures.

In addition to thorough coverage of the procedure, mapping systems and interpretation of electrogram recordings, the book also covers staffing, training and equipment requirements; peri–procedural care; complications and how to manage a suboptimal result; and includes commentary on controversial issues such as differing energy sources and how to manage persistent AF. Hot topics such as new noninvasive imaging techniques, the treatment of challenging left atrial flutters, options for persistent atrial fibrillation and when a redo ablation is needed; and novel application of ablation targeting the autonomic nervous system are also discussed. This Second Edition: 

Takes a clear–headed practical approach to ablation of atrial fibrillation long on actionable, clinically–relevant guidance, succinct and to–the–point on the theory behind the procedure Edited by three leading, internationally–known electrophysiologists with extensive experience in ablation for atrial fibrillation Written by international team of experts reflecting global best practices from centres with considerable experience in the use of catheter ablation

In a user friendly format designed to serve the needs of new and experienced electrophysiologists, electrophysiology fellows, electrophysiology nurses and lab staff one concise reference provides everything the clinician needs to know about this complex procedure.

1 Indications for Catheter and Surgical Ablation of Atrial Fibrillation
Hugh Calkins

2 Catheter Ablation for Atrial Fibrillation: Past, Present, and Future
David Spragg, Hugh Calkins

3 Staffing, Training, and Ongoing Volume Requirements
Mehdi Namdar, Dipen Shah

4 Equipment Options for the Ablation of Atrial Fibrillation
German Kamalov, John D. Hummel

5 Pre–procedure Preparation for Catheter–based Ablation of Atrial Fibrillation
Jose F. Huizar, Kenneth A. Ellenbogen

6 Intracardiac Ultrasound
Dan L. Musat, Jayanthi N. Koneru, Scott W. Burke, Farooq A. Chaudhry, Jonathan S. Steinberg

7 Electro–Anatomic Mapping Systems
Carlos Macias, Olujimi Ajijola, Kalyanam Shivkumar, Eric Buch

8 Magnetic and Robotic Catheter Navigation
John M. Miller, Mark A. Dixon, Deepak Bhakta, Rahul Jain, Mithilesh K. Das

9 MRI–guided Procedures
Henry Halperin, Aravindan Kolandaivelu

10 MRI Definition of Atrial Substrate
Leenhapong Navaravong, Nassir F. Marrouche

11 The Utility of Noninvasive Mapping in Persistent Atrial Fibrillation Ablation
Han S. Lim, Stephan Zellerhoff, Nicolas Derval, Seigo Yamashita, Darren Hooks, Benjamin Berte, Saagar Mahida, Arnaud Denis, Shah AJ, Frédéric Sacher, Mélèze Hocini, Pierre Jaïs, Michel Haïssaguerre

12 Interpretation of Circular Mapping Catheter Recordings
Laurent Macle, Jason G. Andrade

13 Circumferential Ablation with PV Isolation Guided by Lasso Catheter
Andreas Metzner, Kazuhiro Satomi, Karl–Heinz Kuck, Feifan Ouyang

CONTROVERSY: Circumferential Versus Segmental Pulmonary Vein Isolation/Circumferential PVI
Riccardo Proietti, Luigi Di Biase, Pasquale Santangeli, Prasant Mohanty, Conor Barrett, Stephan Danik, Sanghamitra Mohanty, Rong Bai, Chintan Trivedi, J. David Burkhardt, Andrea Natale

CONTROVERSY: Circumferential Versus Segmental Pulmonary Vein Isolation/Segmental PVI
Gregory K. Feld

14 How to Select Target Sites in Electrogram–Guided Ablation: Options, Techniques and Results
Anand N. Ganesan, Dennis H. Lau, Prashanthan Sanders

CONTROVERSY: Electrogram–guided ablation: Valuable technique
Koonlawee Nademanee

CONTROVERSY: Electrogram–guided Ablation: Limited Contribution to Successful Outcome
Hatice Duygu Bas, Kazim Baser, Hakan Oral

15 Left Atrial Linear Lesions
Stephan Zellerhoff, Han S. Lim, Pierre Jaïs

16 Ablation of Autonomic Ganglia
Evgeny Pokushalov

17 Trigger Mapping
Pasquale Santangeli, Francis E. Marchlinski

18 Mapping and Ablation of Electrical Rotor and Focal Sources for Atrial Fibrillation: A Patient–Tailored Mechanistic Approach
Siva K. Mulpuru, David E. Krummen, Sanjiv M. Narayan

19 Renal Artery Denervation: Modulation of the Autonomic Nervous System to Treat Atrial Fibrillation
Evgeny Pokushalov, Jonathan S. Steinberg

20 The Stepwise Ablation Approach for Persistent Atrial Fibrillation
Han S. Lim, Stephan Zellerhoff, Pierre Jaïs

21 Limited Ablation for Persistent Atrial Fibrillation using Preprocedure Reverse Remodeling
David J. Slotwiner, Jonathan S. Steinberg

22 Long Standing Persistent Atrial Fibrillation Ablation
Luigi Di Biase, Pasquale Santangeli, Alessandro Paoletti Perini, Francesco Santoro, Rong Bai, Javier E. Sanchez, Rodney Horton, J. David Burkhardt, Andrea Natale

CONTROVERSY: Differing energy sources / Use of cryo energy
Pipin Kojodjojo, D. Wyn Davies

CONTROVERSY: Differing Energy Sources – Use of Radiofrequency Energy
Suneet Mittal

23 Mapping and ablation of left atrial flutter
Matthew Daly, Yuki Komatsu, Pierre Jaïs

24 Follow–up After Ablation: Assessing Success, Symptom Status and Recurrent Arrhythmias
Simon Kircher, Charlotte Eitel, Gerard Hindricks

25 How to Strategize the Redo Ablation Procedure
Jeffrey S. Arkles, David J. Callans,

26 Periprocedural Care for Catheter Ablation of Atrial Fibrillation
Chirag Barbhaiya, Justin Ng, Gregory F. Michaud

27 Complications: Early and Late After Ablation
Antonio Sorgente, Riccardo Cappato

28 Charting Long–term Success and the Challenge of Monitoring Outcomes
Isabel Deisenhofer