Modern trends in the treatment of long‑standing persistent atrial fibrillation

Česká verzia

Authors: A. Bulava ^1,2; A. Mokráček ³
Authors place of work: Kardiologické oddělení, Kardiocentrum, Nemocnice České Budějovice ¹; ZSF JU v Českých Budějovicích ²; Kardiochirurgické oddělení, Kardiocentrum, Nemocnice České Budějovice ³
Published in the journal: Kardiol Rev Int Med 2014, 16(3): 185-190
Category: Cardiology Review

Summary

Atrial fibrillation represents a quickly growing medical and socio‑ economic problem in the modern population. We have witnessed an enormous expansion of non‑pharmacological treatment modalities for AF over the last decade. Developments in radiofrequency catheter ablation have given it an important role in AF treatment, especially in cases where antiarrhythmic therapy has failed. In certain groups of patients, based on patient preference, it has even become a first‑line therapy. The early attempts at catheter ablation had unsatisfactory success rates, especially in patients with long‑standing persistent AF. These failures led to the development of minimally invasive surgical and hybrid procedures. The authors of this article summarize the current literature reporting on these new procedures and also discuss their own experiences.

Keywords:
radiofrequency catheter ablation – persistent atrial fibrillation – hybrid procedures

Zdroje

1. Go AS, Hylek EM, Phillips KA et al. Prevalence of diagnosed atrial fibrillation in adults: national implications for rhythm management and stroke prevention: the AnTicoagulation and Risk Factors in Atrial Fibrillation (ATRIA) Study. JAMA 2001; 285: 2370– 2375.

2. Heeringa J, van der Kuip DA, Hofman A et al. Prevalence, incidence and lifetime risk of atrial fibrillation: the Rotterdam study. Eur Heart J 2006; 27: 949– 953.

3. Healey JS, Connolly SJ, Gold MR et al. Subclinical atrial fibrillation and the risk of stroke. N Engl J Med 2012; 366: 120– 129. doi: 10.1056/ NEJMoa1105575.

4. Calkins H, Kuck KH, Cappato R et al. 2012 HRS/ EHRA/ ECAS Expert Consensus Statement on Catheter and Surgical Ablation of Atrial Fibrillation: recommendations for patient selection, procedural techniques, patient management and follow‑up, definitions, endpoints, and research trial design. Europace 2012; 14: 528– 606. doi: 10.1093/ europace/ eus027.

5. Bulava A. Nefarmakologická léčba z pohledu nových doporučení pro léčbu nemocných s fibrilací síní. Kardiol Rev 2011; 13: 143– 152.

6. Bulava A, Hanis J. The influence of the technology on the success of the treatment of paroxysmal atrial fibrillation: single center experience. Cor Vasa 2012; 54: e393– e400.

7. Camm AJ, Lip GY, De Caterina R et al. 2012 focused update of the ESC Guidelines for the management of atrial fibrillation: An update of the 2010 ESC Guidelines for the management of atrial fibrillation – developed with the special contribution of the European Heart Rhythm Association. Europace 2012; 14: 1385– 1413.

8. Cappato R, Calkins H, Chen SA et al. Updated worldwide survey on the methods, efficacy, and safety of catheter ablation for human atrial fibrillation. Circ Arrhythm Electrophysiol 2010; 3: 32– 38. doi: 10.1161/ CIRCEP.109.859116.

9. Fiala M, Wichterle D, Bulkova V et al. A prospective evaluation of haemodynamics, functional status, and quality of life after radiofrequency catheter ablation of long‑standing persistent atrial fibrillation. Europace 2014; 16: 15– 25. doi: 10.1093/ europace/ eut161.

10. Cox JL, Schuessler RB, D'Agostino HJ Jr et al. The surgical treatment of atrial fibrillation. III. Development of a definitive surgical procedure. J Thorac Cardiovasc Surg 1991; 101: 569– 583.

11. Damiano RJ Jr, Bailey M. The Cox‑ Maze IV procedure for lone atrial fibrillation. Multimed Man Cardiothorac Surg 2007: doi: 10.1510/ mmcts.2007.002758.

12. Budera P, Straka Z, Osmancik P et al. Comparison of cardiac surgery with left atrial surgical ablation vs. cardiac surgery without atrial ablation in patients with coronary and/ or valvular heart disease plus atrial fibrillation: final results of the PRAGUE‑ 12 randomized multicentre study. Eur Heart J 2012; 33: 2644– 2652. doi: 10.1093/ eurheartj/ ehs290.

13. Camm CF, Nagendran M, Xiu PY et al. How effective is cryoablation for atrial fibrillation during concomitant cardiac surgery? Interact Cardiovasc Thorac Surg 2011; 13: 410– 414. doi: 10.1510/ icvts.2011.271676.

14. Boersma LV, Castella M, van Boven W et al. Atrial fibrillation catheter ablation versus surgical ablation treatment (FAST): a 2- center randomized clinical trial. Circulation 2012; 125: 23– 30. doi: 10.1161/ CIRCULATIONAHA.111.074047.

15. Narayan SM, Krummen DE, Clopton P et al. Direct or coincidental elimination of stable rotors or focal sources may explain successful atrial fibrillation ablation: on‑ treatment analysis of the CONFIRM trial (Conventional ablation for AF with or without focal impulse and rotor modulation). J Am Coll Cardiol 2013; 62: 138– 147. doi: 10.1016/ j.jacc.2013.03.021.

16. Squara F, Latcu DG, Massaad Y et al. Contact force and force‑ time integral in atrial radiofrequency ablation predict transmurality of lesions. Europace 2014; 16: 660– 667. doi: 10.1093/ europace/ euu068.

17. Kimura M, Sasaki S, Owada S et al. Comparison of lesion formation between contact force‑ guided and non‑guided circumferential pulmonary vein isolation: a prospective, randomized study. Heart Rhythm 2014; 11: 984–991. doi: 10.1016/ j.hrthm.2014.03.019.

18. Lockwood D, Nakagawa H, Peyton MD et al. Linear left atrial lesions in minimally invasive surgical ablation of persistent atrial fibrillation: techniques for assessing conduction block across surgical lesions. Heart Rhythm 2009; 6: S50– S63. doi: 10.1016/ j.hrthm.2009.09.010.

19. Pison L, La MairM, van Opstal J et al. Hybrid thoracoscopic surgical and transvenous catheter ablation of atrial fibrillation. J Am Coll Cardiol 2012; 60: 54– 61. doi: 10.1016/ j.jacc.2011.12.055.

20. La Meir M. Surgical options for treatment of atrial fibrillation. Ann Cardiothorac Surg 2014; 3: 30– 37. doi: 10.3978/ j.issn.2225‑ 319X.2014.01.07.

21. Muneretto C, Bisleri G, Bontempi L et al. Durable staged hybrid ablation with thoracoscopic and percutaneous approach for treatment of long‑standing atrial fibrillation: a 30-month assessment with continuous monitoring. J Thorac Cardiovasc Surg 2012; 144: 1460– 1465. doi: 10.1016/ j.jtcvs.2012.08.069.

22. Pison L, Gelsomino S, Luca F et al. Effectiveness and safety of simultaneous hybrid thoracoscopic and endocardial catheter ablation of lone atrial fibrillation. Ann Cardiothorac Surg 2014; 3: 38– 44. doi: 10.3978/ j.issn.2225‑ 319X.2013.12.10.

23. Kurfirst V, Mokracek A, Bulava A et al. Two‑staged hybrid treatment of persistent atrial fibrillation: short‑term single‑centre results. Interact Cardiovasc Thorac Surg 2014; 18: 451– 456. doi: 10.1093/ icvts/ ivt538.

24. La Meir M, Gelsomino S, Lorusso R et al. The hybrid approach for the surgical treatment of lone atrial fibrillation: one‑year results employing a monopolar radiofrequency source. J Cardiothorac Surg 2012; 7: 71. doi: 10.1186/ 1749‑ 8090‑ 7‑ 71.

25. La Meir M, Gelsomino S, Luca F et al. Minimally invasive surgical treatment of lone atrial fibrillation: early results of hybrid versus standard minimally invasive approach employing radiofrequency sources. Int J Cardiol 2013; 167: 1469– 1475. doi: 10.1016/ j.ijcard.2012.04.044.

26. Krul SP, Driessen AH, van Boven WJ et al. Thoracoscopic video‑ assisted pulmonary vein antrum isolation, ganglionated plexus ablation, and periprocedural confirmation of ablation lesions: first results of a hybrid surgical‑ electrophysiological approach for atrial fibrillation. Circ Arrhythm Electrophysiol 2011; 4: 262– 270. doi: 10.1161/ CIRCEP.111.961862.

27. Bisleri G, Rosati F, Bontempi L et al. Hybrid approach for the treatment of long‑standing persistent atrial fibrillation: electrophysiological findings and clinical results. Eur J Cardiothorac Surg 2013; 44: 919– 923. doi: 10.1093/ ejcts/ ezt115.

28. Mahapatra S, LaPar DJ, Kamath S et al. Initial experience of sequential surgical epicardial‑ catheter endocardial ablation for persistent and long‑standing persistent atrial fibrillation with long‑term follow‑up. Ann Thorac Surg 2011; 91: 1890– 1898. doi: 10.1016/ j.athoracsur.2011.02.045.