Journal of Cardiovascular Electrophysiology最新文献

{"title":"Intraoperative Impedance and Pacing Thresholds With the Aveir VR.","authors":"Koji Kumagai","doi":"10.1111/jce.16667","DOIUrl":"https://doi.org/10.1111/jce.16667","url":null,"abstract":"","PeriodicalId":15178,"journal":{"name":"Journal of Cardiovascular Electrophysiology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"RETRACTION: A Comparison of Procedure-Related Adverse Events Between Two Right Ventricular Leadless Pacemakers","authors":"","doi":"10.1111/jce.16656","DOIUrl":"10.1111/jce.16656","url":null,"abstract":"<p><b>RETRACTION</b>: A. Bahbah, J. Sengupta, M. Kapphahn-Bergs, D. Witt, E. Zishiri, S. Sharkey, D. Strepkos, M. Alexandrou, R. Abdelhadi, and R. Hauser, “A Comparison of Procedure-Related Adverse Events Between Two Right Ventricular Leadless Pacemakers,” <i>Journal of Cardiovascular Electrophysiology</i> 35, no. 12 (2024): 2397-2401, https://doi.org/10.1111/jce.16458.</p><p>The above article, published online on 13 October 2024 in Wiley Online Library (wileyonlinelibrary.com), has been retracted by agreement between the authors; the journal Editor-in-Chief, Dr. Bradley P. Knight; and Wiley Periodicals LLC. The authors were informed by the manufacturer that product performance reports had been insufficiently labelled. Upon review, the authors discovered that this had led to the inclusion of incorrect Micra VR MAUDE reports relative to the reported number of Micra VR Implants. The authors shared this information with the journal and produced corrections for their article. However, the journal has determined that the necessary corrections would fundamentally alter the article's reporting and conclusions. As such, the retraction has been agreed to because these major errors compromise the conclusions reported in this article. The authors have stated their intention to submit a revised version of the article for consideration by the journal.</p>","PeriodicalId":15178,"journal":{"name":"Journal of Cardiovascular Electrophysiology","volume":"36 4","pages":"917"},"PeriodicalIF":2.3,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jce.16656","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"RETRACTION: Ventricular Leadless Pacemakers: Data from the MAUDE Database—Editorial Commentary","authors":"","doi":"10.1111/jce.16657","DOIUrl":"10.1111/jce.16657","url":null,"abstract":"<p><b>RETRACTION:</b> C. Garweg, “Ventricular Leadless Pacemakers: Data from the MAUDE Database—Editorial Commentary,” <i>Journal of Cardiovascular Electrophysiology</i> 35, no. 12 (2024): 2402-2404, https://doi.org/10.1111/jce.16492.</p><p>The above editorial, published online on 10 November 2024 in Wiley Online Library (wileyonlinelibrary.com), has been retracted by agreement between the author; the journal Editor-in-Chief, Dr. Bradley P. Knight; and Wiley Periodicals LLC. The editorial reports primarily on data provided in another article (Bahbah et al. 2024 [https://doi.org/10.1111/jce.16458]). The authors of Bahbah et al. 2024 informed the journal of a number of errors that compromise that article, which has led to its subsequent retraction. While this editorial does not misreport any findings from the cited article, all parties agree that the findings of compromised data in the cited article fundamentally impact the reporting and conclusions presented in this editorial. Therefore, all parties agree that the editorial must be retracted.</p>","PeriodicalId":15178,"journal":{"name":"Journal of Cardiovascular Electrophysiology","volume":"36 4","pages":"918"},"PeriodicalIF":2.3,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jce.16657","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"LA Epicardial Adipose Tissue Assessed by CTA Associated With Silent Cerebral Infarcts in Patients With AF Catheter Ablation.","authors":"Lei Chen, Bowen Qiu, Zhongxiao Liu, Dandan Zuo, Chenchen Cui, Chuanyi Sang, Chengzong Li, Chaoqun Zhang, Wensu Chen","doi":"10.1111/jce.16660","DOIUrl":"https://doi.org/10.1111/jce.16660","url":null,"abstract":"<p><strong>Introduction: </strong>Left atrium epicardial adipose tissue (LA-EAT) is an atrial cardiomyopathy marker associated with ischemic stroke. However, the relationship between EAT and silent cerebral infarcts (SCI) is unclear. This study investigated the effect of EAT on the risk of SCI after atrial fibrillation catheter ablation (AFCA).</p><p><strong>Methods: </strong>This was a single-center prospective study. We consecutively enrolled patients who underwent AFCA from October 2019 to February 2024. All patients completed brain magnetic resonance imaging (MRI) within 24-48 h after AFCA. SCI was defined as new single or multiple brain injuries detectable on MRI without clinical manifestations or neurolocalization signs.</p><p><strong>Results: </strong>A total of 341 patients were enrolled, including 56 (16.4%) with SCI. Pearson correlation analysis showed that LA-EAT volume index moderately correlated with left atrial volume index (r = 0.391, p < 0.001). After adjusting for potential confounding factors, multivariate analysis showed that LA-EAT volume index (OR = 1.10; 95% CI: 1.03-1.16, p = 0.002) and LA-EAT attenuation (OR = 1.08; 95% CI: 1.03-1.14, p = 0.003) were independent factors for SCI after AFCA. Integrating LA-EAT volume index and LA-EAT attenuation could statistically improve the ability of the model to predict SCI after AFCA (NRI 0.763, 95% CI: 0.5054-1.0196, p < 0.001; IDI 0.043, 95% CI: 0.0133-0.0733, p = 0.005).</p><p><strong>Conclusion: </strong>LA-EAT is associated with SCI after AFCA and larger LA-EAT volume is an independent risk factor for SCI. Integrating LA-EAT can statistically improve the risk assessment model for SCI after AFCA.</p>","PeriodicalId":15178,"journal":{"name":"Journal of Cardiovascular Electrophysiology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Left Atrial Functional Changes Associated With Repeated Catheter Ablations for Atrial Fibrillation.","authors":"Muhammad S B Faheem, Syed T Hassan","doi":"10.1111/jce.16668","DOIUrl":"https://doi.org/10.1111/jce.16668","url":null,"abstract":"","PeriodicalId":15178,"journal":{"name":"Journal of Cardiovascular Electrophysiology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143730182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Durability of Ultra-Low Temperature Cryoablation Lesions in Atrial Fibrillation: Insights From Repeat Ablation Procedures.","authors":"Bob G S Abeln, Lucio Addeo, Tom De Potter, Lucas V A Boersma","doi":"10.1111/jce.16665","DOIUrl":"https://doi.org/10.1111/jce.16665","url":null,"abstract":"<p><strong>Background: </strong>Ultra-low temperature cryoablation (ULTC) is a technique designed to rapidly cool cardiac tissue to extremely low temperatures, enabling the creation of ablation lesions for the treatment of atrial fibrillation (AF). Prior studies have demonstrated low rates of arrhythmia recurrence, but little is known about ablation lesion durability.</p><p><strong>Methods: </strong>Patients undergoing repeat ablation were selected from the CryoCure2 (NCT02839304) and iCLAS PMCF(NCT05416086) studies. Baseline patient and ULTC procedure characteristics were evaluated. During repeat ablation, ULTC ablation lesions were assessed for electrical block, including segment-based assessment of pulmonary vein (PV) ablation lesions. Arrhythmia outcomes after repeat ablation were evaluated.</p><p><strong>Results: </strong>Twenty-five patients were included in the cohort: Age 68 ± 7 years, male 68%, persistent AF 68%, LAVI 42 ± 24 mL/m². During index procedure, ULTC was used to target the PVs in all patients, the left atrium posterior wall (LAPW) in 15 patients, the lateral mitral isthmus (LMI) in five patients and the cavotricuspid isthmus (CTI) in two patients. At repeat ablation, PV reconnection was observed in 21/25 patients (55/100 PVs reconnected), and reconnection occurred most often in the anterior segments of the left PVs. The LAPW lesion was incomplete in 4/15 patients, the LMI in 3/5 and the CTI in 1/2. After repeat ablation, 10/25 patients had arrhythmia recurrence.</p><p><strong>Conclusion: </strong>Reconnection of ablation targets during repeat ablation for arrhythmia recurrence following ULTC occurred at rates comparable to those observed with conventional thermal ablation modalities. The anterior side of the left PVs appears to be reconnected most often.</p>","PeriodicalId":15178,"journal":{"name":"Journal of Cardiovascular Electrophysiology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143730178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Thromboembolic Complications From Atrial Fibrillation and Atrial Flutter in Pediatrics and Young Adults: A Multicenter Study.","authors":"Muhammad Rehan Zahid, Syed Tawassul Hassan, Muhammad Shaheer Bin Faheem","doi":"10.1111/jce.16663","DOIUrl":"https://doi.org/10.1111/jce.16663","url":null,"abstract":"","PeriodicalId":15178,"journal":{"name":"Journal of Cardiovascular Electrophysiology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143730186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of Clinical Outcomes Between Left Bundle Branch Area Pacing With a Stylet-Driven Lead and Conventional Right Ventricular Pacing.","authors":"Kyung-Yeon Lee, Jinsun Park, JungMin Choi, Hyo-Jeong Ahn, Soonil Kwon, Myung-Jin Cha, Jun Kim, Gi-Byoung Nam, Kee-Joon Choi, Eue-Keun Choi, Seil Oh, Min Soo Cho, So-Ryoung Lee","doi":"10.1111/jce.16648","DOIUrl":"https://doi.org/10.1111/jce.16648","url":null,"abstract":"<p><strong>Backgrounds and aims: </strong>Left bundle branch area pacing (LBBAP) has been shown to reduce the risk of pacing-facilitated heart failure (HF) compared to right ventricular pacing (RVP), but limited data exists comparing LBBAP with stylet-driven leads (SDL) and conventional RVP. The study aims to compare clinical outcomes between LBBAP using SDL and conventional RVP.</p><p><strong>Methods: </strong>From December 2018 to December 2023, patients who underwent pacemaker implantation at two tertiary hospitals were enrolled. Exclusions included those requiring cardiac resynchronization therapy and patients with ventricular pacing burden ≤ 10%. LBBAP was performed using SDL (Solia S60, Biotronik) with a fixed curve delivery sheath. Composite outcome I consisted of HF admission, pacing-induced cardiomyopathy (defined as an LVEF decline of ≥ 10% or below 50%), and upgrade to biventricular pacing. Composite outcome II included all-cause death in addition to the components of composite outcome I.</p><p><strong>Results: </strong>A total of 738 patients (mean age 72.1 years; 52% of men; 243 LBBAP vs. 495 RVP) were included. Atrioventricular block was more common pacing indication in LBBAP group than RVP group (88.1% vs. 69.3%, p < 0.001). Compared to RVP group, ventricular pacing burden was higher in the LBBAP group (96% vs. 86%, p < 0.001). LBBAP was associated with a lower risk of composite outcome I and II compared to RVP (adjusted HR 0.27 [95% confidence interval 0.11-0.68], p = 0.006 for composite outcome I, aHR 0.41 [0.20-0.84], p = 0.015 for composite outcome II), mainly driven by a lower risk of pacing-induced cardiomyopathy by 70%. There were no significant differences in procedure-related complications.</p><p><strong>Conclusion: </strong>LBBAP with SDL was associated with a lower risk of adverse clinical outcomes compared to conventional RVP in patients requiring substantial ventricular pacing.</p>","PeriodicalId":15178,"journal":{"name":"Journal of Cardiovascular Electrophysiology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143730076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Visualization of Electrophysiologically Defined Superior Vena Cava-Right Atrium Junction With High-Resolution Mapping Using Atrial Extrastimulus.","authors":"Masahiro Ishikura, Yoshiaki Kawase, Taiji Miyake, Hitoshi Matsuo","doi":"10.1111/jce.16659","DOIUrl":"https://doi.org/10.1111/jce.16659","url":null,"abstract":"<p><strong>Background: </strong>Recent studies have identified diagonal conduction block lines at the electrophysiologically defined superior vena cava (SVC)-right atrium (RA) junction using three-dimensional mapping systems and reported the utility of SVCI using these lines. However, these block lines are not always observed, requiring the use of a conventional horizontal isolation approach.</p><p><strong>Objective: </strong>This study aimed to visualize the electrophysiologically defined SVC-RA junction using high-resolution mapping with atrial extrastimulus pacing.</p><p><strong>Methods: </strong>Twenty-five patients underwent high-resolution mapping during sinus rhythm (Sinus map) and extrastimulus pacing (S2 map) using a three-dimensional mapping system (CARTO 3, version 8). Slow conduction or conduction block along the SVC-RA junction was assessed by adjusting the lower threshold cut-off value in the \"early meets late\" analysis. The length of slow or conduction block lines was compared between the two maps.</p><p><strong>Results: </strong>The S2 map revealed significantly longer slow or conduction block lines compared to the Sinus map (52.5 ± 18.0 mm vs. 35.6 ± 16.1 mm, p = 0.0013). The adjusted lower threshold values were comparable between the two maps: 26.4 ± 3.7% for the S2 map and 25.2 ± 3.8% for the Sinus map (p = 0.2819). In the S2 map, a slow or block line covering more than half of the junction was observed in all patients. Furthermore, the sinus node was consistently located inferior to this line.</p><p><strong>Conclusion: </strong>High-resolution mapping with atrial extrastimulus pacing more clearly visualizes the SVC-RA junction, potentially enabling more effective SVCI and estimation of the sinus node location.</p>","PeriodicalId":15178,"journal":{"name":"Journal of Cardiovascular Electrophysiology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143709876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ethanol Infusion Therapy for Incessant Atrial Tachycardia Arising From the Distal Left Atrial Appendage.","authors":"Jia-Yin Li, Bin-Feng Mo","doi":"10.1111/jce.16662","DOIUrl":"https://doi.org/10.1111/jce.16662","url":null,"abstract":"<p><strong>Introduction: </strong>Atrial tachycardias (AT) originating from the distal left atrial appendage (LAAd) are rare and pose significant challenges during catheter ablation. This report describes a case of incessant AT arising from the LAAd that was successfully treated using ethanol infusion therapy.</p><p><strong>Methods: </strong>A 70-year-old male patient with a history of incessant AT was referred to our center. Electrophysiological study and activation mapping were performed, revealing a focal AT originating from the LAAd with a cycle length of 544 ms (110 bpm).</p><p><strong>Results: </strong>Endocardial catheter ablation attempts within the left atrial appendage (LAA) failed to terminate the tachycardia. The LAA vein was difficult to visualize but was detected using a guidewire. Ethanol infusion into the LAA vein resulted in immediate termination of the LAAd AT. The patient remained in sinus rhythm during a 14-month follow-up period.</p><p><strong>Conclusions: </strong>Chemical ablation with ethanol infusion may serve as an effective alternative therapeutic strategy for managing focal ATs originating from the LAAd, although the success of this approach is contingent upon the anatomical accessibility and distribution of the LAA vein.</p>","PeriodicalId":15178,"journal":{"name":"Journal of Cardiovascular Electrophysiology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143709873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}