A Natale

Summary

Affiliation: Cleveland Clinic Foundation
Country: USA

Publications

  1. ncbi request reprint Prospective randomized comparison of antiarrhythmic therapy versus first-line radiofrequency ablation in patients with atrial flutter
    A Natale
    Department of Cardiology, Cleveland Clinic Foundation, Ohio 44195, USA
    J Am Coll Cardiol 35:1898-904. 2000
  2. ncbi request reprint First human experience with pulmonary vein isolation using a through-the-balloon circumferential ultrasound ablation system for recurrent atrial fibrillation
    A Natale
    Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
    Circulation 102:1879-82. 2000
  3. ncbi request reprint Radiofrequency ablation of the pulmonary veins: can it stop atrial fibrillation at its source?
    A Natale
    Department of Cardiology, Cleveland Clinic Foundation, OH 44195, USA
    Cleve Clin J Med 68:17, 21-2, 24. 2001
  4. ncbi request reprint Catheter ablation of ventricular fibrillation storm in patients with infiltrative amyloidosis of the heart
    Hanka Mlcochova
    Department of Cardiovascular Medicine, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA
    J Cardiovasc Electrophysiol 17:426-30. 2006
  5. ncbi request reprint Ablation of atrial fibrillation
    Eduardo B Saad
    Department of Cardiovascular Medicine, The Cleveland Clinic Foundation, Desk F15, 9500 Euclid Avenue, Cleveland, OH 44122, USA
    Curr Cardiol Rep 4:379-87. 2002
  6. ncbi request reprint Empirical pulmonary vein isolation in patients with chronic atrial fibrillation using a three-dimensional nonfluoroscopic mapping system: long-term follow-up
    L Kanagaratnam
    Department of Cardiology, Cleveland Clinic Foundation, Ohio 44195, USA
    Pacing Clin Electrophysiol 24:1774-9. 2001
  7. ncbi request reprint Ventricular tachycardias arising from the aortic sinus of valsalva: an under-recognized variant of left outflow tract ventricular tachycardia
    L Kanagaratnam
    Department of Cardiology, Cleveland Clinic Foundation, Ohio 44195, USA
    J Am Coll Cardiol 37:1408-14. 2001
  8. ncbi request reprint A simple method of mapping atrial premature depolarizations triggering atrial fibrillation
    R A Schweikert
    Cleveland Clinic Foundation, 9500 Euclid Ave, Desk F-15, Cleveland, OH 44195, USA
    Pacing Clin Electrophysiol 24:22-7. 2001
  9. ncbi request reprint Pulmonary vein antrum isolation
    Mohamed Kanj
    The Cleveland Clinic, Cleveland, Ohio 44195, USA
    Heart Rhythm 4:S73-9. 2007
  10. ncbi request reprint Circumferential ultrasound ablation for pulmonary vein isolation: analysis of acute and chronic failures
    Walid Saliba
    The Cleveland Clinic Foundation, Ohio 44195, USA
    J Cardiovasc Electrophysiol 13:957-61. 2002

Detail Information

Publications83

  1. ncbi request reprint Prospective randomized comparison of antiarrhythmic therapy versus first-line radiofrequency ablation in patients with atrial flutter
    A Natale
    Department of Cardiology, Cleveland Clinic Foundation, Ohio 44195, USA
    J Am Coll Cardiol 35:1898-904. 2000
    ..Despite the high success rate of radiofrequency (RF) ablation, pharmacologic therapy is still considered the standard initial therapeutic approach for atrial flutter...
  2. ncbi request reprint First human experience with pulmonary vein isolation using a through-the-balloon circumferential ultrasound ablation system for recurrent atrial fibrillation
    A Natale
    Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
    Circulation 102:1879-82. 2000
    ..Standard mapping and ablation of focal sources of atrial fibrillation are associated with very long procedure times and low efficacy. An anatomic approach to complete pulmonary vein isolation could overcome these limitations...
  3. ncbi request reprint Radiofrequency ablation of the pulmonary veins: can it stop atrial fibrillation at its source?
    A Natale
    Department of Cardiology, Cleveland Clinic Foundation, OH 44195, USA
    Cleve Clin J Med 68:17, 21-2, 24. 2001
    ..Armed with this new knowledge, we are pursuing strategies of permanently preventing atrial fibrillation by destroying these foci using radiofrequency ablation...
  4. ncbi request reprint Catheter ablation of ventricular fibrillation storm in patients with infiltrative amyloidosis of the heart
    Hanka Mlcochova
    Department of Cardiovascular Medicine, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA
    J Cardiovasc Electrophysiol 17:426-30. 2006
    ..Electrophysiological testing was performed and the sites of earliest activation were localized within the left ventricle in the absence of significant scar tissue. After ablation, PVCs subsided and there were no further VF recurrences...
  5. ncbi request reprint Ablation of atrial fibrillation
    Eduardo B Saad
    Department of Cardiovascular Medicine, The Cleveland Clinic Foundation, Desk F15, 9500 Euclid Avenue, Cleveland, OH 44122, USA
    Curr Cardiol Rep 4:379-87. 2002
    ..Further simplification of the isolation techniques and refinement in the catheter design will allow more widespread use of this procedure and higher success rate...
  6. ncbi request reprint Empirical pulmonary vein isolation in patients with chronic atrial fibrillation using a three-dimensional nonfluoroscopic mapping system: long-term follow-up
    L Kanagaratnam
    Department of Cardiology, Cleveland Clinic Foundation, Ohio 44195, USA
    Pacing Clin Electrophysiol 24:1774-9. 2001
    ..True electrical isolation of the pulmonary veins was associated with a higher likelihood of long-term success. Left atrial flutter was seen in a significant number of patients at long-term follow-up...
  7. ncbi request reprint Ventricular tachycardias arising from the aortic sinus of valsalva: an under-recognized variant of left outflow tract ventricular tachycardia
    L Kanagaratnam
    Department of Cardiology, Cleveland Clinic Foundation, Ohio 44195, USA
    J Am Coll Cardiol 37:1408-14. 2001
    ..6 months. CONCLUSIONS: Normal heart VT with left bundle branch block, inferior axis and early precordial transition can be ablated in the majority of patients from either the left or the noncoronary aortic sinus of Valsalva...
  8. ncbi request reprint A simple method of mapping atrial premature depolarizations triggering atrial fibrillation
    R A Schweikert
    Cleveland Clinic Foundation, 9500 Euclid Ave, Desk F-15, Cleveland, OH 44195, USA
    Pacing Clin Electrophysiol 24:22-7. 2001
    ..The activation sequence and relative timing of the recordings obtained with our catheter configuration was highly predictive of right and left atrial origin and, more importantly, of right and left PV foci...
  9. ncbi request reprint Pulmonary vein antrum isolation
    Mohamed Kanj
    The Cleveland Clinic, Cleveland, Ohio 44195, USA
    Heart Rhythm 4:S73-9. 2007
    ..We usually reserve these adjunctive ablative therapies for patients with persistent or chronic atrial fibrillation and those with unsuccessful prior catheter ablation...
  10. ncbi request reprint Circumferential ultrasound ablation for pulmonary vein isolation: analysis of acute and chronic failures
    Walid Saliba
    The Cleveland Clinic Foundation, Ohio 44195, USA
    J Cardiovasc Electrophysiol 13:957-61. 2002
    ..We also reviewed the angiograms obtained during the procedure and identified anatomic variants that could be responsible for ineffective lesion formation...
  11. ncbi request reprint Left atrial appendage filling defects identified by multidetector computed tomography in patients undergoing radiofrequency pulmonary vein antral isolation: a comparison with transesophageal echocardiography
    Yuli Y Kim
    Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, OH 44195, USA
    Am Heart J 154:1199-205. 2007
    ..We sought to determine the accuracy of MDCT to qualitatively and quantitatively detect severe spontaneous echo contrast (SEC) or thrombus by TEE in the left atrial appendage (LAA)...
  12. ncbi request reprint Remote magnetic navigation: human experience in pulmonary vein ablation
    Luigi Di Biase
    Section of Cardiac Electrophysiology and Pacing, Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio, USA
    J Am Coll Cardiol 50:868-74. 2007
    ..We aimed at assessing the feasibility and efficacy of remote magnetic navigation (MN) and ablation in patients with atrial fibrillation (AF)...
  13. ncbi request reprint Impact of age on the outcome of pulmonary vein isolation for atrial fibrillation using circular mapping technique and cooled-tip ablation catheter:
    Mandeep Bhargava
    Center for Atrial Fibrillation, Section of Pacing and Electrophysiology, Department of Cardiology, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
    J Cardiovasc Electrophysiol 15:8-13. 2004
    ..PVI is an evolving technique for the management of atrial fibrillation (AF). The impact of age on the risks, outcomes, and complications of PVI has not been well defined...
  14. ncbi request reprint How to do circular mapping catheter-guided pulmonary vein antrum isolation: the Cleveland Clinic approach
    Mohamed H Kanj
    Center for Atrial Fibrillation, Cleveland Clinic Foundation, Ohio 44195, USA
    Heart Rhythm 3:866-9. 2006
  15. ncbi request reprint Pulmonary vein firing triggering atrial fibrillation after open heart surgery
    Eduardo B Saad
    The Center for Atrial Fibrillation, Department of Cardiovascular Medicine, Section of Cardiac Pacing and Electrophysiology, The Cleveland Clinic Foundation, Cleveland Ohio 44195, USA
    J Cardiovasc Electrophysiol 13:1300-2. 2002
    ..This case highlights the potential role of the pulmonary veins in the pathophysiology of postoperative AF...
  16. ncbi request reprint Randomized study comparing combined pulmonary vein-left atrial junction disconnection and cavotricuspid isthmus ablation versus pulmonary vein-left atrial junction disconnection alone in patients presenting with typical atrial flutter and atrial fibrillat
    Oussama Wazni
    Center for Atrial Fibrillation, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
    Circulation 108:2479-83. 2003
    ..We hypothesized that in patients with both AF and typical AFL, pulmonary vein-left atrial junction (PV-LAJ) disconnection may eliminate both arrhythmias...
  17. ncbi request reprint Ablation of focal atrial fibrillation
    Eduardo B Saad
    Center for Atrial Fibrillation, Department of Cardiovascular Medicine, Section of Cardiac Pacing and Electrophysiology, The Cleveland Clinic Foundation, Cleveland, Ohio, USA
    Card Electrophysiol Rev 6:389-96. 2002
    ..It seems to be associated with high success rates over long term follow-up. Future refinements in catheter technology should provide simpler and faster procedures and render catheter ablation of AF more widespread and accepted...
  18. ncbi request reprint Left atrial appendage exclusion and the risk of thromboembolic events following mitral valve surgery
    Soufian T Almahameed
    Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio 44195, USA
    J Cardiovasc Electrophysiol 18:364-6. 2007
    ..We aimed to evaluate left atrial appendage (LAA) exclusion in patients undergoing mitral valve surgery with respect to thromboembolic events...
  19. ncbi request reprint Novel robotic catheter remote control system: feasibility and safety of transseptal puncture and endocardial catheter navigation
    Walid Saliba
    Section of Cardiac Electrophysiology and Pacing, Department of Cardiovascular Medicine, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
    J Cardiovasc Electrophysiol 17:1102-5. 2006
    ..The aims of this study were to demonstrate the safety and the feasibility of the robotic catheter remote control system (CCS) in endocardial navigation in all cardiac chambers, as well as facilitation of the transseptal puncture...
  20. ncbi request reprint Pulmonary vein isolation for the treatment of atrial fibrillation in patients with impaired systolic function
    Michael S Chen
    Center for Atrial Fibrillation, Department of Cardiovascular Medicine, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA
    J Am Coll Cardiol 43:1004-9. 2004
    ..We aimed to determine the safety and efficacy of pulmonary vein isolation (PVI) in atrial fibrillation (AF) patients with impaired left ventricular (LV) systolic function...
  21. ncbi request reprint Circular mapping and ablation of the pulmonary vein for treatment of atrial fibrillation: impact of different catheter technologies
    Nassir F Marrouche
    Section of Pacing and Electrophysiology, Department of Cardiology, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
    J Am Coll Cardiol 40:464-74. 2002
    ..We conducted this study to compare the efficacy and safety of different catheter ablation technologies and of distal versus ostial pulmonary veins (PV) isolation using the circular mapping technique...
  22. ncbi request reprint Ventricular tachycardia syndromes
    W I Saliba
    Department of Cardiology, Section of Pacing and Electrophysiology, Cleveland Clinic Foundation, Cleveland, Ohio, USA
    Med Clin North Am 85:267-304. 2001
    ..The advent of sophisticated device-based therapy and of more precise and effective catheter ablation approaches will expand clinicians' ability to gain control of this multifaceted arrhythmia syndrome...
  23. ncbi request reprint Assessment of temperature, proximity, and course of the esophagus during radiofrequency ablation within the left atrium
    Jennifer E Cummings
    Department of Cardiovascular Medicine, The Cleveland Clinic Foundation, Cleveland, OH 44195, USA
    Circulation 112:459-64. 2005
    ..The objectives of this study were to evaluate the course of the esophagus and the temperature within the esophagus during pulmonary vein antrum isolation (PVAI) and correlate these data with esophagus tissue damage...
  24. ncbi request reprint Pulmonary vein antrum isolation for treatment of atrial fibrillation in patients with valvular heart disease or prior open heart surgery
    Yaariv Khaykin
    Center for Atrial Fibrillation, Department of Cardiovascular Medicine, The Cleveland Clinic Foundation, Ohio 44195, USA
    Heart Rhythm 1:33-9. 2004
    ..The goal of this study was to assess the safety and efficacy of pulmonary vein antrum isolation in patients with moderate valvular heart disease or open-heart surgery and atrial fibrillation (AF)...
  25. ncbi request reprint Novel method to integrate three-dimensional computed tomographic images of the left atrium with real-time electroanatomic mapping
    Atul Verma
    Section of Cardiovascular Electrophysiology, Division of Cardiology, Cleveland Clinic Foundation, Cleveland, Ohio 44118, USA
    J Cardiovasc Electrophysiol 15:968. 2004
  26. ncbi request reprint Left superior vena cava isolation in patients undergoing pulmonary vein antrum isolation: impact on atrial fibrillation recurrence
    Claude S Elayi
    Cleveland Clinic Foundation, Ohio 44195, USA
    Heart Rhythm 3:1019-23. 2006
    ..The left SVC can be electrically isolated. However, little clinical data about the impact of left SVC disconnection on AF outcome are available. We report on six patients with left SVC and recurrent AF...
  27. ncbi request reprint Incidence of atrial fibrillation post-cavotricuspid isthmus ablation in patients with typical atrial flutter: left-atrial size as an independent predictor of atrial fibrillation recurrence
    Keith Ellis
    Center for Atrial Fibrillation, Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio 44195, USA
    J Cardiovasc Electrophysiol 18:799-802. 2007
    ..The long-term occurrence of atrial fibrillation in patients presenting with atrial flutter alone is unknown. We report the long-term follow-up in patients who underwent cavotricuspid isthmus ablation for treatment of lone atrial flutter...
  28. ncbi request reprint Intracardiac echo-guided image integration: optimizing strategies for registration
    Tamer S Fahmy
    Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio 44195, USA
    J Cardiovasc Electrophysiol 18:276-82. 2007
    ..However, the success of this approach is dependent on the accuracy of the image integration process. This study aims to evaluate the in vivo accuracy and reliability of the integrated image...
  29. ncbi request reprint Pre-existent left atrial scarring in patients undergoing pulmonary vein antrum isolation: an independent predictor of procedural failure
    Atul Verma
    Section of Cardiovascular Electrophysiology, Department of Cardiology, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA
    J Am Coll Cardiol 45:285-92. 2005
    ..The goal of this study was to assess the impact of left atrial scarring (LAS) on the outcome of patients undergoing pulmonary vein antrum isolation (PVAI) for atrial fibrillation (AF)...
  30. ncbi request reprint The need for atrial flutter ablation following pulmonary vein antrum isolation in patients with and without previous cardiac surgery
    Fethi Kilicaslan
    Cleveland Clinic Foundation, Section of Pacing and Electrophysiology, Cleveland, Ohio, USA
    J Am Coll Cardiol 45:690-6. 2005
    ....
  31. ncbi request reprint Detection of pulmonary vein stenosis by transesophageal echocardiography: comparison with multidetector computed tomography
    Gardar Sigurdsson
    Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, OH 44195, USA
    Am Heart J 153:800-6. 2007
    ..The objective of this study is to compare the use of transesophageal echocardiography (TEE) vs multidetector computed tomography (MDCT) for detecting pulmonary vein stenosis...
  32. ncbi request reprint Mode of initiation and ablation of ventricular fibrillation storms in patients with ischemic cardiomyopathy
    Nassir F Marrouche
    Section of Cardiovascular Electrophysiology, Department of Cardiology, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
    J Am Coll Cardiol 43:1715-20. 2004
    ..We report on the initiation of ventricular fibrillation (VF) storm in patients with ischemic cardiomyopathy (ICM) and the results of targeted ablation to treat VF storm...
  33. ncbi request reprint Ventricular rate control by selective vagal stimulation is superior to rhythm regularization by atrioventricular nodal ablation and pacing during atrial fibrillation
    Shaowei Zhuang
    Department of Cardiovascular, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
    Circulation 106:1853-8. 2002
    ..We tested the hypothesis that, at comparable levels of VR slowing, AVN-VS provides hemodynamic benefits similar to those of ablation with pacemaker implantation...
  34. ncbi request reprint Use of intracardiac echocardiography for prediction of chronic pulmonary vein stenosis after ablation of atrial fibrillation
    Eduardo B Saad
    Center for Atrial Fibrillation, Department of Cardiovascular Medicine, Cleveland Clinic Foundation, Ohio 44195, USA
    J Cardiovasc Electrophysiol 13:986-9. 2002
    ..Measurements of pulmonary vein (PV) flow with intracardiac echocardiography (ICE) immediately before and after PV isolation may be a useful method for predicting which patients will develop chronic PV stenosis...
  35. ncbi request reprint Importance of ablating all potential right atrial flutter circuits in postcardiac surgery patients
    Atul Verma
    Department of Cardiology, Section of Cardiac Pacing and Electrophysiology, Cleveland Clinic Foundation, Cleveland, Ohio, USA
    J Am Coll Cardiol 44:409-14. 2004
    ....
  36. doi request reprint Feasibility and safety of using an esophageal protective system to eliminate esophageal thermal injury: implications on atrial-esophageal fistula following AF ablation
    Mauricio S Arruda
    Case Western Reserve University School of Medicine, Cleveland, Ohio 44106, USA
    J Cardiovasc Electrophysiol 20:1272-8. 2009
    ..Ablation for atrial fibrillation (AF) requires energy delivery in close proximity to the esophagus (Eso) which has accounted for the LA-Eso fistula, a rare but life-threatening complication...
  37. ncbi request reprint Three-dimensional reconstruction of pulmonary veins in patients with atrial fibrillation and controls: morphological characteristics of different veins
    Alejandro Perez-Lugones
    Department of Cardiology, Cleveland Clinic Foundation, 9500 Euclid Ave, Desk F 15, Cleveland, OH 44195, USA
    Pacing Clin Electrophysiol 26:8-15. 2003
    ..Overall, patients with AF do not have larger sizes of PV ostia. Multiple ramifications from the right inferior PV ostium is a common pattern and may represent a protective anatomic variant...
  38. ncbi request reprint Three-dimensional nonfluoroscopic mapping and ablation of inappropriate sinus tachycardia. Procedural strategies and long-term outcome
    Nassir F Marrouche
    Section of Pacing and Electrophysiology, Department of Cardiology, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
    J Am Coll Cardiol 39:1046-54. 2002
    ..Change in activation after the administration of esmolol was also assessed and compared to the shift documented with successful sinus node (SN) modification...
  39. ncbi request reprint Images in cardiovascular medicine. Pulmonary vein stenosis after catheter ablation of atrial arrhythmias
    Niranjan Seshadri
    Department of Cardiology, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
    Circulation 105:2571-2. 2002
  40. doi request reprint Relationship between catheter forces, lesion characteristics, "popping," and char formation: experience with robotic navigation system
    Luigi Di Biase
    Cleveland Clinic, Cleveland, Ohio, USA
    J Cardiovasc Electrophysiol 20:436-40. 2009
    ..We evaluated the relationship between lesion formation, pressure, and the development of complications...
  41. ncbi request reprint Usefulness of midodrine in patients with severely symptomatic neurocardiogenic syncope: a randomized control study
    A Perez-Lugones
    The Cleveland Clinic Foundation, Ohio 44195, USA
    J Cardiovasc Electrophysiol 12:935-8. 2001
    ..CONCLUSION: Midodrine appeared to provide a significant benefit in patients with neurocardiogenic syncope. To prevent recurrence of symptoms, dose adjustments were required in about one third of patients...
  42. ncbi request reprint C-reactive protein elevation in patients with atrial arrhythmias: inflammatory mechanisms and persistence of atrial fibrillation
    M K Chung
    Department of Cardiovascular Medicine, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
    Circulation 104:2886-91. 2001
    ..C-reactive protein (CRP), a marker of systemic inflammation, predicts cardiovascular events and stroke, a common sequela of AF. We hypothesized that CRP is elevated in patients with atrial arrhythmias...
  43. ncbi request reprint Remote magnetic navigation to map and ablate left coronary cusp ventricular tachycardia
    J David Burkhardt
    Department of Cardiovascular Medicine, Section of Cardiac Electrophysiology and Pacing, The Cleveland Clinic, Ohio 44195, USA
    J Cardiovasc Electrophysiol 17:1142-4. 2006
    ..Navigation, mapping, and ablation in the coronary cusps can be challenging. Remote magnetic navigation may offer an alternative to conventional manually operated catheters...
  44. ncbi request reprint Surgery for permanent atrial fibrillation: impact of patient factors and lesion set
    A Marc Gillinov
    Atrial Fibrillation Innovation Center AFIC, The Cleveland Clinic Foundation, Cleveland, Ohio, USA
    Ann Thorac Surg 82:502-13; discussion 513-4. 2006
    ..Whether a complete Cox-maze procedure is needed to ablate permanent atrial fibrillation in patients undergoing concomitant cardiac surgery is unknown. Our objective was to assess the effectiveness of different lesion sets in such patients...
  45. ncbi request reprint Atrial arrhythmias after surgical maze: findings during catheter ablation
    Oussama M Wazni
    The Center for Atrial Fibrillation, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
    J Am Coll Cardiol 48:1405-9. 2006
    ..We describe the clinical and electrophysiologic characteristics and management of post "cut and sew" Maze arrhythmias in symptomatic patients...
  46. ncbi request reprint Percutaneous pericardial instrumentation for catheter ablation of focal atrial tachycardias arising from the left atrial appendage
    Karen P Phillips
    Section of Pacing and Electrophysiology, Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio 44195, USA
    J Cardiovasc Electrophysiol 19:430-3. 2008
    ....
  47. ncbi request reprint Rational patient selection for catheter ablation of atrial fibrillation
    Roopinder K Sandhu
    MetroHealth Campus, Case Western Reserve University, Cleveland, OH, USA
    Curr Cardiol Rep 11:327-34. 2009
    ..In patients with structural heart disease, multiple ablative procedures may be required to achieve cure. Ongoing clinical research will provide further insight into future criteria for patient selection...
  48. doi request reprint Ablation of permanent AF: adjunctive strategies to pulmonary veins isolation: targeting AF NEST in sinus rhythm and CFAE in AF
    Mauricio Arruda
    Electrophysiology and Atrial Fibrillation Center, University Hospitals Heart and Vascular Institute, Case Western Reserve University School of Medicine, 11100 Euclid Avenue, Lakeside 5038, Cleveland, OH 44106, USA
    J Interv Card Electrophysiol 23:51-7. 2008
    ....
  49. ncbi request reprint Atrial fibrillation ablation using a robotic catheter remote control system: initial human experience and long-term follow-up results
    Walid Saliba
    Section of Cardiac Electrophysiology and Pacing, Department of Cardiovascular Medicine, Cleveland Clinic Foundation, Cleveland, Ohio, USA
    J Am Coll Cardiol 51:2407-11. 2008
    ....
  50. doi request reprint Esophageal luminal temperature measurement underestimates esophageal tissue temperature during radiofrequency ablation within the canine left atrium: comparison between 8 mm tip and open irrigation catheters
    Jennifer E Cummings
    Department of Cardiovascular Medicine, Section of Electrophysiology and Pacing, Cleveland Clinic, Cleveland, Ohio, USA
    J Cardiovasc Electrophysiol 19:641-4. 2008
    ..This animal study evaluates luminal esophageal temperature and its relation to the temperature of the external esophageal tissue during left atrial lesions using the 8 mm solid tip and the open irrigated tip catheters (OIC)...
  51. doi request reprint Comparison of stent versus balloon angioplasty for pulmonary vein stenosis complicating pulmonary vein isolation
    Lourdes R Prieto
    Department of Pediatric Cardiology, Cleveland Clinic Foundation, Cleveland, Ohio, USA
    J Cardiovasc Electrophysiol 19:673-8. 2008
    ..Pulmonary vein stenosis (PVS) is a rare but significant complication of pulmonary vein isolation (PVI). Dilation and stent angioplasty have been described but not compared...
  52. ncbi request reprint Vagal responses induced by endocardial left atrial autonomic ganglion stimulation before and after pulmonary vein antrum isolation for atrial fibrillation
    Atul Verma
    Cleveland Clinic Foundation, Section of Electrophysiology, Cleveland, Ohio 44195, USA
    Heart Rhythm 4:1177-82. 2007
    ..These vagal inputs are clustered in autonomic ganglia (AG) that are close to the pulmonary vein antrum (PVA) borders, but whether standard intracardiac echocardiography (ICE)-guided PVA isolation (PVAI) affects these inputs is unknown...
  53. doi request reprint Experience with the hansen robotic system for atrial fibrillation ablation--lessons learned and techniques modified: Hansen in the real world
    Oussama M Wazni
    Center for Atrial Fibrillation, Cleveland Clinic, Cleveland, Ohio 44195, USA
    J Cardiovasc Electrophysiol 20:1193-6. 2009
    ..Atrial fibrillation (AF) ablation may be performed utilizing this system. We report our management of complications with early experience of this system...
  54. ncbi request reprint Pulmonary vein antral isolation using an open irrigation ablation catheter for the treatment of atrial fibrillation: a randomized pilot study
    Mohamed H Kanj
    Cleveland Clinic, Cleveland, Ohio 44195, USA
    J Am Coll Cardiol 49:1634-41. 2007
    ..We sought to test how catheter ablation using an open irrigation catheter (OIC) compares with standard catheters for pulmonary vein antrum isolation...
  55. ncbi request reprint Vagal denervation and atrial fibrillation inducibility: epicardial fat pad ablation does not have long-term effects
    Seil Oh
    Section of Pacing and Electrophysiology, Department of Cardiovascular Medicine, Cleveland Clinic, Ohio 44195, USA
    Heart Rhythm 3:701-8. 2006
    ..Major epicardial fat pads contain cardiac ganglionated plexi of the autonomic, predominantly vagal nerves. Vagal denervation may improve the success rate of atrial fibrillation (AF) treatment...
  56. ncbi request reprint Evaluation and management of ventricular outflow tract tachycardias
    Christopher R Cole
    Department of Cardiology, Cleveland Clinic Foundation, Cleveland, Ohio, USA
    Card Electrophysiol Rev 6:442-7. 2002
    ..We recently described a LVOT-VT variant, which may be epicardial in nature, in a group of patients in whom prior ablation attempts had failed. A trans-aortic ablation approach to outflow tract VT was successful in these patients...
  57. ncbi request reprint Transcatheter angioplasty for acquired pulmonary vein stenosis after radiofrequency ablation
    Athar M Qureshi
    Department of Pediatric Cardiology, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
    Circulation 108:1336-42. 2003
    ..This study evaluates the presentation of affected patients and the role of transcatheter therapy for this patient population...
  58. ncbi request reprint Comparison of ability to identify left atrial thrombus by three-dimensional tomography versus transesophageal echocardiography in patients with atrial fibrillation
    Wael A Jaber
    Department of Cardiovascular Medicine, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
    Am J Cardiol 93:486-9. 2004
    ..Our data suggest that computed tomography is a potential alternative for assessing the anatomy of the left atrial appendage and for detecting thrombi...
  59. ncbi request reprint Pulmonary vein isolation for atrial fibrillation in patients with symptomatic sinus bradycardia or pauses
    Yaariv Khaykin
    Center for Atrial Fibrillation, Department of Cardiovascular Medicine, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
    J Cardiovasc Electrophysiol 15:784-9. 2004
    ..The aim of this study was to assess the effect of pulmonary vein isolation in patients with sick sinus syndrome and atrial fibrillation (AF)...
  60. ncbi request reprint Usefulness of intracardiac Doppler assessment of left atrial function immediately post-pulmonary vein antrum isolation to predict short-term recurrence of atrial fibrillation
    Atul Verma
    Department of Cardiology, Section of Cardiac Pacing and Electrophysiology, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
    Am J Cardiol 94:951-4. 2004
    ....
  61. ncbi request reprint Contemporary surgical treatment for atrial fibrillation
    A Marc Gillinov
    Center for Atrial Fibrillation, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
    Pacing Clin Electrophysiol 26:1641-4. 2003
    ..This article describes contemporary and emerging surgical approaches to AF, synthesizes results of these operations, and proposes a strategy for choice of operation based on patient presentation...
  62. ncbi request reprint Prevalence, predictors, and mortality significance of the causative arrhythmia in patients with electrical storm
    Atul Verma
    Cleveland Clinic Foundation, Section of Pacing and Electrophysiology, Cleveland, Ohio 44195, USA
    J Cardiovasc Electrophysiol 15:1265-70. 2004
    ..We sought to assess the prevalence, predictors, and survival significance of VT and VF as the causative arrhythmia of ES in implantable cardioverter defibrillator (ICD) patients...
  63. ncbi request reprint Approaches to restoring and maintaining normal sinus rhythm
    David O Martin
    Department of Cardiovascular Medicine, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
    Cleve Clin J Med 70:S12-29. 2003
  64. ncbi request reprint Left atrial flutter following pulmonary vein antrum isolation with radiofrequency energy: linear lesions or repeat isolation
    Jennifer E Cummings
    Department of Cardiovascular Medicine, Section of Pacing and Electrophysiology, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
    J Cardiovasc Electrophysiol 16:293-7. 2005
    ..This study reviews the incidence of LAFL following segmental PV antrum isolation (PVAI) in a large patient population and evaluates if re-isolation alone is sufficient to prevent recurrence...
  65. ncbi request reprint Percutaneous pericardial instrumentation for endo-epicardial mapping of previously failed ablations
    Robert A Schweikert
    Department of Cardiovascular Medicine F15, Section of Electrophysiology and Pacing, Cleveland Clinic Foundation, 9500 Euclid Ave, Cleveland, Ohio 44195, USA
    Circulation 108:1329-35. 2003
    ..The epicardial location of an arrhythmia could be responsible for unsuccessful endocardial catheter ablation...
  66. ncbi request reprint Alternative energy sources for the ablation of arrhythmias
    Jennifer E Cummings
    Department of Cardiovascular Medicine, Section of Pacing and Electrophysiology, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
    Pacing Clin Electrophysiol 28:434-43. 2005
  67. ncbi request reprint Avoiding microbubbles formation during radiofrequency left atrial ablation versus continuous microbubbles formation and standard radiofrequency ablation protocols: comparison of energy profiles and chronic lesion characteristics
    Seil Oh
    Section of Pacing and Electrophysiology, Department of Cardiovascular Medicine, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
    J Cardiovasc Electrophysiol 17:72-7. 2006
    ..Radiofrequency (RF) energy parameters and chronic lesion characteristics associated with the microbubbles formation have not been yet fully elucidated...
  68. ncbi request reprint Surgical ablation of atrial fibrillation with bipolar radiofrequency as the primary modality
    A Marc Gillinov
    Center for Atrial Fibrillation and the Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Cleveland, Ohio, USA
    J Thorac Cardiovasc Surg 129:1322-9. 2005
    ....
  69. ncbi request reprint Surgery for paroxysmal atrial fibrillation in the setting of mitral valve disease: a role for pulmonary vein isolation?
    A Marc Gillinov
    Center for Atrial Fibrillation, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
    Ann Thorac Surg 81:19-26; discussion 27-8. 2006
    ..Our objective was to assess the impact of different surgical treatments for this arrhythmia in patients undergoing mitral valve surgery...
  70. ncbi request reprint Ventricular fibrillation: ablation of a trigger?
    Walid Saliba
    Section of Pacing and Electrophysiology, Department of Cardiovascular Medicine, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
    J Cardiovasc Electrophysiol 13:1296-9. 2002
    ..Suppression of VF arising from focal triggers in patients with frequent ventricular ectopy and normal heart can be achieved with catheter ablation, but further studies are needed to evaluate the prevalence of such a mechanism...
  71. ncbi request reprint The Cox maze procedure in mitral valve disease: predictors of recurrent atrial fibrillation
    A Marc Gillinov
    Center for Atrial Fibrillation and the Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Cleveland, OH 44195, USA
    J Thorac Cardiovasc Surg 130:1653-60. 2005
    ..Therefore, we sought to determine the time-related prevalence of atrial fibrillation and its risk factors after combined Cox maze and mitral valve surgery...
  72. pmc C reactive protein concentration and recurrence of atrial fibrillation after electrical cardioversion
    O Wazni
    The Center for Atrial Fibrillation, Cleveland Clinic Foundation, Cleveland, OH 44195, USA
    Heart 91:1303-5. 2005
    ..To test the hypothesis that a high C reactive protein (CRP) concentration would predict recurrence of atrial fibrillation (AF) after cardioversion in patients taking antiarrhythmic drugs...
  73. pmc Preimplantation B-type natriuretic peptide concentration is an independent predictor of future appropriate implantable defibrillator therapies
    A Verma
    Department of Cardiology, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
    Heart 92:190-5. 2006
    ..To assess prospectively whether preimplantation B-type natriuretic peptide (BNP) and C reactive protein (CRP) concentrations predict future appropriate therapies from an implantable cardioverter-defibrillator (ICD)...
  74. ncbi request reprint Incessant nonreentrant tachycardia due to simultaneous conduction over dual atrioventricular nodal pathways mimicking atrial fibrillation in patients referred for pulmonary vein isolation
    Moussa Mansour
    Cardiac Unit, Massachusetts General Hospital, Gray 109, 55 Fruit Street, Boston, MA 02114, USA
    J Cardiovasc Electrophysiol 14:752-5. 2003
    ..In one patient, the tachycardia had resulted in cardiomyopathy. Slow AV nodal pathway ablation performed in both patients resulted in cure of their tachycardias and recovery of ventricular function in the patient with cardiomyopathy...
  75. doi request reprint Pulmonary-vein isolation for atrial fibrillation in patients with heart failure
    Mohammed N Khan
    Cardiovascular Associates, Elk Grove Village, IL 60007, USA
    N Engl J Med 359:1778-85. 2008
    ..Pulmonary-vein isolation is increasingly being used to treat atrial fibrillation in patients with heart failure...
  76. ncbi request reprint Phased-array intracardiac echocardiography monitoring during pulmonary vein isolation in patients with atrial fibrillation: impact on outcome and complications
    Nassir F Marrouche
    Center for Atrial Fibrillation, Department of Cardiovascular Medicine, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
    Circulation 107:2710-6. 2003
    ..The objective of this study was to assess the impact of intracardiac echocardiography (ICE) on the long-term success and complications in patients undergoing pulmonary vein isolation (PVI) for treatment of atrial fibrillation (AF)...
  77. ncbi request reprint Potential role of body surface ECG mapping for localization of atrial fibrillation trigger sites
    Arne Sippensgroenewegen
    Heart Center for Excellence, Borgess Medical Center, Michigan State University, Kalamazoo, MI 49048, USA
    J Electrocardiol 37:47-52. 2004
    ..Trigger site localization is obtained by matching the P wave integral map morphology of a premature atrial contraction (PAC) with the reference database of 34 mean paced P wave integral map patterns...
  78. ncbi request reprint HRS/EHRA/ECAS expert consensus statement on catheter and surgical ablation of atrial fibrillation: recommendations for personnel, policy, procedures and follow-up. A report of the Heart Rhythm Society (HRS) Task Force on Catheter and Surgical Ablation of
    Hugh Calkins
    Johns Hopkins Hospital, Maryland, USA
    Europace 9:335-79. 2007
  79. ncbi request reprint HRS/EHRA/ECAS expert Consensus Statement on catheter and surgical ablation of atrial fibrillation: recommendations for personnel, policy, procedures and follow-up. A report of the Heart Rhythm Society (HRS) Task Force on catheter and surgical ablation of
    Hugh Calkins
    Johns Hopkins Hospital, Maryland, USA
    Heart Rhythm 4:816-61. 2007
  80. ncbi request reprint Pulmonary vein antrum isolation: intracardiac echocardiography-guided technique
    Atul Verma
    Section of Cardiac Pacing and Electrophysiology, Department of Cardiology, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
    J Cardiovasc Electrophysiol 15:1335-40. 2004
    ..3. Avoiding risk of PV stenosis by ablating outside of the antrum. 4. Minimizing risk of other complications, such as perforation and stroke, by direct visualization during transseptal access and radiofrequency (RF) ablation...
  81. ncbi request reprint Efficacy of adjuvant anterior left atrial ablation during intracardiac echocardiography-guided pulmonary vein antrum isolation for atrial fibrillation
    Atul Verma
    Southlake Regional Health Centre, Newmarket, Ontario, Canada
    J Cardiovasc Electrophysiol 18:151-6. 2007
    ..However, whether adding ablation of such sites to standard ICE-guided PVAI improves outcome is not well known...
  82. ncbi request reprint Highlights of Heart Rhythm 2005, the Annual Scientific Sessions of the Heart Rhythm Society, May 4-7, 2005, New Orleans, Louisiana
    Dwight W Reynolds
    Cardiovascular Section, The University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma 73190, USA
    Heart Rhythm 2:1025-33. 2005
  83. ncbi request reprint Circumferential pulmonary-vein ablation for atrial fibrillation
    Oussama Musbah Wazni
    N Engl J Med 354:2289-91; author reply 2289-91. 2006