Catheter Recording of Left Atrial Activation from Left Pulmonary Artery in the Wolff‐Parkinson‐White Syndrome: Validation of the Technique with Intraoperative Mapping Results
Identifieur interne : 000238 ( Main/Corpus ); précédent : 000237; suivant : 000239Catheter Recording of Left Atrial Activation from Left Pulmonary Artery in the Wolff‐Parkinson‐White Syndrome: Validation of the Technique with Intraoperative Mapping Results
Auteurs : Pierrk Lacombe ; Mohammad Ali Sadr-Ameli ; Pierre Pagé ; Rene Cardinal ; Reginald A. Nadeau ; Mohammad ShenasaSource :
- Pacing and Clinical Electrophysiology [ 0147-8389 ] ; 1988-12.
English descriptors
- KwdEn :
Abstract
Accurate localization of accessory pathways (AP) in the Wolf‐Parkinson‐White (WPW) syndrome requires detailed atrial mapping. Coronary sinus catheterization is so far the most accurate method of left atrial mapping, but it can be technically difficult in some patients. We evaluated the feasibility of left atrial mapping from the left pulmonary artery in 24 patients with WPW syndrome. AU patients except one underwent surgical cryoablation of their AP and the results of intraoperative mapping are available for comparison. Mapping in sinus rhythm showed recording of atrial activity in the distal left pulmonary artery occurred 56 ± 20 ms after activation of high right atrium and 24 ± 4 ms after activation in the His bundle area, but coincident with left atrial activation in the distal coronary sinus (56 ± 20 and 53 ± 13, respectively. Mapping during ventricular pacing or orthodromic tachycardia could differentiate patients as having a right sided, left sided or paraseptal first site of activation. Eleven patients had a left lateral AP, four had a left posterior AP, five had left posteroseptal AP and one had a left anterior AP. The remaining three patients had a right sided AP. Intraoperative results correlated with pre‐operative findings in 22 out of 23 (95%) patients who underwent surgical ablation of AP. Thus, recordings form the left pulmonary artery reflect left atrial activity and may be of aid in localizing an AP, especially when coronary sinus recordings cannot be obtained. This technique, however, should not replace the more accurate method of coronary sinus mapping.
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DOI: 10.1111/j.1540-8159.1988.tb05983.x
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ISTEX:A50153EB3D083E13F9868DDA16185C3AC8217829Le document en format XML
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Coronary sinus catheterization is so far the most accurate method of left atrial mapping, but it can be technically difficult in some patients. We evaluated the feasibility of left atrial mapping from the left pulmonary artery in 24 patients with WPW syndrome. AU patients except one underwent surgical cryoablation of their AP and the results of intraoperative mapping are available for comparison. Mapping in sinus rhythm showed recording of atrial activity in the distal left pulmonary artery occurred 56 ± 20 ms after activation of high right atrium and 24 ± 4 ms after activation in the His bundle area, but coincident with left atrial activation in the distal coronary sinus (56 ± 20 and 53 ± 13, respectively. Mapping during ventricular pacing or orthodromic tachycardia could differentiate patients as having a right sided, left sided or paraseptal first site of activation. Eleven patients had a left lateral AP, four had a left posterior AP, five had left posteroseptal AP and one had a left anterior AP. The remaining three patients had a right sided AP. Intraoperative results correlated with pre‐operative findings in 22 out of 23 (95%) patients who underwent surgical ablation of AP. Thus, recordings form the left pulmonary artery reflect left atrial activity and may be of aid in localizing an AP, especially when coronary sinus recordings cannot be obtained. This technique, however, should not replace the more accurate method of coronary sinus mapping.</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>PIERRK LACOMBE</name><affiliations><json:string>Clinical Electrophysiology Laboratory and the Research Center, Sacré‐Coeur Hospital, Department of Medicine, Université de Montréal, Québec, Canada</json:string></affiliations></json:item><json:item><name>MOHAMMAD ALI SADR‐AMELI</name><affiliations><json:string>Clinical Electrophysiology Laboratory and the Research Center, Sacré‐Coeur Hospital, Department of Medicine, Université de Montréal, Québec, Canada</json:string></affiliations></json:item><json:item><name>PIERRE PAGÉ</name><affiliations><json:string>Clinical Electrophysiology Laboratory and the Research Center, Sacré‐Coeur Hospital, Department of Medicine, Université de Montréal, Québec, Canada</json:string></affiliations></json:item><json:item><name>RENE CARDINAL</name><affiliations><json:string>Clinical Electrophysiology Laboratory and the Research Center, Sacré‐Coeur Hospital, Department of Medicine, Université de Montréal, Québec, Canada</json:string></affiliations></json:item><json:item><name>REGINALD A. 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Coronary sinus catheterization is so far the most accurate method of left atrial mapping, but it can be technically difficult in some patients. We evaluated the feasibility of left atrial mapping from the left pulmonary artery in 24 patients with WPW syndrome. AU patients except one underwent surgical cryoablation of their AP and the results of intraoperative mapping are available for comparison. Mapping in sinus rhythm showed recording of atrial activity in the distal left pulmonary artery occurred 56 ± 20 ms after activation of high right atrium and 24 ± 4 ms after activation in the His bundle area, but coincident with left atrial activation in the distal coronary sinus (56 ± 20 and 53 ± 13, respectively. Mapping during ventricular pacing or orthodromic tachycardia could differentiate patients as having a right sided, left sided or paraseptal first site of activation. Eleven patients had a left lateral AP, four had a left posterior AP, five had left posteroseptal AP and one had a left anterior AP. The remaining three patients had a right sided AP. Intraoperative results correlated with pre‐operative findings in 22 out of 23 (95%) patients who underwent surgical ablation of AP. Thus, recordings form the left pulmonary artery reflect left atrial activity and may be of aid in localizing an AP, especially when coronary sinus recordings cannot be obtained. 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M.D. Ph.D.Re‐search Center, Sacre‐Coeiir Hospital, 5400 Gouin blvd. west, Montreal (Quebec) Canada H4j 1C5</p></note><affiliation>Clinical Electrophysiology Laboratory and the Research Center, Sacré‐Coeur Hospital, Department of Medicine, Université de Montréal, Québec, Canada</affiliation></author></analytic><monogr><title level="j">Pacing and Clinical Electrophysiology</title><idno type="pISSN">0147-8389</idno><idno type="eISSN">1540-8159</idno><idno type="DOI">10.1111/(ISSN)1540-8159</idno><imprint><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="1988-12"></date><biblScope unit="volume">11</biblScope><biblScope unit="issue">12</biblScope><biblScope unit="page" from="2168">2168</biblScope><biblScope unit="page" to="2179">2179</biblScope></imprint></monogr><idno type="istex">A50153EB3D083E13F9868DDA16185C3AC8217829</idno><idno type="DOI">10.1111/j.1540-8159.1988.tb05983.x</idno><idno type="ArticleID">PACE2168</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>1988</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>Accurate localization of accessory pathways (AP) in the Wolf‐Parkinson‐White (WPW) syndrome requires detailed atrial mapping. Coronary sinus catheterization is so far the most accurate method of left atrial mapping, but it can be technically difficult in some patients. We evaluated the feasibility of left atrial mapping from the left pulmonary artery in 24 patients with WPW syndrome. AU patients except one underwent surgical cryoablation of their AP and the results of intraoperative mapping are available for comparison. Mapping in sinus rhythm showed recording of atrial activity in the distal left pulmonary artery occurred 56 ± 20 ms after activation of high right atrium and 24 ± 4 ms after activation in the His bundle area, but coincident with left atrial activation in the distal coronary sinus (56 ± 20 and 53 ± 13, respectively. Mapping during ventricular pacing or orthodromic tachycardia could differentiate patients as having a right sided, left sided or paraseptal first site of activation. Eleven patients had a left lateral AP, four had a left posterior AP, five had left posteroseptal AP and one had a left anterior AP. The remaining three patients had a right sided AP. Intraoperative results correlated with pre‐operative findings in 22 out of 23 (95%) patients who underwent surgical ablation of AP. Thus, recordings form the left pulmonary artery reflect left atrial activity and may be of aid in localizing an AP, especially when coronary sinus recordings cannot be obtained. This technique, however, should not replace the more accurate method of coronary sinus mapping.</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>Keywords</head><item><term>accessory pathway</term></item><item><term>coronary sinus</term></item><item><term>left atrial mapping</term></item><item><term>left pulmonary artery</term></item><item><term>Wolff‐Parkinson‐White syndrome</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="1988-12">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><original>false</original><mimetype>text/plain</mimetype><extension>txt</extension><uri>https://api.istex.fr/document/A50153EB3D083E13F9868DDA16185C3AC8217829/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Ltd</publisherName><publisherLoc>Oxford, UK</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1540-8159</doi><issn type="print">0147-8389</issn><issn type="electronic">1540-8159</issn><idGroup><id type="product" value="PACE"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="PACING CLINICAL ELECTROPHYSIOLOGY">Pacing and Clinical Electrophysiology</title></titleGroup></publicationMeta><publicationMeta level="part" position="12012"><doi origin="wiley">10.1111/pace.1988.11.issue-12</doi><numberingGroup><numbering type="journalVolume" number="11">11</numbering><numbering type="journalIssue" number="12">12</numbering></numberingGroup><coverDate startDate="1988-12">December 1988</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="0216800" status="forIssue"><doi origin="wiley">10.1111/j.1540-8159.1988.tb05983.x</doi><idGroup><id type="unit" value="PACE2168"></id></idGroup><countGroup><count type="pageTotal" number="12"></count></countGroup><titleGroup><title type="tocHeading1">ORIGINAL MANUSCRIPTS</title></titleGroup><eventGroup><event type="firstOnline" date="2006-06-30"></event><event type="publishedOnlineFinalForm" date="2006-06-30"></event><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.3.2 mode:FullText source:HeaderRef result:HeaderRef" date="2010-03-02"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-02-06"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-11-03"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="2168">2168</numbering><numbering type="pageLast" number="2179">2179</numbering></numberingGroup><correspondenceTo>Address for reprints: Mohammad Shenasa. M.D. Ph.D.Re‐search Center, Sacre‐Coeiir Hospital, 5400 Gouin blvd. west, Montreal (Quebec) Canada H4j 1C5</correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:PACE.PACE2168.pdf"></link></linkGroup></publicationMeta><contentMeta><unparsedEditorialHistory>Submitted for publication: February 17, 1988; accepted August 8, 1988.</unparsedEditorialHistory><countGroup><count type="referenceTotal" number="25"></count><count type="linksCrossRef" number="7"></count></countGroup><titleGroup><title type="main">Catheter Recording of Left Atrial Activation from Left Pulmonary Artery in the Wolff‐Parkinson‐White Syndrome: Validation of the Technique with Intraoperative Mapping Results</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1"><personName><givenNames>PIERRK</givenNames><familyName>LACOMBE</familyName></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a1"><personName><givenNames>MOHAMMAD ALI</givenNames><familyName>SADR‐AMELI</familyName></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a1"><personName><givenNames>PIERRE</givenNames><familyName>PAGÉ</familyName></personName></creator><creator creatorRole="author" xml:id="cr4" affiliationRef="#a1"><personName><givenNames>RENE</givenNames><familyName>CARDINAL</familyName></personName></creator><creator creatorRole="author" xml:id="cr5" affiliationRef="#a1"><personName><givenNames>REGINALD A.</givenNames><familyName>NADEAU</familyName></personName></creator><creator creatorRole="author" xml:id="cr6" affiliationRef="#a1" corresponding="yes"><personName><givenNames>MOHAMMAD</givenNames><familyName>SHENASA</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="a1" countryCode="CA"><unparsedAffiliation>Clinical Electrophysiology Laboratory and the Research Center, Sacré‐Coeur Hospital, Department of Medicine, Université de Montréal, Québec, Canada</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">accessory pathway</keyword><keyword xml:id="k2">coronary sinus</keyword><keyword xml:id="k3">left atrial mapping</keyword><keyword xml:id="k4">left pulmonary artery</keyword><keyword xml:id="k5">Wolff‐Parkinson‐White syndrome</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><p>Accurate localization of accessory pathways (AP) in the Wolf‐Parkinson‐White (WPW) syndrome requires detailed atrial mapping. Coronary sinus catheterization is so far the most accurate method of left atrial mapping, but it can be technically difficult in some patients. We evaluated the feasibility of left atrial mapping from the left pulmonary artery in 24 patients with WPW syndrome. AU patients except one underwent surgical cryoablation of their AP and the results of intraoperative mapping are available for comparison. Mapping in sinus rhythm showed recording of atrial activity in the distal left pulmonary artery occurred 56 ± 20 ms after activation of high right atrium and 24 ± 4 ms after activation in the His bundle area, but coincident with left atrial activation in the distal coronary sinus (56 ± 20 and 53 ± 13, respectively. Mapping during ventricular pacing or orthodromic tachycardia could differentiate patients as having a right sided, left sided or paraseptal first site of activation. Eleven patients had a left lateral AP, four had a left posterior AP, five had left posteroseptal AP and one had a left anterior AP. The remaining three patients had a right sided AP. Intraoperative results correlated with pre‐operative findings in 22 out of 23 (95%) patients who underwent surgical ablation of AP. Thus, recordings form the left pulmonary artery reflect left atrial activity and may be of aid in localizing an AP, especially when coronary sinus recordings cannot be obtained. This technique, however, should not replace the more accurate method of coronary sinus mapping.</p></abstract></abstractGroup></contentMeta><noteGroup><note xml:id="n-fnt-1" numbered="no"><p>We are grateful to Diane Dugas and Diane Abastado for their help in preparation of this manuscript.</p></note></noteGroup></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Catheter Recording of Left Atrial Activation from Left Pulmonary Artery in the Wolff‐Parkinson‐White Syndrome: Validation of the Technique with Intraoperative Mapping Results</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Catheter Recording of Left Atrial Activation from Left Pulmonary Artery in the Wolff‐Parkinson‐White Syndrome: Validation of the Technique with Intraoperative Mapping Results</title></titleInfo><name type="personal"><namePart type="given">PIERRK</namePart><namePart type="family">LACOMBE</namePart><affiliation>Clinical Electrophysiology Laboratory and the Research Center, Sacré‐Coeur Hospital, Department of Medicine, Université de Montréal, Québec, Canada</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">MOHAMMAD ALI</namePart><namePart type="family">SADR‐AMELI</namePart><affiliation>Clinical Electrophysiology Laboratory and the Research Center, Sacré‐Coeur Hospital, Department of Medicine, Université de Montréal, Québec, Canada</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">PIERRE</namePart><namePart type="family">PAGÉ</namePart><affiliation>Clinical Electrophysiology Laboratory and the Research Center, Sacré‐Coeur Hospital, Department of Medicine, Université de Montréal, Québec, Canada</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">RENE</namePart><namePart type="family">CARDINAL</namePart><affiliation>Clinical Electrophysiology Laboratory and the Research Center, Sacré‐Coeur Hospital, Department of Medicine, Université de Montréal, Québec, Canada</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">REGINALD A.</namePart><namePart type="family">NADEAU</namePart><affiliation>Clinical Electrophysiology Laboratory and the Research Center, Sacré‐Coeur Hospital, Department of Medicine, Université de Montréal, Québec, Canada</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">MOHAMMAD</namePart><namePart type="family">SHENASA</namePart><affiliation>Clinical Electrophysiology Laboratory and the Research Center, Sacré‐Coeur Hospital, Department of Medicine, Université de Montréal, Québec, Canada</affiliation><description>Correspondence: Address for reprints: Mohammad Shenasa. M.D. Ph.D.Re‐search Center, Sacre‐Coeiir Hospital, 5400 Gouin blvd. west, Montreal (Quebec) Canada H4j 1C5</description><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article"></genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><place><placeTerm type="text">Oxford, UK</placeTerm></place><dateIssued encoding="w3cdtf">1988-12</dateIssued><edition>Submitted for publication: February 17, 1988; accepted August 8, 1988.</edition><copyrightDate encoding="w3cdtf">1988</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="references">25</extent></physicalDescription><abstract lang="en">Accurate localization of accessory pathways (AP) in the Wolf‐Parkinson‐White (WPW) syndrome requires detailed atrial mapping. Coronary sinus catheterization is so far the most accurate method of left atrial mapping, but it can be technically difficult in some patients. We evaluated the feasibility of left atrial mapping from the left pulmonary artery in 24 patients with WPW syndrome. AU patients except one underwent surgical cryoablation of their AP and the results of intraoperative mapping are available for comparison. Mapping in sinus rhythm showed recording of atrial activity in the distal left pulmonary artery occurred 56 ± 20 ms after activation of high right atrium and 24 ± 4 ms after activation in the His bundle area, but coincident with left atrial activation in the distal coronary sinus (56 ± 20 and 53 ± 13, respectively. Mapping during ventricular pacing or orthodromic tachycardia could differentiate patients as having a right sided, left sided or paraseptal first site of activation. Eleven patients had a left lateral AP, four had a left posterior AP, five had left posteroseptal AP and one had a left anterior AP. The remaining three patients had a right sided AP. Intraoperative results correlated with pre‐operative findings in 22 out of 23 (95%) patients who underwent surgical ablation of AP. Thus, recordings form the left pulmonary artery reflect left atrial activity and may be of aid in localizing an AP, especially when coronary sinus recordings cannot be obtained. This technique, however, should not replace the more accurate method of coronary sinus mapping.</abstract><subject lang="en"><genre>Keywords</genre><topic>accessory pathway</topic><topic>coronary sinus</topic><topic>left atrial mapping</topic><topic>left pulmonary artery</topic><topic>Wolff‐Parkinson‐White syndrome</topic></subject><relatedItem type="host"><titleInfo><title>Pacing and Clinical Electrophysiology</title></titleInfo><genre type="Journal">journal</genre><identifier type="ISSN">0147-8389</identifier><identifier type="eISSN">1540-8159</identifier><identifier type="DOI">10.1111/(ISSN)1540-8159</identifier><identifier type="PublisherID">PACE</identifier><part><date>1988</date><detail type="volume"><caption>vol.</caption><number>11</number></detail><detail type="issue"><caption>no.</caption><number>12</number></detail><extent unit="pages"><start>2168</start><end>2179</end><total>12</total></extent></part></relatedItem><identifier type="istex">A50153EB3D083E13F9868DDA16185C3AC8217829</identifier><identifier type="DOI">10.1111/j.1540-8159.1988.tb05983.x</identifier><identifier type="ArticleID">PACE2168</identifier><recordInfo><recordContentSource>WILEY</recordContentSource><recordOrigin>Blackwell Publishing Ltd</recordOrigin></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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