A Practical Approach to Catheter Ablation of Atrial Fibrillation

by Calkins, Hugh; Jais, Pierre; Steinberg, Jonathan S.

• ISBN13: 9780781775595
• ISBN10: 0781775590
• Edition: 1st
• Format: Paperback
• Copyright: 2008-04-24
• Publisher: LWW

Summary

Written and edited by expert electrophysiologists, this book is a practical, well-illustrated guide to the most successful techniques for catheter ablation of atrial fibrillation. While other texts address ablation of different arrhythmias, this is the first book to focus specifically on atrial fibrillation. Chapters explain how to establish programs and laboratories for treating atrial fibrillation; use complex imaging modalities and guidance systems; implement a variety of catheter-based ablation strategies, either isolated or in tandem; monitor the ablated patient's course for complications and arrhythmia recurrence; and manage these problems should they arise. The chapters on lab staffing and equipment, pre-procedure preparation, and post-procedure care will be of special interest to paraprofessionals such as lab nurses, nurse practitioners, and physician assistants. More than 200 diagrams, photographs, and other illustrations demonstrate the techniques.

Table of Contents

Contributing Authors	p. xi
Preface	p. xxiii
Introduction and Historical Perspective	p. 1
Indications for Atrial Fibrillation Ablation and Consensus Recommendations	p. 3
Nonpharmacological Therapy for Atrial Fibrillation: An Historical Overview	p. 11
Ablation Program Planning	p. 25
Equipment and Staffing	p. 27
Preprocedure Preparation	p. 37
Mapping, Imaging, and Guidance Systems	p. 55
Intracardiac Ultrasound	p. 57
Electroanatomic Mapping Systems	p. 83
Magnetic and Robotic Navigation	p. 100
Noncontact Mapping	p. 118
Ablation Procedures	p. 135
Circumferential Ablation with PV Isolation Guided by Lasso Catheter	p. 137
Circumferential Atrial Ablation	p. 167
Electrogram-Guided Ablation	p. 184
Linear Left Atrial Ablation	p. 198
Tailored Approach to Ablation	p. 210
Ablation of Autonomic Ganglia	p. 218
Atrial Fibrillation Trigger Mapping	p. 231
Ablation Strategies	p. 249
A Comprehensive Overview of Ablation of Paroxysmal, Persistent, and Permanent Atrial Fibrillation: A Stepwise Approach	p. 251
Emerging Technologies	p. 260
Identification and Elimination of Ancillary Arrhythmias	p. 273
Ablation Procedure Follow-up and Definitions of Success	p. 281
When and How to Re-Ablate	p. 292
Postprocedural Care after Radiofrequency Catheter Ablation for Atrial Fibrillation	p. 310
Complications	p. 320
The Challenges of Monitoring Outcomes	p. 346
Index	p. 357
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