Clinical effect of vein of Marshall ethanol infusion on mitral isthmus ablation

被引:1
|
作者
Ge, Wei-Li [1 ,2 ]
Lu, Yi-Fei [2 ]
Li, Tao [2 ]
Wang, Ye [3 ]
Yin, Jie [3 ]
Li, Xin-Ran [3 ]
Jiang, Jian-Jun [2 ]
Mi, Ya-Fei [2 ]
Tung, Tao-Hsin [4 ,5 ]
Yan, Su-Hua [1 ,3 ]
机构
[1] Shandong Univ, Shandong Prov Qianfoshan Hosp, Jinan, Shandong, Peoples R China
[2] Wenzhou Med Univ, Taizhou Hosp Zhejiang Prov, Dept Cardiol, Linhai, Zhejiang, Peoples R China
[3] Shandong Prov Qianfoshan Hosp, Dept Cardiol, Jinan, Peoples R China
[4] Wenzhou Med Univ, Taizhou Hosp Zhejiang Prov, Evidence Based Med Ctr, Linhai, Peoples R China
[5] Key Lab Evidence Based Radiol Taizhou, Linhai, Zhejiang, Peoples R China
来源
FRONTIERS IN CARDIOVASCULAR MEDICINE | 2024年 / 11卷
基金
中国国家自然科学基金;
关键词
atrial fibrillation; catheter ablation; ethanol infusion; vein of Marshall; mitral isthmus (MI) ablation; PERSISTENT ATRIAL-FIBRILLATION; CATHETER ABLATION; BLOCK; LINE; OUTCOMES;
D O I
10.3389/fcvm.2024.1253554
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Purpose: This study aimed to investigate the effect of Marshall ethanol infusion (VOM-Et) in the vein on mitral isthmus (MI) ablation. Methods: Patients with persistent atrial fibrillation (AF) were grouped into vein of VOM-Et combined with radiofrequency (RF) ablation (VOM-Et-RF) and RF groups. The primary outcome was MI block immediate block rate after surgery. Stratified analysis was also performed for factors affecting the outcome measures. Results: A total of 118 consecutive patients underwent AF ablation at Taizhou Hospital of Zhejiang Province from January 2018 to December 2021. Successful bidirectional perimitral block was achieved in 96% of patients in VOM-Et-RF (69 of 72) and in 76% of patients in the RF group (35 of 46) (P < 0.01). In the subgroup analysis, male sex, elder than 60 years, Left atrial diameter <55 mm, and AF duration <3 years were associated with the benefits of VOM-Et in AF Patients. Conclusion: The vein of Marshall ethanol infusion for catheter ablation can improve the MI block rate. Male sex, elder age, smaller Left atrial diameter and shorter AF duration may have significant benefits for VOM-Et.
引用
收藏
页数:8
相关论文
共 50 条
  • [31] The impact of empirical Marshall vein ethanol infusion as a first-choice intraoperative strategy on the long-term outcomes in patients with persistent atrial fibrillation undergoing mitral isthmus ablation
    Du, Xianfeng
    Luo, Chenxu
    Shen, Caijie
    Xu, Yao
    Feng, Mingjun
    Jin, He
    Fu, Guohua
    Wang, Binhao
    Liu, Jin
    Gao, Fang
    Chu, Huimin
    FRONTIERS IN CARDIOVASCULAR MEDICINE, 2023, 10
  • [32] First experience with Vein of Marshall Ethanol Infusion
    Massaad, M.
    Lepiece, C.
    Badot, D.
    De Meester, A.
    Boudouft, M.
    ACTA CARDIOLOGICA, 2021, 76 : 10 - 10
  • [33] Ethanol Infusion Into the Vein of Marshall of a Transplanted Heart
    Laredo, Mikael
    Landes, Rosanna
    Laporte, Pierre-Leo
    Waintraub, Xavier
    Hermida, Alexis
    CANADIAN JOURNAL OF CARDIOLOGY, 2024, 40 (11) : 2145 - 2146
  • [34] Vein of Marshall ethanol infusion for recurrent atrial flutter after ablation in a patient with dextrocardia
    Zikan Zhong
    Xiaoyu Wu
    Jie An
    Qitong Zhang
    Cheng Cheng
    Yong Wei
    Songwen Chen
    Shaowen Liu
    Genqing Zhou
    BMC Cardiovascular Disorders, 25 (1)
  • [35] Use of intracardiac echocardiography in vein of Marshall ethanol infusion for ablation of persistent atrial fibrillation
    Ding, Xueyan
    Wang, Li
    Liu, Qiang
    Chen, Shiquan
    Jiang, Ruhong
    Yu, Lu
    Zhang, Pei
    Lin, Jianwei
    Sun, Yaxun
    Sheng, Xia
    Fu, Guosheng
    Zei, Paul C.
    Jiang, Chenyang
    HEART RHYTHM, 2024, 21 (03) : 274 - 281
  • [36] Another Gate Keeper to Protect the Mitral Isthmus?: Importance of the Vein of Marshall
    Yoshitani, Kazuyasu
    Miyamoto, Tadashi
    Sato, Yukihito
    Takatsu, Yoshiki
    JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, 2015, 26 (03) : 352 - 353
  • [37] Acute impact of the vein of marshall ethanol infusion on newly-formed lesion and mitral line block in persistent atrial fibrillation ablation
    Nesti, M.
    Rossi, A.
    Panchetti, L.
    Startari, U.
    Mirizzi, G.
    Garibaldi, S.
    Formichi, B. A.
    Procolo, M.
    Nassi, S.
    Solinas, P.
    Ceccarelli, F.
    Levantesi, B.
    Maionchi, A.
    Piacenti, M.
    EUROPEAN HEART JOURNAL, 2023, 44
  • [38] ATRIAL VOLTAGE ANALYSIS FOLLOWING VEIN OF MARSHALL ETHANOL INFUSION PREDICTS MITRAL LINE BLOCK
    Taddeucci, S.
    Garibaldi, S.
    Nesti, M.
    Landra, F.
    Startari, U.
    Panchetti, L.
    Mirizzi, G.
    Lionetti, V
    Piacenti, M.
    Marchese, P.
    Rossi, A.
    EUROPEAN HEART JOURNAL SUPPLEMENTS, 2024, 26 : ii145 - ii145
  • [39] A novel stepwise approach incorporating ethanol infusion in the vein of Marshall for the ablation of persistent atrial fibrillation
    Sousonis, Vasileios
    Combes, Stephane
    Pinon, Pauline
    Combes, Nicolas
    Cardin, Christelle
    Zeriouh, Sarah
    Mene, Roberto
    Jacob, Sophie
    Boveda, Serge
    Albenque, Jean Paul
    FRONTIERS IN CARDIOVASCULAR MEDICINE, 2023, 10
  • [40] Incidence of Vein of Marshall Stenosis After Ethanol Infusion Is Repeated Ethanol Infusion Feasible?
    Kamakura, Tsukasa
    Derval, Nicolas
    Duchateau, Josselin
    Nakashima, Takashi
    Cochet, Hubert
    Sacher, Frederic
    Hocini, Meleze
    Jais, Pierre
    Haissaguerre, Michel
    Pambrun, Thomas
    JACC-CLINICAL ELECTROPHYSIOLOGY, 2021, 7 (07) : 953 - 954