401. Anti-atrial Fibrillation Effects of Pulmonary Vein Isolation With or Without Ablation Gaps: A Computational Modeling Study
- Author
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Ze Jin, Inseok Hwang, Byounghyun Lim, Oh-Seok Kwon, Je-Wook Park, Hee-Tae Yu, Tae-Hoon Kim, Boyoung Joung, Moon-Hyoung Lee, and Hui-Nam Pak
- Subjects
atrial fibrillation ,computational modeling ,pulmonary vein ,gap ,dominant frequency ,Physiology ,QP1-981 - Abstract
BackgroundAlthough pulmonary vein isolation (PVI) gaps contribute to recurrence after atrial fibrillation (AF) catheter ablation, the mechanism is unclear. We used realistic computational human AF modeling to explore the AF wave-dynamic changes of PVI with gaps (PVI-gaps).MethodsWe included 40 patients (80% male, 61.0 ± 9.8 years old, 92.5% persistent AF) who underwent AF catheter ablation to develop our realistic computational AF model. We compared the effects of a complete PVI (CPVI) and PVI-gap (2-mm × 4) on the AF wave-dynamics by evaluating the dominant frequency (DF), spatial change of DF, maximal slope of the action potential duration restitution curve (Smax), and AF defragmentation rate (termination or change to atrial tachycardia), and tested the effects of additional virtual interventions and flecainide on ongoing AF with PVI-gaps.ResultsCompared with the baseline AF, CPVIs significantly reduced extra-PV DFs (p
- Published
- 2022
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