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BioMed Research International
Volume 2016 (2016), Article ID 7286074, 5 pages
http://dx.doi.org/10.1155/2016/7286074
Review Article

Vagal Reactions during Cryoballoon-Based Pulmonary Vein Isolation: A Clue for Autonomic Nervous System Modulation?

1Service de Cardiologie, Centre Hospitalier Universitaire de Marseille, Hôpital Nord, Aix-Marseille Université, 13915 Marseille Cedex 20, France
2APHM, Department of Cardiology, Timone University Hospital, 13385 Marseille Cedex 05, France
3Aix-Marseille Université, 13284 Marseille Cedex 07, France

Received 28 January 2016; Accepted 24 March 2016

Academic Editor: Antonis S. Manolis

Copyright © 2016 Michaël Peyrol et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. M. Haïssaguerre, P. Jaïs, D. C. Shah et al., “Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins,” The New England Journal of Medicine, vol. 339, no. 10, pp. 659–666, 1998. View at Publisher · View at Google Scholar · View at Scopus
  2. W.-S. Lin, C.-T. Tai, M.-H. Hsieh et al., “Catheter ablation of paroxysmal atrial fibrillation initiated by non-pulmonary vein ectopy,” Circulation, vol. 107, no. 25, pp. 3176–3183, 2003. View at Publisher · View at Google Scholar · View at Scopus
  3. P. B. Lim, L. C. Malcolme-Lawes, T. Stuber et al., “Intrinsic cardiac autonomic stimulation induces pulmonary vein ectopy and triggers atrial fibrillation in humans,” Journal of Cardiovascular Electrophysiology, vol. 22, no. 6, pp. 638–646, 2011. View at Publisher · View at Google Scholar · View at Scopus
  4. P. B. Lim, L. C. Malcolme-Lawes, T. Stuber et al., “Stimulation of the intrinsic cardiac autonomic nervous system results in a gradient of fibrillatory cycle length shortening across the atria during atrial fibrillation in humans,” Journal of Cardiovascular Electrophysiology, vol. 22, no. 11, pp. 1224–1231, 2011. View at Publisher · View at Google Scholar · View at Scopus
  5. L. C. Malcolme-Lawes, P. B. Lim, I. Wright et al., “Characterization of the left atrial neural network and its impact on autonomic modification procedures,” Circulation: Arrhythmia and Electrophysiology, vol. 6, no. 3, pp. 632–640, 2013. View at Publisher · View at Google Scholar · View at Scopus
  6. M. Bettoni and M. Zimmermann, “Autonomic tone variations before the onset of paroxysmal atrial fibrillation,” Circulation, vol. 105, no. 23, pp. 2753–2759, 2002. View at Publisher · View at Google Scholar · View at Scopus
  7. Y. Hou, Q. Zhou, and S. S. Po, “Neuromodulation for cardiac arrhythmia,” Heart Rhythm, vol. 13, no. 2, pp. 584–592, 2016. View at Publisher · View at Google Scholar
  8. T. Tomita, M. Takei, Y. Saikawa et al., “Role of autonomic tone in the initiation and termination of paroxysmal atrial fibrillation in patients without structural heart disease,” Journal of Cardiovascular Electrophysiology, vol. 14, no. 6, pp. 559–564, 2003. View at Publisher · View at Google Scholar · View at Scopus
  9. P. Schauerte, B. J. Scherlag, J. Pitha et al., “Catheter ablation of cardiac autonomic nerves for prevention of vagal atrial fibrillation,” Circulation, vol. 102, no. 22, pp. 2774–2780, 2000. View at Publisher · View at Google Scholar · View at Scopus
  10. Y. Hou, B. J. Scherlag, J. Lin et al., “Ganglionated plexi modulate extrinsic cardiac autonomic nerve input: effects on sinus rate, atrioventricular conduction, refractoriness, and inducibility of atrial fibrillation,” Journal of the American College of Cardiology, vol. 50, no. 1, pp. 61–68, 2007. View at Publisher · View at Google Scholar
  11. J. A. Armour, D. A. Murphy, B.-X. Yuan, S. Macdonald, and D. A. Hopkins, “Gross and microscopic anatomy of the human intrinsic cardiac nervous system,” Anatomical Record, vol. 247, no. 2, pp. 289–298, 1997. View at Publisher · View at Google Scholar · View at Scopus
  12. H. Calkins, K. H. Kuck, R. Cappato et al., “2012 HRS/EHRA/ECAS Expert Consensus Statement on Catheter and Surgical Ablation of Atrial Fibrillation: recommendations for patient selection, procedural techniques, patient management and follow-up, definitions, endpoints, and research trial design,” Europace, vol. 14, no. 4, pp. 528–606, 2012. View at Publisher · View at Google Scholar
  13. J. G. Andrade, M. Dubuc, P. G. Guerra et al., “Cryoballoon ablation for atrial fibrillation,” Indian Pacing and Electrophysiology Journal, vol. 12, no. 2, pp. 39–53, 2012. View at Google Scholar · View at Scopus
  14. G.-B. Chierchia, G. Di Giovanni, G. Ciconte et al., “Second-generation cryoballoon ablation for paroxysmal atrial fibrillation: 1-year follow-up,” Europace, vol. 16, no. 5, pp. 639–644, 2014. View at Publisher · View at Google Scholar · View at Scopus
  15. R. P. Martins, D. Hamon, O. Césari et al., “Safety and efficacy of a second-generation cryoballoon in the ablation of paroxysmal atrial fibrillation,” Heart Rhythm, vol. 11, no. 3, pp. 386–393, 2014. View at Publisher · View at Google Scholar · View at Scopus
  16. A. Fürnkranz, S. Bordignon, B. Schmidt et al., “Improved procedural efficacy of pulmonary vein isolation using the novel second-generation cryoballoon,” Journal of Cardiovascular Electrophysiology, vol. 24, no. 5, pp. 492–497, 2013. View at Publisher · View at Google Scholar · View at Scopus
  17. A. Fürnkranz, S. Bordignon, D. Dugo et al., “Improved 1-year clinical success rate of pulmonary vein isolation with the second-generation cryoballoon in patients with paroxysmal atrial fibrillation,” Journal of Cardiovascular Electrophysiology, vol. 25, no. 8, pp. 840–844, 2014. View at Publisher · View at Google Scholar · View at Scopus
  18. G. D. Giovanni, K. Wauters, G.-B. Chierchia et al., “One-year follow-up after single procedure cryoballoon ablation: a comparison between the first and second generation balloon,” Journal of Cardiovascular Electrophysiology, vol. 25, no. 8, pp. 834–839, 2014. View at Publisher · View at Google Scholar · View at Scopus
  19. C. Pappone, V. Santinelli, F. Manguso et al., “Pulmonary vein denervation enhances long-term benefit after circumferential ablation for paroxysmal atrial fibrillation,” Circulation, vol. 109, no. 3, pp. 327–334, 2004. View at Publisher · View at Google Scholar · View at Scopus
  20. Y. Zhang, Z. Wang, Y. Zhang et al., “Efficacy of cardiac autonomic denervation for atrial fibrillation: a meta-analysis,” Journal of Cardiovascular Electrophysiology, vol. 23, no. 6, pp. 592–600, 2012. View at Publisher · View at Google Scholar · View at Scopus
  21. D. G. Katritsis, E. Pokushalov, A. Romanov et al., “Autonomic denervation added to pulmonary vein isolation for paroxysmal atrial fibrillation: a randomized clinical trial,” Journal of the American College of Cardiology, vol. 62, no. 24, pp. 2318–2325, 2013. View at Publisher · View at Google Scholar · View at Scopus
  22. E. Pokushalov, A. Romanov, S. Artyomenko et al., “Ganglionated plexi ablation directed by high-frequency stimulation and complex fractionated atrial electrograms for paroxysmal atrial fibrillation,” Pacing and Clinical Electrophysiology, vol. 35, no. 7, pp. 776–784, 2012. View at Publisher · View at Google Scholar · View at Scopus
  23. K. Higuchi, M. Akkaya, M. Koopmann et al., “The effect of fat pad modification during ablation of atrial fibrillation: late gadolinium enhancement MRI analysis,” Pacing and Clinical Electrophysiology, vol. 36, no. 4, pp. 467–476, 2013. View at Publisher · View at Google Scholar · View at Scopus
  24. K.-W. Kang, T. H. Kim, J. Park et al., “Long-term changes in heart rate variability after radiofrequency catheter ablation for atrial fibrillation: 1-year follow-up study with irrigation tip catheter,” Journal of Cardiovascular Electrophysiology, vol. 25, no. 7, pp. 693–700, 2014. View at Publisher · View at Google Scholar · View at Scopus
  25. K. Wang, D. Chang, Z. Chu et al., “Denervation as a common mechanism underlying different pulmonary vein isolation strategies for paroxysmal atrial fibrillation: evidenced by heart rate variability after ablation,” The Scientific World Journal, vol. 2013, Article ID 569564, 8 pages, 2013. View at Publisher · View at Google Scholar · View at Scopus
  26. H. Oswald, G. Klein, T. Koenig, U. Luesebrink, D. Duncker, and A. Gardiwal, “Cryoballoon pulmonary vein isolation temporarily modulates the intrinsic cardiac autonomic nervous system,” Journal of Interventional Cardiac Electrophysiology, vol. 29, no. 1, pp. 57–62, 2010. View at Publisher · View at Google Scholar · View at Scopus
  27. H. Yorgun, K. Aytemir, U. Canpolat, L. Şahiner, E. B. Kaya, and A. Oto, “Additional benefit of cryoballoon-based atrial fibrillation ablation beyond pulmonary vein isolation: modification of ganglionated plexi,” Europace, vol. 16, no. 5, pp. 645–651, 2014. View at Publisher · View at Google Scholar · View at Scopus
  28. K. Aytemir, K. M. Gurses, M. U. Yalcin et al., “Safety and efficacy outcomes in patients undergoing pulmonary vein isolation with second-generation cryoballoon,” Europace, vol. 17, no. 3, pp. 379–387, 2015. View at Publisher · View at Google Scholar · View at Scopus
  29. F. Franceschi, L. Koutbi, E. Gitenay et al., “Electromyographic monitoring for prevention of phrenic nerve palsy in second-generation cryoballoon procedures,” Circulation: Arrhythmia and Electrophysiology, vol. 8, no. 2, pp. 303–307, 2015. View at Publisher · View at Google Scholar · View at Scopus
  30. S.-I. Sakamoto, R. B. Schuessler, A. M. Lee, A. Aziz, S. C. Lall, and R. J. Damiano Jr., “Vagal denervation and reinnervation after ablation of ganglionated plexi,” Journal of Thoracic and Cardiovascular Surgery, vol. 139, no. 2, pp. 444–452, 2010. View at Publisher · View at Google Scholar · View at Scopus
  31. M. Hirose, Z. Leatmanoratn, K. R. Laurita, and M. D. Carlson, “Partial vagal denervation increases vulnerability to vagally induced atrial fibrillation,” Journal of Cardiovascular Electrophysiology, vol. 13, no. 12, pp. 1272–1279, 2002. View at Publisher · View at Google Scholar · View at Scopus