Pulmonary Vein Morphology in Patients Undergoing Catheter
Ablation of Atrial Fibrillation

J 2024

Pulmonary Vein Morphology in Patients Undergoing Catheter Ablation of Atrial Fibrillation

FARKASOVÁ, Barbora, Ondřej TOMAN, David POSPÍŠIL, Monika MÍKOVÁ, Nela HEJTMANKOVA et. al.

Basic information

Original name

Pulmonary Vein Morphology in Patients Undergoing Catheter Ablation of Atrial Fibrillation

Authors

FARKASOVÁ, Barbora (203 Czech Republic, belonging to the institution), Ondřej TOMAN (203 Czech Republic, belonging to the institution), David POSPÍŠIL (203 Czech Republic, belonging to the institution), Monika MÍKOVÁ (203 Czech Republic, belonging to the institution), Nela HEJTMANKOVA (203 Czech Republic), Anna ZOUHAROVA (203 Czech Republic), Lucie KRIKAVOVA (203 Czech Republic), Martin FIALA (203 Czech Republic, belonging to the institution), Milan SEPŠI (203 Czech Republic, belonging to the institution), Petr KALA (203 Czech Republic, belonging to the institution) and Tomáš NOVOTNÝ (203 Czech Republic, belonging to the institution)

Edition

Cardiovascular Engineering and Technology, New York, Springer, 2024, 1869-408X

Other information

Language

English

Type of outcome

Article in a journal

Field of Study

30201 Cardiac and Cardiovascular systems

Country of publisher

United States of America

Confidentiality degree

is not subject to a state or trade secret

References:

URL

Impact factor

Impact factor: 1.600 in 2023

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1007/s13239-024-00738-x

UT WoS

001250418000001

Keywords in English

Atrial fibrillation; Pulmonary veins morphology; Pulmonary veins anatomy; CT angiography

Abstract

V originále

Purpose Variations in the anatomy of pulmonary veins can influence selection of approaches of atrial fibrillation catheter ablation. Therefore, preprocedural evaluation and knowledge of pulmonary veins anatomy is crucial for proper mapping and the successful ablation of atrial fibrillation. The aim of this observational study was to assess CT angiography scans and perform detailed analysis of pulmonary veins morphology in patients scheduled for catheter ablation of atrial fibrillation. Methods CT angiography was performed in 771 individuals (223 females, 548 males, mean age 58.4 +/- 10.7 years). Pulmonary veins anatomy was evaluated using 3D models. The patterns used for evaluation included typical anatomy with four separate pulmonary veins, a common left ostium, and various types of accessory veins either alone or in combination with common left ostia. Results An anatomical variant with common left ostium was observed as the most prevalent anatomy (44%). The typical variant was observed in 34.8% of patients. Accessory pulmonary veins were observed predominantly on the right side. The prevalence of anatomical variants did not differ between sexes with the exception of the unclassifiable category U (4.4% vs. 9%, p < 0.05). Conclusions Our study shows that a considerable number of atypical anatomies is present in patients undergoing AF catheter ablation. This knowledge may influence the choice of instrumentation. The data could be possibly helpful also in development of new ablation techniques.

Links

MUNI/A/1626/2023, interní kód MU

Name: Nevyřešené otázky a nové metody hodnocení elektrokardiografického signálu

Investor: Masaryk University, Unresolved questions and new methods of electrocadiographic signal analysis

Citovat

FARKASOVÁ, Barbora, Ondřej TOMAN, David POSPÍŠIL, Monika MÍKOVÁ, Nela HEJTMANKOVA, Anna ZOUHAROVA, Lucie KRIKAVOVA, Martin FIALA, Milan SEPŠI, Petr KALA and Tomáš NOVOTNÝ. Pulmonary Vein Morphology in Patients Undergoing Catheter Ablation of Atrial Fibrillation. Cardiovascular Engineering and Technology. New York: Springer, 2024, vol. 15, No 5, p. 616-622. ISSN 1869-408X. Available from: https://dx.doi.org/10.1007/s13239-024-00738-x.

@article{2417659,
   author = {Farkasová, Barbora and Toman, Ondřej and Pospíšil, David and Míková, Monika and Hejtmankova, Nela and Zouharova, Anna and Krikavova, Lucie and Fiala, Martin and Sepši, Milan and Kala, Petr and Novotný, Tomáš},
   article_location = {New York},
   article_number = {5},
   doi = {http://dx.doi.org/10.1007/s13239-024-00738-x},
   keywords = {Atrial fibrillation; Pulmonary veins morphology; Pulmonary veins anatomy; CT angiography},
   language = {eng},
   issn = {1869-408X},
   journal = {Cardiovascular Engineering and Technology},
   title = {Pulmonary Vein Morphology in Patients Undergoing Catheter Ablation of Atrial Fibrillation},
   url = {https://link.springer.com/article/10.1007/s13239-024-00738-x},
   volume = {15},
   year = {2024}
}

TY  - JOUR
ID  - 2417659
AU  - Farkasová, Barbora - Toman, Ondřej - Pospíšil, David - Míková, Monika - Hejtmankova, Nela - Zouharova, Anna - Krikavova, Lucie - Fiala, Martin - Sepši, Milan - Kala, Petr - Novotný, Tomáš
PY  - 2024
TI  - Pulmonary Vein Morphology in Patients Undergoing Catheter Ablation of Atrial Fibrillation
JF  - Cardiovascular Engineering and Technology
VL  - 15
IS  - 5
SP  - 616-622
EP  - 616-622
PB  - Springer
SN  - 1869408X
KW  - Atrial fibrillation
KW  - Pulmonary veins morphology
KW  - Pulmonary veins anatomy
KW  - CT angiography
UR  - https://link.springer.com/article/10.1007/s13239-024-00738-x
N2  - Purpose Variations in the anatomy of pulmonary veins can influence selection of approaches of atrial fibrillation catheter ablation. Therefore, preprocedural evaluation and knowledge of pulmonary veins anatomy is crucial for proper mapping and the successful ablation of atrial fibrillation. The aim of this observational study was to assess CT angiography scans and perform detailed analysis of pulmonary veins morphology in patients scheduled for catheter ablation of atrial fibrillation. Methods CT angiography was performed in 771 individuals (223 females, 548 males, mean age 58.4 +/- 10.7 years). Pulmonary veins anatomy was evaluated using 3D models. The patterns used for evaluation included typical anatomy with four separate pulmonary veins, a common left ostium, and various types of accessory veins either alone or in combination with common left ostia. Results An anatomical variant with common left ostium was observed as the most prevalent anatomy (44%). The typical variant was observed in 34.8% of patients. Accessory pulmonary veins were observed predominantly on the right side. The prevalence of anatomical variants did not differ between sexes with the exception of the unclassifiable category U (4.4% vs. 9%, p < 0.05). Conclusions Our study shows that a considerable number of atypical anatomies is present in patients undergoing AF catheter ablation. This knowledge may influence the choice of instrumentation. The data could be possibly helpful also in development of new ablation techniques.
ER  -

FARKASOVÁ, Barbora, Ondřej TOMAN, David POSPÍŠIL, Monika MÍKOVÁ, Nela HEJTMANKOVA, Anna ZOUHAROVA, Lucie KRIKAVOVA, Martin FIALA, Milan SEPŠI, Petr KALA and Tomáš NOVOTNÝ. Pulmonary Vein Morphology in Patients Undergoing Catheter Ablation of Atrial Fibrillation. \textit{Cardiovascular Engineering and Technology}. New York: Springer, 2024, vol.~15, No~5, p.~616-622. ISSN~1869-408X. Available from: https://dx.doi.org/10.1007/s13239-024-00738-x.

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