{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1360011144869979264.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.1161/01.cir.0000095796.45180.88"}},{"identifier":{"@type":"URI","@value":"https://www.ahajournals.org/doi/full/10.1161/01.CIR.0000095796.45180.88"}},{"identifier":{"@type":"NAID","@value":"30022669232"}}],"dc:title":[{"@value":"Catheter Ablation for Paroxysmal Atrial Fibrillation"}],"dcterms:alternative":[{"@value":"Segmental Pulmonary Vein Ostial Ablation Versus Left Atrial Ablation"}],"description":[{"type":"abstract","notation":[{"@value":"<jats:p>\n            <jats:bold>\n              <jats:italic>Background—</jats:italic>\n            </jats:bold>\n            Segmental ostial catheter ablation (SOCA) to isolate the pulmonary veins (PVs) and left atrial catheter ablation (LACA) to encircle the PVs both may eliminate paroxysmal atrial fibrillation (PAF). The relative efficacy of these 2 techniques has not been directly compared.\n          </jats:p>\n          <jats:p>\n            <jats:bold>\n              <jats:italic>Methods and Results—</jats:italic>\n            </jats:bold>\n            Of 80 consecutive patients with symptomatic PAF (age, 52±10 years), 40 patients underwent PV isolation by SOCA and 40 patients underwent LACA to encircle the PVs. During SOCA, ostial PV potentials recorded with a ring catheter were targeted. LACA was performed by encircling the left- and right-sided PVs 1 to 2 cm from the ostia and was guided by an electroanatomic mapping system; ablation lines also were created in the mitral isthmus and posterior left atrium. The mean procedure and fluoroscopy times were 156±45 and 50±17 minutes for SOCA and 149±33 and 39±12 minutes for LACA, respectively. At 6 months, 67% of patients who underwent SOCA and 88% of patients who underwent LACA were free of symptomatic PAF when not taking antiarrhythmic drug therapy (\n            <jats:italic>P</jats:italic>\n            =0.02). Among the variables of age, sex, duration and frequency of PAF, ejection fraction, left atrial size, structural heart disease, and the ablation technique, only an increased left atrial size and the SOCA technique were independent predictors of recurrent PAF. The only complication was left atrial flutter in a patient who underwent LACA.\n          </jats:p>\n          <jats:p>\n            <jats:bold>\n              <jats:italic>Conclusions—</jats:italic>\n            </jats:bold>\n            In patients undergoing catheter ablation for PAF, LACA to encircle the PVs is more effective than SOCA.\n          </jats:p>"}]}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1380011144869979268","@type":"Researcher","foaf:name":[{"@value":"Hakan Oral"}],"jpcoar:affiliationName":[{"@value":"From the Division of Cardiology, University of Michigan, Ann Arbor."}]},{"@id":"https://cir.nii.ac.jp/crid/1380011144869979267","@type":"Researcher","foaf:name":[{"@value":"Christoph Scharf"}],"jpcoar:affiliationName":[{"@value":"From the Division of Cardiology, University of Michigan, Ann Arbor."}]},{"@id":"https://cir.nii.ac.jp/crid/1380011144869979272","@type":"Researcher","foaf:name":[{"@value":"Aman Chugh"}],"jpcoar:affiliationName":[{"@value":"From the Division of Cardiology, University of Michigan, Ann Arbor."}]},{"@id":"https://cir.nii.ac.jp/crid/1380011144869979269","@type":"Researcher","foaf:name":[{"@value":"Burr Hall"}],"jpcoar:affiliationName":[{"@value":"From the Division of Cardiology, University of Michigan, Ann Arbor."}]},{"@id":"https://cir.nii.ac.jp/crid/1380011144869979271","@type":"Researcher","foaf:name":[{"@value":"Peter Cheung"}],"jpcoar:affiliationName":[{"@value":"From the Division of Cardiology, University of Michigan, Ann Arbor."}]},{"@id":"https://cir.nii.ac.jp/crid/1380011144869979264","@type":"Researcher","foaf:name":[{"@value":"Eric Good"}],"jpcoar:affiliationName":[{"@value":"From the Division of Cardiology, University of Michigan, Ann Arbor."}]},{"@id":"https://cir.nii.ac.jp/crid/1380011144869979270","@type":"Researcher","foaf:name":[{"@value":"Srikar Veerareddy"}],"jpcoar:affiliationName":[{"@value":"From the Division of Cardiology, University of Michigan, Ann Arbor."}]},{"@id":"https://cir.nii.ac.jp/crid/1380011144869979265","@type":"Researcher","foaf:name":[{"@value":"Frank Pelosi"}],"jpcoar:affiliationName":[{"@value":"From the Division of Cardiology, University of Michigan, Ann Arbor."}]},{"@id":"https://cir.nii.ac.jp/crid/1380011144869979266","@type":"Researcher","foaf:name":[{"@value":"Fred Morady"}],"jpcoar:affiliationName":[{"@value":"From the Division of Cardiology, University of Michigan, Ann Arbor."}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"00097322"},{"@type":"EISSN","@value":"15244539"},{"@type":"PISSN","@value":"http://id.crossref.org/issn/00097322"}],"prism:publicationName":[{"@value":"Circulation"}],"dc:publisher":[{"@value":"Ovid Technologies (Wolters Kluwer Health)"}],"prism:publicationDate":"2003-11-11","prism:volume":"108","prism:number":"19","prism:startingPage":"2355","prism:endingPage":"2360"},"reviewed":"false","url":[{"@id":"https://www.ahajournals.org/doi/full/10.1161/01.CIR.0000095796.45180.88"}],"createdAt":"2003-10-14","modifiedAt":"2024-05-06","relatedProduct":[{"@id":"https://cir.nii.ac.jp/crid/1360004232180504832","@type":"Article","resourceType":"学術雑誌論文(journal article)","relationType":["isReferencedBy"],"jpcoar:relatedTitle":[{"@value":"Intrinsic left atrial histoanatomy as the basis for reentrant excitation causing atrial fibrillation/flutter in rats"}]},{"@id":"https://cir.nii.ac.jp/crid/1360004232180563712","@type":"Article","resourceType":"学術雑誌論文(journal article)","relationType":["isReferencedBy"],"jpcoar:relatedTitle":[{"@value":"Pathology in the late phase after extensive and ostial pulmonary vein ablation for atrial fibrillation: Findings in 2 postmortem 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