Left Atrial Anatomy Relevant to Catheter Ablation

The rapid development of interventional procedures for the treatment of arrhythmias in humans, especially the use of catheter ablation techniques, has renewed interest in cardiac anatomy. Although the substrates of atrial fibrillation (AF), its initiation and maintenance, remain to be fully elucidat...

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Main Authors: Damián Sánchez-Quintana, José Ramón López-Mínguez, Yolanda Macías, José Angel Cabrera, Farhood Saremi
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Cardiology Research and Practice
Online Access:http://dx.doi.org/10.1155/2014/289720
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author Damián Sánchez-Quintana
José Ramón López-Mínguez
Yolanda Macías
José Angel Cabrera
Farhood Saremi
author_facet Damián Sánchez-Quintana
José Ramón López-Mínguez
Yolanda Macías
José Angel Cabrera
Farhood Saremi
author_sort Damián Sánchez-Quintana
collection DOAJ
description The rapid development of interventional procedures for the treatment of arrhythmias in humans, especially the use of catheter ablation techniques, has renewed interest in cardiac anatomy. Although the substrates of atrial fibrillation (AF), its initiation and maintenance, remain to be fully elucidated, catheter ablation in the left atrium (LA) has become a common therapeutic option for patients with this arrhythmia. Using ablation catheters, various isolation lines and focal targets are created, the majority of which are based on gross anatomical, electroanatomical, and myoarchitectual patterns of the left atrial wall. Our aim was therefore to review the gross morphological and architectural features of the LA and their relations to extracardiac structures. The latter have also become relevant because extracardiac complications of AF ablation can occur, due to injuries to the phrenic and vagal plexus nerves, adjacent coronary arteries, or the esophageal wall causing devastating consequences.
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spelling doaj-art-91428d74f4b94f1c80b89d6035cc15b42025-02-03T06:10:57ZengWileyCardiology Research and Practice2090-80162090-05972014-01-01201410.1155/2014/289720289720Left Atrial Anatomy Relevant to Catheter AblationDamián Sánchez-Quintana0José Ramón López-Mínguez1Yolanda Macías2José Angel Cabrera3Farhood Saremi4Department of Anatomy and Cell Biology, Faculty of Medicine, University of Extremadura, 06006 Badajoz, SpainDepartment of Cardiology, Hospital Infanta Cristina, 06080 Badajoz, SpainDepartment of Anatomy and Cell Biology, Faculty of Medicine, University of Extremadura, 06006 Badajoz, SpainDepartment of Cardiology, Hospital Quirón, European University of Madrid, 28223 Madrid, SpainDepartment of Radiology, University of Southern California, Los Angeles, CA 90089, USAThe rapid development of interventional procedures for the treatment of arrhythmias in humans, especially the use of catheter ablation techniques, has renewed interest in cardiac anatomy. Although the substrates of atrial fibrillation (AF), its initiation and maintenance, remain to be fully elucidated, catheter ablation in the left atrium (LA) has become a common therapeutic option for patients with this arrhythmia. Using ablation catheters, various isolation lines and focal targets are created, the majority of which are based on gross anatomical, electroanatomical, and myoarchitectual patterns of the left atrial wall. Our aim was therefore to review the gross morphological and architectural features of the LA and their relations to extracardiac structures. The latter have also become relevant because extracardiac complications of AF ablation can occur, due to injuries to the phrenic and vagal plexus nerves, adjacent coronary arteries, or the esophageal wall causing devastating consequences.http://dx.doi.org/10.1155/2014/289720
spellingShingle Damián Sánchez-Quintana
José Ramón López-Mínguez
Yolanda Macías
José Angel Cabrera
Farhood Saremi
Left Atrial Anatomy Relevant to Catheter Ablation
Cardiology Research and Practice
title Left Atrial Anatomy Relevant to Catheter Ablation
title_full Left Atrial Anatomy Relevant to Catheter Ablation
title_fullStr Left Atrial Anatomy Relevant to Catheter Ablation
title_full_unstemmed Left Atrial Anatomy Relevant to Catheter Ablation
title_short Left Atrial Anatomy Relevant to Catheter Ablation
title_sort left atrial anatomy relevant to catheter ablation
url http://dx.doi.org/10.1155/2014/289720
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AT yolandamacias leftatrialanatomyrelevanttocatheterablation
AT joseangelcabrera leftatrialanatomyrelevanttocatheterablation
AT farhoodsaremi leftatrialanatomyrelevanttocatheterablation