Catheter Ablation of Cardiac Arrhythmias: Expert Consult - Online and Print, 2nd Edition

666 Pages·2010·158.2 MB·English

by  Shoei K. Stephen Huang MD

Catheter Ablation of
Cardiac Arrhythmias
Catheter Ablation of
Cardiac Arrhythmias
SECOND EDITION
Edited by
Shoei K. Stephen Huang, MD
Professor of Medicine
College of Medicine
Texas A&M University Health Science Center;
Section of Cardiac Electrophysiology and Pacing
Scott & White Heart and Vascular Institute
Scott & White Healthcare
Temple, Texas
Distinguished Chair, Professor of Medicine
College of Medicine
Tzu Chi University
Hualien, Taiwan
Mark A. Wood, MD
Professor of Medicine
Assistant Director
Cardiac Electrophysiology Laboratory
Virginia Commonwealth University Medical Center
Richmond, Virginia
1600 John F. Kennedy Blvd.
Ste 1800
Philadelphia, PA 19103-2899
CATHETER ABLATION OF CARDIAC ARRHYTHMIAS ISBN: 978-1-4377-1368-8
Copyright © 2011, 2006 by Saunders, an imprint of Elsevier Inc. All rights reserved.
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Notices
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Library of Congress Cataloging-in-Publication Data
Catheter ablation of cardiac arrhythmias / edited by Shoei K. Stephen Huang, Mark A. Wood. – 2nd ed.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-1-4377-1368-8 (hardcover)
1. Catheter ablation. 2. Arrhythmia–Surgery. I. Huang, Shoei K. II. Wood, Mark A.
[DNLM: 1. Tachycardia–therapy. 2. Arrhythmias, Cardiac–therapy. 3. Catheter Ablation–methods. WG 330]
RD598.35.C39C36 2011
617.4'12–dc22
2010039806
Executive Publisher: Natasha Andjelkovic
Senior Developmental Editor: Mary Beth Murphy
Publishing Services Manager: Anne Altepeter
Team Manager: Radhika Pallamparthy
Senior Project Manager: Doug Turner
Project Manager: Preethi Kerala Varma
Designer: Steve Stave
Printed in Canada
Last digit is the print number: 9 8 7 6 5 4 3 2 1
Huang, 978-1-4377-1368-8
To all the physicians, electrophysiology fellows, and friends who are interested in
cardiac electrophysiology and catheter ablation as a means to treat patients with cardiac
arrhythmias.
To my dearest wife, Su-Mei Kuo, for her love, support, and encouragement; my grown-up
children, Priscilla, Melvin, and Jessica, for their love and inspiration; my late parents,
Yu-Shih (father) and Hsing-Tzu (mother) for spiritual support.
To Pablo Denes, MD, Robert G. Hauser, MD, and Joseph S. Alpert, MD, who, as my
respected mentors, have taught and inspired me.
Shoei K. Stephen Huang, MD
To my wife, Helen E. Wood, PhD, for all of her patience and love, and to our daughter, Lily
Anne Fuyan Wood, who fills my life with joy.
Mark A. Wood, MD

<CConNtr>ibutors
ctr0185
Amin Al-Ahmad, MD Eric Buch, MD
Assistant Professor of Cardiovascular Medicine Assistant Professor of Medicine
Associate Director Clinical Cardiac Electrophysiology;
Cardiac Arrhythmia Service; Director
Director Specialized Program for Atrial Fibrillation
Cardiac Electrophysiology Laboratory UCLA Cardiac Arrhythmia Center
Stanford University Medical Center David Geffen School of Medicine at UCLA
Stanford, California Los Angeles, California
Robert H. Anderson, MD, PhD, FRCPath, FESC José A. Cabrera, MD, PhD
Emeritus Professor of Paediatric Cardiac Morphology Chief of Cardiology
London Great Ormond Street Hospital Department of Cardiology
University College Hospital Quirón Pozuelo de Alarcón
London, United Kingdom Madrid, Spain
Rishi Arora, MD Hugh Calkins, MD
Assistant Professor of Medicine Professor of Medicine
Feinberg School of Medicine Director of Electrophysiology
Northwestern University Johns Hopkins Medical Institutions
Chicago, Illinois Johns Hopkins Hospital
Baltimore, Maryland
Nitish Badhwar, MD
Assistant Professor of Medicine David J. Callans, AB, MD
Division of Cardiology, Cardiac Electrophysiology Professor of Medicine
University of California, San Francisco Department of Cardiology;
San Francisco, California Director
Electrophysiology Laboratory
Javier E. Banchs, MD Department of Cardiology
Assistant Professor of Medicine Hospital of the University of Pennsylvania
Penn State Hershey Heart & Vascular Institute Philadelphia, Pennsylvania
Penn State College of Medicine
Hershey, Pennsylvania Shih-Lin Chang, MD
Division of Cardiology
Juan Benezet-Mazuecos, MD Department of Medicine
Arrhythmia Unit National Yang-Ming University School of Medicine
Department of Cardiology Taipei Veterans General Hospital
Fundación Jiménez Díaz-Capio Taipei, Taiwan
Universidad Autónoma de Madrid
Madrid, Spain Henry Chen, MD
Stanford Hospital and Clinics
Deepak Bhakta, MD East Bay Cardiology Medical Group
Associate Professor of Clinical Medicine San Pablo, California
Krannert Institute of Cardiology
School of Medicine
Indiana University
Indianapolis, Indiana
vi
Contributors vii
Shih-Ann Chen, MD Gregory K. Feld, MD
Professor of Medicine Professor of Medicine
Division of Cardiology Department of Medicine;
Department of Medicine Director
National Yang-Ming University School of Medicine Electrophysiology Program
Taipei Veterans General Hospital San Diego Medical Center
Taipei, Taiwan University of California, San Diego
San Diego, California
Thomas Crawford, MD
Lecturer Westby G. Fisher, MD, FACC
Division of Cardiovascular Medicine Assistant Professor of Medicine
University of Michigan Feinberg School of Medicine;
Ann Arbor, Michigan Director
Cardiac Electrophysiology
Mithilesh K. Das, MBBS Evanston Northwestern Healthcare
Associate Professor of Clinical Medicine Northwestern University
Krannert Institute of Cardiology Evanston, Illinois
School of Medicine
Indiana University Andrei Forclaz, MD
Indianapolis, Indiana Physician
Hôpital Cardiologique du Haut Lévèque
Sanjay Dixit, MD Université Victor Segalen (Bordeaux II)
Assistant Professor of Cardiovascular Division Bordeaux, France
Hospital of the University of Pennsylvania
Philadelphia, Pennsylvania Mario D. Gonzalez, MD, PhD
Professor of Medicine
Shephal K. Doshi, MD Penn State Heart & Vascular Institute
Director Penn State University
Cardiac Electrophysiology Hershey, Pennsylvania
Pacific Heart Institute
St. Johns Health Center David E. Haines, MD
Santa Monica, California Professor
Oakland University-Beaumont Hospital
Marc Dubuc, MD, FRCPC, FACC School of Medicine;
Staff Cardiologist and Clinical Electrophysiologist Chairman
Montreal Heart Institute; Department of Cardiovascular Medicine;
Associate Professor of Medicine Director
Faculty of Medicine Heart Rhythm Center
University of Montreal William Beaumont Hospital
Montreal, Quebec, Canada Royal Oak, Michigan
Srinivas Dukkipati, MD Michel Haïssaguerre, MD
Assistant Professor of Medicine Professor of Cardiology
Mount Sinai School of Medicine Hôpital Cardiologique du Haut Lévèque
New York, New York Université Victor Segalen (Bordeaux II)
Bordeaux, France
Sabine Ernst, MD, PhD
Consultant Cardiologist Haris M. Haqqani, PhD, MBBS(Hons)
Royal Brompton and Harefield NHS Foundation Trust; Senior Electrophysiology Fellow
Honorary Senior Lecturer Section of Electrophysiology
National Heart and Lung Institute Division of Cardiology
Imperial College University of Pennsylvania Health System
London, United Kingdom Philadelphia, Pennsylvania
Jerónimo Farré, MD, PhD, FESC Satoshi Higa, MD, PhD
Professor of Cardiology and Chairman Second Department of Internal Medicine
Department of Cardiology Faculty of Medicine
Fundación Jiménez Diaz-Capio University of the Ryukyus
Universidad Autónoma de Madrid Okinawa, Japan
Madrid, Spain
viii Contributors
Mélèze Hocini, MD George J. Klein, MD, FRCP(C)
Physician Professor of Medicine
Hôpital Cardiologique du Haut Lévèque Division of Cardiology
Université Victor Segalen (Bordeaux II) Department of Medicine
Bordeaux, France University of Western Ontario and University Hospital
London, Ontario, Canada
Bobbi Hoppe, MD
Cardiologist Sebastien Knecht, MD
Cardiovascular Consultants, Ltd Physician
Minneapolis, Minnesota Hôpital Cardiologique du Haut Lévèque
Université Victor Segalen (Bordeaux II)
Henry H. Hsia, MD
Bordeaux, France
Associate Professor of Medicine
School of Medicine
Andrew D. Krahn, MD
Stanford University
Professor
Stanford, California
Division of Cardiology
Lynne Hung, MD Department of Medicine
Cardiac Electrophysiologist University of Western Ontario
Mission Internal Medical Group London, Ontario, Canada
Mission Viejo, California
Ling-Ping Lai, MD
Amir Jadidi, MD Professor of Medicine
Physician College of Medicine
Hôpital Cardiologique du Haut Lévèque National Taiwan University
Université Victor Segalen (Bordeaux II) Taipei, Taiwan
Bordeaux, France
Byron K. Lee, MD
Pierre Jaïs, MD Assistant Professor of Medicine
Physician Division of Cardiology, Cardiac Electrophysiology
Hôpital Cardiologique du Haut Lévèque University of California Medical Center
Université Victor Segalen (Bordeaux II) University of California School of Medicine
Bordeaux, France San Francisco, California
Alan Kadish, MD
Bruce B. Lerman, MD
Professor of Medicine
H. Altshul Professor of Medicine
Northwestern University
Division of Cardiology;
Chicago, Illinois
Chief, Division of Cardiology
Director of the Cardiac Electrophysiology Laboratory
Jonathan M. Kalman, MBBS, PhD
Cornell University Medical Center
Professor of Medicine
New York Presbyterian Hospital
Department of Cardiology
New York, New York
University of Melbourne;
Director of Cardiac Electrophysiology
David Lin, MD
The Royal Melbourne Hospital
Assistant Professor of Medicine
Melbourne, Australia
Department of Medicine
David Keane, MD, PhD Attending Physician;
Cardiac Electrophysiologist Medicine/Cardiac Electrophysiology
Cardiac Arrhythmia Service Hospital of the University of Pennsylvania
St. James's Hospital Philadelphia, Pennsylvania
Dublin, Ireland
Kuo-Hung Lin, MD
Paul Khairy, MD, PhD Instructor of Medicine
Research Director College of Medicine
Boston Adult Congenital Heart (BACH) Service China Medical University
Harvard University Taichung, Taiwan
Boston, Massachusetts;
Associate Professor of Medicine Yenn-Jiang Lin, MD
University of Montreal; Division of Cardiology
Director, Adult Congenital Heart Center Department of Medicine
Canada Research Chair, Electrophysiology and Adult National Yang-Ming University School of Medicine
Congenital Heart Disease Taipei Veterans General Hospital
Montreal Heart Institute Montreal, Quebec, Canada Taipei, Taiwan
Contributors ix
Nick Linton, MEng MRCP Jeffrey E. Olgin, MD
Physician Professor in Residence
Hôpital Cardiologique du Haut Lévèque Cardiac Electrophysiology
Université Victor Segalen (Bordeaux II) Division of Cardiology
Bordeaux, France Department of Medicine
Chief Cardiac Electrophysiology
Li-Wei Lo, MD University of California, San Francisco
Division of Cardiology San Francisco, California
Department of Medicine
National Yang-Ming University School of Medicine Hakan Oral, MD
Taipei Veterans General Hospital Associate Professor
Taipei, Taiwan Director, Cardiac Electrophysiology
University of Michigan
Francis E. Marchlinski, MD Ann Arbor, Michigan
Professor of Medicine
School of Medicine Basilios Petrellis, MB, BS, FRACP
University of Pennsylvania; Consultant, Arrhythmia Service
Director of Electrophysiology University of Toronto
Hospital of the University of Pennsylvania St. Michael's Hospital
Philadelphia, Pennsylvania Toronto, Ontario, Canada
Steven M. Markowitz, MD Vivek Y. Reddy, MD
Associate Professor of Medicine Professor of Medicine
Division of Cardiology Mount Sinai School of Medicine
New York Presbyterian Hospital New York, New York
Cornell University Medical Center
New York, New York Jaime Rivera, MD
Cardiac Electrophysiologist
John M. Miller, MD Director of Cardiac Electrophysiology
Professor of Medicine Instituto Nacional de Ciencias Medicas y Nutricion
Indiana University School of Medicine Hospital Médica Sur
Director, Clinical Cardiac Electrophysiology Mexico City, Mexico
Clarian Health Partners
Indianapolis, Indiana Alexander S. Ro, MD
Clinical Instructor, Electrophysiology
Shinsuke Miyazaki, MD Northwestern University;
Surgeon Director
Hôpital Cardiologique du Haut-Lévêque Cardiac Device Therapies
Université Victor Segalen (Bordeaux II) Department of Electrophysiology
Bordeaux, France Evanston Northwestern Healthcare
Evanston, Illinois
Joseph B. Morton, PhD, MBBS, FRACP
Department of Cardiology Raphael Rosso, MD
The Royal Melbourne Hospital Senior Electrophysiologist
Melbourne, Australia Department of Cardiology
The Royal Melbourne Hospital
Isabelle Nault, MD Melbourne, Australia
Cardiologist and Electrophysiologist
Hôpital Cardiologique du Haut Lévèque José M. Rubio, MD, PhD
Université Victor Segalen (Bordeaux II) Associate Professor of Cardiology
Bordeaux, France Director of the Arrhythmia Unit
Department of Cardiology
Akihiko Nogami, MD, PhD Fundación Jiménez Díaz-Capio
Clinical Professor Universidad Autónoma de Madrid
Department of Cardiology Madrid, Spain
Tokyo Medical and Dental University
Bunkyo, Tokyo; Damián Sánchez-Quintana, MD, PhD
Chief of Cardiac Electrophysiology Laboratory Chair Professor of Anatomy
Cardiology Division; Department of Anatomy and Cell Biology
Director of Coronary Care Unit Universidad de Extremadura
Cardiology Division Badajoz, Spain
Yokohama Rosai Hospital
Yokohama, Japan