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October 20, 2010Cardiovascular ResearchOpen Access

The role of pulmonary veins vs. autonomic ganglia in different experimental substrates of canine atrial fibrillation

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Why the study?

Does pulmonary vein isolation or ganglionic plexus ablation reduce AF vulnerability and duration in canine models of CHF and ATR?

Population

28 dogs with experimental atrial fibrillation models: ventricular tachypacing-induced congestive heart…

Comparison

Pulmonary vein isolation using an epicardial… vs Comparison between PVI and GPA, and against…

Design

Preclinical

Key result

Peri-PV ganglionic plexus ablation significantly decreased AF vulnerability (75% to 30%, P<0.05) and AF duration in atrial tachycardia remodeling canine models, whereas pulmonary vein isolation had limited effects.

Authors

KNKunihiro NishidaNishida HospitalAMAnge MaguyUniversity of BernMSMasao SakabeCardiovascular Institute Hospital

Discussion

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Overview

Peri-PV ganglia ablation may reduce AF in canine ATR; leaves open translation to human AF or CHF models.

Structured PICO

Does pulmonary vein isolation or ganglionic plexus ablation reduce AF vulnerability and duration in canine models of CHF and ATR?

P
Population
28 dogs with experimental atrial fibrillation models: ventricular tachypacing-induced congestive heart failure (CHF) or atrial tachypacing-induced atrial tachycardia remodeling (ATR).
I
Intervention
Pulmonary vein isolation (PVI) using an epicardial radiofrequency clamp OR peri-PV ganglionic plexus ablation (GPA) using an epicardial radiofrequency-ablation pen.
C
Comparator
Comparison between PVI and GPA, and against control for immunohistology.
O
Outcome
AF vulnerability, AF duration, and dominant frequencies (DFs).surrogate

Main Result

Absolute Event Rate: 30% vs 75%

p-value: p=<0.05

Autonomic ganglia play a crucial role in atrial fibrillation related to atrial tachycardia remodeling, suggesting differential neural remodeling dictates the efficacy of ganglionic plexus ablation across different AF substrates.

Cite This Study

Nishida et al. (2010) studied Atrial fibrillation (canine models) (n=28). Pulmonary vein isolation (PVI) or peri-PV ganglionic plexus ablation (GPA) vs. Baseline/Control was evaluated on AF vulnerability in ATR dogs undergoing GPA (p=<0.05). Peri-PV ganglionic plexus ablation significantly decreased AF vulnerability (75% to 30%, P<0.05) and AF duration in atrial tachycardia remodeling canine models, whereas pulmonary vein isolation had limited effects.

synapsesocial.com/papers/6a10f74449545a83bbeebcbfhttps://doi.org/10.1093/cvr/cvq332
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Pulmonary Vein Region Ablation in Experimental Vagal Atrial Fibrillation2008 · 214 citations
  2. 2Atrial autonomic innervation remodelling and atrial fibrillation inducibility after epicardial ganglionic plexi ablation2010 · 20 citations
  3. 3The Autonomic Nervous System and Atrial Fibrillation:The Roles of Pulmonary Vein Isolation and Ganglionated Plexi Ablation.2009 · 13 citations
  4. 4Effects of Pulmonary Vein Ablation on Regional Atrial Vagal Innervation and Vulnerability to Atrial Fibrillation in Dogs2005 · 154 citations
  5. 5Impact of Anatomically Guided Ganglionated Plexus Ablation on Electrical Firing from Isolated Pulmonary Veins2016 · 2 citations