[HSF] AF - LCPV

[Prasanna Simha M]

No - if you do not physically touch and rely on the "Spray" arc to do the
work for you.
Prasanna

On 6/5/07, Tea Acuff <tacuff at swbell.net> wrote:
>
> Sorry I was reading backwards, but do you never cut through?
> tea
>
>
> ----- Original Message ----
> From: prasannasimha <prasannasimha at gmail.com>
> To: OpenHeart-L at lists.hsforum.com
> Sent: Monday, June 4, 2007 9:48:59 AM
> Subject: Re: [HSF] AF - LCPV
>
>
> Same wattage (40 Spray) but the mouth of the pulmonary veins should not
> be mistaken for just the burn - more importantly the common ostial
> origin needs to be burnt.
> The picture labeled dual orifice represents two separate orifices.
> The picture labeled common pulmonary vein orifice shows a common
> pulmonary vein orifice stretched open (There are actually two orifices
> within it and the sucker has gone into one)whereas it looks like common
> pulmonaryvein2 when unstretched.Burning within this just the individual
> ostia would leave a left atrial trigger within the common pulmonary vein
> area.
> Prasanna
> Nasser F. Abou'Seada wrote:
> > Dear Prasanna, would you please elaborate more on how you do tackle this
> > point of ablating the left common pulmonary vein - the common
> > orifice- utilizing your technique of spray diathermy? .... what
> > energy settings do you use here at this site, compared to other sites ?
> >
> > NFA
> >
> > On 6/3/07, prasannasimha <prasannasimha at gmail.com> wrote:
> >>
> >> The left superior pulmonary vein is one of the most common sites of
> Afib
> >> triggers and this is the one which is most important to ablate.
> >> Unfortunately many do not pay attention to it and then complain of
> >> reduced rates of conversion of Afib.The other variation to pay special
> >> attention is the left common pulmonary vein- the common orifice should
> >> be ablated as there are triggers between the common ostium and the
> >> individual ostia and is another important consideration.
> >>
> >> Prasanna
> >> Hgrmd at aol.com wrote:
> >> > John,
> >> >   I've used Cryocath for the last 4-5 years.  I've got a poster  in
> >> the
> >> > upcoming Society of Heart Valve Disease in 10 days in which my
> >> results
> >> were
> >> > outlined. You can go to their website and get the  abstract.  The
> >> bottom
> >> line is
> >> > that 95% of the patients were in AV synchrony  at their last
> >> followup.  That is
> >> > quite comparable to a "cut and sew"  maze.  One of the main
> advantages
> >> it has
> >> > over Atricure is that the left  pulmonary vein lesions are done
> >> endocardially.
> >> > Dissecting the left  pulmonary veins on a redo so that you can get an
> >> > Atricure clamp around them is  no picnic.
> >> > Hal
> >> >
> >> >
> >> >
> >> > ************************************** See what's free at
> >> http://www.aol.com.
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-- 
Prasanna Simha M