S8 JACC: CLINICAL ELECTROPHYSIOLOGY, VOL. 3, NO.

10, SUPPL S, 2017

through the long sheath placed transseptally. With the ICE placed trans-
septally all LA structures relevant to PVI could be imaged in great detail.
RESULTS We performed PVI in 15 patients with AF (13 paroxysmal, 2
persistent). All PVIs were successfully achieved with irrigated contact-
force sensing catheter. Median procedure time was 150 min (inter-
quartile range: 130 - 160 min) without the use of fluoroscopy.

CONCLUSION EGM fractionation occurs with normal voltage but is

likely to be related to underlying structural disease. Voltage criteria
may not be sufficient to define healthy myocardium.

073_16800
Comparison Of The RhythmiaÔ And ConfidenseÔ Mapping
System For The Assessment Of Pulmonary Vein Conduction
Recovery
M. Gwechenberger, R. Wurm, C. Schukro, H. Gössinger
Medical University of Vienna, Vienna, Austria

BACKGROUND Pulmonary vein (PV) isolation (PVI) is the corner stone

in the ablation of atrial fibrillation. However recurrence of PV con-
duction occurs quite frequently. The study aim was to evaluate
whether the assessment of PVI reconnection is dependent on the
applied mapping modality.
METHODS A total of 12 patients aged 62.3
14.9 (50% male) under-
going a repeat ablation procedure because of recurrence of atrial
fibrillation were examined. The recovery of pulmonary vein conduc-
tion was assessed using 2 different mapping systems (RHYTHMIAÔ
Mapping System, Boston Scientific, Inc, Cambridge, MA and CARTOÒ 3
System CONFIDENSEÔ Module, Biosense Webster, Diamond Bar CA).
The result was considered concordant if both system demonstrated
reconnection (or isolation) of the PV and discordant if this was only
present in one system. In addition the morphology of the veins was
assessed (Diameter, Area, Branching).
RESULTS The PVs were more frequently considered non isolated with
the RHYTHMIAÔ system when compared to the CONFIDENSEÔ Sys-
tem and a reconnection was present in at least one pulmonary vein in
91.6% of the patients. The amount of discordant results was depen-
dant on the location of the pulmonary vein: left superior and inferior
pulmonary vein in 12,5% each, right superior vein 18.8% and right
inferior in 25%. With respect to the morphology of the vein only a
smaller diameter in the left inferior vein was predictive for discor-
dance, all the other parameter remained not significant for all veins.
CONCLUSION The assessment of reconnection after PVI is dependent
on the applied mapping modality and is more often seen with the
RHYTHMIAÔ system when compared to the CONFIDENSEÔ .
073_16739-L5
Transseptal Imaging of the Left Atrium With Cartosound
Intracardiac Ultrasound
B. Antoli
c, M. Jan, D. Iek, L. Klemen, A. Pernat, M. Inkovec
Department of Cardiology, University Medical Centre Ljubljana,
Ljubljana, Slovenia
INTRODUCTION Reconstructing left atrium (LA) anatomy for atrial
fibrillation (AF) ablation with CARTOSound intracardiac ultrasound
(ICE) is usually done from the right heart chambers. However, as
visibility of LA structures with this method is frequently suboptimal
additional point-by-point or fast anatomical mapping is needed.
Therefore, our aim in this case series was to present our experience
with transseptal LA imaging with CARTOSound ICE.
METHODS After initial imaging and LA anatomy reconstruction from the
right heart chambers, LA access with ICE was achieved by navigating the
ICE probe along the wire placed through the transseptal puncture or
CONCLUSIONS Transseptal CARTOSound imaging allowed us to
make the relevant anatomy for succesfull PVI without flouroscopy or
additional contact mapping.
TRANSCATHETER ABLATION AND SURGICAL ABLATION
OF AF: CLINICAL RESULTS
Session nos: 5.01 to 5.08
073_16225-H5
Fibrosis Marker Soluble ST2 for Prediction of Atrial Fibrillation
Recurrence After Cryoballoon Catheter Ablation
S. Okar, O. Kaypakli, D.Y. Sahin, M. Koc
Health Sciences University, Adana Health Practices and Research
Hospital. Cardiology Department
INTRODUCTION We aimed to investigate the relationship between
the recurrence of AF and fibrosis marker sST2 in patients with non-
valvular PAF.
METHODS We prospectively included 100 consecutive patients with
PAF diagnosis and scheduled for cryoballoon catheter ablation for
atrial fibrillation (47 male, 53 female; mean age 55,1
10,8 years). sST2
plasma levels were determined using the ASPECT-PLUS assay on
ASPECT Reader device (Critical Diagnostics, San Diego, CA, USA). The
measurement range of these measurements was 12.5-250 ng / mL.
Patients had regular follow-up visits with 12-lead ECG, medical history
and clinical evaluation. 24 h Holter ECG monitoring had been recor-
ded 12 months after ablation.
RESULTS AF recurrence was detected in 22 patients after 1 year. Pa-
tients were divided into two groups according to the AF recurrence.
All parameters were compared between the two groups. Age, smoking
history, DM, HT frequency, ACEI-ARB use, CHA2DS2VASc and HAS-
BLEED score, serum sST2 level, LA end-diastolic diameter, LA volume
and LA volume index were related to AF recurrence. In binary logistic
regression analysis, sST2 was found to be only independent parameter
for predicting AF recurrence (OR¼1.085) (p¼0.001). The cut-off value
of sST2 obtained by ROC curve analysis was 30,6 ng/mL for prediction