Durable Pulmonary Vein Isolation: The Holy Grail of Atrial Fibrillation Ablation.

J Atr Fibrillation

Section of Cardiac Electrophysiology, University of Colorado, Aurora.

Published: October 2013

AI Article Synopsis

  • - The challenge of achieving long-lasting pulmonary vein isolation (PVI) complicates catheter ablation for atrial fibrillation (AF).
  • - This review highlights the research done over the last ten years aimed at enhancing the permanence of lesions created during ablation to improve PVI outcomes.
  • - It covers various approaches including procedural techniques, additional medications, and newer energy sources that could enhance the effectiveness of ablation procedures.

Article Abstract

The inability to achieve durable pulmonary vein isolation remains a major limitation to catheter ablation for the treatment of atrial fibrillation (AF). In this review, we discuss the research performed over the past decade investigating methods to improve lesion permanence for the goal of durable pulmonary vein isolation (PVI). Investigations evaluating procedural techniques, adjunctive pharmacologic therapy, and newer energy sources designed to improve ablation lesion permanence are discussed.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5153040PMC
http://dx.doi.org/10.4022/jafib.927DOI Listing

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