AI Article Synopsis
- The study explores a method for ablating persistent atrial fibrillation (AF) without using a circular mapping catheter (CMC), potentially lowering costs and reducing procedural duration.
- Over three years, 261 ablation procedures were conducted without CMC, showing no loss in safety or effectiveness.
- At the one-year mark, 72% of patients experienced no recurrence of AF or atrial flutter, suggesting this technique is viable and warrants further investigation into its benefits on procedure times.
Article Abstract
Background: We aimed to share our methods and experience of persistent AF ablation without a circular mapping catheter (CMC), thereby avoiding femoral venous and transseptal punctures, decreasing the cost of the procedure, and possibly reducing the duration of the procedure and fluoroscopy time.
Methods: We report our experience with 261 persistent AF ablations performed without a CMC over the past 3 years.
Results: The procedures were performed with no apparent loss of efficacy or safety. Freedom from recurrence was defined as a 1-year absence of AF/atrial flutter (AFL) episodes >30 s, beyond the 3-month blanking period. At 1 year, 72% of the patients were free from arrythmias.
Conclusions: Persistent AF ablation is feasible without a CMC, reducing the need for venous and transseptal punctures and the cost of the procedure. We suggest that prospective studies should aim to characterise the reduction in procedure and fluoroscopy times as a result of this technique.
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| http://dx.doi.org/10.1080/00015385.2022.2135240 | DOI Listing |
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