Mechanistic vs. empirical ablation of atria during repeat ablation for atrial arrhythmias despite effective pulmonary vein isolation.


Canpolat U.

Journal of cardiovascular electrophysiology, cilt.33, ss.2013-2014, 2022 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Editöre Mektup
  • Cilt numarası: 33
  • Basım Tarihi: 2022
  • Doi Numarası: 10.1111/jce.15608
  • Dergi Adı: Journal of cardiovascular electrophysiology
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, BIOSIS, CINAHL, EMBASE, MEDLINE
  • Sayfa Sayıları: ss.2013-2014
  • Anahtar Kelimeler: atrial fibrillation, pulmonary vein isolation, recurrence, trigger, CATHETER ABLATION, FIBRILLATION
  • Hacettepe Üniversitesi Adresli: Evet

Özet

The management of atrial arrhythmia recurrence during repeat catheter ablation procedure is unclear despite persistent pulmonary vein isolation. It should be clarified whether an induced non-PV trigger-based (mechanistic) ablation approach more focusing on low-voltage zones is more effective compared to an empirical ablation of low-voltage zones via linear lesions during repeat ablation procedures. The operators should catch all triggers if possible rather than messing with the substrate.