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


Canpolat U.

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

  • Publication Type: Article / Editorial Material
  • Volume: 33
  • Publication Date: 2022
  • Doi Number: 10.1111/jce.15608
  • Journal Name: Journal of cardiovascular electrophysiology
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, BIOSIS, CINAHL, EMBASE, MEDLINE
  • Page Numbers: pp.2013-2014
  • Keywords: atrial fibrillation, pulmonary vein isolation, recurrence, trigger, CATHETER ABLATION, FIBRILLATION
  • Hacettepe University Affiliated: Yes

Abstract

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.