| Literature DB >> 32583488 |
Domenico G Della Rocca1, Nicola Tarantino2, Chintan Trivedi1, Sanghamitra Mohanty1, Alisara Anannab1,3, Anu S Salwan1, Carola Gianni1, Mohamed Bassiouny1, Amin Al-Ahmad1, Jorge Romero2, David F Briceño2, J David Burkhardt1, G Joseph Gallinghouse1, Rodney P Horton1, Luigi Di Biase1,2,4, Andrea Natale1,5,6,7.
Abstract
Rhythm control of persistent atrial fibrillation (AF) patients represents a challenge for the modern interventional cardiac electrophysiologist; as a matter of fact, there is still divergence regarding the best ablative approach to adopt in this population. Different investigational endpoints, variability of techniques and tools, significant technological evolution, and the lack of universally accepted pathophysiological models engendered a considerable heterogeneity in terms of techniques and outcomes, so much that the treatment of persistent subtypes of AF commonly still relies mainly on pulmonary vein (PV) isolation. The purpose of the present review is to report the current experimental and clinical evidence supporting the importance of mapping and ablating non-PV triggers and describe our institutional approach for the ablation of nonparoxysmal AF.Entities:
Keywords: atrial fibrillation; catheter ablation; coronary sinus; crista terminalis; interatrial septum; left atrial appendage; mapping; outcomes; pathophysiology; pulmonary vein; superior vena cava; trigger
Mesh：
Year: 2020 PMID： 32583488 DOI： 10.1111/jce.14638
Source DB: PubMed Journal: J Cardiovasc Electrophysiol ISSN： 1045-3873