Is pulmonary vein isolation enough for persistent atrial fibrillation?
Maria TerricabrasAtul VermaPublished in: Journal of cardiovascular electrophysiology (2020)
Pulmonary vein isolation (PVI) is a well-established treatment for atrial fibrillation (AF); however, studies report suboptimal outcomes in persistent AF. Adjuvant ablation targeting the substrate outside the pulmonary veins has been proposed to improve the success rates of the procedure. In this review, we summarize the current evidence regarding additional ablation over PVI in persistent AF. We describe the different approaches for adjuvant ablation, outcomes, and future perspectives.
Keyphrases
- atrial fibrillation
- catheter ablation
- left atrial
- left atrial appendage
- oral anticoagulants
- direct oral anticoagulants
- early stage
- heart failure
- radiofrequency ablation
- percutaneous coronary intervention
- cancer therapy
- minimally invasive
- adipose tissue
- drug delivery
- metabolic syndrome
- coronary artery disease
- mitral valve
- smoking cessation
- case control