منابع مشابه
AF Termination: the Holy Grail of Persistent AF Ablation?
The optimal catheter ablation approach for longstanding persistent atrial fibrillation (AF) remains elusive despite significant advances made in our understanding of this arrhythmia. A recent systematic review highlighted the significant variation in procedural success rate both within and between techniques, necessitating repeat ablation procedures and anti-arrhythmic drugs to achieve improved...
متن کاملIs AF Ablation Cost Effective?
The use of catheter ablation to treat AF is increasing rapidly, but there is presently an incomplete understanding of its cost-effectiveness. AF ablation procedures involve significant up-front expenditures, but multiple randomized trials have demonstrated that ablation is more effective than antiarrhythmic drugs at maintaining sinus rhythm in a second-line and possibly first-line rhythm contro...
متن کاملIdentification of AF drivers: toward a mechanistic basis of AF ablation.
While the ablation endpoint in patients with paroxysmal atrial fibrillation (AF) has been largely standardized, the optimal approach for patients with persistent AF remains unknown. Among the latter, it is clear that pulmonary vein (PV) isolation alone is insufficient.1 In an effort to improve outcomes in patients with persistent AF, left atrial (LA) substrate modification has been shown to be ...
متن کاملDECAAF: Emphasizing the importance of MRI in AF ablation
Atrial fibrillation ablation is a complex and challenging procedure. Appropriate patient selection is the most critical step to ensure safe and successful atrial fibrillation ablation procedure. The DECAAF study (Delayed-Enhancement MRI Determinant of Successful Radiofrequency Catheter Ablation of Atrial Fibrillation) showed that atrial tissue fibrosis, as estimated by delayed enhancement magne...
متن کاملRole of Remote Navigation Systems in AF Ablation.
During the past decade atrial fibrillation (AF) ablation has developed from being an experimental treatment option to an evidence based therapy implemented in current guidelines.[1-2] Irrigated radiofrequency current guided ablations remain the golden standard of pulmonary vein isolation (PVI) procedures. Although practiced more frequently, it remains a demanding procedure requiring skilful ope...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: JACC: Clinical Electrophysiology
سال: 2016
ISSN: 2405-500X
DOI: 10.1016/j.jacep.2016.03.008