Combining ablation of atrial fibrillation with ablation of atrial flutter: are we there yet?

trial fibrillation (AF) and atrial flutter can coexist. Their ssociation is of particular concern when considering curaive ablation. Symptoms, similar for both, are disconcerting hould either one occur after ablation. Complete cure is the oal. Right atrial (cavo-tricuspid isthmus) ablation can cure 90% of typical forms of flutter. Unfortunately, AF can ccur after flutter ablation. In contrast, pulmonary vein solation can cure AF; yet, flutter may emerge, requiring blation directed at separate sites. These issues are imporant when planning ablation strategies for patients with oth arrhythmias.