Ablation of Rotor and Focal Sources Reduces Late Recurrence of Atrial Fibrillation Compared With Trigger Ablation Alone
نویسندگان
چکیده
Ablation of Rotor and Focal Sources Reduces Late Recurrence of Atrial Fibrillation Compared With Trigger Ablation Alone Extended Follow-Up of the CONFIRM Trial (Conventional Ablation for Atrial Fibrillation With or Without Focal Impulse and Rotor Modulation) Sanjiv M. Narayan, MD, PHD,*y Tina Baykaner, MD,*y Paul Clopton, MS,y Amir Schricker, MD,*y Gautam G. Lalani, MD,*y David E. Krummen, MD,*y Kalyanam Shivkumar, MD, PHD,z John M. Miller, MDx
منابع مشابه
Focal Impulse and Rotor Modulation for Paroxysmal Atrial Fibrillation
Therapy for atrial fibrillation (AF) remains suboptimal, largely because of uncertainty in its mechanisms. While the ‘‘triggers’’ versus ‘‘substrate’’ debate continues to rage, it is not clear that this is central. All supraand ventricular arrhythmias are initiated from sinus rhythm by ‘‘triggers,’’ and successful therapy targets their sustaining mechanisms rather than triggers. Paroxysmal AF, ...
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Current approaches for the ablation of atrial fibrillation are often effective, but only partially rooted in mechanistic understanding. Accordingly, they are unable to predict whether a given patient will or will not do well, or which lesions sets should or should not be performed - in any given patient. This goal would require clearer mechanistic definition of what sustains AF after it has bee...
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The long-term clinical success of atrial fibrillation (AF) ablation remains relatively low in certain difficult-to-treat patient groups such as those with persistent AF. As a result, pulmonary vein isolation with substrate-based ablation approaches are being utilized in an effort to improve long-term outcomes in such patients. In hopes of improving long-term clinical outcomes in complex AF pati...
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