Neuromodulatory Approaches for Atrial Fibrillation Ablation

In this review, the authors describe evolving alternative strategies for the management of AF, focusing on non-invasive and percutaneous autonomic modulation. This modulation can be achieved – among other approaches – via tragus stimulation, renal denervation, cardiac afferent denervation, alcohol i...

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Bibliographic Details
Main Authors: Moisés Rodríguez-Mañero, Jose Luis Martínez-Sande, Javier García-Seara, Teba González-Ferrero, José Ramón González-Juanatey, Paul Schurmann, Liliana Tavares, Miguel Valderrábano
Format: Article
Language:English
Published: Radcliffe Medical Media 2021-12-01
Series:European Cardiology Review
Online Access:https://www.ecrjournal.com/articleindex/ecr.2021.05
Description
Summary:In this review, the authors describe evolving alternative strategies for the management of AF, focusing on non-invasive and percutaneous autonomic modulation. This modulation can be achieved – among other approaches – via tragus stimulation, renal denervation, cardiac afferent denervation, alcohol injection in the vein of Marshall, baroreceptor activation therapy and endocardial ganglionated plexi ablation. Although promising, these therapies are currently under investigation but could play a role in the treatment of AF in combination with conventional pulmonary vein isolation in the near future.
ISSN:1758-3756
1758-3764