Long-Standing Persistent Atrial Fibrillation Ablation: How Do You Perform? Left and Right Atrial Linear Ablation in Addition to Pulmonary Vein Isolation
Catheter ablation of long-standing persistent atrial fibrillation is not yet clearly defined with respect to endpoints, and different ablative strategies are offered to patients. Presented here is an approach aiming at biatrial debulking in the form of extensive linear ablation, specifically targeti...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Linceu Editorial
2020-06-01
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| Series: | Journal of Cardiac Arrhythmias |
| Subjects: | |
| Online Access: | https://www.jca.org.br/jca/article/view/3407 |
| _version_ | 1811293668567416832 |
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| author | Michele Brunelli Mark Adrian Sammut |
| author_facet | Michele Brunelli Mark Adrian Sammut |
| author_sort | Michele Brunelli |
| collection | DOAJ |
| description | Catheter ablation of long-standing persistent atrial fibrillation is not yet clearly defined with respect to endpoints, and different ablative strategies are offered to patients. Presented here is an approach aiming at biatrial debulking in the form of extensive linear ablation, specifically targeting areas of low-voltage complex fractionated electrograms, in addition to pulmonary vein isolation. Its main advantage is that it is not dependent on operator/system variability, since the strategy of isolating the pulmonary veins, superior vena cava and left atrial posterior wall together with achievement of bidirectional block during linear ablation provides objective endpoints that can consistently be reproduced.
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| first_indexed | 2024-04-13T05:04:55Z |
| format | Article |
| id | doaj.art-de18204e49e84520aefd19f77a7f21d7 |
| institution | Directory Open Access Journal |
| issn | 2674-7472 |
| language | English |
| last_indexed | 2024-04-13T05:04:55Z |
| publishDate | 2020-06-01 |
| publisher | Linceu Editorial |
| record_format | Article |
| series | Journal of Cardiac Arrhythmias |
| spelling | doaj.art-de18204e49e84520aefd19f77a7f21d72022-12-22T03:01:12ZengLinceu EditorialJournal of Cardiac Arrhythmias2674-74722020-06-01332Long-Standing Persistent Atrial Fibrillation Ablation: How Do You Perform? Left and Right Atrial Linear Ablation in Addition to Pulmonary Vein IsolationMichele Brunelli0Mark Adrian Sammut1Klinikum Magdeburg – Department of Cardiology and Diabetology Section of Clinical and Invasive Cardiac Electrophysiology – Magdeburg – GermanyMater Dei Hospital – Department of Cardiology – Msida – MaltaCatheter ablation of long-standing persistent atrial fibrillation is not yet clearly defined with respect to endpoints, and different ablative strategies are offered to patients. Presented here is an approach aiming at biatrial debulking in the form of extensive linear ablation, specifically targeting areas of low-voltage complex fractionated electrograms, in addition to pulmonary vein isolation. Its main advantage is that it is not dependent on operator/system variability, since the strategy of isolating the pulmonary veins, superior vena cava and left atrial posterior wall together with achievement of bidirectional block during linear ablation provides objective endpoints that can consistently be reproduced. https://www.jca.org.br/jca/article/view/3407Radiofrequency catheter ablation; Atrial fibrillation. |
| spellingShingle | Michele Brunelli Mark Adrian Sammut Long-Standing Persistent Atrial Fibrillation Ablation: How Do You Perform? Left and Right Atrial Linear Ablation in Addition to Pulmonary Vein Isolation Journal of Cardiac Arrhythmias Radiofrequency catheter ablation; Atrial fibrillation. |
| title | Long-Standing Persistent Atrial Fibrillation Ablation: How Do You Perform? Left and Right Atrial Linear Ablation in Addition to Pulmonary Vein Isolation |
| title_full | Long-Standing Persistent Atrial Fibrillation Ablation: How Do You Perform? Left and Right Atrial Linear Ablation in Addition to Pulmonary Vein Isolation |
| title_fullStr | Long-Standing Persistent Atrial Fibrillation Ablation: How Do You Perform? Left and Right Atrial Linear Ablation in Addition to Pulmonary Vein Isolation |
| title_full_unstemmed | Long-Standing Persistent Atrial Fibrillation Ablation: How Do You Perform? Left and Right Atrial Linear Ablation in Addition to Pulmonary Vein Isolation |
| title_short | Long-Standing Persistent Atrial Fibrillation Ablation: How Do You Perform? Left and Right Atrial Linear Ablation in Addition to Pulmonary Vein Isolation |
| title_sort | long standing persistent atrial fibrillation ablation how do you perform left and right atrial linear ablation in addition to pulmonary vein isolation |
| topic | Radiofrequency catheter ablation; Atrial fibrillation. |
| url | https://www.jca.org.br/jca/article/view/3407 |
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