Catheter Ablation of Atrial Fibrillation

Thomas D. Callahan IV, Luigi Di Biase, Rodney Horton, Javier Sanchez, Joseph G. Gallinghouse, Andrea Natale

Research output: Contribution to journalReview article

14 Scopus citations

Abstract

Atrial fibrillation is a common arrhythmia associated with significant morbidity, including angina, heart failure, and stroke. Medical therapy remains suboptimal, with significant side effects and toxicities, and a high recurrence rate. Catheter ablation or modification of the atrioventricular node with pacemaker implantation provides rate-control but exposes patients to the hazards associated with implantable devices and does nothing to reduce the risk for stroke. Pulmonary vein antrum isolation offers a nonpharmacologic means of restoring sinus rhythm, thereby eliminating the morbidity of atrial fibrillation and the need for antiarrhythmic drugs.

Original languageEnglish (US)
Pages (from-to)163-178
Number of pages16
JournalCardiology clinics
Volume27
Issue number1
DOIs
StatePublished - Feb 1 2009
Externally publishedYes

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Keywords

  • Antiarrhythmic drugs
  • Atrial fibrillation
  • Atrioventricular node ablation
  • Catheter ablation
  • Pulmonary veins
  • Rate control
  • Rhythm control

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Callahan IV, T. D., Di Biase, L., Horton, R., Sanchez, J., Gallinghouse, J. G., & Natale, A. (2009). Catheter Ablation of Atrial Fibrillation. Cardiology clinics, 27(1), 163-178. https://doi.org/10.1016/j.ccl.2008.09.004