Percutaneous treatment of non-paroxysmal atrial fibrillation: A paradigm shift from pulmonary vein to non-pulmonary vein trigger ablation?

Domenico G. Della Rocca; Sanghamitra Mohanty; Chintan Trivedi; Luigi Di Biase; Andrea Natale

doi:10.15420/aer.2018.56.2

Percutaneous treatment of non-paroxysmal atrial fibrillation: A paradigm shift from pulmonary vein to non-pulmonary vein trigger ablation?

Domenico G. Della Rocca, Sanghamitra Mohanty, Chintan Trivedi, Luigi Di Biase, Andrea Natale

Medicine

Research output: Contribution to journal › Review article › peer-review

29 Scopus citations

Abstract

Pulmonary vein antrum isolation is the most effective rhythm control strategy in patients with paroxysmal AF. However, catheter ablation of non-paroxysmal AF has a lower success rate, even when persistent isolation of pulmonary veins (PVs) is achieved. As a result of arrhythmia-related electophysiological and structural changes in the atria, sites other than the PVs can harbour triggers. These non-PV triggers contribute to AF relapse. In this article, we summarise the rationale and current evidence supporting the arrhythmogenic role of non-PV triggers and our ablation approach to patients with non-paroxysmal AF.

Original language	English (US)
Pages (from-to)	256-260
Number of pages	5
Journal	Arrhythmia and Electrophysiology Review
Volume	7
Issue number	4
DOIs	https://doi.org/10.15420/aer.2018.56.2
State	Published - Dec 1 2018

Keywords

Atrial fibrillation
Catheter ablation
Non-pulmonary vein trigger
Outcomes

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine
Physiology (medical)

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10.15420/aer.2018.56.2

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Percutaneous treatment of non-paroxysmal atrial fibrillation: A paradigm shift from pulmonary vein to non-pulmonary vein trigger ablation? / Della Rocca, Domenico G.; Mohanty, Sanghamitra; Trivedi, Chintan et al.
In: Arrhythmia and Electrophysiology Review, Vol. 7, No. 4, 01.12.2018, p. 256-260.

Research output: Contribution to journal › Review article › peer-review

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abstract = "Pulmonary vein antrum isolation is the most effective rhythm control strategy in patients with paroxysmal AF. However, catheter ablation of non-paroxysmal AF has a lower success rate, even when persistent isolation of pulmonary veins (PVs) is achieved. As a result of arrhythmia-related electophysiological and structural changes in the atria, sites other than the PVs can harbour triggers. These non-PV triggers contribute to AF relapse. In this article, we summarise the rationale and current evidence supporting the arrhythmogenic role of non-PV triggers and our ablation approach to patients with non-paroxysmal AF.",

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AU - Trivedi, Chintan

AU - Di Biase, Luigi

AU - Natale, Andrea

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KW - Outcomes

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Percutaneous treatment of non-paroxysmal atrial fibrillation: A paradigm shift from pulmonary vein to non-pulmonary vein trigger ablation?

Abstract

Keywords

ASJC Scopus subject areas

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