Pulmonary Vein Isolation for Atrial Fibrillation

Carola Gianni, Pasquale Santangeli, Amin Al-Ahmad, J. David Burkhardt, Rodney P. Horton, Patrick M. Hranitzky, Javier E. Sanchez, Luigi Di Biase, Andrea Natale

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Pulmonary vein isolation (PVI) represents the cornerstone of current catheter ablation techniques for the treatment of atrial fibrillation (AF), with significantly improved efficacy compared with antiarrhythmic drug therapy as demonstrated in multiple randomized clinical trials. To achieve PV antrum isolation, multiple approaches with different ablation strategies have been described; the technique currently endorsed by the HRS/EHRA/ECAS expert consensus statement on catheter and surgical ablation of AF consists of antral PVI confirmed by a circular mapping catheter. In this chapter, the techniques and outcomes for different PVI techniques are reviewed.

Original languageEnglish (US)
Title of host publicationCatheter Ablation of Cardiac Arrhythmias
PublisherElsevier
Pages222-234.e4
ISBN (Electronic)9780323529921
DOIs
StatePublished - Jan 1 2019
Externally publishedYes

Keywords

  • Atrial fibrillation
  • Intracardiac echocardiography
  • Nonpulmonary vein triggers
  • Pulmonary vein isolation
  • Radiofrequency ablation

ASJC Scopus subject areas

  • Medicine(all)

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