Toward a Uniform Ablation Protocol for Paroxysmal, Persistent, and Permanent Atrial Fibrillation

Domenico Giovanni Della Rocca; Carlo Lavalle; Carola Gianni; Marco Valerio Mariani; Sanghamitra Mohanty; Chintan Trivedi; Ugur Canpolat; Bryan MacDonald; Huseyin Ayhan; Agostino Piro; Mohamed Bassiouny; Amin Al-Ahmad; John David Burkhardt; Joseph G. Gallinghouse; Rodney P. Horton; Javier Sanchez; Nicola Tarantino; Luigi Di Biase; Andrea Natale

doi:10.1016/j.ccep.2019.08.014

Toward a Uniform Ablation Protocol for Paroxysmal, Persistent, and Permanent Atrial Fibrillation

Domenico Giovanni Della Rocca, Carlo Lavalle, Carola Gianni, Marco Valerio Mariani, Sanghamitra Mohanty, Chintan Trivedi, Ugur Canpolat, Bryan MacDonald, Huseyin Ayhan, Agostino Piro, Mohamed Bassiouny, Amin Al-Ahmad, John David Burkhardt, Joseph G. Gallinghouse, Rodney P. Horton, Javier Sanchez, Nicola Tarantino, Luigi Di Biase, Andrea Natale

Medicine

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

4 Scopus citations

Abstract

Atrial fibrillation catheter ablation has emerged as the most effective strategy to restore and maintain sinus rhythm. The cornerstone of atrial fibrillation ablation is elimination of triggers from the pulmonary veins by pulmonary vein isolation. Nevertheless, some patients may experience atrial tachyarrhythmia recurrences even with permanent pulmonary vein antral isolation. Whether and in which patients pulmonary vein antral isolation should be considered as the only ablation strategy remains a matter of debate. This review aims to summarize the rationale and effectiveness of different ablation approaches and identify key points for a uniform atrial fibrillation ablation strategy.

Original language	English (US)
Pages (from-to)	731-738
Number of pages	8
Journal	Cardiac Electrophysiology Clinics
Volume	11
Issue number	4
DOIs	https://doi.org/10.1016/j.ccep.2019.08.014
State	Published - Dec 2019

Keywords

Anticoagulation
Atrial fibrillation
Catheter ablation
Outcome
Stroke
Substrate
Trigger

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine
Physiology (medical)

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10.1016/j.ccep.2019.08.014

Cite this

Della Rocca, D. G., Lavalle, C., Gianni, C., Mariani, M. V., Mohanty, S., Trivedi, C., Canpolat, U., MacDonald, B., Ayhan, H., Piro, A., Bassiouny, M., Al-Ahmad, A., Burkhardt, J. D., Gallinghouse, J. G., Horton, R. P., Sanchez, J., Tarantino, N., Di Biase, L., & Natale, A. (2019). Toward a Uniform Ablation Protocol for Paroxysmal, Persistent, and Permanent Atrial Fibrillation. Cardiac Electrophysiology Clinics, 11(4), 731-738. https://doi.org/10.1016/j.ccep.2019.08.014

Della Rocca, DG, Lavalle, C, Gianni, C, Mariani, MV, Mohanty, S, Trivedi, C, Canpolat, U, MacDonald, B, Ayhan, H, Piro, A, Bassiouny, M, Al-Ahmad, A, Burkhardt, JD, Gallinghouse, JG, Horton, RP, Sanchez, J, Tarantino, N, Di Biase, L & Natale, A 2019, 'Toward a Uniform Ablation Protocol for Paroxysmal, Persistent, and Permanent Atrial Fibrillation', Cardiac Electrophysiology Clinics, vol. 11, no. 4, pp. 731-738. https://doi.org/10.1016/j.ccep.2019.08.014

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title = "Toward a Uniform Ablation Protocol for Paroxysmal, Persistent, and Permanent Atrial Fibrillation",

abstract = "Atrial fibrillation catheter ablation has emerged as the most effective strategy to restore and maintain sinus rhythm. The cornerstone of atrial fibrillation ablation is elimination of triggers from the pulmonary veins by pulmonary vein isolation. Nevertheless, some patients may experience atrial tachyarrhythmia recurrences even with permanent pulmonary vein antral isolation. Whether and in which patients pulmonary vein antral isolation should be considered as the only ablation strategy remains a matter of debate. This review aims to summarize the rationale and effectiveness of different ablation approaches and identify key points for a uniform atrial fibrillation ablation strategy.",

keywords = "Anticoagulation, Atrial fibrillation, Catheter ablation, Outcome, Stroke, Substrate, Trigger",

author = "{Della Rocca}, {Domenico Giovanni} and Carlo Lavalle and Carola Gianni and Mariani, {Marco Valerio} and Sanghamitra Mohanty and Chintan Trivedi and Ugur Canpolat and Bryan MacDonald and Huseyin Ayhan and Agostino Piro and Mohamed Bassiouny and Amin Al-Ahmad and Burkhardt, {John David} and Gallinghouse, {Joseph G.} and Horton, {Rodney P.} and Javier Sanchez and Nicola Tarantino and {Di Biase}, Luigi and Andrea Natale",

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year = "2019",

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doi = "10.1016/j.ccep.2019.08.014",

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AU - Della Rocca, Domenico Giovanni

AU - Lavalle, Carlo

AU - Gianni, Carola

AU - Mariani, Marco Valerio

AU - Mohanty, Sanghamitra

AU - Trivedi, Chintan

AU - Canpolat, Ugur

AU - MacDonald, Bryan

AU - Ayhan, Huseyin

AU - Piro, Agostino

AU - Bassiouny, Mohamed

AU - Al-Ahmad, Amin

AU - Burkhardt, John David

AU - Gallinghouse, Joseph G.

AU - Horton, Rodney P.

AU - Sanchez, Javier

AU - Tarantino, Nicola

AU - Di Biase, Luigi

AU - Natale, Andrea

PY - 2019/12

Y1 - 2019/12

N2 - Atrial fibrillation catheter ablation has emerged as the most effective strategy to restore and maintain sinus rhythm. The cornerstone of atrial fibrillation ablation is elimination of triggers from the pulmonary veins by pulmonary vein isolation. Nevertheless, some patients may experience atrial tachyarrhythmia recurrences even with permanent pulmonary vein antral isolation. Whether and in which patients pulmonary vein antral isolation should be considered as the only ablation strategy remains a matter of debate. This review aims to summarize the rationale and effectiveness of different ablation approaches and identify key points for a uniform atrial fibrillation ablation strategy.

AB - Atrial fibrillation catheter ablation has emerged as the most effective strategy to restore and maintain sinus rhythm. The cornerstone of atrial fibrillation ablation is elimination of triggers from the pulmonary veins by pulmonary vein isolation. Nevertheless, some patients may experience atrial tachyarrhythmia recurrences even with permanent pulmonary vein antral isolation. Whether and in which patients pulmonary vein antral isolation should be considered as the only ablation strategy remains a matter of debate. This review aims to summarize the rationale and effectiveness of different ablation approaches and identify key points for a uniform atrial fibrillation ablation strategy.

KW - Anticoagulation

KW - Atrial fibrillation

KW - Catheter ablation

KW - Outcome

KW - Stroke

KW - Substrate

KW - Trigger

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Toward a Uniform Ablation Protocol for Paroxysmal, Persistent, and Permanent Atrial Fibrillation

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Keywords

ASJC Scopus subject areas

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