Why the study?
Does ganglionated plexi ablation combined with re-PVI improve maintenance of sinus rhythm in patients with recurrent paroxysmal atrial fibrillation?
Population
123 consecutive patients with recurrent paroxysmal atrial fibrillation undergoing repeat ablation procedures
Comparison
Ganglionated plexi ablation plus repeated… vs Repeated pulmonary vein isolation (re-PVI) alone
Design
Cohort
Follow-up
12 months
Key result
Ganglionated plexi ablation plus re-PVI resulted in a higher rate of remaining in sinus rhythm off antiarrhythmic drugs at 12 months compared to re-PVI alone (90.6% vs 78%; P=0.045).
Authors
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May support adjunctive GP ablation in recurrent paroxysmal AF; hypothesis-generating and requires randomized confirmation before practice change.
Cohort (n=123)
No
Does ganglionated plexi ablation combined with re-PVI improve maintenance of sinus rhythm in patients with recurrent paroxysmal atrial fibrillation?
Absolute Event Rate: 90.6% vs 78%
p-value: p=0.045
Adding ganglionated plexi ablation to repeat pulmonary vein isolation significantly improves the maintenance of sinus rhythm in patients with recurrent paroxysmal atrial fibrillation.
Xu et al. (2017) conducted a cohort in Paroxysmal atrial fibrillation (PAF) recurrence (n=123). Ganglionated plexi ablation (GPA) plus repeated pulmonary vein isolation (re-PVI) vs. re-PVI alone was evaluated on Remaining in sinus rhythm off antiarrhythmia drugs (p=0.045). Ganglionated plexi ablation plus re-PVI resulted in a higher rate of remaining in sinus rhythm off antiarrhythmic drugs at 12 months compared to re-PVI alone (90.6% vs 78%; P=0.045).