This guideline provides comprehensive recommendations on the strategies, techniques, endpoints, and anticoagulation management for catheter ablation of atrial fibrillation in Korea.
Endorses pulmonary vein isolation as standard in all AF ablations; reinforces consensus and guides Korean practice.
In this part the writing group will cover strategies, techniques, and endpoints of atrial fibrillation (AF) ablation. Prior to all, electrical isolation of the pulmonary veins is recommended during all AF ablation procedures. In addition, techniques to be used for ablation of persistent and long-standing persistent AF, adjunctive ablation strategies, nonablative strategies to improve outcomes of AF ablation, and endpoints for ablation of paroxysmal, persistent, and long-standing persistent AF will be reviewed. Currently many technologies and tools are employed for AF ablation procedures. Radiofrequency energy, cryoablation, and other energy sources and tools are in various stages of development and/or clinical investigation. Finally, anticoagulation strategies pre-, during, and postcatheter ablation of AF and technical aspects of ablation to maximize safety are discussed in this section.
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Yu et al. (2018) conducted a review in Atrial fibrillation. Catheter ablation was evaluated. The 2018 Korean Guidelines review strategies, techniques, and endpoints for catheter ablation of atrial fibrillation, recommending electrical isolation of pulmonary veins during all procedures.
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