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October 26, 2017Journal of Innovations in Cardiac Rhythm Management9 citationsOpen Access

Catheter Ablation of Atrial Fibrillation: A Review of the Current Status and Future Directions

DMDaniel P. Melby

Key Result

Catheter ablation for atrial fibrillation has evolved into a widely used procedure, with advancements in contact force-sensing and cryoballoon technologies improving procedural success rates.

Structured PICO

P
Population
Patients with atrial fibrillation
I
Intervention
Catheter ablation

This review highlights the evolution and current status of catheter ablation techniques for the management of atrial fibrillation.

Limitations

  • Heterogeneous lesion formation remains a potential key limitation subject to interoperator variability.
  • Current-generation catheters are unable to monitor for heat loss or measure tissue temperature.
  • Lack of spatial accuracy and difficulty with electrogram resolution limit current mapping of non-pulmonary vein drivers.

Abstract

Atrial fibrillation (AF) is one of the most common arrhythmias encountered in clinical practice today. Over the last 20 years, the frequency of use of catheter ablation to treat AF has grown, commensurate with the rise in arrhythmia burden and via a number of technical advancements. These developments can be divided into new techniques for myocardial ablation, improvements in the understanding of AF trigger mechanisms, and advancements in atrial mapping. Progress in these fields has led to a fundamental change in daily practice, and has contributed to a rise, for ablation, from a procedure performed infrequently at select centers to one that is commonplace worldwide. In this article, the data and methods leading to this fundamental change will be presented and discussed.

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Cite This Study

Daniel P. Melby (2017) conducted a review in Atrial fibrillation. Catheter ablation was evaluated. Catheter ablation for atrial fibrillation has evolved into a widely used procedure, with advancements in contact force-sensing and cryoballoon technologies improving procedural success rates.

synapsesocial.com/papers/6a11de308793652519a57353https://doi.org/10.19102/icrm.2017.081101
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