Key result
New catheter and mapping software advancements streamline AF ablation and identify persistent AF drivers.
Why the study?
Atrial fibrillation is the most common clinical arrhythmia, prompting continuous efforts to develop tools for mapping and eliminating its triggers.
This review summarizes recent advancements in catheter design and mapping software for the ablation of atrial fibrillation.
May inform next-generation AF ablation tools; leaves open prospective outcome validation in persistent AF.
INTRODUCTION: Atrial fibrillation (AF) is the commonest arrhythmia in clinical practice with significant detrimental health impacts. Much effort has been spent in mapping AF, determine its triggers and drivers, and how to develop tools to eliminate these triggers. AREAS COVERED: In this state of-the-art review article, we aim to highlight the recent techniques in catheter-based management of Atrial Fibrillation; including new advancements either in the catheter design or the software used. This includes a comprehensive summary of the most recent tools used in AF mapping and subsequent ablation. EXPERT OPINION: Electrical isolation of the pulmonary veins has been developed and established as the cornerstone in AF ablation with good results in patients with paroxysmal AF (PAF) whilst new ablation tools are aimed at streamlining the procedure. However, the quest for persistent AF (PeAF) remains. The future of AF ablation, we believe, lies in identifying AF drivers by means of the new developing mapping tools and altering their electrical properties in a safe, reproducible, and effective manner.
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Kotb et al. (2022) conducted a review in Atrial fibrillation. Catheter-based management of Atrial Fibrillation (mapping and ablation tools) was evaluated. Recent advancements in catheter design and software for atrial fibrillation mapping and ablation aim to streamline procedures and identify drivers for persistent AF.
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