The text introduces simultaneous isolation of the four pulmonary veins by single-sided antral ablation for paroxysmal atrial fibrillation.
May enable simultaneous four-PV isolation by single-sided antral ablation in paroxysmal AF; remains hypothesis-generating pending prospective trials.
Pulmonary vein isolation (PVI) is the standard ablative strategy for the treatment of paroxysmal atrial fibrillation (AF), with success rates of 60-80% after a single procedure. 1-3 Antral ablation usually is preferred over ostial ablation in order to include ostial foci within the level of isolation and minimize the risk of pulmonary vein (PV) stenosis.
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Enríquez et al. (2015) studied this question.
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