December 11, 2008Current Opinion in Cardiology
How to identify and treat patient with pulmonary vein stenosis post atrial fibrillation ablation
Population
Patients with pulmonary vein stenosis following catheter ablation of atrial fibrillation
Design
Review
Authors
Discussion
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Member takes
Implication
Supports CT/MRI diagnosis and angioplasty/stenting for severe PVS; leaves open randomized confirmation of asymptomatic benefit.
Structured PICO
P
Population
Patients with pulmonary vein stenosis following catheter ablation of atrial fibrillation
I
Intervention
Computed tomography (CT) and MRI for diagnosis; pulmonary vein angioplasty with or without stenting for treatment
CT and MRI are optimal for diagnosing post-ablation pulmonary vein stenosis, and early intervention with angioplasty or stenting is beneficial even in asymptomatic patients.
Cite This Study
Barrett et al. (2008) studied this question.