Approach to recurrence of atrial fibrillation after catheter ablation

Yilmaz M., CANDEMİR B.

MINERVA CARDIOLOGY AND ANGIOLOGY, cilt.69, sa.1, ss.81-93, 2021 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Derleme
  • Cilt numarası: 69 Sayı: 1
  • Basım Tarihi: 2021
  • Doi Numarası: 10.23736/s2724-5683.20.05173-7
  • Dergi Adı: MINERVA CARDIOLOGY AND ANGIOLOGY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.81-93
  • Anahtar Kelimeler: Ablation techniques, Atrial fibrillation, Recurrence, PULMONARY VEIN ISOLATION, EPICARDIAL ADIPOSE-TISSUE, SUPERIOR VENA-CAVA, CRYOBALLOON ABLATION, ELECTRICAL ISOLATION, CIGARETTE-SMOKING, INITIAL ABLATION, POSTERIOR WALL, RADIOFREQUENCY, OUTCOMES
  • Ankara Üniversitesi Adresli: Evet

Özet

Atrial fibrillation (AF) is the most commonly observed sustained rhythm disorder during adult ages. Since it has been shown that the ectopic beat initiating AF is usually caused by pulmonary veins, AF ablation has become the mainstay of therapy worldwide. Cryoballoon and radiofrequency ablation are the most commonly used methods in today's technologies. However, despite technological advances, the success of a single procedure in AF ablation is still limited and multiple procedures may be required for the majority of patients. In cases in which a redo ablation is required, pulmonary vein isolation is still the main target, but non-pulmonary vein targets should also be considered in AF episodes that continue despite multiple ablations. Many issues are still unclear as to which energy to choose in the first procedure, and what ablation strategy will be utilized when a redo ablation is required. The studies on this subject are very limited but, it still seems feasible and a rational approach to utilize a customized treatment strategy in each specific patient subgroup.