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Encircling ablation of the right and left pulmonary venous antra is commonly practiced. The importance to procedure outcome of electrical isolation of unablated myocardium enclosed by the encircling lesions is increasingly clear. The safe and effective achievement of isolation is dependent on a thorough comprehension of the 'electroanatomic' ablation substrate. We sought to improve comprehension of this substrate by examining relationships between anatomy and electrogram amplitude and timing after encircling ablation.

Electroanatomic properties of pulmonary vein antral regions enclosed by encircling ablation lesions