Open AccessLong-term follow-up of patients with paroxysmal atrial fibrillation and severe left atrial scarring: comparison between pulmonary vein antrum isolation only or pulmonary vein isolation combined with either scar homogenization or trigger ablation
Author(s) -
Sanghamitra Mohanty,
Prasant Mohanty,
Luigi Di Biase,
Chintan Trivedi,
Eli Hamilton Morris,
Carola Gianni,
Pasquale Santangeli,
Rong Bai,
Javier Sánchez,
Patrick Hranitzky,
G. Joseph Gallinghouse,
Amin AlAhmad,
Rodney Horton,
Richard Hongo,
Salwa Beheiry,
Claude S. Elayi,
Dhanunjaya Lakkireddy,
Yaruva Madhu Reddy,
Juan Fernández González,
J. David Burkhardt,
Andrea Natale
Publication year - 2016
Publication title -
ep europace
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.119
H-Index - 102
eISSN - 1532-2092
pISSN - 1099-5129
DOI - 10.1093/europace/euw338
Subject(s) - medicine , pulmonary vein , atrial fibrillation , catheter ablation , cardiology , ablation , antrum , surgery , stomach
Left atrial (LA) scarring, a consequence of cardiac fibrosis is a powerful predictor of procedure-outcome in atrial fibrillation (AF) patients undergoing catheter ablation. We sought to compare the long-term outcome in patients with paroxysmal AF (PAF) and severe LA scarring identified by 3D mapping, undergoing pulmonary vein isolation (PVAI) only or PVAI and the entire scar areas (scar homogenization) or PVAI+ ablation of the non-PV triggers.
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