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The addition of a mitral isthmus (MI) block line after pulmonary vein isolation could lead to a favorable outcome of catheter ablation in patients with atrial fibrillation (AF). However, it is sometimes tough to create a complete MI block line, and the cooling effect because of the local coronary flow may prevent the creation of a successful MI block line.

Local Coronary Flow Is Associated With an Unsuccessful Complete Block Line at the Mitral Isthmus in Patients With Atrial Fibrillation