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Methods 15 patients with paroxysmal atrial fibrillation (PAF) underwent CMR scanning pre and immediately post WACA. 12 patients (4 male; mean age 56±11 years) had good quality images for delayed enhancement DE (necrosis) [Figure 1a,1b] and high T2-weighted signal (oedema) [Figure 1c,1d]. Images were analysed to quantify the circumferential extent of lesion formation with both imaging sequences. Clinical follow-up results at 6 months were then correlated with the MR findings.

Acute pulmonary vein isolation lesions consist of interstitial oedema and tissue necrosis: possible mechanism of pulmonary vein reconnection