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Outcomes of catheter ablation of atrial fibrillation (AF) vary widely. We used late-gadolinium enhancement MRI (LGE-MRI) to examine the relationship of ablation-induced scarring in the pulmonary vein (PV) region and overall atrium to evaluate the role of PV encirclement and substrate modification in predicting outcome of catheter ablation in AF.

Substrate Modification is a Better Predictor of Catheter Ablation Success in Atrial Fibrillation than Pulmonary Vein Isolation: An LGE-MRI Study