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Ablation of persistent atrial fibrillation: Challenges and solutions
Author(s) -
Terricabras Maria,
Piccini Jonathan P.,
Verma Atul
Publication year - 2020
Publication title -
journal of cardiovascular electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.193
H-Index - 138
eISSN - 1540-8167
pISSN - 1045-3873
DOI - 10.1111/jce.14311
Subject(s) - medicine , atrial fibrillation , pulmonary vein , catheter ablation , ablation , cardiology , isolation (microbiology) , catheter , population , intensive care medicine , surgery , bioinformatics , environmental health , biology
Abstract Catheter ablation is commonly used for treatment of persistent atrial fibrillation (AF). Pulmonary vein isolation (PVI) is still the cornerstone for the procedure, however, outcomes are consistently lower compared to paroxysmal AF. It is hypothesized that it could be due to lack of durable lesions or the presence of non‐PV targets that remain after PVI. Numerous advances in ablation catheter technologies and mapping systems may potentially achieve lower recurrence rates in the future. Ongoing research is required to discover the best technique for persistent AF ablation. The purpose of this review is to describe the new, developing technologies that may improve the outcome of this procedure in the persistent AF population.