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Is pulmonary vein isolation enough for persistent atrial fibrillation?
Author(s) -
Terricabras Maria,
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.14381
Subject(s) - medicine , pulmonary vein , atrial fibrillation , ablation , isolation (microbiology) , cardiology , catheter ablation , intensive care medicine , bioinformatics , biology
Pulmonary vein isolation (PVI) is a well‐established treatment for atrial fibrillation (AF); however, studies report suboptimal outcomes in persistent AF. Adjuvant ablation targeting the substrate outside the pulmonary veins has been proposed to improve the success rates of the procedure. In this review, we summarize the current evidence regarding additional ablation over PVI in persistent AF. We describe the different approaches for adjuvant ablation, outcomes, and future perspectives.