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Catheter ablation is preferred over surgery for persistent atrial fibrillation
Author(s) -
Anannab Alisara,
Gianni Carola,
Della Rocca Domenico G,
Sahore Salwan Anu,
Natale Andrea,
AlAhmad Amin
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.14497
Subject(s) - medicine , atrial fibrillation , catheter ablation , ablation , cardiology , concomitant , cardiac surgery , catheter , surgery , population , ablation of atrial fibrillation , environmental health
There are important limitations that can hinder outcomes of surgical ablation in nonparoxysmal patients with atrial fibrillation (AF), which is the typical AF population undergoing concomitant cardiac surgery for valve or ischemic heart disease. Incomplete lesions with recovered conduction or gaps as well as arrhythmias originating from areas not targeted by surgical ablation are commonly seen at the time of recurrence. Therefore, while it might be reasonable to perform AF surgery in this cohort, it is important to know these limitations and establish adequate postoperative rhythm monitoring to detect recurrences, which can be effectively addressed by catheter ablation.