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- Title
Reasons for successful clinical outcome following pulmonary vein isolation despite lack of persistent LA‐PV conduction block.
- Authors
Pandozi, Claudio; Lavalle, Carlo; Ficili, Sabina; Russo, Maurizio; Galeazzi, Marco; Rio, Teresa; Centurion Aznaran, Carlos; Malacrida, Maurizio; Colivicchi, Furio
- Abstract
The mechanisms of atrial fibrillation (AF) induction and maintenance, including those involved in paroxysmal atrial fibrillation, are not completely known; this limits our ablation strategies and prevents us from understanding what we are actually doing when performing pulmonary vein isolation. In this report, we focus on the commonly used ablation strategies for AF and question the importance of complete pulmonary vein isolation in achieving lasting success in the ablation of AF. We also discuss in detail the absence of durable pulmonary vein isolation in patients without arrhythmic recurrences after AF ablation and the possibility to cure paroxysmal AF without concomitant pulmonary vein isolation, provocatively questioning the dogma of pulmonary vein isolation as the cornerstone of AF ablation. Finally, a prospective personalized approach in the individual patient is advocated.
- Subjects
ATRIAL fibrillation; CATHETER ablation; HEART block; POSTOPERATIVE period; PULMONARY veins; TREATMENT effectiveness; LEFT heart atrium
- Publication
Pacing & Clinical Electrophysiology, 2019, Vol 42, Issue 7, p1056
- ISSN
0147-8389
- Publication type
Article
- DOI
10.1111/pace.13732