Curr Cardiovasc Risk Rep (2017) 11:27 DOI 10.1007/s12170-017-0552-7 ARRHYTHMIAS (J. BUNCH, SECTION EDITOR) Ablation of Focal Impulses and Rotational Sources: What Can Be Learned from Differing Procedural Outcomes? 1 1 1 Sanjiv M. Narayan & Miguel Rodrigo & Christopher A. B. Kowalewski & 1 1 1 Fatemah Shenasa & Gabriela L. Meckler & Mohan N. Vishwanathan & 1 1,2 1 Tina Baykaner & Junaid A.B. Zaman & Paul J. Wang Springer Science+Business Media, LLC 2017 Abstract show disappointing results. This review focuses on dis- Introduction There is considerable interest in identifying po- crepant results, which may reflect challenging patients, tential drivers for human atrial fibrillation (AF), in order to operator unfamiliarity with basket catheter use, or the improve therapy. Ablation via pulmonary vein isolation (PVI) technical ablation of drivers, amongst other factors. We is broadly used, yet is insufficient in many patients yet its discuss challenges, potential solutions, and future direc- outcomes are unimproved by adding extensive ablation of tions for map-guided AF driver ablation including bas- lines or complex electrogram sites, particularly in patients ket-data collection, interpreting AF maps, ablation guid- with persistent AF. ance, and extent. Novelty Rotational and focal sources for AF represent novel Conclusions Mapping
Current Cardiovascular Risk Reports – Springer Journals
Published: Aug 14, 2017
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