Clinical Research in Cardiology (2018) 107:268–269 https://doi.org/10.1007/s00392-017-1187-x LE T TER TO THE EDITORS Ablation of very late recurrence after initially successful ablation of atrial fibrillation 1,2 1 1 Jonathan S. Steinberg · Yash Shah · Barbara Szepietowska Received: 23 May 2017 / Accepted: 3 November 2017 / Published online: 6 December 2017 © Springer-Verlag GmbH Germany, part of Springer Nature 2017 Sirs, VLR AF events. At redo ablation procedures, re-PVI was uniformly performed if needed; additional strategies were The concept of pulmonary vein isolation (PVI) for the cath- also pursued at discretion of operator based on clinical pres- eter treatment of atrial fibrillation (AF) revolutionized the entation and procedural n fi dings. No systematic criteria were ablation field and has been performed in many tens of thou- applied to the decision-making process of ablation strategy. sands of patients. It is now recognized as the foundational Ultimately, 106 patients (age 63.3 ± 11.8 years; original procedure for paroxysmal AF [1–3] but also the only proven indication, paroxysmal AF in 57.1% and persistent AF in effective intervention for patients with persistent AF [4 ]. 42.9%) underwent VLR re-ablation 4.7 ± 2.3 years after The burgeoning popularity of the procedure is a testa- index PVI. At the VLR procedure,
Zeitschrift für Kardiologie – Springer Journals
Published: Dec 6, 2017
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