Clin Res Cardiol (2017) 106:743–751 DOI 10.1007/s00392-017-1118-x ORIGINAL PAPER Catheter ablation of paroxysmal atrial ﬁbrillation: circumferential pulmonary vein ablation: success rates with and without exclusion of areas adjacent to the esophagus 1 1 1 2 • • • Klaus Kettering Dag-Hau Yim Alexander Benz Felix Gramley Received: 2 October 2016 / Accepted: 18 April 2017 / Published online: 10 May 2017 Springer-Verlag Berlin Heidelberg 2017 Abstract arrhythmia clinic at 1, 3, 6, 9, 12, 24 and 36 months after Background Catheter ablation has become the ﬁrst line of the ablation procedure. therapy in patients with symptomatic, recurrent, drug-re- Results The ablation procedure could be performed as fractory paroxysmal atrial ﬁbrillation. Circumferential planned in all 200 patients. In group A, all pulmonary veins pulmonary vein ablation is still the standard approach in could be isolated successfully in 88 out of 100 patients these patients. The occurrence of an atrioesophageal ﬁstula (88%). A mean number of 3.9 pulmonary veins is a rare but life-threatening complication after such abla- (SD ± 0.37 PVs) were isolated per patient. The 12 cases of tion procedures. This is due to the fact that the esophagus an incomplete pulmonary vein isolation were due to poorly does
Zeitschrift für Kardiologie – Springer Journals
Published: May 10, 2017
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