Long-standing Persistent Atrial Fibrillation Ablation: How do You Perform it?

Authors

  • Jeffrey Smietana Hospital of University of Pennsylvania – Cardiovascular Division – Electrophysiology Section – Philadelphia/Pennsylvania – United States of America. https://orcid.org/0000-0002-7537-4643
  • Pasquale Santangeli Hospital of University of Pennsylvania – Cardiovascular Division – Electrophysiology Section – Philadelphia/Pennsylvania – United States of America.

Keywords:

Arrhythmia; Atrial fibrillation; Catheter ablation; Nonpulmonary vein trigger.

Abstract

Catheter ablation of long-standing persistent atrial fibrillation (LSPAF) presents unique challenges and the lack of large body of evidence surrounding management makes for disagreement and different approaches for treatment. Outlined is a case example that offers a comprehensive approach to ablation in patients with LSPAF that consists of risk factor management, an ablation strategy, a rigorous trigger protocol and follow-up rhythm monitoring. The case presented highlights management of this difficult population as best guided by current evidence and our experience. Ablation treatment and management strategies will continue to evolve with further randomized data and the advent of improved ablation technologies.

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References

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Published

2020-05-26

How to Cite

Smietana, J., & Santangeli, P. (2020). Long-standing Persistent Atrial Fibrillation Ablation: How do You Perform it?. JOURNAL OF CARDIAC ARRHYTHMIAS, 33(2), 96–105. Retrieved from https://jca.emnuvens.com.br/jca/article/view/3399