Mapping Technologies for Catheter Ablation of Atrial Fibrillation Beyond Pulmonary Vein Isolation
Catheter ablation remains the most effective and relatively minimally invasive therapy for rhythm control in patients with AF. Ablation has consistently shown a reduction of arrhythmia-related symptoms and significant improvement in patients’ quality of life compared with medical treatment. The abla...
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Radcliffe Medical Media
2021
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oai:doaj.org-article:9917c836ef2b44c885a2bc79609be7552021-12-04T16:04:30ZMapping Technologies for Catheter Ablation of Atrial Fibrillation Beyond Pulmonary Vein Isolation10.15420/ecr.2020.391758-37641758-3756https://doaj.org/article/9917c836ef2b44c885a2bc79609be7552021-05-01T00:00:00Zhttps://www.ecrjournal.com/articleindex/ecr.2020.39https://doaj.org/toc/1758-3756https://doaj.org/toc/1758-3764Catheter ablation remains the most effective and relatively minimally invasive therapy for rhythm control in patients with AF. Ablation has consistently shown a reduction of arrhythmia-related symptoms and significant improvement in patients’ quality of life compared with medical treatment. The ablation strategy relies on a well-established anatomical approach of effective pulmonary vein isolation. Additional anatomical targets have been reported with the aim of increasing procedure success in complex substrates. However, larger ablated areas with uncertainty of targeting relevant regions for AF initiation or maintenance are not exempt from the potential risk of complications and pro-arrhythmia. Recent developments in mapping tools and computational methods for advanced signal processing during AF have reported novel strategies to identify atrial regions associated with AF maintenance. These novel tools – although mainly limited to research series – represent a significant step forward towards the understanding of complex patterns of propagation during AF and the potential achievement of patient-tailored AF ablation strategies for the near future.Giulio La RosaJorge G QuintanillaRicardo SalgadoJuan José González-FerrerVictoria Cañadas-GodoyJulián Pérez-VillacastínNicasio Pérez-CastellanoJosé JalifeDavid Filgueiras-RamaRadcliffe Medical MediaarticleDiseases of the circulatory (Cardiovascular) systemRC666-701ENEuropean Cardiology Review , Vol 16, Iss , Pp - (2021) |
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DOAJ |
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DOAJ |
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EN |
| topic |
Diseases of the circulatory (Cardiovascular) system RC666-701 |
| spellingShingle |
Diseases of the circulatory (Cardiovascular) system RC666-701 Giulio La Rosa Jorge G Quintanilla Ricardo Salgado Juan José González-Ferrer Victoria Cañadas-Godoy Julián Pérez-Villacastín Nicasio Pérez-Castellano José Jalife David Filgueiras-Rama Mapping Technologies for Catheter Ablation of Atrial Fibrillation Beyond Pulmonary Vein Isolation |
| description |
Catheter ablation remains the most effective and relatively minimally invasive therapy for rhythm control in patients with AF. Ablation has consistently shown a reduction of arrhythmia-related symptoms and significant improvement in patients’ quality of life compared with medical treatment. The ablation strategy relies on a well-established anatomical approach of effective pulmonary vein isolation. Additional anatomical targets have been reported with the aim of increasing procedure success in complex substrates. However, larger ablated areas with uncertainty of targeting relevant regions for AF initiation or maintenance are not exempt from the potential risk of complications and pro-arrhythmia. Recent developments in mapping tools and computational methods for advanced signal processing during AF have reported novel strategies to identify atrial regions associated with AF maintenance. These novel tools – although mainly limited to research series – represent a significant step forward towards the understanding of complex patterns of propagation during AF and the potential achievement of patient-tailored AF ablation strategies for the near future. |
| format |
article |
| author |
Giulio La Rosa Jorge G Quintanilla Ricardo Salgado Juan José González-Ferrer Victoria Cañadas-Godoy Julián Pérez-Villacastín Nicasio Pérez-Castellano José Jalife David Filgueiras-Rama |
| author_facet |
Giulio La Rosa Jorge G Quintanilla Ricardo Salgado Juan José González-Ferrer Victoria Cañadas-Godoy Julián Pérez-Villacastín Nicasio Pérez-Castellano José Jalife David Filgueiras-Rama |
| author_sort |
Giulio La Rosa |
| title |
Mapping Technologies for Catheter Ablation of Atrial Fibrillation Beyond Pulmonary Vein Isolation |
| title_short |
Mapping Technologies for Catheter Ablation of Atrial Fibrillation Beyond Pulmonary Vein Isolation |
| title_full |
Mapping Technologies for Catheter Ablation of Atrial Fibrillation Beyond Pulmonary Vein Isolation |
| title_fullStr |
Mapping Technologies for Catheter Ablation of Atrial Fibrillation Beyond Pulmonary Vein Isolation |
| title_full_unstemmed |
Mapping Technologies for Catheter Ablation of Atrial Fibrillation Beyond Pulmonary Vein Isolation |
| title_sort |
mapping technologies for catheter ablation of atrial fibrillation beyond pulmonary vein isolation |
| publisher |
Radcliffe Medical Media |
| publishDate |
2021 |
| url |
https://doaj.org/article/9917c836ef2b44c885a2bc79609be755 |
| work_keys_str_mv |
AT giuliolarosa mappingtechnologiesforcatheterablationofatrialfibrillationbeyondpulmonaryveinisolation AT jorgegquintanilla mappingtechnologiesforcatheterablationofatrialfibrillationbeyondpulmonaryveinisolation AT ricardosalgado mappingtechnologiesforcatheterablationofatrialfibrillationbeyondpulmonaryveinisolation AT juanjosegonzalezferrer mappingtechnologiesforcatheterablationofatrialfibrillationbeyondpulmonaryveinisolation AT victoriacanadasgodoy mappingtechnologiesforcatheterablationofatrialfibrillationbeyondpulmonaryveinisolation AT julianperezvillacastin mappingtechnologiesforcatheterablationofatrialfibrillationbeyondpulmonaryveinisolation AT nicasioperezcastellano mappingtechnologiesforcatheterablationofatrialfibrillationbeyondpulmonaryveinisolation AT josejalife mappingtechnologiesforcatheterablationofatrialfibrillationbeyondpulmonaryveinisolation AT davidfilgueirasrama mappingtechnologiesforcatheterablationofatrialfibrillationbeyondpulmonaryveinisolation |
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