2026-06-14T03:56:06Zhttps://repisalud.isciii.es/rest/oai/requestoai:repisalud.isciii.es:20.500.12105/133282024-11-29T08:34:43Zcom_20.500.12105_19604com_20.500.12105_2051com_20.500.12105_15322col_20.500.12105_19605col_20.500.12105_16969
Repisalud
author
La Rosa, Giulio
author
Quintanilla, Jorge G.
author
Salgado, Ricardo
author
González-Ferrer, Juan J
author
Cañadas-Godoy, Victoria
author
Pérez-Villacastín, Julián
author
Jalife, Jose
author
Perez-Castellano, Nicasio
author
Filgueiras-Rama, David
funder
Unión Europea. Fondo Europeo de Desarrollo Regional (FEDER/ERDF)
funder
Fundación Interhospitalaria de Investigación Cardiovascular
funder
Ministerio de Ciencia e Innovación (España)
funder
Fundación ProCNIC
funder
Sociedad Española de Cardiología
2021-08-31T09:09:35Z
2021-08-31T09:09:35Z
2021-02
Pacing Clin Electrophysiol. 2021; 44(2):341-59
10.1111/pace.14140
1540-8159
0147-8389
Pacing and clinical electrophysiology: PACE
33283883
http://hdl.handle.net/20.500.12105/13328
Anatomical-based approaches, targeting either pulmonary vein isolation (PVI) or additional extra PV regions, represent the most commonly used ablation treatments in symptomatic patients with atrial fibrillation (AF) recurrences despite antiarrhythmic drug therapy. PVI remains the main anatomical target during catheter-based AF ablation, with the aid of new technological advances as contact force monitoring to increase safety and effective radiofrequency (RF) lesions. Nowadays, cryoballoon ablation has also achieved the same level of scientific evidence in patients with paroxysmal AF undergoing PVI. In parallel, electrical isolation of extra PV targets has progressively increased, which is associated with a steady increase in complex cases undergoing ablation. Several atrial regions as the left atrial posterior wall, the vein of Marshall, the left atrial appendage, or the coronary sinus have been described in different series as locations potentially involved in AF initiation and maintenance. Targeting these regions may be challenging using conventional point-by-point RF delivery, which has opened new opportunities for coadjuvant alternatives as balloon ablation or selective ethanol injection. Although more extensive ablation may increase intraprocedural AF termination and freedom from arrhythmias during the follow-up, some of the targets to achieve such outcomes are not exempt of potential severe complications. Here, we review and discuss current anatomical approaches and the main ablation technologies to target atrial regions associated with AF initiation and maintenance.
eng
Anatomical targets and expected outcomes of catheter-based ablation of atrial fibrillation in 2020.
journal article
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URL
https://repisalud.isciii.es/bitstreams/aa0bded9-663d-4f22-945c-9ba7070624bc/download
File
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application/pdf
AnatomicalTargetsandExpected_2021.pdf
URL
https://repisalud.isciii.es/bitstreams/a8b1a057-aced-46e9-a5c3-1525dcb08b36/download
File
MD5
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AnatomicalTargetsandExpected_2021.pdf.txt