Mapping Technologies for Catheter Ablation of Atrial Fibrillation Beyond Pulmonary Vein Isolation.
AF
catheter ablation
instantaneous frequency modulation
mapping technologies
rotors
Journal
European cardiology
ISSN: 1758-3764
Titre abrégé: Eur Cardiol
Pays: England
ID NLM: 101574780
Informations de publication
Date de publication:
Feb 2021
Feb 2021
Historique:
received:
07
10
2020
accepted:
25
01
2021
entrez:
7
6
2021
pubmed:
8
6
2021
medline:
8
6
2021
Statut:
epublish
Résumé
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.
Identifiants
pubmed: 34093742
doi: 10.15420/ecr.2020.39
pmc: PMC8157391
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
e21Informations de copyright
Copyright © 2021, Radcliffe Cardiology.
Déclaration de conflit d'intérêts
Disclosure: DFR, JGQ, JPV and NPC are inventors of the patent #EP3636147A1. All other authors have no conflicts of interest to declare. Funding: The CNIC is supported by the Spanish Ministry of Science and Innovation and the Pro-CNIC Foundation, and is a Severo Ochoa Center of Excellence (SEV-2015-0505). This study was supported by the European Regional Development Fund and the Spanish Ministry of Science and Innovation (PID2019-109329RB-I00). The study was also partially supported by the Fundación Interhospitalaria para la Investigación Cardiovascular and the Fundación Salud 2000.
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