Ablation of atrial fibrillation: localizing triggers, mapping systems and ablation techniques

Minerva Cardioangiol. 2004 Apr;52(2):95-109.

Abstract

Ablation to eliminate atrial fibrillation (AF) is a therapy in evolution. Approaches to the ablation appear to be currently divided into 2 major strategies anatomic versus electrically guided. In addition in using an electrically guided techniques debate remains whether a targeted approach should be used, whether exit block should be documented, and whether all non pulmonary vein triggers should be targeted. This review highlights the different ablation strategies and identifies a systematic approach to ablation of pulmonary and non pulmonary vein triggers that we have adapted at our institution. The role of intracardiac echo, trigger provocation and localization and the use of 3-D mapping systems in AF ablation are defined.

Publication types

  • Review

MeSH terms

  • Adrenergic beta-Agonists
  • Atrial Fibrillation / diagnostic imaging
  • Atrial Fibrillation / physiopathology
  • Atrial Fibrillation / surgery*
  • Catheter Ablation / instrumentation
  • Catheter Ablation / methods*
  • Electrocardiography
  • Heart Atria / diagnostic imaging
  • Heart Atria / physiopathology
  • Heart Atria / surgery
  • Heart Conduction System / physiopathology
  • Humans
  • Imaging, Three-Dimensional
  • Isoproterenol
  • Magnetic Resonance Angiography
  • Membrane Potentials
  • Pulmonary Veins / diagnostic imaging
  • Pulmonary Veins / physiopathology
  • Pulmonary Veins / surgery
  • Treatment Outcome
  • Ultrasonography, Interventional

Substances

  • Adrenergic beta-Agonists
  • Isoproterenol