Catheter Ablation of Paroxysmal Atrial Fibrillation Originating from Non-pulmonary Vein Areas

被引:28
作者
Higa, Satoshi [1 ]
Lo, Li-Wei [2 ,3 ]
Chen, Shih-Ann [2 ,3 ]
机构
[1] Makiminato Cent Hosp, Div Cardiovasc Med, Cardiac Electrophysiol & Pacing Lab, Okinawa, Japan
[2] Taipei Vet Gen Hosp, Dept Med, Div Cardiol, Heart Rhythm Ctr, Taipei, Taiwan
[3] Natl Yang Ming Univ, Sch Med, Dept Med, Inst Clin Med, Taipei, Taiwan
关键词
Atrial fibrillation; non-pulmonary vein; trigger; catheter ablation;
D O I
10.15420/aer.2018.50.3
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Pulmonary veins (PVs) are a major source of ectopic beats that initiate AF. PV isolation from the left atrium is an effective therapy for the majority of paroxysmal AF. However, investigators have reported that ectopy originating from non-PV areas can also initiate AF. Patients with recurrent AF after persistent PV isolation highlight the need to identify non-PV ectopy. Furthermore, adding non-PV ablation after multiple AF ablation procedures leads to lower AF recurrence and a higher AF cure rate. These findings suggest that non-PV ectopy is important in both the initiation and recurrence of AF. This article summarises current knowledge about the electrophysiological characteristics of non-PV AF, suitable mapping and ablation strategies, and the safety and efficacy of catheter ablation of AF initiated by ectopic foci originating from non-PV areas.
引用
收藏
页码:273 / 281
页数:9
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