Advances in Atrial Fibrillation Ablation, An Issue of Cardiac Electrophysiology Clinics

1st Edition, Volume 12-2 - June 4, 2020
Editors: Luigi Di Biase, Francis E. Marchlinski, Andrea Natale
Language: English
Hardback ISBN:
9 7 8 - 0 - 3 2 3 - 7 6 1 9 9 - 4
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 7 6 2 0 0 - 7

In collaboration with the Consulting Editors, Ranjan K. Thakur and Andrea Natale, Drs. Luigi Di Biase, Frank Marchlinski, and Andrea Natale have assembled an issue of Cardiac… Read more

Advances in Atrial Fibrillation Ablation, An Issue of Cardiac Electrophysiology Clinics

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In collaboration with the Consulting Editors, Ranjan K. Thakur and Andrea Natale, Drs. Luigi Di Biase, Frank Marchlinski, and Andrea Natale have assembled an issue of Cardiac Electrophysiology Clinics on Advances in Atrial Fibrillation Ablation. Topics include, but are not limited to, Recurrent atrial fibrillation with isolated PVs, Beyond PVI in non paroxysmal atrial fibrillation, Recurrent atrial fibrillation after cryo, Recurrent atrial fibrillation after RF, high-density mapping, Expectation and Results of surrogate target beyond PVI, Lessons from epicardial mapping and ablation in refractory atrial fibrillation, Evolution of radiofrequency ablation parameters, Balloon based technologies, Energy sources, Current status of esophageal protection, Fluoroless atrial fibrillation ablation, Role of MRI imaging before and after ablation, When to stop OAC after atrial fibrillation ablation, Atrial fibrillation ablation trials, Risk Factor modification before and after atrial fibrillation ablation.

Cover image
Title page
Table of Contents
Copyright
Contributors
Cardiac Electrophysiology Clinics
Foreword
Preface
Utility of Cardiac MRI in Atrial Fibrillation Management
Key points
Cardiac magnetic resonance and assessment of atrial fibrillation substrate
Cardiac magnetic resonance and atrial fibrillation ablation outcomes
Cardiac magnetic resonance to guide atrial fibrillation ablation
Cardiac magnetic resonance and assessment for risk of stroke
Risk Factor Management Before and After Atrial Fibrillation Ablation
Key points
Introduction
Modifiable risk factors associated with atrial fibrillation
Risk factor management in atrial fibrillation
Risk factor management before ablation
Risk factor management after atrial fibrillation ablation
Mechanisms for efficacy of risk factor management before and after ablation
Aggressive risk factor management reverses natural progression of atrial fibrillation
Practicalities of risk factor management—integrated care models for atrial fibrillation
Summary
How, When, and Why: High-Density Mapping of Atrial Fibrillation
Key points
Introduction
General approach to mapping of atrial fibrillation
Technical considerations of voltage mapping
High-density mapping systems
Noncontact high-density mapping
Benefits of high-density mapping
Limitations of high-density mapping
Road to the future
Summary
Advances in Atrial Fibrillation Ablation: Energy Sources Here to Stay
Key points
Introduction
Radiofrequency ablation
Cryoablation
Miscellaneous sources of energy
Pulsed field ablation
Summary
Balloon-Based Ablation Technologies
Key points
Introduction
Cryoballoon
Laser balloon
Other balloon catheter systems
Recurrent Atrial Fibrillation After Radiofrequency Ablation: What to Expect
Key points
Introduction
Early recurrence of atrial fibrillation after radiofrequency ablation
Late recurrence of atrial fibrillation after ablation
Long-term recurrence of atrial fibrillation after ablation
Pulmonary vein reisolation
Ablation of nonpulmonary vein triggers
Posterior wall isolation
Left atrial appendage isolation
Substrate-based ablation
Summary
Recurrent Atrial Fibrillation After Cryoballoon Ablation: What to Expect!
Key points
Atrial fibrillation recurrence
Atrial fibrillation recurrence in presence of pulmonary vein reconnection
Atrial fibrillation recurrence in presence of antral pulmonary vein isolation
Recurrent Atrial Fibrillation with Isolated Pulmonary Veins: What to Do
Key points
Ablation of nonpulmonary vein triggers
Summary
Beyond Pulmonary Vein Isolation in Nonparoxysmal Atrial Fibrillation: Posterior Wall, Vein of Marshall, Coronary Sinus, Superior Vena Cava, and Left Atrial Appendage
Key points
Introduction
Identification of nonpulmonary vein triggers
Posterior wall
Superior vena cava
Coronary sinus
Left atrial appendage
Persistent left superior vena cava and the vein of Marshall
Summary
Fluoroless Atrial Fibrillation Catheter Ablation: Technique and Clinical Outcomes
Key points
Introduction
Technique
Clinical outcomes
Limitations
Future perspectives
Summary
Current Status of Esophageal Protection
Key points
Introduction
Predicting risk of esophageal injury
Decreasing the risk of esophageal injury
Ablation modifications
Summary
Discontinuing Anticoagulation After Catheter Ablation of Atrial Fibrillation
Key points
Introduction
Pathophysiology of atrial fibrillation and stroke
Real-world anticoagulation practices after atrial fibrillation ablation
Monitoring for atrial fibrillation recurrence after ablation
Atrial fibrillation-triggered anticoagulation
Ongoing randomized controlled trials
Summary and recommendations

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Luigi Di Biase

Francis E. Marchlinski

Andrea Natale