Individualized ablation strategy guided by live simultaneous global mapping to treat persistent atrial fibrillation
File(s)Revision Submission Future Cardiology.pdf (2.56 MB)
Accepted version
Author(s)
Shi, Rui
Norman, Mark
Chen, Zhong
Wong, Tom
Type
Journal Article
Abstract
Atrial fibrillation (AF) is the most common clinical arrhythmia encountered. Catheter ablation has become the first-line therapy for symptomatic drug-refractory paroxysmal and persistent AF. Although pulmonary vein electrical isolation is still the cornerstone of the ablation strategy, the clinical outcome particularly in treating persistent AF is suboptimal. Significant efforts have been applied with live global chamber mapping of AF aimed to identify patient-specific drivers and/or maintainers located outside of the pulmonary veins to further improve the outcome of catheter ablation. Within this review, we present an overview of contemporary global chamber AF mapping technologies and characteristics, with a particular focus on global, noncontact, dipole density mapping illustrated with a clinical case of persistent AF ablation using this novel methodology.
Date Issued
2018-05-01
Date Acceptance
2018-02-01
Citation
Future Cardiology, 2018, 14 (3), pp.237-249
ISSN
1479-6678
Publisher
Future Medicine
Start Page
237
End Page
249
Journal / Book Title
Future Cardiology
Volume
14
Issue
3
Copyright Statement
© 2018 Future Medicine Ltd.
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/29441808
Subjects
atrial fibrillation
catheter ablation
dipole density noncontact mapping
Publication Status
Published
Coverage Spatial
England
Date Publish Online
2018-02-14