With the rapid evolution of atrial fibrillation ablation procedures, electrophysiologists
have necessarily strived for simple and anatomic-based approaches. In all except the
most straightforward procedures, however, questions regarding the significance of
various potentials recorded on mapping and ablation catheters arise.
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Other articles in this series have described in detail the various approaches to
atrial fibrillation ablation. In this article, the anatomic and electrophysiologic
bases for pacing maneuvers used with a variety of ablation approaches are reviewed.
The primary focus is on understanding the pacing maneuvers relevant to pulmonary vein
(PV) isolation. These techniques, with some changes, can be applied to ablation of
the superior vena cava and vein of Marshall.Keywords
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References
- Mapping-guided ablation of pulmonary veins to cure atrial fibrillation.Am J Cardiol. 2000; 86: K9-K19
- Circumferential radiofrequency ablation of pulmonary vein ostia: a new anatomic approach for curing atrial fibrillation.Circulation. 2000; 102: 2619-2628
- Progress in nonpharmacologic therapy of atrial fibrillation.J Cardiovasc Electrophysiol. 2003; 14: S296-S309
- Methods to identify the pulmonary vein ostium.Heart Rhythm. 2005; 2: 1090-1093
Article Info
Publication History
Published online: January 15, 2007
Identification
Copyright
© 2007 Heart Rhythm Society. Published by Elsevier Inc. All rights reserved.
