Combined Cryoballoon and Radiofrequency Ablation Versus Radiofrequency Ablation Alone for Long-Standing Persistent Atrial Fibrillation

Guler T. E., Aksu T., YALIN K., Golcuk S. E., Mutluer F. O., Bozyel S.

AMERICAN JOURNAL OF THE MEDICAL SCIENCES, cilt.354, sa.6, ss.586-596, 2017 (SCI-Expanded, Scopus) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 354 Sayı: 6
  • Basım Tarihi: 2017
  • Doi Numarası: 10.1016/j.amjms.2017.08.010
  • Dergi Adı: AMERICAN JOURNAL OF THE MEDICAL SCIENCES
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.586-596
  • Anahtar Kelimeler: Linear ablation, Defragmentation, Pulmonary vein isolation, Substrate modification, PULMONARY VEIN ISOLATION, CATHETER ABLATION, LINEAR ABLATION, ELECTROGRAM, QUANTIFICATION, TERMINATION, CONDUCTION, IMPACT
  • İstanbul Üniversitesi-Cerrahpaşa Adresli: Evet

Özet

Background: To achieve sinus rhythm, ablation of long-standing persistent atrial fibrillation (LSPAF) usually requires substrate modification in addition to pulmonary vein isolation (PVI). In the present article, we aimed to compare clinical and substrate modification effects of 2 distinct PVI strategies during stepwise ablation in patients with LSPAF: (1) Combined approach: cryoballoon (CB) for PVI and radiofrequency (RF) ablation for substrate modification and (2) RF-only approach: RF ablation for both PVI and substrate modification.