Extra-ostial pulmonary venous isolation: use of epicardial ablation to eliminate a point of conduction breakthrough.

Abstract:

:Epicardial RFA to Achieve Electrical PV Isolation. During catheter ablation of atrial fibrillation, ablation within the pulmonary veins is undesirable due to the risk of pulmonary venous stenosis and the possibility of leaving residual cuffs of arrhythmogenic tissue proximal to the ablation lesion set. An extra-ostial pulmonary vein isolation strategy may circumvent these limitations, but achieving electrical isolation can be technically challenging, even with the use of saline-irrigated radiofrequency energy technology. This report describes the successful use of epicardial radiofrequency ablation in a patient in whom endocardial irrigated radiofrequency ablation failed to achieve extra-ostial pulmonary vein isolation.

authors

Reddy VY,Neuzil P,Ruskin JN

doi

10.1046/j.1540-8167.2003.03049.x

keywords:

subject

Has Abstract

pub_date

2003-06-01 00:00:00

pages

663-6

issue

6

eissn

1045-3873

issn

1540-8167

journal_volume

14

pub_type

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