Isolating the posterior left atrium and pulmonary veins with a "box" lesion set: use of epicardial ablation to complete electrical isolation.

Abstract:

:Similar to the surgical mini-maze procedure, the posterior "box" lesion set employs linear ablation lesions along the anterior aspects of both sets of PVs connected by a roof line and an inferior line to electrically isolate the PVs and complete posterior LA wall en masse. However, creating fully transmural linear atrial lesions can be difficult to achieve, even with an irrigated ablation catheter. This report details a case wherein a combined endocardial and epicardial approach was required to create an electrically continuous posterior box lesion in a patient with persistent AF.

authors

Reddy VY,Neuzil P,D'Avila A,Ruskin JN

doi

10.1111/j.1540-8167.2007.00944.x

subject

Has Abstract

pub_date

2008-03-01 00:00:00

pages

326-9

issue

3

eissn

1045-3873

issn

1540-8167

pii

JCE944

journal_volume

19

pub_type

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