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Singh S, Garg L, Kanjwal MY, Bliden K, Tantry US, Gurbel PA, Alraies MC, Damluji AA. Catheter Ablation in Atrial Fibrillation: Recent Advances. J Clin Med 2024; 13:7700. [PMID: 39768622 PMCID: PMC11679530 DOI: 10.3390/jcm13247700] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2024] [Revised: 12/08/2024] [Accepted: 12/16/2024] [Indexed: 01/11/2025] Open
Abstract
Atrial fibrillation (AF) is the leading cause of arrhythmia-related morbidity and mortality. Recurrent symptoms, hospitalizations, and cost burden to patients have necessitated treatments beyond antiarrhythmic drugs (AADs) for patients with AF. Catheter ablation has proven to be effective over medical therapy alone; however the recurrence rates for atrial tachyarrhythmias post-ablation remain significant, particularly in patients with persistent and long-standing persistent AF. Hence, new techniques for catheter ablation have arisen, such as non-thermal energy sources, novel catheters, electroanatomical mapping, and ablation of additional targets. In this review, we discuss the recent advances in the field of catheter ablation, including newer modalities for the prevention of adverse events and future perspectives.
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Affiliation(s)
- Sahib Singh
- Department of Medicine, Sinai Hospital of Baltimore, Baltimore, MD 21215, USA
| | - Lohit Garg
- Division of Cardiology, University of Colorado, Aurora, CO 80045, USA;
| | - Mohammed Y. Kanjwal
- Division of Cardiology, Sinai Hospital of Baltimore, Baltimore, MD 21215, USA; (M.Y.K.); (P.A.G.)
| | - Kevin Bliden
- Sinai Center for Thrombosis Research, Sinai Hospital of Baltimore, Baltimore, MD 21215, USA; (K.B.); (U.S.T.)
| | - Udaya S. Tantry
- Sinai Center for Thrombosis Research, Sinai Hospital of Baltimore, Baltimore, MD 21215, USA; (K.B.); (U.S.T.)
| | - Paul A. Gurbel
- Division of Cardiology, Sinai Hospital of Baltimore, Baltimore, MD 21215, USA; (M.Y.K.); (P.A.G.)
| | - M. Chadi Alraies
- Division of Cardiology, Wayne State University/Detroit Medical Center, Detroit, MI 48201, USA;
| | - Abdulla A. Damluji
- Division of Cardiology, Inova Center of Outcomes Research, Falls Church, VA 22042, USA;
- Division of Cardiology, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA
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Matsunaga-Lee Y, Inoue K, Tanaka N, Masuda M, Watanabe T, Minamiguchi H, Egami Y, Oka T, Miyoshi M, Okada M, Matsuda Y, Kawasaki M, Kawanami S, Ukita K, Kawamura A, Yasumoto K, Okamoto N, Yano M, Nishino M, Hikoso S, Sunaga A, Dohi T, Okada K, Nakatani D, Sotomi Y, Sakata Y. Risk factors of late arrhythmia recurrences over 12 months after catheter ablation of atrial fibrillation: Insight into atrial cardiomyopathy. Heart Rhythm 2024:S1547-5271(24)03691-9. [PMID: 39701441 DOI: 10.1016/j.hrthm.2024.12.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/26/2024] [Revised: 12/05/2024] [Accepted: 12/07/2024] [Indexed: 12/21/2024]
Affiliation(s)
| | - Koichi Inoue
- National Hospital Organization Osaka National Hospital, Osaka, Japan
| | | | | | | | | | - Yasuyuki Egami
- Division of Cardiology, Osaka Rosai Hospital, Osaka, Japan
| | - Takafumi Oka
- Osaka University Graduate School of Medicine, Suita, Japan
| | - Miwa Miyoshi
- Osaka Hospital, Japan Community Healthcare Organization, Osaka, Japan
| | | | | | | | | | - Kohei Ukita
- Division of Cardiology, Osaka Rosai Hospital, Osaka, Japan
| | - Akito Kawamura
- Division of Cardiology, Osaka Rosai Hospital, Osaka, Japan
| | - Koji Yasumoto
- Division of Cardiology, Osaka Rosai Hospital, Osaka, Japan
| | | | - Masamichi Yano
- Division of Cardiology, Osaka Rosai Hospital, Osaka, Japan
| | - Masami Nishino
- Division of Cardiology, Osaka Rosai Hospital, Osaka, Japan.
| | - Shungo Hikoso
- Osaka University Graduate School of Medicine, Suita, Japan; Nara Medical University, Nara, Japan
| | - Akihiro Sunaga
- Osaka University Graduate School of Medicine, Suita, Japan
| | - Tomoharu Dohi
- Osaka University Graduate School of Medicine, Suita, Japan
| | - Katsuki Okada
- Osaka University Graduate School of Medicine, Suita, Japan
| | | | - Yohei Sotomi
- Osaka University Graduate School of Medicine, Suita, Japan
| | - Yasushi Sakata
- Osaka University Graduate School of Medicine, Suita, Japan
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Vandenberk B, Chew DS. Fine-tuning early rhythm control strategies for atrial fibrillation-Timing matters to stay in sync. Heart Rhythm 2024; 21:1485-1486. [PMID: 38705439 DOI: 10.1016/j.hrthm.2024.05.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/22/2024] [Revised: 04/30/2024] [Accepted: 05/02/2024] [Indexed: 05/07/2024]
Affiliation(s)
- Bert Vandenberk
- Department of Cardiology, UZ Leuven, Leuven, Belgium; Department of Cardiovascular Sciences, KU Leuven, Leuven, Belgium
| | - Derek S Chew
- Department of Cardiac Sciences, Libin Cardiovascular Institute of Alberta, University of Calgary, Calgary, Alberta, Canada.
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Calvert P, Mills MT, Gupta D. Duration of atrial fibrillation: How much is too much? Heart Rhythm 2024; 21:741-742. [PMID: 38336195 DOI: 10.1016/j.hrthm.2024.01.057] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/26/2024] [Revised: 01/29/2024] [Accepted: 01/30/2024] [Indexed: 02/12/2024]
Affiliation(s)
- Peter Calvert
- Liverpool Centre for Cardiovascular Science at University of Liverpool, Liverpool, United Kingdom; Liverpool Heart & Chest Hospital NHS Foundation Trust, Liverpool, United Kingdom
| | - Mark T Mills
- Liverpool Centre for Cardiovascular Science at University of Liverpool, Liverpool, United Kingdom; Liverpool Heart & Chest Hospital NHS Foundation Trust, Liverpool, United Kingdom
| | - Dhiraj Gupta
- Liverpool Centre for Cardiovascular Science at University of Liverpool, Liverpool, United Kingdom; Liverpool Heart & Chest Hospital NHS Foundation Trust, Liverpool, United Kingdom.
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