Catheter Ablation in Atrial Fibrillation: Recent Advances
- PMID: 39768622
- PMCID: PMC11679530
- DOI: 10.3390/jcm13247700
Catheter Ablation in Atrial Fibrillation: Recent Advances
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.
Keywords: atrial fibrillation; catheter ablation; cryoballoon; mapping; pulsed field; radiofrequency.
Conflict of interest statement
The authors declare no conflicts of interest.
References
-
- Martin S.S., Aday A.W., Almarzooq Z.I., Anderson C.A., Arora P., Avery C.L., Baker-Smith C.M., Gibbs B.B., Beaton A.Z., Boehme A.K., et al. 2024 Heart Disease and Stroke Statistics: A Report of US and Global Data from the American Heart Association. Circulation. 2024;149:e347–e913. doi: 10.1161/CIR.0000000000001209. Erratum in Circulation 2024, 149, e1164. - DOI - PubMed
-
- Zafeiropoulos S., Doundoulakis I., Bekiaridou A., Farmakis I.T., Papadopoulos G.E., Coleman K.M., Giannakoulas G., Zanos S., Tsiachris D., Duru F., et al. Rhythm vs. Rate Control Strategy for Atrial Fibrillation: A Meta-Analysis of Randomized Controlled Trials. Pt 1JACC Clin. Electrophysiol. 2024;10:1395–1405. doi: 10.1016/j.jacep.2024.03.006. - DOI - PubMed
-
- Kanagaratnam P., McCready J., Tayebjee M., Shepherd E., Sasikaran T., Todd D., Johnson N., Kyriacou A., Hayat S., Hobson N.A., et al. Ablation versus anti-arrhythmic therapy for reducing all hospital episodes from recurrent atrial fibrillation: A prospective, randomized, multi-centre, open label trial. Europace. 2023;25:863–872. doi: 10.1093/europace/euac253. - DOI - PMC - PubMed
-
- Al-Kaisey A.M., Parameswaran R., Bryant C., Anderson R.D., Hawson J., Chieng D., Segan L., Voskoboinik A., Sugumar H., Wong G.R., et al. Atrial Fibrillation Catheter Ablation vs Medical Therapy and Psychological Distress: A Randomized Clinical Trial. JAMA. 2023;330:925–933. doi: 10.1001/jama.2023.14685. - DOI - PMC - PubMed
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