Our Latest Results
For paroxysmal AF (PAF) – we perform wide encirclement of all 4 pulmonary veins (PV) and confirm electrical isolation with a PV mapping catheter.
For chronic AF (persistent or permanent) – we perform wide encirclement with electrical isolation of all 4 PV’s. If AF persists we then perform the following until AF terminates: ablation of fractionated signals in LA; ablation of fractionated potentials in the CS; linear ablation of the LA roof and right atrial cavotricuspid isthmus lines. If we fail to convert the patient to normal sinus rhythm we then perform cardioversion.
Using these techniques and using CT integration our 2005 results are as below.
Paroxysmal AF |
94% |
Persistent/Permanent AF |
73% |
Overall |
83% |
Follow Up (weeks) |
24±6 |
Please note however that to achieve this repeat procedures are necessary in 32% of patients
All patients have completed a minimum of 6 months F/Up.
Success was defined as symptom free and no more than 30 secs on AF on a 7 day holter.
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