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  What is AF?

Atrial Fibrillation (AF) is the most common, abnormal rhythm of the heart.
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>> How common is AF?

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Treating Atrial Fibrillation Presentation / 12MB

Richard Schilling
St Bartholomew's Hospital, Queen Mary’s University of London
London bridge hospital
 

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.

 

 
 
Copyright 2005 Dr Richard Schilling: All rights reserved.
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