Complications in the catheter ablation of atrial fibrillation: incidence and management

Radiofrequency catheter ablation is widely performed as an effective treatment for recurrent, drug-resistant atrial fibrillation (AF). Recently, various types of ablation strategies, such as extensive encircling pulmonary vein (PV) isolation, linear ablation and complex fractionated electrogram-guid...

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Bibliographic Details
Published in:Circulation journal : official journal of the Japanese Circulation Society Vol. 73; no. 2; p. 221
Main Authors: Takahashi, Atsushi, Kuwahara, Taishi, Takahashi, Yoshihide
Format: Journal Article
Language:English
Published: Japan 2009
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ISSN:1346-9843
Online Access:Get more information
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Summary:Radiofrequency catheter ablation is widely performed as an effective treatment for recurrent, drug-resistant atrial fibrillation (AF). Recently, various types of ablation strategies, such as extensive encircling pulmonary vein (PV) isolation, linear ablation and complex fractionated electrogram-guided ablation, have been used to achieve a high efficacy for all types of AF. However, several complications (thromboembolic events, PV stenosis and atrio-esophageal fistula etc) with an incidence of 3.9-6%, have been reported. It is important to understand the incidence, prevention and management of complications in order to develop safe ablation strategies.
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ISSN:1346-9843
DOI:10.1253/circj.cj-08-1097