Karim Benali, Valentin Barré, Alexis Hermida, Vincent Galand, Antoine Milhem, Séverine Philibert, Serge Boveda, Clément Bars, Frédéric Anselme, Baptiste Maille, Clémentine André, Albin Behaghel, Ghassan Moubarak, Nicolas Clémenty, Antoine Da Costa, Marine Arnaud, Sandrine Venier, Frédéric Sebag, Laurence Jésel-Morel, Audrey Sagnard, Laure Champ-Rigot, Duc Dang, Benoit Guy-Moyat, Selim Abbey, Rodrigue Garcia, Olivier Césari, Nicolas Badenco, Antoine Lepillier, Sandro Ninni, Stéphane Boulé, Philippe Maury, Vincent Algalarrondo, Babé Bakouboula, Jacques Mansourati, François Lesaffre, Philippe Lagrange, Abdeslam Bouzeman, Lucian Muresan, Raoul Bacquelin, Agustin Bortone, Sok-Sithikun Bun, Dominique Pavin, Laurent Macle, Raphaël P Martins
BACKGROUND: Recurrences of atrial fibrillation (AF) after pulmonary vein isolation (PVI) are mainly due to pulmonary vein reconnection. However, a growing number of patients have AF recurrences despite durable PVI. The optimal ablative strategy for these patients is unknown. We analyzed the impact of current ablation strategies in a large multicenter study. METHODS: Patients undergoing a redo ablation for AF and presenting durable PVI were included. The freedom from atrial arrhythmia after pulmonary vein-based, linear-based, electrogram-based, and trigger-based ablation strategies were compared...
February 20, 2023: Circulation. Arrhythmia and Electrophysiology