EP 101 2020: A Virtual Program for Incoming EP Fellows-AF Ablation

Video Transcription

Video Summary

AF ablation is a complex procedure that aims to treat symptoms related to atrial fibrillation (AFib). The procedure involves isolating the pulmonary veins, which are the main source of initiation for AFib. There is controversy surrounding AF ablation due to the lack of consensus and straightforward guidelines. The main focus is on symptom relief for patients with AFib. Paroxysmal AFib patients who have failed drug treatment are good candidates for ablation. Other patients who may benefit from AF ablation include those with congestive heart failure, hypertrophic cardiomyopathy, tacky brady, and athletes. Success rates for AF ablation vary, but generally range around 80%. It is important to note that the success rate is not 100% and some patients may require repeat procedures. Complications of AF ablation include pulmonary vein stenosis, esophageal injury, and phrenic nerve damage. Strategies to minimize these complications include careful lesion placement, monitoring impedance, and pacing the phrenic nerve. The best approach to AF ablation for permanent AFib is still under debate and depends on individual patient factors.

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Greg Michaud, MD

Keywords

AF ablation

atrial fibrillation

symptoms

pulmonary veins

controversy

success rates

complications

repeat procedures

permanent AFib