EP Fellows Curriculum: AF Ablation - The Non-Pulmonary Vein Trigger Ablation Approach-EP Fellows Curriculum: AF Ablation - The Non-Pulmonary Vein Trigger Ablation Approach

EP Fellows Curriculum: AF Ablation - The Non-Pulmonary Vein Trigger Ablation Approach

Video Transcription

Video Summary

The speaker discussed the non-PV trigger approach in atrial fibrillation (AF) ablation. They explained that while the majority of AF triggers are located in the pulmonary veins (PVs), there are other triggers outside of the PVs that can contribute to AF. They highlighted the importance of targeting these non-PV triggers, particularly in patients with persistent or long-standing persistent AF. The speaker emphasized the significance of posterior wall isolation, superior vena cava isolation, coronary sinus ablation, and left atrial appendage isolation in these patients. They presented evidence from studies and their own clinical experience to support the effectiveness of these approaches. The speaker also discussed the thrombogenic risk associated with left atrial appendage isolation and the importance of proper anticoagulation. They mentioned ongoing research and clinical trials to evaluate various ablation strategies and determine the optimal approach for AF treatment. The speaker concluded by stating the importance of achieving sinus rhythm in all patients undergoing AF ablation.

Keywords

non-PV trigger approach

atrial fibrillation ablation

persistent AF

posterior wall isolation

superior vena cava isolation

coronary sinus ablation

left atrial appendage isolation

anticoagulation