EP on EP Episode 70: Approaching Ablation for Persistent AF with Jonathan M. Kalman, MBBS, PhD, FHRS-EP on EP Episode 70

Video Transcription

Video Summary

Dr. John Kalman, an expert in electrophysiology, discusses the treatment approach for persistent atrial fibrillation (AF). He mentions that the general approach for primary treatment is wide-antral isolation, but there are ongoing trials investigating the additional benefit of posterior left atrial isolation. Factors such as the duration of AF and the size of the left atrium are considered when deciding the treatment approach. While there is no strong outcome data supporting additional ablation beyond antral isolation, Dr. Kalman believes that posterior left atrial isolation may be beneficial for certain patients. However, he also emphasizes the importance of individualized treatment based on patient characteristics.

Keywords

persistent atrial fibrillation

wide-antral isolation

posterior left atrial isolation

treatment approach

individualized treatment