I do AF ablation. But, similar to my 2015 update, I continue to do fewer of these procedures. What is new in 2016 is more confidence that this is the right approach. My technique for ablating AF has not changed. I do pulmonary vein isolation (PVI) with point-to-point RF. Each burn takes 10-30 seconds, and […]
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It has been awhile since I wrote about catheter ablation of Atrial fibrillation (AF). It’s time. Things have changed—for the better. But you wouldn’t have guessed this if all you read were recent headlines. Medpage Today says AF ablation is dogged by complications. TheHeart.org calls complications after AF ablation not uncommon. These stories summarize the […]
Today is the third and final day of the Boston AF symposium. (My editorial comments in italics.) Dr Hugh Caulkins started the day by reviewing the major clinical trials of AF ablation. A lot of these I have written about previously. One of the most pivotal trials to mention is CABANA. Here, investigators are enrolling […]
It has been awhile since I wrote about catheter ablation of Atrial fibrillation (AF). It’s time. Things have changed—for the better. But you wouldn’t have guessed this if all you read were recent headlines. Medpage Today says AF ablation is dogged by complications. TheHeart.org calls complications after AF ablation not uncommon. These stories summarize the […]
Catheter ablation of atrial fibrillation continues to ascend into the mainstream. The treasure of eliminating AF [symptoms] without taking pills stokes the demand for a fix. People like fixes. Technological advances in catheters and mapping systems along with the formation of neural pathways (skills) in ablationists have fueled the growth of AF ablation. The epidemic […]
Earlier this month, heart rhythm professionals from all over the world met in San Francisco. I found the 2011 version of the Heart Rhythm Society meeting an incredible learning experience–a buffet of knowledge on all matters electric. Here’s a book report of sorts on a few atrial fibrillation (AF) related issues: From above the trees, […]
In treating atrial fibrillation (AF), this year has witnessed some real excitement. Â And not all the good news has to do with new pills. Recently, there has been a flurry of encouraging and objective news on ablating AF. Here are some comments on three notable studies that address three important questions: What are the ‘long-term’ […]
Catheter Ablation of the planets most ubiquitous arrhythmia, atrial fibrillation was in the news this week. A study showing pulmonary vein isolation is far more effective than drugs for controlling AF in a relatively young healthy patient cohort who has failed a prior anti-arrhythmic drug. It strikes me as an intellectually honest study: 5645 patients […]
Most years I write an update on any big developments in AF ablation. This year’s version will be a short one. I have little new to report. But it’s worth reviewing some basic issues. We still do not know the cause of atrial fibrillation (AF). That makes it hard to fix with ablation. Knowledge Deficits: […]
(The CABANA trial is slated for release in two days at the 2018 HRS Meeting. Here is a preview.) Technology has made modern life easier. This is good for lots of things, but not for avoiding atrial fibrillation (AF). As people in Western society grow older, heavier, less physically active, more distracted, and perhaps more […]
This post is an introduction to commentary I made recently over at theHeart.org on Medscape. Gender features in the discussion, but there are lessons for men and women with AF. *** A large study from a group of Stanford researchers made three big observations on AF ablation: Women, compared with men, presented for first AF […]