Let’s get off cell biology and back to something I really know. Atrial fibrillation, AF ablation and blood thinners. There was an important study published today in the Journal of the American College of Cardiology concerning the use of the new blood thinner, dabigatran (Pradaxa), around the time of AF ablation. A very concise overview, […]
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Here is a PDF file of our AHA poster presentation. We looked back at our AF ablation experience over the past four years.I was curious whether reports from large centers showing that females fared less well with AF ablation were the same in our real-world cohort. Indeed they were. The presentation is only 16 slides: […]
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 […]
Here is our AHA poster. In powerpoint version: Gender-specific results of AF Ablation in a Private Practice Setting And in PDF: Gender-specific results of AF ablation in a Private Practice Setting-PDF The actual poster: (Click to enlarge.) I would like to thank my co-authors. Without their volunteerism and can-do ethos, we would simply not know […]
There is more bad news for the newest atrial fibrillation ablation tool–Medtronic’s Ablation Frontiers catheter-ablation system. After an overly positive press release last month, I wrote about the system’s safety issues. Namely, that although effective, the multi-electrode PVAC circular ablation catheter was associated with an increased risk of stroke. Previous studies on the catheter showed […]
The news wires for atrial fibrillation were abuzz this afternoon. The vigor and speed with which health news travels is striking. Since 2.6 million Americans live with AF, my guess is that many are looking at the release of the Medtronic-sponsored TTOP-AF trial with anticipation. Here is a link to the press release. The trial […]
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Recent news in AF ablation
Only a few days had passed before the emails began arriving in earnest. The recently reported study in the Journal of the American College of Cardiology revealed “sobering” long-term results in atrial fibrillation ablation. That the seemingly negative results came from the highly-respected AF-ablation center in Bordeaux, France, made it more newsworthy. On first glance […]
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’ […]
In atrial fibrillation (AF) ablation, things are changing for the better. And good news makes for good blog posts. How do I know times are changing? Because I heard an EP nurse say something stunning–a sign of a new era in electrophysiology. Recently, during an incredibly difficult PVC ablation, she whispered cautiously to herself, “I’d rather […]
After reading this Washington Post story on the complexity of AF ablation decisions, I wrote, and wrote, and it just didn’t come together well. Â Not well enough to do the topic of AF ablation justice. Â Then this thoughtful email came. My question: How does a patient have even the faintest idea whose advice is better […]
Even in Bordeaux, expensive robots prove no better than the human hands, in AF ablation. As presented last week at HRS, the justifiably famous Bordeaux group compared the highly proclaimed (especially in the mainstream media) robotic ablation system against the conventional human approach, and concluded the following… Conclusions: MNS (ed. note: MNS=robot) guided PVI in patients […]