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Atrial Fibrillation pp 255–274Cite as

Isolation of Pulmonary Vein Antrum Triggers

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Part of the book series: Contemporary Cardiology ((CONCARD))

Abstract

Atrial fibrillation (AF) triggers are repetitive bursts of ectopic atrial activity that can induce AF. These triggers are often located in the pulmonary vein antra (PVA). The latter are tubular structures arising from the posterior wall of the left atrium and giving rise to the pulmonary veins. Multiple imaging modalities have been used to define the PVA, including intracardiac echocardiography along with computed tomographic scans and magnetic resonance imaging. Isolation of AF triggers by performing PVA isolation has been shown to be superior and safer than focal ablation of these triggers. The PVA isolation procedure is often performed using two catheters, a circular mapping catheter and an ablation catheter. The endpoint of this pro cedure is to electrically isolate the pulmonary vein antra.

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Author information

Authors and Affiliations

  1. Staff Electrophysiologist, Cardiac Pacing and Electrophysiology, Cleveland Clinic Foundation, Cleveland, OH, USA

    Mohamed Kanj

  2. Staff Electrophysiologist, Southlake Regional Health Centre, Newmarket, Ontario, Canada

    Atul Verma

  3. Electrophysiology Research Fellow, Section of Cardiac Electrophysiology and Pacing, Cleveland Clinic Foundation, Cleveland, OH, USA

    Dimpi Patel

  4. Director, EP Clinical Operations, Section of Cardiac Electrophysiology and Pacing, Department of Cardiovascular Medicine, Cleveland Clinic Foundation, Cleveland, OH, USA

    Robert Schweikert

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  1. Mohamed Kanj
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  2. Atul Verma
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  3. Dimpi Patel
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  4. Robert Schweikert
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Editors and Affiliations

  1. Arrhythmia Institute, St. David's Medical Center, Austin, Texas, USA

    Andrea Natale MD (Executive Medical Director of the Texas Cardiac Arrhythmia Institute, Consulting Professor) (Executive Medical Director of the Texas Cardiac Arrhythmia Institute, Consulting Professor)

  2. Division of Cardiology, Stanford University, Palo Alto, CA, USA

    Andrea Natale MD (Executive Medical Director of the Texas Cardiac Arrhythmia Institute, Consulting Professor) (Executive Medical Director of the Texas Cardiac Arrhythmia Institute, Consulting Professor)

  3. University of Michigan, Ann Arbor, MI, USA

    José Jalife MD (Professor of Internal Medicine, The Cyrus and Jane Farrehi Professor of Cardiovascular Research, Professor of Molecular and Integrative Physiology) (Professor of Internal Medicine, The Cyrus and Jane Farrehi Professor of Cardiovascular Research, Professor of Molecular and Integrative Physiology)

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Kanj, M., Verma, A., Patel, D., Schweikert, R. (2008). Isolation of Pulmonary Vein Antrum Triggers. In: Natale, A., Jalife, J. (eds) Atrial Fibrillation. Contemporary Cardiology. Humana Press. https://doi.org/10.1007/978-1-59745-163-5_19

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  • DOI: https://doi.org/10.1007/978-1-59745-163-5_19

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