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• W2927574735 abstract "Catheter ablation has been established as a standard therapy of paroxysmal atrial fibrillation (AF) due to excellent long-term results following pulmonary vein isolation (PVI). Although catheter ablation is also widely used for persistent AF, it remains a challenge with unsatisfactory clinical outcome. Ablation of persistent AF with the stepwise approach offers high procedural AF termination rates and modest long-term success rates compared with PVI alone. However, an acceptable clinical outcome is only achieved at the cost of long extensive procedures and multiple repeat procedures due to recurrent ATs. Newer studies show no benefit of these extensive ablation strategies as the initial ablation approach, and thus favor lone PVI at least as the first ablation attempt in persistent AF. This is also supported by the current guidelines. However, due to the low long-term success rates of sole PVI, subsequent additional ablation strategies are necessary in a majority of patients." @default.
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• W2927574735 date "2019-04-05" @default.
• W2927574735 modified "2023-10-18" @default.
• W2927574735 title "Stepwise Approach to Atrial Fibrillation Mapping and Ablation in Persistent and Long-standing Persistent Atrial Fibrillation" @default.
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• W2927574735 doi "https://doi.org/10.1002/9781119152637.ch46" @default.
• W2927574735 hasPublicationYear "2019" @default.
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