Abstract
Résumé
- 1According to the conceptual notion of Garrey, fractionation of the atrial tissue into smaller segments would not allow multiple reentrant wavelets to be maintained.
- 2To preserve atrial contraction, mandatory for the transport function and for eliminating the risk of thromboembolic events, all these segments should be linked to each other. Impulse propagation into dead-end pathways would not allow reentry to occur but would allow depolarization of sufficient atrial myocardium to ensure contraction.
- 3The numerous atrial incisions required to address the first 2 assumptions would interrupt any possible macroreentrant pathway.
- Calkins H.
- Brugada J.
- Packer D.L.
- et al.
Report of the HRS/EHRA/ECAS expert consensus statement on catheter and surgical ablation of atrial fibrillation: recommendations for personnel, policy, procedures and follow-up.
Elimination of AF
Outcome Benefit: Cardiac Events and Survival
Stroke
Lesion Set
- Calkins H.
- Brugada J.
- Packer D.L.
- et al.
Report of the HRS/EHRA/ECAS expert consensus statement on catheter and surgical ablation of atrial fibrillation: recommendations for personnel, policy, procedures and follow-up.


Cardiac status or type of atrial fibrillation | Paroxysmal | Persistent, mixed, or continuous |
---|---|---|
Lone atrial fibrillation | PVI | PVI+ |
Mitral valve surgery | PVI+ | Bi-atrial (CM) or PVI+ |
Aortic valve/CABG surgery | PVI | PVI+ |
Postoperative Care and Anticoagulation After AF Surgery
- Calkins H.
- Brugada J.
- Packer D.L.
- et al.
Report of the HRS/EHRA/ECAS expert consensus statement on catheter and surgical ablation of atrial fibrillation: recommendations for personnel, policy, procedures and follow-up.
Conclusion
- Calkins H.
- Brugada J.
- Packer D.L.
- et al.
Report of the HRS/EHRA/ECAS expert consensus statement on catheter and surgical ablation of atrial fibrillation: recommendations for personnel, policy, procedures and follow-up.
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Article Info
Publication History
Footnotes
The disclosure information of the authors and reviewers is available from the CCS on the following Web sites: www.ccs.ca and www.ccsguidelineprograms.ca.
This statement was developed following a thorough consideration of medical literature and the best available evidence and clinical experience. It represents the consensus of a Canadian panel comprised of multidisciplinary experts on this topic with a mandate to formulate disease-specific recommendations. These recommendations are aimed to provide a reasonable and practical approach to care for specialists and allied health professionals obliged with the duty of bestowing optimal care to patients and families, and can be subject to change as scientific knowledge and technology advance and as practice patterns evolve. The statement is not intended to be a substitute for physicians using their individual judgment in managing clinical care in consultation with the patient, with appropriate regard to all the individual circumstances of the patient, diagnostic and treatment options available and available resources. Adherence to these recommendations will not necessarily produce successful outcomes in every case.