<p>Pulmonary vein isolation (PVI) is now a cornerstone of treatment for atrial fibrillation. The unipolar voltage map analysis could determine the thick atrial wall areas of the pulmonary vein. However, the benefit of utilizing a unipolar voltage map in routine PVI is unknown. Twenty-seven cases received conventional PVI and 21 cases received the unipolar-voltage-map-guided ablation. Total RF points were decreased from 97 to 70 points in average for the unipolar-guided group. The one-year recurrence rate in paroxysmal atrial fibrillation was 42.1% in the conventional group and 33.3% in the unipolar voltage map-guided group.</p>

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Unipolar voltage map guided catheter ablation is an efficient approach to achieve pulmonary vein isolation

  • Takumi J Matsubara,
  • Sadaharu Matsumoto,
  • Masato Anai,
  • Yoko Taira,
  • Daisuke Maebuchi,
  • Masahiro Myojo,
  • Yasuyuki Sugishita,
  • Nobuhiko Ito,
  • Fumiko Tabei

摘要

Pulmonary vein isolation (PVI) is now a cornerstone of treatment for atrial fibrillation. The unipolar voltage map analysis could determine the thick atrial wall areas of the pulmonary vein. However, the benefit of utilizing a unipolar voltage map in routine PVI is unknown. Twenty-seven cases received conventional PVI and 21 cases received the unipolar-voltage-map-guided ablation. Total RF points were decreased from 97 to 70 points in average for the unipolar-guided group. The one-year recurrence rate in paroxysmal atrial fibrillation was 42.1% in the conventional group and 33.3% in the unipolar voltage map-guided group.