[The outcome and prognosis of catheter ablation for atrial fibrillation]

Nihon Rinsho. 2013 Jan;71(1):98-104.
[Article in Japanese]

Abstract

The effect of radiofrequency catheter ablation for atrial fibrillation (AF-ABL) has been established in the last decade and has become one of the major therapeutic options. As for the outcome of AF-ABL, there exit wide varieties in the success rate among the reports published so far, mainly due to the differences in the patient characteristics, ablation methods, and the observation manner/periods. In general, approximately 90% of success can be obtained in paroxysmal AF by a single procedure without the use of antiarrhythmic drugs, while it is around 60 to 80 % in persistent AF even with both repeat sessions and the use of drugs. The success rate has been shown to be constantly reduced during the long-term followup periods irrespective of the AF-type. Although AF-ABL has been shown to be effective to maintain sinus-rhythm compared to the pharmacological method, its impact on the prognosis has not been established yet.

Publication types

  • English Abstract
  • Review

MeSH terms

  • Anti-Arrhythmia Agents / therapeutic use
  • Atrial Fibrillation / drug therapy
  • Atrial Fibrillation / surgery*
  • Catheter Ablation* / methods
  • Humans
  • Prognosis
  • Secondary Prevention
  • Treatment Outcome

Substances

  • Anti-Arrhythmia Agents