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European Heart Journal Advance Access published online on September 1, 2008
European Heart Journal, doi:10.1093/eurheartj/ehn390
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org

Rhythm-‘a-line-ment’ during catheter ablation of chronic atrial fibrillation: the role of left atrial linear lesions

Thomas Rostock and Stephan Willems*

University Hospital Eppendorf, Heart Center, Department of Electrophysiology, D-20246 Hamburg, Germany

* Corresponding author. Tel: +49 40 428034120, Fax: +49 40 428034125, Email: willems@uke.uni-hamburg.de

This editorial refers to ‘Left atrial linear lesions are required for successful treatment of persistent atrial fibrillation’, by S. Knecht et al. doi:10.1093/eurheartj/ehn302

The first 10% of the full text of this article appears below.

Although recommended by the current guidelines for the treatment of atrial fibrillation (AF),1,2 catheter ablation of long-standing persistent AF (herein referred to as chronic AF) still remains a challenge for the interventional electrophysiologist. Initial attempts at a successful treatment of chronic AF have concentrated on different lesion sets. In the past, we have learned that pulmonary vein (PV) isolation alone, irrespective of its extension in terms of isolated atrial tissue around the PVs, is not sufficient to achieve a considerable success rate and, therefore, is restricted to a very selected cohort of chronic AF patients.3,4 Thus, additional arrhythmogenic processes beyond the PVs have become evident in the pathophysiology of chronic AF. Based on the concept of the ‘multiple wavelet’ hypothesis and in an effort to . . . [Full Text of this Article]


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Left atrial linear lesions are required for successful treatment of persistent atrial fibrillation
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EHJ 2008 29: 2359-2366. [Abstract] [FREE Full Text]