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Catheter and Surgical Ablation of Atrial Fibrillation

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27 Figure 6. Schematic of Common Lesion Sets Employed in AF Ablation A schematic overview of common lesion sets created during an AF ablation procedure. Some patients with paroxysmal AF may be undertreated with pulmonary vein (PV) isolation (PVI) alone and PVI may not be enough to control persistent and long-standing persistent AF. Further modification of the atrial substrate may be required. One of the strategies that has been proposed is to electrically isolation of the posterior wall. is can be performed by creating a linear ablation of the LA roof joining the superior PVs and the LA floor joining the inferior PVs or by point-by-point ablation of the entire posterior wall.

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