Acute electrical isolation is a necessary but insufficient endpoint for achieving durable PV isolation: the importance of closing the visual gap.

@article{Miller2012AcuteEI,
  title={Acute electrical isolation is a necessary but insufficient endpoint for achieving durable PV isolation: the importance of closing the visual gap.},
  author={Marc A Miller and A. d'Avila and Srinivas R. Dukkipati and Jacob S. Koruth and Juan F. Viles-Gonzalez and Craig Napolitano and Charles A Eggert and Avi G Fischer and Joseph Anthony Gomes and Vivek Y. Reddy},
  journal={Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology},
  year={2012},
  volume={14 5},
  pages={653-60}
}
AIMS Temporary, ablation-mediated effects such as oedema may cause reversible pulmonary vein (PV) isolation. To investigate this, point-by-point circumferential ablation was performed to achieve acute electrical PV isolation with an incomplete circumferential ablation line. Then, the impact of this intentional 'visual gap' (ViG) on the conduction properties of the ablation lesion set was assessed with adenosine and pacing manoeuvres. METHODS AND RESULTS Twenty-eight patients undergoing… CONTINUE READING

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