Arrhythmias & electrophysiology
Delineation of conduction gaps of linear lesions during atrial fibrillation ablation using ultra-high-density mapping
Authors' conclusion
The entrances and exits of electrical conduction gaps were separated, especially in the roof region, indicating that epicardial conduction might contribute to gap formation.
Study context
- Population
- Patients with conduction gaps along pulmonary vein (PV) isolation or box ablation lesions during AF ablationmaps in 31 patients
- Participants
- 34 patients
- Exposure
- Gap length by lesion region
- Boxn = 21
- PVIn = 13
- Outcome
- Gap length (entrance–exit distance)
Methodological detailsultra-high-density mapping (RHYTHMIA)
- Ultra-high-density mapping (RHYTHMIA)
Main finding
As reported in the abstract
Roof region (box) vs Bottom region (box): P = 0.022 · Right PV (PVI) vs Left PV (PVI): P = 0.201
Observational data: associations, not effects.
Further findings
Events
| Outcome | Roof region (box) | Bottom region (box) | Right PV (PVI) | Left PV (PVI) |
|---|---|---|---|---|
| Gap locations | 9 | 12 | 9 | 4 |
Original publication
Delineation of conduction gaps of linear lesions during atrial fibrillation ablation using ultra-high-density mapping. Europace. Published 3 July 2023. doi:10. 1093/ europace/ euad188
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