BACKGROUND: For repeat treatment with @entity955 ( @entity955 ) recurrence, gap-closure at pulmonary vein ostia alone is not enough. Many recent studies indicated that GPs (ganglionated plexi) denervation could reduce the recurrence of AF. However it is unclear whether the clinical outcomes of additional GP ablation plus PVs (pulmonary veins) reisolation during a repeat procedure were associated with less recurrence in @entity955 @entity1 . The purpose of this study was to evaluate if a repeat procedure of GPA (Ganglionated Plexi Ablation) combining re-PVI (repeated procedure of pulmonary vein isolation, i.e. gap-closure) can offer additional benefit for @entity1 with @entity955 recurrence. METHOD: A total of 123 consecutive @entity1 with @entity955 recurrence who underwent success repeat procedures were retrospectively analyzed in our center (2014 to 2015). 64 @entity1 (group1, GPA group) were performed with GPA plus re-PVI, while 59 @entity1 (group2, re-PVI group) had re-PVI (gap-closure) alone. @entity763 (Organized @entity591 ) documented or induced at the end of the procedure were all mapped and ablated. @entity1 were scheduled for a 12-month follow-up. Clinical presentation and outcome data for two groups were assessed. RESULT: At the 12-month follow up 58 of 64 @entity1 (90.6%) in group1 and 46 of 59 @entity1 (78%) in group2 remained in SR (sinus rhythm) off AADs (anti- @entity943 drugs) (P = 0.045). CONCLUSION: GPA ablation conferred incremental benefit when performed in addition to re-PVI in @entity1 with @entity955 recurrence; the GPA group yielded higher success rates than the re-PVI group. This article is protected by copyright. All rights reserved.

Catheter Ablation of Recurrent XXXX : Is Gap-Closure Combining Ganglionated Plexi Ablation More Effective?

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity763 :: ('4498', 'Species') :: ['OATs'] @entity591 :: ('MESH:D013610', 'Disease') :: ['atrial tachycardias'] @entity955 :: ('MESH:D001281', 'Disease') :: ['paroxysmal atrial fibrillation', 'PAF'] @entity943 :: ('MESH:D001145', 'Disease') :: ['arrhythmia']
@entity955 :: (MESH:D001281,Disease) :: ['Paroxysmal Atrial Fibrillation']
