catheter ablation, radiofrequency, circumferential pulmonary vein ablation
DISEASE INTERVENTION COMPARISON RESULTS
Ann Intern Med. 2009 Aug 4;151(3):191-202. Epub 2009 Jul 6. Systematic Review
IN atrial fibrillation, non-pharmacological treatment The Use of
catheter ablation, radiofrequency, circumferential pulmonary vein ablation
As Treatment, Chronic
Is better Than
long-term antiarrhythmic drug therapy
To maintain sinus rhythm and possibly (lower strenght of evidence) improve quality of life, promote avoidance of anticoagulation, and decrease hospitalisation.
J Am Coll Cardiol. 2006 Dec 5;48(11):2340-7 Randomized Controlled Trial
IN atrial fibrillation, paroxysmal, refractory, non-pharmacological treatment The Use of
catheter ablation, radiofrequency, circumferential pulmonary vein ablation
As Treatment, Chronic
Is better Than
change to another antiarrhythmic drug
To reduce, at 1 year, recurrences of AF: 7% with ablation VS 65% with drugs. Ablation was repeated in 9% patients and 2 severe adverse effects.