2018 Korean Guidelines for Catheter Ablation of Atrial Fibrillation: Part I
10.18501/arrhythmia.2018.011
- Author:
Hyoung seob PARK
;
Dong Seop JEONG
;
Hee Tae YU
;
Hui Nam PAK
;
Jaemin SHIM
;
Joo Yeon KIM
;
Jun KIM
;
Jung Myung LEE
;
Ki Hoon KIM
;
Seung Young ROH
;
Young Jin CHO
;
Young Hoon KIM
;
Nam Sik YOON
- Publication Type:Review
- Keywords:
atrial fibrillation;
catheter ablation;
surgical ablation;
risk factor;
indication
- MeSH:
Atrial Fibrillation;
Catheter Ablation;
Catheters;
Humans;
Risk Factors;
Stroke
- From:International Journal of Arrhythmia
2018;19(3):186-234
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Catheter and surgical ablation of atrial fibrillation (AF) have evolved from investigational procedures to their current role as effective treatment options for patients with AF. Surgical ablation of AF is available in most major hospitals throughout the world. Catheter ablation of AF is even more widely available, and is now the most commonly performed catheter ablation procedure. Management of patients with AF has traditionally consisted of three main components: (1) anticoagulation for stroke prevention; (2) rate control; and (3) rhythm control. With the emergence of large amounts of data, which have both defined and called attention to the interaction between modifiable risk factors and the development of AF and outcomes of AF management, we believe it is time to include risk factor modification as the fourth pillar of AF management. Catheter and surgical ablation of AF are highly complex procedures, therefore a decision to perform catheter or surgical AF ablation should only be made after a patient carefully considers the risks, benefits, and alternatives to the procedure.
