What is the efficacy and safety of atrial fibrillation (Afib) (AF) ablation in patients with mitral valve replacement?

Updated: Apr 09, 2019
  • Author: Lawrence Rosenthal, MD, PhD, FACC, FHRS; Chief Editor: Jeffrey N Rottman, MD  more...
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Answer

Hussein et al performed a registry study that examined controls and patients with mitral valve replacement who underwent AF ablation. [127] No cases of catheter entrapment or stroke were reported. Although most patients required more than one ablation, at last follow-up, 69% were arrhythmia-free and no longer taking antiarrhythmic medications. This provides evidence that AF ablation is safe in this group of patients. Of note, many patients had flutter and creation of a flutter line was one of the keys to success. [127]


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