What is the role of radiofrequency ablation (RFA) in the treatment of atrial flutter (AFL)?

Updated: Nov 18, 2019
  • Author: Lawrence Rosenthal, MD, PhD, FACC, FHRS; Chief Editor: Jeffrey N Rottman, MD  more...
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Answer

Radiofrequency ablation (RFA) is often used as first-line therapy to achieve permanent restoration of sinus rhythm. This procedure is often performed electively, but it can also be performed in acute setting at centers with the capability to do this. For patients with recurrent symptomatic atrial flutter that is proved to be isthmus-dependent in the electrophysiologic laboratory, a success rate higher than 95% can be expected with current technology.


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