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Decision-making for recurrent atrial fibrillation after catheter ablation

Ko JS, Kim SS, Jeong HK, Kim NH

Catheter ablation for atrial fibrillation (AF), especially pulmonary vein (PV) isolation, is widely used for rhythm control. However, AF recurrence remains a challenge, affecting 20% to 50% of cases. This...
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Totally Thoracoscopic Ablation in Patients With Recurrent Atrial Fibrillation After Catheter Ablation

Lim SK, Chung S, Park I, Chi SA, Kim K, Park KM, Park SJ, Kim JY, Kim JS, On YK, Jeong DS

Background: The objective of this study was to evaluate the efficacy and safety of totally thoracoscopic ablation (TTA) in patients with recurrent atrial fibrillation (AF) after radiofrequency catheter ablation (RFCA). Methods:...
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Long-term Outcomes of Endoscopic Intraductal Radiofrequency Ablation for Ampullary Adenoma with Intraductal Extension after Endoscopic Snare Papillectomy

Cho SH, Oh D, Song TJ, Park DH, Seo DW, Lee SK, Kim MH, Lee SS

Background/Aims: There are limitations in treating ampullary adenomas with intraductal extension using conventional endoscopic modalities. Endoscopic intraductal radiofrequency ablation (ID-RFA) may be useful for treating intraductal (common bile duct [CBD]...
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Pulmonary veins isolation using cryoballoon and pulsed field ablation for atrial fibrillation: practical techniques in variable scenarios

Chen S, Schmidt B, Chun J

Catheter ablation is the most effective treatment for atrial fibrillation (AF). Electrical pulmonary veins isolation (PVI) forms the cornerstone ablation strategy. Radiofrequency (RF) in combination with 3D mapping system is...
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Accessory pathways in monozygotic twins with different clinical phenotypes: a case report

Marzak H, Fitouchi S, Cardi T, Kanso M, Schatz A, Jesel L

Background The atrioventricular reentrant tachycardia (AVRT) is the most common tachycardia associated with accessory pathways (APs). Although sporadic Wolff-Parkinson-White (WPW) syndrome has been well-described, AP occurrence in identical twins with...
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Role of non‑pulmonary vein triggers in persistent atrial fibrillation

Yang S, Cha M, Oh H, Cho M, Kim J, Nam G, Choi K

Pulmonary vein isolation is an well-established treatment strategy for atrial fibrillation (AF), and it is especially effective for patients with paroxysmal AF. However, the success rate is limited for patients...
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One ominous case of focal atrial tachycardia in pregnancy, two victims and a successful outcome: a case report

Santos J, Briosa A, Sebaiti D, Almeida S, Miranda R, Brandão L, Pereira H

Background: Pregnancy is associated with both new-onset and exacerbation of pre-existing arrhythmias, particularly supraventricular tachycardia, with increased maternal and fetal risks and with added concerns on the safety of the...
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Cryoballoon Catheter Ablation in Korean Patients With Paroxysmal and Persistent Atrial Fibrillation: One Year Outcome From the Cryo Global Registry

Lim HE, Oh IY, Kueffer FJ, Bragt KAv, On YK

Background and Objectives: Cryoballoon catheter ablation for the treatment of patients with symptomatic atrial fibrillation (AF) has been adopted globally, but there are limited multicenter reports of 12-month outcomes in...
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Left Ventricular Remodeling After Catheter Ablation of Atrial Fibrillation: Changes of Myocardial Extracellular Volume Fraction by Cardiac MRI

Kim SU, Park S, Cho H, Cho Y, Oh YW, Kim YG, Shim J, Choi Ji, Kim YH, Paek MY, Hwang SH

Purpose: The aim of this study is to demonstrate the association between recurrent atrial fibrillation (AF) and left ventricular (LV) adverse remodeling after catheter ablation and to evaluate the change...
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Clinical Usefulness of Virtual Ablation Guided Catheter Ablation of Atrial Fibrillation Targeting Restitution Parameter-Guided Catheter Ablation: CUVIA-REGAB Prospective Randomized Study

Choi Y, Lim B, Yang SY, Yang SH, Kwon OS, Kim D, Kim YG, Park JW, Yu HT, Kim TH, Yang PS, Uhm JS, Shim J, Kim SH, Sung JH, Choi Ji, Joung B, Lee MH, Kim YH, Oh YS, Pak HN, for the CUVIA-REGAB Investigators

Background and Objectives: We investigated whether extra-pulmonary vein (PV) ablation targeting a high maximal slope of the action potential duration restitution curve (Smax) improves the rhythm outcome of persistent atrial...
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Embarrassed Radiofrequency Catheter Ablation of Supraventricular Tachycardia in Pectus Excavatum

Lee G, Ban JE

A 16-year-old patient with pectus excavatum visited our hospital because of palpitation. He underwent first Nuss operations at the age of 3. When he was 13 years old, the slow-fast...
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Clinical outcomes in patients with persistent atrial fibrillation after technologic advances including contact force‑guided and ablation index‑guided ablation

Jeon W, Lee S, Choi E, Oh S

Purpose: We aimed to evaluate the influence of technological advances on ablation outcomes in patients with persistent atrial fibrillation (AF) (PeAF). Radiofrequency ablation for patients with AF has advanced, including...
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Effect on sinus cycle length and atrioventricular node function after high‑power short‑duration versus conventional radiofrequency catheter ablation in paroxysmal atrial fibrillation

Do U, Kim M, Cho M, Nam G, Choi K, Jun J

Background: The efficacy and safety of high-power, short-duration (HPSD) radiofrequency catheter ablation for atrial fibrillation (AF) have been demonstrated in several studies. We aimed to evaluate and compare the effects...
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Electrical Remodeling of Left Atrium Is a Better Predictor for Recurrence Than Structural Remodeling in Atrial Fibrillation Patients Undergoing Radiofrequency Catheter Ablation

Kim YG, Choi HY, Shim J, Min K, Choi YY, Choi JI, Kim YH

Background and Objectives: Recurrence rates after radiofrequency catheter ablation (RFCA) in atrial fibrillation (AF) patients are not low especially in non-paroxysmal AF. The diameter of left atrium (LA) has been...
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Second-generation treatment of varicose veins: endovenous thermal ablation by laser or radiofrequency ablation

Kim MH, Choi C

Background: Endovenous thermal ablation (EVTA) is the second-generation treatment of varicose veins in the lower extremities. It has overcome the shortcomings of the first-generation treatment of high ligation and stripping....
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Updates in hybrid AF ablation: a hybrid approach to surgical epicardial ablation and cather endocardial ablation in persistent atrial fibrillation

On Y, Jeong D

Atrial fibrillation (AF) is the most common and increasing cardiac arrhythmia. AF increases thromboembolic events and hospitalizations and deteriorates quality of life. The mechanism of AF is not completely understood....
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Catheter ablation of outflow tract ventricular arrhythmia with intracardiac echocardiography assistance

Choi J, Park K

As the indications for catheter-based electrophysiologic procedures become more diverse and complex, accurate assessment of the anatomy of intracardiac structure has become essential for the optimal clinical outcome. Since intracardiac...
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2021 Korean Heart Rhythm Society Guidelines for Catheter or Surgical Ablation of Atrial Fibrillation

Lim WH, Shim J, Lee JH, Joung B

Rhythm control therapy is used in atrial fibrillation (AF) management to improve AF-related symptoms along with rate control. AF catheter ablation is effective in maintaining sinus rhythm and has an...
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Catheter ablation of atrial fibrillation in Korea: results from the Korean Heart Rhythm Society Ablation Registry for Atrial Fibrillation (KARA)

Lee E, Park H, Han S, Nam G, Choi J, Pak H, Oh I, Shin D, On Y, Park S, Kim Y, Oh S, on behalf of the KARA investigators

Background: This study aims to investigate the current status of AF (atrial fibrillation) catheter ablation in Korea. Methods: The patients who underwent AF catheter ablation from September 2017 to December 2019...
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Left atrial wall thickness and its relationship with reconnection after pulmonary vein isolation in patients with atrial fibrillation evaluated using a three‑dimensional wall thickness map

Oh S, Joo Y, Lee E, Lee S, Cha M, Choi E, Lee J, Lee W

Background: The major cause of recurrence after pulmonary vein (PV) isolation for atrial fibrillation (AF) is PV recon‑ nection, and thicker wall could be associated with reconnection. Objectives: This study aimed...
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