Vagal denervation in atrial fibrillation ablation: A comprehensive review


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Aksu T., Güler T. E., Mutluer F. O., Oto M. A.

Anatolian Journal of Cardiology, cilt.18, sa.2, ss.142-148, 2017 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Derleme
  • Cilt numarası: 18 Sayı: 2
  • Basım Tarihi: 2017
  • Doi Numarası: 10.14744/anatoljcardiol.2017.7788
  • Dergi Adı: Anatolian Journal of Cardiology
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.142-148
  • Anahtar Kelimeler: Autonomic, Cardioneuroablation, Parasympathetic, Tachycardia, Vagal ganglia
  • Akdeniz Üniversitesi Adresli: Hayır

Özet

Although pulmonary vein isolation is accepted as an established interventional treatment in paroxysmal atrial fibrillation (AF), alternative mo-dalities are being investigated because of the high recurrence rates of nonparoxysmal forms. One of the alternative ablation approaches is ablation or modification of vagal ganglionated plexi (VGP). The technique has not only been used in vagally mediated AF but also investigated in paroxysmal and nonparoxysmal AF. Clinical studies demonstrate significant discrepancy related with detection of VGP sites or ablation targets and definition of procedurel end-points, so far. In this review, we aimed to discuss the current data on the role of VGP in the pathogenesis of AF and potential therapeutic implications of ablation of these ganglia.