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KMID : 1011920180190030186
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International Journal of Arrhythmia
2018 Volume.19 No. 3 p.186 ~ p.234
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2018 Korean Guidelines for Catheter Ablation of Atrial Fibrillation: Part I
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Park Hyoung-Seob
Jeong Dong-Seop
Yu Hee-Tae
Pak Hui-Nam
Shim Jae-Min
Kim Joo-Yeon
Kim Jun
Lee Jung-Myung
Kim Ki-Hoon
Roh Seung-Young
Cho Young-Jin
Kim Young-Hoon
Yoon Nam-Sik
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Abstract
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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.
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KEYWORD
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atrial fibrillation, catheter ablation, surgical ablation, risk factor, indication
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