scholarly journals Histological Study of the Left Atrial Wall ^|^mdash;A Consideration of the Compound Myocardial Architecture and Potential Durability with Respect to Catheter Ablation in Pulmonary Vein Isolation Procedures^|^mdash;

2010 ◽  
Vol 22 (4) ◽  
pp. 211-219
Author(s):  
Genyo OGAWA ◽  
Shin INOUE ◽  
Taka-aki MATSUYAMA ◽  
Mutsuki MAKINO ◽  
Tetsuo SAKAI ◽  
...  
2011 ◽  
Vol 22 (11) ◽  
pp. 1232-1236 ◽  
Author(s):  
ROY BEINART ◽  
SUHNY ABBARA ◽  
ANDREW BLUM ◽  
MAROS FERENCIK ◽  
KEVIN HEIST ◽  
...  

2021 ◽  
pp. 52-55
Author(s):  
Adi Lador ◽  
Miguel Valderrábano

Catheter ablation has become a cornerstone treatment for atrial fibrillation (AF). Pulmonary vein isolation is the accepted approach for paroxysmal AF ablation, but it is less effective for persistent AF. The vein of Marshall (VOM) is located in the epicardial left atrium and can be a source of AF triggers as well as a tract for autonomic nerves. It directly communicates with the underlying myocardium, including the left atrial ridge and the posterior mitral isthmus. This review discusses the latest evidence regarding the mechanisms, procedural aspects, and outcomes of VOM ethanol infusion when used as an adjunct to pulmonary vein isolation in patients with persistent AF.


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