Silent cerebral lesions following catheter ablation for atrial fibrillation: a state-of-the-art review

Calvert, Peter, Kollias, Georgios, Puererfellner, Helmut, Narasimhan, Calambur, Osorio, Jose, Lip, Gregory YH ORCID: 0000-0002-7566-1626 and Gupta, Dhiraj (2023) Silent cerebral lesions following catheter ablation for atrial fibrillation: a state-of-the-art review. EUROPACE, 25 (6). euad151-.

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Abstract

Atrial fibrillation is associated with neurocognitive comorbidities such as stroke and dementia. Evidence suggests that rhythm control-especially if implemented early-may reduce the risk of cognitive decline. Catheter ablation is highly efficacious for restoring sinus rhythm in the setting of atrial fibrillation; however, ablation within the left atrium has been shown to result in MRI-detected silent cerebral lesions. In this state-of-the-art review article, we discuss the balance of risk between left atrial ablation and rhythm control. We highlight suggestions to lower the risk, as well as the evidence behind newer forms of ablation such as very high power short duration radiofrequency ablation and pulsed field ablation.

Item Type:	Article
Uncontrolled Keywords:	Atrial fibrillation, Neurocognitive, Neurological, Dementia, Cognition, Ablation
Divisions:	Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Life Courses and Medical Sciences
Depositing User:	Symplectic Admin
Date Deposited:	12 Oct 2023 14:19
Last Modified:	12 Oct 2023 14:19
DOI:	10.1093/europace/euad151
Open Access URL:	https://doi.org/10.1093/europace/euad151
Related URLs:	Author Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3173629