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Doody's Review ServiceReviewer: William J. McManus, M.D.(Ochsner Clinic Foundation)
Description: Catheter-based therapy of atrial fibrillation has become more approachable for electrophysiologists with the development of improved mapping, electrical confirmation, and ablation techniques. This book delivers insight into the authors' techniques and presents procedural expectations. While many current techniques for ablation of persistent atrial fibrillation exist without clear consensus from the electrophysiology community, this book offers sound principles and procedural guidance that can serve as framework for establishing a standardized approach.
Purpose: The authors have designed this book to provide practical guidance in manual form, as opposed to an exhaustive review. Topics include lab preparation for atrial fibrillation ablation, the essentials of catheter-based pulmonary vein isolation, the approach to organized and disorganized left atrial electrical activity, and highlights of various electrical and anatomical considerations. Emphasis is on the ablation of persistent atrial fibrillation and the challenges of defining a procedural endpoint to ablation.
Audience: This book will appeal to any clinician or investigator with an interest in the practical aspects of catheter-based treatment of atrial fibrillation, but its primary appeal is to electrophysiologists. As a manual, it serves as a basis for developing a systematic approach to implementation of atrial fibrillation ablation in an established electrophysiology lab. While not designed to be a comprehensive book on the subject, it does include a list of pertinent references.
Features: Chapters address the various phases of catheter-based ablation of atrial fibrillation. Along with numerous electrocardiograms and electrograms, each topic is addressed from a practical perspective. The writing is concise and logical. Management of resulting atrial arrhythmias that can immediately follow ablation of atrial fibrillation is addressed. A case is presented with details of each phase of the ablation.
Assessment: This is an expanding field that will greatly benefit from books such as this. The standardized approach that it presents is logical and founded upon sound electrophysiological principles. By bridging the gap between current technological advances and practical laboratory application, the authors provide a framework for understanding the procedural aspects of ablation of persistent atrial fibrillation.