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Patients underwent voltage mapping either during the initial procedure or the redo procedure for recurrent AF.
If not, either the drug regime was altered or a redo procedure was advised.
Of the 37 patients to whom a redo procedure was advised (always after 3 months), 24 underwent a second procedure.
Almost half of PVs (42%) with eliminated dormant conduction during index ablation demonstrated electric recovery during the redo procedure.
In the present study, there was a single PV stenosis in a redo procedure with RF energy.
All patients requiring a redo procedure had LGE and electrical evidence of gaps in ablation lines leading to PV reconnection.
Similar(45)
Secondary end points were procedural complications, PV recovery during redo procedures, and overall arrhythmia-free survival,respectively.
Three patients (6 %) were having redo procedures, and 1 patient had bacterial endocarditis.
Multivariate analysis showed that the incidence of new pacemakers was linked most strongly with redo procedures, but TS was not an independent predictor of needing a new pacemaker, new junctional rhythm, or new atrial fibrillation.
Redo procedures were performed with the same protocol as the primary procedure.
Of 34 treatment failures, 26 redo procedures were performed in 21 patients.
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