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Vagal denervation in atrial fibrillation ablation: A comprehensive review [Anatol J Cardiol]
Anatol J Cardiol. 2017; 18(2): 142-148 | DOI: 10.14744/AnatolJCardiol.2017.7788  

Vagal denervation in atrial fibrillation ablation: A comprehensive review

Tolga Aksu1, Tümer Erdem Güler1, Ferit Onur Mutluer2, Mehmet Ali Oto3
1Department of Cardiology, Kocaeli Derince Education and Research Hospital; Kocaeli-Turkey
2Department of Cardiology, Koç University Hospital; İstanbul-Turkey
3Department of Cardiology, Memorial Ankara Hospital; Ankara-Turkey

Although pulmonary vein isolation is accepted as an established interventional treatment in paroxysmal atrial fibrillation (AF), alternative modalities are being investigated because of the high recurrence rates of nonparoxysmal forms. One of the alternative ablation approaches is ablation or modification of vagal ganglionated plexi (VGP). The technique has not only been used in vagally mediated AF but also investigated in paroxysmal and nonparoxysmal AF. Clinical studies demonstrate significant discrepancy related with detection of VGP sites or ablation targets and definition of procedurel end-points, so far. In this review, we aimed to discuss the current data on the role of VGP in the pathogenesis of AF and potential therapeutic implications of ablation of these ganglia.

Keywords: parasympathetic, vagal ganglia, cardioneuroablation, tachycardia, autonomic

Tolga Aksu, Tümer Erdem Güler, Ferit Onur Mutluer, Mehmet Ali Oto. Vagal denervation in atrial fibrillation ablation: A comprehensive review. Anatol J Cardiol. 2017; 18(2): 142-148

Corresponding Author: Tolga Aksu, Türkiye

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