Atrial Fibrillation Ablation Using Vein of Marshall Ethanol Infusion

Research output: Contribution to journalReview articlepeer-review

Abstract

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.

Original languageEnglish (US)
Pages (from-to)52-55
Number of pages4
JournalMethodist DeBakey cardiovascular journal
Volume17
Issue number1
DOIs
StatePublished - Apr 5 2021

Keywords

  • atrial fibrillation
  • catheter ablation
  • ethanol
  • vein of Marshall

ASJC Scopus subject areas

  • Medicine(all)

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