36. Mapping Strategies in Failed and Redo Ablation of Atrial Arrhythmias

  1. Mohammad Shenasa MD2,
  2. Gerhard Hindricks MD3,
  3. Martin Borggrefe MD4,
  4. Günter Breithardt MD5 and
  5. Mark E. Josephson MD6
  1. Stephen B. Wilton,
  2. Shinsuke Miyazaki and
  3. Michel Haïssaguerre

Published Online: 18 DEC 2012

DOI: 10.1002/9781118481585.ch36

Cardiac Mapping, Fourth Edition

Cardiac Mapping, Fourth Edition

How to Cite

Wilton, S. B., Miyazaki, S. and Haïssaguerre, M. (2013) Mapping Strategies in Failed and Redo Ablation of Atrial Arrhythmias, in Cardiac Mapping, Fourth Edition (eds M. Shenasa, G. Hindricks, M. Borggrefe, G. Breithardt and M. E. Josephson), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781118481585.ch36

Editor Information

  1. 2

    Attending Physician, Department of Cardiovascular Services, O'Connor Hospital, Heart & Rhythm Medical Group, San Jose, California, USA

  2. 3

    Professor of Medicine (Cardiology), University Leipzig, Heart Center, Director, Department of Electrophysiology, Leipzig, Germany

  3. 4

    Professor of Medicine (Cardiology), Head, Department of Cardiology, Angiology and Pneumology, University Medical Center, Mannheim Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany

  4. 5

    Professor Emeritus of Medicine and Cardiology, Department of Cardiology and Angiology, Hospital of the University of Münster, Münster, Germany

  5. 6

    Chief, Cardiovascular Medicine Division, Director, Harvard-Thorndike Electrophysiology Institute and Arrhythmia Service, Beth Israel Deaconess Medical Center, Herman C. Dana Professor of Medicine, Harvard Medical School, Boston, Massachusetts, USA

Author Information

  1. Service de Rhythmologie, Hopital Cardiologique du Haut Lévêque, Université Bordeaux II, Pessac, France

Publication History

  1. Published Online: 18 DEC 2012
  2. Published Print: 10 JAN 2013

ISBN Information

Print ISBN: 9780470670460

Online ISBN: 9781118481585



  • atrial fibrillation;
  • ablation;
  • pulmonary vein isolation;
  • recurrence;
  • redo;
  • atrial tachycardia


Repeat atrial fibrillation (AF) ablation procedures are frequently required, and an organized approach can help to ensure success. Reconnection of one or more pulmonary veins (PVs) is a nearly universal finding in patients with recurrent arrhythmias, and their re-isolation is the cornerstone of the repeat procedure. Ablation of non-PV triggers is also required in some patients. After prior stepwise ablation for persistent AF mapping of atrial tachycardia, and/or focal drivers of AF, is often required, and can be accomplished in most cases with conventional mapping.