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Related Experiment Video

Updated: May 28, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
09:52

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Published on: January 15, 2017

Project RED--a successful methodology for improving emergency department performance.

Michael W Ardagh1, Angela M Pitchford, Anne Esson

  • 1Emergency Medicine, University of Otago, Christchurch, New Zealand. Michael.ardagh@cdhb.govt.nz

The New Zealand Medical Journal
|October 22, 2011
PubMed
Summary

Percutaneous pulmonary vein ablation (PVA) is effective for atrial fibrillation (AF), especially paroxysmal AF (PAF). However, due to risks, PVA should be reserved for highly symptomatic patients with medication-refractory disease.

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Area of Science:

  • Cardiology
  • Electrophysiology
  • Medical Devices

Background:

  • Atrial fibrillation (AF) is a common arrhythmia requiring effective treatment.
  • Percutaneous pulmonary vein ablation (PVA) is an established therapeutic option for AF.

Purpose of the Study:

  • To evaluate the long-term efficacy and safety of percutaneous pulmonary vein ablation (PVA) for atrial fibrillation (AF).
  • To assess outcomes based on AF type (paroxysmal vs. persistent) and patient characteristics.

Main Methods:

  • Retrospective observational audit of 187 patients undergoing PVA for AF between 2001 and 2009.
  • Analysis of freedom from AF at 12 months and 5-year survival, considering repeat procedures.
  • Documentation of procedural complications and development of new atrial flutter.

Main Results:

  • Single-procedure success rates at 12 months were 74% for paroxysmal AF (PAF) and 60% for persistent AF (PsAF).
  • 5-year freedom from AF after repeat procedures was 74% for PAF and 56% for PsAF.
  • Complications occurred in 6% of procedures (2.5% serious); 6% developed new atrial flutter.

Conclusions:

  • PVA demonstrates effectiveness in treating AF, with superior outcomes in PAF patients.
  • The procedure carries significant risks, suggesting its use should be limited to highly symptomatic, medication-refractory AF cases.
  • Long-term follow-up confirms PVA as a viable, albeit risk-associated, treatment modality for selected AF patients.