IMR Press / RCM / Volume 25 / Issue 4 / DOI: 10.31083/j.rcm2504122
Open Access Review
Emerging Role of Renal Sympathetic Denervation as an Adjunct Therapy to Atrial Fibrillation Ablation
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1 Section of Cardiac Electrophysiology, University of Oklahoma Health Science Center, Oklahoma City, OK 73104, USA
2 Section of Cardiac Electrophysiology, Cardiovascular Division, University of Minnesota, Minneapolis, MN 55455, USA
*Correspondence: takumi-y@fb4.so-net.ne.jp (Takumi Yamada)
Rev. Cardiovasc. Med. 2024, 25(4), 122; https://doi.org/10.31083/j.rcm2504122
Submitted: 10 September 2023 | Revised: 27 November 2023 | Accepted: 1 December 2023 | Published: 28 March 2024
(This article belongs to the Section Clinical Electrophysiology)
Copyright: © 2024 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license.
Abstract

The central anatomical locus in the context of atrial fibrillation (AF) ablation has been the pulmonary veins. Despite the attainment of a modest long-term success rate through pulmonary vein isolation (PVI), the pursuit of achieving a therapeutic efficacy nearing a definitive cure has spurred an investigation into alternative strategies and anatomical loci beyond the pulmonary veins. Despite extensive exploration, none of these alternative targets have succeeded in establishing themselves as routine ablation sites comparable to the pulmonary veins. Consequently, there exists an imperative for further inquiry and refinement of ablation strategies to propel advancements within the domain of AF ablation, thereby augmenting patient outcomes. Simultaneously, the examination of the autonomic system’s role in AF pathophysiology introduces an additional ablation target aimed at rectifying sympathovagal imbalance. This discourse presents a contemporary review of renal denervation (RDN) as an emergent and auspicious technique poised to complement PVI, thereby contributing substantively to the augmentation of long-term success within the ambit of AF rhythm-control strategies.

Keywords
ablation
atrial fibrillation
renal denervation
Figures
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