A considerable portion of patients with AF but without any neurological symptoms had chronic cerebral lesions before PVI. Additional acute lesions could be added after the procedure. Both ablation techniques showed additional cerebral acute lesions with no neurological symptoms after PVI.
Our data suggest that RASB appears to protect against AF recurrences after PVI in patients with low-burden paroxysmal AF. These results should be tested in a prospective study.
The terminal part of the P wave is modified after PVAI, perhaps due to the loss of pulmonary vein antrum signals. P-wave duration and Ptf must be carefully interpreted after such a procedure. The prognostic value of these modifications should be evaluated.
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