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28 October 2025 : Clinical Research  

Effect of Mitral Isthmus Ablation on Recurrence Rates in High-Burden Paroxysmal Atrial Fibrillation

Luqian Cui ABCDEF 1, Hailan Wang BDEF 2, Jingchao Li AE 3, Haijia Yu E 3, Huihui Song BE 3, Yingjie Chu AEG 3, Shujuan Dong AE 3*

DOI: 10.12659/MSM.950108

Med Sci Monit 2025; 31:e950108

Table 2 Procedural and ablation data of the 2 groups.

Procedural outcome2C1L group (n=51)2C group (n=102)P value
Total procedural time (min)137.6±18.5122.6±19.6<0.001
Total operation time (min)59.7±8.851.8±8.8<0.001
Fluoroscopy time (min)14.1±2.77.2±2.7<0.001
Low voltage zone22 (43.1%)40 (39.2)0.641
PVI circles success102 (100%)204 (100%)
Left PVI circles
 First-pass isolation (n/%)48/51 (94.1%)81/102 (79.4%)0.034
 Acute PVR (n/%)2/51 (3.9%)5/102 (4.9%)1.000
 Touch-up sites3.0 (2.0, 4.0)6.0 (5.0, 8.0)0.001
Right PVI circles
 First-pass isolation (n/%)43/51 (84.3%)84/102 (82.4%)0.761
 Acute PVR (n/%)2/51 (3.9%)3/102 (2.9%)1.000
 Touch-up sites4.0 (2.8, 5.0)5.0 (3.5, 6.0)0.973
PVI – pulmonary vein isolation; PVR – pulmonary vein reconnection.

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750