Abstract
Abstract: After several years with sobering experiences with
electrogram-based AF ablation approaches, Seitz et al present with the
VX1 software a reliable tool to map and ablate spatio-temporal
dispersion. The presented multicenter study in persistent AF patients
was conducted in 1 expert and 7 satellite centers with a total of 17
operators, using the VX1 software to detect and subsequently ablate
spatiotemporal dispersion. While the AF termination rate (88%) and the
freedom from AF in 12 months FU (82%) was very encouraging, the VX1
software, using AI enhanced electrogram adjudication, achieved very
similar results in all centers, regardless of the centre’s or the
operator’s experience. Thus, the biggest criticism of electrogram-based
ablation strategies, i.e. the lack of reproducibility in “non-expert”
centers, seems to be finally addressed.