June 23, 2026 · JACC. Clinical electrophysiology · DOI: 10.1016/j.jacep.2026.04.029

Redo Ablation Following LSI Algorithm-Guided High-Power Short-Duration vs LSI Algorithm-Guided Conventional Radiofrequency for Atrial Fibrillation

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The authors aimed to compare the outcomes of redo procedures following pulmonary vein isolation (PVI) using Lesion Size Index (LSI) algorithm-guided high-power short-duration (HPSD) radiofrequency ablation versus conventional radiofrequency ablation. Their findings indicate that HPSD ablation at 50 W is associated with significantly lower rates of redo procedures and pulmonary vein reconnection compared to conventional 30 W ablation, suggesting improved durability of the HPSD approach, although it also revealed higher reconnection rates in specific anatomical regions.

Elena Carrion, Maria Fuentes, Ana M Ambrona, Teresa Barrio-Lopez, Eduardo Castellanos, Javier Fosch, Ignacio Nuñez de Prado, Jesus Almendral

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