During the past decade atrial fibrillation (AF) ablation has developed from being an experimental treatment option to an evidence based therapy implemented in current guidelines. Irrigated radiofrequency current guided ablations remain the golden standard of pulmonary vein isolation (PVI) procedures. Although practiced more frequently, it remains a demanding procedure requiring skilful operators. Novel technologies such as balloon based catheters or remote navigation (RN) systems have been developed to overcome the pitfalls of manual ablation procedures.
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