Functional Gaps and Atrial Fibrosis as Predictors of Early Arrhythmia Recurrence After Robotic‐Enhanced Hybrid Ablation for Persistent Atrial Fibrillation
Delayed high-density mapping after RE-HA reveals fixed and functional conduction gaps, especially at the roof line, that-together with pre-ablation fibrosis-independently predict EAR. These findings highlight distinct anatomical and electrophysiological risk domains and support substrate assessment with targeted endocardial completion in a staged workflow.
Authors
- Eduardo Celentano (ORCID: https://orcid.org/0000-0002-4170-9396)
- Adele D’Amico (ORCID: https://orcid.org/0000-0003-2438-2624)
- Mario Gasparri
- Barbara Ignatiuk (ORCID: https://orcid.org/0000-0001-6089-6644)
- Stefano Schena (ORCID: https://orcid.org/0000-0002-8392-0528)
- Ascanio Graniero (ORCID: https://orcid.org/0000-0001-5178-9409)
- Ernesto Cristiano (ORCID: https://orcid.org/0000-0003-1185-4178)
- Natasja M.S. de Groot (ORCID: https://orcid.org/0000-0002-0259-6691)
- Elena Bia
- Laura Giroletti (ORCID: https://orcid.org/0009-0004-4067-2781)
- M Renda
- Giovanni Albano (ORCID: https://orcid.org/0009-0001-0062-5057)
- Raffaele Rainone
- Alfonso Agnino (ORCID: https://orcid.org/0000-0003-4863-569X)
- Erika Bertella (ORCID: https://orcid.org/0000-0002-3768-232X)
- Matteo Parrinello
- Laura Polini
Institutions
- University of Bergamo (IT)
- Medical College of Wisconsin (US)
- Erasmus MC (NL)
- Humanitas Gavazzeni (IT)
Publication Details
- Journal
- Journal of Cardiovascular Electrophysiology
- Published
- 2025-09-29
- DOI
- https://doi.org/10.1111/jce.70117
- Citations
- 1
- Primary Topic
- Atrial Fibrillation Management and Outcomes
- Type
- article
- Field-Weighted Citation Impact
- 1.39