Vein of marshall ethanol infusion plus anatomical ablation versus pulmonary vein isolation alone for first ablation of persistent atrial fibrillation: long-term outcomes from the VOMALC-PeAF registry
L Panchetti, P Marchese, M Iavarone, M Nesti, S Garibaldi, A Valleggi, U Startari, G Mirizzi, S Taddeucci, A Agresti, M Piacenti, F Landra, V Russo, S Galiberti, A Rossi · 2026
Read Vein of marshall ethanol infusion plus anatomical ablation versus pulmonary vein isolation alone for first ablation of persistent atrial fibrillation: long-term outcomes from the VOMALC-PeAF registry by L Panchetti, P Marchese, M Iavarone, M Nesti, S Garibaldi, A Valleggi, U Startari, G Mirizzi, S Taddeucci, A Agresti, M Piacenti, F Landra, V Russo, S Galiberti, A Rossi (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-13300291.txt.
Description
L Panchetti and co-authors report long-term results, published in 2026, from the VOMALC-PeAF registry on first ablation for persistent atrial fibrillation. Vein isolation alone gives modest lasting success in this group. One plan adds ethanol infusion into the vein of Marshall plus lines across the atrium. The registry, drawn from many centers, matched 151 patients who got the added plan against 75 who got isolation alone.
After a median follow-up of twenty-two months, freedom from atrial arrhythmias off drugs reached 82 percent with the added plan, against 47 percent with isolation alone. A complete block across the mitral isthmus strongly pointed to success, while long-standing disease pointed to return of the rhythm problem. Repeat ablation was far less common after the added plan, at under five percent against about twenty-seven percent. Safety was much the same in both groups, with few major problems in either.
Catalog record
| CREATOR | L Panchetti, P Marchese, M Iavarone, M Nesti, S Garibaldi, A Valleggi, U Startari, G Mirizzi, S Taddeucci, A Agresti, M Piacenti, F Landra, V Russo, S Galiberti, A Rossi |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 2 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |