Advances in the approaches to ablation of complex arrhythmias

Ablation of Complex Arrhythmias. A complex arrhythmia is one where successful ablation represents a serious challenge to the treating physician, and in this situation an advanced solution such as the combination of imaging with mapping and the ability to deliver a newer energy form using remote navigation may be a combined option some may wish was presently available. As will be discussed, there have been many advancements in the armamentarium of the electrophysiologist, and the above scenario may not be too far removed. This is not an exhaustive review, but serves to highlight some of the issues. Hopefully some, if not all, of the advances discussed will assist us in improving success rates, while decreasing risks and complications. The ability to allow less experienced and busy electrophysiology centers to perform complex ablation with similar success and risk as more experienced labs may also be a possibility