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Comprehensive Substrate Modification in Persistent AF: PVI Plus Posterior Wall Isolation With and Without Vein of Marshall Ethanol Infusion and Mitral Isthmus Ablation

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Background: Pulmonary vein isolation (PVI) remains the primary ablation strategy for atrial fibrillation (AF). However, additional interventions are often required in patients with persistent AF. Ethanol infusion into the vein of... ...