Recorded at EHRA 2026, this episode of The Lead features host Christopher Kowalewski, MD, in conversation with Christian Sohns, MD, and Pierre Jaïs, MD, about the journal article, 20 Years: Clinical Outcome After Pulmonary Vein Isolation in Patients With Symptomatic Drug-Refractory Paroxysmal Atrial Fibrillation. Together, they discuss the study's long-term clinical outcomes following pulmonary vein isolation in patients with symptomatic drug-refractory paroxysmal atrial fibrillation and explore the implications of two decades of follow-up.

Learning Objectives:

• Review the long-term clinical outcomes reported after pulmonary vein isolation in patients with symptomatic drug-refractory paroxysmal atrial fibrillation.
• Discuss the implications of 20-year follow-up data for the treatment of patients undergoing pulmonary vein isolation.
• Examine how long-term outcome data may inform clinical decision-making for catheter ablation in paroxysmal atrial fibrillation.

Host: Christopher Kowalewski, MD

Guests: Christian Sohns, MD and Pierre Jaïs, MD

Disclosures:

C. Kowalewski

• No relevant disclosures

C. Sohns

• No relevant disclosures

P. Jaïs

• Ownership/Partnership/Prinicipal: inHEART
• Honoraria/Speaking/Consulting Fee: Biosense Webster, Inc., Boston Scientific, Medtronic