Frequent atrial fibrillation attacks with a rapid ventricular rate, in cases unresponsive to drug treatment, can be managed by atrioventricular node ablation followed by the placement of a ventricular demand or dual-chamber pacemaker. Other treatment methods include radiofrequency ablation, surgical operations, and implantation of atrial defibrillators. In recent years, there have been significant advances in the methods for atrial fibrillation ablation, and the indications for atrial fibrillation ablation have been expanded. However, the success rate remains suboptimal and the recurrence rate is relatively high. Currently, international guidelines still categorize radiofrequency ablation as a second-line treatment for atrial fibrillation, not as the first choice treatment.