Ablation von persistierendem und lange persistierendem Vorhofflimmern. Optimales Vorgehen und Ergebnisse
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Ablation von persistierendem und lange persistierendem Vorhofflimmern. Optimales Vorgehen und Ergebnisse. / Steven, Daniel; Sultan, Arian; Schäffer, Benjamin; Servatius, Helge; Hoffmann, Boris; Lüker, Jakob; Willems, Stephan.
in: Herzschrittmacherther Elektrophysiol, Jahrgang 24, Nr. 1, 03.2013, S. 15-18.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Ablation von persistierendem und lange persistierendem Vorhofflimmern. Optimales Vorgehen und Ergebnisse
AU - Steven, Daniel
AU - Sultan, Arian
AU - Schäffer, Benjamin
AU - Servatius, Helge
AU - Hoffmann, Boris
AU - Lüker, Jakob
AU - Willems, Stephan
PY - 2013/3
Y1 - 2013/3
N2 - Catheter ablation for paroxysmal atrial fibrillation is a meanwhile established therapy option, which is most frequently performed using radiofrequency ablation. Mid-term success rate of 70 % are achievable with a single ablation procedure. However, the mechanistics of persistent atrial fibrillation are less well understood and catheter ablation is a far more challenging procedure. Different ablation approaches are being performed to treat persistent atrial fibrillation ranging from sole pulmonary vein isolation to additional ablation of fractionated electrograms aiming for termination of atrial fibrillation. Thus far, it has not been investigated which strategy is most successful in treating persistent atrial fibrillation. After extended ablation of atrial fibrillation, occurrence of organized atrial arrhythmias is not uncommon and can be successfully ablated. These consecutive arrhythmias can be considered as a next step towards stable sinus rhythm after repeat ablation. Improvement of mapping methods as well as a better understanding of mechanisms of atrial fibrillation may increase success rate of catheter ablation of persistent atrial fibrillation and may also help to improve success rate of these complex procedures.
AB - Catheter ablation for paroxysmal atrial fibrillation is a meanwhile established therapy option, which is most frequently performed using radiofrequency ablation. Mid-term success rate of 70 % are achievable with a single ablation procedure. However, the mechanistics of persistent atrial fibrillation are less well understood and catheter ablation is a far more challenging procedure. Different ablation approaches are being performed to treat persistent atrial fibrillation ranging from sole pulmonary vein isolation to additional ablation of fractionated electrograms aiming for termination of atrial fibrillation. Thus far, it has not been investigated which strategy is most successful in treating persistent atrial fibrillation. After extended ablation of atrial fibrillation, occurrence of organized atrial arrhythmias is not uncommon and can be successfully ablated. These consecutive arrhythmias can be considered as a next step towards stable sinus rhythm after repeat ablation. Improvement of mapping methods as well as a better understanding of mechanisms of atrial fibrillation may increase success rate of catheter ablation of persistent atrial fibrillation and may also help to improve success rate of these complex procedures.
KW - Atrial Fibrillation/diagnosis
KW - Catheter Ablation/adverse effects
KW - Chronic Disease
KW - Cryosurgery/adverse effects
KW - Evidence-Based Medicine
KW - Heart Conduction System/surgery
KW - Humans
KW - Pulmonary Veins/surgery
KW - Treatment Outcome
U2 - 10.1007/s00399-013-0245-y
DO - 10.1007/s00399-013-0245-y
M3 - SCORING: Zeitschriftenaufsatz
C2 - 23625309
VL - 24
SP - 15
EP - 18
JO - Herzschrittmacherther Elektrophysiol
JF - Herzschrittmacherther Elektrophysiol
SN - 1435-1544
IS - 1
ER -
