Ablation par radiofréquence de la fibrillation auriculaire
| Autor: | M. Haissaguerre, Jacques Clementy, S. Garrigue, P. Le Metayer, M. Hocini, Pierre Jaïs |
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| Rok vydání: | 2003 |
| Předmět: |
medicine.medical_specialty
Medical treatment Paroxysmal atrial fibrillation business.industry Radiofrequency ablation medicine.medical_treatment Atrial fibrillation Catheter ablation medicine.disease Ablation Surgery Pulmonary vein law.invention law Internal medicine cardiovascular system medicine Cardiology Chronic atrial fibrillation Cardiology and Cardiovascular Medicine business |
| Zdroj: | Annales de Cardiologie et d'Angéiologie. 52:258-263 |
| ISSN: | 0003-3928 |
| DOI: | 10.1016/s0003-3928(03)00088-x |
| Popis: | The possibility of curing patients suffering from paroxysmal atrial fibrillation using a radiofrequency ablation treatment is a major change in the management of this arrhythmia. Pulmonary vein disconnection is efficient and safe after a learning curve of the operator. This pulmonary vein isolation is the first and mandatory step allowing disappearance of atrial fibrillation in 70% of the patients. Modification in fibrillatory substrate using linear lesions increases the rate success to 75% in chronic atrial fibrillation and to 82% in paroxysmal atrial fibrillation. The radiofrequency ablation of atrial fibrillation should be considered as a surgical treatment without an open heart, isolating structures and cutting tissues are technical improvements (new radiofrequency catheters) will probably facilitate in the future. Some comparative studies with medical treatment are currently evaluating their efficacy, safety and respective cost and they may lead to a considerable increase in the number of patients who could benefit from these curative treatments. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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