Modern non-pharmacological methods of treating atrial fibrillation

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Treatment of atrial fibrillation remains one of the most important and discussed problems of modern cardiology. Since relapses of arrhythmia and adverse reactions often occur when using antiarrhythmic drugs, catheter technologies have been widely used over the past 30 years. The most widespread among them in clinical practice are radiofrequency ablation and cryoballoon ablation. Modern non-fluoroscopic mapping and navigation systems, irrigated catheters with pressure sensors and cryoballoon ablation make it possible to achieve transmural effects on pathological pathways of the left atrium wall while minimizing the risk of complications. The article outlines the rationale, indications and contraindications for catheter ablation, as well as potential complications.

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作者简介

V. Steklov

The P.V. Mandryka Central Military Clinical Hospital, Ministry of Defense of the Russian Federation

编辑信件的主要联系方式.
Email: cvkg_man@mil.ru

заслуженный врач РФ, доктор медицинских наук, полковник медицинской службы запаса

俄罗斯联邦, Moscow

A. Sergoventsev

Main Military Medical Directorate of the Russian Defense Ministry

Email: cvkg_man@mil.ru

заслуженный врач РФ, кандидат медицинских наук, генерал-майор медицинской службы

俄罗斯联邦, Moscow

M. Patsenko

Main Military Medical Directorate of the Russian Defense Ministry

Email: cvkg_man@mil.ru

заслуженный врач РФ, доктор медицинских наук, доцент, полковник медицинской службы

俄罗斯联邦, Moscow

A. Demyanenko

The P.V. Mandryka Central Military Clinical Hospital, Ministry of Defense of the Russian Federation

Email: cvkg_man@mil.ru

заслуженный врач РФ, кандидат медицинских наук, полковник медицинской службы

俄罗斯联邦, Moscow

参考

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2. Fig. 1. Scheme of the RFA procedure. The ablation electrode is placed in the area of ​​the arrhythmia source (circle) under fluoroscopic or intracardiac echocardiographic control. Radiofrequency energy generated by the generator is supplied to the electrode and leads to heating of the tissue around its tip. An indifferent electrode in the form of a plate, placed under the patient's back, serves as a return line for the radiofrequency current (figure from the article by D. Panescu et al. [17], with changes)

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3. Fig. 2. Pathogenetic mechanisms of atrial fibrillation. A – localization of arrhythmogenic triggers located inside and outside the pulmonary veins. B – relationship between the anatomy of the atria and arrhythmogenic mechanisms of AF. LAA – left atrial appendage; RAA – right atrial appendage; SVC – superior vena cava; LSPV – left superior pulmonary vein; RSPV – right superior pulmonary vein; LIPV – left inferior pulmonary vein; RIPV – right inferior pulmonary vein; WS – coronary sinus; IVC – inferior vena cava. Figure from the book [10] with changes

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版权所有 © Steklov V.I., Sergoventsev A.A., Patsenko M.B., Demyanenko A.V., 2024


СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: № 01975 от 30.12.1992.