Universität zu Köln

Sultan, A., Lueker, J., Plenge, T. and Steven, D. (2015). Interventional treatment for paroxysmal atrial fibrillation. Which is the optimal ablation approach? Herz, 40 (1). S. 25 - 31. MUNICH: URBAN & VOGEL. ISSN 1615-6692

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Abstract

Atrial fibrillation is one of the most common arrhythmias and effects probably more than 35 million people worldwide. The incidence in patients older than 70 years of age is as high as 10%. One can expect that according to our demographic development this entity will be increasingly important within the next years and decades. Along with the well know and established but at the same time limited opportunities of pharmacological treatment option of this arrhythmia, catheter ablation has evolved as a safe and effective treatment option. Electrical isolation of the pulmonary vein remains the standard of care and results in success rates as high as 80% using modern ablation strategies. Optimization of procedural and ablation techniques has lead to this high success rates. Different energy sources are available, such as radiofrequency, cryoenergy and laser are widely used today to treat patients with symptomatic atrial fibrillation. PV isolation using a so called single-shot ablation approach has shown to be effective with a reduced requirement of periprocedural resources and therefore resulting in wider application of this treatment not only in specialized electrophysiological centers. The rapid development in this field leads to the question which approach can be used as the most likely to result in the highest success and least complication rates. This question will be addressed in the following manuscript.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Sultan, A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Lueker, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Plenge, T. UNSPECIFIED UNSPECIFIED UNSPECIFIED Steven, D. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-413001
DOI:	10.1007/s00059-014-4195-x
Journal or Publication Title:	Herz
Volume:	40
Number:	1
Page Range:	S. 25 - 31
Date:	2015
Publisher:	URBAN & VOGEL
Place of Publication:	MUNICH
ISSN:	1615-6692
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language PULMONARY VEIN ISOLATION; CATHETER ABLATION; FOLLOW-UP; GANGLIONATED PLEXI; IMAGE INTEGRATION; CONTACT FORCE; COMPLICATIONS; MANAGEMENT; IMPACT; RADIOFREQUENCY Multiple languages Cardiac & Cardiovascular Systems Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/41300