Complications in the catheter ablation of atrial fibrillation: incidence and management

Radiofrequency catheter ablation is widely performed as an effective treatment for recurrent, drug-resistant atrial fibrillation (AF). Recently, various types of ablation strategies, such as extensive encircling pulmonary vein (PV) isolation, linear ablation and complex fractionated electrogram-guid...

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Vydáno v:Circulation journal : official journal of the Japanese Circulation Society Ročník 73; číslo 2; s. 221
Hlavní autoři: Takahashi, Atsushi, Kuwahara, Taishi, Takahashi, Yoshihide
Médium: Journal Article
Jazyk:angličtina
Vydáno: Japan 2009
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ISSN:1346-9843
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Abstract Radiofrequency catheter ablation is widely performed as an effective treatment for recurrent, drug-resistant atrial fibrillation (AF). Recently, various types of ablation strategies, such as extensive encircling pulmonary vein (PV) isolation, linear ablation and complex fractionated electrogram-guided ablation, have been used to achieve a high efficacy for all types of AF. However, several complications (thromboembolic events, PV stenosis and atrio-esophageal fistula etc) with an incidence of 3.9-6%, have been reported. It is important to understand the incidence, prevention and management of complications in order to develop safe ablation strategies.
AbstractList Radiofrequency catheter ablation is widely performed as an effective treatment for recurrent, drug-resistant atrial fibrillation (AF). Recently, various types of ablation strategies, such as extensive encircling pulmonary vein (PV) isolation, linear ablation and complex fractionated electrogram-guided ablation, have been used to achieve a high efficacy for all types of AF. However, several complications (thromboembolic events, PV stenosis and atrio-esophageal fistula etc) with an incidence of 3.9-6%, have been reported. It is important to understand the incidence, prevention and management of complications in order to develop safe ablation strategies.
Radiofrequency catheter ablation is widely performed as an effective treatment for recurrent, drug-resistant atrial fibrillation (AF). Recently, various types of ablation strategies, such as extensive encircling pulmonary vein (PV) isolation, linear ablation and complex fractionated electrogram-guided ablation, have been used to achieve a high efficacy for all types of AF. However, several complications (thromboembolic events, PV stenosis and atrio-esophageal fistula etc) with an incidence of 3.9-6%, have been reported. It is important to understand the incidence, prevention and management of complications in order to develop safe ablation strategies.Radiofrequency catheter ablation is widely performed as an effective treatment for recurrent, drug-resistant atrial fibrillation (AF). Recently, various types of ablation strategies, such as extensive encircling pulmonary vein (PV) isolation, linear ablation and complex fractionated electrogram-guided ablation, have been used to achieve a high efficacy for all types of AF. However, several complications (thromboembolic events, PV stenosis and atrio-esophageal fistula etc) with an incidence of 3.9-6%, have been reported. It is important to understand the incidence, prevention and management of complications in order to develop safe ablation strategies.
Author Takahashi, Yoshihide
Takahashi, Atsushi
Kuwahara, Taishi
Author_xml – sequence: 1
  givenname: Atsushi
  surname: Takahashi
  fullname: Takahashi, Atsushi
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  organization: Cardiovascular Center, Yokosuka Kyousai Hospital, Yokosuka, Japan. atsushija@aol.com
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  givenname: Taishi
  surname: Kuwahara
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  givenname: Yoshihide
  surname: Takahashi
  fullname: Takahashi, Yoshihide
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Snippet Radiofrequency catheter ablation is widely performed as an effective treatment for recurrent, drug-resistant atrial fibrillation (AF). Recently, various types...
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SubjectTerms Atrial Fibrillation - surgery
Catheter Ablation - adverse effects
Esophageal Fistula - etiology
Esophageal Fistula - therapy
Humans
Incidence
Pulmonary Veno-Occlusive Disease - etiology
Pulmonary Veno-Occlusive Disease - therapy
Thromboembolism - etiology
Thromboembolism - therapy
Title Complications in the catheter ablation of atrial fibrillation: incidence and management
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