Abstract
Atrial fibrillation is the most frequent arrhythmia with increasing prevalence. Given a limited success rate of drug therapy for atrial fibrillation, interventional treatment options have been developed during the last years. Catheter ablation of atrial fibrillation (until recently the mostly used energy source was radiofrequency energy) has been established as an important therapeutic alternative. Depending on interpersonal (both on patient and operator side) and technical variabilities using radiofrequency energy potentially life-threatening complications such as pulmonary vein stenosis or atrio-esophageal fistulas may occur. Cryoenergy is a novel energy source for transcatheter ablation eliminating the arrhythmia substrate by freezing. The cornerstone of catheter ablation for atrial fibrillation is electrical isolation of the pulmonary veins. During cryoballoon ablation the targeted pulmonary vein transiently occluded by the inflated balloon catheter and using this method a circumferential lesion is created. The success rate of cryoballoon ablation is comparable with the radiofrequency ablation with increased safety. We performed the first cryoballoon ablations for patients with paroxysmal atrial fibrillation in Hungary. On this occasion we review the potential advantages of this technique which may serve as basis for its widespread use in the future.
| Original language | Hungarian |
|---|---|
| Pages (from-to) | 1779-1784 |
| Number of pages | 6 |
| Journal | Orvosi Hetilap |
| Volume | 149 |
| Issue number | 38 |
| DOIs | |
| Publication status | Published - Sep 21 2008 |
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ASJC Scopus subject areas
- Medicine(all)
Cite this
A paroxizmális pitvarfibrilláció kezelésének új módszere : Cryoballonos pulmonalis véna cirkumferenciális ablatiója. / Fóldesi, Csaba László; Kardos, A.; Mihálcz, Attila; Som, Zoltán; Hódi, Gabriella; Andréka, P.; Szili-Török, Tamás.
In: Orvosi Hetilap, Vol. 149, No. 38, 21.09.2008, p. 1779-1784.Research output: Contribution to journal › Article
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TY - JOUR
T1 - A paroxizmális pitvarfibrilláció kezelésének új módszere
T2 - Cryoballonos pulmonalis véna cirkumferenciális ablatiója
AU - Fóldesi, Csaba László
AU - Kardos, A.
AU - Mihálcz, Attila
AU - Som, Zoltán
AU - Hódi, Gabriella
AU - Andréka, P.
AU - Szili-Török, Tamás
PY - 2008/9/21
Y1 - 2008/9/21
N2 - Atrial fibrillation is the most frequent arrhythmia with increasing prevalence. Given a limited success rate of drug therapy for atrial fibrillation, interventional treatment options have been developed during the last years. Catheter ablation of atrial fibrillation (until recently the mostly used energy source was radiofrequency energy) has been established as an important therapeutic alternative. Depending on interpersonal (both on patient and operator side) and technical variabilities using radiofrequency energy potentially life-threatening complications such as pulmonary vein stenosis or atrio-esophageal fistulas may occur. Cryoenergy is a novel energy source for transcatheter ablation eliminating the arrhythmia substrate by freezing. The cornerstone of catheter ablation for atrial fibrillation is electrical isolation of the pulmonary veins. During cryoballoon ablation the targeted pulmonary vein transiently occluded by the inflated balloon catheter and using this method a circumferential lesion is created. The success rate of cryoballoon ablation is comparable with the radiofrequency ablation with increased safety. We performed the first cryoballoon ablations for patients with paroxysmal atrial fibrillation in Hungary. On this occasion we review the potential advantages of this technique which may serve as basis for its widespread use in the future.
AB - Atrial fibrillation is the most frequent arrhythmia with increasing prevalence. Given a limited success rate of drug therapy for atrial fibrillation, interventional treatment options have been developed during the last years. Catheter ablation of atrial fibrillation (until recently the mostly used energy source was radiofrequency energy) has been established as an important therapeutic alternative. Depending on interpersonal (both on patient and operator side) and technical variabilities using radiofrequency energy potentially life-threatening complications such as pulmonary vein stenosis or atrio-esophageal fistulas may occur. Cryoenergy is a novel energy source for transcatheter ablation eliminating the arrhythmia substrate by freezing. The cornerstone of catheter ablation for atrial fibrillation is electrical isolation of the pulmonary veins. During cryoballoon ablation the targeted pulmonary vein transiently occluded by the inflated balloon catheter and using this method a circumferential lesion is created. The success rate of cryoballoon ablation is comparable with the radiofrequency ablation with increased safety. We performed the first cryoballoon ablations for patients with paroxysmal atrial fibrillation in Hungary. On this occasion we review the potential advantages of this technique which may serve as basis for its widespread use in the future.
KW - Arrhytmia
KW - Atrial fibrillation
KW - Catheter ablation
KW - Cryoballoon
KW - Pulmonary veins
UR - http://www.scopus.com/inward/record.url?scp=53849141225&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=53849141225&partnerID=8YFLogxK
U2 - 10.1556/OH.2008.28454
DO - 10.1556/OH.2008.28454
M3 - Article
C2 - 18805763
AN - SCOPUS:53849141225
VL - 149
SP - 1779
EP - 1784
JO - Orvosi Hetilap
JF - Orvosi Hetilap
SN - 0030-6002
IS - 38
ER -