scholarly journals EFFICIENCY AND SAFETY OF RADIOFREQUENCY CATHETER ABLATION OF ATRIAL FIBRILLATION IN ELDERLY PATIENTS

2017 ◽  
Vol 8 (2) ◽  
pp. 34-41
Author(s):  
M H Fedorova ◽  
A V Chapurnykh ◽  
V B Nizhnichenko ◽  
S V Lakomkin ◽  
V L Doshicin

Atrial fibrillation is one of the most frequent and significant rhythm disturbances. The effectiveness and expediency of using one of the most effective methods of treatment of this arrhythmia (radiofrequency ablation in elderly patients) remains a controversial and insufficiently studied issue. The article compares the results of the treatment of 63 patients of mature age (up to 75 years) and senile age (from 75 years). Patients underwent 78 operations of radiofrequency catheter ablation of atrial fibrillation and atypical atrial flutter, which was resistant to drug therapy. In the groups of patients of mature and senile age, there were no statistically significant differences in the effectiveness of treatment. In elderly people group, a higher incidence of complications was found mainly due to hydrothorax, but these complications did not increase the risk of death and were stopped during treatment. This allows to conclude that the senile age of patients should not be the reason for refusing to conduct radiofrequency catheter ablation.

1993 ◽  
Vol 1 (4) ◽  
pp. 166-173
Author(s):  
Wee Siong Teo ◽  
Ruth Kam ◽  
Arthur Tan ◽  
James Wong ◽  
Ong Kim Kiat

Radiofrequency catheter ablation is a newly introduced technique that does not require open heart surgery and is designed for curing patients with arrhythmia. We present our experience with this technique in 223 patients, with recurrent supraventricular tachycardia due to accessory pathways associated with the Wolff-Parkinson-White syndrome or AV nodal reentrant tachycardia. Of the patients, 119 underwent radiofrequency ablation of accessory pathways, while 101 underwent AV nodal modification. Two patients underwent both AV nodal modification and accessory pathway ablation during the same session. One patient had AV nodal ablation. Mean age was 39.4 ± 14.1 years (13–73 years). There were 108 males and 115 females. Except for 1 patient, all had significant symptoms. Radiofrequency ablation performed during the first session was successful in 215 patients (96.4%). With repeat ablation, 218 (97.8%) of the patients were successfully ablated. When compared with surgery, the efficacy is similar; however, radiofrequency ablation is less costly and results in less morbidity. Radiofrequency catheter ablation is highly efficacious and is the treatment of choice in patients who are at risk for sudden death or have failed drug therapy. It should also be offered as an alternative to lifelong drug therapy.


JAMA ◽  
2010 ◽  
Vol 303 (4) ◽  
pp. 333 ◽  
Author(s):  
David J. Wilber ◽  
Carlo Pappone ◽  
Petr Neuzil ◽  
Angelo De Paola ◽  
Frank Marchlinski ◽  
...  

2021 ◽  
Vol 28 ◽  
pp. 3-16
Author(s):  
E. N. Mikhaylov ◽  
N. Z. Gasimova ◽  
S. A. Ayvazyan ◽  
E. A. Artyukhina ◽  
G. A. Gromyko ◽  
...  

This document provides an overview of current problems and trends in the catheter ablation of atrial fibrillation, summarizes the opinions of specialists, obtained during a web-based electronic  survey, on aspects and parameters of radiofrequency ablation. The  approaches on improving the efficacy and safety of radiofrequency  catheter ablation of atrial fibrillation are provided. 


2020 ◽  
Vol 27 (3) ◽  
pp. 9-24
Author(s):  
E. N. Mikhaylov ◽  
N. Z. Gasimova ◽  
S. A. Ayvazyan ◽  
E. A. Artyukhina ◽  
G. A. Gromyko ◽  
...  

This document provides an overview of current problems and trends in the catheter ablation of atrial fibrillation, summarizes the opinions of specialists, obtained during a web-based electronic survey, on aspects and parameters of radiofrequency ablation. The approaches on improving the efficacy and safety of radiofrequency catheter ablation of atrial fibrillation are provided.


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