Key result
Catheter ablation of atrial fibrillation is a highly effective therapy, with new technologies like steerable sheaths, contact force measurement, and 3D mapping improving success rates and safety.
Technological innovations in catheter ablation, including contact force measurement and 3D mapping, are enhancing procedural success and safety for patients with atrial fibrillation.
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Supports advanced AF ablation technologies in practice; leaves open need for randomized confirmation.
KatetrizaÄnĂ ablace fibrilace sĂnĂ je vysoce ĂşÄinnĂĄ lĂŠÄba vedoucĂ u vĂ˝znamnĂŠho poÄtu nemocnĂ˝ch k odstranÄnĂ symptomatickĂŠ fibrilace sĂnĂ nebo ĂşplnĂŠmu vymizenĂ arytmie. VytvoĹenĂ transmurĂĄlnĂ lĂŠze ve stÄnÄ sĂnÄ je rozhodujĂcĂ pro ĂşspÄĹĄnost lĂŠÄby. Ve snaze zvýťit ĂşspÄĹĄnost vĂ˝konu byla vyvinuta ĹiditelnĂĄ pouzdra a katetry, kterĂŠ navĂc umoĹžĹujĂ mÄĹenĂ sĂly kontaktu se stÄnou srdce. Do rutinnĂ klinickĂŠ praxe byly zavedeny novĂŠ trojrozmÄrnĂŠ mapovacĂ systĂŠmy s cĂlem zkrĂĄtit skiaskopickĂ˝ Äas a snĂĹžit na minimum radiaÄnĂ dĂĄvku pacienta i zdravotnickĂŠho personĂĄlu. PodĂĄnĂ adenosinu je uĹžiteÄnĂŠ k odhalenĂ latentnĂ rekonexe plicnĂ ĹžĂly a pomĂĄhĂĄ vyhnout se ÄasnĂŠmu obnovenĂ vedenĂ do plicnĂch Ĺžil. V budoucnosti bude moĹžnĂŠ individualizovat ablaÄnĂ strategie podle klinickĂ˝ch a elektrofyziologickĂ˝ch charakteristik danĂŠho pacienta.
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Fiedler et al. (2013) conducted a review in Atrial fibrillation. Catheter ablation was evaluated. Catheter ablation of atrial fibrillation is a highly effective therapy, with new technologies like steerable sheaths, contact force measurement, and 3D mapping improving success rates and safety.
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