vestarВестник аритмологииJournal of Arrhythmology1561-86412658-7327НАО «Инкарт»vestar-751Research ArticleОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯORIGINAL ARTICLESКАТЕТЕРНАЯ АБЛАЦИЯ КАВОТРИКУСПИДАЛЬНОГО ИСТМУСА ПОД КОНТРОЛЕМ ВНУТРИСЕРДЕЧНОЙ ЭХОКАРДИОГРАФИИCATHETER ABLATION OF CAVOTRICUSPID ISTHMUS UNDER INTRACARDIAC ECHOCARDIOGRAPHIC GUIDANCEМамчурС. Е.MamchurS. E.noemail@neicon.ruХоменкоЕ. А.KhomenkoE. A.noemail@neicon.ruБоханН. С.BokhanN. S.noemail@neicon.ruМамчурИ. Н.MamchurI. N.noemail@neicon.ruЧичковаТ. Ю.ChichkovaT. Yu.noemail@neicon.ruФГБУ «Научно-исследовательский институт комплексных проблем сердечно-сосудистых заболеваний»Russian Federation201523092020082511Copyright © Мамчур С.Е., Хоменко Е.А., Бохан Н.С., Мамчур И.Н., Чичкова Т.Ю., 20202020Мамчур С.Е., Хоменко Е.А., Бохан Н.С., Мамчур И.Н., Чичкова Т.Ю.Mamchur S.E., Khomenko E.A., Bokhan N.S., Mamchur I.N., Chichkova T.Y.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://vestar.elpub.ru/jour/article/view/751

С целью сравнительной оценки эффективности и безопасности флюороскопии, электромагнитной навигации и внутрисердечной эхокардиографии для визуализирующего контроля процедуры радиочастотной аблации кавотрикуспидального истмуса в ретроспективное исследование включен 201 пациент с истмус-зависимым трепетанием предсердий.

To compare effectiveness and safety of fluoroscopy, electromagnetic navigation, and intracardiac echocardiography for imaging guidance of radiofrequency ablation of cavo-tricuspid isthmus, 201 consecutive patients were included into a retrospective study.

трепетание предсердийкавотрикуспидальный истмусрадиочастотная аблацияфлюороскопияэлектромагнитная навигациявнутрисердечная эхокардиографияatrial fluttercavo-tricuspid isthmusradiofrequency ablationfluoroscopyelectromagnetic navigationintracardiac echocardiographyReferencesA zero-fluoroscopy approach to cavotricuspid isthmus catheter ablation: comparative analysis of two electroana-tomical mapping systems / R. Macias [et al.] // Pacing Clin. Electrophysiol. - 2014. - Vol. 37(8). - P. 1029-1037.A zero-fluoroscopy approach to cavotricuspid isthmus catheter ablation: comparative analysis of two electroana-tomical mapping systems / R. Macias [et al.] // Pacing Clin. Electrophysiol. - 2014. - Vol. 37(8). - P. 1029-1037.Angiographic anatomy of the inferior right atrial isthmus in patients with and without history of common atrial flutter / J.A. Cabrera [et al.] // Circulation. - 1999. - Vol. 99(23). - P. 3017-3023.Angiographic anatomy of the inferior right atrial isthmus in patients with and without history of common atrial flutter / J.A. Cabrera [et al.] // Circulation. - 1999. - Vol. 99(23). - P. 3017-3023.Cavotricuspid Isthmus Anatomy Determines The Success Of Remote Controlled Magnetic Bidirectional Block: A Comparsion Between Magnetic 8-mm Solid Tip And 3.5-mm Magnetic Irrigated Tip Catheter / B. Koektuerk [et al.] // Indian Pacing Electrophysiol. J. - 2011. - Vol. 11(4). - P. 103-114.Cavotricuspid Isthmus Anatomy Determines The Success Of Remote Controlled Magnetic Bidirectional Block: A Comparsion Between Magnetic 8-mm Solid Tip And 3.5-mm Magnetic Irrigated Tip Catheter / B. Koektuerk [et al.] // Indian Pacing Electrophysiol. J. - 2011. - Vol. 11(4). - P. 103-114.Cavotricuspid isthmus angiography predicts atrial flutter ablation efficacy in 281 patients randomized between 8 mm- and externally irrigated-tip catheter / A. Da Costa [et al.] // Eur. Heart J. - 2006. - Vol. 27(15). - P. 1833-1840.Cavotricuspid isthmus angiography predicts atrial flutter ablation efficacy in 281 patients randomized between 8 mm- and externally irrigated-tip catheter / A. Da Costa [et al.] // Eur. Heart J. - 2006. - Vol. 27(15). - P. 1833-1840.Effect of isthmus anatomy and ablation catheter on radiofrequency catheter ablation of the cavotricuspid isthmus / A. Da Costa [et al.] // Circulation. - 2004. - Vol. 110(9). - P. 1030-1035.Effect of isthmus anatomy and ablation catheter on radiofrequency catheter ablation of the cavotricuspid isthmus / A. Da Costa [et al.] // Circulation. - 2004. - Vol. 110(9). - P. 1030-1035.Electromagnetic Versus Fluoroscopic Mapping of the Inferior Isthmus for Ablation of Typical Atrial Flutter A Prospective Randomized Study / H. Kottkamp [et al.] // Circulation. - 2000. - Vol. 102. - P. 2082-2086.Electromagnetic Versus Fluoroscopic Mapping of the Inferior Isthmus for Ablation of Typical Atrial Flutter A Prospective Randomized Study / H. Kottkamp [et al.] // Circulation. - 2000. - Vol. 102. - P. 2082-2086.Exclusion of fluoroscopy use in catheter ablation procedures: six years of experience at a single center / J.M. Fernández-Gómez JM [et al.] // J. Cardiovasc. Electrophysiol. - 2014. - Vol. 25(6). - P. 638-644.Exclusion of fluoroscopy use in catheter ablation procedures: six years of experience at a single center / J.M. Fernández-Gómez JM [et al.] // J. Cardiovasc. Electrophysiol. - 2014. - Vol. 25(6). - P. 638-644.Feasibility and Acute Efficacy of Radiofrequency Ablation of Cavotricuspid Isthmus-Dependent Atrial Flutter Guided by Real-Time 3D TEE / F. Regoli [et al.] // J.A.C.C.: Cardiovascular imaging. - 2011. - Vol. 4(7). - P. 716-726.Feasibility and Acute Efficacy of Radiofrequency Ablation of Cavotricuspid Isthmus-Dependent Atrial Flutter Guided by Real-Time 3D TEE / F. Regoli [et al.] // J.A.C.C.: Cardiovascular imaging. - 2011. - Vol. 4(7). - P. 716-726.High-resolution mapping around the eustachian ridge during typical atrial flutter / J.L. Huang [et al.] // J. Cardiovasc. Electrophysiol. - 2006. - Vol. 17(11). - P. 1187-1192.High-resolution mapping around the eustachian ridge during typical atrial flutter / J.L. Huang [et al.] // J. Cardiovasc. Electrophysiol. - 2006. - Vol. 17(11). - P. 1187-1192.Initial clinical experience with a remote magnetic catheter navigation system for ablation of cavotricuspid isthmus-dependent right atrial flutter / A. Arya [et al.] // Pacing Clin. Electrophysiol. - 2008. - Vol. 31. - P. 597.Initial clinical experience with a remote magnetic catheter navigation system for ablation of cavotricuspid isthmus-dependent right atrial flutter / A. Arya [et al.] // Pacing Clin. Electrophysiol. - 2008. - Vol. 31. - P. 597.“Near-zero” fluoroscopic exposure in supraventricular arrhythmia ablation using the EnSite NavX™ mapping system: personal experience and review of the literature / M. Casella [et al.] // J. Interv. Card. Electrophysiol. - 2011. - Vol. 31(2). - P. 109-118.“Near-zero” fluoroscopic exposure in supraventricular arrhythmia ablation using the EnSite NavX™ mapping system: personal experience and review of the literature / M. Casella [et al.] // J. Interv. Card. Electrophysiol. - 2011. - Vol. 31(2). - P. 109-118.Patient and staff radiation dosimetry during cardiac electrophysiology studies and catheter ablation procedures: a comprehensive analysis / E.P. Efstathopoulos [et al.] // Europace. - 2006. - Vol. 8. - P. 443-448.Patient and staff radiation dosimetry during cardiac electrophysiology studies and catheter ablation procedures: a comprehensive analysis / E.P. Efstathopoulos [et al.] // Europace. - 2006. - Vol. 8. - P. 443-448.Phased-array intracardiac echocardiography for defining cavotricuspid isthmus anatomy during radiofrequency ablation of typical atrial flutter / J.B. Morton [et al.] // J. Cardiovasc. Electrophysiol. - 2003. - Vol. 14(6). - P. 591597.Phased-array intracardiac echocardiography for defining cavotricuspid isthmus anatomy during radiofrequency ablation of typical atrial flutter / J.B. Morton [et al.] // J. Cardiovasc. Electrophysiol. - 2003. - Vol. 14(6). - P. 591597.Remote Magnetic Catheter Navigation for Cavotri-cuspid Isthmus Ablation in Patients With Common-Type Atrial Flutter / D. Vollmann [et al.] // Circ. Arrhythm. Electrophysiol. - 2009. - Vol. 2. - P. 603-610.Remote Magnetic Catheter Navigation for Cavotri-cuspid Isthmus Ablation in Patients With Common-Type Atrial Flutter / D. Vollmann [et al.] // Circ. Arrhythm. Electrophysiol. - 2009. - Vol. 2. - P. 603-610.Right atrial angiographic evaluation of the posterior isthmus: relevance for ablation of typical atrial flutter / H. Heidbuchel [et al.] // Circulation. - 2000. - Vol. 101(18). - P. 2178-2184.Right atrial angiographic evaluation of the posterior isthmus: relevance for ablation of typical atrial flutter / H. Heidbuchel [et al.] // Circulation. - 2000. - Vol. 101(18). - P. 2178-2184.Right Atrial Cavotricuspid Isthmus: Anatomic Characterization with Multi-Detector Row CT / F. Saremi [et al.] // Radiology. - 2008. - Vol. 247(3). - P. 658-668.Right Atrial Cavotricuspid Isthmus: Anatomic Characterization with Multi-Detector Row CT / F. Saremi [et al.] // Radiology. - 2008. - Vol. 247(3). - P. 658-668.Risk to patients from radiation associated with radiofrequency ablation for supraventricular tachycardia / P. Kovoor [et al.] // Circulation. - 1998. - Vol. 98. - P. 15341540.Risk to patients from radiation associated with radiofrequency ablation for supraventricular tachycardia / P. Kovoor [et al.] // Circulation. - 1998. - Vol. 98. - P. 15341540.Role of the tricuspid annulus and the eustachian valve/ ridge on atrial flutter: relevance to catheter ablation of the septal isthmus and a new technique for rapid identification of ablation success / H. Nakagawa [et al.] // Circulation. - 1996. - Vol. 94(3). - P. 407-424.Role of the tricuspid annulus and the eustachian valve/ ridge on atrial flutter: relevance to catheter ablation of the septal isthmus and a new technique for rapid identification of ablation success / H. Nakagawa [et al.] // Circulation. - 1996. - Vol. 94(3). - P. 407-424.The electroanatomic characteristics of the cavotricus-pid isthmus: implications for the catheter ablation of atrial flutter / S.L. Chang [et al.] // J. Cardiovasc. Electrophysiol. 2007. - Vol. 18(1). - P. 18-22.The electroanatomic characteristics of the cavotricus-pid isthmus: implications for the catheter ablation of atrial flutter / S.L. Chang [et al.] // J. Cardiovasc. Electrophysiol. 2007. - Vol. 18(1). - P. 18-22.The inferior right atrial isthmus: further architectural insights for current and coming ablation technologies / J.A. Cabrera [et al.] // J. Cardiovasc. Electrophysiol. - 2005. -Vol. 16(4). - P. 402-408.The inferior right atrial isthmus: further architectural insights for current and coming ablation technologies / J.A. Cabrera [et al.] // J. Cardiovasc. Electrophysiol. - 2005. -Vol. 16(4). - P. 402-408.Typical atrial flutter ablation outcome: correlation with isthmus anatomy using intracardiac echo 3D reconstruction / M. Scaglione [et al.] // Europace. - 2004. - Vol. 6(5). - P. 407-417.Typical atrial flutter ablation outcome: correlation with isthmus anatomy using intracardiac echo 3D reconstruction / M. Scaglione [et al.] // Europace. - 2004. - Vol. 6(5). - P. 407-417.

The authors declare that there are no conflicts of interest present.