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COMPARATIVE EFFECTIVENESS OF TWO TECHNIQUES OF CATHETER ABLATION OF PAROXYSMAL ATRIAL FIBRILLATION: A RANDOMIZED STUDY

Abstract

To compare the long-term effectiveness of the isolated procedure of selective ablation of the left atrium ganglionary plexuses with the standard technique of circular isolation of pulmonary veins in the course of treatment of atrial fibrillation, 77patients were operated in a single center randomized non controlled study.

About the Authors

D. S. Lebedev
ФГУ «Федеральный центр сердца, крови и эндокринологии им. В.А.Алмазова Федерального агентства по высокотехнологичной медицинской помощи», Санкт-Петербург
Russian Federation


E. N. Mikhailov
ФГУ «Федеральный центр сердца, крови и эндокринологии им. В.А.Алмазова Федерального агентства по высокотехнологичной медицинской помощи», Санкт-Петербург
Russian Federation


S. V. Gureev
ФГУ «Федеральный центр сердца, крови и эндокринологии им. В.А.Алмазова Федерального агентства по высокотехнологичной медицинской помощи», Санкт-Петербург
Russian Federation


V. K. Lebedeva
ФГУ «Федеральный центр сердца, крови и эндокринологии им. В.А.Алмазова Федерального агентства по высокотехнологичной медицинской помощи», Санкт-Петербург
Russian Federation


N. V. Sviridova
ФГУ «Федеральный центр сердца, крови и эндокринологии им. В.А.Алмазова Федерального агентства по высокотехнологичной медицинской помощи», Санкт-Петербург
Russian Federation


References

1. Покушалов Е.А., Туров А.Н., Шугаев П.Л. и др. Новый подход в лечении фибрилляции предсердий: катетерная аблация ганглионарных сплетений в левом предсердии // Вестник Аритмологии. - 2006. -№45. - с.17-27.

2. Calkins H., Brugada J., Packer D.L. et al. HRS/EHRA/ ECAS Expert Consensus Statement on Catheter and Surgical Ablation of Atrial Fibrillation: Recommendations for Personnel, Policy, Procedures and Follow-Up: A report of the Heart Rhythm Society (HRS) Task Force on Catheter and Surgical Ablation of Atrial Fibrillation // Heart Rhythm. - 2007. - V.4(6). - P.816-61.

3. Fuster V, Ryden LE, Cannom DS. et al. ACC/AHA/ESC 2006 guidelines for the management of patients with atrial fibrillation: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the European Society of Cardiology Committee for Practice Guidelines (Writing Committee to Revise the 2001 Guidelines for the Management of Patients With Atrial Fibrillation) // J. Am. Coll. Cardiol. - 2006. -V.48. - P.149-246.

4. Haissaguerre M, Jais P, Shah DC. et al. Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins // N. Engl. J. Med. - 1998. - V.339. - P.659-666.

5. Nademanee K, McKenzie J, Kosar E. et al. A new approach for catheter ablation of atrial fibrillation: mapping of the electrophysiologic substrate // J. Am. Coll. Cardiol. - 2004. - V.43. - P.2044-2053.

6. Pachon J.C., Pachon E.I., Pachon J.C. et al. A new treatment for atrial fibrillation based on spectral analysis to guide the catheter RF-ablation // Europace. - 2004. -V.6. - P.590-601.

7. Pappone C, Augello G, Sala S. et al. A randomized trial of circumferential pulmonary vein ablation versus an-tiarrhythmic drug therapy in paroxysmal atrial fibrillation: the APAF Study // J. Am. Coll. Cardiol. - 2006 - V.48. -P.2340-2347.

8. Pappone C, Rosanio S, Oreto G. et al. Circumferential radiofrequency ablation of pulmonary vein ostia: a new anatomic approach for curing atrial fibrillation // Circulation. - 2000. - V.102. - 2619-2628.

9. Pappone C., Santinelli V., Manguso F. et al. Pulmonary vein denervation enhances long-term benefit after circumferential ablation for paroxysmal atrial fibrillation // Circulation. - 2004. -V.109. - P.327-334.

10. Scanavacca M., Pisani C.F., Hachul D. et al. Selective atrial vagal denervation guided by evoked vagal reflex to treat patients with paroxysmal atrial fibrillation // Circulation. - 2006. - V.114. - P.876-885.

11. Schauerte P., Scherlag B.J., Pitha J. et al. Catheter ablation of cardiac autonomic nerves for prevention of vagal atrial fibrillation // Circulation. - 2000. - V.102. - P.2774-2780.

12. Tan A.Y., Li H., Wachsmann-Hogiu S. et al. Autonomic innevation and segmental muscular disconnections at the human pulmonary vein-atrial junction: implications for catheter ablation of atrio-pulmonary vein junction // J. Am. Coll. Cardiol. - 2006. - V.48. - P.132-143.

13. Verma A, Marrouche NF, Natale A. Pulmonary vein antrum isolation: intracardiac echocardiography-guided technique // J. Cardiovasc. Electrophysiol. - 2004. - V.15. -P.1335-1340.

14. Wazni OM, Marrouche NF, Martin DO. et al. Radiofrequency ablation vs antiarrhythmic drugs as first-line treatment of symptomatic atrial fibrillation: a randomized trial // JAMA. - 2005. - V.293. - P.2634-2640.


Review

For citations:


Lebedev D.S., Mikhailov E.N., Gureev S.V., Lebedeva V.K., Sviridova N.V. COMPARATIVE EFFECTIVENESS OF TWO TECHNIQUES OF CATHETER ABLATION OF PAROXYSMAL ATRIAL FIBRILLATION: A RANDOMIZED STUDY. Journal of Arrhythmology. 2008;51(51):22-27. (In Russ.)

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ISSN 1561-8641 (Print)
ISSN 2658-7327 (Online)