Author/Editor		Vokač, Damijan
Title		Radiofrekvenčna ablacija preddvorne fibrilacije
Translated title		Atrial fibrillation ablation
Type		članek
Source		In: Interventna kardiologija : [izbrana poglavja : zbornik predavanj] Maribor : Oddelek za kardiologijo in angiologijo, Klinika za interno medicino, UKC
Publication year		2007
Volume		str. 28-36
Language		slv
Abstract		Odstranitvena radiofrekvenčna ablacija preddvornega migetanja - atrijske fibrilacije (AF) je danes že na široko uporabljena in uveljavljena metoda zdravljenja in predstavlja do sedaj edino metodo, ki pripelje do trajne ozdravitve. V sodobni klinični praksi prevladujeta dve obliki: cirkumferentna antralna izolacija pljučnih ven in segmentna izolacija oziroma dekonekcija pljučnih ven. Uporabljamo še linijske ablacije, uničenje mikrorotorjev in uničenja vagalnih jeder, ki so ponavadi le dodatek k enemu ali drugemu pristopu. Cirkumferentna antralna izolacija pljučnih ven je uspešnejša in jo zato prevzemajo številni centri. Trajna ozdravitev AF prinaša znatno zmanjšanje obolevnosti, izboljša kvaliteto življenja, po zadnjih kliničnih raziskavah pa tudi zveča preživetje bolnikov. Z naraščanjem znanja o nastanku AF in z izboljšanjem tehnologije pričakujemo, da se bo uspeh ablacije še povečal. Z izboljšanjem tehnologije in poenotenjem protokolov radiofrekvenčne ablacije bo metoda postala dostopna tudi v centrih z manj izkušnjami in manjšim številom bolnikov ter bo postala primarna oblika zdravljenja te najpogostejše motnje srčnega ritma.Curative ablation of atrial fibrillation is broadly applied and clinically reliable curative method. Among several curative ablation methods, two of them dominate in the present clinical practice: circumferential pulmonary vein ablation with adjacent atrial tissue and ostial segmental disconnection of all pulmonary veins from the left atrium besides other approaches as linear ablation, eradication of micro rotors and eradication of vagal ganglia. These later methods are usually just addition to one of dominant ablation techniques. Clinical studies have approved the superiority of the first one which makes this method more frequent in present clinical practice. Curative ablation for atrial fibrillation by circumferential ablation or segmental isolation have a dramatic impact on morbidity, quality of life, and even mortality in patients with the most frequent cardiac arrhythmia. By increase of knowledge regarding pathophysiology of atrial fibrillation, as by increase in technology of methos rate of success will further increase although it is presently over 90 % in well experienced centers. By approval oftechnology and unification of protocols of radiofrequency ablation method will be safe and successful even in less experienced centers and will became as a first line therapy of this most common form of cardiac arrhythmia.
Descriptors		Atrial Fibrillation Atrijska fibrilacija Catheter Ablation Katetrska odstranitev therapy Zdravljenje methods complications Metode Zapleti