1999
DOI: 10.1055/s-2007-1013201 View full text |Buy / Rent full text
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Abstract: Curative treatment of atrial fibrillation is one of the main challenges of todays electrophysiology. The ideal treatment strategy should be effective, safe, and easy to apply to allow a widespread use. In addition, curative treatment should not only aim on the restoration of sinus rhythm but also restore mechanical atrial function to improve hemodynamics thereby avoiding anticoagulation. With respect to percutaneous catheter ablation no treatment concept with proven efficiency to cure chronic permanent atrial … Show more

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“…2 Novel treatment approaches, however, may significantly alter the prevalence and management of atrial fibrillation in the near future. In particular, surgical 24 and catheter ablation techniques, 25 implantable devices, 26 and hybrid therapies 27 all hold significant potential for abolishing atrial fibrillation, restoring sinus rhythm, and preventing cardiac and cerebral complications. In patients eligible for these novel therapies, the prevalence of recurrent atrial fibrillation and hospitalizations for symptoms and complications will be lower.…”
Section: Discussion Principal Findingsmentioning
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“…2 Novel treatment approaches, however, may significantly alter the prevalence and management of atrial fibrillation in the near future. In particular, surgical 24 and catheter ablation techniques, 25 implantable devices, 26 and hybrid therapies 27 all hold significant potential for abolishing atrial fibrillation, restoring sinus rhythm, and preventing cardiac and cerebral complications. In patients eligible for these novel therapies, the prevalence of recurrent atrial fibrillation and hospitalizations for symptoms and complications will be lower.…”
Section: Discussion Principal Findingsmentioning
“…HINDRIKS et al (65) , em 1997 e HINDRIKS et al (66) , em 1999, mostraram experiência, com uso de ablação com radiofreqüência, durante procedimento cirúrgico para tratamento de doença valvar. Do mesmo modo, MELO et al (67)(68)(69) , em Portugal, mostraram resultados favoráveis, com uso da radiofreqüência intra-operatória para tratamento da fibrilação atrial.…”
Section: Comentáriosunclassified
“…In the last decade, new techniques have been developed and diverse modifications proposed in order to improve the success rate of AF treatment while minimizing surgical trauma and operative risk. Various modifications using RF, cryoablation, and microwave energy have been described 16,23,28,29 …”
Section: Discussionmentioning
“…In addition, several complications have been reported for percutaneous techniques including thromboembolism, stroke, cardiac tamponade, and PV stenosis 17‐21 . This has led to the development of new surgical ablation techniques for the treatment of AF, with the most common being radiofrquency (RF) ablation 22,23 . However, widespread use of intraoperative RF ablation in the left atrium resulted in severe complications in some patients, particularly esophageal perforations 24,25 …”
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