Use of Bipolar Radiofrequency Catheter Ablation in the
Treatment of Cardiac Arrhythmias

J 2018

Use of Bipolar Radiofrequency Catheter Ablation in the Treatment of Cardiac Arrhythmias

SOUČEK, Filip a Zdeněk STÁREK

Základní údaje

Originální název

Use of Bipolar Radiofrequency Catheter Ablation in the Treatment of Cardiac Arrhythmias

Autoři

SOUČEK, Filip (203 Česká republika, garant, domácí) a Zdeněk STÁREK (203 Česká republika, domácí)

Vydání

Current Cardiology Reviews, San Francisco, Bentham Science Publishers B.V. 2018, 1573-403X

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30201 Cardiac and Cardiovascular systems

Stát vydavatele

Spojené arabské emiráty

Utajení

není předmětem státního či obchodního tajemství

Kód RIV

RIV/00216224:14110/18:00104054

Organizační jednotka

Lékařská fakulta

DOI

http://dx.doi.org/10.2174/1573403X14666180524100608

UT WoS

000441096000005

Klíčová slova anglicky

Bipolar radiofrequency ablation; arrhythmias; efficacy; safety; heart disease; radiofrequency ablation

Štítky

14110115, rivok

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 11. 2. 2019 15:50, Soňa Böhmová

Anotace

V originále

Background: Arrhythmia management is a complex process involving both pharmacological and non-pharmacological approaches. Radiofrequency ablation is the pillar of non-pharmacological arrhythmia treatment. Unipolar ablation is considered to be the gold standard in the treatment of the majority of arrhythmias; however, its efficacy is limited to specific cases. In particular, the creation of deep or transmural lesions to eliminate intramurally originating arrhythmias remains inadequate. Bipolar ablation is proposed as an alternative to overcome unipolar ablation boundaries. Results: Despite promising results gained from in vitro and animal studies showing that bipolar ablation is superior in creating transmural lesions, the use of bipolar ablation in daily clinical practice is limited. Several studies have been published showing that bipolar ablation is effective in the treatment of clinical arrhythmias after failed unipolar ablation, however, there is inconsistency regarding the safety of bipolar ablation within the available research papers. According to research evidence, the most common indications for bipolar ablation use are ventricular originating rhythmic disorders in patients with structural heart disease resistant to standard radiofrequency ablation. Conclusion: To allow wider clinical application the efficiency and safety of bipolar ablation need to be verified in future studies.

Citovat

SOUČEK, Filip a Zdeněk STÁREK. Use of Bipolar Radiofrequency Catheter Ablation in the Treatment of Cardiac Arrhythmias. Current Cardiology Reviews. San Francisco: Bentham Science Publishers B.V., 2018, roč. 14, č. 3, s. 185-191. ISSN 1573-403X. Dostupné z: https://dx.doi.org/10.2174/1573403X14666180524100608.

@article{1450077,
   author = {Souček, Filip and Stárek, Zdeněk},
   article_location = {San Francisco},
   article_number = {3},
   doi = {http://dx.doi.org/10.2174/1573403X14666180524100608},
   keywords = {Bipolar radiofrequency ablation; arrhythmias; efficacy; safety; heart disease; radiofrequency ablation},
   language = {eng},
   issn = {1573-403X},
   journal = {Current Cardiology Reviews},
   title = {Use of Bipolar Radiofrequency Catheter Ablation in the Treatment of Cardiac Arrhythmias},
   volume = {14},
   year = {2018}
}

TY  - JOUR
ID  - 1450077
AU  - Souček, Filip - Stárek, Zdeněk
PY  - 2018
TI  - Use of Bipolar Radiofrequency Catheter Ablation in the Treatment of Cardiac Arrhythmias
JF  - Current Cardiology Reviews
VL  - 14
IS  - 3
SP  - 185-191
EP  - 185-191
PB  - Bentham Science Publishers B.V.
SN  - 1573403X
KW  - Bipolar radiofrequency ablation
KW  - arrhythmias
KW  - efficacy
KW  - safety
KW  - heart disease
KW  - radiofrequency ablation
N2  - Background: Arrhythmia management is a complex process involving both pharmacological and non-pharmacological approaches. Radiofrequency ablation is the pillar of non-pharmacological arrhythmia treatment. Unipolar ablation is considered to be the gold standard in the treatment of the majority of arrhythmias; however, its efficacy is limited to specific cases. In particular, the creation of deep or transmural lesions to eliminate intramurally originating arrhythmias remains inadequate. Bipolar ablation is proposed as an alternative to overcome unipolar ablation boundaries. Results: Despite promising results gained from in vitro and animal studies showing that bipolar ablation is superior in creating transmural lesions, the use of bipolar ablation in daily clinical practice is limited. Several studies have been published showing that bipolar ablation is effective in the treatment of clinical arrhythmias after failed unipolar ablation, however, there is inconsistency regarding the safety of bipolar ablation within the available research papers. According to research evidence, the most common indications for bipolar ablation use are ventricular originating rhythmic disorders in patients with structural heart disease resistant to standard radiofrequency ablation. Conclusion: To allow wider clinical application the efficiency and safety of bipolar ablation need to be verified in future studies.
ER  -

SOUČEK, Filip a Zdeněk STÁREK. Use of Bipolar Radiofrequency Catheter Ablation in the Treatment of Cardiac Arrhythmias. \textit{Current Cardiology Reviews}. San Francisco: Bentham Science Publishers B.V., 2018, roč.~14, č.~3, s.~185-191. ISSN~1573-403X. Dostupné z: https://dx.doi.org/10.2174/1573403X14666180524100608.

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