SOUČEK, Filip and 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, vol. 14, No 3, p. 185-191. ISSN 1573-403X. Available from: https://dx.doi.org/10.2174/1573403X14666180524100608.
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Basic information
Original name Use of Bipolar Radiofrequency Catheter Ablation in the Treatment of Cardiac Arrhythmias
Authors SOUČEK, Filip (203 Czech Republic, guarantor, belonging to the institution) and Zdeněk STÁREK (203 Czech Republic, belonging to the institution).
Edition Current Cardiology Reviews, San Francisco, Bentham Science Publishers B.V. 2018, 1573-403X.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30201 Cardiac and Cardiovascular systems
Country of publisher United Arab Emirates
Confidentiality degree is not subject to a state or trade secret
RIV identification code RIV/00216224:14110/18:00104054
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.2174/1573403X14666180524100608
UT WoS 000441096000005
Keywords in English Bipolar radiofrequency ablation; arrhythmias; efficacy; safety; heart disease; radiofrequency ablation
Tags 14110115, rivok
Tags International impact, Reviewed
Changed by Changed by: Soňa Böhmová, učo 232884. Changed: 11/2/2019 15:50.
Abstract
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.
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