Detailed Information on Publication Record
2018
Use of Bipolar Radiofrequency Catheter Ablation in the Treatment of Cardiac Arrhythmias
SOUČEK, Filip and Zdeněk STÁREKBasic 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
Language
English
Type of outcome
Článek v odborném periodiku
Field of Study
30201 Cardiac and Cardiovascular systems
Country of publisher
United Arab Emirates
Confidentiality degree
není předmětem státního či obchodního tajemství
RIV identification code
RIV/00216224:14110/18:00104054
Organization unit
Faculty of Medicine
UT WoS
000441096000005
Keywords in English
Bipolar radiofrequency ablation; arrhythmias; efficacy; safety; heart disease; radiofrequency ablation
Tags
International impact, Reviewed
Změněno: 11/2/2019 15:50, Soňa Böhmová
Abstract
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.