Vol. 17 No. 1 (2013)
ELECTROPHYSIOLOGY

Evaluation of proarrythmogenic effects after different techniques of radiofrequency catheter ablation of atrial fibrillation

S. Artemenko
Academician E.N. Meshalkin Novosibirsk Research Institute of Circulation Pathology
Bio
A. Romanov
Academician E.N. Meshalkin Novosibirsk Research Institute of Circulation Pathology
Bio
V. Shabanov
Academician E.N. Meshalkin Novosibirsk Research Institute of Circulation Pathology
Bio
I. Stenin
Academician E.N. Meshalkin Novosibirsk Research Institute of Circulation Pathology
Bio
D. Yelesin
Academician E.N. Meshalkin Novosibirsk Research Institute of Circulation Pathology
Bio
A. Yakubov
Academician E.N. Meshalkin Novosibirsk Research Institute of Circulation Pathology
Bio
A. Strelnikov
Academician E.N. Meshalkin Novosibirsk Research Institute of Circulation Pathology
Bio
Ye. Pokushalov
Academician E.N. Meshalkin Novosibirsk Research Institute of Circulation Pathology
Bio

Published 2013-04-05

Keywords

  • CATHETER ABLATION,
  • ATRIAL FIBRILLATION,
  • PROARRYTHMOGENIC EFFECT,
  • LEFT ATRIAL FLUTTER

How to Cite

Artemenko, S., Romanov, A., Shabanov, V., Stenin, I., Yelesin, D., Yakubov, A., Strelnikov, A., & Pokushalov, Y. (2013). Evaluation of proarrythmogenic effects after different techniques of radiofrequency catheter ablation of atrial fibrillation. Patologiya Krovoobrashcheniya I Kardiokhirurgiya, 17(1), 33–37. https://doi.org/10.21688/1681-3472-2013-1-33-37

Abstract

To assess proarrythmogenic effects after different techniques of radiofrequency catheter ablation, 427 patients with paroxysmal, persistent, and long-standing persistent atrial fibrillation (AF) were examined. The patients were randomized into four groups: antral pulmonary vein isolation (PVI) (Group I), PVI plus roof line and mitral isthmus ablation (Group II), anatomic ablation of ganglionated plexuses (GP) of the left atrium (Group III) and GP plus PVI (Group IV). At the end of follow up (34,4±3,2 months) the largest number of proarrythmogenic effects was observed in Group II, 24,8% (26 patients). In the remaining groups the percentage of proarrythmogenic effects did not exceed 11%, neither was there any significant difference among Groups I, III and IV. Thus, the creation of additional linear lesions in the left atrium is a predictor of proarrythmogenic effects during follow up.

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