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. 2021 Sep;32(3):395-405.
doi: 10.1007/s00399-021-00794-z. Epub 2021 Jul 26.

[Pulmonary vein isolation using radiofrequency ablation]

[Article in German]
Leon Iden  1 , Sonia Busch  2 , Daniel Steven  3 , Roland R Tilz  4 , Dong-In Shin  5   6 , K R Julian Chun  7 , Heidi Estner  8 , Felix Bourier  9 , David Duncker  10 , Philipp Sommer  11 , Andreas Metzner  12 , Tilman Maurer  13 , Nils-Christian Ewertsen  14 , Henning Jansen  15 , Andreas Rillig  12 , Victoria Johnson  16 , Till Althoff  17
Affiliations

[Pulmonary vein isolation using radiofrequency ablation]

[Article in German]
Leon Iden et al. Herzschrittmacherther Elektrophysiol. 2021 Sep.

Abstract
in English, German

Catheter ablation represents the primary treatment for most arrhythmias. The effectiveness of catheter ablation for the treatment of atrial fibrillation is superior to drug therapy. Therefore, catheter ablation has been established as an increasingly common procedure in clinical routine. In this context, the electrical isolation of the pulmonary veins (PVI) constitutes the cornerstone of the interventional therapy of paroxysmal and persistent atrial fibrillation. This article describes the procedure of pulmonary vein isolation utilizing radiofrequency point-by-point ablation. It shall be a practical guide for the staff in the electrophysiological laboratory. This article continues a series of manuscripts focusing on interventional electrophysiology topics in the course of EP (electrophysiology) training.This article describes the procedure of pulmonary vein isolation utilizing radiofrequency point-by-point ablation. It shall be a practical guide for the staff in the electrophysiological laboratory. This article continues a series of manuscripts dealing with topics of interventional electrophysiology in the course of EP training.

Die Katheterablation von Herzrhythmusstörungen hat sich für die meisten tachykarden Arrhythmieformen als primäre Behandlungsform etabliert. Hierbei ist die interventionelle Behandlung eines symptomatischen Vorhofflimmerns der medikamentösen Therapie überlegen, sodass die Durchführung einer Katheterablation zunehmend zum klinischen Alltag vieler Kliniken gehört. Die elektrische Isolation der Pulmonalvenen (PVI) stellt den Eckpfeiler der interventionellen Therapie sowohl von paroxysmalem als auch von persistierendem Vorhofflimmern dar. Dieser Artikel beschreibt die Durchführung einer Pulmonalvenenisolation mittels Radiofrequenzablation in Punkt-für-Punkt-Technik und soll eine praktische Anleitung für die Arbeit im Herzkatheterlabor sein. Diese Arbeit setzt eine Reihe von Artikeln fort, die für eine Weiterbildung im Bereich der speziellen Rhythmologie erstellt worden sind.

Keywords: Arrhythmia; Atrial fibrillation; Catheter ablation; Point-by-point ablation; Pulmonary vein isolation.

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References

Literatur

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