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Balloon Devices for Atrial Fibrillation Therapy
- Source :
- Arrhythmia & Electrophysiology Review. 4:58
- Publication Year :
- 2015
- Publisher :
- Radcliffe Group Ltd, 2015.
-
Abstract
- Ablation of atrial fibrillation (AF) is an established treatment option for symptomatic patients refractory to antiarrhythmic medication. In patients with paroxysmal AF, ablation can be offered as first-line therapy when performed in an experienced centre. The accepted cornerstone for all ablation strategies is isolation of the pulmonary veins. However, it is still challenging to achieve contiguous, transmural, permanent lesions using radio-frequency current (RFC) based catheters in conjunction with a three-dimensional mapping system and the learning curve remains long. These limitations have kindled interest in developing and evaluating novel catheter designs that incorporate alternative energy sources. Novel catheters include balloon-based ablation systems, incorporating different energy modalities such as laser (HeartlightTM, CardioFocus, Marlborough, MA, US), RFC (Hot Balloon Catheter, Hayama Arrhythmia Institute, Kanagawa, Japan) and cryo-energy (ArcticFront, Medtronic, Inc., Minneapolis, MN, US). While the cryoballoon (CB) and the radiofrequency hot balloon (RHB) are single-shot devices, the endoscopic ablation system (EAS) allows for point-by-point ablation. The CB and EAS are well established as safe, time-efficient and effective ablation tools. Initial studies using the RHB could also demonstrate promising results. However, more data are required.
- Subjects :
- medicine.medical_specialty
business.industry
medicine.medical_treatment
Ablation of atrial fibrillation
Balloon catheter
Atrial fibrillation
Ablation
medicine.disease
Balloon
Catheter
Physiology (medical)
Mapping system
medicine
Hot balloon
Device Therapy
Radiology
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 20503377
- Volume :
- 4
- Database :
- OpenAIRE
- Journal :
- Arrhythmia & Electrophysiology Review
- Accession number :
- edsair.doi.dedup.....82925452343ca2f5cdc656b755150b78