"Many studies have shown that catheter ablation
for A-fib can be done safely in older adults, even over age 80," says Dr.
Key products segmented in the global EP catheter ablation
Packer, with catheter ablation
receiving a firmer endorsement for patients with HF the next time U.S.
should now be "strongly considered" in patients with heart failure and AFib, he said, although he also had three qualifications for opting for this approach: Patients must already be on guideline-directed medical therapy for their heart failure, the catheter ablation
needs to be performed by an experienced and skilled operator, and follow-up surveillance must focus on both the patient's AFib and heart failure.
They are generally benign; in rare situations, like in the presence of structural heart disease, they can have catastrophic consequences because of rapid heart rates.1 SVTs, if recurrent, can result in significant impairment in the quality of life.2 An electrophysiological study (EPS) is recommended for patients with symptomatic, paroxysmal SVT.3 Often, long-term medical therapy for SVTs is ineffective because of recurrent episodes despite the use of medications.4 Radiofrequency catheter ablation
(RFCA) has become the treatment of choice due to its high primary success rates and low complication rates.5-7 The field of clinical cardiac electrophysiology has evolved dramatically over the last 30 years, beginning with the first description of the His bundle (H) recording in 1969.8
Long-term outcomes after catheter ablation
of cavo-tricuspid isthmus dependent atrial flutter: a metaanalysis.
Wazni's patients are still maintaining normal sinus rhythm 10 years after undergoing catheter ablation
. Still, he cautions that a recurrence of Afib is always possible.
The flecainide provocative test (2 mg/kg for 10 minutes) was performed after three months of catheter ablation
which revealed unmasking of type I Brugada pattern (Figure 3(d)).
Sixty four out of these patients (75%) underwent a first time RF catheter ablation
and 21 patients (25%) underwent cryoballoon catheter ablation
The Chinese Heart Rhythm Society (CHRS) put forward the “AF catheter ablation
safety improvement initiative,” and put “Restore normal rhythm with doubled safety” as this year's conference theme for CHRS 2017.
(1) Current treatments for AFib are cardioversion, prescription medication for management of rate and/or rhythm control, and, when all else fails, surgery or catheter ablation
. A single ablation procedure may not consistently eliminate AFib and repeat ablations are sometimes required to eradicate this disease state.